I-Testosterone, ngokuziqhenya ngokuthi i-hormone yabanqobile, i-hormone yamandla nobulili kubhekwa njengowesilisa wesifo socansi kuphela. Kodwa akubona wonke umuntu owaziyo ukuthi i-testosterone ikhona ezinhlobonhlobo zesigamu esihle semphakathini, futhi uma isiqiniseko sokuthi ubufakazi be-testosterone (mahhala ngokusebenzayo) abuqedile ukujwayelekile - kudlala indima ebalulekile ekugcineni ibhalansi ye-hormonal emzimbeni wesifazane.
I-Testosterone Index: Ama-Normative Values
Kubalulekile ukuqaphela ukuthi isibonakaliso se- testosterone mahhala kowesifazane singase sihluke kancane kuma laboratories ahlukene. Lokhu kuhlotshaniswa nokuzikhethela kocwaningo futhi akumelwe kukuxwayise. Izinyathelo nazo zingahluka.
I-Testosterone mahhala kuphela uhlobo oluphilayo olusebenzayo lwe-hormone, okuyinto ngesikhathi sokuhlaziywa akuhambisani nama-proteine egazi (i-albin ne-globulin). Izinga lama-testosterone lamahhala likhuphuka kulo lonke ukuphila futhi lifinyelele ekugqibeleni kwabesifazane abaneminyaka yobudala yokubeletha, okwamanje, kokubili emantombazaneni angaphansi kweminyaka engu-18 kanye nabesifazane ekumeni kokuya esikhathini kuncane kakhulu. Ngakho-ke, amanani okubhekisela (amanani ngaphakathi kwendabuko) we-testosterone yamahhala abukeka kanje:
- amantombazane angaphansi kweminyaka engu-9 ubudala - 0,06 - 1,7 pg / ml (picograms per milliliter);
- amantombazane aphakathi kweminyaka engu-9 kuya kwengu-13 (isikhathi sokuqala) - kufika ku-1.7 pg / ml;
- amantombazane aneminyaka engama-13 kuya kwengu-18 (isikhathi esilandelayo) - kufika ku-4.1 pg / ml;
- amantombazane nabesifazane abangaphezu kweminyaka engu-18 ubudala - 0.5 - 4.1 pg / ml;
- abesifazane besilisa abaneminyaka engu-0,1 - 1,7 pg / ml.
I-testosterone yamahhala eyanda
Uma lona wesifazane eqaphela izinguquko ekubukeni kwakhe (izinwele zomzimba ngokweqile kanye nokulahlekelwa izinwele ngokukhishwa kwesikhumba esisodwa ngesikhathi esisodwa, ukucindezela kwezwi, induna), uma umjikelezo wesimiso uba yinto engavamile futhi ezama ukukhulelwa ayiphumelelanga, kungenzeka ukuthi izinga le-testosterone mahhala emzimbeni wakhe kancane ngenhla evamile. Kulesi simo, kunconywa ukuthi uqhube isifundo ukuze ubone ukuthi i-hormone index.
Uma izinga le-testosterone lamahhala lidlulela esimweni esivamile, khona-ke izinyathelo zokwelapha ezanele zokusetshenziswa kwazo ziyasetshenziswa: amalungiselelo amaningi e-hormone ngokuvamile. Kodwa, njengoba umkhuba ubonisa, ukusetshenziswa kwezidakamizwa ze-hormonal akuzona zonke izikhathi ezifanelekile, akuyona into engavamile ngamacala uma kuqokwa ngaphandle kokucacisa imbangela yangempela yokwanda.
Kubalulekile ukuqonda umehluko phakathi kwe-testosterone mahhala nejwayelekile. Ukwanda kwesinye isibonakaliso akusikho njalo kuholela ekwandeni kwenye. Ngakho-ke, isibonelo, uma izinga le- testosterone mahhala liphakeme kunokujwayelekile, futhi inani le-testosterone eliphelele lingaguquki, leli qiniso lingase libonise izinkinga zesibindi, lapho izidakamizwa ze-hormone ezingadingeki.
I-testosterone yamahhala ekukhulelwe
Ekukhutheni, ikakhulukazi engxenyeni yesibili, isimiso esinemibandela se-testosterone samahhala sihlale siphakeme kakhulu, lokhu kuvamile futhi akufanele sikhathazeke umama olindele. Leli qiniso lichazwa ukuthi ngaphezu kwama-ovari nama-gland adrenal, okuvame ukhiqiza u-testosterone, kumfazi okhulelwe isizukulwane esengeziwe esinikezwa yi-placenta kanye nezitho zesisu.
Sula izinkomba zesimiso se-testosterone yamahhala ekukhulelweni akuqinisekisiwe, isizinda se-hormonal yomuntu ngamunye okhulelwe, ngakho kunzima kakhulu ukusungula imingcele eqondile yokwanda kwe-testosterone. Noma kunjalo, kubalulekile ukwazi:
- Inkomba ye-testosterone yamahhala ayifanele idlule isilinganiso esinqunyiwe sowesifazane wesigaba sokuzala
kuphela emasontweni okuqala okukhulelwa, njengoba kudlula ukujwayelekile okusongela ukukhulelwa kwesisu. - Ukunyuka okuqhubekayo kwe-testosterone kumfazi kuyingozi nje kuphela ukubhekana nokukhulelwa kwengane, kodwa futhi nokukhubazeka okuvamile (ukuhlukumeza okubili noma ngaphezulu ngokulandelana).
- Ku-trimester yesithathu yokukhulelwa, izinga le-testosterone yamahhala, njengombuso, lidlula kakhulu umkhuba, ngezikhathi ezimbili, izikhathi ezintathu noma ngaphezulu.
Kubalulekile ukuthi uqaphele ukuthi odokotela abaningi banombono wokuthi akudingekile futhi awunakuqhathaniswa ukucacisa izinga le-testosterone mahhala kwabesifazane abakhulelwe.