KEKURANGAN hormon testosteron yang penting untuk fungsi seksual kebiasaannya dikaitkan dengan lelaki yang semakin menginjak usia, tetapi turut berlaku dalam kalangan lelaki muda.

Pakar Perunding Urologi Healthcare facility Angkatan Tentera Tuanku Mizan, Kolonel Dr Ngoo Kay Seong, berkata kekurangan testosteron kepada lelaki muda boleh berlaku sekiranya mereka menghidap penyakit genetik seperti sindrom Kallman atau Klinefelter.



Bagi lelaki yang sihat katanya, paras hormon kebiasaannya akan mula menurun apabila usia memasuki lewat 30-an sehingga eighty tahun.

"Namun, bagi lelaki muda boleh juga berlaku sekiranya mereka menghidap penyakit genetik tertentu atau penyakit membabitkan buah zakar atau testis atau penyakit dalam otak pada peringkat awal kehidupan.

"Ramai belum mengetahui mengenai fenomena kekurangan hormon testosteron ini termasuk dalam kalangan pengamal perubatan," katanya.

Fungsi seksual

Dr Kay Seong berkata, hormon testosteron bukan saja penting untuk fungsi seksual dan penghasilan sperma, malah ia diperlukan bagi pertumbuhan dan kematangan alat kelamin pada peringkat awal kelahiran seseorang lelaki.

"Hormon testosteron di paras ideal penting kepada lelaki mengikut peringkat umur.

"Ketika akil baligh, hormon ini bertanggungjawab ke atas ciri seksual sekunder lelaki seperti pertumbuhan rambut di badan, tumbesaran kemaluan dan pertukaran suara.

"Dalam kalangan lelaki dewasa, tahap hormon testosteron yang optimum penting untuk kesejahteraan hidup dan bagi membendung mereka daripada menghidap penyakit metabolik," katanya.

Kesan kurang hormon testosteron

Beliau berkata, gejala lazim yang menandakan lelaki mengalami kekurangan testosteron termasuk kurangnya dorongan seks atau libido serta kurangnya upaya untuk zakar mengeras secara spontan pada waktu pagi.

Hormon testosteron bertanggungjawab ke atas seluruh pengalaman atau proses seksual seseorang lelaki, justeru mati pucuk juga sebahagian sindrom kekurangan hormon itu.

Bagaimanapun pada masa sama, terdapat tanda bukan seksual yang boleh menjadi 'petunjuk' lelaki mengalami kekurangan hormon testosteron termasuk cepat berasa penat, kemurungan dan kurang motivasi serta daya Zakar lelaki tumpuan.

"Ia boleh disahkan melalui ujian darah hormon testosteron, di mana tahap total testosteron mereka akan disukat," katanya.

Kesan obes dan kencing manis

Ditanya sama ada kekurangan testosteron boleh menyebabkan penyakit lain, Dr Kay Seong berkata Zakar lelaki dalam kalangan pesakit kencing manis, forty two peratus daripadanya didapati mengalami masalah kekurangan hormon itu.

"Kekurangan hormon testosteron sememangnya dikaitkan dengan penyakit metabolik yang lain.

Malah masalah obesiti juga dikaitkan dengan fenomena ini.

"Penyakit kardiovaskular dan kolesterol juga dipengaruhi paras hormon testosteron. Setakat ini, kajian saintifik membuktikan kencing manis dan obesiti adalah penyakit utama yang berkait rapat dengan sindrom kekurangan testosteron," katanya.

Perlu kekalkan BMI

Dr Kay Seong berkata, gaya hidup yang tidak sihat akan menyebabkan paras hormon merundum dengan lebih ketara justeru penting untuk sentiasa mengekalkan indeks jisim badan (BMI) pada tahap yang standard.


Meskipun mengakui tiada makanan tertentu yang boleh membendung sindrom ini tetapi, pengekalan BMI normal akan membolehkan penyakit metabolik dielakkan, sekali gus menyebabkan sindrom kekurangan hormon tidak begitu ketara.

"Sekiranya sesuai, terapi gantian hormon oleh rawatan mati pucuk pakar urologi boleh dilakukan tetapi rawatan susulan berkala amat penting khasnya, pada tahun pertama rawatan.

"Rawatan itu sudah lama wujud dan lebih penting lagi ia boleh membantu seseorang lelaki kembali ke arah fungsi seksual dan kesejahteraan hidup yang usual terutamanya dalam kalangan mereka berusia 40 sehingga 60 tahun," katanya.

Rawatan terapi hormon

Terapi hormon juga membolehkan kawalan gula kencing manis bertambah baik di samping mengurangkan jisim lemak dalam badan.

"Selain itu, rawatan hormon ini sedikit sebanyak dapat membantu mereka yang sudah mengalami masalah kencing manis dan penyakit metabolik lain untuk kembali ke tahap kawalan penyakit yang lebih teratur.

"Sekiranya diabaikan terlalu lama, penyakit kencing manis dan metabolik yang lain mungkin akan lebih buruk," katanya.

Details

• Testosteron hormon dihasilkan lelaki pada bahagian testis

• Merangsang penghasilan sperma, dorongan seksual lelaki

• Berperanan menghasilkan otot dan tulang

• two daripada 10 lelaki 60 tahun ke Tanda-tanda mati pucuk atas, kadar testosteron rendah

• 3 daripada 10 lelaki usia 70 ke atas, kadar testosteran rendah

• Bacaan ordinary testosteron, 300 - 1,000 nanogram per desiliter (ng/dl)

• Testosteron rendah dikesan ketika bacaan menurun di bawah Batang lelaki 300 ng/dl.

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