He kāne ʻoe, akā he nui iki kou umauma, a ua like me nā umauma o ka wahine? Ke hoʻoluhi nei kēia iā ʻoe a hilahila hoʻi i ke komo ʻana i kahi pālule T, e ʻauʻau me nā hoaaloha, a i ʻole e nānā wale i ke aniani? He ʻano maʻamau kēia i loaʻa i nā kāne he nui i kekahi manawa o ko lākou ola. ʻO kēia ka mea a mākou e kamaʻilio nei i kēia lā. Ma ka ʻepekema lapaʻau, kapa mākou i kēia gynecomastia.
He aha maoli ka Gynecomastia?
I ka ʻōlelo maʻalahi, ʻo Gynecomastia ka ulu ʻana o nā ʻiʻo glandular i loko o nā umauma o ke kāne. ʻAʻole ia he maʻi kanesa. Hoʻokumu ʻia ia e kahi kaulike ʻole o ka hormonal i loko o ke kino, ʻo ia hoʻi kahi kaulike ʻole ma waena o ka hormone kāne testosterone a me ka hormone wahine estrogen.
Akā i kekahi manawa hiki i ka momona ke hoʻoulu i ka hōʻiliʻili ʻana o ka momona/ʻiʻo adipose i loko o ka umauma, e hoʻonui ai i ka umauma. Kāhea mākou i kēia pseudo-gynecomastia. Aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua.
| ʻAno | ʻO Gynecomastia maoli (ma muli o nā ʻiʻo glandular) | Pseudogynecomastia (ma muli o ka momona) |
|---|---|---|
| Kumu | Ka ulu ʻana o nā kelepa mammary ma muli o ke kaulike ʻole o ka hormonal. | Ka hōʻiliʻili ʻana o ka momona ma ka umauma ma muli o ka piʻi ʻana o ke kaumaha. |
| ʻO ke ʻano o ka manaʻo ma ka lima | Ma lalo o ka nipple, hiki iā ʻoe ke ʻike i kahi puʻupuʻu e like me ka pōpō laholio, e like me ka pihi, a he mea ʻeha iki paha. | Palupalu a like ka manaʻo o ka umauma holoʻokoʻa, ʻaʻohe puʻupuʻu kikoʻī. |
| Nā poʻe i hoʻopilikia ʻia | ʻOiai hiki ke loaʻa i kēlā me kēia makahiki, ʻoi aku ka maʻamau o nā pēpē hānau hou, nā ʻōpio, a me ka poʻe ʻelemakule. | Loaʻa pinepine ia i nā poʻe kaumaha. |
ʻO ka mea nui, ʻaʻole kēia kūlana e hōʻino i kou olakino kino. Eia nō naʻe, inā e hoʻopilikia ana ia iā ʻoe a i ʻole e hoʻopilikia ana i kou hilinaʻi iā ʻoe iho, he mea nui loa ke kamaʻilio me ke kauka e pili ana i ia mea.
No ke aha e hana ʻia ai kēia? Ka moʻolelo hormone
I ka ʻōlelo maʻalahi, he kiʻekiʻe nā pae o ka testosterone (ka hormone kāne) o ke kino kāne a he haʻahaʻa loa nā pae o ka estrogen (ka hormone wahine). ʻO Estrogen ke kuleana no ka ulu ʻana o nā kelepa mammary. Inā no kekahi kumu e hoʻopilikia ʻia ke kaulike o kēia mau hormones ʻelua, ʻo ia hoʻi, inā piʻi ka pae o ka estrogen e pili ana i ka pae o ka testosterone , hiki ke loaʻa ka Gynecomastia.
ʻEkolu mau kūlana kahi e hana maoli ai kēia:
1. I ka wā hānau hou: No ka mea, loaʻa i ka pēpē ka hormone estrogen mai ke kino o ka makuahine, hiki i kekahi mau pēpē kāne ke ulu i nā umauma liʻiliʻi e like me ka lauoho pubic. E nalo wale kēia i loko o kekahi mau pule.
2. ʻŌpio: Ma waena o nā makahiki 12 a me 16, ke loli wikiwiki nei nā hormones o ke kino. I loko o kēia manawa, inā piʻi wikiwiki ka pae estrogen ma mua o ka pae testosterone, hiki ke hoʻonui ʻia nā umauma no kekahi manawa. Hoʻi pinepine kēia i ka maʻamau i loko o 6 mau mahina a i 2 mau makahiki.
3. Me ka ʻelemakule: He mea maʻamau kēia ʻano i waena o nā kāne ma luna o 50 mau makahiki. I ko kākou ʻelemakule ʻana, emi maoli ka hana testosterone o ke kino. Eia kekahi, hiki i kekahi mau lāʻau lapaʻau a ka poʻe o kēia makahiki ke hana i kēia .
Hiki paha i nā pilikia olakino ʻē aʻe a me nā lāʻau lapaʻau ke kumu?
ʻAe, i kekahi manawa hiki i ka Gynecomastia ke lilo i hōʻailona o kekahi maʻi olakino ʻē aʻe. Hiki nō hoʻi ke hana ʻia ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau.
Nā kūlana olakino ma lalo
Inā loaʻa kēia mau maʻi, e ʻike maoli ʻia nā hōʻailona ʻē aʻe me Gynecomastia.
| Kūlana olakino | He wehewehe pōkole |
|---|---|
| Maʻi akepaʻa | ʻO ke kaulike ʻole o ka hormonal ma muli o ka hana ʻino o ke akepaʻa. |
| Maʻi puʻupaʻa | Nā loli i nā pae hormone ma muli o ka hāʻule ʻana o ka puʻupaʻa. |
| Hyperthyroidism | Nā loli i ka metabolism o ke kino ma muli o ka hoʻonui ʻia o nā hormones thyroid. |
| Nā puʻupuʻu testicular | Ke hoʻopilikia nei i nā hormones i hana ʻia e nā testicles. |
| ʻO ka maʻi Klinefelter | Nā pae testosterone haʻahaʻa ma muli o kahi kīnā hānau. |
Nā ʻano lāʻau lapaʻau e hiki ai ke hoʻoulu
Inā ʻoe e hoʻohana ana i kēia ʻano lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.
- Spironolactone (no ke koko kiʻekiʻe)
- Cimetidine (no ka gastritis)
- ʻO Finasteride (no ka prostate i hoʻonui ʻia)
- Ketoconazole (he lāʻau antifungal)
- ʻO Digoxin (no ka maʻi puʻuwai)
- ʻO Methotrexate (no ke kanesa a me ka rumatika)
Eia kekahi, hiki ke hana ʻia kēia ʻano e kekahi mau lāʻau lapaʻau (marijuana, heroin) a me nā steroid anabolic i hoʻohana ʻia no ke kino kino.
He aha nā lāʻau lapaʻau no kēia?
ʻAʻole pono ka hapa nui o ka poʻe i ka lāʻau lapaʻau no kēia. Eia nō naʻe, inā ʻoe e ʻike nei i ka pilikia nui o ka noʻonoʻo ma muli o kēia kūlana, hiki i kāu kauka ke kuhikuhi i nā ʻano hoʻonā like ʻole ma muli o kou kūlana.
1. Ke kali nei: ʻO ka Gynecomastia, ʻoi aku hoʻi i nā poʻe ʻōpio, e nalowale wale ia ke kaulike nā hormones, no laila ke aʻo pinepine nei nā kauka e kali no kekahi manawa.
2. Ke hoʻololi ʻana i nā lāʻau lapaʻau: Inā hana ʻia kēia ʻano e kekahi lāʻau lapaʻau, e kuhikuhi ke kauka i kahi lāʻau lapaʻau ʻokoʻa. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau no kekahi kumu me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
3. Ke mālama ʻana i ka maʻi kumu: Inā ʻo ke kumu he maʻi akepaʻa a maʻi puʻupaʻa paha, hiki i ka mālama ʻana i kēlā maʻi ke kōkua i ka hoʻōla ʻana i ka Gynecomastia.
4. ʻoki kino:Koho kekahi poʻe, ʻoiai ka poʻe i kaumaha nui, e wehe i nā ʻiʻo umauma keu ma o ke ʻoki kino ('male breast reduction'). He ʻoki kino hoʻonani kēia i hana ʻia ma ko lākou manaʻo ponoʻī.
E emi ana kēia inā wau e hoʻoikaika kino?
He nīnau kēia a nā poʻe he nui e nīnau ai.
- Inā loaʻa iā ʻoe ka pseudogynecomastia i hoʻokumu ʻia e ka momona, ʻae! Hiki i ka hōʻemi kaumaha a me ka hoʻoikaika kino ke kōkua i ka hōʻemi ʻana i ka momona i loko o kou mau umauma a hoʻihoʻi iā lākou i ka maʻamau.
- Akā inā loaʻa iā ʻoe ka gynecomastia maoli i hoʻokumu ʻia e nā hormones, ʻaʻole e hoʻopau ka hoʻoikaika kino wale nō i ka ʻiʻo glandular, no ka mea, ʻaʻole ia he momona, akā he ʻiʻo i ulu ma lalo o ka mana o nā hormones.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i kāu kauka.
- Inā ʻoe e kaumaha nui a hilahila paha ma muli o kou mau umauma nui.
- Inā ʻoe e manaʻo ana i kahi puʻupuʻu i loko o kou umauma a he ʻeha ia .
- Inā he kahe mai ka nipple .
- Inā ʻike ʻia nā hōʻailona hou ʻē aʻe (e like me ka ʻeha o ka testicular, ka luhi nui) me ka hoʻonui ʻia o ka umauma.
ʻOiai he mea kakaikahi loa ka maʻi ʻaʻai umauma kāne, ʻo ke kauka wale nō ke hiki ke hoʻokaʻawale pololei ma waena o ia a me ka gynecomastia. No laila, mai kānalua.
Hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:
- He aha ke kumu o kēia kūlana iaʻu?
- Pono anei iaʻu e hoʻololi i ke ʻano o ka lāʻau lapaʻau aʻu e lawe nei?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
- Pehea ka lōʻihi o kēia kūlana?
- He aha kaʻu e hana ai e pale aku i kēia mai ka hana hou ʻana?
Leka Lawe-Home
- He maʻi maʻamau ʻo Gynecomastia, ʻaʻole pinepine ia he maʻi ʻino i waena o nā kāne.
- ʻO ke kumu nui o kēia, ʻo ia nā hemahema o ka hormonal e kū mai ana i nā pae like ʻole o ke ola (i ka wā hānau, i ka wā ʻōpiopio, a i ka wā ʻelemakule).
- He mea nui e hoʻomaopopo i ka ʻokoʻa ma waena o ka hōʻiliʻili ʻana o ka momona o ka umauma ma muli o ka momona (Pseudogynecomastia) a me ka hoʻonui ʻia ʻana o nā glandula ma muli o nā hormones (Gynecomastia).
- Inā ʻoe e hopohopo nei, kānalua, a ʻeha paha e pili ana i kahi loli i kou mau umauma, mai hilahila a nīnau aku i kāu kauka no ka ʻōlelo aʻo.
- Mai ho'ōki i ka lawe ʻana i kāu mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi i kuhikuhi ʻia ai ʻo Amlodipine (Amlodipine / Norvasc)?
He pila koko kiʻekiʻe loa kēia (Calcium Channel Blocker - CCB) ʻo ia ka mea i hoʻohana nui ʻia ma Sri Lanka a me ke ao holoʻokoʻa e kāohi i ke 'High Blood Pressure'! ʻAʻole wale kēia pila e hoʻohaʻahaʻa i ke koko, akā he lāʻau lapaʻau nui hoʻi i ʻōlelo ʻia e nā kauka e pale aku i ka angina pectoris / ka maʻi artery coronary a mālama i ke olakino o nā kīʻaha koko o ka puʻuwai.
💬 Pehea e kōkua ai ka lawe ʻana i kēia pila koko (Amlodipine) i ka hōʻoluʻolu ʻana i ko mākou koko a me ka ʻeha o ka umauma?
I mea e ʻūlū/ʻūlū ai ke kīʻaha koko a piʻi ke kaomi (a no ka ʻūlū ʻana o ka umauma), pono e komo pono nā ʻāpana 'Calcium' i loko o ke kino o ke kīʻaha koko! I ka wā e komo ai kēia pila i loko o ke koko, ua ālai ʻia/pani ʻia a paʻa ʻia nā puka calcium a pau (nā kahawai calcium ʻano L) i loko o ka puʻuwai a me nā kīʻaha koko 100%! No ka mea, ʻaʻole komo ke calcium, ʻaʻole e ʻūlū ke kīʻaha koko a lilo i mea palupalu loa (Vasodilation). A laila kahe maʻalahi ke koko a emi ke kaomi.
💬 He aha nā hopena ʻaoʻao hoʻonāukiuki o ka lawe ʻana i kēia lāʻau lapaʻau (Norvasc/Amlodipine)?
He lāʻau lapaʻau palekana loa kēia, akā ʻo ka hopena ʻaoʻao nui loa a hoʻonāukiuki loa ʻo ia ka 'pehu ʻana o nā kuʻekuʻe wāwae/wāwae (Peripheral Edema)' (ma muli o ka hoʻonui ʻia ʻana o nā kīʻaha koko). Inā pehu nā wāwae, e hoʻōki ke kauka i kēia a hāʻawi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. Eia kekahi, i ka wā mua o ka lawe ʻana i kēia, hiki iā ʻoe ke ʻike i ka ʻulaʻula/pehu koke o ka maka (Flushing), nā poʻo ʻeha nui, a me ka puʻuwai wikiwiki (Palpitations).
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