Nou toujou tande pale de menopoz ki koresponn ak lè fi a pa gen règ ankò ditou. Kay gason yo rele li andwopoz, ki koresponn ak lè nivo testostewòn li diminye. Ki konsekans sa genyen? Ki jan yo rekonèt sentòm yo?Èske nou ka anpeche sa? Oswa menm trete li?
Ki sa ki andwopoz?
Andwopoz ki soti nan grèk la « Andros » ki vle di « gason », e « pausis », ki vle di « kanpe »; Li defini kòm ansanm sentòm fizyolojik ak sikolojik ki ka akonpànye diminisyon testostewòn lakay gason anjeneral ant 45 ak 65 ane.
Sentòm andwopoz yo se:
-Siy seksyèl: libido a diminye, difikilte erektil, espesyalman ereksyon maten.
-Siy mòfolojik: pèt nan mas ak tonis miskilè, ogmante grès nan vant, diminye pwal ak volim testikil yo, osteyopowoz (diminye mas zo), soud, po a sèch.
-Siy fonksyonèl:fatig, lannwit wap swe anpil, boufe chale,manke somèy, pèt nan enèji ak ladrès fizik, maladi pipi (ki ka sepandan fè pati yon pwoblèm pwostat pwoblèm tipik nan laj sa a).
-Twoub newopsikyatrik: difikilte pou konsantre, manke konfyans nan pwòp tèt ou, chimerik, endiferans, pwoblèm memwa resan.
- Konsidere kòm yon malfonksyònman pou kèk moun, e lòt panse se yon reflè ki di li ap vyeyi. Nòmalman, andwopoz rete yon sijè kontwovèse.
- Menopoz ak andwopoz: ki diferans ki genyen?
Andwopoz ak menopoz se 2 sitiyasyon ki pa tèlman fasil konparab pou plizyè rezon, daprè UroFrance:
Prevalans: Kontrèman ak menopoz ki afekte tout fanm, andwopoz afekte yon minorite nan gason.
Premye manifestasyon: Andwopoz rive nan yon laj varyab sòti nan 45-50 ane nan plis pase 80 ane. Menopoz anjeneral afekte fanm ant laj 40 ak 55.
Chanjman òmon: Menopoz lakòz òmòn yo bese totalman kay fanm yo. Lè sa a, sou yon kout peryòd de tan. Kay gason, gout sa a nan pwodiksyon testostewòn nan pa lineyè, pwogresis ak espesyalman pasyèl. « Menm nan ka defisi, pasyan yo pral jeneralman pa kenbe yon nivo zewo òmòn tankou menopoz la, » pwofesè a k ap pale toujou.
Kisa faktè risk li yo ye?
Depi andwopoz se yon patoloji evolisyonè, li trè varyab soti nan yon sèl moun nan yon lòt. Sepandan, sèten faktè sanble yo favorize oswa akselere li. Sa ka enkli:
-Konsomasyon twòp nan bwason alkolik
-Twò gwo
-Dyabèt
- yon nivo kolestewòl twò wo
-Yon maladi kwonik
-Estrès kwonik
-Pwoblèm fwa
-Ekspoze ak sèten sibstans toksik
-Lè w ap pran sèten medikaman (antipsikotik, kèk antipletik ak nakotik).
Ki moun ki nan risk?
Diminisyon nan testostewòn nan pwogresif, sentòm yo ki asosye ak li rive sitou nan moun ki gen plis pase laj apeprè 60 an. « Gason ki te fè eksperyans pwoblèm fètilite, ki te gen operasyon oswa kansè nan grenn yo tou nan pi gwo risk pase lòt moun. »
Konbyen tan li dire?
Nan pifò moun, bès nan konsantrasyon testostewòn kòmanse alantou laj 30 tan. San tretman, li ka bese apeprè 10% chak deseni e jiskaske l mouri.
Andwopoz se pa yon patoloji kontajye.
Ki lè pou n konsilte?
» Depi w wè dezi seksyèl yo ap diminye, santi w gen mwens fòs nan misk oswa fatig, yo se siy ki ta dwe fè w vijilan, » selon espesyalis la.Lè sa a, li rekòmande nou ale jwenn yon generalis oswa pran yon randevou ak yon iwològ oswa andwològ.
Ki egzamen yo ba w fè?
Si doktè ou sispèk ou nan moman andwopoz, li ka konfime li senpleman ak yon priz ou.Pousantaj la lè sa a, yo dwe entèprete l selon laj ou. Nou ka remake byen yon pousantaj ki ba ka konsidere kòm nòmal lakay gason ki gen plis pase 60 ane depi gen yon diminisyon natirèl.
Ki tretman ki bon pou andwopoz?
Tretman an chita sou yon sipleman testostewòn ki bay ak piki, jèl, patch oswa katouch enplante. Konsomasyon sa a ta fè efè favorab sou sistèm vaskilè a, diminye grès vant ak ogmante mas miskile a ak mas nan zo a.
Ki swivi nou ka fè?
Repons Pwofesè Stéphane Droupy :
« Li nesesè pou tcheke si pa gen okenn testostewòn depase, kontwole pwostat la ak fè yon antijèn pwostat-espesifik (PSA) asire yo nan lòd pou yo detekte kansè posib ».
- Èske li posib pou nou anpeche andwopoz?
Bès nan pwodiksyon òmòn gen rapò ak laj e pa gen anyen ki ka anpeche ou andwopoz .
Nan kèk limit, li posib pou bese enpak sentòm yo atravè yon vi ki an sante. Objektif la se ankouraje:
-Balanse rejim alimantè
-Pratike espò souvan
-Siveye pwa ou
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