Created at:1/16/2025
Question on this topic? Get an instant answer from August.
Ko te gynecomastia te whānui o te kiko u i ngā tāne, e hanga ana i te ahua o te uma e kitea ana. Ka puta tēnei āhuatanga ina he kore taurite i waenga i ngā homoni estrogen me testosterone i roto i tō tinana. Ahakoa ka rongo pea he awangawanga, he whakama rānei, he mea noa ngā gynecomastia, ā, ka pā ki te 70% o ngā tamaiti i te wā o te whānautanga, me te maha o ngā tāne pakeke i ngā wāhanga oranga rerekē.
Ka puta te gynecomastia ina tupu te kiko u nui atu i te noa i ngā tāne, nā ngā huringa homoni. Ka whakaputa taiao tō tinana i ngā homoni kāne (ngā androgens pēnei i te testosterone) me ngā homoni wāhine (ngā estrogens), engari ina huri tēnei taurite, ka taea te whānau me te whānui o te kiko u.
He rerekē tēnei āhuatanga i te nui o te ngako i te rohe uma, e kiia ana e ngā tākua ko te pseudogynecomastia. Ko te gynecomastia pono e pā ana ki te tupu o te kiko u pono, ehara i te kohikohi ngako anake. Ka rongo pea koe i te papatipu, te mīti mīti o te kiko i muri tonu i te rohe o te nipple.
Ka taea te whānui i tetahi u (unilateral) rānei i ngā u e rua (bilateral). Ina pā ki ngā taha e rua, pea kaore te tipu e tino rite. He mea noa tēnei, ā, kāore e tohu i tetahi raruraru nui kei raro i te nuinga o ngā take.
Ko te tohu matua ko te whānui o te u, engari pea ka pā atu ki ētahi tohu. Kia haere tātou i ngā mea ka kite pea koe, kia mahara ko ngā tohu ka rerekē mai i te tangata ki te tangata.
Ngā tohu noa e whai ake nei:
Ka rereke pea te ahua o te u o te u i te uaua o te uma noa ranei, te ngako ranei. Ka kite pea koe he nui ake te tāpiri tika i muri i te papā, he rite te ahua ki te poroporo. Ka whakaatu etahi tāne i te kore ngāwari iti, te piki ranei o te ngawari i taua wāhi, ina koa i ngā wā tuatahi o te whanaketanga.
He mea tika kia mōhio ko te gynecomastia te tikanga kaore e tupu he mamae nui. Ki te pāngia koe e te mamae nui, te kirika, te tukunga ranei e kore e pūmau, ka tohu pea enei ki ētahi atu āhuatanga e hiahia ana ki te tiaki hauora.
Ka whakarōpū ngā tākuta i te gynecomastia i runga i te wā e puta ai, me te take. Ko te mārama ki ēnei momo ka āhei ai koe ki te whakawhanake i tō āhuatanga me te aha e tatari ana koe ki te haere tonu.
Ko ngā momo matua ko:
Koinei te momo tino noa, ka puta i ngā huringa homoni taiao. Ko ngā tamaiti hou ka nui pea te u mo te wā poto na te homoni o tō rātou whaea. I te wā o te pakehatanga, tata ki te 50-70% o ngā tamaiti ka pāngia e tetahi taumata o te gynecomastia i te wā e rereke ana ngā taumata homoni.
Ka taea hoki e ngā tāne pakeke te whanake i te gynecomastia physiological i te wā e heke haere ana ngā taumata testosterone i te pakeketanga. Ka mutu noa iho tenei momo, ina koa ki ngā taitamariki, ahakoa ka roa pea etahi marama ki etahi tau.
Ko te hua o tēnei momo mai i ngā āhuatanga hauora motuhake, ngā rongoā ranei e whakaroa ana i te toenga homoni noa. Ko ngā āhuatanga penei i te mate ate, ngā raruraru whatukuhu, ngā pūngāwerewere ranei ka taea te whakaoho i tēnei momo. Ko ngā rongoā tae atu ki ētahi rongoā pouri, ngā rongoā ngakau, me ngā steroids ka taea hoki te whakaoho i te gynecomastia pathological.
Kāore i rite ki te gynecomastia physiological, ko tēnei momo te tikanga me whakaoti te take take mō te whakatau. Kia whakahaeretia te take whakaoho, ka pai ake te nui o te u.
Ka puta te gynecomastia ina huri te taurite o ngā homoni o tō tinana, ā, tērā pea ka piki ake te taumata o te estrogen i te taumata o te testosterone. Ka taea e tēnei te puta mai i ngā take maha, ā, ko te mōhiotanga ki te take ka āwhina i ngā whakatau ā te rongoā.
Ko ēnei ngā take tino noa:
Ko te pakehatanga te take tino nui, i te mea ka whakaputa tō tinana i ngā rahinga rerekē o ngā homoni i te wā e whanake ana. He wāhi anō te koroheketanga, i te mea ka heke iho te whakaputanga o te testosterone i muri i te 30 tau, engari pea ka mau tonu te taumata o te estrogen.
Ka taea e ētahi rongoā te whakakore i te taurite o ngā homoni. Kei roto i ēnei ētahi rongoā pouri, rongoā ngākau, rongoā prostate, me ngā rongoā awangawanga. Ka taea hoki e ngā steroids anabolic me ētahi tāpiringa te whakaoho i te gynecomastia.
Ka taea e ngā āhuatanga hauora maha te whakaoho i te gynecomastia mā te pānga ki te whakaputanga homoni, ki te tukatuka rānei. Kei roto i ngā mea tino noa te mate ate, ngā raruraru whatukuhu, me ngā mate thyroid. Ka taea hoki e ngā pūngāwerewere i roto i ngā hua, ngā whekau adrenal, ngā whekau pituitary rānei te whakakore i ngā taumata homoni noa.
Ka taea e te inu waipiro nui te whakauru ki te gynecomastia mā te pānga ki te mahi ate me te whakaheke homoni. Kua hono atu anō te whakamahinga mariuana ki te whanaketanga o te kiko u i ētahi tāne.
I ētahi wā, kāore e taea e ngā tākuta te kimi i te take motuhake, e kiia ana ko te gynecomastia idiopathic. Kāore tēnei e tikanga he he tetahi mea ki tō hauora – ko te tikanga noa he mārama te take.
Ahakoa he kore kino te gynecomastia, he maha ngā āhuatanga e hiahia ana ki te aromatawai hauora. Ka taea e te haere ki te kaiwhakarato hauora te āwhina i te whakatau mena ka hiahiatia te rongoā me te whakakore i ngā āhuatanga kei raro.
Me whakarite e koe he hui mena ka kite koe:
Kaua e whakaroa ki te rapu awhina hauora ki te pāngia koe e te pouri o te ngāwari huringa āhua. Ka taea e tō tākuta te kōrero mō ngā whiringa rongoā me te whakawhirinaki ki te mea he mea noa. Ka taea hoki e rātou te awhina i te whakatau mena ka hono pea te gynecomastia ki ngā rongoā e inu ana koe.
Mō ngā taitamariki, he mea tika te tatari mo te rua tau i mua i te whakaaro ki te rongoā, i te mea ka mutu noa te gynecomastia e pā ana ki te pakeketanga. Heoi, ka taea e ngā tirotiro auau te awhina i te aroturuki i te āhuatanga me te whakawhirinaki.
Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te gynecomastia. Ka taea e te mārama ki ēnei take morearea te awhina i a koe ki te mohio he aha te take o te āhuatanga me ngā mahi ka taea e koe ki te whakautu ki ngā take e āwhina ana.
Ko ngā take morearea matua ko:
Ko ngā tamaiti taitamariki i waenganui i ngā tau 10-19 te tūponotanga teitei rawa atu na te rereketanga o te homoni e pā ana ki te pakeketanga. Kei te piki ake te tūponotanga o ngā tāne neke atu i te 50 tau i te heke haere o te taumata testosterone i te pakeketanga.
Ka taea e te mate ate, te kore mahi whatukuhu, me ngā mate thyroid te whakapiki ake i tō tūponotanga mā te pānga ki te tukatuka homoni. Ka taea e te momona te whakauru mā te whakapiki ake i te whakaputa estrogen i roto i te kiko ngako. Ka whakapiki ake hoki ētahi āhuatanga ira pēnei i te mate Klinefelter.
Ko te tango i ētahi rongoā ka whakapiki ake i tō tūponotanga, tae atu ki ētahi rongoā ngakau, antidepressants, me ngā maimoatanga prostate. Ka whakapiki ake te whakamahinga o te steroid anabolic i te tūponotanga, pēnei i te whakamahinga mariuana auau.
Ka taea e te inu waipiro nui te whakapiki ake i te tūponotanga mā te pānga ki te mahi o te ate me te whakaheke horomona. Ka taea hoki e te kore kai pai, te rerekētanga o te taumaha ohorere te whakauru atu ki ngā koretake o ngā horomona.
Ahakoa he tūponotanga ngā mea kua whakahuatia, ehara i te mea ka whai koe i te gynecomastia, engari ko te matauranga ki a rātou ka āhei te awhina i a koe ki te whakatau whakamārama mō tō hauora me ngā whiringa noho.
Ahakoa te gynecomastia i te nuinga o te wā he kore kino mai i te tirohanga hauora, ka taea e ia te arahi ki ētahi raruraru e pā ana ki tō kounga o te ora. Ko te mārama ki ēnei take pea ka taea te awhina i a koe ki te whakatau i te wā hei rapu i te maimoatanga.
Ko ngā raruraru matua e whai ake nei:
He tokomaha ngā tāne e wheako ana i te whakama, te whakaaro-kino, te manukanuka rānei mō tō rātou ahua. Ka taea e tēnei te pā ki tō whakapono i ngā āhuatanga pāpori, ngā whanaungatanga, me ngā mahi penei i te kauhoe, te whakakori tinana rānei. Ka karo etahi tāne i ētahi momo kakahu, i ngā mahi tinana katoa.
I etahi wā, ka taea e te pūtau u te nui tonu, te whānau rānei i te pūtau fibrous e kore e whakautu pai ki ngā huringa horomona. Ka taea e tēnei te whakapakari i te āhuatanga kia uaua ake te whakaora mā ngā tikanga kore-taotao i muri mai.
Ko te gynecomastia i te tino onge, ka hono pea ki te mate pukupuku u i ngā tāne, ahakoa he tino onge tēnei. Ko ētahi āhuatanga taketake e pā ana ki te gynecomastia, penei i te mate ate, i ngā pūngāwerewere e whakaputa ana i ngā horomona, ka taea te whai i ō rātou ake raruraru ki te kore e whakaora.
Ko te pānga o te ngākau e tino nui ake ana i ngā raruraru tinana. Ki te pā ana te gynecomastia ki tō hauora hinengaro, ki tō oranga o ia rā rānei, kaua e whakaroa ki te kōrero i ngā whiringa maimoatanga ki tō kaiwhakarato hauora.
Ahakoa kaore e taea te aukati i ngā momo gynecomastia katoa, ina koa ngā mea e pā ana ki ngā huringa homoni taiao, ka taea e koe te mahi kia iti te tūponotanga o te whāinga i ētahi momo o te mate.
Ngā rautaki aukati e whakauru ana:
mahi tahi me tō tākuta ki te arotake i ngā rongoā ka āhei te whakauru ki te gynecomastia. I etahi wā ka taea te whakamahi i ētahi atu rongoā, ka taea rānei te whakarite i ngā horopeta. Kaua rawa e mutu ngā rongoā kua tohua me te kore manaaki hauora, engari kōrerohia ngā āwangawanga ki tō kaiwhakarato hauora.
Ko te whakaiti i te inu waipiro ka āhei te āwhina i te aukati i te gynecomastia e pā ana ki te ate. Ko te karo i ngā steroids anabolic me ngā raau taero whakangahau penei i te mariuana ka taea hoki te whakaiti i tō tūponotanga. Ko te pupuri i te taumaha hauora mā te kai tōtika me te whakakori tinana auau ka āhei te whakapai ake i te toenga homoni.
Ko te whakaora tika i ngā āhuatanga penei i te mate ate, ngā raruraru whatukuhu, te mate thyroid rānei ka āhei te āwhina i te aukati i te gynecomastia tuarua. Ko ngā tirotiro hauora auau ka āhei te āwhina i te kimi me te whakaoti i ēnei take i te tīmatanga.
Kia mahara ko te gynecomastia e pā ana ki te pakehatanga me te pakeke he mahinga taiao kaore e taea te aukati katoa. Aro atu ki te pupuri i te hauora whānui me te mahi tahi me tō rōpū hauora ki te whakaoti i ētahi tūponotanga ka taea te whakarereke.
Ko te whakatau i te gynecomastia te nuinga o te wā e whakauru ana i te aromatawai tino pai ki te whakau i te āhuatanga me te kimi i ētahi take taketake. Ka whakamahi tō tākuta i ētahi huarahi hei whakatutuki i te whakatau tika me te whakakore i ētahi atu āhuatanga.
Ka ui tō tākuta ki ō tohu, i te wā i tīmata ai rātou, me ētahi rongoā e inu ana koe. Ka mahi rātou i te tirohanga tinana, ka kitea te kiko u i te wehewehe i waenga i te gynecomastia pono me te kohikohi ngako. Ko te tirohanga ka āhei te whakatau i te rāhi, te āhua, me te nekehanga o te kiko u.
Ka taea e te mahi toto te whakaatu i ngā taumata o ngā homoni, te mahi o te ate, te mahi o ngā whatukuhu, me te āhua o te thyroid. Āta tirohia pea e tō tākuta te testosterone, te estrogen, te luteinizing hormone, me ētahi atu homoni hei kimi i ngā koretake. Ka āwhina ēnei whakamātautau ki te tohu i ngā take o raro me te arahi i ngā whakatau ātete.
I ētahi wā, ka tūtohutia pea e tō tākuta ngā whakamātautau whakaahua. Ka taea e te mammography te awhina i te wehewehe i waenga i te gynecomastia me te mate pukupuku u, ahakoa he iti rawa te mea e tika ana. Ka whakamahia pea te ultrasound hei tirotiro i te hanganga o te kiko u atu.
Mēnā kei te whakapaehia he āhuatanga o raro, ka tono pea tō tākuta i ētahi atu whakamātautau. Ka uru pea ēnei ki ngā CT scan hei tirotiro i ngā mate pukupuku, i ngā whakamātautau homoni motuhake hei aromatawai i ngā whekau motuhake. E kore te nuinga o ngā tāne e mate ana i te gynecomastia e hiahia ana ki te whakamātautau whānui, ina koa ki te puta mai te āhuatanga ki te pakehatanga rānei ki te koroheketanga.
Ko te tukanga whakamātautau he ngāwari noa iho, ā, ka āwhina i te whakarite kia whiwhi koe i te ātete tika mō tō āhuatanga motuhake.
Ko te rongoā mō te gynecomastia e whakawhirinaki ana ki te take o raro, te roa o tō nohoanga ki te āhuatanga, me te nui o te pānga ki tō oranga o ia rā. Ka mutu ake te nuinga o ngā take, ā, ko ētahi atu ka whai hua mai i te whakauru hauora, i te whakauru rongoā rānei.
Mō te gynecomastia e pā ana ki te pakehatanga, ka tūtohu ngā tākuta i te tatari me te aroturuki i te āhuatanga. E 75% te tata o ngā take i roto i ngā taitamariki ka mutu i roto i ngā tau e rua kahore he ātete. Ka āwhina ngā tirotiro noa ki te aroturuki i te ahu whakamua me te hoatu i te whakamarie i tenei wā.
Mēnā kei te pā te gynecomastia ki ngā rongoā, ka taea pea e tō tākuta te whakarereke i ngā horopeta, i te whakawhiti atu rānei ki ētahi atu. Ko te ātete i ngā āhuatanga o raro penei i te mate ate, i ngā mate homoni rānei, ka pai ake te nui o te u. Ko te mutu i ngā take whakauru penei i te waiū, i ētahi atu mea rānei ka taea hoki te āwhina.
I etahi wā, ka tukuna e ngā tākua ngā rongoā hei āwhina i te whakaiti i te kōpū u. Ka taea te whai hua o ngā kaiwhakahaere pūtau estrogen tīpakanga penei i te tamoxifen, ina koa ki te tīmata wawe. Ka taea hoki te whakamahi i ngā kaiwhakawehe aromatase, ahakoa he iti ake te tukunga o ēnei mō te gynecomastia.
Ka waiho te whakahaere hei kōwhiringa ina roa atu i te rua tau te gynecomastia, ka puta he raruraru hinengaro nui, kāore rānei e whakautu ki ētahi atu maimoatanga. Ka taea e te liposuction te tango i te ngako nui, ka tangohia e te whakaheke whakahaere te kōpū u. Me mahi ngā tikanga e rua ētahi tāne mō ngā hua pai.
Ka mahi tahi tō tākua ki a koe hei whakatau i te huarahi maimoatanga pai rawa atu e whakaū ana ki tō āhuatanga motuhake, tō tau, me ō hiahia. Ko te teitei te angitu o te maimoatanga, ina koa ka taea te whakautu i te take taketake.
Ahakoa pea he mea tika te maimoatanga hauora i etahi wā, ka taea e ētahi rautaki tiaki kāinga te āwhina i a koe ki te whakahaere i ngā tohu gynecomastia me te tautoko i tō oranga pai whānui i te wā o te āhuatanga.
Ka taea e te kakahu i ngā koti tautoko pai te hoatu i te whakamarie me te āwhina i te whakaiti i te ahua o te nui o te u. Kei te wātea ngā kakahu whakapēhi i hangaia mō te gynecomastia ka taea te whakapiki ake i te whakawhirinaki i roto i ngā āhuatanga pāpori. Kōwhiria ngā koti ngawari e kore e piri ki te rohe uma.
Ka taea e te mahi tinana auau te whakapai ake i tō hanganga tinana whānui me tō whakawhirinaki, ahakoa e kore e whakaiti tika i te kōpū u. Aro atu ki ngā mahi e whakakaha ana i ō uaua uma me te whakapai ake i te tu. Ko te pupuri i te taumaha hauora mā te kai tōtika e tautoko ana i te toenga pai o te homoni.
He mea nui te whakahaere i te ahotea o te ngakau e pā ana ki te gynecomastia mō tō hauora hinengaro. Whakaarohia te kōrero ki ngā hoa whakawhirinaki, ki ngā whānau rānei e pā ana ki ō whakaaro. Ka taea e ngā tikanga whakahaumaru penei i te manawa hohonu, te whakaaroaro rānei te whakaiti i te manukanuka e pā ana ki te āhuatanga.
Ki te pāngia koe e te ngawari, ka taea e ngā kaiwhakaora mamae kore-whakahaunga penei i te ibuprofen te awhina. Ko te whakamahi i ngā putea hukapapa mō ngā wā poto pea ka whakaiti i te pupū me te kore ngāwari. Kaua e pāwhiri nui, kaua hoki e whakahaere i te u, i te mea ka nui ake te ngawari.
Kia mahara ko ngā rongoā kāinga he āwhina tautoko, ehara i te rongoā. Kōrero atu ki tō kaiwhakarato hauora i ngā tohu roa, i ngā āwangawanga rānei kia whakarite ai koe kei te whiwhi koe i te tiaki tika.
Ka taea e te whakarite mō tō hui te whakarite kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, ka hoatu ki tō taote ngā mōhiohio e hiahiatia ana mō te whakatau tika me te whakarite maimoatanga.
Hangaia he rārangi o ngā rongoā katoa e inu ana koe i tēnei wā, tae atu ki ngā rongoā whakahaunga, ngā rongoā kore-whakahaunga, me ngā taapiri. Tuhingahia te wā i kite tuatahi ai koe i ngā huringa u me te mea kua tupu ake rānei, kua huri rānei i te wā. Tuhia ētahi tohu katoa kua pāngia koe, tae atu ki te mamae, te ngawari, te tukunga rānei.
Whakarite kia kōrero koe i tō hītori whānau o ngā āhuatanga u, o ngā āhuatanga hormone rānei. Whakaarohia ngā huringa taumaha hou, ngā taumata ahotea, ngā āhuatanga oranga rānei e tika ana. Kia rite ki te whakapuaki i ngā mōhiohio e pā ana ki te inu waipiro, te whakamahinga tarukino whakangahau, i ētahi atu mea rānei.
Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taote. Ka uru pea ēnei ki te ui e pā ana ki te take pea o tō gynecomastia, te mea e tika ana te maimoatanga, me ngā whiringa maimoatanga kei te wātea. Uihia e pā ana ki te waa e tumanakohia ana mō te whakapai ake me te wā e whai ake ai koe.
Whakaarohia te kawe mai i te mema whānau whakawhirinaki, i te hoa rānei ki tō whakatau, ki te mea kei te manukanuka koe, kei te hiahia rānei ki te tautoko. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio i kōrerohia i te wā o te haerenga, ā, ka whakawhiwhia hoki te tautoko ngākau i te wā e āhei ai te kōrero mōhiohio.
Ko te pai te whakarite e āhei ai te mahi tahi pai a koe me tō tākua ki te whakatau i ō raruraru me te whakawhanake i te mahere rongoā e tika ana.
He āhuatanga noa te Gynecomastia e pā ana ki te maha o ngā tāne i ngā wāhanga oranga rerekē, ā, he mea nui kia mahara kei te kore koe i te noho kotahi i te wheako i tēnei. Ahakoa ka āhei te manukanuka, te whakama rānei, he mea ngāwari tonu te āhuatanga, ā, ka mutu tonu, inā te hunga taiohi.
Ko ngā take nui hei mahara ko te hua o ngā rerekētanga homoni noa te gynecomastia i te nuinga o ngā take, ā, kei te wātea ngā rongoā whai hua ina hiahiatia. Ahakoa he wā poto te āhuatanga, he hiahia rānei ki te whakauru, ko te mahi tahi me te kaiwhakarato hauora ka āhei ai te mārama ki ō kōwhiringa me te whakatau whakamārama mō tō tiaki.
Kaua e tuku i te whakama ki te aukati i a koe kei te rapu awhina mena kei te pā te gynecomastia ki tō kounga ora. Kei te mohio ngā kaiwhakarato hauora ki tēnei āhuatanga, ā, ka taea te tuku i ngā otinga hauora me te tautoko ngākau. Mā te aromatawai tika me te rongoā tika ina hiahiatia, ka taea e te nuinga o ngā tāne e pangia ana e te gynecomastia te whakatutuki i ngā hua pai me te whakanui ake i te whakawhirinaki.
I te nuinga o ngā take, āe. E tata ana ki te 75% o te gynecomastia e pā ana ki te pakehatanga ka mutu i roto i ngā tau e rua kahore he rongoā. Heoi, ko te gynecomastia e mau tonu ana i muri i ngā tau e rua ka iti ake te mutu noa iho, ā, ka hiahia pea ki te whakauru hauora.
Ka taea e te whakakori tinana te awhina i te whakapai ake i tō ahua whānui me te hanga i ngā uaua uma, engari e kore e whakaiti i te kiko u uaua. Ki te mea ko te nui haere o tō uma nā te ngako nui atu i te gynecomastia pono, ka taea te whai hua te whakakori tinana me te ngaro taumaha. Ko te gynecomastia pono e pā ana ki te kiko u e kore e whakautu ki te whakakori tinana anake.
Ko te gynecomastia anō e kore e whakapiki i tō tūponotanga ki te mate pukupuku u, engari ko te whai i te kiko u nui ake ka taea te ngāwari ake te kite i ngā huringa rerekē. He onge te mate pukupuku u tane, e pā ana ki te iti iho i te 1% o ngā keehi mate pukupuku u katoa. Ka taea e tō tākuta te awhina ki te wehewehe i waenga i te gynecomastia noa me ngā huringa awangawanga.
Ka taea te awhina te ngaro taumaha ki te mea ko te nui haere o tō uma nā te ngako nui atu (pseudogynecomastia) i te kiko u pono. Heoi, ki te whai koe i te gynecomastia pono, ko te ngaro taumaha anake e kore e taea te whakatau i te āhuatanga, ahakoa ka taea te whakapai ake i tō ahua whānui me tō whakapono.
Ko te gynecomastia te nuinga i te wā o te pakehatanga (ngā tau 10-19) ā, ka oti te whakatau i roto i ngā tau e rua. Ki te mea he taiohi koe, ā, kei te mau tonu te āhuatanga i muri i ngā tau e rua, kāore rānei e nui te pouri, he mea tika te kōrero ki te kaiwhakarato hauora. Mō ngā tāne pakeke, me arotakehia tetahi nui haere hou o te uma hei whakakore i ngā take kei muri.