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Daaweynta caafimaadka ee joojinta
Rugaha caafimaadka ku takhasusay iyo walbahaarka soo shaac baxay sannadihii u dambeeyay. Haddii andropause la ogaado, a daaweynta hormoonka leh testosterone mararka qaarkood waa la qoraa. Waa daawaynta kaliya ee hadda la heli karo.
Dalka Maraykanka, daawaynta testosterone ayaa kordhay 20 jeer 20kii sano ee la soo dhaafay11. |
Si kastaba ha noqotee, haddii cillad Kacsi waa calaamadda ugu weyn, qaadashada fosfodiesterase nooca 5 inhibitor ah (Viagra®, Levitra®, Cialis®) ayaa inta badan la tixgeliyaa marka hore. Iyadoo ay ku xiran tahay kiiska, la tashi lala yeelanayo cilmi-nafsiga ama daaweeyaha galmada ayaa laga yaabaa inay faa'iido leedahay. Sidoo kale eeg xaashida cillad-xumada galmada ee ragga.
Daawaynta caafimaadka ee andropause: ku fahan wax walba 2 daqiiqo gudahood
Intaa waxaa dheer, dhakhtarku wuxuu samayn doonaa baaritaan, sababtoo ah calaamadaha waxaa lagu macnayn karaa xaalad caafimaad ama jirro aan weli la aqoonsan. Miisaanka oo yaraada, haddii la tilmaamo, iyo hagaajinta caadooyinka nolosha ayaa la door bidaa ka hor inta aan la bilaabin daaweynta hoormoonka testosterone.
Daaweynta hormoonka testosterone
Marka la eego waxa ay dhakhaatiirtu ku eegaan rugta caafimaadka, ragga qaar ayaa ka faa'iidaysan doona daaweyntan. Tani waa sababta oo ah daaweynta hoormoonka leh testosterone ayaa laga yaabaa inay kordhiso libido, hagaajinta tayada kacsiga, kordhiso heerkatamarta lana xoojiyo muruqyada. Waxa kale oo ay gacan ka geysan kartaa wax ka wanaagsan cufnaanta macdanta lafaha. Waxay qaadan kartaa 4 ilaa 6 bilood saamaynta daweynta ee testosterone si buuxda loo muujiyo.13.
Si kastaba ha ahaatee, lama oga, in daawaynta hoormoonka ay bixiso testosterone halista caafimaadka muddada dheer. Daraasado ayaa socda. Khatar kordhin karta ayaa la sheegay:
- hyperplasia qanjirka 'prostate';
- kansarka qanjirka 'prostate';
- kansarka naasaha;
- dhibaatooyinka beerka;
- hurdo la'aanta;
- xinjirowga dhiigga, taas oo kordhisa khatarta istaroogga.
Daawayntaan waa ka mamnuuc bukaanada qaba cudurada wadnaha ee aan la xakameynin, hypertension aan la xakameynin, cillad qanjirka 'prostate' ama haemoglobin sare.
Si taxaddar leh, tijaabooyinka baaritaanka Kansarka qanjirka 'prostate' waxaa la sameeyaa ka hor inta aan la bilaabin daaweynta hoormoonka ka dibna si joogto ah ka dib. |
Hababka maamulka testosterone
- Gel ka transdermal ah. Jeelka (Androgel®, oo ku urursan 2% iyo Testim®, oo ku urursan 1%) ayaa ah sheyga inta badan la doortay, sababtoo ah aad bay u fududahay in la isticmaalo iyada oo la siinayo heer testosterone xasiloon marka loo eego kaniiniyada iyo duritaanka. Waxaa maalin walba laga mariyaa caloosha hoose, gacmaha sare ama garbaha, si loo nadiifiyo, maqaarka engegan si uu u nuugo ugu badnaan (qubeyska subaxda ka dib, tusaale ahaan). Ka dib waa inaan sugno 5 ilaa 6 saacadood ka hor intaanan qoyn maqaarka, inta dawada la nuugo. Ka digtoonow, si kastaba ha ahaatee, daawadu waxay u gudbin kartaa lamaanaha taabashada maqaarka;
- Xirmooyinka transdermal. Jaranjarada sidoo kale waxay oggolaadaan nuugista daawada aad u wanaagsan. Dhanka kale, waxay keenaan cuncun maqaarka kala badh dadka tijaabiya, taas oo sharraxaysa sababta loo isticmaalo wax ka yar jel.14. balastar waa in la mariyaa hal mar maalintii, caloosha ama bowdada, fiid kasta, oo kala duwan goobaha hal mar ilaa mid kale (Androderm®, 1 mg maalintii);
- Kiniinnada (kaabsal). Kiniinnada si dhif ah ayaa loo isticmaalaa sababtoo ah way ku yar yihiin isticmaalka: waa in la qaataa dhowr jeer maalintii. Intaa waxaa dheer, waxay leeyihiin cillad ah bixinta heerka doorsooma ee testosterone. Hal tusaale waa testosterone undecanoate (Andriol®, 120 mg ilaa 160 mg maalintii). Qaar ka mid ah noocyada kiniinnada testosterone waxay soo bandhigaan khatarta sunta beerka;
- Cirbadaha muruqyada dhexdooda. Tani waa qaabkii ugu horreeyay ee maamulka ee suuqa soo gala. Way sii ahaanaysaa tan ugu qaalisan, laakiin waxay u baahan tahay in la aado dhakhtarka ama rugta caafimaadka si loo mudo. Tusaale ahaan, cypionate (Depo-Testosterone®, 250 mg halkii dose) iyo testosterone enanthate (Delatestryl®, 250 mg halkii dose) waa in la isku duro 3dii toddobaadba mar. Dadka qaar ayaa hadda iskood isku duri kara.
Daawaynta la ansixiyay, laakiin muran dhalisay Caafimaadka Canada iyo Maamulka Cuntada iyo Dawooyinka (FDA) ee Maraykanka ayaa ansixiyaa dhowr alaabooyinka testosterone si loo yareeyo calaamadaha ay sababaan testosterone ku filan ragga da'da dhexe. Ogsoonow in testosterone uu yahay mid wax ku ool ah oo ammaan ah si loo daaweeyo hypogonadism, daaweyn loo isticmaalo tobanaan sano ee ragga dhalinyarada ah. Si kastaba ha ahaatee, saynisyahano, maamulka caafimaadka dadweynaha iyo kooxaha dhakhaatiirtu waxay tilmaamayaan in ay jiraan caddayn yar oo la heli karo oo ku saabsan waxtarka iyo badbaadada daaweynta testosterone si loo yareeyo calaamadaha hypogonadism ee ragga. da'da dhexe, marka heerarka testosterone aan hoos loo dhigin3-7,11,13 . Le Machadka Qaranka ee Gabowga4, 15 ee Maraykanka, qayb ka mid ah Machadyada Caafimaadka Qaranka (NIH), iyo Bulshada Caalamiga ah ee Daraasadda Gabowga Labka ah3, waxay soo saareen warbixino muujinaya xaqiiqadan. Si kastaba ha noqotee, tan iyo ficil ahaan testosterone loo isticmaalo in lagu nafiso calaamadaha andropause, isla ururadan ayaa ku heshiiyey tilmaamo horudhac ah oo ay dhakhaatiirtu tixraacaan.
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