wehewehe mākou i kaa paʻi e like me nā hōʻailona physiological a me psychological hiki ke hele pū me ka haahaa testosterone ma kana kanaka ʻelemakule. He mea maʻamau ka hana a puni 45 ke 65.

Aia kēia mau hōʻailona mai hoemi i ka makemake moe kolohe i ka hiki ana mai o pilikia erectile ma o ka manaʻo pōkole o ka ikaika a me ke kaʻa. ʻO nā manawa o ka hoʻoluhi ʻana, nā pilikia me ka insomnia a me ka loaʻa ʻana o ke kaumaha hiki ke hoʻohui pū i nā hopena o ka emi ʻana o ka hana ʻana o ka hormone sex.

Manaʻo ʻia he hana ʻino e kekahi, ma ke ʻano he hōʻike o ka kūnewa maʻamau e nā poʻe ʻē aʻe, noho mau ka andropause a kumuhana hoʻopaʻapaʻa. ʻO ka mea hou aku, ʻo ka lāʻau lapaʻau wale nō i loaʻa, ʻo ka testosterone, ʻaʻole i hōʻoia ʻia, ma ke ʻano o ka pono a i ʻole ka palekana.

Ehia kanaka i hoopilikiaia?

Mai kaa paʻi ʻaʻole i ʻike iki ʻia a ʻike ʻole ʻia, ʻaʻohe o mākou ʻikepili pololei i ka hapa o nā kāne i loaʻa iā ia.

Eia naʻe, e like me kahi noiʻi nui i paʻi ʻia ma 2010, ʻo ka European Male Aging Study, wale nō 2% nā kāne ʻelemakule 40 ke 80 ke loaʻa nei i kahi andropause: ʻo ka hapa he 3% i waena o ka poʻe 60 a hiki i 69 a me 5% i waena o nā makahiki 70 a 79.¹. Ua hoʻokumuʻia ka hōʻailona ma ke alo o nā hōʻailona o ka andropause a me ka haʻahaʻa haʻahaʻa ma mua o ka pae testosterone maʻamau.

Hōʻike kēia mau hopena he kūpono ka mālama ʻana i ka testosterone no nā kāne liʻiliʻi loa, e like me ka mea kākau o ka noiʻi.¹². ʻO ka hapa nui o ka manawa, e like me kā lākou nānā ʻana, pili nā hōʻailona i ka ʻelemakule, ka momona a i ʻole nā ​​pilikia olakino ʻē aʻe. ʻO kaʻoiaʻiʻo, 20% a 40% o nā kāne e ulu ana nā hōʻailona e like paha me ka andropause me ka makahiki¹¹.

He nīnau maoli no ka testosterone?

La Testosterone hāʻawi ʻia ma ke ʻano he lapaʻau maa paʻi no nā makahiki he ʻumi ma luna iki. ʻO ka pahuhopu o ka lāʻau lapaʻau ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola ma o ka hōʻemi ʻana i nā hōʻailona. Hoʻopaʻapaʻa nā hui lāʻau lapaʻau hiki i ka testosterone ke hoʻopaneʻe i ke kaʻina hana kūnewa : emi iho ka pohō o ka nui o ka ʻiʻo a me ka pilikia o ka haʻihaʻi ʻana, ʻoi aku ka ikaika o ka moekolohe, me nā kūkulu ʻoi aku ka maikaʻi, etc. Akā naʻe, ʻaʻole i hōʻike ʻia kēia mau hopena i ka ʻepekema.

Eia nā kumu nui e hana ai lāʻau andropause he kumuhana paʻakikī a paʻakikī:

• Le ka nui o nā testosterone ʻAʻole ʻike ʻia kahi "deficiency" i nā kāne waena. Eia kekahi, ʻokoʻa kēia helu mai kēlā me kēia kanaka. ʻO nā unahi e hoʻohana ʻia nei i kēia manawa he ʻano nui o ka imprecision a ua hoʻokumu ʻia i nā awelika i hoʻokumu ʻia no nā kāne ʻōpio;
• ʻAʻohe nā hōʻailona kikoʻī i ka andropause. ʻO ia hoʻi, ʻo nā hōʻailona āpau i ʻike ʻia he hopena ia o nā pilikia olakino ʻē aʻe, e like me ke kaumaha, nā pilikia vascular a i ʻole ka momona;
• ʻO ka hui ma waena o ka testosterone haʻahaʻa a me nā hōʻailona o ka andropause he nāwaliwali, e like me nā haʻawina like ʻole. Hiki i nā kāne me nā pae testosterone maʻamau ke ʻike i nā hōʻailona o ka andropause. Manaʻo kekahi poʻe loea ʻo nā hōʻailona andropause ka hopena o ka maikaʻi ʻole mau maʻa o ola^{2, 11};
• ka maika a nā pilikia ʻAʻole maopopo ka mālama ʻana me ka testosterone e nā hoʻokolohua lapaʻau, i ka wā pōkole a me ka lōʻihi. Ua ʻōlelo kekahi poʻe loea he wahi kūʻai nui ka testosterone hormone therapy¹². ʻO ka makaʻu nui me kēia mālama ʻana i nā kāne ʻelemakule ʻo ia ka hoʻonui ʻana i ka maʻi prostate a i ʻole ka hahau ʻana. ʻO kēia ke kumu o ka hoʻonui ʻana o ka testosterone i ka pae hemoglobin a hiki ke hoʻololi iki i ka ʻike lipid i loko o ke koko, e hoʻonui ana i ka pilikia o ke koko koko e hana ʻia i loko o ke aʻa i loko o ka lolo. ʻO nā pilikia ʻē aʻe i ʻōlelo ʻia, ʻo ia hoʻi: ka pōʻino o ka ate, ka ulu ʻana o ka umauma (hiki ke lilo i mea ʻeha), atrophy testicular, piʻi aʻe a i ʻole ka ʻano antisocial a me ka piʻi ʻana o kahi maʻi olakino e noho nei (sleep apnea, mania, depression, etc. E like me nā hormones i kuhikuhi ʻia i nā wahine postmenopausal, hiki nō i ka hope ʻO kēia hoʻomaʻamaʻa testosterone ke kau nei i kekahi mau pilikia olakino. Ke holomua nei nā haʻawina;
• Hiki i nā loli hormonal ke wehewehe i nā hopena o ka andropause. ʻO ka DHEA (dehydroepiandrosterone), ka hormone ulu, melatonin a, i ka liʻiliʻi liʻiliʻi, hoʻohana pū nā hormones thyroid i ko lākou mana.

PalekanaEND_LINK

Kaaau ana oa paʻi i kēia manawa, ʻaʻohe kumu ʻepekema paʻa nā pae hoʻohālikelike e alakaʻi ana i ka maʻi.

Ninau mua ke kauka no ka ʻike ʻia nā hōʻailona e kona mai. Hiki iā ia ke hoʻohana i kekahi mau palapala loiloi e hōʻike maikaʻi i ka ikaika o nā hōʻailona, ​​​​e like me ka hoʻāʻo AMS (no Helu Kane ʻelemakule) a i ʻole ka hoʻāʻo ADAM (no ʻO Androgen Deficiency o ke kāne ʻelemakule). No ka ʻike ʻana i kēia mau hoʻāʻo, e ʻike i ka ʻāpana Sites of interest.

He manawa kūpono kēia e hoʻokumu ai i kahi ka nānā ola kino piha : nā ho'āʻo koko (lipid profile, thyroid hormones, specific prostate antigen, etc.), kiʻi o ka maʻi maʻi cardiovascular, ka nānā ʻana i nā ʻano nohona. ʻO ka papa inoa o nā lāʻau lapaʻau a me nā huahana olakino kūlohelohe e hoʻopau i ke kiʻi. E kōkua ana kēia loiloi e kāpae i nā kumu ʻē aʻe o nā hōʻailona i manaʻo ʻia (anemia, depression, hypothyroidism, chronic fatigue syndrome, pilikia kahe koko, nā hopena ʻaoʻao o nā lāʻau lapaʻau, etc.).

Nā ho'āʻo koko

Eia kekahi mau wehewehe e pili ana i nā hoʻāʻo i hoʻohana ʻia e loiloi inā he hemahema ka testosterone.

Wahi a ka International Society for the Study of Aging Male (ISSAM), nā hoʻokolohua e pili ana i ke ana ʻana he mau testosterone blood Pono e lilo i ʻāpana o ka maʻi maʻi no ka mea ʻaʻole pili nā hōʻailona i ka andropause³. Akā e hana ʻia kēia mau hoʻokolohua inā ʻoi aku ka nui o hoʻokahi hōʻailona.

• Ka huina testosterone. ʻO ka hopena o kēia hoʻāʻo e pili ana i ka testosterone i hoʻopaʻa ʻia i kahi transporter (ka globuline paʻa ka hormone sex a i ʻole SHBG a, i ka liʻiliʻi liʻiliʻi, albumin) a me ka testosterone e kaʻa wale ana i loko o ke koko;
• Nā pae testosterone manuahi. He mea koʻikoʻi kēia ana no ka mea ʻo ia ka testosterone manuahi e hoʻoikaika nei i ke kino. Ma ka awelika, ma kahi o 2% o ka testosterone e holo manuahi i loko o ke koko. ʻAʻohe hoʻokolohua e ana pololei i ke kiʻekiʻe o ka testosterone manuahi. No laila, manaʻo nā kauka ma ka helu ʻana: ana lākou i ka helu o globuline paʻa ka hormone sex (SHBG) i loko o ke koko a laila unuhi ia mai ka huina testosterone pae.