Hypogonadism: chii icho, chikuru zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• 1. Hume hypogonadism
• 2. Mukadzi hypogonadism
• 3. Hypogonadotrophic hypogonadism
• Zvinogona kukonzerwa
• 1. Primary hypogonadism
• 2. Yechipiri hypogonadism
• Kurapwa kunoitwa sei
• Zvinogona kuitika

Hypogonadism mamiriro umo maovari kana machende asingabudise mahormone akakwana, akadai seestrogen mumadzimai uye testosterone mumarume, ayo anoita chinzvimbo chakakura mukukura nekusimudzira panguva yekuyaruka.

Aya mamiriro anogona kukura panguva yekukura kwe fetus panguva yekuzvitakura, kuoneka pakuzvarwa, asi inogona zvakare kuoneka chero zera, kazhinji nekuda kwezvironda kana hutachiona mumazai kana machende.

Hypogonadism inogona kukonzera kushaya mbereko, kusavapo kwekuyaruka, kuenda kumwedzi kana kukura kwakashata kwenhengo yemurume yebonde. Kurapa kwe hypogonadism kunofanirwa kuratidzwa nachiremba uye kunovavarira kudzora huwandu hwehomoni uye kudzivirira kunetseka, uye kushandiswa kwemishonga yemahormone kana kuvhiyiwa kunogona kudikanwa.

Zviratidzo zvikuru

Hypogonadism inogona kutanga panguva yekukura kwechibereko, usati wayaruka kana panguva yekukura uye kazhinji, zviratidzo nezviratidzo zvinoenderana kana mamiriro acho achikura uye bonde remunhu:

1. Hume hypogonadism

Hume hypogonadism inokonzerwa nekuderera kana kusavapo kwekugadzirwa kwe testosterone nemachende, kuratidza zviratidzo zvakasiyana zvinoenderana nedanho rehupenyu:

• Vacheche: kukanganisika kukura kwenhengo dzekunze dzepabonde kunogona kuitika nekuda kwekuderera kwe testosterone kugadzirwa panguva yekukura kwechi fetus. Zvichienderana nekuti hypogonadism inokura sei uye huwandu hwe testosterone huripo, mwana, uyo ari mukomana wechibereko, anogona kuzvarwa aine nhengo dzesikarudzi dzechikadzi, nhengo dzesikarudzi izvo zviri pachena kuti hazvisi murume kana mukadzi kana nhengo dzekubereka dzisina kukura.
• Vakomana vasati vayaruka: zviratidzo zve hypogonadism zvakakanganisika kukura kwenhengo yemurume, mhasuru uye bvudzi remuviri, kutaridzika kwemazamu, kusavapo kweshanduko muizwi, zvakajairika pakuyaruka, uye kukura kwakanyanya kwemaoko nemakumbo maererano nehunde;
• Varume mushure mekuyaruka: kuderera kwehuwandu hwebvudzi remuviri, kurasikirwa kwemhasuru uye kuwedzerwa kwemafuta emuviri, kusagadzikana kwe erectile uye chishuwo chepabonde chakaderera. Panogona zvakare kuve nekuderedzwa mukugadzirwa kwehurume, izvo zvinogona kukonzeresa kushaya mbereko kana kunetsekana kuita kuti mumwe wako ave nepamuviri.

Kuongororwa kwe hypogonadism kunoitwa nachiremba wevana kana weurologist, zvichibva pazviratidzo, nhoroondo yekiriniki uye kuburikidza nekuongororwa kwepanyama kunoonekwa nachiremba kuvandudzwa kwemachende, nhengo yemurume nebvudzi pamuviri, pamwe nekugona kukura kwemazamu. Kana iwe uchifungidzira murume hypogonadism, chiremba anofanira kuraira bvunzo kuyera iwo mazinga ehormone senge testosterone, FSH uye LH, pamwe nekuongorora kwehurume, kuburikidza nemuedzo wourume. Tsvaga kuti spermogram inogadzirwa sei.

2. Mukadzi hypogonadism

Mukadzi hypogonadism inoitika nekuda kwekudzikira kana kusavapo kwekugadzirwa kweestrogen nemaovari uye ine zviratidzo zvakasiyana zvichienderana nehupenyu hwemukadzi, izvo zvinosanganisira:

• Vasikana vasati vayaruka: kazhinji kutanga kuenda kumwedzi kunotanga mushure memakore gumi nemana kana kuti kushayikwa kwekuenda kumwedzi kwakazara, izvo zvinokanganisa kukura kwemazamu nevhudzi repabhawa;
• Vakadzi mushure mekuyaruka: kuenda kumwedzi zvisina kujairika kana kukanganiswa kwenhambo kunogona kuitika, kushaya simba, kusanduka kwemamiriro, kuderera kwechido chepabonde, kurasikirwa nevhudzi remuviri, kupisa kupisa uye kunetseka kuve nepamuviri.

Kuongororwa kwevakadzi hypogonadism kunoitwa nachiremba wevana kana gynecologist, zvinoenderana nezera, zvinoenderana nekiriniki nhoroondo, zera pakutanga kuenda kumwedzi, nguva yekuenda kumwedzi uye bvunzo dzepanyama kuti uongorore kukura kwepamazamu uye kwepaburi. Uye zvakare, chiremba anofanirwa kuraira bvunzo dzevarabhoritari kuyera huwandu hwehomoni FSH, LH, estrogen, progesterone uye prolactin, uye yekufungidzira bvunzo senge Ultrasound yemukati.

3. Hypogonadotrophic hypogonadism

Hypogonadotropic hypogonadism, inonziwo hypogonadism yepakati, inogona kuitika pakuzvarwa mune vese varume nevakadzi, asi inogona zvakare kukura pane chero zera.

Rudzi urwu rwe hypogonadism runoitika nekuda kweshanduko mu hypothalamus kana pituitary gland, iri muuropi, inoitisa kugadzirwa kwemahormone anokurudzira mazamu kana machende kuburitsa mahormone avo. Muchiitiko ichi, zviratidzo zvakajairika musoro, kutambudzika kwekuona sekuona kaviri kana kurasikirwa kwemaonero, uye kugadzirwa kwemukaka nemazamu.

Kuongororwa kwe hypogonadotrophic hypogonadism kunoitwa nachiremba zvichienderana nezviratidzo uye kuburikidza nekuongororwa kwemifananidzo senge magnetic resonance imaging yehuropi.

Zvinogona kukonzerwa

Izvo zvinokonzeresa hypogonadism zvinogona kusarudzwa zvinoenderana nerudzi rwegland rwakakanganiswa uye inosanganisira:

1. Primary hypogonadism

Primary hypogonadism inowanzo kukonzerwa ne:

• Autoimmune, renal kana chiropa hosha;
• Zvinetso zvemajini, zvakaita saTurner Syndrome, mumadzimai, uye Klinefelter Syndrome, muvarume;
• Cryptorchidism umo machende haaburukire muchikomba muvakomana pakuzvarwa;
• Mapundu muvakomana;
• Kutanga kuenda kumwedzi muvakadzi;
• Polycystic ovary syndrome mumadzimai;
• Kutapukirwa segonorrhea muvakadzi;
• Radiotherapy kana chemotherapy yekurapa gomarara sezvo ichikanganisa kugadzirwa kwehomoni dzebonde.

Mune iyi mhando ye hypogonadism, maovari kana machende haashande nemazvo, achiburitsa shoma kana kusaita bonde mahormone, nekuti haapindure mukusimudzira uropi.

2. Yechipiri hypogonadism

Sekondari hypogonadism inowanzo kukonzerwa ne:

• Kubuda ropa zvisina kujairika;
• Matambudziko egeneti akadai saKallmann's syndrome;
• Kushomeka kwehutano;
• Kufutisa;
• Yakawandisa simbi muropa;
• Radiation;
• Utachiona hweHIV;
• Pituitary bundu.

Muchipiri hypogonadism, pane kudzikisira kana kusavapo kwekugadzirwa kwehomoni muuropi, senge FSH neLH, zvinova zvine basa rekusimudzira machende kana maovari kuti abudise mahormone ebonde.

Kurapwa kunoitwa sei

Kurapa kwe hypogonadism kunofanira kugara kuchiitwa pasi pezano rekurapa uye kunogona kusanganisira mishonga yemahormone kutsiva mahormone progesterone uye estrogen mune vakadzi, uye testosterone mune varume.

Kana iyo chikonzero chiri dambudziko repituitary, kurapwa kunogona kuitwawo nema pituitary mahormoni kukurudzira kugadzirwa kwehurume muvanhurume kana ovulation mune vakadzi uye nekudaro kudzosera kubereka. Uye zvakare, mune iro bundu mune pituitary gland, kuvhiyiwa kunogona kudikanwa kubvisa bundu, kushandisa mishonga, radiotherapy kana kurapwa kwehomoni.

Zvinogona kuitika

Zvinetso zvinogona kukonzerwa hypogonadism ndeizvi:

• Nhengo dzisina kujairika dzebonde muvarume;
• Kukura kwemazamu muvarume;
• Erectile kudzvinyirira muvarume;
• Kuwedzera njodzi yehutano hwemwoyo;
• Kuwedzera kwehuremu hwemuviri;
• Kurasikirwa kwemhasuru;
• Kushaya mbereko;
• Osteoporosis.

Uye zvakare, hypogonadism inogona kukanganisa kuzviremekedza kwevarume nevakadzi uye kukonzeresa matambudziko muhukama hwepabonde kana matambudziko epfungwa senge kushushikana, kushushikana kana kusatambira kwemuviri pachawo.