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.
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 .
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.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esinikezwa i-Amlodipine (Amlodipine / Norvasc)?
Leli iphilisi lomfutho wegazi elisebenza kahle kakhulu (iCalcium Channel Blocker - CCB) elisetshenziswa kakhulu eSri Lanka nasemhlabeni wonke ukulawula 'umfutho wegazi ophezulu'! Leli philisi aligcini nje ngokwehlisa umfutho wegazi, kodwa futhi lingumuthi omkhulu onconywa odokotela ukuvimbela i-angina pectoris / isifo semithambo yegazi yenhliziyo nokugcina imithambo yegazi yenhliziyo iphilile.
💬 Ukuthatha leli philisi lomfutho wegazi (i-Amlodipine) kusiza kanjani ekunciphiseni umfutho wegazi kanye nobuhlungu besifuba?
Ukuze umthambo wegazi ufinyele/ufinyele futhi ingcindezi ikhuphuke (futhi ukuze isifuba siqine), izinhlayiya ze-'Calcium' kumele zingene emisipheni yomthambo wegazi! Lapho nje leli philisi lingena egazini, wonke amasango e-calcium (iziteshi ze-calcium zohlobo lwe-L) enhliziyweni nasemithanjeni yegazi ayavalwa/avalwe futhi avalwe ngo-100%! Njengoba i-calcium ingangeni, umthambo wegazi awufinyeleli futhi uba mkhulu kakhulu (i-Vasodilation). Bese igazi ligeleza kalula futhi ingcindezi iyehla.
💬 Yimiphi imiphumela emibi ecasulayo yokusebenzisa lo muthi (i-Norvasc/i-Amlodipine)?
Lona umuthi ophephile kakhulu, kodwa umphumela omubi kakhulu nocasulayo kakhulu 'ukuvuvukala kwamaqakala/imilenze (i-Peripheral Edema)' (ngenxa yokwanda kwemithambo yegazi). Uma imilenze ivuvukala, udokotela uzokuyeka lokhu akunike omunye umuthi. Futhi, ngesikhathi sokuqala sokuthatha lo muthi, ungase uzwe ukubomvu/ukuvuvukala kobuso ngokuzumayo (Ukushawa), ikhanda elibuhlungu elibi, kanye nokushaya kwenhliziyo okusheshayo (I-Palpitations).
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