Clinics tshwj xeeb hauv andropause tau tshwm sim nyob rau hauv xyoo tas los no. Yog tias kuaj pom andropause, a kev kho tshuaj hormone nrog testosterone tej zaum kuj tau sau tseg. Nws yog tib txoj kev kho tshuaj tam sim no.

Txawm li cas los xij, yog tias tus erectile kawg yog cov tsos mob tseem ceeb, kev noj tshuaj phosphodiesterase hom 5 inhibitor (Viagra®, Levitra®, Cialis®) feem ntau suav tias yog thawj zaug. Nyob ntawm qhov xwm txheej, kev sab laj nrog tus kws kho mob puas siab puas ntsws lossis tus kws kho mob sib deev yuav tau txais txiaj ntsig. Saib peb daim ntawv txiv neej deev hluas.

Tsis tas li ntawd, tus kws kho mob yuav kuaj xyuas, vim tias cov tsos mob tuaj yeem piav qhia los ntawm tus mob lossis tus mob uas tseem tsis tau kuaj pom. poob phaus, yog qhia, thiab txhim kho ntawm cwj pwm lub neej nyiam ua ntej pib txoj kev kho tshuaj hormone testosterone.

Testosterone cov tshuaj hormones

Los ntawm cov kws kho mob saib xyuas hauv tsev kho mob, qee tus txiv neej yuav tau txais txiaj ntsig los ntawm kev kho mob no. Qhov no yog vim tias kev kho tshuaj hormone nrog testosterone tuaj yeem ua rau nce ntxiv libido, txhim kho qhov zoo ntawm erections, nce qib ntawmzog thiab ntxiv dag zog rau cov leeg. Nws kuj tseem tuaj yeem pab txhawb kom zoo dua pob txha mineral density. Nws yuav siv sij hawm 4 mus rau 6 lub hlis rau kev kho mob ntawm testosterone kom pom tseeb.¹³.

Nws tsis paub, txawm li cas los xij, seb qhov kev kho tshuaj hormone puas muab testosterone txaus ntshai rau kev noj qab haus huv mus ntev. Kev kawm tab tom kawm. Ib qho kev pheej hmoo yuav nce ntxiv yog hais txog:

• benign prostatic hyperplasia;
• mob qog noj ntshav;
• mob cancer ntawm lub mis;
• teeb meem daim siab;
• pw tsaug zog apnea;
• ntshav txhaws, uas ua rau muaj kev pheej hmoo ntawm mob stroke.

Qhov kev kho mob no yog contraindicated nyob rau hauv cov neeg mob uas tsis tswj lub plawv, tsis tswj ntshav siab, prostate disorder los yog siab hemoglobin.

Cov txheej txheem ntawm kev tswj hwm ntawm testosterone

• Lub transdermal gel. Cov gel (Androgel®, concentrated ntawm 2% thiab Testim®, concentrated ntawm 1%) yog cov khoom uas feem ntau xaiv, vim hais tias nws yog heev yooj yim mus use thaum muab ib tug ruaj khov theem testosterone ntau tshaj li cov ntsiav tshuaj thiab txhaj tshuaj. Nws yog siv txhua hnub rau hauv plab, sab caj npab lossis lub xub pwg nyom, los ntxuav, qhuav ntawm daim tawv nqaij kom haum siab tshaj plaws (tom qab da dej thaum sawv ntxov, piv txwv). Peb yuav tsum tau tos 5 mus rau 6 teev ua ntej ntub daim tawv nqaij, thaum cov tshuaj nqus tau. Ceev faj, txawm li cas los xij, cov tshuaj tuaj yeem kis mus rau tus khub los ntawm kev sib cuag ntawm daim tawv nqaij;
• Transdermal thaj ua rau thaj. Cov thaj ua rau thaj kuj tso cai rau kev nqus tau zoo heev ntawm cov tshuaj. Ntawm qhov tod tes, lawv ua rau tawv nqaij khaus rau ib nrab ntawm cov neeg sim lawv, uas piav qhia vim li cas lawv siv tsawg dua cov gel.¹⁴. Ib thaj chaw yuav tsum tau siv ib hnub ib zaug rau lub cev, lub plab lossis tus ncej puab, txhua hmo, sib txawv ntawm qhov chaw ntawm ib zaug mus rau lwm qhov (Androderm®, 1 mg ib hnub);
• Cov ntsiav tshuaj (capsules). Cov ntsiav tshuaj tsis tshua siv vim lawv tsis yooj yim rau siv: lawv yuav tsum tau noj ob peb zaug hauv ib hnub. Tsis tas li ntawd, lawv muaj qhov tsis xws luag ntawm kev muab qib sib txawv ntawm testosterone. Ib qho piv txwv yog testosterone undecanoate (Andriol®, 120 mg rau 160 mg ib hnub). Qee hom tshuaj testosterone muaj kev pheej hmoo ntawm daim siab toxicity;
• Intramuscular txhaj tshuaj. Nov yog thawj hom kev tswj hwm nkag mus rau hauv kev ua lag luam. Nws tseem kim tshaj plaws, tab sis yuav tsum tau mus ntsib kws kho mob lossis chaw kho mob kom tau txais kev txhaj tshuaj. Piv txwv li, cypionate (Depo-Testosterone®, 250 mg ib koob) thiab testosterone enanthate (Delatestryl®, 250 mg ib koob) yuav tsum tau txhaj txhua 3 lub lis piam. Qee cov neeg tam sim no tuaj yeem muab cov tshuaj txhaj rau lawv tus kheej.