TRT: Kuparadzanisa Chokwadi kubva kuNhema
Zvemukati
- Chii chinonzi TRT?
- Sei T ichiderera nezera?
- Ndinoziva sei kana ndine yakaderera T?
- Inoitwa sei TRT?
- TRT inoshandiswa sei pakurapwa?
- Ndezvipi zvisiri zvekurapa zvinoshandiswa zveTrT?
- Marii iyo TRT inodhura?
- Zvichengete zviri pamutemo (uye zvakachengeteka)
- Pane here njodzi dzakabatana neTrT?
- Chinokosha
Chii chinonzi TRT?
TRT chirevo che testosterone kutsiva kurapwa, dzimwe nguva kunonzi uyrogen kutsiva kurapa. Inonyanya kushandiswa kurapa yakaderera testosterone (T) mazinga, ayo anogona kuitika nezera kana semhedzisiro yehutano mamiriro.
Asi iri kuwedzera kuve inozivikanwa kune isiri-yekurapa kushandiswa, kusanganisira:
- kukurudzira kuita zvepabonde
- kuwana masimba epamusoro
- kuvaka mhasuru yekuvaka muviri
Kumwe kutsvagurudza kunoratidza kuti TRT inogona kukubatsira kuzadzisa zvimwe zvezvinangwa izvi. Asi pane mamwe mapako. Ngatinyurirei mune izvo chaizvo zvinoitika kumatunhu ako eT paunenge uchikura uye zvaunogona kutarisira kubva kuTrT.
Sei T ichiderera nezera?
Muviri wako unongo gadzira zvishoma T paunenge uchikura. Zvinoenderana nechinyorwa chiri muAmerican Family Chiremba, avhareji yechirume T kugadzirwa kunoenda pasi neinenge 1 kusvika 2 muzana gore rega.
Ichi chikamu chese chiitiko chezvese chaicho chinotangira mukunonoka kwako makumi maviri kana makumi matatu ekutanga:
- Sezvaunokura, machende ako anoburitsa mashoma T.
- Yakadzikiswa testicular T inokonzera kuti hypothalamus yako ibudise gonadotropin-inosunungura mahormone (GnRH).
- Yakadzikiswa GnRH inokonzera yako pituitary gland kuita mashoma luteinizing hormone (LH).
- Kuderedza LH kunogonesa kudzikisira kwese T kugadzirwa.
Uku kuderera zvishoma nezvishoma muT kazhinji hakukonzere zviratidzo zvinooneka. Asi kudonha kwakakosha mumatanho eT kunogona kukonzera:
- yakaderera bonde drive
- mashoma emhando dzekumisikidza
- kusagadzikana kwe erectile
- kudzikisa huwandu hwehurume kana vhoriyamu
- kunetseka kurara
- kurasikirwa kusinganzwisisike kwemhasuru uye pfupa kuwanda
- zvisina tsananguro kuwedzera uremu
Ndinoziva sei kana ndine yakaderera T?
Nzira chete yekuziva kana iwe uine yakadzika T ndeyekuona mutano wezvehutano weiyo testosterone level test. Uku kuongororwa kweropa kuri nyore, uye vazhinji vanopa rubatsiro vanozvitsvaga vasati vagadza TRT.
Ungangoda kuita bvunzo kanoverengeka nekuti mazinga T anokanganiswa nezvinhu zvakasiyana, senge:
- kudya
- mwero wekugwinya
- nguva yezuva bvunzo yaitwa
- mimwe mishonga, kunge anticonvulsants uye steroid
Heano kuputsika kweanowanzoitwa T mazinga evarume vakuru kutanga pazera remakore makumi maviri:
| Zera (mumakore) | T mazinga mu nanograms pamamirilita (ng / ml) |
|---|---|
| 20–25 | 5.25–20.7 |
| 25–30 | 5.05–19.8 |
| 30–35 | 4.85–19.0 |
| 35–40 | 4.65–18.1 |
| 40–45 | 4.46–17.1 |
| 45–50 | 4.26–16.4 |
| 50–55 | 4.06–15.6 |
| 55–60 | 3.87–14.7 |
| 60–65 | 3.67–13.9 |
| 65–70 | 3.47–13.0 |
| 70–75 | 3.28–12.2 |
| 75–80 | 3.08–11.3 |
| 80–85 | 2.88–10.5 |
| 85–90 | 2.69–9.61 |
| 90–95 | 2.49–8.76 |
| 95–100+ | 2.29–7.91 |
Kana yako T mazinga ari mashoma zvishoma pazera rako, pamwe haudi TRT.Kana ivo vakanyanya kuderera, mupi wako angangoita imwe yekuwedzera kuyedza usati warumbidza TRT.
Inoitwa sei TRT?
Pane nzira dzakawanda dzekuita TRT. Sarudzo yako yepamusoro inoenderana nezvinodiwa pakurapa pamwe nemararamiro ako. Dzimwe nzira dzinoda manejimendi ezuva nezuva, asi dzimwe dzinongoda kuitwa pamwedzi.
Nzira dzeTRT dzinosanganisira:
- mishonga yemumuromo
- majekiseni epamuviri
- transdermal zvigamba
- misoro mafuta
Kune zvakare chimiro cheTRT chinosanganisira kukwiza testosterone pamatadza ako kaviri pazuva.
TRT inoshandiswa sei pakurapwa?
TRT inowanzo shandiswa kurapa hypogonadism, inoitika kana ma testes ako (anonziwo gonads) asingaburitse testosterone yakakwana.
Kune maviri marudzi e hypogonadism:
- Chikuru hypogonadism. Yakaderera T mhedzisiro kubva kunenyaya neako gonads. Vari kuwana zviratidzo kubva kuuropi hwako kugadzira T asi hazvigone kuzviburitsa.
- Pakati (sekondari) hypogonadism. Yakaderera T inoguma kubva kunenyaya mune yako hypothalamus kana pituitary gland.
TRT inoshanda kugadzira T iyo isiri kuburitswa nema testes ako.
Kana uine chokwadi hypogonadism, TRT inogona:
- kunatsiridza basa rako repabonde
- wedzera huwandu hwembeu yako uye huwandu
- kuwedzera mazinga emamwe mahormone anoshanda pamwe neT, kusanganisira prolactin
TRT inogona zvakare kubatsira kuyera zvisina kujairika T mazinga anokonzerwa ne:
- autoimmune mamiriro
- kusagadzikana kwemajini
- hutachiona hunokanganisa nhengo dzako dzebonde
- machende asingadiwe
- radiation radiation yekenza
- nhengo dzepabonde kuvhiya
Ndezvipi zvisiri zvekurapa zvinoshandiswa zveTrT?
Nyika zhinji, kusanganisira United States, hadzibvumidze vanhu kutenga zviri pamutemo maT supplements eTRT pasina tsamba yakanyorwa.
Zvakadaro, vanhu vanotsvaga TRT yezvakawanda zvezvikonzero zvisiri zvekurapa, senge:
- kuonda
- kuwedzera masimba esimba
- kukurudzira kutyaira pabonde kana kuita
- kusimudzira kutsungirira kwemitambo yemitambo
- kuwana imwe mhasuru yekuvaka muviri
TRT yakaratidzirwa kuve iine mamwe mabhenefiti aya. Semuenzaniso, yakagumiswa kuti yakanyatso kuwedzera simba remhasuru mune vepakati-vakuru uye vakuru varume.
Asi TRT ine mashoma anoratidzwa mabhenefiti kune vanhu, kunyanya vadiki vechirume, neyakajairwa kana yakakwira T mazinga. Uye njodzi dzinogona kupfuura mabhenefiti. Chidzidzo chidiki cha2014 chakawana chinongedzo pakati peakakwira T mazinga uye mashoma sperm kugadzirwa.
Uyezve, kushandisa TRT kuwana mukwikwidzi mumutambo kunoonekwa se "doping" nemasangano mazhinji ehunyanzvi, uye vazhinji vanoona chikonzero chekumiswa kubva mumutambo.
Pane kudaro, funga kuyedza dzimwe nzira dzekuwedzera T. Aya mazano masere ekuti utange.
Marii iyo TRT inodhura?
Mari dzeTRT dzinosiyana zvichienderana nerudzi rudzi rwaunorairwa. Kana iwe uine inishuwarenzi yehutano uye uchida TRT kurapa hutano mamiriro, ungangodaro haubhadhare iyo yakazara mutengo. Mutengo chaiwo unogona zvakare kusiyana zvichienderana nenzvimbo yako uye kana paine generic vhezheni iripo.
Kazhinji, iwe unogona kutarisira kubhadhara chero kupi kubva pamadhora makumi maviri kusvika kumadhora chiuru pamwedzi. Iko chaiko mutengo kunoenderana neakawanda zvinhu, kusanganisira:
- nzvimbo yako
- mhando yemishonga
- nzira yekutonga
- kunyangwe paine generic vhezheni iripo
Paunenge uchifunga nezve mutengo, ramba uchifunga kuti TRT inongowedzera yako T mazinga. Izvo hazvizobata izvo zvakakonzera yako yakaderera T, saka ungangoda hupenyu-hwakareba kurapwa.
Zvichengete zviri pamutemo (uye zvakachengeteka)
Rangarira, hazvisi pamutemo kutenga T usina mushonga munyika zhinji. Kana iwe ukabatwa uchidaro, iwe ungatarisana nematambudziko akakomba emutemo.
Uyezve, T inotengeswa kunze kwemaparamesi epamutemo haina kudzorwa. Izvi zvinoreva kuti unogona kunge uchitenga T yakasanganiswa nezvimwe zvinoshandiswa zvisina kunyorwa pakanyorwa. Izvi zvinogona kuve zvine njodzi kana kutyisidzira hupenyu kana uri weergiziki kune chero izvo zvigadzirwa.
Pane here njodzi dzakabatana neTrT?
Nyanzvi dzichiri kuyedza kunyatsonzwisisa njodzi uye mhedzisiro yeTrT. Sekureva kweHarvard Health, zvidzidzo zvakawanda zviripo zvine zvadzisingakwanise, zvakaita sekuve mudiki saizi kana kushandisa yakakura-kupfuura-yakajairwa dosi yeT.
Nekuda kweizvozvo, kuchine imwe nharo pamusoro pezvakanaka uye njodzi dzakabatana neTrT. Semuenzaniso, zvakataurwa kune vese kuwedzera uye kudzikisa njodzi yemamwe marudzi ekenza.
A mumagazini Therapeutic Advances in Urology inoratidza kuti mamwe eaya maonero anopesana ndiwo mhedzisiro yekushambadzira kukuru kwenhau, kunyanya muUnited States.
Usati waedza TRT, zvakakosha kuti ugare pasi nemupi wako wezvehutano uye upfuure zvese zvingangoitika mhedzisiro uye njodzi. Izvi zvinogona kusanganisira:
- kurwadziwa pachipfuva
- kunetseka kufema
- matambudziko ekutaura
- yakaderera urume kuverenga
- polycythemia vera
- yakaderedza HDL ("yakanaka") cholesterol
- kumira kurova kwemoyo
- kuzvimba mumaoko kana makumbo
- sitiroko
- benign prostatic hyperplasia (yakawedzera prostate)
- kurara kufema
- acne kana yakafanana nekuputika kweganda
- yakadzika tsinga thrombosis
- pulmonary embolism
Iwe haufanire kuita TRT kana iwe uchitova panjodzi yechero ipi mamiriro akanyorwa pamusoro.
Chinokosha
TRT yakagara iri sarudzo yekurapa kune vanhu vane hypogonadism kana mamiriro ane chekuita nekuderedzwa kweT kugadzirwa. Asi mabhenefiti ayo kune avo vasina mamiriro ezvinhu epasi haana kujeka, kunyangwe paine hype.
Taura nachiremba wako usati watora chero T zvinowedzera kana mishonga. Ivo vanogona kukubatsira iwe kuona kana zvibodzwa zvako neTrT zvakachengeteka uye zviri chaizvo.
Izvo zvakakoshawo kuti uongororwe nachiremba wezvekurapa apo iwe unotora maT supplements kuti uone chero zvisingadiwe zviratidzo kana mhedzisiro inogona kuitika panguva yekurapa.
Yakakurumbira
Kuiburitsa NeYamuna Body Logic