Uyindoda, kodwa isifuba sakho sikhulu kancane, futhi sibukeka njengamabele owesifazane? Ingabe lokhu kukwenza uzizwe ungakhululekile futhi unamahloni ukugqoka i-T-shirt, ukuyobhukuda nabangani, noma ngisho nokubuka esibukweni? Empeleni lesi yisimo esivamile kakhulu amadoda amaningi abhekana naso ngesikhathi esithile empilweni yawo. Yilokhu esikhuluma ngakho namuhla. Kwisayensi yezokwelapha, lokhu sikubiza ngokuthi i-gynecomastia.
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Iyini ngempela i-Gynecomastia?
Kalula nje, i-Gynecomastia ukukhula kwezicubu zezindlala emabeleni endoda. Akuyona inkinga yomdlavuza. Ibangelwa ukungalingani kwamahomoni emzimbeni, ikakhulukazi ukungalingani phakathi kwe-testosterone yehomoni yabesilisa kanye ne-estrogen yehomoni yabesifazane.
Kodwa ngezinye izikhathi ukukhuluphala kungabangela ukuthi izicubu zamafutha/amafutha ziqongelelane esifubeni, okwenza isifuba sibonakale sikhulu. Lokhu sikubiza ngokuthi i-pseudo-gynecomastia. Kunomehluko ocacile phakathi kwalokhu okubili.
| Isici | I-Gynecomastia yangempela (ngenxa yezicubu ze-glandular) | I-Pseudogynecomastia (ngenxa yamafutha) |
|---|---|---|
| Isizathu | Ukukhula kwezindlala zebele ngenxa yokungalingani kwama-hormone. | Ukuqongelela kwamafutha esifubeni ngenxa yokukhuluphala. |
| Indlela okuzwakala ngayo esandleni | Ngaphansi kwengono, ungazizwa iqhubu elifana nebhola lerabha, njengenkinobho, futhi mhlawumbe libuhlungu kancane. | Isifuba sonke sizwakala sithambile futhi sifana, futhi akukho qhubu elithile. |
| Abantu abathintekile | Nakuba kungenzeka kunoma yimuphi ubudala, kuvame kakhulu ezinsaneni ezisanda kuzalwa, kubantu abadala abasebasha kanye nabantu asebekhulile. | Kuvame ukwenzeka kubantu abakhuluphele ngokweqile. |
Into ebalulekile ukuthi lesi simo asiyona ingozi empilweni yakho yomzimba. Kodwa-ke, uma sikubangela ukucindezeleka noma kuthinta ukuzethemba kwakho, kubaluleke kakhulu ukukhuluma nodokotela ngaso.
Kungani lokhu kwenzeka? Indaba yama-hormone
Kalula nje, umzimba wesilisa unezinga eliphezulu le-testosterone (i-hormone yesilisa) kanye namazinga aphansi kakhulu e-estrogen (i-hormone yesifazane). I-estrogen inesibopho sokuthuthukiswa kwezindlala zebele. Uma ngesizathu esithile ibhalansi yala ma-hormone amabili iphazamiseka, okungukuthi, uma izinga le-estrogen likhuphuka uma liqhathaniswa nezinga le-testosterone , i-Gynecomastia ingenzeka.
Kunezimo ezintathu lapho lokhu kwenzeka khona ngokwemvelo:
1. Ngesikhathi sokuzalwa: Ngenxa yokuthi umntwana uthola i-hormone ye-estrogen emzimbeni kamama, ezinye izingane zesilisa zingase zibe namabele amancane, anjengezinwele zesitho sangasese sowesifazane. Lokhu kuzophela ngokwako emavikini ambalwa.
2. Ukuthomba: Phakathi kweminyaka eyi-12 neyi-16, ama-hormone omzimba ashintsha ngokushesha. Phakathi nalesi sikhathi, uma amazinga e-estrogen enyuka ngokushesha kunamazinga e-testosterone, amabele angakhula okwesikhashana. Lokhu kuvame ukubuyela esimweni esijwayelekile zingakapheli izinyanga eziyi-6 kuya eminyakeni emi-2.
3. Ngokukhula: Lesi simo sivame kakhulu nakwabesilisa abaneminyaka engaphezu kwengu-50. Njengoba sikhula, ukukhiqizwa kwe-testosterone emzimbeni kwehla ngokwemvelo. Futhi, eminye imithi abantu abaneminyaka yalesi sikhathi abayithathayo ingabangela lokhu .
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Check Availability →Ingabe ezinye izimo zezokwelapha kanye nemithi kungaba yimbangela?
Yebo, ngezinye izikhathi i-Gynecomastia ingaba uphawu lwesinye isimo sezokwelapha esiyisisekelo. Ingavela futhi njengomphumela ongemuhle wemithi ethile.
Izimo zezokwelapha eziyisisekelo
Uma lezi zifo zikhona, ezinye izimpawu zizovela kanye ne-Gynecomastia.
| Isimo sezokwelapha | Incazelo emfushane |
|---|---|
| Isifo sesibindi | Ukungalingani kwama-hormone ngenxa yokusebenza kwesibindi okungasebenzi kahle. |
| Isifo sezinso | Ushintsho emazingeni ama-hormone ngenxa yokwehluleka kwezinso. |
| I-Hyperthyroidism | Izinguquko kumetabolism yomzimba ngenxa yokwanda kwamahomoni e-thyroid. |
| Izimila zamasende | Kuthinta ama-hormone akhiqizwa amasende. |
| Isifo se-Klinefelter | Amazinga aphansi e-testosterone ngenxa yokukhubazeka kokuzalwa. |
Izinhlobo zemithi engabangela
Uma usebenzisa lolu hlobo lomuthi, khuluma nodokotela wakho ngakho.
- I-Spironolactone (yomfutho wegazi ophakeme)
- I-Cimetidine (ye-gastritis)
- I-Finasteride (ye-prostate ekhulisiwe)
- I-Ketoconazole (umuthi wokulwa ne-fungus)
- I-Digoxin (yesifo senhliziyo)
- I-Methotrexate (yomdlavuza kanye nesifo samathambo)
Ngaphezu kwalokho, lesi simo singabangelwa yimithi ethile (insangu, i-heroin) kanye nama-anabolic steroids asetshenziselwa ukwakha umzimba.
Yiziphi izindlela zokwelapha lokhu?
Iningi labantu alidingi ukwelashwa ngalokhu. Kodwa-ke, uma ubhekene nokucindezeleka okukhulu kwengqondo ngenxa yalesi simo, udokotela wakho angaphakamisa izixazululo ezahlukene kuye ngesimo sakho.
1. Ukulinda: I-Gynecomastia, ikakhulukazi entsheni, ivame ukuphela yodwa uma ama-hormone elinganisiwe, ngakho odokotela bavame ukweluleka ukuthi ulinde isikhashana.
2. Ukushintsha imithi: Uma lesi simo sibangelwa umuthi othile, udokotela uzokunikeza umuthi ohlukile esikhundleni salokho. Ungayeki ukuthatha imithi yakho nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho.
3. Ukwelapha isifo esiyisisekelo: Uma imbangela kuyisifo sesibindi noma isifo sezinso, ukwelapha leso sifo kungasiza futhi ekwelapheni i-Gynecomastia.
4. Ukuhlinzwa:Abanye abantu, ikakhulukazi labo abacindezeleke kakhulu, bakhetha ukususwa kwezicubu zebele ezengeziwe ngokuhlinzwa (ukunciphisa ibele labesilisa). Lokhu ukuhlinzwa kobuhle okwenziwa ngokubona kwabo.
Ingabe lokhu kuzoncipha uma ngizivocavoca?
Lona umbuzo abantu abaningi abawubuzayo.
- Uma une -pseudogynecomastia ebangelwa ukukhuluphala, yebo! Ukwehlisa isisindo kanye nokuzivocavoca kungasiza ekunciphiseni amafutha emabeleni akho futhi kuwabuyisele esimweni sawo esijwayelekile.
- Kodwa uma une -gynecomastia yangempela ebangelwa ama-hormone, ukuvivinya umzimba kukodwa ngeke kususe izicubu ze-glandular, ngoba akuwona amafutha, kodwa izicubu ezikhule ngaphansi kwethonya lama-hormone.
Kufanele ngimbone nini udokotela?
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi ubona udokotela wakho.
- Uma uzizwa ucindezelekile kakhulu noma unamahloni ngenxa yamabele akho amakhulu.
- Uma uzwa iqhubu esifubeni sakho futhi libuhlungu .
- Uma kukhona okuphumayo engonweni .
- Uma kuvela ezinye izimpawu ezintsha (isib. ubuhlungu bamasende, ukukhathala ngokweqile) kanye nokukhula kwebele.
Nakuba umdlavuza webele wabesilisa ungavamile kakhulu, udokotela kuphela ongawuhlukanisa ngokunembile ne-gynecomastia. Ngakho-ke ungangabazi.
Ungabuza udokotela wakho le mibuzo:
- Yini ebangela lesi simo kimi?
- Ingabe ngidinga ukushintsha uhlobo lwemithi engiyithathayo?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Lesi simo sizohlala isikhathi esingakanani?
- Yini engingayenza ukuze ngivimbele lokhu ukuthi kungenzeki futhi?
Umlayezo Wokuya Nawe Ekhaya
- I-Gynecomastia iyisimo esivame kakhulu, esivame ukungabi nangozi phakathi kwamadoda.
- Lokhu kubangelwa kakhulu ukungalingani kwama-hormone okwenzeka ezigabeni ezahlukene zokuphila (ekuzalweni, ebuntwaneni, kanye nasebudaleni).
- Kubalulekile ukuqonda umehluko phakathi kokuqongelela kwamafutha emabeleni ngenxa yokukhuluphala (i-Pseudogynecomastia) kanye nokukhula kwezindlala ngenxa yama-hormone (i-Gynecomastia).
- Uma ukhathazekile, usola, noma uzwa ubuhlungu ngoshintsho emabeleni akho, ungabi namahloni bese uthintana nodokotela wakho ukuze akunike iseluleko.
- Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokubonisana nodokotela.
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