Intsha
I-Gynecomastia ibhekisela ekukhulisweni kwesifuba sesilisa futhi kwenzeka cishe cishe isigamu sabafana njengoba behamba ngokukhulelwa. Nakuba kuphazamiseka kubafana abaningi abasha abacabanga ukuthi basathuthuka amabele, kufanele baqinisekiswe ukuthi i-gynecomastia ivamile, evamile, futhi ngokuvamile ayiqhubeki kuze kube yilapho ibonakala kalula ngabangane babo. Futhi okubaluleke kakhulu, ezimweni eziningi, i-gynecomastia iyahamba ngaphandle kokwelashwa.
Izimpawu
Abaningi abafana abane-gynecomastia bazobona inqwaba, eqinile, ithenda elincane ngaphansi kweyodwa noma zombili izinsipho. Bangase baqhubeke bekhula kancane ekuqaleni, kodwa ekugcineni bazophinda baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baqede izinyanga ezimbalwa noma iminyaka. Ububele buvame futhi okwesikhashana.
Ukuxilongwa
Ukuxilongwa kwe-gynecomastia kuvamise kwenziwa ngokususelwa ekuhlolweni okuningiliziwe ngokomzimba (kufaka phakathi ukuhlola kwe-testicular) kanye nephethini yezimpawu, ikakhulukazi ukuthi ingane yakho isencane. Ukubuyekezwa kwanoma yimiphi imithi ingane yakho ethathayo nayo izokwenziwa. Ukuhlola, nakuba kungadingeki kubafana abasha, kungafaka:
- izivivinyo zomsebenzi zesibindi
- i-plasma DHEAS noma i-17-ketosteroids ye-urinary
- i-plasma estradiol
- i-plasma hCGá
- i-plasma LH ne-testosterone
Intsha enamandla ngokweqile ingaba ne- pseudogynecomastia , lapho ikhulise amabele ngenxa yokwanda kwamafutha hhayi izicubu zebele. Ngokungafani nentsha ene-gynecomastia yeqiniso, i-pseudogynecomastia ngeke ihambe yodwa ngaphandle kokuthi ingane ilahlekelwe isisindo.
Ukwelapha
Nakuba kungadingekile, uma umfana osemusha ephethe amabele amancane kakhulu noma i-gynecomastia yakhe engeke ihambe, ukwelashwa okuhlinzekwa kungaba ukhetho. Iningi labachwepheshe batusa ukulinda okungenani iminyaka emibili ngaphambi kokucubungula i- mastectomy ye-gynecomastia, noma kunjalo.
Ucwaningo luyenziwa ngokusebenzisa imithi yama-anti-estrogen, njenge-raloxifene ne-tamoxifen, ukuphatha amacala aphikisayo we-gynecomastia.
Eminye imithi ingase ihlanganise testolactone ye-aromatase inhibitor kanye ne-danazol ebuthakathaka.
Khumbula ukuthi iningi lentsha ayidingi ukwelashwa nge-gynecomastia yabo noma kunjalo.
Okudingeka Ukwazi
- I-Gynecomastia ivame ukuhamba phakathi kweminyaka emibili kuya kwemibili emaphesenti angu-90 entsha.
- Ukungalingani phakathi kwe-estrogen ne-androgens, ama-hormone aphakama ngesikhathi sokukhulelwa, kucatshangwa ukuthi ibangele i-gynecomastia.
- I-Gynecomastia ngezinye izikhathi ihlotshaniswa nokusetshenziswa kwezidakamizwa, kubandakanya i-marijuana ne-anabolic steroids.
- I-Gynecomastia ayitholakali kangako ngaphambi kokukhulelwa, futhi laba bafana abaphambili kufanele babe nokuhlolwa okugcwele kwe-endocrinological.
- I-Gynecomastia ibonakala nasezintwaneni ezine-Klinefelter syndrome, i-Kallmann syndrome, i-cirrhosis, izifo ze-thyroid, i-testicular feminisation, nama-tumor-secreting tumors, futhi ingaba nemiphumela emibi yemithi ethile, njenge-cimetidine, i-hormone yokukhula yabantu, ne-spironolactone.
- Umdlavuza wesibeletho awunqabile kakhulu kubafana abasha, ngakho-ke lokho kungaba yimbangela yokukhukhumeza kwebele entsheni. Noma kunjalo, abafana kufanele babone ukuthi izingane zabo zihlolwe uma zibona inhlama emathunjini abo, kokubili ukuhlola nokuqinisekisa ukuthi zilungile.
> Imithombo:
> Imiphumela emihle ye-raloxifene ne-tamoxifen ekwelapheni kwe-gynecomastia yokusakaza. ULawrence SE - J Izingane Zomntwana - 01-JUL-2004; 145 (1): 71-6
Izifo zesisu esifubeni sesiguli. I-Arca MJ - Adolesc Med Clin - 01-OCT-2004; 15 (3): 473-85
Izinqubo zokuhlinza nge-plastiki ezikhethiwe ekukhuleni. McGrath MH - Adolesc Med Clin - 01-OCT-2004; 15 (3): 487-502
Larsen: Williams Bookbook of Endocrinology, 10th,.