Ho hloleha ha testicular

Ho hloleha ha testicular ho etsahala ha testicles e sa khone ho hlahisa peo ea monna kapa ea banna, joalo ka testosterone.

Ho hloleha ha testicular ho tloaelehile. Lisosa li kenyelletsa:

• Meriana e meng, ho kenyeletsoa glucocorticoids, ketoconazole, chemotherapy le meriana ea bohloko ea opioid
• Maloetse a amang sekoaelo, ho kenyelletsa hemochromatosis, mumps, orchitis, mofetše oa testicular, testicular torsion le varicocele
• Ho lematsa kapa ho sithabela maikutlo
• Botenya
• Maloetse a lefutso, joalo ka lefu la Klinefelter kapa lefu la Prader-Willi
• Maloetse a mang, a kang cystic fibrosis

Tse latelang li ka eketsa menyetla ea ho hloleha ha testicular:

• Mesebetsi e bakang kotsi e sa khaotseng, e tlase boemong ba letlalo, joalo ka ho palama sethuthuthu kapa baesekele
• Tšebeliso ea matekoane khafetsa le e boima
• Makhopho a sa theoleloang ha a hlaha

Matšoao a ipapisitse le lilemo tsa ho hloleha ha testicular ho qala, pele kapa kamora ho kena bohlankaneng kapa boroetsaneng.

Matšoao a ka kenyelletsa:

• Fokotsa bophahamo
• Matsoele a atolositsoeng (gynecomastia)
• Ho hloka thari
• Ho lahleheloa ke boima ba mesifa
• Ho hloka thobalano (libido)
• Ho lahleheloa ke boea ba sephakeng le ba pepeng
• Nts'etsopele e liehang kapa khaello ea litšoaneleho tsa bobeli tsa thobalano ea banna (kholo ea moriri, ho holisa scrotum, ho holisa botona, ho fetoha ha lentsoe)

Banna ba kanna ba hlokomela hore ha ba hloke ho kuta hangata.

Tlhahlobo ea 'mele e ka bonts'a:

• Likobo tse sa bonahaleng hantle e le e motona kapa e motšehali (hangata li fumanoa boseeng)
• Mabele a manyane a sa tieang ka mokhoa o sa tloaelehang
• Hlahala kapa boima bo sa tloaelehang ka har'a testicle kapa scrotum

Liteko tse ling li ka bonts'a letsoalo le masapo a fokolang a masapo. Liteko tsa mali li ka bonts'a maemo a tlase a testosterone le li-prolactin, FSH le LH tse phahameng (li khethollang hore na bothata ke ba mantlha kapa ba bobeli).

Haeba kameho ea hau ke tsoalo, mofani oa hao oa tlhokomelo ea bophelo a ka laela hore tlhahlobo ea semela e hlahlojoe palo ea semela se phetseng hantle seo u se hlahisang.

Ka linako tse ling, ultrasound ea li-testes e tla laeloa.

Ho hloleha ha testicular le boemo bo tlase ba testosterone ho ka ba thata ho e fumana ho banna ba baholo hobane boemo ba testosterone hangata bo fokotseha butle ka lilemo.

Li-supplements tsa banna li ka alafa mefuta e meng ea testicular e hloleha. Kalafo ena e bitsoa testosterone replacement therapy (TRT). TRT e ka fanoa joalo ka gel, setsiba, ente kapa ho hlomella.

Ho qoba moriana kapa ts'ebetso e bakang bothata ho ka tlisa ts'ebetso ea testicle ho khutlela setloaeling.

Mefuta e mengata ea ho hloleha ha testicular e ke ke ea fetoha. TRT e ka thusa ho khutlisa matšoao, leha e kanna ea se khutlisetse pelehi.

Banna ba nang le chemotherapy e ka bakang ho hloleha ha testicular ba lokela ho bua ka ho chesa mehlala ea peo pele ba qala kalafo.

Ho hloleha hoa testicular ho qalang pele ho bohlankana kapa boroetsaneng ho tla emisa kholo e tloaelehileng ea 'mele. E ka thibela litšobotsi tsa banna ba baholo (joalo ka lentsoe le tebileng le litelu) ho hola. Sena se ka phekoloa ka TRT.

Banna ba leng ho TRT ba hloka ho hlahlojoa ka hloko ke ngaka. TRT e ka baka tse latelang:

• Prostate e holisitsoeng, e lebisang bothateng ba ho ntša metsi
• Ho koala mali
• Liphetoho tsa boroko le maikutlo

Bitsa kopano le mofani oa hau haeba u na le matšoao a testicular ea ho hloleha.

Hape letsetsa mofani oa hau haeba u le ho TRT 'me u nahana hore u na le litla-morao tsa kalafo.

Qoba mesebetsi e kotsi haholo haeba ho khonahala.

Hypogonadism ea mantlha - e motona

• Anatomy ea testicular
• Anatomy ea banna ea ho ikatisa

Allan CA, McLachlan RI. Mathata a khaello ea Androgen. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 139.

Morgentaler A, Zitzmann M, Traish AM, le al. Likhopolo tsa mantlha mabapi le khaello le kalafo ea testosterone: liqeto tsa tumellano ea litsebi tsa machabeng. Mayo Clin Proc. 2016; 91 (7): 881-896. PMID: 27313122 www.ncbi.nlm.nih.gov/pubmed/27313122.

Webosaete ea Tsamaiso ea Lijo le Lithethefatsi ea US. Puisano ea ts'ireletso ea lithethefatsi ea FDA: FDA e hlokomelisa ka ho sebelisa lihlahisoa tsa testosterone bakeng sa testosterone e tlase ka lebaka la botsofali; e hloka phetoho ea ho ngola ho tsebisa ka kotsi e eketsehang ea tlhaselo ea pelo le stroke ka ts'ebeliso. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. E ntlafalitsoe ka la 26 Hlakola 2018. E fihlile ka la 20 Motšeanong, 2019.