Hypogonadism

Zvemukati

• Ndedzipi mhando dze hypogonadism?
• Chikuru hypogonadism
• Pakati (sekondari) hypogonadism
• Ndezvipi zvikonzero zve hypogonadism?
• Ndezvipi zviratidzo zvehypogonadism?
• Hypogonadism inoonekwa sei?
• Hormone bvunzo
• Kufungidzira bvunzo
• Ndeapi marapirwo e hypogonadism?
• Kurapa kwevakadzi hypogonadism
• Kurapa kwehurume hypogonadism
• Kurapa kwe hypogonadism mune varume nevakadzi
• Ndeupi mutarisiro wenguva refu?

Chii chinonzi hypogonadism?

Hypogonadism inoitika kana ako gland gland aburitsa mashoma kana asina bonde mahormone. Iyo gland gland, inonziwo gonads, ndiwo anonyanya ma testes mune varume uye maovari mune vakadzi. Mahormone ebonde anobatsira kudzora zvechipiri zvehunhu hunhu, sekukura kwemazamu muvakadzi, testicular kukura mune varume, uye pubic bvudzi kukura. Mahormone ebonde anoitawo basa mukuenda kumwedzi uye kugadzirwa kwehurume.

Hypogonadism inogona zvakare kuzivikanwa sekushomeka kwegonad. Inogona kunzi yakaderera serum testosterone kana andropause pazvinoitika muvanhurume.

Zviitiko zvakawanda zveichi chiitiko zvinopindura mushe pakurapwa kwakakodzera.

Ndedzipi mhando dze hypogonadism?

Kune mhando mbiri dze hypogonadism: yekutanga uye yepakati.

Chikuru hypogonadism

Chekutanga hypogonadism zvinoreva kuti hauna mahormone akakwana emuviri mumuviri wako nekuda kwedambudziko muma gonads ako. MaGonads ako achiri kugamuchira meseji kuti agadzire mahormone kubva kuuropi yako, asi haakwanise kuagadzira.

Pakati (sekondari) hypogonadism

Pakati pe hypogonadism, dambudziko riri muuropi hwako. Yako hypothalamus uye pituitary gland, iyo inodzora ako gonads, haisi kushanda nemazvo.

Ndezvipi zvikonzero zve hypogonadism?

Izvo zvikonzero zvekutanga hypogonadism zvinosanganisira:

• autoimmune kusagadzikana, senge chirwere cheAdisonison uye hypoparathyroidism
• kusagadzikana kwemajini, senge Turner syndrome uye Klinefelter syndrome
• hutachiona hwakanyanya, kunyanya mamota anosanganisira machende ako
• chiropa uye itsvo zvirwere
• testes dzisina kukodzera
• hemochromatosis, inoitika kana muviri wako ukabata simbi yakawandisa
• kusvibiswa nemwaranzi
• kuvhiyiwa panhengo dzako dzebonde

Central hypogonadism inogona kunge iri nekuda kwe:

• kusagadzikana kwemajini, senge Kallmann syndrome (isina kujairika hypothalamic kukura)
• hutachiona, kusanganisira HIV
• chirwere chepituitary
• kuzvimba zvirwere, kusanganisira sarcoidosis, tibhii, uye histiocytosis
• kufutisa
• kukurumidza kuonda
• kushomeka kwehutano
• kushandiswa kwesteroids kana maopioid
• kuvhiyiwa huropi
• kusvibiswa nemwaranzi
• kukuvara kune yako pituitary gland kana hypothalamus
• bundu mukati kana pedyo neako pituitary gland

Ndezvipi zviratidzo zvehypogonadism?

Zviratidzo zvinogona kuoneka muvakadzi zvinosanganisira:

• kushaya kuenda kumwedzi
• kunonoka kana kusipo kukura kwemazamu
• kupisa kunopisa
• kurasikirwa nebvudzi remuviri
• yakaderera kana isipo yekutyaira bonde
• kubuda mukaka kubva pamazamu

Zviratidzo zvinogona kuoneka muvanhurume zvinosanganisira:

• kurasikirwa nebvudzi remuviri
• tsandanyama kurasikirwa
• kukura kwemazamu zvisina kujairika
• kuderedzwa kukura kwepenisisi uye machende
• kusagadzikana kwe erectile
• osteoporosis
• yakaderera kana isipo yekutyaira bonde
• kushaya mbereko
• kuneta
• kupisa kunopisa
• kunetseka kuisa pfungwa

Hypogonadism inoonekwa sei?

Chiremba wako achaitisa bvunzo yemuviri kuratidza kuti kukura kwako pabonde kuri padanho rakakodzera rezera rako. Ivo vanogona kuongorora tsandanyama yako, bvudzi remuviri, uye nhengo dzako dzebonde.

Hormone bvunzo

Kana chiremba wako achifunga kuti iwe unogona kunge uine hypogonadism, ivo vachatanga kutarisa ako epabonde mahormone mazinga. Iwe unozoda kuongororwa kweropa kuti uone huwandu hwako hwe follicle-inosimudzira mahormone (FSH) uye luteinizing hormone. Yako yepituitary gland inogadzira aya mahormone ekuberekera.

Iwe unenge uine yako oestrogen mwero kuyedzwa kana uri munhukadzi. Kana iwe uri murume, iwe uchave neyako testosterone level yakaedzwa. Iyi bvunzo inowanzo dhayirwa mangwanani kana mahormone ako ari akakwirira. Kana iwe uri murume, chiremba wako anogona zvakare kuraira semeni kuongorora kuti uone yako sperm count. Hypogonadism inogona kudzikisira huwandu hwembeu yako.

Chiremba wako anogona kuraira kwakawanda kuongororwa kweropa kuti ubatsire kusimbisa kuongororwa uye kutonga chero zvikonzero zvinokonzeresa.

Masimbi esimbi anogona kukanganisa ako epabonde mahormone. Neichi chikonzero, chiremba wako anogona kutarisa kuwanda kweropa simbi mazinga, anowanzoonekwa mu hemochromatosis.

Chiremba wako angangodawo kuyera mapractactin ako mazinga. Prolactin ihormone inosimudzira kukura kwemazamu uye kugadzirwa kwemukaka wemukaka muvakadzi, asi zviripo mune vese varume nevakadzi.

Chiremba wako anogona zvakare kutarisa ako mahormone ehorosi. Zvinetso zvehutachiona zvinogona kukonzera zviratidzo zvakafanana ne hypogonadism.

Kufungidzira bvunzo

Kufungidzira bvunzo kunogona zvakare kubatsira mukuongorora. Iyo ultrasound inoshandisa mafungu eruzha kugadzira iwo mufananidzo wemazai uye kutarisa chero matambudziko, kusanganisira ovarian cysts uye polycystic ovary syndrome.

Chiremba wako anogona kuraira MRIs kana CT scans kuti utarise mamota mune yako pituitary gland.

Ndeapi marapirwo e hypogonadism?

Kurapa kwevakadzi hypogonadism

Kana iwe uri munhukadzi, kurapwa kwako kunosanganisira kuwedzera huwandu hwako hwevakadzi mahormone ebonde.

Mutsara wako wekutanga wekurapa ungangove uri estrogen kurapwa kana iwe uine hysterectomy. Chero chigamba kana piritsi inogona kupa yekuwedzera estrogen.

Nekuti kuwanda kweestrogen mazinga kunogona kuwedzera njodzi yako yekenza yemendometri, iwe unozopihwa musanganiswa weestrogen uye progesterone kana usati waita hysterectomy. Progesterone inogona kudzikisa njodzi yako yekenza yemendometri kana iwe uri kutora estrogen.

Kumwe kurapwa kunogona kunanga chaiwo zviratidzo. Kana iwe uine yakaderera bonde dhiraivha, iwe unogona kugamuchira yakaderera madosi e testosterone. Kana iwe uine zvisina kukodzera kuenda kumwedzi kana kunetseka kubata pamuviri, unogona kuwana majekiseni ehormone yemunhu choriogonadotropin kana mapiritsi ane FSH kukonzera ovulation.

Kurapa kwehurume hypogonadism

Testosterone ihomoni yebonde yechirume. Testosterone kutsiva kurapa mushonga unoshandiswa zvakanyanya kurapwa kwe hypogonadism muvanhurume. Unogona kuwana testosterone kutsiva kurapwa na:

• jekiseni
• chigamba
• gel
• lozenge

Majekiseni egonadotropin-anoburitsa mahormone anogona kutangisa kuyaruka kana kuwedzera mbeu yako yemurume.

Kurapa kwe hypogonadism mune varume nevakadzi

Kurapa kwevanhurume nevanhukadzi kwakafanana kana iko hypogonadism kuri kukonzerwa nebundu pituitary gland. Kurapa kwekudzora kana kubvisa bundu kunogona kusanganisira:

• radiation
• mishonga
• kuvhiya

Ndeupi mutarisiro wenguva refu?

Kunze kwekunge zvichikonzerwa neanorapika mamiriro, hypogonadism chirwere chisingaperi chingangoda kurapwa kweupenyu hwese. Hormone yako yepabonde inogona kudzikira kana iwe ukamisa kurapwa.

Kutsvaga rutsigiro kuburikidza nekurapa kana mapoka ekutsigira anogona kukubatsira usati, panguva, uye mushure mekurapwa.