Uri murume here, asi chipfuva chako chakakura zvishoma, uye chinotaridzika semazamu emukadzi? Izvi zvinokunetsa here uye zvinokunyadzisa kupfeka T-shirt, kuenda kunoshambira neshamwari, kana kutotarisa mugirazi? Ichi chirwere chinowanzoitika varume vazhinji pane imwe nguva muhupenyu hwavo. Izvi ndizvo zvatiri kutaura nezvazvo nhasi. Musainzi yezvekurapa, tinodana izvi kuti gynecomastia.
Chii chinonzi Gynecomastia?
Zvichitaurwa zviri nyore, Gynecomastia kukura kwenhengo dzemazamu emurume. Haisi chirwere chegomarara. Inokonzerwa nekusawirirana kwemahomoni mumuviri, kunyanya kusawirirana pakati pehomoni yemurume inonzi testosterone nehomoni yemukadzi inonzi estrogen.
Asi dzimwe nguva kufuta kunogona kukonzera mafuta/mafuta kuungana muchipfuva, zvichiita kuti chipfuva chiite sechakakura. Tinoti izvi pseudo-gynecomastia. Pane musiyano wakajeka pakati pezviviri izvi.
| Hunhu | Gynecomastia yechokwadi (nekuda kwenyama yeglandular) | Pseudogynecomastia (nekuda kwemafuta) |
|---|---|---|
| Chikonzero | Kukura kwemazamu nekuda kwekusagadzikana kwemahomoni. | Kuunganidzwa kwemafuta munzvimbo yechipfuva nekuda kwekuwedzera uremu. |
| Manzwiro azvinoita muruoko | Pasi pemunyatso, unogona kunzwa bundu rinoita sebhora rerabha, sebhatani, uye pamwe rinorwadza zvishoma. | Chipfuva chose chinonzwa chakapfava uye chakafanana, uye hapana bundu rakati twasu. |
| Vanhu vakabatwa nechirwere ichi | Kunyangwe zvichigona kuitika chero pazera ripi zvaro, zvinowanzoitika muvana vachangoberekwa, vechidiki, uye vakwegura. | Zvinowanzoitika kuvanhu vane uremu hwakanyanya. |
Chinhu chakakosha ndechekuti chirwere ichi hachikuvadzi hutano hwako. Zvisinei, kana chiri kukonzera kushungurudzika kana kukanganisa kuzvivimba kwako, zvakakosha kutaura nachiremba nezvazvo.
Sei izvi zvichiitika? Nyaya yemahormone
Zvichitaurwa zviri nyore, muviri wemurume une testosterone yakawanda (hormone yemurume) uye estrogen yakaderera kwazvo (hormone yemukadzi). Estrogen ndiyo inokonzera kukura kwemazamu. Kana nekuda kwechimwe chikonzero chiyero chemahormone maviri aya chikakanganiswa, kureva kuti, kana huwandu hweestrogen hukawedzera zvichienzaniswa nehuwandu hwetestosterone , Gynecomastia inogona kuitika.
Kune mamiriro matatu apo izvi zvinoitika zvega:
1. Munguva yekuzvarwa: Nekuti mwana anowana hormone yeestrogen kubva mumuviri waamai, vamwe vana vechirume vanogona kukura mazamu madiki, akaita sebvudzi repanhengo yemurume. Izvi zvinopera zvega mumavhiki mashoma.
2. Kuyaruka: Pakati pemakore gumi nemaviri negumi nematanhatu, mahormone emuviri ari kuchinja nekukurumidza. Munguva iyi, kana mazinga eestrogen akakwira nekukurumidza kupfuura mazinga e testosterone, mazamu anogona kukura kwenguva pfupi. Izvi zvinowanzo dzoka kune zvakajairika mukati memwedzi mitanhatu kusvika kumakore maviri.
3. Nekukwegura: Chirwere ichi chinowanzoitikawo kuvarume vane makore anopfuura makumi mashanu. Sezvatinokura, kugadzirwa kwe testosterone mumuviri kunoderera. Uyewo, mimwe mishonga inotorwa nevanhu vezera iri inogona kukonzera izvi .
Zvimwe zvirwere nemishonga zvinogona kuva chikonzero here?
Ehe, dzimwe nguva Gynecomastia inogona kuva chiratidzo cheimwe dambudziko rehutano riripo. Inogonawo kuitika semhedzisiro yemimwe mishonga.
Zvirwere zvepfungwa
Kana zvirwere izvi zviripo, zvimwe zviratidzo zvichaonekwa pamwe chete neGynecomastia.
| Dambudziko rehutano | Tsananguro pfupi |
|---|---|
| Chirwere chechiropa | Kusagadzikana kwemahormone nekuda kwekusashanda zvakanaka kwechiropa. |
| Chirwere cheitsvo | Kuchinja kwemazinga emahormone kunokonzerwa nekutadza kushanda kweitsvo. |
| Hyperthyroidism | Kuchinja kwemetabolism yemuviri nekuda kwekuwedzera kwemahormone ethyroid. |
| Mabundu emachubhu | Kukanganisa mahormone anogadzirwa nemachende. |
| Chirwere cheKlinefelter | Mazinga e testosterone akaderera nekuda kwehurema hwekuzvarwa nahwo. |
Mhando dzemishonga dzinogona kukonzera
Kana uri kushandisa mushonga werudzi urwu, taura nachiremba wako nezvazvo.
- Spironolactone (yeBP yakakwira)
- Cimetidine (yekurapa gastritis)
- Finasteride (yeprostate yakakura)
- Ketoconazole (mushonga unodzivirira fungus)
- Digoxin (yechirwere chemwoyo)
- Methotrexate (yegomarara nearthritis)
Pamusoro pezvo, chirwere ichi chinogonawo kukonzerwa nemimwe mishonga (mbanje, heroin) uye maanabolic steroids anoshandiswa pakuvaka muviri.
Ndezvipi zvinorapwa izvi?
Vanhu vazhinji havadi kurapwa nekuda kweizvi. Zvisinei, kana uri kusangana nematambudziko epfungwa nekuda kwechirwere ichi, chiremba wako anogona kukupa mazano akasiyana-siyana zvichienderana nemamiriro ako ezvinhu.
1. Kumirira: Gynecomastia, kunyanya muvechidiki, inowanzopera yega kana mahormone akaenzana, saka vanachiremba vanowanzo kurudzira kuti munhu amirire kwenguva yakati.
2. Kuchinja mishonga: Kana chirwere ichi chikakonzerwa nemushonga, chiremba achakupa mushonga wakasiyana. Usarega kutora mushonga wako chero chikonzero chipi zvacho usina kubvunza chiremba wako.
3. Kurapa chirwere chiripo: Kana chikonzero chiri chirwere chechiropa kana chirwere cheitsvo, kurapa chirwere ichocho kunogonawo kubatsira kurapa Gynecomastia.
4. Kuvhiyiwa:Vamwe vanhu, kunyanya avo vakaora mwoyo zvakanyanya, vanosarudza kubviswa nyama yemazamu yakawandisa kuburikidza nekuvhiyiwa (`kuderedzwa kwemazamu evarume`). Uku kuvhiyiwa kwekunaka kunoitwa ivo pachavo.
Izvi zvichadzikira here kana ndikaita maekisesaizi?
Uyu mubvunzo unobvunzwa nevanhu vazhinji.
- Kana uine pseudogynecomastia inokonzerwa nekufutisa, hongu! Kudzikira kwehuremu uye kurovedza muviri zvinogona kubatsira kuderedza mafuta ari mumazamu ako uye kuita kuti adzokere pakare.
- Asi kana uine gynecomastia chaiyo inokonzerwa nemahormone, kurovedza muviri chete hakubvisi nyama dzegland, nekuti haisi mafuta, asi nyama dzakakura nekuda kwemahormone.
Ndinofanira kuona chiremba rini?
Kana ukasangana nechimwe chezvinotevera, iva nechokwadi chekuona chiremba wako.
- Kana uchinzwa kushushikana zvakanyanya kana kunyara nekuda kwemazamu ako makuru.
- Kana ukanzwa bundu muchipfuva chako uye richirwadza .
- Kana paine kubuda kwemvura kubva muzamu .
- Kana zvimwe zviratidzo zvitsva (semuenzaniso, kurwadziwa kwemachende, kuneta zvakanyanya) zvikaonekwa pamwe chete nekukura kwemazamu.
Kunyangwe kenza yemazamu yevarume isingawanzoitiki, chiremba chete ndiye anogona kusiyanisa kenza iyi nemazvo negynecomastia. Saka musafungira.
Unogona kubvunza chiremba wako mibvunzo iyi:
- Chii chiri kukonzera mamiriro ezvinhu aya kwandiri?
- Ndinofanira kuchinja mhando yemishonga yandiri kutora here?
- Ndeipi nzira yakanakisisa yekurapa?
- Mamiriro ezvinhu aya acharamba aripo kwenguva yakareba sei?
- Ndingaitei kuti izvi zvisaitike zvakare?
Mharidzo Yekuenda Nayo Kumba
- Gynecomastia chirwere chinowanzoitika, kazhinji chisingakuvadzi varume.
- Izvi zvinonyanya kukonzerwa nekusawirirana kwemahormone kunoitika pamatanho akasiyana-siyana ehupenyu (pakuzvarwa, panguva yehudiki, uye panguva yekukwegura).
- Zvakakosha kunzwisisa musiyano uripo pakati pekuunganidzwa kwemafuta emazamu nekuda kwekufuta (Pseudogynecomastia) uye kukura kwematumbu nekuda kwemahormone (Gynecomastia).
- Kana uchinetseka, uchifungira, kana kuti uchirwadziwa nekuchinja kwemazamu ako, usanyara uye bvunza chiremba wako kuti akupe mazano.
- Usamborega kutora mishonga yako usina kubvunza chiremba.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Amlodipine (Amlodipine / Norvasc) inonyorerwa chirwere chipi?
Iri ipiritsi reBP rinoshanda zvikuru (Calcium Channel Blocker - CCB) iro rinoshandiswa zvakanyanya muSri Lanka nepasi rose kudzora 'High Blood Pressure'! Iri piritsi haringodzikisi BP chete, asiwo mushonga mukuru unokurudzirwa navanachiremba kudzivirira angina pectoris / chirwere chemwoyo uye kuchengetedza tsinga dzeropa dzemwoyo dzakagwinya.
💬 Kutora piritsi iri reBP (Amlodipine) kunobatsira sei kuderedza BP yedu nekurwadziwa kwechipfuva?
Kuti tsinga yeropa ikwire/ikwire uye kumanikidzwa kukwire (uye kuti chipfuva chisimbiswe), zvidimbu zve'Calcium' zvinofanira kupinda mutsandanyama yetsinga yeropa! Piritsi iri parinongopinda muropa, magedhi ese ecalcium (L-type calcium channels) ari mumoyo netsinga dzeropa anovharwa/akavharwa uye anokiyiwa 100%! Sezvo calcium isingapindi, tsinga yeropa haikwire uye inova yakasununguka zvakanyanya (Vasodilation). Ipapo ropa rinoyerera zviri nyore uye kumanikidzwa kunodonha.
💬 Ndezvipi zvinokanganisa kutora mushonga uyu (Norvasc/Amlodipine)?
Uyu mushonga wakachengeteka zvikuru, asi mhedzisiro huru uye inonetsa ndeye 'kuzvimba kwemakumbo/makumbo (Peripheral Edema)' (nekuda kwekukura kwetsinga dzeropa). Kana makumbo akazvimba, chiremba achamisa izvi okupa mumwe mushonga. Zvakare, panguva yekutanga yekunwa uyu, unogona kusangana nekutsvuka/kuzvimba kwechiso kamwe kamwe (Flushing), musoro wakakomba, uye kurova kwemoyo nekukurumidza (Palpitations).
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