Funso lina limapezeka nthawi zambiri muzochita zanga zamankhwala. Odwala amafunsa kuti, "Ndili ndi mbiri ya kansa ya prostate koma ma testosterone anga ndi otsika. Kodi ndingatenge testosterone? "Yankho lachipatsidwe limene madokotala ambiri amapereka ndiloti" ayi "-the testosterone idzachita ngati nkhuni pamoto ndi kufulumira kukula kwa khansa.
Koma kodi izi ndi zoona? Yankho ndi oyenerera "inde," koma pali zosachepera zinayi zomwe zidzatchulidwa pansipa.
Komabe, ife tisanafotokoze zochitika zomwe amuna omwe ali ndi khansa ya prostate angaganizire kutenga testosterone, tiyenera kukambirana momwe magazi amayesera testosterone. Kodi ndi chifukwa chotani chomwe chimatanthawuza kuti msinkhu wa testosterone mu magazi ndi wotsika kwambiri?
Mayeso a Magazi a Testosterone
Pali nkhani zingapo zokhudzana ndi kuyesa testosterone m'magazi. Choyamba, magulu a magazi a testosterone ndi okwera m'mawa komanso madzulo. Chiyeso chomwe chinayambira pa 4pm chimene chinali "chotsika" chikhoza kukhala kunja kwa msinkhu woyenera chifukwa cha nthawi ya tsiku lomwe magazi adatengedwa.
Chachiwiri, pali mitundu iwiri ya mayeso a testosterone: testosterone ndi testosterone yaulere. Mayesero ambiri amtunduwu amangoyerekeza testosterone yonse. Komabe, testosterone yaulere ndiyeso yeniyeni yolondola ya thupi la testosterone. Izi zinati, akatswiri amadziwa bwino kuti mgwirizano umene ulipo pakati pa testosterone yaulere ndi maonekedwe omwe anthu amanena za mphamvu zawo ndi libido nthawi zambiri amatsutsana.
Amuna ena omwe ali ndi testosterone opanda pake amamva bwino.
Kudziwa udindo wa testosterone ndikupanga chisankho cha kufunika kwa testosterone mankhwala sikuyenera kukhazikitsidwa pa msinkhu wa testosterone m'magazi. Ndikofunikira kukhazikitsa chisankho chogwiritsa ntchito testosterone pa zizindikiro zake.
Kodi ndi mfundo yanji yopereka testosterone kwa munthu kokha kuti athetse zotsatira zochepa zomwe zimawonedwa pamayeso a magazi ngati wodwalayo atamva bwino?
Thandizo la Testosterone ndi Khansa ya Prostate
Tsopano tiyeni tikambirane zochitika zomwe kupereka testosterone mankhwala angakhale olandiridwa mwa mwamuna yemwe ali ndi khansara yotchedwa prostate.
Chinthu choyambirira chikupereka testosterone kwa amuna omwe ali ndi matenda ochepa kapena otupa. Mitundu ina ya khansara ya prostate ndi yochepa kwambiri. Mitundu iyi ya kansa ya prostate siinayambe kufalikira ndipo iyenera kutchedwa kuti zilonda zam'thupi. Mwamwayi, mawu akuti "khansa" amatanthauzidwa molakwika ku mitundu yoipa ya kansa ya prostate zaka zambiri zapitazo ndipo ndondomeko yowatchula kuti khansara imapulumuka mpaka lero.
Chinthu chachiwiri chomwe kupereka testosterone kungakhale kotetezeka ndi pamene amuna adayamba kuchipatala ndi opaleshoni kapena ma radiation ndikuwoneka kuti akuchiritsidwa. Pambuyo podikira nthawi yoyenera pakati pa zaka ziwiri ndi zisanu, chiopsezo cha khansa kubwerera nthawi zambiri ndi chochepa. Kuopa kugwiritsa ntchito testosterone muzochitika zikuwoneka kuti sikunayende.
Mkhalidwe wachitatu umapezeka mwa amuna omwe ali ndi khansara ya prostate omwe abwerera pambuyo pochita ma opaleshoni kapena ma radiation. Chodabwitsa ichi chikuwonetsedwa ndi chitukuko cha kukula kwa PSA m'magazi.
Mwachizoloŵezi, amunawa amatha kukhala ndi mankhwala osakaniza a testosterone monga Lupron kapena Firmagon. Kafukufuku amasonyeza kuti kuyang'anira khansa kwa nthawi yaitali ndi ofanana pogwiritsira ntchito Lupron kapena ma Lupron mosalekeza.
Inde, izi zikuwoneka ngati zachilendo, koma ziri zotetezeka kuti asiye mankhwala achizale ndi kutenga tchuthi. Ngati mankhwala atayimitsidwa, chilengedwe cha testosterone kuchokera m'matumbo chimabwezeretsanso magulu a testosterone omwe amapezeka m'magazi. Komabe, nthawi zina testosterone imakhala yotsika, makamaka kwa amuna okalamba. Poyamba Lupron amachititsa kuti mawere a amunawa agone.
Pamene kafukufuku wa testosterone sungathe kubwereranso, ndizomveka kulingalira testosterone. Ndipotu, popeza zatsimikiziridwa kuti kubwereka kwa testosterone m'magazi ndi kotetezeka, sizikanakhala zotetezeka bwanji kupereka testosterone yokhala ndi mankhwala oyenerera kuti athandizidwe mofanana ndi testosterone yomwe imapezeka ndi matepi?
Mkhalidwe wachinayi womwe uyenera kuganiziridwa ndi pamene pali masewera otsika a testosterone mwa munthu yemwe ali ndi khansara yotchedwa prostate yemwe ali ndi matenda aakulu thupi kapena kutaya minofu kwambiri komwe kumagwirizanitsa ndi zofooka zooneka bwino. Mkhalidwe uwu ukhoza kuchitika mwa amuna omwe ali okalamba kwambiri kapena chifukwa cha matenda ena aakulu. Amuna akafooka kwambiri (chifukwa cha kachitidwe ka khansa kamene sikakhala ndi prostate) zingakhale zoopsa kuti asiye testosterone kusiyana ndi kupereka, ngakhale kansa ya prostate ikhoza kukula mofulumira chifukwa cha kupezeka kwa testosterone. Ndikoyenera kukumbukira kuti ngakhale "mitundu yoipa" ya khansara ya prostate imakhala yofooka pa kukula kwake. Ngati pali chisankho choyambitsa testosterone, kuchuluka kwa matenda opita patsogolo kungayang'anitsedwe mosamala ndi PSA magazi ndi mayeso a thupi. Ngati mayeserowa akusonyeza kuti khansayo ikuyenda mofulumira, mankhwala a testosterone akhoza kuimidwa ndi kuyembekezera kuti khansayo idzaleka kupita patsogolo kapena kuyambiranso kupweteka pambuyo pa testosterone.
N'chifukwa Chiyani Kusokonezeka?
Kusokonezeka kwa kugwiritsira ntchito mankhwala a testosterone mwa amuna omwe ali ndi kansa ya prostate ikudziwika chifukwa khansa ya prostate si nthenda imodzi. Pali mawonekedwe otsika, apakati, ndi apamwamba; matenda am'deralo ndi khansa yamagazi ; mitundu yowonongeka ya hormoni ndi mitundu yomwe ilibe mphamvu yothandizira ma hormone. Pulogalamu imodzi yokha sikungakhale yoyenera kwa mtundu uliwonse wa kansa ya prostate.
Chigamulo choyamba testosterone, chotero, chimagwera pazinthu ziwiri. Ndakufotokozerani mwachidule choyamba chomwe chikufotokozedwa pamwambapa pa zochitika zinayi zomwe zingakhalepo pakati pa amuna omwe ali ndi khansara yotchedwa prostate omwe ali otsika testosterone ndipo angapindule pogwiritsa ntchito testosterone. Nkhani yachiwiriyi ikukhudzana ndi kuopsa kogwiritsa ntchito testosterone mumwamuna wathanzi yemwe alibe khansa ya prostate. Kafukufuku wasonyeza kuti kupatsa testosterone sikuli kotetezeka-ngakhale amuna omwe alibe khansara iliyonse ya prostate.
Magulu a Testosterone m'magazi amachepetsa kuchepa ndi zaka. Amuna ambiri amatsata kuchepetsa kuchepa kwa testosterone popanda kukumana ndi vuto losayenera. Komabe, pali zowonjezera, zomwe zingakhale zovuta kwambiri kuti munthu akhale ndi testosterone wotsika, makamaka pamene testosterone imatsutsidwa. Zotsatira za testosterone zochepa zimaphatikizapo mphamvu zochepa, kugonana kochepa, kusangalala, kukumbukira zinthu, kupindula, kukulitsa mawere, ndipo nthawi zina, kuthamanga kwa kashiamu kumatenda-mwachitsanzo, matenda a mitsempha. Zoipa zonsezi za testosterone zochepa zingathe kusokonezedwa ndi kubwezeretsa msinkhu wa testosterone m'magazi.
Testosterone Therapy Administration ndi Ngozi?
Kupereka mankhwala a testosterone kungapangidwe mosavuta mu mafashoni osiyanasiyana, kuphatikizapo kugwiritsa ntchito majekesheni amfupi kapena aatali, mapiritsi, ma gels, ndi mawotchi othandizira. Kugwiritsa ntchito mankhwalawa ndi kophweka. Komabe, monga taonera pamwambapa, testosterone mankhwala sali popanda ngozi (kupatulapo zoopsa za kugwiritsira ntchito mwa amuna omwe ali ndi khansara ya prostate). Chodetsa nkhaŵa chachikulu cha mankhwala opatsirana ndi testosterone ndicho chitukuko cha maselo ofiira a magazi omwe ali apamwamba kusiyana ndi kachitidwe kaŵirikaŵiri. Matenda a hematocrit, omwe amamasuliridwa ngati Hct, ndi gawo la magazi, CBC kapena kuchuluka kwa magazi. Mawu ena omwe mungathe kuwapeza amasonyeza tanthauzo lofanana ndi hematocrit yapamwamba ndi " polycythemia ."
Kulemera kwakukulu kumatanthawuza kuti magazi amayamba kukhala ovuta kwambiri (kuthamanga kwa magazi), omwe amatha kukhala ndi mavuto aakulu monga matenda a mtima ndi zilonda. Choncho, kuyang'anira mosamala za hematocrit n'kofunika, kotero, aliyense akukonzekera kuti apeze testosterone m'malo mwake. Kodi hematocrit ikukula makamaka pa testosterone thérapie, ndiko kuti, hematocrit iyenera kukwera pamwamba pa 50 peresenti, njira yowonjezera iyenera kuyendetsedwa. Zoterezi zingaphatikizepo kuchotsa nthawi yamagazi pamwambo wamagazi kapena mwina kuchepetsa testosterone.
Kusamalira kwa testosterone mankhwala othandizira kuti akhale m'malo amatha kukhala oyenerera, ndipo mwa amuna omwe alibe khansa ya prostate, ntchito yake yakhala yotchuka kwambiri. Monga tafotokozera pamwambapa, sikuti aliyense amene amapita kuchipatala cha testosterone amakhala ndi ubwino umene angathe kuyembekezera-zopindulitsa monga kuwonjezeka kwa libido kapena kuwonjezeka kwa mphamvu.
Pambuyo pa zaka zambiri zodzipereka kupereka testosterone mankhwala kwa amuna ambiri, ndaphunzira kuti pali kusiyana kwakukulu mwa njira imene amuna adzayankhira. Nthawi zina zotsatira za testosterone zimakhala zosavuta komanso zodabwitsa. Kwa amuna ena, ngakhale pambuyo poyesera kokwanira miyezi isanu ndi umodzi, chitsimikizo chowoneka chikusoweka.
Njira yokhayo yodziwira ngati munthu wina angapindule ndi testosterone ndiyoyambitsa mayesero ndikuwona zomwe zimachitika kwa miyezi sikisi kapena kuposerapo. Nthawi yoyesera yofunikira imafunika kudziwa ngati phindu lidzachitike. Testosterone siimayambitsa zotsatirapo monga ma hormone ena, monga adrenaline, mwachitsanzo.
Dziwani Khansa Yanu ya Prostate
Pakadali pano zambiri zomwe takambiranazi ndizokhazikika ndipo ambiri a sayansi yamakono ndi madokotala ambiri amadziwika ndi kupereka mankhwala a testosterone kwa amuna omwe alibe khansa ya prostate. Mkhalidwe wathanzi, monga taonera pamwamba, uli mwa amuna omwe ali ndi khansa yogwira ntchito kapena yogulitsidwa kale. Ndipotu, chithandizo cha kuchepetsa testosterone ndi chimodzi mwa njira zowonongeka ndi khansa ya prostate. Nanga, bwanji kayendedwe ka testosterone yowonjezereka mwa amuna omwe ali ndi kansa ya prostate siipweteka? Yankho lake ndi lakuti mtundu wa khansara ya prostate iyenera kufotokozedwa bwino.
Khansara yogwira ntchito ya prostate ingathe kugawidwa m'magulu awiri-mitundu yosavulaza (makamaka, yomwe yatsimikizika kukhala yachisanu ndi chimodzi kapena kuposerapo monga momwe yatsimikiziridwa kupyolera mu singano ya singano kapena mwa opaleshoni), ndi mitundu yowonjezereka yomwe amachokera ku 7 mpaka 10. Zinthu zina monga PSA ndi zotsatira za zojambula zosiyanasiyana zingakhudzenso kupanga kupanga. Nthaŵi zambiri, kufufuza kwa katswiri wa kansa ya prostate kudzakhala kofunikira kuti atsimikizire za chitetezo chopatsa mankhwala a testosterone kwa munthu yemwe ali ndi mbiri ya khansa ya prostate.
> Zotsatira:
> AVEED ® (Kulemba Information). Malvern, PA: Endo Pharmaceuticals Inc.
> Edelstein D, ndi Basaria S. "Testosterone yosadetsedwa mu mankhwala a hypogonadism amuna." Malingaliro a akatswiri pa pharmacotherapy 11.12 (2010): 2095-2106.
> Eisenberg, ML. "Chithandizo cha Testosterone Chotsitsiramo Chithandizo ndi Matenda a Khansa ya Prostate." World Journal ya Men's Health 33.3 (2015): 125-129. PMC . Webusaiti. 28 Mar. 2017.
> Pickles, T, et al. "Testosterone amachira pambuyo panthawi yaitali yowonjezereka kwa prostate carcinoma." Khansa 94.2 (2002): 362-367.
> Masamba a Testosterone ndi ofunikira. Kucheza ndi Dr. Laurence Klotz ndi Prostatepedia. http://pcri.org/insights-blog/2016/4/6/testosterone-levels-are-significant-.