Ngaba uyindoda, kodwa isifuba sakho sikhulu kancinci, kwaye sijongeka njengamabele omfazi? Ngaba oku kukwenza uzive ungakhululekanga kwaye uneentloni zokunxiba i-T-shirt, ukuya kudada nabahlobo, okanye nokuzijonga nje esipilini? Le yimeko eqhelekileyo kakhulu amadoda amaninzi ahlangabezana nayo ngaxa lithile ebomini bawo. Yile nto sithetha ngayo namhlanje. Kwisayensi yezonyango, le nto siyibiza ngokuba yi-gynecomastia.
Yintoni kanye kanye iGynecomastia?
Ngamafutshane, iGynecomastia kukukhula kwezicubu zamadlala emabeleni endoda. Ayisiyongxaki yomhlaza. Ibangelwa kukungalingani kwamahomoni emzimbeni, ingakumbi ukungalingani phakathi kwehomoni yamadoda i-testosterone kunye nehomoni yabasetyhini i-estrogen.
Kodwa ngamanye amaxesha ukutyeba kakhulu kunokubangela ukuba izicubu zamafutha/amafutha ziqokeleleke esifubeni, nto leyo eyenza isifuba sibonakale sikhulu. Oku sikubiza ngokuba yi-pseudo-gynecomastia. Kukho umahluko ocacileyo phakathi kwezi zimbini.
| Uphawu | I-Gynecomastia yokwenyani (ngenxa yezicubu ze-glandular) | I-Pseudogynecomastia (ngenxa yokutyeba) |
|---|---|---|
| Isizathu | Ukukhula kweendlala zebele ngenxa yokungalingani kwamahomoni. | Ukuqokelelwa kwamafutha esifubeni ngenxa yokutyeba. |
| Indlela evakalelwa ngayo esandleni | Ngaphantsi kwengono, ungaziva iqhuma elifana nebhola yerabha, njengeqhosha, kwaye mhlawumbi libuhlungu kancinci. | Isifuba sonke sivakala sithambile kwaye siyafana, kwaye akukho qhuma lithile. |
| Abantu abachaphazelekayo | Nangona inokwenzeka nakweyiphi na iminyaka, ixhaphake kakhulu kwiintsana ezisandul’ ukuzalwa, abantu abadala abaselula, kunye nabantu abadala. | Ihlala isenzeka kubantu abatyebe kakhulu. |
Into ebalulekileyo kukuba le meko ayiyongozi kwimpilo yakho yomzimba. Nangona kunjalo, ukuba ikwenza ukhathazeke okanye ichaphazela ukuzithemba kwakho, kubaluleke kakhulu ukuthetha nogqirha ngayo.
Kutheni oku kusenzeka? Ibali leehomoni
Ngamafutshane, umzimba wendoda unezinga eliphezulu le-testosterone (ihomoni yamadoda) kunye namanqanaba aphantsi kakhulu e-estrogen (ihomoni yabasetyhini). I-estrogen inoxanduva lophuhliso lwee-mammary glands. Ukuba ngesizathu esithile ibhalansi yezi hormone zimbini iyaphazamiseka, oko kukuthi, ukuba izinga le-estrogen liyanda xa kuthelekiswa nenqanaba le-testosterone , i-Gynecomastia inokwenzeka.
Kukho iimeko ezintathu apho oku kwenzeka ngokwendalo:
1. Ngexesha losana olusandul’ ukuzalwa: Ngenxa yokuba umntwana efumana i-hormone ye-estrogen emzimbeni kamama, ezinye iintsana ezingamaduna zinokuba namabele amancinci afana neenwele zesinqe. Oku kuya kuphela emva kweeveki ezimbalwa.
2. Ukufikisa: Phakathi kweminyaka eli-12 neli-16 ubudala, iihomoni zomzimba zitshintsha ngokukhawuleza. Ngeli xesha, ukuba amanqanaba e-estrogen anyuka ngokukhawuleza kunamanqanaba e-testosterone, amabele anokukhula okwethutyana. Oku kudla ngokubuyela kwisiqhelo kwiinyanga ezi-6 ukuya kwiminyaka emi-2.
3. Xa uluphele: Le meko ixhaphakile nakumadoda angaphezu kweminyaka engama-50 ubudala. Njengoko sikhula, ukuveliswa kwe-testosterone emzimbeni kuyehla ngokwendalo. Kwakhona, amanye amayeza asetyenziswa ngabantu abakule minyaka anokubangela oku .
Ngaba ezinye izifo kunye namayeza zingabangela?
Ewe, ngamanye amaxesha iGynecomastia inokuba luphawu lwenye imeko yezonyango efihlakeleyo. Ingabangelwa nangumphumo ongemhle wamayeza athile.
Iimeko zempilo ezisisiseko
Ukuba ezi zifo zikhona, ngokuqinisekileyo ezinye iimpawu ziya kubonakala kunye neGynecomastia.
| Imeko yezonyango | Ingcaciso emfutshane |
|---|---|
| Isifo sesibindi | Ukungalingani kwamahomoni ngenxa yokusebenza kwesibindi okungasebenzi kakuhle. |
| Isifo sezintso | Utshintsho kumanqanaba e-hormone ngenxa yokungasebenzi kakuhle kwezintso. |
| I-Hyperthyroidism | Utshintsho kwindlela umzimba osebenza ngayo ngenxa yokwanda kweehomoni ze-thyroid. |
| Iithumba zamasende | Ichaphazela iihomoni eziveliswa ngamasende. |
| Isifo seKlinefelter | Amanqanaba aphantsi e-testosterone ngenxa yesiphene sokuzalwa. |
Iintlobo zamachiza ezinokubangela
Ukuba usebenzisa olu hlobo lwamayeza, thetha nogqirha wakho ngalo mba.
- I-Spironolactone (yoxinzelelo lwegazi oluphezulu)
- I-Cimetidine (ye-gastritis)
- I-Finasteride (ye-prostate eyandisiweyo)
- I -Ketoconazole (iyeza lokulwa ne-fungus)
- I-Digoxin (yesifo sentliziyo)
- I-Methotrexate (yomhlaza kunye nesifo samathambo)
Ukongeza, le meko inokubangelwa naziziyobisi ezithile (intsangu, i-heroin) kunye nee-anabolic steroids ezisetyenziselwa ukwakha umzimba.
Zithini iindlela zonyango zoku?
Uninzi lwabantu aludingi nyango ngenxa yoku. Nangona kunjalo, ukuba unengxaki enkulu yengqondo ngenxa yesi simo, ugqirha wakho unokucebisa izisombululo ezahlukeneyo ngokuxhomekeke kwimeko yakho.
1. Ukulinda: I-Gynecomastia, ingakumbi kubantu abancinci, idla ngokuziphelela xa iihomoni zilungelelene, ngoko oogqirha badla ngokucebisa ukuba ulinde okwethutyana.
2. Ukutshintsha amayeza: Ukuba le meko ibangelwa yimithi ethile, ugqirha uza kukunika eminye imithi endaweni yoko. Musa ukuyeka ukuthatha amayeza akho nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
3. Ukunyanga isifo esingundoqo: Ukuba unobangela sisifo sesibindi okanye isifo sezintso, ukunyanga eso sifo kunokunceda ekunyangeni iGynecomastia.
4. Utyando:Abanye abantu, ingakumbi abo baxinezelekileyo kakhulu, bakhetha ukususwa kwezicubu zamabele ezigqithisileyo ngotyando (`ukunciphisa amabele amadoda`). Olu lutyando lobuhle olwenziwa ngokubona kwabo.
Ngaba oku kuya kuncipha ukuba ndizilolonga?
Lo ngumbuzo obuzwa ngabantu abaninzi.
- Ukuba une -pseudogynecomastia ebangelwa kukutyeba kakhulu, ewe! Ukunciphisa umzimba kunye nokuzilolonga kunokunceda ukunciphisa amafutha emabeleni akho kwaye kuwabuyisele kwimeko yesiqhelo.
- Kodwa ukuba une -gynecomastia yokwenyani ebangelwa zii-hormones, ukuzilolonga kuphela akuyi kuyisusa i-glandular tissue, kuba ayingomafutha, kodwa yi-tissue ekhule phantsi kwempembelelo yee-hormones.
Ndifanele ndimbone nini ugqirha?
Ukuba ufumana nayiphi na kwezi zilandelayo, qiniseka ukuba ubona ugqirha wakho.
- Ukuba uziva uxinezelekile kakhulu okanye uneentloni ngenxa yamabele akho amakhulu.
- Ukuba uva iqhuma esifubeni sakho kwaye libuhlungu .
- Ukuba kukho nantoni na ephuma kwingono .
- Ukuba ezinye iimpawu ezintsha (umz., iintlungu zamasende, ukudinwa kakhulu) ziyavela kunye nokukhula kwamabele.
Nangona umhlaza wamabele wamadoda ungaqhelekanga, ngugqirha kuphela onokuwuhlula ngokuchanekileyo phakathi kwawo ne-gynecomastia. Ngoko ke musa ukurhanela.
Ungabuza ugqirha wakho le mibuzo:
- Yintoni ebangela le meko kum?
- Ngaba kufuneka nditshintshe uhlobo lwamayeza endiwasebenzisayo?
- Yeyiphi indlela engcono yonyango kum?
- Le meko iza kuhlala ixesha elingakanani?
- Ndingenza ntoni ukuthintela oku ukuba kungenzeki kwakhona?
Umyalezo Wokuya Ekhaya
- I-Gynecomastia yimeko eqhelekileyo kakhulu, edla ngokuba yingxaki phakathi kwamadoda.
- Oku kubangelwa ikakhulu kukungalingani kwamahomoni okwenzeka kumanqanaba ahlukeneyo obomi (ekuzalweni, ebusheni, nasekwaluphaleni).
- Kubalulekile ukuqonda umahluko phakathi kokuqokelelwa kwamafutha emabeleni ngenxa yokutyeba kakhulu (Pseudogynecomastia) kunye nokwanda kwamadlala ngenxa yeehomoni (Gynecomastia).
- Ukuba ukhathazekile, urhanela, okanye unentlungu malunga notshintsho oluye lwenzeka emabeleni akho, ungabi nantloni kwaye udibane nogqirha wakho ukuze akunike icebiso.
- Ungaze uyeke ukuthatha amayeza akho ngaphandle kokubonisana nogqirha.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zeziphi izifo ezinikwa i-Amlodipine (Amlodipine / Norvasc)?
Le yipilisi yoxinzelelo lwegazi esebenza kakhulu (iCalcium Channel Blocker - CCB) esetyenziswa kakhulu eSri Lanka nakwihlabathi liphela ukulawula 'uxinzelelo lwegazi oluphezulu'! Le pilisi ayithobeli nje kuphela uxinzelelo lwegazi, kodwa ikwaliyeza eliphambili elicetyiswa ngoogqirha ukuthintela i-angina pectoris / isifo semithambo yegazi yentliziyo kunye nokugcina imithambo yegazi yentliziyo iphilile.
💬 Ukusela le pilisi yoxinzelelo lwegazi (i-Amlodipine) kunceda njani ukunciphisa uxinzelelo lwegazi kunye neentlungu zesifuba?
Ukuze umthambo wegazi unciphe/unciphe kwaye uxinzelelo lunyuke (kwaye ukuze isifuba siqine), amasuntswana 'eCalcium' kufuneka angene ngokuqinisekileyo kwimisipha yomthambo wegazi! Kwangoko nje le pilisi ingena egazini, onke amasango ecalcium (iitshaneli zecalcium zohlobo lwe-L) entliziyweni nakwimithambo yegazi ayavalwa/avalwe kwaye avalwe nge-100%! Ekubeni icalcium ingangeni, umthambo wegazi awunciphe kwaye uyakhululeka kakhulu (iVasodilation). Emva koko igazi lihamba ngokulula kwaye uxinzelelo luyehla.
💬 Zithini iziphumo ebezingalindelekanga ezicaphukisayo zokusebenzisa eli yeza (iNorvasc/iAmlodipine)?
Eli liyeza elikhuselekileyo kakhulu, kodwa elona siphumo sikhulu nesicaphukisayo 'kukudumba kwamaqatha/imilenze (i-Peripheral Edema)' (ngenxa yokwanda kwemithambo yegazi). Ukuba imilenze iyadumba, ugqirha uya kuyiyeka le nto aze akunike elinye iyeza. Kwakhona, ngexesha lokuqala lokulisebenzisa, unokufumana ukubomvu/ukudumba kobuso ngequbuliso (Ukuhluza), iintloko ezibuhlungu kakhulu, kunye nokubetha kwentliziyo ngokukhawuleza (i-Palpitations).
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