Empilweni yansuku zonke yekhulu lama-21, sesiqaphele kahle ukuthi ukuhamba kwesikhathi kuyithinta kanjani impilo. Endabeni yamadoda, ukufinyelela eminyakeni engama-50 kuvame ukuletha uchungechunge lwezinguquko ze -biophysiological kanye nezengqondo ezingelula ngaso sonke isikhathi ukuzamukela. Ngenkathi amanye amadoda edlula kulesi sigaba ngaphandle kokuqaphela noma yini, amanye angase azizwe esesimweni esinzima, okubangela inkinga yokuguga noma ukwehla okuqhubekayo kwamandla abo omzimba nawengqondo.
Uma sikhuluma nge-andropause, empeleni sibhekisela ekwehleni kancane kancane kokukhiqizwa kwe-androgen okwenzeka ngokuguga. Akuyona inguquko eshintsha ngokuzumayo, kodwa inqubo ehamba kancane lapho amazinga e-testosterone ehla kancane kancane, engathinti nje kuphela amandla ocansi, kodwa futhi nesimo sengqondo, imisipha, kanye nempilo iyonke. Kuyisenzakalo esiyinkimbinkimbi lapho i-biology ihlangana khona nengcindezi yomphakathi yokugcina isithombe sobudoda obungantengantengi.
Kwenzekani ngempela emzimbeni womuntu?
Ngokombono wobuchwepheshe, lesi simo sezokwelapha ngezinye izikhathi saziwa ngokuthi i-ADAM syndrome (i-Androgen Decline in the Aging Male). Okwenzekayo ukuthi amasende aqala ukuguquka kancane, okunciphisa inani le-testosterone elitholakala egazini. Kusukela cishe eminyakeni engama-30, amazinga aqala ukwehla ngo-1% noma u-2% minyaka yonke, kodwa cishe eminyakeni engama-50 lapho umthelela uba khona obonakalayo esigulini.
Ezingeni le-biochemical, i-testosterone ayigcini nje ngokuncipha, kodwa ne-growth hormone, i-melatonin, kanye ne-DHEA nazo ziyancipha . Ngaphezu kwalokho, kukhona ukwanda kwe-sex hormone-binding globulin (SHBG), esebenza njengemagnet, ebamba i-testosterone futhi iyivimbele ekwenzeni imisebenzi yayo emzimbeni, okushiya amadoda engenawo amazinga anele e-free hormone.
Umehluko obalulekile ngokunqamuka kokuya esikhathini kwabesifazane
Kuvamile kakhulu ukuqhathanisa zombili lezi zinqubo, kodwa kunezincazelo eziyisisekelo. Ngokwemvelaphi, igama elithi i-andropause lisikisela ukuyeka ngokuphelele, into engenzeki emadodeni. Amadoda awabi nakho ukuyeka okuqondile kwe-spermatogenesis , okusho ukuthi angaqhubeka nokuba ngubaba ngisho nangemva kweminyaka engama-60, yize ikhwalithi yesidoda ingase yehle futhi ingozi yokuphazamiseka kwezakhi zofuzo embungwini iyanda.
Ngokwezikhathi, ngenkathi abesifazane bebhekana noshintsho olusheshayo noluchazwe kakhudlwana, amadoda alandela indlela ehamba kancane futhi eguquguqukayo kakhulu . Akukho uphawu oluqondile lwezinto eziphilayo oluthi "yilapha lapho kuqala khona i-andropause," njengoba izakhi zofuzo, indlela yokuphila, kanye nezimo ezazikhona zonke zidlala indima. Ngamafuphi, abesifazane balahlekelwa amandla abo okuzala, kuyilapho amadoda ebona ukukhiqiza kwawo kanye nobulili bawo kwehla kancane kancane.
Izimpawu nezimpawu eziyisixwayiso
Izimpawu zivame ukungabonakali ngoba ziphambaniswa kalula nokucindezeleka okuhlobene nomsebenzi noma ukukhathala kwansuku zonke. Kodwa-ke, ukwehla kwesifiso sobulili kanye nokungasebenzi kahle kwesifiso sobulili kuyizimpawu eziphawuleka kakhulu. Isifiso sobulili siyahamba kancane, ukuqina kwesifiso sobulili kuya ngokuya kuncipha, kanti isikhathi sokululama phakathi kokuhlangana sithatha isikhathi eside kakhulu.
Ngaphandle kwesici socansi, kunezibonakaliso ezibonakalayo ezicacile kakhulu:
- Ukulahleka kwemisipha kanye nokwanda okuphawulekayo kwamafutha emzimbeni, ikakhulukazi esiswini nasemaqakaleni.
- Ukuncipha kokuqina kwamathambo, okwandisa ingozi yokuba i-osteoporosis kanye nokuqhekeka kwamathambo.
- Ukubonakala kwe-gynecomastia, okuwukukhula ngokweqile kwezicubu zebele zesilisa.
- Ukuxineka kwengqondo, ukukhathala okuqhubekayo, izinkinga zenkumbulo nokugxila.
- Ukuphazamiseka kokulala kanye isikhumba esincanyana ngokulahlekelwa izinwele emzimbeni.
Ezingeni lemizwa, amadoda avame ukuzizwa esengozini. Ukucasuka, ukukhathazeka, kanye nezimo zokucindezeleka kuvame ukuhambisana nokuntuleka kwama-hormone, njengoba i-testosterone inomphumela omuhle empilweni nasekulangazeleleni komuntu siqu.
Izinto ezenza isimo sibe sibi kakhulu
Nakuba ukuguga kungokwemvelo, izici ezithile zingasheshisa lokhu kwehla. Ukukhuluphala ngokweqile kanye nokukhuluphala kuyizitha eziqondile ze-testosterone. Ngokufanayo, abantu abanomlando wokulimala kwamasende, njenge-varicocele, i-orchitis, noma ukuhlinzwa kwe-inguinal, bavame ukubhekana ne-hypogonadism ngaphambi kwesikhathi futhi enzima kakhulu.
Ezinye izinto eziyingozi zifaka phakathi isifo sikashukela, izifo zenhliziyo, kanye nokubhema nokuphuza utshwala ngokweqile. Ukucindezeleka okungapheli nakho kudlala indima ebalulekile, okudala umjikelezo omubi lapho ukucindezeleka kwengqondo kubhebhethekisa khona ukwehla kokusebenza kocansi kanye nama-hormone.
Izindlela zokwelapha kanye nokululama
Uma ukuntuleka kuyinkinga futhi kuthinta kakhulu ikhwalithi yokuphila, kusetshenziswa ukwelashwa kokufaka i-androgen esikhundleni . Umgomo awukona ukufeza ubusha obuhlala njalo, kodwa ukubuyisela amazinga okusebenza emzimbeni ukuze amadoda azizwe kahle. Lokhu kwelashwa kumele kuqashwe ngokucophelela udokotela, njengoba kudinga ukuhlolwa kwangaphambilini njengokuhlolwa kwe-digital rectal kanye nokulinganiswa kwe-PSA ukuze kunqunywe umdlavuza we-prostate.
Kunezindlela eziningana zokuphatha kuye ngezidingo zesiguli:
- Amajeli nama-patches e-TransdermalZiyizinto ezisebenza kakhulu emzimbeni, njengoba zilingisa isigqi se-circadian se-hormone.
- Imijovo ye-Intramuscular: Kuvamile kakhulu futhi kuyasebenza, yize kuneziqongo zokuhlushwa ezingazelelwe.
- Indlela Yokukhuluma: Ayivamile kulezi zinsuku ngoba ingathinta ukusebenza kwesibindi.
Kubalulekile ukusho ukuthi lokhu kwelashwa kuneziphazamiso eziphelele, njengomdlavuza we-prostate obhaliwe noma izimpawu ezinzima zokuvimbela i-benign prostatic hyperplasia. Ukuthuthukiswa okungenzeka kwe-polycythemia (amangqamuzana abomvu egazi ngokweqile) noma ukwanda kwe-sleep apnea nakho kufanele kuqashwe.
Amathiphu emvelo nemikhuba enempilo
Akukhona nje kuphela ngemithi. Ukuze ulwe nemiphumela yokuguga, kubalulekile ukulwa nendlela yokuphila yokuhlala phansi. Ukuqeqeshwa kwamandla nokumelana nakho kuyithuluzi elihle kakhulu lokugcina imisipha iqinile futhi kukhuthaze ukukhiqizwa kwama-hormone emvelo.
Ukudla okunomsoco, okucebile ngamaprotheni kanye namafutha agcwele aphansi, kanye nokulala okuphumuzayo amahora angu-7 kuya kwangu-9, kwenza umehluko omkhulu. Ngaphezu kwalokho, ukugcina impilo yocansi esebenzayo kuyanconywa ukuvimbela indlela yokulala ukuba ingonakali futhi kukhuthaze ukuxhumana nomlingani wakho ukuze kulawulwe ukuguquguquka kwesifiso sobulili okuvame ukwenzeka phakathi nalesi sigaba.
Indlela yokwelapha i-andropause kufanele ibe ngemikhakha eminingi, ihlanganise imibono yodokotela be-urologist, odokotela be-endocrinologists kanye nodokotela bezengqondo. Ekugcineni, kumayelana nokuqonda ukuthi umzimba uyashintsha nokuthi, ngokusekelwa okufanele kanye nendlela yokuphila enempilo , kungenzeka ngokuphelele ukujabulela impilo eyanelisayo, uthole amandla nokulinganisela ngokomzwelo okudingekayo ukuze uphile ngenjabulo.