Indlela yokwenyusa i-testosterone ngokwemvelo: ukuzivocavoca, ubuthongo, ukudla nezithasiselo
Ucwaningo nemithombo esiyisebenzisile kubalwe ekugcineni. Akubuyekezwanga ngudokotela. Inqubomgomo yokuhlela
Inkanuko ephansi, umthondo ovuka kancane ekuseni, ukuhlala ukhathele. Enye yezimbangela ezingenzeka ukwehla kwehomoni yesilisa. Nakhu ongakubheka empilweni yansuku zonke, lokho izithako zezithasiselo ezikwenzayo ngempela, nokuthi ubonane nini nodokotela.
Ukuxhumana okucace kakhulu ne-testosterone ocwaningweni ubuthongo nesisindo. Lapho izinsizwa eziphilile zilala ngaphansi kwamahora ama-5 isonto lonke, yehla ngo-10 kuya ku-15%, kanti emadodeni akhuluphele ngokweqile, yenyuka kakhulu lapho behlisa isisindo esiningi. Ukuzivocavoca kwamandla akukafakazelwa ukuthi kwenyusa ngokucacile amazinga ansuku zonke, kodwa kubalulekile ekuvukeni komthondo ngesisindo, imithambo yegazi nemisipha yaphansi kwesinqe. Iningi lezithako zezithasiselo linocwaningo oluncane kuphela futhi alukho isiphetho esiqinile.
Okuqukethwe
Iyini i-testosterone
I-testosterone iyihomoni eyinhloko yobulili besilisa, eyenziwa kakhulu emasendeni. Inesandla enkanukweni yocansi, ekuvukeni komthondo, emisipheni nasemathanjeni, emizweni nasemandleni. Ifinyelela esicongweni eminyakeni yawo-20 bese yehla kancane njengoba iminyaka ikhula, kodwa ngamazinga ahluke kakhulu: amadoda aneminyaka efanayo angaba namazinga ahluke kakhulu.
Izimpawu ze-testosterone ephansi
Uma i-testosterone ephansi ihambisana nezimpawu zomzimba noma zengqondo, odokotela bakubiza ngokuthi ukuntula i-testosterone noma i-hypogonadism eqala ebudaleni. Umhlahlandlela wezokwelapha we-Endocrine Society (2018) ubala lezi zimpawu eziyinhloko:
| Uhlobo | Izimpawu eziyinhloko |
|---|---|
| Ezocansi | Umthondo ovuka kancane ekuseni, inkanuko ephansi, i-ED |
| Ezengqondo | Ukudangala, ukungakwazi ukugxila, ukukhathala kalula |
| Ezomzimba | Ukwehla kwamandla, amathambo abuthakathaka, amafutha amaningi emzimbeni |
Umhlahlandlela ofanayo uncoma ukuthi ukuxilongwa kwenziwe kuphela lapho kunezimpawu futhi ukuhlolwa kwegazi okuphindiwe, okuthathwe ekuseni ungakadli, kukhombisa i-testosterone ephansi ngokucacile; amazinga omngcele ahlukahlukene phakathi kwemihlahlandlela namalabhorethri. Ungahluleli ngezimpawu zodwa: uma ukhathazekile, buza udokotela wakho noma udokotela wezinso nomchamo mayelana nokuhlolwa.
Indlela yoku-1: ukuzivocavoca kwamandla
Kuvame ukuthiwa “ukuphakamisa izinsimbi kwenyusa i-testosterone”, kodwa ucwaningo alulula kanjalo.
- Okutholakele
- Ukuzivocavoca kwamandla njalo akuzange kuyishintshe ngokucacile i-testosterone yansuku zonke (eyisisekelo). Ukuzivocavoca kokubekezela nokwezikhawu kwakhombisa ukwenyuka okuncane
- Isixwayiso
- Amadoda amadala nocwaningo olufushane kakhulu. Imiphumela yahluka ngokohlobo lwehomoni olwalinganiswa, futhi alukho ucwaningo oluningi
Ukuzivocavoca kusabalulekile ngoba kunciphisa amafutha emzimbeni, kugcina imithambo yegazi iphilile futhi kuqeqesha imisipha yaphansi kwesinqe ehilelekile ekuvukeni komthondo. Ukuqeqeshwa kwemisipha yaphansi kwesinqe kungenye yezindlela okuye kwabikwa ngazo izinguquko ekuvukeni komthondo ocwaningweni lwamadoda ane-ED. Ungakuzama nge-sibali-sikhathi se-Kegel somzuzu o-1 samahhala.
Indlela yesi-2: ubuthongo, isisindo nengcindezi
- Okutholakele
- Ngemuva kwesonto lokulala ngaphansi kwamahora ama-5, i-testosterone yasemini yayiphansi ngo-10 kuya ku-15%. Ukuguga kuyehlisa cishe ngo-1 kuya ku-2% ngonyaka, ngakho lokhu kulingana neminyaka eyi-10 kuya kweyi-15
- Isixwayiso
- Amadoda ambalwa kakhulu nesonto elilodwa kuphela. Alukahlolanga ukuthi ukulala isikhathi eside kwenyusa yini i-testosterone
- Okutholakele
- Ukwehlisa isisindo kwenyusa i-testosterone, noma ngabe ngokudla okunama-calorie amancane noma ngokuhlinzwa kokukhuluphala. Ukwenyuka kwakuhlobene kakhulu nokuthi kwehliswe isisindo esingakanani
- Isixwayiso
- Amadoda akhuluphele ngokweqile kuphela. Akwaziwa ukuthi amadoda anesisindo esijwayelekile azuza yini ngokwehlisa okwengeziwe
Ingcindezi eqhubekayo nokuntula ubuthongo nakho kuthinta ukulingana kwamahomoni nenkanuko. Cishe amahora angu-7 obuthongo ubusuku ngabunye kanye nokwehlisa amafutha esisu yizinyathelo ezingokoqobo ucwaningo oluzihlobanisa ne-testosterone.
Indlela yesi-3: ukudla (i-zinc)
Ucwaningo oluhlobene nokudla lumayelana ne-zinc. Ucwaningo oluncane lwathola ukuthi ukunciphisa i-zinc kwehlisa i-testosterone nokuthi amadoda amadala ayentula i-zinc abona ukwenyuka lapho ethatha okwengeziwe (Prasad nabanye, 1996). Kodwa lawa kwakungamadoda antula i-zinc; alukho ucwaningo olukhombise ukuthi amadoda asevele ethola okwanele azuza ngokwengeziwe. I-zinc itholakala kakhulu kuma-oyster, enyameni yenkomo nasemaqandeni. Ngokwe-NIH Office of Dietary Supplements (eMelika), amadoda amadala adinga u-11 mg ngosuku, kanti umkhawulo ophezulu ngu-40 mg ngosuku; okuningi kakhulu okuvela ezithasiselweni kungabangela ukuntula ithusi.
Ingabe izithako zezithasiselo ziyasebenza?
Nakhu ucwaningo olukushoyo ngezithako ezivame ukutholakala emikhiqizweni “yokwenyusa i-testosterone”.
| Isithako | Lokho ucwaningo olukukhombisayo |
|---|---|
| I-fenugreek | Ukuhlaziywa kocwaningo olu-4 kwabika umphumela ku-testosterone ephelele. Ucwaningo oluncane, imikhiqizo embalwa |
| I-zinc | Ucwaningo oluncane lukhombisa ukwenyuka emadodeni ayentula. Akukhonjiswanga emadodeni athola okwanele |
| I-astragalus | Alukho ucwaningo olusezingeni elihle nge-testosterone kubantu olutholakele |
| I-piperine | Yengezwa ukusiza ukumuncwa kwezinye izithako. Ayicwaningwanga nge-testosterone uqobo |
I-fenugreek yisithako esinocwaningo oluningi kakhulu ngehomoni yesilisa (Mansoori nabanye, 2020), kodwa lulincane.
I-astragalus yimpande yesitshalo somndeni kaphizi, esetshenziswe isikhathi eside emithini yendabuko yaseShayina. Kunocwaningo lwezilwane namaseli, kodwa asitholanga ucwaningo olusezingeni elihle nge-testosterone emadodeni.
I-piperine yikhemikhali eyenza upelepele omnyama ubaba. Ocwaningweni kubantu, ukwengeza u-20 mg we-piperine ku-2 g we-curcumin (evela ku-turmeric) kwenyusa kakhulu i-curcumin egazini (Shoba nabanye, 1998). Ngamanye amazwi, yengezwa ukusiza ukumuncwa kwezinye izithako; alukho ucwaningo olukhombise ukuthi i-piperine uqobo yenyusa i-testosterone. Ithinta futhi ama-enzyme ahlephula imithi, ngakho buza udokotela noma usokhemisi uma uthatha noma yimuphi umuthi.
Le mikhiqizo iyizithasiselo zokudla, hhayi imithi yokwelapha noma yokuvimbela izifo. Uma ukhetha owodwa, khetha umkhiqizo obala ngokucacile izithako zawo nemithamo yansuku zonke, futhi ugweme noma yimuphi othembisa imiphumela “eqinisekisiwe”. Uma ukhathazekile ngezinga lakho, ukuhlolwa kwegazi kuthembeke kakhulu kunokuzama isithasiselo.
I-testosterone ne-ED
I-testosterone inesandla enkanukweni nasekuvukeni komthondo, ngakho amazinga aphansi angaba nesandla ku-ED. Kodwa iningi le-ED livela ezimbangelweni zemithambo yegazi, zezinzwa noma zengqondo, futhi namadoda ane-testosterone ejwayelekile ayayithola i-ED.
- Okutholakele
- Izinguquko ezimaphakathi emisebenzini yocansi, enkanukweni nasemaphuzwini okuvuka komthondo. Awukho umehluko emandleni okuphila (amandla)
- Isixwayiso
- Ukwelashwa ngamahomoni ngaphansi kukadokotela, emadodeni amadala ane-testosterone ephansi. Le akuyona imiphumela yezithasiselo
I-ED ingaba wuphawu lwesifo senhliziyo noma semithambo yegazi noma isifo sikashukela. Uma izinkinga zokuvuka komthondo ziqhubeka, noma umthondo ovuka kancane ekuseni, inkanuko ephansi nokukhathala kuza ndawonye, bonana nodokotela wezinso nomchamo, umtholampilo wezempilo yabesilisa noma udokotela wakho.
Imibuzo evame ukubuzwa
Iyini i-testosterone?
I-testosterone iyihomoni eyinhloko yobulili besilisa, eyenziwa kakhulu emasendeni. Inesandla enkanukweni yocansi, ekuvukeni komthondo, emisipheni nasemathanjeni, emizweni nasemandleni. Ifinyelela esicongweni eminyakeni yawo-20 bese yehla kancane njengoba iminyaka ikhula, ngamazinga ahluke kakhulu endodeni nendoda. Uma i-testosterone ephansi ihambisana nezimpawu ezifana nokukhathala nenkanuko ephansi, odokotela bakubiza ngokuthi ukuntula i-testosterone noma i-hypogonadism eqala ebudaleni.
Ingabe ngingayenyusa i-testosterone yami ngendlela yemvelo?
Ucwaningo luyihlobanisa ngokucace kakhulu nobuthongo nesisindo. Lapho izinsizwa ezi-10 eziphilile zilala ngaphansi kwamahora ama-5 ubusuku ngabunye isonto lonke, i-testosterone yazo yehla ngo-10 kuya ku-15%. Emadodeni akhuluphele ngokweqile, lapho behlisa isisindo esiningi, yenyuka kakhulu i-testosterone yawo. Iningi lezithako zezithasiselo linocwaningo oluncane kuphela futhi alukho isiphetho esiqinile.
Ingabe izithasiselo ze-testosterone ziyasebenza?
Nge-fenugreek, ukuhlaziywa kocwaningo olu-4 kwabika umphumela ku-testosterone ephelele, kodwa ucwaningo lwalulincane futhi lwasebenzisa imikhiqizo embalwa. Nge-zinc, kunocwaningo oluncane kuphela olukhombisa ukwenyuka emadodeni ayentula i-zinc. Izithasiselo azisona isikhundla sokwelashwa. Uma ukhathazekile ngezinga lakho, ukuhlolwa kwegazi yindlela ethembekile yokuhlola.
Ingabe i-testosterone ephansi ibangela i-ED?
I-testosterone inesandla enkanukweni nasekuvukeni komthondo, ngakho amazinga aphansi angaba nesandla ku-ED. Kodwa iningi le-ED livela ezimbangelweni zemithambo yegazi, zezinzwa noma zengqondo, futhi namadoda ane-testosterone ejwayelekile ayayithola i-ED. Ocwaningweni lwamadoda angama-790 aneminyaka engama-65 nangaphezulu ane-testosterone ephansi, ukwelashwa ngamahomoni kwahlobaniswa noshintsho olumaphakathi emaphuzwini okuvuka komthondo, kodwa lokho kungukwelashwa okunqunywa ngudokotela.
Ngingayihlolisa kuphi i-testosterone yami?
Udokotela wakho womndeni, udokotela wezinso nomchamo noma umtholampilo wezempilo yabesilisa angayihlola ngokuhlolwa kwegazi. I-testosterone iphezulu ekuseni futhi iphansi kusihlwa, ngakho isampula yegazi ivame ukuthathwa ekuseni (cishe ngo-7 kuya ku-11 ekuseni).
Imithombo
- Bhasin S, et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018;103(5):1715-1744. doi.org/10.1210/jc.2018-00229
- Leproult R, Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA. 2011;305(21):2173-2174. stacks.cdc.gov/view/cdc/212252
- Corona G, et al. Body weight loss reverts obesity-associated hypogonadotropic hypogonadism: a systematic review and meta-analysis. Eur J Endocrinol. 2013;168(6):829-843. pubmed.ncbi.nlm.nih.gov/23482592/
- Hayes LD, Elliott BT. Short-Term Exercise Training Inconsistently Influences Basal Testosterone in Older Men: A Systematic Review and Meta-Analysis. Front Physiol. 2019;9:1878. www.frontiersin.org/articles/10.3389/fphys.2018.01878/full
- Prasad AS, et al. Zinc status and serum testosterone levels of healthy adults. Nutrition. 1996;12(5):344-348. pubmed.ncbi.nlm.nih.gov/8875519/
- NIH Office of Dietary Supplements. Zinc: Fact Sheet for Health Professionals. ods.od.nih.gov/factsheets/Zinc-HealthProfessional/
- Mansoori A, et al. Effect of fenugreek extract supplement on testosterone levels in male: A meta-analysis of clinical trials. Phytother Res. 2020;34(7):1550-1555. pubmed.ncbi.nlm.nih.gov/32048383/
- Shoba G, et al. Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta Med. 1998;64(4):353-356. pubmed.ncbi.nlm.nih.gov/9619120/
- Snyder PJ, et al. Effects of Testosterone Treatment in Older Men. N Engl J Med. 2016;374(7):611-624. www.nejm.org/doi/full/10.1056/NEJMoa1506119