Zviratidzo zveHormonal Dysfunction Zvinogona Kusiyana Nevaya Vakadzi
Apo vanhu vanofunga nezvechirwere chetachiona , vanowanzofunga kuti ichi chirwere chinobata vakadzi. Uye, nezvo zvichingova chokwadi kuti vakadzi vari pakati pemakore masere ne10 zvinowanzoita kuti vashandurwe, sekuwanda kwemamiriyoni maviri evanhu muUnited States vanotenda kuti vari kurarama nechimwe chimiro chechirwere.
Pakati peizvi, inofungidzirwa kuti 60 muzana ichaenda isingawanikwe, inodaro American Thyroid Association, chikamu nokuti vanhu vachiri kuona se "chirwere chemukadzi."
Asi icho chinongova chikamu chematambudziko. Kunyange zvazvo zvinokonzera nekufambira mberi kwechirwere chetachiona zvakafanana kune varume nevakadzi, pane zviratidzo zvakasiyana nevarume vanowanzosarudzwa kana kusarudzwa, zvichiita kuti basa rekuongororwa rive rakaoma.
Kunzwisisa Matambudziko eKiroid
Utachiona hutachiona huri duku, nhengo yeguruvhe yakaumbwa nechepurupa iri pamberi pomutsipa wako shure kwemaapuro aAdhamu. Pasinei nehukuru hwayo hudiki, chirwere chetachiona chinokonzera mabasa akawanda emumuviri.
Basa guru reyroid yeganda ndeyokupinza mahomoni muropa iro rinotakurwa kumasero emuviri. Aya mahomoni anobatsira muviri kuti uwedzere simba, uchengetedze kutonhora kwemuviri, uye uone kuti moyo, uropi, masimba, uye dzimwe nhengo dzinoshanda zvakanaka.
Ichokwadi, zvakanaka chaizvo zvese zvinoshandiswa mumuviri zvomuviri zvinotsigira mahomoni ehutachiona, kubva mukukura kwebvudzi rako uye misumari kune zvepabonde rako.
Zvinonzwisisika, saka, kuti kusawirirana kupi zvingaita kuti zvirongwa izvi zviitwe zvisina kunaka, kana nokuisa mabheki pamaitiro avanoshanda kana kuti kuvarova kuti vashandise.
Utachiona hutano hunoita nekunyora iodine kubva kune zvinovaka muviri uye huchishandura kuva huni hwekuvaka mahomoni. Iyo miviri yakakura yehomoni yakakurumbira inozivikanwa sa triiodothyronine (T3) uye thyroxine (T4).
Nhamba iyo mahomoni aya anogadzirwa anonyanya kugadziriswa nehutu hwepituitary . Basa rehutambo hwepituitary ndekuona kuwanda kweT3 neT4 ichipararira muropa. Kana ichinge yakanyanyisa, gland ichavhara hormone inozivikanwa sehutori inokurudzira hormone (TSH) kuratidza kuti chirwere chetrojeni chinowedzera zvakawanda.
Chero kunopindira mune iyi hormonal loop-kana nekuda kwechirwere, autoimmune disorder, kana zvimwe zvinokonzera-zvinogona kuita kuti chirwere chetroroid chibudise mahomoni akawanda ( hyperthyroidism ) kana kuti zvishoma ( hypothyroidism ).
Hyperthyroidism muMarume
Hyperthyroidism ndiyo mamiriro ayo iyo chirwere chetrosi inobereka zvakawanda T3, T4, kana zviri zviviri. Panogona kuva nezvikonzero zvakasiyana siyana zveizvi. Mukuru pakati pavo ndiGeves , chirwere chekuzvidzivirira mumhepo umo mazvirwere zvemusununguko anogadzira an antibody anonyanya kupfutidza chirwere chetachiona.
Makuva ane simba mumhuri uye anotenda kuti inokonzera mumwechete muvanhu mazana maviri muUnited States, kazhinji vakura kune makumi mana.
Zvimwe zvikonzero zvinokonzera hyperthyroidism mune varume zvinosanganisira:
- Thyroiditis (chirwere chetachiona) chinokonzera T3 neT4 ku "kurasira" kwetachiona gland
- Chirwere chetachiona chetachiona kana pituitary gland
- Chirwere chinorwara chematete
- Kenza yechipupuriro
- Kunyanya iodine kudya
- Kunyanya kushandiswa kweT4-ine zvinowedzera zvinowanzoshandiswa nemagadziro ekugadzirisa kuwedzera kwehuwandu hwemagetsi kuti uwane zvakawanda zve "kucheka," kuonda kwemasumbu kutarisa
Varume vane hyperthyroidism vachagovana zviratidzo zvakawanda zvechirwere sevakadzi. Vanogona kunzwa vakasununguka kana kuti vakasvibiswa pamusasa wekamuri. Kuwedzerwa kwemagetsi kunogona kukonzera kuchinja kwechido kana kamwe-kamwe, kusinganzwisisiki kurasikirwa. Kutya, kuora, kuneta, kurasikirwa kwemafungiro, uye kudedera kwemaoko kwakajairika. Kazhinji kacho, kuwedzera kwemoyo kuchawedzerwa uye kunonzwisiswa sekumhanya kana kuputika mubhokisi.
Chimwe chezvinhu zvinoreva zviratidzo ndeye proptosis , kana kukura kwemaziso kunowanzobatanidzwa neGraves chirwere. Pose kubva pa25 muzana kusvika ku50 kubva muzana yevakadzi nevarume vachaona chiratidzo ichi che hyperthyroid, chinokonzerwa nekuunganidza masero ezvirwere mumuviri.
Murume Wechirwere Chekuita Nehupombwe muHyperthyroid Disease
Pane, zvisinei, zviratidzo zvakawanda zvinoreva varume. Izvi zvinosanganisira gynecomastia, kuwedzera kusina kuchena kwezvipfuva zvemazamu izvo zvinowanzoonekwa muma varume vakuru asi zvinogona kuonekwa kare kune varume vane hyperthyroidism.
Chimwe chirevo chetauriri ndechekusagadzikana kwepabonde . Mukuwedzera kune zvakaderera libido, erectile kusagadzikana ndeyekunyunyuta kunowanikwa kune varume vane hyperthyroid zvirwere. Chidzidzo che2012 kubva kune Sexual Medicine uye Andrology Unit paYunivhesiti yeFlorence muItaly yakarongedza zvidzidzo umo varume vanosvika 6,573 vakaongororwa. Varume vanorwara se hyperthyroid (nechepasi TSH nepamusoro yeT4 mazinga) vakaonekwa kuti vari pahuwandu hwehutachiona hwekushaya simba kwe erectile.
Kunyangwe mushure mekugadzirisa zvinhu zvakadai sezera, kusvuta, kuneta, uye pasi zvakanyanya zve testosterone, varume vane hyperthyroidism vainge vanowedzera kudarika kaviri pengozi kana vachienzaniswa nevarume vane maitiro akaenzana eTSH / T4. Chikonzero nei izvi zvichiitika zvisati zvajeka.
Hypothyroid Disease in Men
Hypothyroidism inoitika kana muviri wako usingabereki mahomoni ane utachi. Inowanzobatanidzwa nedzimwe rudzi rwehutachiona hwemotokari hunozivikanwa seHashimoto's disease , umo muviri wemuviri wechirwere unorwisa zvakananga chirwere chetachiona.
Chirwere cheHashimoto chinokonzera thyroiditis (kuputika kwetachiona gland) iyo inotanga kukonzera kuwedzera kwehomoni yekemikari. Nokufamba kwenguva, zvisinei, kuputika kwechirwere kunoparadza utachiona hwekotori kune uko husingakwanise kubudisa T3 neT4.
Kufanana nemarwere, Hashimoto inonyanya kuora mwoyo inowanikwa nemhuri uye inotendwa inokanganisa vanhu vanosvika mamiriyoni 14 muUnited States, kunyanya pakati pemakore makumi mana nemakumi matanhatu.
Zvimwe zvinokonzera hypothyroidism mune varume zvinosanganisira:
- Kurapa kwehutano hwe hyperthyroid (kusanganisira radioiodine therapy ) iyo dzimwe nguva inogona kuita kuti chirwere chetachiona chivhare zvachose
- Kuvhiyiwa kwechirwere kunosanganisira kubviswa kweimwe kana kuti yese yeglandu
- Dhiyabhorosi yemazuva ano inowanzoshandiswa kurapa kancita yemusoro nemutsipa
- Congenital defects ye thyroid gland
- Mimwe mishonga yakadai se lithiamu, amiodarone (inoshandiswa kurapa kusagadzikana kwepfungwa), uye interferon alpha (inoshandiswa kurapa dzimwe kanza)
Varume vane hypothyroidism vachawana zviratidzo zvakawanda zvechirwere sevakadzi. Vanogona kunge vasingashiviriri kutonhora uye vanonzwa vachishuva kunyange muimba inopisa. Kuneta, kuzvidzora, kuora mwoyo, uye kutyisa zvose zvinowanzoitika. Ikoko kunogonawo kuva nekuzvikudza kwemaoko, makumbo, maoko, tsoka, uye chiso pamwe chete nekuwedzera kusina kujairika kwetachiona gland (inozivikanwa segoiter).
Murume Kuita Zvepabonde Kusagadzikana muHypothyroid Disease
Mune zviratidzo zvinoratidzika zvakananga kune varume, hypothyroidism inowanzobatana nekurasikirwa kwemaviri emusimba uye simba panzvimbo yehupfumi hunowanzoonekwa muvakadzi.
Hypothyroidism inogonawo kuwedzera mungozi yekushaya mwana. Ichokwadi, kutsvakurudza kwakaratidzwa kuti varume vane hutachiona hwehutano hunowanzova nehurombo hwehuta hwemhando, hutachiona hwemhando yepamusoro, uye huwandu hushoma hutachiona.
Izvi zvinofanirwa kuti zvinokonzerwa, pamwe muchikamu, nehomoni inozivikanwa sa prolactin iyo yakavanzwa nechepituitary gland pamwe neTSH. Sezvo TSH inowedzera inowedzera mu hypothyroid men, saka, zvakare, inonzi prolactin. Izvi zvinogona kukonzera kuderera kunorema mumazinga e testosterone ayo, zvakare, anogona kukanganisa kukwidziridzwa kwemurume, zvekuita zvepabonde, uye kunyange kunyorova musimba kukura.
Izvo zvinokonzerwa ne hypothyroidism pa androgens (mahomoni evanhu) inowanikwa zvakasimba kuibatanidzwa nekusavhiringidza kwe erectile, kunyange zvazvo kunyatsoshandiswa kweizvi hakuri kunyatsojeka. Kusiyana ne hyperthyroidism, umo kudonhera muTSH uye kusimuka muT4 kunobatanidza zvakananga nekugadzirisa dambudziko, hapana kujekesa kwakasimbiswa kune varume vane hypothyroid zvirwere.
Nezvo izvo zvichitaurirwa, chidzidzo che2008 chakabudiswa mu Journal of Clinical Endocrinology uye Metabolism yakaratidza kuti varume vane hutachiona hwehutachiona hwakanga huine mazinga akakwirira erectile kudzvinyirira kupfuura varume hyperthyroid (85 muzana zvichienderana ne 71 muzana, zvichienderana) uye kanopfuura katatu muyero inowanikwa mune varume vane chirwere chechirwere chinowanzoitwa (25 muzana).
Chidzidzo ichocho chakaratidza kuti, kana korosi yakagadziriswa kuburikidza nemishonga, uwandu hwekusavhiringidza kwe erectile hwakanga huri nani kana huri hwakafanana nehuwandu hwevanhu vakawanda.
Matambudziko muKutsvaga
Kunyange zvazvo kuongororwa uye kurapwa kwechirwere chetachiona hazvisi zvakasiyana nevarume sezvavanenge vari vakadzi, pane imwe nguva yakakura pakusvika varume vanobatwa nehutano.
Nepo vakadzi vachiwanzoongororwa nezvinetso zvetroroid pavanouya nezviratidzo, vanachiremba vanowanzotarisa utachiona pavanosangana nezviratidzo zvakafanana zvevarume. Uyezve, nokuti zvizhinji zvezviratidzo zvinowanzoitika uye zvinowanzoitika kune varume vanopfuura makumi mana, vanachiremba vanowanzotaura nezvemamiriro ezvinhu erectile kusagadzikana, matambudziko ekuremera, uye kurasika kwesimba kusvikira panguva.
Kunyange kana chirwere chetachiona chikafungidzirwa, vanachiremba vanowanzokundikana kuronga boka rakazara rekuongororwa, kusanganisira TSH, yakasununguka uye yakazara T3, yakasununguka uye yakakwana T4, uye bhati yeimwe mikoko inokosha inokosha. Pasina zvose zvekuedzwa, chiremba achangova nepfupi shoma pane izvo zvingave zvichiitika kana zvisingazoitiki. Ichokwadi, pasina jeri rakakwana, muedzo unogona kudzoka "wakajairika" uye unoshaya zvachose chirwere chetachiona kunyange mumarume avo zviri pachena kuti vanorwara.
Mukufema kwakafanana, varume vanowanzozeza kana kunyara kugovera zvizere zviratidzo zvavo nevanachiremba, vachitarisa pane izvo zviri pachena kana zvinetso. Uyezve, varume vanowanzosiya zvachose zvavanenge vachifamba nemanzwiro, muchikamu nokuti vanogona kunge vasingazivi kuti mahomoni angakanganisa sei mafungiro, chiyeuchidzo, nekugogodza .
Nemhaka yeizvi, vanachiremba vachangotora chikamu chemufananidzo uye havagoni kubatanidza pamwe chete zvinyorwa zvinoda kurongedza kufungidzirwa.
Zvaunogona Kuita
Nezvishoma zvishoma, pane zvishoma zvakaoma zviratidzo-uye-zvekare zvechirwere chetachiona mumarume. Nepo zviratidzo zvinonzi goiter uye proptosis zvinogona kukuratidza iwe nenzira yakarurama, kakawanda pane kwete zviratidzo uye zviratidzo zvichange zvisinganzwisisiki uye zvisingaiti.
Chinhu chinokosha chetachiona chetachiona ndechekuti kazhinji-asi kwete nguva dzose-kufambira mberi. Nemhaka yokuti utachiona husingaiti hunochinja huri nhengo dzakawanda dzemuviri, zvakakosha kutora zvinyorwa chero chipi zvacho uye zviratidzo zvingangodaro zviri kuitika. Nepo zvinowanzova nyore kutaura kuti kuchinja uku kuri kukwegura, varume vazhinji vanogona kunzwisisa kana chirwere chisina kujairika, hachirevi, kana kuti chiri kuwedzera.
Kana pane chikonzero chipi zvacho iwe unofungidzira une chirwere chetachiona, iva nechokwadi chekuudza zvirwere zvako zvose kune chiremba wako uye kubvunza zvakananga kana chirwere chetachiona chingangokonzera. Kana zvichidiwa, iwe unogona kukumbira kutumira kune mumwe wemagokorognologist akarovedzwa mune zvirwere zvehutano hwetroroid.
Mukuwedzera kune cherosi yakakwana, bvunza kana iri chirwere chakakosha zvikuru chinonzi TRH kukurudzira test chingabatanidzwa. Iko kuongorora kunodhura, kwakafanana mupfungwa yekuisa mwoyo wepfungwa yekuedza, asi ndeimwe yenzira dzakavimbika dzekuongororwa nhasi.
Nokuzviongororwa kare, iwe unogona kuwana mishonga zvisati zvaitika zvinetso zvakakomba zvinoitika. Zvirwere zvehutano nhasi zvakajeka kudarika kare uye zvinogona kungosanganisira mishonga, kudya, uye kuchinja mune mararamiro. Kana kuvhiyiwa kana radioiodine therapy inodiwa, kufungidzirwa kwepakutanga kunowanzowanzobatanidzwa nehukuru hwekurapa kubudirira.
Pfungwa huru haisi yekutambudzika mukunyarara. Kune nyanzvi yekutsvaga kana ruzivo pamusoro pemishonga yemishonga munharaunda yako, shandisa nzvimbo inowanikwa paIndaneti inopiwa neAmerican Thyroid Association kana taura neAmerican Board of Medical Specialties pasina chekuita pa 866-275-2267.
> Sources:
> American Thyroid Disease. "Kuwandisa uye Kukanganisa Kwechirwere cheTyroid." Fall Church, Virginia; yakarongwa muna October 2017.
> Corona, G .; Wu, F .; Forti, G. et al. "Utachiona hwetachiona uye hukama hwepabonde hwevarume." Int J Androl. 2012; 35 (5): 668-79. DOI: 10.1111 / j.1365-2605.2012.01266.x.
> Krajewska-Kulak, E. uye Sengupta, P. "Thyroid Function mu Male Infertility." Front Endocrinol. 2013; 4: 174. DOI: 10.3389 / fendo.2013.00174.
> Krassas, G ;; Tziomalos, K .; Papadopoulou, R. et al. "Erectile kusagadzikana mune varwere vane hyper- uye hypothyroidism: ndeipi uye tinofanira kutora?" J Clin Endocrinol Metab. 2008; 93 (5): 1815-9. DOI: 10.1210 / jc.2007-2259.