Yu na man, bɔt yu chɛst big smɔl, ɛn i tan lɛk uman in bɔdi? Yu tink se dis kin mek yu nɔ fil fayn ɛn shem fɔ wɛr T-shirt, go swim wit yu padi dɛn, ɔ ivin jɔs luk na miro? Dis na rili wan sik we bɔku man dɛn kin gɛt sɔm tɛm na dɛn layf. Dis na wetin wi de tɔk bɔt tide. Insay mɛdikal sayɛns, wi kin kɔl dis gaynekomastia.
Wetin rili na Gynecomastia?
Fɔ tɔk am simpul wan, Gynecomastia na di glandular tisu we de gro na man in bɔdi. I nɔto wan sik we pɔsin kin gɛt we i gɛt kansa. i de kכz fכ di כmon imbalans na di bכdi, spεshal wan di imbalans bitwin di man כmon tεstostεron εn di uman כmon εstrojen.
Bɔt sɔmtɛm we pɔsin fat kin mek di fat/adipose tisu gɛda na di chɛst, we kin mek di chɛst tan lɛk se i big. Wi kin kɔl dis pseudo-gynecomastia. I klia se difrɛns de bitwin dɛn tu.
| Di kwaliti we pɔsin gɛt | Tru Gynecomastia (bikɔs ɔf di glandular tisu) . | Pseudogynecomastia (bikɔs ɔf fat) . |
|---|---|---|
| Rizin | di growth fכ di mama gland dεm bikoz fכ di hכmon imbalans. | di fεt we de kכmכt na di chεst εria bikoz fכ di wet we i de gεt. |
| Di we aw i kin fil na di an | Ɔnda di nipple, yu kin fil wan smɔl smɔl tin we tan lɛk rɔba bɔl, lɛk bɔtin, ɛn sɔntɛm i kin mek yu fil pen smɔl. | Di wan ol chɛst kin fil saf ɛn yunifom, ɛn no patikyula lump nɔ de. |
| Pipul dɛn we dɛn afɛkt | Pan ɔl we i kin apin ɛni ej, i kin apin mɔ pan pikin dɛn we dɛn jɔs bɔn, yɔŋ pipul dɛn, ɛn ol pipul dɛn. | Bɔku tɛm, i kin apin to pipul dɛn we gɛt bɔku bɔku bɔdi. |
De impɔtant tin na dat dis sik nɔr de ambɔg yu bɔdi wɛl bɔdi. Bɔt if i de mek yu wɔri ɔ i de ambɔg yu kɔnfidɛns pan yusɛf, i rili impɔtant fɔ tɔk to dɔktɔ bɔt am.
Wetin mek dis kin apin? Di ɔmon stori
Fɔ tɔk am simpul wan, man bɔdi gɛt bɔku bɔku tɛstostɛron (di man ɔmon) ɛn rili smɔl ɛstrojen (di uman ɔmon). εstrojen de mek di mama gland dεm divεlכp. if fכ sכm rizin di bεlε fכ dεn tu כmon dεm ya dεn dכn sכt, dat na if di lεvεl fכ εstrojen inkrεs wit di lεvεl fכ tεstostεron , Gynecomastia kin apin.
Tri tin dɛn de we dis kin apin bay insɛf:
. Dis go go fɔ insɛf insay sɔm wiks.
2. Puberty: bitwin 12 ɛn 16 ia, di bɔdi in ɔmon dɛn de chenj kwik kwik wan. insay dis tεm, if di εstrojen lεvεl go כp fast pas di tεstostεron lεvεl, di brεst kin big fכ sכm tεm. dis kin kam bak to nכmal insay 6 mכnt to 2 ia.
3. We wi de ol: Dis sik kin kכmכn bak pan man dεm we pas 50. As wi de ol, di bכdi in tεstostεron prodakshכn de dכn nכmal wan. Dɔn bak, sɔm mɛrɛsin dɛn we pipul dɛn we gɛt dis ej kin tek kin mek dis .
Yu tink se ɔda mɛrɛsin ɛn mɛrɛsin dɛn kin mek i gɛt dis sik?
Yes, sɔmtɛm, Gynecomastia kin bi sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn. I kin apin bak as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn.
Di kɔndishɔn dɛn we de ɔnda di mɛrɛsin
If dɛn sik ya de, ɔda sayn dɛn go mɔs apia wit Gynecomastia.
| Mɛdikal kɔndishɔn | Wan shɔt ɛksplen |
|---|---|
| Liva sik | di hכmon imbalans bikoz fכ di liva fכnshכn we nכ de wok fayn. |
| Kidni sik | di chenj dεm na di כmon lεvεl dεm bikoz di kidni dεm nכ de wok fayn. |
| Di sik we dɛn kɔl haypa tayroyd | di chenj dεm we de apin na di bכdi in mεtabolism bikoz fכ di tayroyd כmon dεm we de inkrεs. |
| Testikul tכmכro dεm | fכ afekt di כmon dεm we di tεstikul dεm de mek. |
| Di sik we dɛn kɔl Klinefelter syndrome | di lכw tεstostεron lεvεl bikoz fכ bכn difεkt. |
Di kayn drɔgs we kin mek pɔsin gɛt
If yu de yuz dis kayn mɛrɛsin, tɔk to yu dɔktɔ bɔt am.
- Spironolactone (fɔ ay blɔd prɛshɔn) .
- Simɛtidin (fɔ gastritis) .
- Finasteride (fɔ mek di prɔstat big) .
- Ketoconazole (wan mɛrɛsin we de mek pɔsin nɔ gɛt bɛlɛ) .
- Digoxin (fɔ at sik) .
- Methotrexate (fɔ kansa ɛn at at sik) .
Apat frɔm dat, dis sik kin kam bak bikɔs ɔf sɔm drɔgs (marijuana, heroin) ɛn anabolic steroids we dɛn kin yuz fɔ bil bɔdi.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔrku pipul nɔr nid tritmɛnt fɔ dis. Bɔt if yu de gɛt bɔku prɔblɛm wit yu maynd bikɔs ɔf dis sik, yu dɔktɔ kin gi yu difrɛn we fɔ sɔlv di prɔblɛm dipen pan yu sityueshɔn.
1. Wet: Gaynkomasia, mɔ pan yɔŋ pipul dɛn, kin go fɔ insɛf we di ɔmon dɛn balans, so bɔku tɛm dɔktɔ dɛn kin advays fɔ wet fɔ sɔm tɛm.
2. Fɔ chenj di mɛrɛsin: If na wan patikyula mɛrɛsin mek dis sik, di dɔktɔ go gi yu ɔda mɛrɛsin insted. Nɔ stɔp fɔ tek yu mɛrɛsin fɔ ɛni rizin we yu nɔ go to yu dɔktɔ.
3. Fɔ trit di sik we de ɔnda am: If di kɔz na liva sik ɔ kidni sik, fɔ trit da sik de kin ɛp bak fɔ mɛn Gynecomastia.
4. Ɔpreshɔn:sכm pipul dεm, spεshal wan dεm we dεn rili fil bad, kin pik fכ pul di εksyכs brεst tisu tru כpεrayshכn (`man brεst rεdukshכn`). Dis na kɔsmɛtik ɔpreshɔn we dɛn kin du bay dɛnsɛf.
Yu tink se dis go go dɔŋ if a de du ɛksɛsayz?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks.
- If yu gɛt pseudogynecomastia we yu fat pasmak, yes! If yu lɔs yu wet ɛn ɛksesaiz, dat kin ɛp fɔ ridyus di fat we de na yu bɔdi ɛn mek i kam bak to nɔmal.
- Bɔt if yu gɛt tru tru gaynekomastia we ɔmon dɛn kin mek, ɛksesaiz nɔmɔ nɔ go pul di glandular tisu, bikɔs i nɔto fat, bɔt na tisu we dɔn gro ɔnda di inflɛns fɔ di ɔmon dɛn.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu go to yu dɔktɔ.
- If yu fil rili strɛs ɔ shem bikɔs ɔf yu big bɔdi.
- If yu fil wan lump na yu chɛst ɛn i de pen .
- If ɛnitin de kɔmɔt na di nipple .
- if כda nyu simptom dεm (e.g., tεstikul pen, fכ taya pasmak) de sho wit di brεst we de big.
Pan ɔl we man in bɔdi kansa nɔ kin bɔku, na dɔktɔ nɔmɔ go ebul fɔ no difrɛns kɔrɛkt wan bitwin am ɛn gaynecomastia. So nɔ dawt.
Yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Wetin de mek dis tin apin to mi?
- A nid fɔ chenj di kayn mɛrɛsin we a de tek?
- Wetin na di bɛst tritmɛnt fɔ mi?
- Aw lɔng dis tin go las?
- Wetin a go du fɔ mek dis nɔ apin igen?
Mɛsej we dɛn kin kɛr go na os
- Gaynecomastia na wan sik we kin rili kɔmɔn, bɔku tɛm i nɔ kin du bad to man dɛn.
- dis kin bi fכ di כmon imbalans we de apin na difrεn stej dεm na layf (we dεn bכn am, we i yכng, εn we i de ol).
- i imכtant fכ כndastand di difrεns bitwin di brεst fεt we de kכmכt bikoz fכ fat (Pseudogynecomastia) εn di glandular inlargement bikoz fכ di כmon dεm (Gynecomastia).
- If yu de wɔri, dawt, ɔ gɛt pen fɔ chenj na yu bɔdi, nɔ shem ɛn go to yu dɔktɔ fɔ advays.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin dɛn we yu nɔ go to dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn kin gi Amlodipine (Amlodipine / Norvasc) fɔ?
Dis na wan blɔd prɛshɔn pil we rili wok (Calcium Channel Blocker - CCB) we dɛn kin yuz mɔ na Sri Lanka ɛn di wɔl fɔ kɔntrol ‘High Blood Pressure’! Dis pil nɔ jɔs de mek di blɔd prɛshɔn go dɔŋ, bɔt na big mɛrɛsin bak we dɔktɔ dɛn kin rɛkɔmɛnd fɔ mek yu nɔ gɛt angina pectoris / korona at sik ɛn fɔ mek di blɔd vesel dɛn na di at gɛt wɛlbɔdi.
💬 Aw fɔ tek dis blɔd prɛshɔn pil (Amlodipine) de ɛp fɔ pul wi blɔd prɛshɔn ɛn chɛst pen?
fכ mek di bכdi kכntrakt/kכntrakt εn di prεshכn fכ go כp (εn fכ mek di chεst tayt), di ‘Calcium’ patikyula dεm fכ fכ tru fכ go insay di mכsul na di bכdi vεsεl! as dis pil go insay di bכdi, כl di kalsiכm get dεm (L-tayp kalsiכm chεnal dεm) na di at εn di bכdi vεsul dεm de blכk/kכlos εn lכk 100%! biכs di kalsiכm nכ de go insay, di bכdi nכ de kכntrakt εn i de rili lכs (Vasodilation). Dɔn di blɔd kin flɔ izi wan ɛn di prɛshɔn kin go dɔŋ.
💬 Wetin na di anɔyntin sayd ɛfɛkt dɛm we yu tek dis mɛrɛsin (Norvasc/Amlodipine)?
Dis na drɔg we rili sef, bɔt di big ɛn anɔynt sayd ɛfɛkt na ‘di ankles/leg dɛn we de swel (Peripheral Edema)’ (bikɔs di blɔd vesel dɛn de big). If di leg dɛn swel, di dɔktɔ go stɔp dis ɛn gi yu ɔda mɛrɛsin. Dɔn bak, di fɔs tɛm we yu tek dis, yu kin gɛt rɛd/inflameshɔn na yu fes wantɛm wantɛm (Flushing), ed kin at bad bad wan, ɛn yu at kin bit kwik kwik wan (Palpitations).
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