Ukwandiswa kwebele emadodeni

Xa izicubu zamabele ezingaqhelekanga zikhula emadodeni, ibizwa ngokuba yi-gynecomastia. Kubalulekile ukufumanisa ukuba ukukhula okugqithileyo sisicubu sebele kwaye hayi izicwili ezinamafutha (lipomastia).

Imeko inokwenzeka kwelinye okanye omabini amabele. Iqala njengeqhuma elincinci phantsi kwengono, enokuba ithambile. Elinye ibele linokuba likhulu kunelinye. Ngokuhamba kwexesha iqhuma linokuthamba kancinci kwaye liziva kunzima.

Amabele awandisiweyo emadodeni ahlala engenabungozi, kodwa kunokubangela ukuba amadoda aphephe ukunxiba impahla ethile okanye angafuni ukubonwa engenayo ihempe. Oku kunokubangela uxinzelelo olukhulu, ngakumbi kubafana abancinci.

Olunye usana olusandul 'ukuzalwa lunokuba nokukhula kwebele kunye nokukhutshwa kobisi (galactorrhea). Le meko ihlala ihlala iiveki ezimbalwa ukuya kwiinyanga. Kwiimeko ezinqabileyo, inokuhlala de umntwana abe nonyaka omnye.

Utshintsho oluqhelekileyo lwehomoni zezona zinto zixhaphakileyo ekukhuleni kwamabele kwiintsana, amakhwenkwe kunye namadoda. Kukho nezinye izizathu ngokunjalo.

UTSHINTSHO LWEHORMONE

Ukwandiswa kwesifuba kuhlala kubangelwa kukungalingani kwe-estrogen (ihomoni yabasetyhini) kunye ne-testosterone (ihomoni yamadoda). Amadoda aneentlobo zombini zehomoni emzimbeni wawo. Utshintsho kumanqanaba ala mahomoni, okanye kwindlela umzimba osebenzisa ngayo okanye ophendula ngayo kula mahomoni, kunokubangela ukwandisa amabele emadodeni.

Kwiintsana ezisandul 'ukuzalwa, ukukhula kwebele kubangelwa kukuvezwa yi-estrogen evela kunina. Phantse isiqingatha seentsana zamakhwenkwe zizalwa zinamabele amakhulu, abizwa ngokuba ngamabele. Bahlala bemka kwinyanga ezi-2 ukuya kwezi-6, kodwa banokuhlala ixesha elide.

Kwishumi elivisayo nakwishumi elivisayo, ukukhula kwamabele kubangelwa lutshintsho oluqhelekileyo lwehomoni olwenzeka xa ufikisa. Ngaphezu kwesiqingatha samakhwenkwe sikhula ngokwandiswa kwamabele ngexesha lokufikisa. Ukukhula kwebele kudla ngokuhamba malunga neenyanga ezi-6 ukuya kwiminyaka emi-2.

Emadodeni, utshintsho lwehomoni ngenxa yokwaluphala kunokubangela ukukhula kwamabele. Oku kunokwenzeka rhoqo kumadoda atyebileyo okanye atyebe kakhulu nakwiminyaka yobudala engama-50 nangaphezulu.

IIMEKO ZEMPILO

Ezinye iingxaki zempilo zinokubangela ukukhula kwamabele emadodeni amadala, kubandakanya:

• Isifo sesibindi esinganyangekiyo
• Ukungaphumeleli kwezintso kunye ne-dialysis
• Inqanaba le testosterone eliphantsi
• Ukutyeba (ikwangoyena nobangela uqhelekileyo wokukhula kwamabele ngenxa yamafutha)

Unobangela oqhelekileyo uquka:

• Iziphene zemfuza
• I-thyroid engasebenzi okanye i-thyroid engasebenzi
• Izidumba (kubandakanya ithumba elibi le-pituitary gland, ebizwa ngokuba yi-prolactinoma)

AMAYEZA KUNYE NONYANGO LWEZONYANGO

Amanye amayeza kunye nonyango olunokubangela ukukhula kwamabele emadodeni zibandakanya:

• Umhlaza chemotherapy
• Unyango lwehormone lomhlaza webele, njenge-flutamide (Proscar), okanye iprostate eyandisiweyo, enje nge-finasteride (Propecia) okanye i-bicalutamide
• Unyango ngemitha yamasende
• Amayeza e-HIV / AIDS
• I-Corticosteroids kunye ne-anabolic steroids
• I-Estrogen (kubandakanya nezo zikwiimveliso zesoya)
• Isitshisa kunye neyeza lesilonda, njenge cimetidine (Tagamet) okanye iproton pump inhibitors
• Amayeza okulwa noxinzelelo, njenge-diazepam (Valium)
• Amayeza entliziyo, anje nge spironolactone (Aldactone), digoxin (Lanoxin), amiodarone, kunye ne-calcium channel blockers
• Amayeza okubola, anje nge ketoconazole (Nizoral)
• Antibiotics ezifana metronidazole (Flagyl)
• I-Tricyclic antidepressants efana ne-amitriptyline (Elavil)
• Izityalo ezinjengeLavender, ioyile yomthi weti, kunye ne-dong quai
• Iipioids

UKUSETYENZISWA KWEZIYOBISI Nokusetyenziswa kotywala

Sebenzisa izinto ezithile kunokubangela ukwandiswa kwebele:

• Utywala
• IiAmphetamines
• IHeroin
• Intsangu
• Imethadone

IGynecomastia ikwanxulunyaniswa nokuvezwa kukuphazamiseka kwe-endocrine. Ezi ziikhemikhali eziqhelekileyo ezifumaneka rhoqo kwiiplastiki.

Amadoda awandisile amabele anokuba nomngcipheko okhulayo womhlaza wamabele. Umhlaza webele emadodeni unqabile. Iimpawu ezinokubonisa ukuba umhlaza webele uquka:

• Ukukhula kwebele elinye icala
• Isigaxa esiqinileyo okanye esomeleleyo esivakalelwa kukuba siqhotyoshelwe kwizihlunu
• Ulusu lubuhlungu ngaphezulu kwebele
• Ukukhutshwa kwegazi kwingono

Kumabele adumbileyo athambileyo, ukufaka uxinzelelo kubanda kunokunceda. Buza umboneleli wakho wezempilo ukuba kulungile ukuthatha iintlungu.

Ezinye iingcebiso zibandakanya:

• Yeka ukuthatha zonke iziyobisi zokuzonwabisa, ezinjengentsangu
• Yeka ukuthatha zonke izongezo zesondlo okanye nawaphi na amayeza owasebenzisayo ekwakheni umzimba

Fowunela umnikezeli wakho ukuba:

• Ukudumba, iintlungu, okanye ukwanda kwelinye okanye omabini amabele
• Kukho ubhobhozo olumnyama okanye olunegazi olusuka kwiingono
• Kukho isikhumba esibuhlungu okanye isilonda ngaphezulu kwebele
• Isigaxa sebele siziva sinzima okanye siqinile

Ukuba unyana wakho ukhule ebeleni kodwa akakafiki ebusheni, makuhlolwe ngumboneleli.

Umboneleli wakho uya kuthatha imbali yezonyango kwaye enze uvavanyo lomzimba.

Awunakudinga naluphi na uvavanyo, kodwa ezi mvavanyo zilandelayo zinokwenziwa ukukhupha izifo ezithile:

• Uvavanyo lwenqanaba lehomoni yegazi
• I-ultrasound yamabele
• Izifundo zesibindi kunye nezintso
• Isisombululo

UNYANGO

Rhoqo alufuneki unyango. Ukukhula kwebele kwiintsana kunye namakhwenkwe amancinci kuhlala kuzihambela.

Ukuba imeko yezonyango ibangela ingxaki, umboneleli wakho uya kuyiphatha loo meko.

Umboneleli wakho uya kuthetha nawe malunga namayeza okanye izinto ezinokubangela ukukhula kwebele. Ukuyeka ukusebenzisa okanye ukutshintsha amayeza kuyakwenza ukuba ingxaki iphele. SUKUYEKE ukuthatha nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.

Ukukhula kwebele okukhulu, okungalinganiyo, okanye okungahambiyo kunokubangela ukwehla komgangatho wobomi. Unyango olunokusetyenziswa kule meko zezi:

• Unyango lwehormone oluthintela iziphumo ze-estrogens
• Utyando lokunciphisa amabele ukususa izicubu zamabele

I-Gynecomastia esele ikho ixesha elide ayinakufane isombulule nokuba kuqalwe unyango olululo.

Gynecomastia; Ukwandiswa kwebele kwindoda

• Gynecomastia

UAli O, uDonohoue PA. Gynecomastia. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 603.

I-Anawalt BD. Gynecomastia. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 140.

ISansone A, iRomanelli F, iSansone M, uLenzi A, uDi Luigi L.Gynecomastia kunye neehomoni. Endocrine. Ngo-2017; 55 (1): 37-44. IINKCUKACHA: 27145756 pubmed.ncbi.nlm.nih.gov/27145756/.