Hypogonadism a maza: Bayyanar cututtuka da kuma Jiyya

Cikakken aiki ne na jikin mutum ba za a iya tunanin ba tare da ta dace aiki na jima'i gland, samar da hormones. Duk wani maye a cikin wannan tsarin ya kunsa fitowan somatic cututtuka. Dyslipidemia, atherosclerosis, kiba, kwakwalwa ischemia - wannan ba dukan jerin yiwu rikitarwa. A likita reference books sami da yawa ma'anar irin wannan take hakkin. Alal misali, testicular androgen kasawa ko insufficiency. Duk da haka, daga gare su, mafi m, kuma mafi m dauke da kalmar "hypogonadism" a cikin maza. Wannan yanayin yakan haifar, ga wani dalilin taso ko shi za a iya warke - wadannan tambayoyi an gabatar da cikakken amsoshi a yau labarin.

Brief bayanin irin cuta

Hypogonadism - wata cuta halin da aikin karanci jima'i gland. Da wakilan da karfi jima'i an gabatar da hagu da kuma dama gwaiwa. Nature ya tanada musamman guda biyu shi da lambar. Testicular nama ji na ƙwarai to daban-daban muhalli hadura. A hali na asarar aikin damar iya yin komai na jiki dole ne a irin ajiye. Regenerative ikon na testes ne quite suna fadin.

Su babban manufar - to haifuwa. Rashin ikon samar da maniyyi deprives jikin namiji haihuwa damar. Sassan irin wannan take hakki aza a can farko na haihuwa sake zagayowar. Saboda haka, rashin haihuwa, masu tasowa, a kan wannan bango, an dauke matukar hatsari. Dawo da aiki na mahaukaci sel testicular nama ne kusan ba zai yiwu.

Hypogonadism a maza da halin da wadannan siffofin:

• a hankali a hankali ne akan rage a matakin na jima'i hormones.
• akan rage ingantaccen da kuma gwada yawa halaye na maniyyi.
• hypoplasia na al'aurar.
• hormonal cuta a ko'ina cikin jiki.

Bisa kididdigar da, da ciwo na hypogonadism a maza auku a 1% na yawan jama'ar duniya. Duk da haka, wannan bayani shi ne na ɗan lokaci, kamar yadda aka ɗauke shi zuwa lissafi kawai rajista lokuta na Pathology. Jiyya dole za'ayi a karkashin kulawa da wani endocrinologist da andrologist. Da aka fi amfani hormone far. Lokacin da aka sanya wa ineffectiveness na roba tiyata da prosthetics gabobin da haihuwa tsarin.

Babban Sanadin cutar

A ci gaba da pathological aiwatar faruwa a sakamakon rage yawan samar hormones ko cuta biosynthesis. By etiological dalilai da cutar sun hada da:

• nakasar malformations lalacewa ta hanyar wani canji a testicular tsarin da kuma / ko seminiferous tubules.
• tasiri a kan kwayoyin gubobi gaba uwãyensu (barasa, nicotine, kwayoyi).
• sha radiation ko jiyyar cutar sankara.
• dogon lokacin da amfani da hormonal, antibacterial kwayoyi.
• cututtuka na dauke da kwayar cutar asalin (orchitis bayan kyanda, mumps, vesicles).
• varicose veins daga cikin golaye.
• masauki a yankunan da m muhalli da yanayi.

A Sanadin hypogonadism a maza haifar da siffar da pathological tsari. Kowane daga cikinsu shi ne halin da wasu nassi.

iri da take hakki

Dangane tamkar hanyar da ya faru na gazawar gonads kasu kashi na farko, na biyu, da kuma abin da ake kira da shekaru. Ta yaya suka bambanta? A farko nau'i na cutar da ake kira in ba haka ba testicular Pathology. A wannan yanayin, da warwarewarsu na testes aiki faruwa a ƙarƙashin rinjayar waje korau abubuwan. Secondary hypogonadism a maza ake dangantawa da munanan a cikin makirci "pituitary-hypothalamus". Wannan tsarin samar da hormones alhakin aiki na testes. Age bambance-bambancen da cutar da aka dauke su a irin namiji menopause. Its haddasawa, likitoci ba zai iya bayyana wannan rana.

Wadannan rarrabuwa dogara ne a kan lokaci na rayuwa a cikinsa, akwai wani rashin lafiya. A tayi nau'i ne halin da bayyanar da wani pathological aiwatar a cikin tsawon igiyar ciki ci gaba. Prepubertal kamu kafin balagarsa (game da 14 years). Postpubertatnom embodiment cutar auku bayan kammala na ci gaba da sakandare jima'i halaye.

Ganin adadin androgens samar, rarrabe da wadannan iri da cutar:

1. Hypergonadotrophic hypogonadism. A maza, wannan nau'i na cutar bayyana kanta a cikin nau'i na lalata testicular testicular nama. Yana yana tare da kara samar da pituitary ji ba gani. A lokaci guda Manuniya na testosterone rage muhimmanci.
2. Hypogonadotropic hypogonadism. Yana halin da rage kira na gonadotrophins. Wannan rage adadin testosterone samar.
3. Normogonadotropic hypogonadism. A maza, wannan nau'i na pathological aiwatar take kaiwa zuwa rushewa daga cikin golaye, amma samar da pituitary hormones ne na al'ada. A cuta ne sau da yawa hade da kiba.

Dangane da etiology ne m rarrabe nakasar, tsiwirwirinsu, da idiopathic siffofin. A karshen harka, babban dalilin cutar zauna ba a sani ba.

primary hypogonadism

Cutar na iya zama duka tsiwirwirinsu, da nakasar. Mafi sau da yawa, da Pathology auku a utero. Boy haife tare da kananan azzakari da wani underdeveloped Kwalatai (Scrotum). Kamar yadda ci gaban na asibiti hoto da cutar mutates. A samartaka boys tare da bincikar lafiya gano kiba, gynecomastia farko manifestations da low mataki na jiki gashi.

An samo farko hypogonadism a maza tasowa a cikin kumburi da seminal gland karkashin wadannan cuta:

• orchitis.
• vesicles.
• epididymitis.
• mumps.
• kaza pox.

Wannan nau'i na cutar da ake dauke su ya fi na kowa. Yana auku a daya daga biyar maza baya kamu infertile.

Secondary hypogonadism

Secondary hypogonadism iya zama nakasar ko samu. A cikin farko idan na cutar da ake riga da ci gaban da bai dace ba mugunya pituitary da hypothalamic ji ba gani. An sau da yawa tare da kwayoyin cuta:

• Prader ciwo - Willie.
• Maddock ciwo.
• Pasqualini ciwo.

A samu wani nau'i na cutar da ake yawanci lalacewa ta hanyar kumburi da meninges. Daga cikin su akwai meningitis, arachnoiditis da encephalitis.

Bayyanar cututtuka da cutar a kananan yara

The asibiti hoto na pathological tsari ne sun fi mayar da m da haƙuri da shekaru. Its ci gaba daga farkon shekarun da aka yawanci tare da wadannan cututtuka:

• Cuta na aure.
• evnuhoidizma bayyanar cututtuka (ɓarna, high girma, kananan kafadu, dogon wata gabar jiki).
• babu wrinkles a Kwalatai (Scrotum);
• da kananan size na azzakari.
• gynecomastia.

A gaban daya ko fiye daga cikin cututtuka da aka jera a sama kamata nan da nan tuntubar wani profile gwani.

Bayyanar cututtuka da cutar a matasa

A ci gaba da cuta a cikin samartaka ne halin da wannan bayyanar cututtuka, cewa prepubertal. Clinical hoto iya gaba da rage libido da kiba. Don ganin likita ne yawanci gano hypoadrenalism da thyroid. Outwardly, marasa lafiya matasa a fili bayyana underdevelopment na murdede tsarin.

Bayyanar cututtuka da cutar a manya

Hypogonadism a maza girmi shekaru 30 shi ne kasa pronounced. Cutar da ake tare da bayyanar mahara folds na kitse a jiki. Skin kan lokaci rasa da tsohon elasticity kuma zama bushe. Yana bayyana gajiya, wani tunanin lability, hali zuwa ciki. Abin baƙin ciki, asibiti bi da ta maza a na kwarai lokuta. Yawanci a lokacin da ta je rashin haihuwa ko cuta da erectile aiki.

Wannan rashin hankali ga nasu kiwon lafiya na iya haifar da tsanani sakamakon. A pathological aiwatar fara yada ba kawai a kan haihuwa tsarin, amma sannu a hankali motsi zuwa wasu gabobin da kyallen takarda. Babu m kula iya kai wa ga rashin iyawa.

hanyoyin da ganewar asali

Kada ku ji tsoro na ganewar asali prematurely hypogonadism a cikin maza. Wannan jiha yana nufin a gaya likita a farko shawara. Bayan bayyanar cuta cututtuka kamata nan da nan a tuntuɓi mai m m. Duk da fairly mai haske na asibiti hoto, domin tabbatar da cuta bukatar sha asibiti kimantawa. Yana hada da wadannan ayyukan:

• jiki jarrabawa.
• Pelvic duban dan tayi.
• karyotype.
• urinalysis.
• maniyyi.
• jini gwajin for hormones.

A binciken da aka sanya wa kowane haƙuri akayi daban-daban. Saboda haka, cikin jerin asibiti events iya bambanta dan kadan. likita ya tabbatar kõ kuma ya ƙaryata na farko ganewar asali a kan tushen da ya samu sakamakon, sanya far.

Features na magani

Selection na wani musamman Hanyar magani ne har zuwa likita da aka ƙaddara shan la'akari da Sanadin cutar. lura da hypogonadism a maza yawanci yana da dama a raga: magance manyan cututtuka, rigakafin rasa haihuwa, rigakafin aukuwar marurai a testicular nama.

Nakasar da prepubertal siffofin Pathology ake sau da yawa tare da rashin haihuwa. Kawar da wannan matsala ba zai yiwu. Idan endocrinocytes adana a cikin testes, shi ne shawarar kara kuzari far. Yara wajabta hormonal kwayoyi, da kuma manya - dole ne androgens. A cikin rashi na endocrine hormones bukatar sha dukan rayuwarsa.

A sakandare form pathological aiwatar gonadotropic wajabta kwayoyi a cikin wani karamin sashi. Idan dole, su ne a hade tare da testosterone. A rawa a lura da cuta nasa ne gymnastics da kuma sami bitamin gidaje.

All kwayoyi suna wajabta akayi daban-daban dangane da kiwon lafiya matsayi da kuma shekaru na haƙuri. da yin amfani da canzawa far da hormonal jamiái ba da shawarar a wasu lokuta. Alal misali, a cikin daji da raunuka na prostate. Kullum cutar huhu, shan taba, illa mai metabolism da kuma apnea kai hare-hare - ne zumunta contraindications. A cikin wadannan yanayi, da yanke shawara a kan m na testosterone kwayoyi riƙi akayi daban-daban.

m baki

Idan hypogonadism a maza ne ya sa ta nakasassu a ci gaba da jima'i gabobin, da nuna aiki. Yau, da dama zaɓuɓɓuka saboda baki amfani da kawar da cutar. Alal misali, tare da hypoplasia na azzakari da aka yi amfani da phalloplasty, a cikin hali na undescended testis aka yi relegation. kafawa na roba testis za'ayi ya kawar da kwaskwarima lahani. Wani daga cikin wadannan ayyukan da aka yi amfani da microsurgical dabaru.

Kintacen dawo da

Primary hypogonadism, musamman nakasar, za a iya partially gyara. Shi ne game tanadi ilimin Halittar Jiki da kuma aikin damar iya yin komai na azzakari. Duk da haka, da zamani magani don normalize kawowa, ba zai iya yi. The kawai zaɓi don sake samu haifuwa - IVF maniyyi ta hanyar shinge. Kamar wancan vnutriyaichkovy spermatogenesis dole ne a kiyaye.

Wani hasashen bukata marasa lafiya bincikar lafiya tare da sakandare hypogonadism. A maza, magani na cutar a mafi yawan lokuta ba tabbatacce sakamakon. Saboda haka, sau da yawa likitoci ba zai iya mayar da haihuwa aiki.

m matakan

Specific rigakafin wannan cuta ba a ci gaba. Daga cikin janar shawarwari na likitoci kiran da wadannan:

• m lura da wani ciwo.
• dace abinci mai gina jiki, rashin miyagun halaye, motsa jiki.
• wucewa dubawa a "namiji" likitoci a matsayin m gwargwado sau ɗaya a shekara.

Wadannan tips, da rashin alheri, ba ko da yaushe zai yiwu su hana hypogonadism a cikin maza. A karo na farko da bayyananen kamata nan da nan nemi taimako daga wani gwani. A baya likita rubũta magani, da jima za a waraka tsari.