Ukuhlolwa kwe-testosterone kubonisa amazinga e-hormone abalulekile futhi kunethonya empilweni ngezindlela abantu abaningi abangazazi. Abantu abaningi bacabanga nge-testosterone njengeyabesilisa kuphela, kodwa le hormone ikhona ngokwemvelo emizimbeni yabesilisa neyabesifazane. I-hormone ithonya yonke into kusukela ekushayeleni ucansi kuya ekuthuthukisweni kwemisipha.

Testosterone imiyalelo ikhuphuke kakhulu kule minyaka eyishumi edlule. Lokhu kuhlasela kubonisa ukugxila okukhulayo komphakathi wezokwelapha ekuqaphelweni kwama-hormone. Amasampula egazi asiza odokotela banqume ukuthi amazinga e-testosterone ahlala phakathi kwebanga elijwayelekile ngokuhlolwa okuthile. Izilinganiso ezijwayelekile ze-plasma testosterone zamadoda amadala ngokuvamile zisukela ku-8.7–29 nmol/L (250–836 ng/dL). Odokotela bathembele ekuhlolweni kwegazi le-testosterone njengethuluzi elibalulekile lokuxilonga ukuze babone ukungalingani kwehomoni, kungakhathaliseki ukuthi ubulili besiguli. Lesi sihloko sichaza inqubo yokuhlola futhi sichaza ukuthi imiphumela engajwayelekile ingase isho ukuthini.

Kuyini ukuhlolwa kwamazinga e-Plasma Testosterone?

Ukuhlolwa kwamazinga e-plasma testosterone kulinganisa inani le-hormone ye-testosterone egazini lakho. Lokhu kuhlolwa okuqondile kudlula amasheke amahomoni alula ngokulinganisa ukuthi i-testosterone ihamba kanjani egazini lakho ngezindlela ezimbili ezihlukene.

Igazi lakho lithwala i-testosterone ngezindlela ezahlukene. Cishe u-60% ubopha ngokuqinile ephrotheni ebizwa ngokuthi i-sex hormone-binding globulin (SHBG), kuyilapho u-38% enamathela ngokukhululekile ku-albumin namanye amaprotheni. Ingxenye encane ikhona njenge-testosterone "yamahhala" - ifomu elisebenzayo umzimba wakho ongalisebenzisa.

Udokotela wakho anga-oda izinhlobo ezintathu ezihlukene zokuhlolwa:

• Isamba sokuhlolwa kwe-testosterone: Ilinganisa kokubili i-testosterone eboshiwe nekhululekile - lokhu ukuhlolwa okuvame kakhulu.
• Ukuhlolwa kwe-testosterone yamahhala: Ikala kuphela i-testosterone engaboshiwe.
• Ukuhlolwa kwe-testosterone ye-Bioavailable: Ikala i-testosterone yamahhala kanye ne-testosterone enamathiselwe kumaphrotheni ngaphandle kwe-SHBG.

Kufanele Uthole Nini Ukuhlolwa Kwamazinga e-Plasma Testosterone?

Ukuhlolwa okwenziwe ekuseni kunikeza imiphumela enembe kakhulu ngoba amazinga e-testosterone alandela iphethini yemvelo yansuku zonke. Amadoda angaphansi kweminyaka engama-45 kufanele ahlolwe phakathi kuka-7:00-10:00 am phakathi namazinga aphezulu. Amadoda aneminyaka engu-45 nangaphezulu angahlolwa noma nini ngaphambi kuka-2:00 ntambama njengoba ukuhluka kwawo kwansuku zonke kuye kubonakale kancane ngokuya ngeminyaka. 

Amazinga abantu besifazane abonisa izinguquko ezinkulu kancane usuku lonke.

Ungase udinge ukuhlolwa uma ubona:

• Izinguquko ku-sex drive noma ekusebenzeni
• Ukwehla okukhulu kwamazinga wamandla
• Ukulahlekelwa kwemisipha okungachazwanga (amadoda) noma ukuzuza (abesifazane)
• Izinhlobo ezahlukahlukene zokukhula kwezinwele
• Izinkinga zokuzala

Kungani Ngidinga Ukuhlolwa Kwamazinga e-Plasma Testosterone

Lokhu kuhlola kusiza ngokuxilonga, ukuqapha, nokuhlola. Odokotela bayayisebenzisa ukuze bathole ukuthi kungani ungase ube nezimpawu ezithile. Amadoda avame ukukhombisa ukungasebenzi kahle kwe-erectile, ukuncipha kwesisindo somzimba, noma ukuqothuka kwezinwele okungalindelekile. Abesifazane bangase babe nezinsuku ezingajwayelekile, izinwele zobuso ezinde ngokweqile, noma ukushintsha kwezwi.

Ukuhlolwa kulandelela ukuthi ukwelashwa kusebenza kahle kangakanani. Ukwenza isibonelo, amadoda ashintsha ubulili ekwelashweni kwe-hormone wesilisa adinga ukuhlolwa kwe-testosterone njalo ezinyangeni ezintathu phakathi nonyaka wawo wokuqala, bese kuba kanye noma kabili ngonyaka.

Kuyasiza futhi ukuthola izinkinga zezempilo. I-testosterone ephansi ingase ibhekisele ezinkingeni ze-pituitary, kuyilapho amazinga aphezulu angabonisa izinhlobo ezithile zomdlavuza noma isifo se-polycystic ovary syndrome.

Inqubo ye-Plasma Testosterone Levels Test

Ukuhlolwa kudinga ukudonswa igazi elilula emthanjeni wengalo yakho. Udokotela wakho uzo:

• Faka i-elastic tourniquet ezungeze ingalo yakho engenhla
• Hlanza indawo nge-antiseptic
• Faka inaliti encane emthanjeni wakho
• Qoqa igazi ebhodleleni
• Khipha inaliti bese ucindezela ukumisa ukopha
• Vala indawo ngebhandishi

Uzochitha imizuzu engaphansi kwemihlanu kuyo yonke inqubo. Abantu abaningi bazizwa beluma kancane futhi bangaqalisa kabusha imisebenzi yabo evamile ngemva nje kwalokho.

Uzilungiselela Kanjani Ukuhlolwa Kwamazinga e-Plasma Testosterone?

Ukulungiselela kahle kuzonikeza imiphumela enembile: 

• Bhuka ukuhlolwa kwakho ekuseni kakhulu ngesikhathi samazinga aphezulu e-testosterone. 
• Udokotela wakho angase akucele ukuthi ugweme ukudla neziphuzo (ngaphandle kwamanzi) amahora ambalwa ngaphambi kokuhlolwa.
• Khuluma nodokotela wakho mayelana nemithi yakho. Eminye imithi ingashintsha imiphumela yakho.
• Lala kahle (amahora angu-7-9) ngobusuku bangaphambi kokuhlolwa kwakho. Ukungalali kahle inganciphisa amazinga e-testosterone, ikakhulukazi kamuva emini. 
• Yeqa ukujima kanzima amahora angu-24 ngaphambi kokuhlolwa njengoba ukuvivinya umzimba kakhulu kungase kuthinte amazinga akho ehomoni okwesikhashana.

Isho Ukuthini Imiphumela Engavamile

Imiphumela engaphandle kobubanzi obujwayelekile ingase ibonise izinkinga zezempilo ezidinga uphenyo olwengeziwe.

A. I-testosterone ephansi emadodeni ingabonisa:

• I-hypogonadism eyinhloko (izinkinga zamasende)
• I-hypogonadism yesibili (izinkinga ze-pituitary/hypothalamus)
• Izifo ezingamahlalakhona ezithinta ukusebenza kwesibindi noma izinso
• Izimo zofuzo ezifana ne-Klinefelter syndrome

B. I-testosterone ephezulu emadodeni ingase ikhombise:

• Izimila zamasende
• Ukuphazamiseka kwe-adrenal
• Ukusetshenziswa kwe-steroid

C. Abesifazane abane-testosterone ephezulu bangase babe:

• I-Polycystic i-ovary syndrome (i-PCOS)
• Umdlavuza we-Ovarian
• I-Congenital adrenal hyperplasia
• Ukuphazamiseka kwe-adrenal noma i-pituitary

D. I-testosterone ephansi yabesifazane ingase ihlobane nalokhu:

• menopause
• Ukuntuleka kwe-ovarian
• Ukungasebenzi kahle kwe-adrenal
• Ukungondleki

Khumbula ukuthi imiphumela engavamile iyodwa ayikwazi ukuhlonza noma yisiphi isimo - isiza ukuqondisa uphenyo lwezokwelapha oluqhubekayo ngokusekelwe kuphrofayela yakho yezempilo ephelele.

Isiphetho

I-Testosterone idlala indima enkulu emzimbeni wakho. Bobabili abesilisa nabesifazane badinga amazinga e-testosterone afanele ukuze bahlale bephilile, nakuba abaningi bekubona njengehomoni yabesilisa. Inqubo yokuhlola ilula, kodwa udinga ukulungiselela kahle ukuze uthole imiphumela enembile.

Imiphumela yokuhlolwa engajwayelekile ingakhomba ezimeni zempilo ezimbalwa kunokuba inikeze ukuxilongwa okuqondile. I-testosterone ephansi ingase isho izinkinga ngamasende akho, i-pituitary gland, noma ezinye izimo ezingapheli. Amazinga aphezulu angabonisa izimila noma ukuphazamiseka kwama-hormone. Abesifazane abane-testosterone ephezulu bavame ukuba nezimo ezifana ne-polycystic ovary syndrome.

Udokotela wakho uzobheka le miphumela ngezimpawu zakho kanye nomlando wezokwelapha. Ukuhlolwa okukodwa akunikezi isithombe esigcwele. Ukuhlola okwengeziwe kusiza ukwakha ukuqonda kangcono impilo ye-hormone yakho, ikakhulukazi uma ubona izinguquko kudrayivu yakho yocansi, uzizwa ukhathele ngokungavamile, noma ubona izinguquko ezingalindelekile zomzimba.

Ukwazi amazinga akho e-testosterone kukusiza ukuthi wenze ukukhetha okungcono kwezempilo. Lokhu kuhlolwa kwegazi okulula kungakufundisa ngempilo yakho iyonke, kungakhathaliseki ukuthi unezimpawu ezididayo noma udinga ukulandelela ukuqhubeka kokwelashwa kwakho. Xhumana nodokotela wakho uma ucabanga ukuthi ukungalingani kwe-hormone kuthinta impilo yakho.

Imibuzo Evame Ukubuzwa

1. Kwenzekani uma Amazinga e-Plasma Testosterone ephezulu?

Amazinga aphezulu e-testosterone athinta amadoda nabesifazane ngendlela ehlukile. 

Kwabesilisa:

• Ukuziphatha okunolaka 
• induna nesikhumba esinamafutha
• Izinkinga zokulala, kuhlanganise ukuqwasha
• Ukuphathwa yikhanda 
• Izinkinga zenhliziyo
• Umfutho wegazi ophezulu
• Izinkinga zokuzala ezinenani eliphansi lesidoda

Kwabesifazane:

• I-Polycystic ovary syndrome
• Ukuya esikhathini okungajwayelekile noma ukushoda
• Ukukhula kwezinwele zobuso nomzimba okwengeziwe
• Izinkinga zezinduna nesikhumba

2. Kwenzekani uma Amazinga e-Plasma Testosterone ephansi?

Amadoda ane-testosterone ephansi ngokuvamile ahlangabezana:

• Ukwehla kwesifiso socansi kanye nezinkinga zokuqhanyelwa
• Ukuqothuka kwezinwele zomzimba namasende amancane
• Ukuncipha kwemisipha namandla
• Ukukhathala namandla aphansi
• Ukushintsha kwemizwa, kuhlanganise ukucindezeleka
• Izinkinga zenkumbulo nokugxilisa ingqondo

3. Yiziphi Amazinga e-Plasma Testosterone avamile?

Izigaba ze-testosterone ezijwayelekile ziyahlukahluka ngeminyaka nangobulili:

• Amadoda amadala: 300-1,000 ng/dL noma 8.7-29 nmol/L
• Abesifazane abadala: 15-70 ng/dL

I-testosterone yamadoda iphakama kakhulu lapho beneminyaka engu-19 futhi ngokwemvelo yehla ngo-1-2% unyaka ngamunye ngemva kweminyaka engama-30.

4. Iyini inkomba yokuhlolwa kwe-Plasma Testosterone Levels?

Odokotela batusa lokhu kuhlolwa ukuze bahlole:

• Ukukhathala okungachazeki noma ebuthakathakeni
• Izinguquko ekusebenzeni kocansi
• Izinkinga zokuzala
• Amaphethini angajwayelekile okukhula noma ukulahleka kwezinwele
• Imijikelezo yokuya esikhathini yabesifazane engajwayelekile
• Izinguquko zesisindo ezingalindelekile
• Ukushintsha kwemizwa noma ukucindezeleka

5. Ingabe ukucindezeleka kungathinta amazinga e-testosterone?

Ukucindezeleka okungapheli kunomthelela oqondile ekukhiqizeni i-testosterone. I-hormone yokucindezeleka yomzimba (i-cortisol) ne-testosterone zisebenza ngokuphambene—njengoba enye iphakama, enye iwa.

Ucwaningo lubonisa ukuthi ukucindezeleka kwesikhathi eside kunciphisa ukukhiqizwa kwe-testosterone. Izinhlobo ezahlukene zokucindezeleka zinemiphumela ehlukahlukene. Ukuncintisana kungase kukhuphule amazinga e-testosterone kafushane, kodwa ukucindezeleka okuqhubekayo kuholela emazingeni aphansi.

6. Indlela yokwandisa amazinga e-testosterone ngokwemvelo?

Lezi zinguquko zendlela yokuphila zingasiza ekukhuliseni i-testosterone:

• Ukuncipha kwesisindo kwenza umehluko—i-testosterone iphakama cishe ngephuzu elingu-1 ngephuzu ngalinye le-BMI elilahlekile
• Hlanganisa i-cardio nokuqeqeshwa kwamandla
• Thola ukulala kwekhwalithi-umzimba ukhiqiza i-testosterone eminingi ngesikhathi sokulala okujulile
• Yehlisa ukuphuza utshwala—namathela eziphuzweni ezingaphansi kwezimbili ngosuku
• Prakthiza amasu okulawula ukucindezeleka
• Yidla ukudla okunothe nge-zinc, uvithamini D nama-omega-3 fatty acids