Mumwe mubvunzo unowanzoitika mukurapa kwangu kwezuva nezuva. Varwere vanobvunza kuti, "Ndine nhoroondo yekenza yeprostate asi mazinga angu e testosterone akaderera. Ndinogona kutora testosterone here? "Mhinduro yep patakapiwa navanachiremba vazhinji" haisi chokwadi "-testrosterone ichaita sehuni pamoto uye inokurumidza kukura kwekenza.
Asi izvi ndezvechokwadi here? Mhinduro ndeyekuti "Hongu," asi kune zvinguva zvingasangana nemamiriro ezvinyorwa zvichanyorwa pasi apa.
Zvisinei, tisati tatsanangura mamiriro ezvinhu umo varume vane kenza yeprotate vanogona kufunga nezvekutora testosterone, tinoda kukurukura kuti kuongorora ropa kunoyera sei testosterone kunotsanangurwa. Ndeipi chaiyo chivharo chinotsanangura kana uwandu hwe testosterone muropa hwakanyanya kuderera?
Testosterone Laboratory Testing Blood
Pane nhamba dzinoverengeka dzine chokuita nekuedza testosterone muropa. Chokutanga, maonero eropa e testosterone akareba mangwanani uye anoderera manheru. Chiyero chakatorwa pa4 masikati chakange chiri "pasi" chingangove chiri kunze kwehutano hwakanaka nekuda kwezuva rezuva ropa rakatorwa.
Chechipiri, pane zvinyorwa zviviri zve testosterone test: total testosterone uye testosterone yakasununguka. Zvose zvinowanzoedza kuongororwa chete zvinokwana testosterone yakazara. Zvisinei, testosterone isinganzwisisi yakanyatsojeka yeiyo physiologic basa re testosterone. Izvo zvakati, nyanzvi dzinoziva zvakajeka kuti kuwirirana pakati pekunyatsorongeka kwemazinga e testosterone pasina uye manzwiro ekuzviisa pasi ayo varume vanotaura pamusoro pesimba ravo uye libido kakawanda inopesana.
Vamwe varume vane testosterone vasina kusimba vanonzwa zvakanaka.
Kusarudza mamiriro evanhu e testosterone nekuita chisarudzo pamusoro pekudiwa kwe testosterone therapy haufaniri kunge yakagadzirirwa chete pamwero we testosterone muropa. Izvo zvakakosha zvakakosha kutsigira chisarudzo chekushandisa testosterone pamararamiro emunhu.
Ndechipi chinangwa chokupa testosterone kune mumwe munhu kungogadzirisa zvakaderera zvawanikwa zvakaratidzwa panyaya yekuenzanisa ropa kana murwere atova akanzwa zvakanaka?
Testosterone Therapy uye Prostate Cancer
Iye zvino ngatikurukurei mamiriro ezvinhu apo kupa testosterone therapy kunogona kugamuchirwa mumurume ane kenza ye prostate inozivikanwa.
Mamiriro ekutanga ari kupa testosterone kune varume vane chikwata chemazinga kana chetachiona. Mimwe mhando yekenza yeprotate yakadzika zvikuru yegorosi iyo inonyanya kusakuvadza. Aya maitiro ekenza yeprotate haana kupararira uye anofanira kunyanya kunzi maitiro ane chirwere. Zvinosuruvarisa, "kenza" izwi rakashandurwa zvisina kururama kune aya maitiro anonyadzisira emukenza weprostate makumi emakore apfuura uye iyi mutemo wekudana kuti kenza inopona kusvikira nhasi.
Chechipiri apo kupa testosterone kunogona kunge kwakachengeteka apo vanhu vakambotanga kurapwa nekuvhiyiwa kana kupiswa kwemhepo uye vanoita sevanorapwa. Mushure mokunge yakakodzera kurindira nguva imwe chete pakati pemakore maviri nemashanu, njodzi yekudzoka kwekenza inowanzosanyanya. Kutya kushandisa testosterone mumamiriro ezvinhu aya kunoratidzika kusina kukodzera.
Mamiriro matatu evanhu anowanikwa mune varume vane kenza yeprostate avo vakadzokera shure mushure mekuvhiyiwa kana kupiswa kwezuva. Ichi chiitiko chinoratidzirwa nekuvandudzirwa kwemazinga ekuwedzera kwePSA muropa.
Nenzira, varume ava vanogadziriswa nechepakati pe testosterone-kuderedza zvinodhaka zvakadai seLupron kana Firmagon. Zvidzidzo zvinoratidza kuti kutora kenza kwenguva refu kwakaenzana kuburikidza kushandisa Lutron iri mukati kana kuti inopfuurira Lupron.
Hongu, izvi zvinonzwika zvisina kufanira, asi zvakanyatsochengeteka kumira mishonga yekurapa uye kutora zororo. Kamwe kana kurapwa kuchimiswa, kushandiswa kwemhuka kwe testosterone kubva mumakumbo kunodzosera zvipuro zve testosterone muropa. Zvisinei, dzimwe nguva testosterone inoramba iri pasi, kunyanya kune varume vakwegura. Pamberi Lupron anoisa masheti evanhu ava zvachose kuti avete.
Kana zviitiko zvinowanikwa zve testosterone zvisingakwanisi kudzoka zvakare, zvine musoro kufunga kutarisira testosterone. Mushure mezvose, sezvo zvakaratidza kuti kubvumira kupindira kwe testosterone kubva mumakumbo kwakachengeteka, zvingave zvisina ngozi sei kutarisira testosterone bioidentical mumayero akagadzirirwa kuwana zvakafanana ropa ree testosterone rinowanikwa kuburikidza nemakumbo?
Mhuka yechina inofungidzirwa ndeyekuti pane maonero epamusoro e testosterone mumurume ane kenza ye prostate inozivikanwa ine utera hwakanyanya hwemumuviri kana kukanganisika kwemaviri kunokonzerwa nekunaka kushaya simba uye kukodzera. Izvi zvinogona kuitika kune varume vane hukuru hwakakura kana nekuda kwehumwe hutano hwakakomba. Apo varume vakave vasina simba (nemhaka yehutano husina hutachiona hwehutano hwehutachiona) zvinogona kuva nengozi kuchengetedza testosterone kudarika kuipa, kunyange zvazvo kenza ye prostate inogona kukurumidza kukura nokukurumidza nokuda kwekuratidzwa kwa testosterone. Zvakakosha kuyeuka kuti kunyange "zvakaipa" maitiro ekenza yeprostate zvinonzwisisika dzisina ruzivo mukukura kwayo. Kana chisarudzo chikaitwa kuti utange testosterone, chiyero chekuwedzera kwechirwere chinogona kunyatsoongororwa nePSA kuongororwa ropa uye kuongorora muviri. Kana iyi miedzo ichiratidza kuti kenza iri kufambira mberi zvakanyanya nokukurumidza, chirwere che testosterone chinogona kumira nekutarisira kuti kenza icharega kufambira mberi kana kunyange kugadzirisa mushure mokunge testosterone ikamira.
Nei Chichivhiringidza?
Kuvhiringidzika kwekushandisa testosterone therapy mune varume vane kenza yemukati inonzi prostate inokonzerwa nokuti kenza yeprotate haisi kurwara kamwe. Kune miitiro yakaderera, yepakati, uye yepamusoro-grade; chinzvimbo chepakati uye chirwere chemastastatic ; hormonally sensitive marudzi nemhando dzisinganzwisisi kutapukisa kwehomoni. A single protocol haizove yakakodzera zvakakwana kune marudzi ose ekenza yeprotate.
Chisarudzo chekutanga testosterone, saka, chinosvika kune nyaya mbiri. Ndakatarisa muchidimbu kutanga kwekufungisisa kwekurondedzerwa kwepamusoro kwezviitiko zvina zvingangodaro mune varume vane kenza inozivikanwa yeprostate avo vane pasi testosterone uye vanogona kubatsirwa nekushandisa supplemental testosterone. Nyaya yechipiri yakabatana nezvengozi yekushandisa testosterone mune imwe nzira yakasununguka murume asina kenza ye prostate. Dzidzo dzakaratidza kuti kupa testosterone hakusi yakachengeteka zvachose-kunyange kune varume vasina kenza yeprotate chero ipi zvayo.
Mazinga e testosterone muropa anowanzoderera nezera. Varume vakawanda vanofananidza nekuderedza kuderedza mu testosterone pasina kuoma kwakanyanya. Zvisinei, pane zvimwe, zvinogona kunge zvisingabatsiri pakuva nechirwere che testosterone, kunyanya apo testosterone inonyanya kubviswa. Izvi zvinokonzerwa nepasike testosterone zvinosanganisira simba remajini, pasi pepabonde, kushushikana, nhepfenyuro yepamusoro, kuwedzera kuwedzera, kuwedzerwa kwezamu, uye dzimwe nguva, kuwedzereka kwe calcium kurasikirwa pamapfupa-kureva, osteoporosis. Zvose izvi zvakaipa zvinokonzerwa nepasi pasi zve testosterone zvinogona kudziviswa kuburikidza nekudzokorora hutano hwetestetonione muropa.
Testosterone Therapy Administration uye Ngozi?
Kupa chirwere che testosterone kunogona kugadziriswa nenzira dzakasiyana-siyana dzakasiyana-siyana, kusanganisira kushandiswa kwenguva pfupi kana kwenguva refu majekesiti, makiramu, gel, uye transdermal patches. Kushandisa kurapwa hakusi nyore. Zvisinei, sezvakataurwa pamusoro apa, testosterone therapy haisi mungozi (kunze kwezvipingamupinyi zvekuishandisa mune varume vane kenza yeprostate). Chinhu chinonyanya kunetseka kubva ku testosterone kudzokera kunorapwa ndiko kukurudzirwa kwemasero matsvuku eropa anoverengeka ari akakwirira kudarika evhangeri-izwi rezvenyanzvi ndiro hematocrit yakakwirira. Iyo hematocrit, inowanzosvibiswa seHct, inhengo yepafupa reropa, iCBC kana kuti yakazara ropa. Imwe mazita emagetsi iwe ungasangana nawo anopa zvinoreva zvakafanana nehematocrit yakakwirira " polycythemia ."
Nhamba yepamusoro yakatsanangurwa inoreva kuti ropa rinova rakawanda kwazvo (kuwedzerwa kweropa), iro rinogona kukonzera zvinetso zvakakomba zvakadai sekurwadziwa kwemwoyo uye kurohwa. Kunyatsotarisa kwehematocrit kunokosha, saka, kune munhu wese anoronga kugoverwa testosterone. Ko hematocrit yakakura inofanira kuitika panguva ye testosterone therapy, kureva kuti, hematocrit inofanira kuwedzera pamusoro pe50 muzana, chimwe chinhu chinopikisa chinofanira kuitwa. Miitiro yakadaro inogona kusanganisira kubudiswa kwe periodic kwechikwata cheropa pane imwe chirongwa chehematologist kana kuti kuderedza musero we testosterone.
Kutungamirirwa kwe testosterone kushandiswa kwetachiona kwakave kwakanyatsogadziriswa, uye mune varume vasina kenza yeprostate, kushandiswa kwayo kwave kwakakurumbira. Sezvambotaurwa pamusoro apa, havasi vose vanoenda kune testosterone kurapwa zvakaitika kune rudzi rwezvipo zvingatarisirwa-zvinobatsira zvakadai sekuwedzera mu libido kana kuwedzerwa simba.
Mushure memazana emakore ekuziva kupa testosterone therapy kune varume vakawanda, ndakadzidza kuti pane kuchinja kukuru munzira iyo varume vachapindura nayo. Dzimwe nguva zvinokonzera testosterone zvinokurumidza uye zvinoshamisa. Mune vamwe varume, kunyange mushure mokutengesa kwakakwana kwemwedzi mitanhatu, kubatsirwa kunowanikwa kungave kuripo.
Nzira chete yekuziva kana munhu chaiye achabatsirwa kubva ku testosterone ndiko kutanga chirongwa nekucherechedza zvinopfuurira mberi kwemwedzi mitanhatu kana kupfuura. Nguva yekuongororwa yakakwana inodiwa kuti uone kana kuve kwakakosha kuchaitika. Testosterone haibvumi zvinguva pfupi zvinokonzerwa nemamwe mahomoni, saAdrenaline, somuenzaniso.
Ziva Kenza Yako yeProstate
Kusvika pano, zvakawanda zvezvatakakurukura zvakakodzera uye vazhinji vema endocrinologist uye vanachiremba vakawanda vanoziva nezvekutengesa testosterone kurapwa kune varume vasina kenza yeprostate. Mamiriro ezvinhu akaoma, sezvakataurwa pamusoro apa, ari mumurume ane chekuita kana kuti akaporesa kenza yekenza yekare. Mushure mezvose, testosterone kupedzisira kurapwa ndeimwe yenzira dzakakurumbira dzekurwisa kenza ye prostate. Saka, sei kushandiswa kwemamwe testosterone mune varume vane kenza yeprostate isingakuvadzi? Mhinduro ndeyokuti chirwere chekenza ye prostate chinofanira kunyatsotsanangurwa.
Kenza yekenza yeprotate inogona kugoverwa kuva mbiri yakakura-yakasiyana-siyana (inonyanya, iyo iyo yakatsunga kuva yekadhi yematanhatu kana zvishoma seyakagadzirirwa kuburikidza nesiropi yenyuchi kana kuburikidza nekuvhiyiwa), uye zvinowanzoenderana nemhando, izvo yakabatanidzwa kubva kune vanomwe kusvika gumi. Zvimwe zvinhu zvakadai sePSA nemigumisiro yezviongero zvakasiyana zvinogona kuchinjawo kugadzira chisarudzo. Muzviitiko zvakawanda, kuongororwa nemudzidzisi wekenza yeprostate zvichida kudikanwa kuti aite chisarudzo chokupedzisira pamusoro pekuchengetedzwa kwekupa kurapa testosterone kumunhu ane nhoroondo yekenza yeprostate.
> Sources:
> AVEED ® (Kunyora Mashoko). Malvern, PA: Endo Pharmaceuticals Inc.
> Edelstein D, uye Basaria S. "Testosterone undecanoate pakuchengetedzwa kwevanhu vanonyengera hypogonadism." Nyanzvi yekuongorora nezve pharmacotherapy 11.12 (2010): 2095-2106.
> Eisenberg, ML. "Testosterone Replacement Therapy uye Chiitiko cheKenza yeProstate." World Journal Men's Health 33.3 (2015): 125-129. PMC . Webhu. 28 Mar. 2017.
> Pickles, T, et al. "Testosterone kupora pashure pekuwedzera kwenguva refu adjuvant uyerogen ablation ye prostate carcinoma." Kanzura 94.2 (2002): 362-367.
> Testosterone Nhamba dzakakosha. Kubvunzurudza naDr. Laurence Klotz neProstatepedia. http://pcri.org/insights-blog/2016/4/6/testosterone-levels-are-significant-.