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Chifuva Chakakura Varume (Gynecomastia)

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Pfupiso

Nezvipembenene zvechikadzi, tishu mukati meglands dzemabvu inokura. Izvi zvinogona kukonzera mabvu anoita seavakadzi.

Gynecomastia (guy-nuh-koh-MAS-tee-uh) kuwedzera kwehuwandu hwetishu yegland yemabvu muvakomana kana varume. Kusawirirana kwemahomoni estrogen ne testosterone kunokonzera. Gynecomastia inogona kukanganisa bvu rimwe kana maviri, dzimwe nguva zvisina kufanana.

Pseudogynecomastia kuwedzera kwemafuta asi kwete tishu yegland mumabvu evarume.

Vacheche, vakomana vari kupinda puberty nevarume vakwegura vanogona kuve ne gynecomastia nekuda kwekuchinja kwemhando dzemahomoni. Kune zvimwe zvikonzerowo.

Kazhinji, gynecomastia haisi dambudziko rakakomba. Asi zvinogona kunetsa kubata nemamiriro ezvinhu. Vanhu vane gynecomastia dzimwe nguva vane marwadzo mumabvu avo. Uye vanogona kunzwa kunyara.

Gynecomastia inogona kuenda yoga. Kana ikasadaro, mushonga kana kuvhiya kunogona kubatsira.

Zviratidzo

Zviratidzo zveGynecomastia zvinogona kusanganisira:

  • Kurwadziwa, kunyanya pakati pechidiki.
  • Kuwedzera kwemagaro emuviri.
  • Mazamu anorwadza.
  • Zvíno zvinonzwa kurwadziwa kana zvikabata nehembe.
Nguva yekunoona chiremba

Ona mushandi wechikwata chehutano hwako kana uine:

  • Kuruma.
  • Kurwadziwa kana kunzwa uchirwadziwa.
  • Mvura ichibuda pabvudzi rimwe kana maviri. Izvi zvinonzi kubuda kwemukaka.
  • Bvudzi rakaoma kana rakanyanya kuomarara.
  • Ganda rakapfava pabvudzi.
Zvinokonzera

Mukadzi vanowanzoiswa sevarume pakuvapo, muviri wavo unogadzira testosterone, hormone yepabonde. Inogadzirawo estrogeni shoma. Gynecomastia inogona kuitika kana huwandu hwe testosterone mumuviri huchidzika zvichienzaniswa ne estrogen. Kudzikira uku kunogona kukonzerwa nemamiriro anoita kuti testosterone idzikire kana kudzivirira mabasa ayo. Kana kuti kunogona kukonzerwa nemamiriro anoita kuti estrogeni iwedzere.

Zvimwe zvinhu zvinogona kuchinja kuenzana kwehomoni mumuviri zvinosanganisira zvinotevera:

Hormones testosterone ne estrogen inodzora hunhu hwepabonde. Testosterone inodzora hunhu senge kuwanda kwemisumbu nebvudzi remunhu. Estrogen inodzora hunhu hunosanganisira kukura kwemazamu.

mazinga e estrogeni akawandisa kana asina kuenzana nemazinga e testosterone anogona kukonzera gynecomastia.

  • Gynecomastia muvana vacheche. Vana vacheche vakawanda kupfuura hafu yevacheche vevarume vanoberekwa nemazamu makuru nekuda kwemaitiro e estrogen panguva yekuzvitakura. Tishu yemazamu yakabvaruka inowanzoenda mukati memavhiki maviri kusvika matatu mushure mekuberekwa.
  • Gynecomastia panguva yekukura. Gynecomastia inokonzerwa nekuchinja kwehomoni panguva yekukura inowanzoitika. Kazhinji, tishu yemazamu yakabvaruka inoenda pasina kurapwa mukati memwedzi mitanhatu kusvika kumakore maviri.
  • Gynecomastia muvakuru. Anenge 24% kusvika ku65% yevarume vane makore 50 kusvika ku80 vanowana gynecomastia. Asi vakuru vakawanda vane chirwere ichi havachina zviratidzo.

Mishonga inotevera inogona kukonzera gynecomastia:

  • Anti-androgens inoshandiswa kurapa mamiriro senge prostate yakakura nekanser ye prostate. Mienzaniso yemishonga iyi inosanganisira flutamide, finasteride (Proscar, Propecia) uye spironolactone (Aldactone, Carospir).
  • Anabolic steroids ne androgens kurapa kusakurumidza kukura kana kurasikirwa nemisumbu kubva kune imwe chirwere.
  • Mishonga ye antiretroviral. Zvinhu zvakafanana ne estrogen zvemamwe mishonga ye HIV zvinogona kukonzera gynecomastia, kunyanya efavirenz.
  • Mishonga ye ADHD ine amphetamines, senge Adderall.
  • Mishonga yekudzikamisa kushushikana, senge diazepam (Valium).
  • Mamwe maantibayotiki.
  • Opioids kurapa marwadzo asingaperi.
  • Mishonga yezvironda, senge mishonga isina kunyorwa nechikoro cimetidine (Tagamet HB) uye omeprazole (Prilosec).
  • Chemotherapy kurapa kenza.
  • Mishonga yemoyo, senge digoxin (Lanoxin) uye calcium channel blockers.
  • Mishonga yekusunungura mudumbu, senge metoclopramide

Zvinhu zvinogona kukonzera gynecomastia zvinosanganisira:

  • Doro.
  • Anabolic steroids inoshandiswa kuvaka misumbu uye kuvandudza kuita kwemitambo.
  • Amphetamines.
  • Marijuana.
  • Heroin.
  • Methadone (Methadose).

Zvimwe zvirwere zvinoita kuti kuenzana kwehomoni kuchinje zvinogona kukonzera kana kusangana ne gynecomastia. Zvinosanganisira:

  • Hypogonadism. Mamiriro anoita kuti huwandu hwe testosterone hunoitwa nemuviri hudzikire anogona kusangana ne gynecomastia. Mimwe mienzaniso ndeye Klinefelter syndrome uye pituitary insufficiency.
  • Kukwegura. Kuchinja kwehomoni kunoitika nekukwegura kunogona kukonzera gynecomastia, kunyanya kune vanhu vane uremu hwakawandisa.
  • Tumors. Mamwe matumor anogona kugadzira hormones anochinja kuenzana kwehomoni mumuviri. Izvi zvinosanganisira matumor anosanganisira ma testes, adrenal glands kana pituitary gland.
  • Hyperthyroidism. Munyaya iyi, thyroid gland inogadzira yakawanda ye hormone thyroxine.
  • Kukundikana kweitsvo. Anenge hafu yevanhu vanowana kurapwa kwe dialysis vanowana gynecomastia nekuda kwekuchinja kwehomoni.
  • Kukundikana kwechiropa ne cirrhosis. Kuchinja mumazinga ehormone ane chekuita nematambudziko echiropa nemishonga ye cirrhosis zvakabatana ne gynecomastia.
  • Kushomeka kwezvokudya nekudya kwenguva refu. Kana muviri usingawani zvokudya zvakakwana, mazinga e testosterone anodzikira. Asi mazinga e estrogen anoramba akafanana. Izvi zvinoita kuti pave nekusawirirana kwehomoni.

Mamwe maoiri emichero anoshandiswa mu shampoos, masobho kana lotions akabatana ne gynecomastia. Izvi zvinosanganisira tii muti kana lavender mafuta. Izvi zvinogona kunge zviri nekuda kwezvinhu zviri mumafuta izvo zvinogona kutevedzera estrogen kana kukanganisa testosterone.

Zvinhu zvinokonzera njodzi

Zvinokonzera gynecomastia zvinosanganisira:

  • Kuva nepwere.
  • Kuchembera.
  • Kufuta.
  • Kushandisa anabolic steroids kuti uwedzere simba remunhu.
  • Zvimwe zvirwere. Izvi zvinosanganisira chirwere chechiropa neitsvo, chirwere chethroid, Klinefelter syndrome nemamwe macancer.
Matambudziko

Gynecomastia ine zvishoma zvinetso zvemuviri. Asi inogona kukonzera kunetseka kwehutano hwepfungwa nekuda kwekuchinja kutaridzika kwepfupa.

Kudzivirira

Zvinhu zvakati wandei zviri mukudzora kwako zvinogona kuderedza njodzi ye gynecomastia:

  • Usashandise zvinodhaka. Zvienzaniso zvinosanganisira anabolic steroids, amphetamines, heroin ne marijuana.
  • Dzikamisa kana kuti usapinda mune doro. Zvinobatsira kusadya doro. Kana uchinwa, ita izvozvo zvine mwero. Izvo zvinoreva kuti kwete kupfuura zvinwiwa zviviri pazuva kune varume.
Kuongorora

Kuti uone kana une gynecomastia, nhengo yemubatanidzwa wehutano hwako inotanga nekukubvunza mimwe mibvunzo. Semuenzaniso, ungabvunzwa nezve zviratidzo zvako uye mishonga ipi zvayo yaunotora. Unopiwawo bvunzo yekurapa kuti uongorore tishu yemukaka wako, nzvimbo yemudumbu nemahara.

Timu yako yekuchengetedza utano inogona kuraira bvunzo. Izvi zvinogona kubatsira kuwana chikonzero chinogona kunge chiri gynecomastia kana kutsvaga mamiriro anogona kukonzera zviratidzo zvakafanana. Bvunzo dzinogona kuitwawo kuti dziongorore kenza yemukaka. Ungada bvunzo dzakadai se:

  • Bvunzo dzeropa.
  • Mammograms - Iyi ndiyo X-ray yemukaka.
  • Computerized tomography (CT) scans - Iyi ndiyo yakatevedzana yeX-rays inotorwa kubva pakona dzakasiyana.
  • Magnetic resonance imaging (MRI) scans - Iyi bvunzo yekufananidzira inoshandisa magnetic field ne radio waves.
  • Testicular ultrasounds - Izvi zvinoshandisa mafungu esound kuita mifananidzo ye testicles netishu iri kumativi adzo.
  • Tissue biopsies - Iyi nzira inobvisa chidimbu chidiki che tishu, chinotarwa murabhoritari.

Timu yako yekuchengetedza utano ichada kuve nechokwadi chekuti kuzvimba kwemukaka wako ndiko gynecomastia kwete imwe mamiriro. Mamiriro ekare anogona kukonzera zviratidzo zvakafanana anosanganisira:

  • Tishu yemukaka ine mafuta. Zita rimwe rechinhu ichi ndere pseudogynecomastia. Vamwe vanhu, kunyanya avo vane huwandu hwakawanda hwemuviri, vane mafuta emukaka anotaridzika se gynecomastia. Asi haisi yakafanana ne gynecomastia. Kune vanhu vakarwara nechirwere ichi, hapana zvimwe bvunzo zvinodiwa.
  • Kenza yemukaka. Kenza yemukaka haina kujairika muvarume, asi inogona kuitika. Kuwedzera kwemukaka mumwe chete kana kuvapo kwechisimba chinomuka kunetseka pamusoro pekenza yemukaka yevarume.
  • Mastitis. Iyi ndiyo tishu yemukaka yakatsvuka iyo dzimwe nguva inosanganisira hutachiona.
  • Lipoma. Iyi inokura zvishoma nezvishoma, mafuta anokura asi haasi kenza.
Kurapa

Gynecomastia kazhinji inopera pachayo pasina kurapwa. Asi kana gynecomastia yakakonzerwa nechirwere, chirwere ichocho chingada kurapwa.

Kana ukatora mushonga unogona kunge uri chikonzero che gynecomastia, bvunza timu yako yekuchengetedza utano nezve sarudzo dzako. Chiremba wako angakubvumira kurega mushonga kana kuedza mumwe.

Kazhinji, hapana kurapwa kunodiwa kune vechidiki vane gynecomastia nekuda kwekuchinja kwehomoni panguva yekukura. Timu yekuchengetedza utano yeteen inogona kukurudzira kuongororwa kwemwedzi mitatu kusvika ku6 kuti uone kana mamiriro acho ari kuvandudzika pachawo. Gynecomastia muvechidiki kazhinji inopera pasina kurapwa mumakore asingasviki maviri.

Kurapwa kunogona kudiwa kana gynecomastia isingavandudzeki pachayo. Kurapwa kunogona kubatsirawo kana mamiriro acho achikonzera kurwadziwa, kunzwa kurwadziwa kana kunyara.

Mishonga inoshandiswa kurapa kenza yemazamu nemamwe mamiriro inogona kubatsira kune vamwe vakuru vane gynecomastia. Inosanganisira:

  • Tamoxifen (Soltamox).
  • Raloxifene (Evista).
  • Aromatase inhibitors, senge anastrozole (Arimidex).

Pasi rose, mishonga iyi inobvumirwa neFood and Drug Administration. Asi haina kubvumirwa zvakanyanya kushandiswa muvanhu vane gynecomastia.

Unogona kunge uchiri kuwedzera mazamu mushure mekumirira gynecomastia kuti iende pachayo kana mushure mekutora mushonga wezvo. Kana chitarisiko chako kana zvimwe zviratidzo zvichikunetsa, kuvhiya kunogona kunge kuri sarudzo yekurapa:

Sarudzo mbiri dzekuvhiya gynecomastia ndidzo:

  • Liposuction. Kuvhiya uku kunobvisa mafuta emazamu asi kwete tishu yegland yemazamu pachayo.
  • Mastectomy. Rudzi urwu rwekuvhiya runobvisa tishu yegland yemazamu. Nezvikamu zvidiki zve tishu yegland, mastectomy inogona kuitwa uchishandisa ma incisions madiki. Izvi zvinoderedza nguva yekuvandudzika. Dzimwe nguva liposuction ne mastectomy zvinosanganiswa.

Kune vanhu vane gynecomastia, kuva nemazamu makuru kunogona kunetsa uye kunyara. Mamiriro acho anogona kuoma kuvanza. Dzimwe nguva, inogona kuva dambudziko pakushamwaridzana kwerudo. Panguva yekukura, gynecomastia inogona kuita kuti vechidiki vave chinangwa chekutsauswa nevezera ravo. Inogona kuita kuti mabasa akadai sekushambira kana kuchinja mukamuri yekuchinjira ave nyaya inotyisa.

Chero zera rako, kana uine gynecomastia, unogona kunzwa kusafara nemuviri wako. Asi unogona kutora matanho anogona kukubatsira kubata:

  • Tora kuongororwa. Vamwe vanhu vane gynecomastia vanonetseka kuti zviratidzo zvavo zvinokonzerwa nechirwere chakakomba. Zvinogona kuva zororo kuziva kuti gynecomastia ndiyo chikonzero.
  • Taura nemhuri neshamwari dzako. Unogona kunzwa kunyara kutaura nezve gynecomastia nevanhu vaunoda. Asi kana ukatsanangura mamiriro ako uye ukakumbira rutsigiro, izvozvo zvinogona kusimbisa hukama hwako uye kuderedza kushushikana.
  • Batana nevamwe vane gynecomastia. Zvinogona kunzwa zvakanaka kutaura nevanhu vanonzwisisa zvaunofamba nazvo. Mawebhusaiti akadai seGynecomastia.org anogona kukubatsira kubatana nevamwe vane mamiriro acho.

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