Kukundikana kwe testicular

Testicular kutadza kunoitika kana machende asingakwanise kuburitsa urume kana mahomoni echirume, senge testosterone.

Kukundikana kwe testicular hakuna kujairika. Zvinokonzera zvinosanganisira:

• Mimwe mishonga, inosanganisira glucocorticoids, ketoconazole, chemotherapy, uye opioid pain mishonga
• Zvirwere zvinokanganisa testiki, kusanganisira hemochromatosis, mumps, orchitis, cancer testicular, testicular torsion, uye varicocele
• Kukuvara kana kushungurudzika kumachende
• Kufutisa
• Zvirwere zveGenetic, senge Klinefelter syndrome kana Prader-Willi chirwere
• Zvimwe zvirwere, zvakadai secystic fibrosis

Izvi zvinotevera zvinogona kuwedzera njodzi ye testicular kutadza:

• Zviitiko zvinokonzeresa, zvakaderera-chikamu kukuvara kune chikosoro, sekukwira mudhudhudhu kana bhasikoro
• Kakawanda uye kunorema kushandisa mbanje
• Machende asina kudzikwa pakuzvarwa

Zviratidzo zvinoenderana nezera apo testicular kutadza kukura, kungave pamberi kana mushure mekuyaruka.

Zviratidzo zvinogona kusanganisira:

• Kuderera pakureba
• Akawedzera mazamu (gynecomastia)
• Kushaya mbereko
• Kurasikirwa kwemhasuru
• Kushaya bonde drive (libido)
• Kurasikirwa kweruoko uye vhudzi repabhawa
• Kunonoka kusimudzira kana kushomeka kwechipiri kwevanhurume pabonde hunhu (kukura kwebvudzi, kuwanda kwechikoroti, kuwedzerwa kwepenisi, izwi rinoshanduka)

Varume vanogona zvakare kuona kuti ivo havafanirwe kuveura kazhinji.

Kuongorora kwepanyama kunogona kuratidza:

• Nhengo dzisinga nyatso tarisa kuve murume kana mukadzi (kazhinji dzinowanikwa panguva yehucheche)
• Zvishoma zvisina kujairika, akasimba machende
• Bundu kana huremu husina kujairika mudundundu kana chikosoro

Mimwe bvunzo inogona kuratidza yakaderera mapfupa emamineral density uye kutsemuka. Kuongororwa kweropa kunogona kuratidza yakaderera nhanho ye testosterone uye yakakwira mamazinga eprolactin, FSH, uye LH (inosarudza kana dambudziko riri rekutanga kana repiri).

Kana kunetsekana kwako kuri kwekubereka, wako mupi wezvehutano anogona zvakare kuraira wongororo yemurume kuti aongorore huwandu hwembeu ine hutano yauri kugadzira.

Dzimwe nguva, iyo ultrasound yemayestes icha kurairwa.

Testicular kutadza uye yakaderera testosterone nhanho inogona kunge yakaoma kuongorora kune varume vakuru nekuti testosterone level inowanzo kudzikira zvishoma nezera.

Mahormone echirume anowedzera anogona kubata mamwe mafomu ekutadza kutadza. Mushonga uyu unonzi testosterone replacement therapy (TRT). TRT inogona kupihwa sejelisi, chigamba, jekiseni, kana kudyara.

Kudzivisa mushonga kana chiitiko chiri kukonzera dambudziko kunogona kuunza testicle basa kudzoka pane zvakajairwa.

Mhando zhinji dze testicular kutadza dzinogona kudzoserwa. TRT inogona kubatsira kudzosera zviratidzo, kunyangwe zvingave zvisina kudzosera kubereka.

Varume vari kuita chemotherapy inogona kukonzeresa testicular kutadza vanofanirwa kutaura nezvechando mbeu yembeu pamberi pekutanga kurapwa.

Kukundikana kwechipupuriro kunotanga usati wayaruka kuchamisa kukura kwomuviri kwese. Inogona kudzivirira vakuru hunhu hunhu (senzwi rakadzika uye ndebvu) kubva mukukura. Izvi zvinogona kurapwa neTrT.

Varume vari paTRT vanoda kunyatso kuongororwa nachiremba. TRT inogona kukonzera zvinotevera:

• Yakawedzera prostate, zvichikonzera kunetseka kuita weti
• Ropa rinovhara
• Shanduko muhope uye nemanzwiro

Sheedza musangano pamwe nemupi wako kana iwe uine zviratidzo zve testicular kutadza.

Zvakare fonera mupi wako kana iwe uri paTrT uye iwe uchifunga kuti uri kuva nemhedzisiro kubva pakurapwa.

Dzivisa zviitiko zvine njodzi zvakanyanya kana zvichibvira.

Primary hypogonadism - murume

• Testicular anatomi
• Utano hwemurume hwekubereka

Allan CA, McLachlan RI. Androgen kushomeka kusagadzikana. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 139.

Morgentaler A, Zitzmann M, Kutambudza AM, et al. Pfungwa dzakakosha maererano nekushomeka kwe testosterone uye kurapwa: nyanzvi dzenyika dzese kubvumirana zvisarudzo. Mayo Clin Proc. 2016; 91 (7): 881-896. PMID: 27313122 www.ncbi.nlm.nih.gov/pubmed/27313122.

US Chikafu neDrug Administration webhusaiti. FDA kutaurirana kwekuchengetedza zvinodhaka: FDA inonyevera nezve kushandisa testosterone zvigadzirwa zve testosterone yakaderera nekuda kwekukwegura; inoda kunyorera shanduko kuzivisa nezve zvinogona kuwedzera njodzi yekurwadziwa kwemoyo uye sitiroko nekushandisa. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. Yakagadziridzwa Kukadzi 26, 2018. Yakasvika muna Chivabvu 20, 2019.