Imibiko yokuhlola, izifundo kanye nolwazi lodokotela abane-PeniMaster PRO
Ukubaluleka kokudonsa kokwelashwa okuhlangene ezigulini ezine-micropenis kanye ne-hypogonadism.
- I-Micropenis ngokuvamile ngenxa yamazinga aphansi e-testosterone
- Yelapheka kalula kunoma yisiphi isigaba nobudala
- Ukubhekwa kweziguli eziyi-16 phakathi kuka-2012-2014
- Inhlanganisela yokuphathwa kwama-hormone kanye ne- PeniMaster PRO ikhombisa umphumela wokwelashwa ongcono kakhulu
URuslan Petrovich, uMaria Astahova
Moscow, Russia
inhloso
I-micropenis ivamise ukuba wuphawu lwe-hypogonadism emadodeni. Kukhona ama-syndromes amaningana okuzalwa ahlotshaniswa ne-testosterone ephansi kanye ne-micropenis. Iziguli eziningi ziyakubalekela ukubonana nodokotela ngenxa yehlazo elingamanga futhi zihlala ne-micropenis impilo yonke. Kodwa-ke, manje sesiyazi ukuthi i-micropenis ingaphathwa kahle kuyo yonke iminyaka. Sikwazile ukubona imiphumela emihle yokwelashwa kuzo zombili iziguli ezineminyaka engama-20 kanye neziguli ezineminyaka engama-60. Yiqiniso, imiphumela engcono ingase itholakale ngokwelashwa kokuqala, nakuba isiguli singalindela i-spermatogenesis evamile esimweni se-hypogonadotropic hypogonadism.
iziguli kanye nezinqubo
Phakathi kuka-2012 no-2014, inani leziguli ze-16 ezine-micropenis kanye ne-hypogonadism zabonwa emtholampilo wethu. Izimbangela ze-micropenis kwakuyi-Kallmann syndrome (iziguli ezi-4), i-Kleinfelter syndrome (iziguli ezingu-2), i-anarchism noma i-hypergonadotropic hypogonadism (iziguli eziyi-8), i-hypogonadotropic hypogonadism kanye nokuntuleka kwe-luteinizing hormone (LH). Zonke iziguli zaziphakathi kweminyaka engu-22 no-62 ubudala. Asikho nesisodwa seziguli esake saba nolwazi locansi. Ukuhlolwa okujwayelekile kwakuhlanganisa ukukala umthondo, i-prostate ultrasound, nokuhlolwa kwamahomoni (LH, FSH, testosterone, estradiol, neprolactin). Ubude bomthondo busuka ku-4 kuye ku-8 cm lapho weluliwe futhi busuka ku-5 kuye ku-9 cm uma umile (6.8 ngokwesilinganiso). I-prostatic hyperplasia yenzeke kuzo zonke iziguli. Umthamo we-prostate wawusukela ku-2 kuye ku-5 cm3. Zonke iziguli zinezinga eliphansi le-testosterone lika-1.8-4.2 nmol/l. Ngokuya ngezimbangela ze-hypogonadism, isiguli ngasinye sathola ukwelashwa kwama-hormone. Ezigulini ezine-hypogonadotropic hypogonadism (iqembu 1), sasebenzisa i-chorionic gonadotropin ne-testosterone undecanoate (NEBIDO) kanye ne-NEBIDO kuphela ezigulini ezine-hypogonadism eyinhloko (iqembu 2). Sazihlola iziguli njalo ezinyangeni ezi-3. Eqenjini loku-1, sasebenzisa i-chorionic gonadotropin kabili ngeviki ngethamo lika-2000 IU. Ngezinga le-testosterone elikhula kancane kancane, sasebenzisa i-NEBIDO ngokuhambisana nohlelo olujwayelekile. Ngokubona kwethu le ndlela ilungile njengoba inhloso enkulu bekuwukukhulisa umthondo. Zonke iziguli kuleli qembu zenqabile ukuzama ukuthuthukisa ukuzala kwazo ngezizathu ezahlukene. Siphinde sanikeza i-NEBIDO ezigulini ezivela kuQembu 2 ngokuvumelana nesimiso esivamile.
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Imiphumela
Ezinyangeni eziyisithupha ngemuva kokuqala kokwelashwa, zonke iziguli zabonisa ukukhula ngokomzimba komthondo ukuya ku-11-13 cm (11.8 ngokwesilinganiso) lapho umile. Zonke iziguli ezine-prostatic hyperplasia zibonise ukwanda kwevolumu ye-prostate ebangeni eliphakathi kuka-14 no-18 cm3. Kodwa-ke, kufanele sivume ukuthi ezinyangeni ezingu-6 ngemva kokuqala ukwelashwa, asikho nesisodwa seziguli zethu esaqaphela noma yikuphi ukukhula kwepipi. Ngenxa yalesi sizathu, ngemva konyaka wokwelashwa kwama-hormone, sasebenzisa i- PeniMaster PRO expander kuzo zonke iziguli ezivela kuwo womabili amaqembu ukuze sithole imiphumela engcono kakhulu. Zonke iziguli zasebenzisa i-PeniMaster PRO futhi zaqhubeka nokwelashwa ngamahomoni. Ngemva kwezinyanga ezingu-6 sahlola umphumela wokwelashwa okuyinkimbinkimbi. Ubude bomthondo uma umile banda kuzo zonke iziguli futhi baba ngu-14.6 cm (12-15 cm). Ngenxa yalokho, umphumela ophelele wokukhuliswa komthondo ngemva konyaka owodwa nengxenye yokwelashwa okuyinkimbinkimbi (i-NEBIDO ne-PeniMaster PRO) ezigulini ezine-hypogonadism yayiyisilinganiso esingu-7.8 cm (esimeni esiqondile).
isifinyezo
Ukwelashwa okuhlangene kusetshenziswa i-testosterone kanye ne-expander ye-PeniMaster PRO ezigulini ezine-hypogonadism kubonakale kuphumelela kakhulu kunokwelapha esikhundleni se-testosterone kuphela. Uhlobo lwe-hypogonadism (eyinhloko noma eyesibili) aluthinti imiphumela yokukhulisa umthondo nezindlela zokwelapha. Zonke iziguli zifuna ukuthola imiphumela engcono kakhulu ngokushesha ngangokunokwenzeka. Kodwa-ke, ukusetshenziswa kwe-chorionic gonadotropin kubonakala kungokwengqondo engaphezulu kweziguli ezine-hypogonadotrophic hypogonadism futhi kwakudingeka sisebenzise i-NEBIDO ngaphezu kokufinyelela ngokushesha amazinga e-testosterone avamile. Yiqiniso, ngemva kokwandiswa kwepipi kanye nokuxhumana kokuqala kocansi, singabuyela esihlokweni sokuvuselela i-spermatogenesis ezigulini ezincane ezine-hypogonadism yesibili.
Ngaphezu kwalokho, kufanele siqaphele ukuthi ngesikhathi sokwelashwa nge-testosterone, ukukhula komzimba we-penis kuvame ukuyeka ngenyanga yesi-6 - 7. Ngakho-ke i-expander ye-PeniMaster PRO kufanele isetshenziswe ngokushesha ngangokunokwenzeka. Uma isiguli esine-hypogonadism sine-glans enkulu ngokwanele, kufanele sisebenzise i-PeniMaster PRO kusukela ngosuku lokuqala lokwelashwa nge-testosterone. Kwezinye iziguli, izinwebe kufanele zisetshenziswe lapho i-glans inkulu ngokwanele ukuze isetshenziswe i-PeniMaster PRO.
Ukusetshenziswa kwe-traction eyengeziwe nge-expander kuyasiza kakhulu ukuzuza imiphumela engcono kakhulu ekwandiseni umthondo ngesikhathi sokwelashwa kwe-testosterone ezigulini ezine-micropenis kanye ne-hypogonadism.
