Imitholampilo engochwepheshe nesizathu ziye zavela eminyakeni yamuva. Uma kutholakala i-andropause, a ukwelashwa kwe-hormone nge-testosterone kwesinye isikhathi kuyanqunywa. Iwukuphela kwemithi yokwelapha etholakalayo njengamanje.

Noma kunjalo, uma Erectile Ezingasebenzi kuwuphawu oluyinhloko, ukuthatha i-phosphodiesterase type 5 inhibitor (Viagra®, Levitra®, Cialis®) kuvame ukucatshangelwa kuqala. Kuye ngecala, ukubonisana nodokotela wezengqondo noma uchwepheshe wezocansi kungase kube nenzuzo. Bheka futhi neshidi lethu Lokungakwazi Ukuziphatha Kwabesilisa.

Ngaphezu kwalokho, udokotela uzohlola, njengoba izimpawu zingachazwa yisimo sezempilo noma ukugula okungakatholakali. Ukuncipha kwesisindo, uma kukhonjisiwe, kanye nokwenza ngcono imikhuba yokuphila zikhethwa ngaphambi kokuqala ukwelashwa kwe-testosterone hormone.

Testosterone hormone therapy

Kulokho okubona odokotela emtholampilo, amanye amadoda angazuza kulokhu kwelashwa. Lokhu kungenxa yokuthi ukwelashwa kwe-hormone nge-testosterone kungase kwandise libido, ngcono izinga lokumiswa, ukwandisa izingaamandla futhi uqinise i imisipha. Kungase futhi kube nomthelela omuhle amathambo amaminerali. Kungase kuthathe izinyanga ezingu-4 kuya kwezingu-6 ukuze imiphumela yokwelapha ye-testosterone ibonakale ngokugcwele.¹³.

Nokho, akwaziwa ukuthi ukwelashwa kwe-hormone kunikeza i-testosterone izingozi impilo yesikhathi eside. Izifundo ziyaqhubeka. Ubungozi obungase bukhule bushiwo:

• i-benign prostatic hyperplasia;
• umdlavuza wendlala yesinye;
• umdlavuza webele;
• izinkinga zesibindi;
• i-apnea yokulala;
• amahlule egazi, okwandisa ingozi yokushaywa unhlangothi.

Lokhu kwelashwa kuvinjelwe ezigulini ezinesifo senhliziyo esingalawuleki, umfutho wegazi ophakeme ongalawuleki, isifo se-prostate noma i-hemoglobin ephezulu.

Izindlela zokuphatha testosterone

• Ijeli ye-transdermal. Ijeli (i-Androgel®, egxiliswe ku-2% kanye ne-Testim®, egxile ku-1%) iwumkhiqizo ovame ukukhethwa, ngoba kulula ukuyisebenzisa ngenkathi inikeza izinga le-testosterone elizinzile kunamaphilisi nemijovo. Isetshenziswa nsuku zonke esiswini esingaphansi, izingalo ezingaphezulu noma emahlombe, ukuhlanza, isikhumba esomile ukuze singene kakhulu (emva kokugeza ekuseni, isibonelo). Khona-ke kufanele silinde amahora angu-5 kuya kwangu-6 ngaphambi kokumanzisa isikhumba, kuyilapho umuthi udonswa. Qaphela, noma kunjalo, imithi ingadluliselwa kumlingani ngokuthinta isikhumba;
• Iziqephu ze-Transdermal. Ama-patches nawo avumela ukumuncwa okuhle kakhulu komuthi. Ngakolunye uhlangothi, babangela ukucasuka kwesikhumba engxenyeni yabantu abazamayo, okuchaza ukuthi kungani besetshenziswa ngaphansi kwejeli.¹⁴. Isiqeshana kufanele sisetshenziswe kanye ngosuku esiqwini, esiswini noma emathangeni, njalo kusihlwa, ukushintshanisa amasayithi ukusuka kwesinye isikhathi kuye kwesinye (Androderm®, 1 mg ngosuku);
• Amaphilisi (amaphilisi). Amathebulethi awavamile ukusetshenziswa ngoba akulula ukuwasebenzisa: kufanele aphuzwe izikhathi ezimbalwa ngosuku. Ngaphezu kwalokho, banesici sokuhlinzeka ngezinga eliguquguqukayo le-testosterone. Isibonelo esisodwa yi-testosterone undecanoate (Andriol®, 120 mg kuya ku-160 mg ngosuku). Ezinye izinhlobo zamaphilisi e-testosterone ziveza ingozi yobuthi besibindi;
• Imijovo ye-Intramuscular. Lena indlela yokuqala yokuphatha ukungena emakethe. Ihlala ibiza kancane, kodwa idinga ukuya kudokotela noma emtholampilo ukuze uthole umjovo. Isibonelo, i-cypionate (i-Depo-Testosterone®, i-250 mg ngedosi ngayinye) kanye ne-testosterone enanthate (i-Delatestryl®, i-250 mg ngedosi ngayinye) kufanele ijovwe njalo emavikini e-3. Abanye abantu sebengakwazi ukuzijova ngokwabo.