Abaselula
I-Gynecomastia ibhekisela kwandiso lobume besilisa kwaye iyenzeka malunga nesiqingatha samakhwenkwe njengoko ihamba ngokukhulelwa. Nangona zixhalabisa kubafana abaninzi abaselula abacinga ukuba bahlakulela amabele, kufuneka baqinisekiswe ukuba i-gynecomastia iyinto eqhelekileyo, iqhelekileyo, kwaye ngokuqhelekileyo ayikho inkqubela phambili ukuba ikhangeleke lula ngontanga. Kwaye kubaluleke kakhulu, kwiimeko ezininzi, i-gynecomastia iyahamba ngaphandle kwonyango.
Iimpawu
Amaninzi amakhwenkwe kunye ne-gynecomastia aya kuphawula ubuncinci obuncinci, obuqinileyo, obunamathenda phantsi kwesinye okanye iimbini zombili. Basenokuqhubeka bekhula kancinci ekuqaleni, kodwa ekugqibeleni baya kuphinda baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphumelele kwinyanga okanye ezimbalwa. Ukunyamekela kudla ngokuqhelekileyo.
Ukuxilongwa
Ukuxilongwa kwe-gynecomastia ngokuqhelekileyo kwenziwa ngokusekelwe kwisifundo esiphezulu somzimba (kubandakanywa novavanyo lweetestular) kunye nomzekelo weempawu, ingakumbi ukuba umntwana wakho usebutsheni. Ukuhlaziywa kweyiphi na imishishini eyenziwa ngumntwana yakho iya kwenziwa. Ukuvavanya, nangona kungabikho mfuneko kubafana abafana, bangabandakanya:
- uvavanyo lweesibindi
- i-plasma DHEAS okanye i-urine-ketosteroids ye-urinary
- plasma estradiol
- plasma hCGá
- iplasma LH kunye ne testosterone
Iintsholongwane ezinobunzima kakhulu zinokuba ne- pseudogynecomastia , apho zikhulise amabele ngenxa yokunyuka kwamafutha kunye neengonyama zebindi . Ngokungafani nabafana abane-gynecomastia yangempela, i-pseudogynecomastia ayiyi kuhamba yodwa ngaphandle kokuba umntwana elahlekelwe isisindo.
Unyango
Nangona ingaqhelekanga imfuneko, ukuba inkwenkwana ifumaneke amabele amaninzi okanye i-gynecomastia ayifuni, unyango olululo lunokukhetha. Uninzi lweengcali zincoma ukulinda ubuncinane ubuncinane iminyaka emibini ngaphambi kokuqwalasela i- mastectomy ye-gynecomastia, nangona kunjalo.
Uphando luyenziwa ngokusetyenziswa kweyeza-anti-estrogen, ezifana ne-raloxifene kunye ne-tamoxifen, ukunyanga amatyala aqhubekayo e-gynecomastia.
Amanye amayeza angabandakanya i-testolactone ye-aromatase inhibitor kunye ne-androgen danazol ebuthakathaka.
Khumbula ukuba uninzi lwabafana alufunanga naluphi na unyango lwe-gynecomastia.
Oko Kufuneka Ukwazi
- I-Gynecomastia ihlala isuka kwiminyaka emibini ukuya kwimithathu kwiminyaka engama-90 ekhulwini yabashumi.
- Ukungalingani phakathi kwe-estrogen kunye ne-androgens, i-hormone ephakama ngexesha lokukhulelwa, kucingelwa ukuba ibangele i-gynecomastia.
- I-Gynecomastia idla ngamanye amaxesha inxulumene nokusetyenziswa kweziyobisi, kuquka i-marijuana kunye ne-anabolic steroids.
- I-Gynecomastia ayifani ngokuqhelekileyo ngaphambi kobuntwaba, kwaye aba bafana abaphambili kufuneka babe nokuhlolwa okupheleleyo kwe-endocrinological.
- I-Gynecomastia ibonakala nakwabantwana abane-Klinefelter syndrome, i-Kallmann syndrome, i-cirrhosis, izifo ze-thyroid, i-testicular feminisation kunye ne-hormone-secreting tumors, kwaye ingaba yimpembelelo yamacandelo athile, njenge-cimetidine, i-hormone yokukhula komntu kunye ne-spironolactone.
- Umdlavuza wesifuba awunqabile kubafana abancinci, ngoko kuya kuba yinto engabonakaliyo yokuvuvukala kwebele kwabeselula. Sekunjalo, amakhwenkwe kufuneka abone ootitshala bezilwanyana ukuba bahlolisise ukuba babona isabatha emabele abo, kokubili ukuvavanya kunye nokuqinisekisa ukuba bafanelekile.
> Imithombo:
> Imiphumo emihle ye-raloxifene kunye ne-tamoxifen kunyango lwe-pubertal gynecomastia. ULawrence SE-J I-Pediatr - 01-JUL-2004; 145 (1): 71-6
Izifo zesifuba kwisigulane sentsha. Arca MJ - Adolesc Med Clin - 01-OCT-2004; 15 (3): 473-85
Inkqubo yokupakisha yeplastiki eplastiki. McGrath MH - Adolesc Med Clin - 01-OCT-2004; 15 (3): 487-502
ULarsen: Iincwadi ze-Williams Book of Endocrinology, 10th,.