Hypogonadism amuna: Zizindikiro ndi Chithandizo

ukugwiradi ntchito za thupi la munthu sangathe kulingalira popanda uziyenda bwino za zopangitsa kugonana, ulimi wa mahomoni. kulephera m'dongosolo imeneyi zikamera matenda somatic. Dyslipidemia, atherosclerosis, kunenepa, ubongo ischemia - uyu si mndandanda wonse wa mavuto zotheka. Mu mabuku mankhwala Buku anapeza matanthauzo ambiri kuphwanya amenewa. Mwachitsanzo, testicular androgen akusowa kapena insufficiency. Komabe, pakati pawo, wokhulupirika ndiponso yolondola kwambiri ankaona akuti "hypogonadism" amuna. Chikhalidwe limeneli, chifukwa chirichonse ukapezeka kaya akhoza kuchiritsidwa - mafunso awa anapereka mayankho mwatsatanetsatane m'nkhani lero.

Kufotokoza mwa chidule za matenda a

Hypogonadism - matenda yodziwika ndi zinchito zopangitsa akusowa kugonana. Oimira akazi wamphamvu amene timapemphera lamanzere ndi lamanja testicle. Nature wapereka mwapadera wophatikizidwa ambiri awo. Testicular minofu kudziwa zowopseza osiyana zachilengedwe. Mu nkhani ya imfa ya luso zinchito za thupi ziyenera kukhala ngati malo. luso regenerative wa testes ndi wodzichepetsa kwambiri.

cholinga chawo chachikulu - kwa kubalana. Satha kutulutsa umuna zimaphwanya thupi la mphamvu zoberekera wamwamuna. Zimagwirira kuyan'anila ngati yaikidwa pa siteji koyamba za kuzungulira ubereki. Choncho, munthu akakhala wosabereka, kukhala pa maziko awa, amaona zoopsa kwambiri. Bwezerani ntchito ya maselo nthenda ya minofu testicular kuli kovuta.

Hypogonadism anthu yodziwika ndi zinthu zotsatirazi:

• kuchepetsa pang'onopang'ono mlingo wa mahomoni kugonana
• kuchepetsa maonekedwe Mkhalidwe ndi kachulukidwe umuna;
• hypoplasia wa kumaliseche;
• matenda m'thupi thupi lonse.

Malinga ndi kafukufuku, vuto la hypogonadism amuna amapezeka 1% ya anthu padziko lonse. Komabe, nkhani imeneyi ndi provisional, monga atengedwa mu nkhani okha milandu m'kaundula wa kudwala. Chithandizo kwenikweni ikuchitika kuyang'aniridwa a m'thupi yemwenso ndi andrologist. The zambiri ntchito timadzi mankhwala. Pamene anatumizidwa kupanda ya opaleshoni pulasitiki ndipo yopanga ziwalo cha ziwalo zoberekera.

The chikuchititsa mavuto a matenda

Kukula kwa ndondomeko pathological kumachitika chifukwa cha kuchepetsa mahomoni popanga kapena matenda biosynthesis. Ndi zinthu etiological matendawa ndi monga:

• malformations kobadwa nako chifukwa cha kusintha kapangidwe testicular ndi / kapena tubules seminiferous;
• chikoka pa chamoyo poizoni amayi tsogolo (mowa, fodya, mankhwala);
• kukumana ndi cheza kapena mankhwala amphamvu;
• ntchito yaitali m'thupi, mankhwala antibacterial;
• matenda chiyambi opatsirana (orchitis pambuyo chikuku, mumps, vesicles);
• mitsempha varicose wa machende ndi;
• malawi m'madera zinthu chokhwima zachilengedwe.

Zimayambitsa hypogonadism anthu chifukwa mawonekedwe a ndondomeko pathological. Aliyense amakhala ndi ndime zina.

kuyan'anila mitundu

Malinga chimachititsa wa zosayembekezereka kulephera gonads ogaŵikana zaka pulayimale, sekondale, ndi otchedwa. Kodi zosiyana? Mawonekedwe yaikulu ya nthendayo mwinamwake otchedwa testicular kudwala. Pankhaniyi, kusemphana wa testes ndi ntchito zikuchitika mchikakamizo cha zinthu zina zoipa. hypogonadism Secondary anthu amagwirizana ndi kuvutika mu chiwembu "pituitary-ubongo imene imalamulira kutentha". dongosolo umatulutsa timadzi udindo kugwira ntchito testes lapansi. Age zosinthika cha matenda akuti ndi mtundu wa kusintha kwa thupi mwamuna. zimayambitsa, madokotala sindingakhoze kufotokoza lero.

Gawo izi zachokera nthawi ya moyo imene inali matenda. Mawonekedwe embryonic amakhala ndi maonekedwe a njira pathological mu nthawi ya chitukuko uterine. Prepubertal matenda pamaso kutha msinkhu (14 zaka). Postpubertatnom chimake matenda pambuyo akamaliza chitukuko cha makhalidwe sekondale kugonana.

Popeza kuchuluka kwa androgens kupangidwa kusiyanitsa mitundu zotsatirazi matendawa:

1. Hypergonadotrophic hypogonadism. Mu amuna, mawonekedwe a matenda kumaonekera mwa mawonekedwe a chiwonongeko cha testicular testicular minofu. Iwo limodzi ndi kuchuluka kupanga mahomoni pituitary. Pa zizindikiro zofanana nthawi ya testosterone kwambiri yafupika.
2. Hypogonadotropic hypogonadism. Iwo yodziwika ndi utachepa kaphatikizidwe gonadotrophins. Izi amachepetsa chiwerengero cha testosterone umatulutsa.
3. Normogonadotropic hypogonadism. Mu amuna, mawonekedwe ndondomeko pathological kumabweretsa kusokoneza machende, koma kupanga mahomoni pituitary yachibadwa. Matendawa amaganizira kunenepa.

Malinga etiology ndi mwambo kusiyanitsa kobadwa nako, anapeza ndi idiopathic mitundu. Zikatero, ndiye chinthu chachikulu matenda amakhalabe osadziwika.

hypogonadism chachikulu

Matendawa akhoza kukhala nazo ndiponso kobadwa nako. Nthawi zambiri, ndi kudwala amapezeka utero. Boy anabadwa ndi mbolo ang'ono ndi scrotum underdeveloped. Monga kudwala wa chithunzi matenda a mutates matenda. Mu unyamata anyamata ndi matenda wapezeka onenepa, gynecomastia mawonetseredwe koyamba ndi digiri otsika tsitsi thupi.

Kuthi hypogonadism makamaka amuna akufotokozera mu kutukusira kwa zopangitsa seminal pansi matenda otsatirawa:

• orchitis;
• vesicles;
• epididymitis;
• mumps;
• nthomba.

Izi mawonekedwe a matenda akuti ndi ambiri. Kumachitika mu amuna mmodzi mwa anthu asanu kale matenda osabereka.

hypogonadism Secondary

hypogonadism Secondary kungakhale kobadwa nako kapena kugula. Mbali yoyamba ya nthendayo yoyamba chitukuko cha katulutsidwe zosayenera wa pituitary timadzi hypothalamic. Nthawi limodzi ndi matenda chibadwa:

• Prader syndrome - Willie;
• Maddock syndrome;
• Pasqualini syndrome.

Anapeza mawonekedwe nthendayo zambiri chifukwa cha kutupa meninges lapansi. Ena mwa iwo ndi meninjaitisi, arachnoiditis ndi encephalitis.

Zizindikiro za matenda ana

Chithunzi matenda a ndondomeko pathological makamaka anatsimikiza ndi zaka wodwalayo. chitukuko kuyambira ali kawirikawiri limodzi ndi zizindikiro zotsatirazi:

• Matenda a msinkhu;
• evnuhoidizma maonekedwe zizindikiro (zikule mopambanitsa, mapewa yaing'ono, miyendo yaitali);
• pakalibe makwinya mu scrotum ndi;
• wochepa kukula kwa mbolo;
• gynecomastia.

Pamaso pa chimodzi kapena zingapo mwa zizindikirozi tatchulazi ayenera yomweyo kufunsa mbiri Katswiri.

Zizindikiro za matenda achinyamata

Kukula kwa matenda akamakula amakhala ndi zizindikiro zomwezo, kuti prepubertal. Chipatala chithunzi akhoza yothandizana utachepa libido ndi onenepa. Kuwona dotolo kawirikawiri wapezeka hypoadrenalism ndi chithokomiro. Kunja, odwala achinyamata kuonekera underdevelopment a dongosolo akulu.

Zizindikiro za matenda akuluakulu

Hypogonadism mu akulu kuposa zaka 30 sichidziwika kutchulidwa. Matendawa limodzi ndi maonekedwe a makutu angapo a mafuta pa thupi. Khungu pa nthawi kutaya elasticity wake wakale ndi auma. Zikuoneka kutopa, lability maganizo, chizolowezi maganizo. Mwatsoka, chipatala kuchizidwa amuna milandu yapadera. Kawirikawiri pankhani osabereka kapena matenda a erectile ntchito.

Kusowa chidwi umoyo wawo angathe kukumana ndi mavuto aakulu kwambiri. The ndondomeko pathological uyamba kufalikira osati pa ziwalo zoberekera, koma pang'ono ndi pang'ono kusamukira ku ziwalo zina ndi zimakhala. Pakalibe chisamaliro woyenera kungachititse kuti olumala.

njira matenda

Usaope wa matenda asanakalambe hypogonadism anthu. Kuti boma umatanthauza auzeni adokotala pa upo choyamba. Pambuyo kuoneka zizindikiro matenda ayenera yomweyo funsani munthu wokonza oyenerera. Ngakhale chithunzi mwachilungamo yowala matenda, kwa chitsimikiziro cha matenda ayenera kukumana ndi kuwunika ntchito yachipatala. Pamafunikanso ntchito zotsatirazi:

• Kupenda thupi;
• M'chiuno ultrasound;
• karyotype;
• urinalysis;
• umuna;
• magazi kuti mahomoni.

kafukufuku ulipo kwa wodwala aliyense payekha. Choncho, mndandanda wa zinthu matenda osiyanasiyana pang'ono. dokotala akutsimikiza kapena wotsutsa matenda kuyambirira pa maziko a zotsatira analandira anapereka mankhwala.

Features mankhwala

Kusankha njira inayake ya mankhwala kwa dokotala ndipo anatsimikiza amaganizira zimene zimayambitsa matendawa. mankhwalawa hypogonadism amuna kawirikawiri amakhala zolinga zingapo: kulimbana matenda akuluakulu, kupewa kukhala osabereka, kupewa zosayembekezereka ya zotupa mu minofu testicular.

Kobadwa nako ndi prepubertal mitundu ya kudwala nthawi zambiri limodzi ndi osabereka. Kuthetsa vuto limeneli si zotheka. Ngati endocrinocytes kusungidwa mu testes, izo tikulimbikitsidwa kukondoweza mankhwala. Ana Kwalamulidwa mankhwala m'thupi, ndi akulu - ayenera androgens. Popeza mahomoni endocrine ayenera kumwa moyo.

Mu mawonekedwe sekondale pathological ndondomeko gonadotropic Kwalamulidwa mankhwala mlingo yaing'ono. Ngati ndi kotheka, iwo pamodzi ndi testosterone. Udindo wina wa mankhwala a matenda limabweretsa mafizo kulandira vitamini maofesi.

mankhwala onse Kwalamulidwa payekha malinga za umoyo ndi zaka za wodwalayo. ntchito M'MALO mankhwala ndi wothandizila mahomoni ali osavomerezeka zina. Mwachitsanzo, mu zotupa khansa ya prostate. Matenda matenda a m'mapapo, kusuta, mkhutu mafuta kagayidwe ndi apnea kuukira - ndi contraindications wachibale. Pazochitika izi, chosankha pa kuvomera mankhwala testosterone anatengedwa payekha.

alowererepo opaleshoni

Ngati hypogonadism anthu amayamba ndi olumala mwakuthupi mu chitukuko cha ziwalo kugonana, kusonyeza ntchito. Lero, zosiyanasiyana zimene mungachite kuti alowererepo ntchito kuthetseratu nthendayi. Mwachitsanzo, ndi hypoplasia la mbolo ntchito phalloplasty, mu nkhani ya testis undescended imagwiridwa relegation. implantation wa testis kupanga ikuchitika kuthetsa chilema zodzikongoletsera. Aliyense wa ntchito imeneyi imagwiridwa pogwiritsa ntchito njira microsurgical.

The Mapa apeze

Pulayimale hypogonadism, makamaka obadwa nawo, akhoza pang'ono tikonze. Ndi za kubwezeretsa anatomical ndi zinchito luso la mbolo. Komabe, mankhwala amakono kuti matenda umuna sangachite. Njira yokha kuti ayambenso kubalana - umuna lidzawagwiritsenso mwa mpanda. Choncho vnutriyaichkovy spermatogenesis ayenera anakhalabe.

Mapa wina amafuna odwala matenda ndi hypogonadism sekondale. Mu amuna, chithandizo cha matenda nthawi zambiri zotsatira zabwino. Choncho, madokotala nthawi zambiri sangathe kubwezeretsa ntchito ubereki.

zodzitetezera

Specific kupewa matenda sikuti yapangidwa. Mwa malangizo ambiri madokotala zimafika zotsatirazi:

• chithandizo mwamsanga matenda aliwonse;
• kudya zakudya zopatsa nthanzi, kupanda makhalidwe oipa thupi;
• kudutsa anayendera pa "mwamuna" madokotala ngati muyeso njira kamodzi pa chaka.

Izi nsonga, mwatsoka, Sizotheka kuteteza hypogonadism anthu. Poyamba maonekedwe ake ayenera yomweyo kupempha thandizo kwa katswiri. The kale dokotala mankhwala chithandizo mwamsanga kodi lipole.