Ma kliniki okhazikika andropause zatulukira m’zaka zaposachedwapa. Ngati andropause apezeka, a mankhwala a mahomoni ndi testosterone nthawi zina amalembedwa. Ndi mankhwala okhawo omwe alipo tsopano.

Komabe, ngati Kusokonekera kwa Erectile ndicho chizindikiro chachikulu, kutenga phosphodiesterase type 5 inhibitor (Viagra®, Levitra®, Cialis®) nthawi zambiri imaganiziridwa poyamba. Kutengera ndi vutolo, kukaonana ndi katswiri wa zamaganizo kapena katswiri wazogonana kungakhale kopindulitsa. Onaninso tsamba lathu la Kulephera Kugonana kwa Amuna.

Kuonjezera apo, dokotala adzayesa, chifukwa zizindikirozo zikhoza kufotokozedwa ndi matenda kapena matenda omwe sanapezeke. Kuchepetsa thupi, ngati kuwonetseredwa, ndi kusintha kwa thupi zizolowezi zamoyo amakondedwa musanayambe mankhwala a testosterone hormone.

Testosterone hormone therapy

Malinga ndi zomwe madokotala amawona kuchipatala, amuna ena angapindule ndi mankhwalawa. Izi ndichifukwa choti mankhwala a mahomoni ndi testosterone amatha kukulitsa libido, kusintha khalidwe la erections, kuwonjezera mlingo wamphamvu ndi kulimbikitsa minofu. Ikhozanso kuthandizira kukhala bwino fupa la mchere wambiri. Zingatenge 4 kwa miyezi ya 6 kuti zotsatira zochiritsira za testosterone ziwonetsedwe bwino.¹³.

Sizikudziwika, komabe, ngati mankhwala a mahomoni amapereka testosterone zoopsa kwa thanzi lalitali. Maphunziro ali mkati. Chiwopsezo chomwe chingachuluke chikutchulidwa:

• benign prostatic hyperplasia;
• khansa
• khansa ya m'mawere;
• matenda a chiwindi;
• kugona tulo;
• magazi kuundana, zomwe zimawonjezera chiopsezo cha sitiroko.

Mankhwalawa amatsutsana ndi odwala omwe ali ndi matenda a mtima osalamulirika, matenda oopsa kwambiri, matenda a prostate kapena hemoglobin yambiri.

Njira zoyendetsera testosterone

• Gel ya transdermal. Gelisi (Androgel®, yokhazikika pa 2% ndi Testim®, yokhazikika pa 1%) ndi mankhwala omwe amasankhidwa nthawi zambiri, chifukwa ndi osavuta kugwiritsa ntchito pamene akupereka mlingo wokhazikika wa testosterone kuposa mapiritsi ndi jakisoni. Amagwiritsidwa ntchito tsiku ndi tsiku kumunsi pamimba, kumtunda kwa mikono kapena mapewa, kuyeretsa, khungu louma kuti lizitha kuyamwa kwambiri (mutatha kusamba m'mawa, mwachitsanzo). Tiyenera ndiye kudikira 5 kwa 6 hours pamaso kunyowetsa khungu, pamene mankhwala odzipereka. Samalani, komabe, mankhwalawa amatha kupatsirana kwa mnzanuyo pokhudzana ndi khungu;
• Zigamba za Transdermal. Zigamba zimathandizanso kuyamwa bwino kwa mankhwalawa. Kumbali inayi, amachititsa kuti khungu likhale lopweteka kwa theka la anthu omwe amawayesa, zomwe zimalongosola chifukwa chake amagwiritsidwa ntchito mocheperapo kusiyana ndi gel.¹⁴. Chigamba chiyenera kugwiritsidwa ntchito kamodzi patsiku pa thunthu, m'mimba kapena ntchafu, madzulo aliwonse, kusinthasintha malo kuchokera nthawi imodzi (Androderm®, 1 mg patsiku);
• Mapiritsi (makapisozi). Mapiritsi sagwiritsidwa ntchito kawirikawiri chifukwa ndi osavuta kugwiritsa ntchito: ayenera kumwedwa kangapo patsiku. Kuonjezera apo, ali ndi chilema chopereka mlingo wosinthika wa testosterone. Chitsanzo chimodzi ndi testosterone undecanoate (Andriol®, 120 mg mpaka 160 mg patsiku). Mitundu ina ya mapiritsi a testosterone imakhala ndi chiopsezo cha chiwindi cha chiwindi;
• jakisoni mu mnofu. Iyi ndi njira yoyamba yoyendetsera kayendetsedwe kake kulowa mumsika. Imakhalabe yotsika mtengo, koma imafunika kupita kwa dokotala kapena kuchipatala kuti ukalandire jakisoni. Mwachitsanzo, cypionate (Depo-Testosterone®, 250 mg pa mlingo) ndi testosterone enanthate (Delatestryl®, 250 mg pa mlingo) ayenera jekeseni masabata onse a 3. Anthu ena tsopano atha kubaya jakisoni paokha.