Mipa i ni em, mahse i rilru chu a lian deuh a, hmeichhe hnute ang maiin a lang em? Hei hian T-shirt hak te, ṭhiante nena tui chawi emaw, darthlalang en mai mai emaw pawh hi nuam lo leh mualphona a siam che em? Hei hi a nihna takah chuan mipa tam takin an nunah engtik lai pawha an tawn thin dinhmun tlanglawn tak a ni. Hei hi vawiina kan sawi tum chu a ni. Medical science-ah chuan hei hi gynecomastia kan ti a.
Gynecomastia hi eng nge ni tak tak?
A awlsam zawngin Gynecomastia chu mipa hnute chhunga glandular tissue lo thang lian zel hi a ni. Cancer natna a ni lo. Taksa chhunga hormone inthlauhna avanga lo awm a ni a, a bik takin mipa hormone testosterone leh hmeichhe hormone estrogen inthlauhna vang a ni.
Mahse a chang chuan thau lutuk hian rilruah thau/adipose tissue a khawlkhawm thei a, chu chuan rilru chu a lian zawkin a lang thei. Hei hi pseudo-gynecomastia kan ti a. An pahnih inkarah hian danglamna chiang tak a awm.
| Mihring ziarang | Gynecomastia dik tak (glandular tissue avanga lo awm) . | Pseudogynecomastia (thau vang) 1.1. |
|---|---|---|
| Chhan | Hormonal imbalance avanga mammary glands lo thang lian zel. | Thau thau lutuk avanga rilru chhunga thau awm zat. |
| Kut chhunga a awm dan | Nipple hnuaiah chuan rubber ball ang maia lang, button ang maia lump i hre thei a, a na deuh pawh a ni mai thei. | A rilru pum pui chu a nem a, a inang tlangin a lang a, lump bik a awm lo. |
| Mi a nghawngte | Kum eng pawha lo awm thei mah se, nausen piang thar, puitling tleirawl leh tarteah a tam zawk . | Mi thau lutukah a awm fo thin. |
A pawimawh ber chu he dinhmun hian i taksa hriselna a tichhe lo. Amaherawhchu, lungngaihna thlentu emaw, mahni inrintawkna tichhetu emaw a nih chuan doctor nena inbiakna neih a pawimawh hle.
Engvangin nge hetiang hi a lo awm? Hormone chanchin a ni
A awlsam zawngin sawi ila, mipa taksaah hian testosterone (mipa hormone) a sang a, estrogen (hmeichhe hormone) a hniam hle bawk. Estrogen hian hnute hnim hring (mammary glands) a tipung a ni. Eng emaw chhan vanga heng hormone pahnih balance hi a buai a nih chuan, chu chu testosterone level nena khaikhin chuan estrogen level a san chuan Gynecomastia a awm thei a ni.
Chutiang thil chu a pianphungah a thleng thei dinhmun pathum a awm a:
1. Nau piang thar hun chhung: Naute hian nu taksa atanga estrogen hormone a dawn avangin naute mipa thenkhat chuan hnute te te, pubic hair ang maia an nei thei. Hei hi kar tlemte hnuah a mah chauhin a bo tawh ang.
2. Puberty: Kum 12 leh 16 inkarah taksa hormone a inthlak chak hle. Hemi hun chhung hian testosterone level aiin estrogen level a sang chak zawk chuan hnute hi rei lo te chhungin a lian thei a ni. Hei hi thla 6 atanga kum 2 chhungin a pangngaiin a lo kir leh tlangpui.
3. Kum upa lam: He natna hi mipa kum 50 chunglam zingah pawh a awm fo a, kan upat deuh deuh chuan taksain testosterone a siam chhuah hi a pianphungah a tlahniam thin. Tin, hetiang kum lama mite ei damdawi thenkhat hian hetiang hi a thlen thei bawk .
Damdawi lam thil dang leh damdawi dangte hi a chhan a ni thei ang em?
Ni e, a châng chuan Gynecomastia hi a hnuaia damdawi lam dinhmun dang chhinchhiahna a ni thei bawk. Damdawi thenkhat side effect angin a awm thei bawk.
Damdawi lam dinhmun hnuaia awmte
Heng natna te hi a awm chuan Gynecomastia nen hian symptom dang pawh a lang ngei ang.
| Damdawi lam dinhmun | Hrilhfiahna tawi te |
|---|---|
| Liver natna | Liver hnathawh that loh vanga hormone inthlauhna. |
| Kal natna | Kidney failure avanga hormone level inthlak danglamna. |
| Hyperthyroidism natna (Hyperthyroidism) a awm | Thyroid hormone pung vanga taksa metabolism a inthlak danglam thin. |
| Testicular tumor a awm thin | Testicles atanga hormone siam chhuah te a nghawng. |
| Klinefelter natna a ni | Nau piangsual vanga testosterone level hniam. |
Damdawi chi hrang hrang a thlen thei
Hetiang damdawi hi i hmang a nih chuan i doctor nen inbia ang che.
- Spironolactone (thisen sang tan) 1.1.
- Cimetidine (gastritis tan) a ni.
- Finasteride (prostate lian zawk tan) .
- Ketoconazole (fungal damdawi) .
- Digoxin (thinlung natna atan) .
- Methotrexate (cancer leh ruh natna tan) .
Hei bakah hian he natna hi ruihhlo thenkhat (marijuana, heroin) leh taksa tihchakna atana hman thin anabolic steroids vang pawh a ni thei bawk.
Hei hi eng enkawlna nge ni?
Hemi atan hian mi tam zawk chuan enkawlna an mamawh lo. Mahse, he natna avang hian rilru lama harsatna nasa tak i tawk a nih chuan i doctor chuan i dinhmun azirin solution hrang hrang a rawn rawt thei ang.
1. Nghah: Gynecomastia, a bikin thalaite zingah chuan hormone a inthlau chuan a mah chauhin a bo thin a, chuvangin doctor-te chuan rei lo te nghah turin an fuih fo thin.
2. Damdawi thlak danglam: Hetiang dinhmun hi damdawi chi khat avanga lo awm a nih chuan Doctor chuan damdawi dang a pe zawk ang. Doctor rawn hmasa lovin eng vangin damdawi ei kha bansan suh.
3. Natna bulpui enkawl dan: A chhan chu thin natna emaw kal natna emaw a nih chuan chu natna enkawl chuan Gynecomastia tihdamna a pui thei bawk.
4. Surgery tih tur: 1.1 .Mi thenkhat, a bik takin lungngaihna nasa tak nei te chuan surgery hmanga hnute tissue tam lutuk lakchhuah (`male breast reduction`) an thlang thin. Hei hi cosmetic surgery a ni a, anmahni duh dan anga tih a ni.
Exercise ka tih chuan hei hi a tlahniam dawn em ni?
Hei hi mi tam takin an zawh thin a ni.
- Thau lutuk avanga pseudogynecomastia i neih chuan, a ni! I taksa rihna tihtlem leh exercise hian i hnute thau a tihtlem bakah a pangngaia a awm leh theih nan a pui thei a ni.
- Mahse hormone avanga gynecomastia dik tak i neih chuan exercise chauh hian glandular tissue a ti bo lo ang , a chhan chu thau a ni lo va, hormone nghawng hnuaia lo thang lian tissue a ni zawk.
Engtikah nge Doctor ka hmuh ang?
A hnuaia thil awmte hi i tawn chuan doctor pan ngei ngei tur a ni.
- I hnute lian tak avang hian i stress nasa hle emaw, i mualpho hle emaw a nih chuan.
- I rilruah lump i hriat a a na a nih chuan .
- Nipple atanga discharge a awm chuan .
- Hnute lian zawk nen hian natna lan chhuah thar dang (e.g., testicular pain, hah lutuk) a lo lang a nih chuan.
Mipa hnute cancer hi a tlem hle nachungin, doctor chauhvin a dik takin a thliar hrang thei a, gynecomastia a ni. Chuvangin rinhlelhna nei suh.
I doctor hnenah heng zawhnate hi i zawt thei ang:
- Eng thilin nge ka tan he dinhmun hi a thlen?
- Damdawi ka ei chi hi thlak danglam a ngai em?
- Ka tan enge inenkawlna tha ber?
- Hetiang dinhmun hi eng chen nge a daih ang?
- Hetiang thil hi a thlen leh tawh loh nan eng nge ka tih theih ang?
Take-Home Thuchah a ni
- Gynecomastia hi mipa zingah a awm fo a, a tam zawkah chuan a hlauhawm lo.
- Hei hi nun kawng hrang hranga (pian tirh te, tleirawl lai te, leh tar lai te) hormone inthlauhna avanga lo awm a ni ber.
- Thau lutuk avanga hnute thau pungkhawm (Pseudogynecomastia) leh hormone vanga glandular enlargement (Gynecomastia) inthlauhna hi hriatthiam a pawimawh hle.
- I hnute inthlak danglam chungchangah i lungkham a, i rinhlelh a, i na a nih chuan zak suh la, i doctor rawn la, thurawn dil rawh.
- Doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Eng natna atan nge Amlodipine (Amlodipine / Norvasc) hi pek a nih?
Hei hi thisen sang pill (Calcium Channel Blocker - CCB) tha tak a ni a, Sri Lanka leh khawvelah ‘High Blood Pressure’ control nana hman lar ber a ni! He pill hian thisen sang a tihniam mai bakah, angina pectoris / coronary artery disease laka invenna leh thinlung thisen kalna kawng hrisel taka awm rengna atana doctor-te rawtna damdawi lian tak a ni bawk.
💬 He blood pressure pill (Amlodipine) ei hian engtin nge kan thisen sang leh kan rilru natna a tihziaawm?
Thisen kalna kawng a inzawm/contract leh pressure a san theih nan (leh a rilru a tikhauh theih nan) ‘Calcium’ particle te hi thisen kalna muscle chhungah a lut ngei ang! He pill hi thisenah a luh meuh chuan thinlung leh thisen kalna kawnga calcium gate (L-type calcium channel) zawng zawng chu a block/khar vek a, 100% in a lock vek! Calcium a luh loh avangin thisen kalna chu a inzawm lo va, a lo chhuak nasa hle (Vasodilation). Tichuan thisen chu awlsam takin a luang a, pressure a tlahniam ta a ni.
💬 He damdawi (Norvasc/Amlodipine) ei hian eng side effects ti thinrim tak nge a neih?
Hei hi damdawi him tak a ni a, mahse a side effect lian ber leh tibuaitu ber chu ‘swelling of the ankles/legs (Peripheral Edema)’ (thisen kalna kawng a lian vang) a ni. Ke a hring a nih chuan doctor chuan hei hi a titawp ang a, damdawi dang a pe ang che. Tin, hei hi i ei tirh chhung hian hmai a sen/inflammation nghal (Flushing), lu na nasa tak, leh heartbeat chak tak (Palpitations) i nei thei bawk.
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