Testosterone
Teko ea testosterone e lekanya boholo ba hormone ea banna, testosterone, maling. Banna le basali ba hlahisa hormone ena.
Teko e hlalositsoeng sehloohong sena e lekanya palo e felletseng ea testosterone maling. Boholo ba testosterone e maling e tlamiloe ke protheine e bitsoang sex hormone binding globulin (SHBG). Teko e 'ngoe ea mali e ka lekanya testosterone "mahala". Leha ho le joalo, mofuta ona oa liteko hangata ha o nepahale haholo.
Sampole ea mali e nkuoa mothapong. Nako e ntle ea hore sampole ea mali e nkuoe e pakeng tsa 7 hoseng le 10 hoseng Sampole ea bobeli hangata ea hlokahala ho netefatsa sephetho se tlase ho feta kamoo ho neng ho lebelletsoe.
Mofani oa tlhokomelo ea bophelo a ka u eletsa hore u khaotse ho noa meriana e ka amang tlhahlobo.
U ka utloa ho hlaba kapa ho hlaba hanyane ha nale e kentsoe. Ho kanna ha ba le ho sithabela kamora moo.
Teko ena e ka etsoa haeba u na le matšoao a tlhahiso e sa tloaelehang ea li-hormone tsa banna (androgen).
Ho banna, masale a hlahisa testosterone e ngata 'meleng. Methati e lula e hlahlojoa ho lekola matšoao a testosterone e sa tloaelehang joalo ka:
- Ho kena bohlankaneng pele ho nako kapa kamora nako (ho bashanyana)
- Ho hloka thari, ho se sebetse ha erectile, boemo bo tlase ba thahasello ea thobalano, ho fokotsa masapo (ho banna)
Ho basali, mae a bomme a hlahisa boholo ba testosterone. Litšoelesa tsa adrenal li ka hlahisa li-androgens tse ling tse ngata tse fetoloang ho testosterone. Methati e lula e hlahlojoa ho lekola matšoao a maemo a phahameng a testosterone, joalo ka:
- Makhopo, letlalo le mafura
- Fetola ka lentsoe
- Ho fokotsa boholo ba matsoele
- Ho hola ha moriri ka mokhoa o fetelletseng (moriri o lefifi, o mahoashe sebakeng sa litelu, litelu, maqeba, sefuba, mameno, lirope tsa kahare)
- Keketseho ea boholo ba clitoris
- Linako tse sa tloaelehang kapa tse sieo tsa ho ilela khoeli
- Boea ba banna kapa ba moriri
Litekanyo tse tloaelehileng bakeng sa liteko tsena:
- E motona: li-nanograms tse 300 ho isa ho tse 1000 ka desilitara (ng / dL) kapa li-nanomoles tse 10 ho isa ho tse 35 ka litha e le nngwe (nmol / L)
- Mosali: 15 ho isa ho 70 ng / dL kapa 0.5 ho isa ho 2.4 nmol / L
Mehlala e kaholimo ke litekanyo tse tloaelehileng bakeng sa liphetho tsa liteko tsena. Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li leka liteko tse fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.
Maemo a itseng a bophelo bo botle, meriana kapa kotsi e ka lebisa ho testosterone e tlase. Tekanyo ea testosterone le eona e theoha ka tlhaho ka lilemo. Testosterone e tlaase e ka ama boima ba thobalano, maikutlo le mesifa ho banna.
Ho fokotseha ha testosterone ka kakaretso ho ka bakoa ke:
- Boloetse bo sa foleng
- Tšoelesa ea pituitary ha e hlahise lihormone tse itseng kapa tsohle tsa eona
- Bothata ka libaka tsa boko tse laolang lihormone (hypothalamus)
- Ts'ebetso e tlase ea qoqotho
- Ho lieha ho kena bonneng kapa bosaling
- Mafu a maselese (ho sithabela maikutlo, mofetše, tšoaetso, boits'ireletso ba mmele, ts'elo ea tšepe)
- Hlahala ea Benign ea lisele tsa pituitary tse hlahisang hormone ea prolactin e ngata haholo
- Mafura a mangata haholo (botenya)
- Mathata a ho robala (ho thibela ho phomola ha boroko)
- Matšoenyeho a sa foleng a ho ikoetlisa haholo
Boemo ba testosterone bo eketsehileng bo ka bakoa ke:
- Khahlano le ketso ea lihormone tsa banna (androgen ho hanyetsa)
- Hlahala ea mae a bomme
- Kankere ea li-testes
- Congenital adrenal hyperplasia
- Ho noa meriana kapa lithethefatsi tse eketsang boemo ba testosterone (ho kenyeletsoa le litlatsetso tse ling)
Serum testosterone
Rey RA, Josso N. Tlhahlobo le kalafo ea mathata a kholo ea kholo ea thobalano. 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 119.
Rosenfield RL, Barnes RB, Ehrmann DA. Hyperandrogenism, hirsutism, le lefu la ovary la polycystic. 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 133.
Swerdloff RS, Wang C. The testis le hypogonadism ea banna, ho hloka thari le ho se sebetse ka thobalano. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 221.