Kukula kwa m'mawere mwa amuna

Matenda achilendo akakhala amphongo, amatchedwa gynecomastia. Ndikofunikira kudziwa ngati kukula kwakukulu ndi minofu ya m'mawere osati mafuta owonjezera (lipomastia).

Vutoli limatha kuchitika mu bere limodzi kapena onse awiri. Imayamba ngati chotupa chaching'ono pansi pamabele, chomwe chimatha kukhala chofewa. Chifuwa chimodzi chikhoza kukhala chachikulu kuposa chimzake. Pakapita nthawi chotupacho chimayamba kuchepa ndikumva kuwawa.

Mabere okulitsidwa mwa amuna nthawi zambiri amakhala opanda vuto, koma atha kupangitsa amuna kupewa kuvala zovala zina kapena kusafuna kuwoneka opanda malaya. Izi zitha kubweretsa zovuta zazikulu, makamaka mwa anyamata.

Ana ena akhanda atha kukula m'mimba komanso kutulutsa mkaka wamkaka (galactorrhea). Vutoli limakhala kwa milungu ingapo mpaka miyezi. Nthawi zambiri, zimatha mpaka mwana atakwanitsa chaka chimodzi.

Kusintha kwamankhwala abwinobwino ndizomwe zimayambitsa kukula kwa mawere kwa makanda, anyamata, ndi abambo. Palinso zifukwa zina.

ZOCHITIKA ZA HORMONE

Kukulitsa mawere nthawi zambiri kumachitika chifukwa cha kusalinganika kwa estrogen (mahomoni achikazi) ndi testosterone (mahomoni amphongo). Amuna ali ndi mitundu iwiri ya mahomoni mthupi lawo. Kusintha kwa milingo ya mahomoniwa, kapena momwe thupi limagwiritsira ntchito kapena kuyankhira mahomoni amenewa, kumatha kuyambitsa mawere okulirapo mwa amuna.

Mwa makanda obadwa kumene, kukula kwa m'mawere kumachitika chifukwa chodziwitsidwa ndi estrogen kuchokera kwa mayi. Pafupifupi theka la ana aamuna amabadwa ali ndi mawere okulitsidwa, otchedwa mawere a m'mawere. Nthawi zambiri amatha miyezi iwiri kapena isanu ndi umodzi, koma amatha nthawi yayitali.

Asanakwanitse zaka 13, kukula kwa mawere kumayamba chifukwa cha kusintha kwa mahomoni komwe kumachitika munthu akamatha msinkhu. Oposa theka la anyamata amayamba kukulitsa m'mawere akatha msinkhu. Kukula kwa m'mawere kumatha pafupifupi miyezi 6 mpaka zaka ziwiri.

Amuna, kusintha kwa mahomoni chifukwa cha ukalamba kumatha kuyambitsa kukula kwa m'mawere. Izi zitha kuchitika kawirikawiri mwa amuna onenepa kwambiri kapena onenepa komanso azaka zapakati pa 50 ndi kupitirira.

Mikhalidwe YA MOYO

Mavuto ena azaumoyo amatha kuyambitsa kukula kwa mawere mwa amuna akulu, kuphatikiza:

• Matenda a chiwindi
• Impso kulephera ndi dialysis
• Mulingo wotsika wa testosterone
• Kunenepa kwambiri (komwe kumayambitsanso kukula kwa mawere chifukwa cha mafuta)

Zomwe zimayambitsa zimaphatikizapo:

• Zofooka za chibadwa
• Chithokomiro chopitilira muyeso kapena chithokomiro chosagwira ntchito
• Zotupa (kuphatikiza chotupa chosaopsa cha pituitary gland, chotchedwa prolactinoma)

MANKHWALA NDI CHITHANDIZO CHA MANKHWALA

Mankhwala ena ndi mankhwala omwe angayambitse kukula kwa mawere mwa amuna ndi awa:

• Khansa chemotherapy
• Chithandizo cha mahomoni a khansa ya prostate, monga flutamide (Proscar), kapena prostate wokulitsidwa, monga finasteride (Propecia) kapena bicalutamide
• Chithandizo cha radiation cha machende
• Mankhwala a HIV / AIDS
• Corticosteroids ndi anabolic steroids
• Estrogen (kuphatikizapo omwe ali mu zinthu za soya)
• Mankhwala a kutentha pa chifuwa ndi zilonda, monga cimetidine (Tagamet) kapena proton pump inhibitors
• Mankhwala oletsa nkhawa, monga diazepam (Valium)
• Mankhwala amtima, monga spironolactone (Aldactone), digoxin (Lanoxin), amiodarone, ndi calcium channel blockers
• Mankhwala osokoneza bongo, monga ketoconazole (Nizoral)
• Maantibayotiki monga metronidazole (Flagyl)
• Tricyclic antidepressants monga amitriptyline (Elavil)
• Zitsamba monga lavenda, mafuta amtiyi, ndi dong quai
• Opioids

KUGWIRITSA NTCHITO CHAKUGWIRITSA NTCHITO NDIPONSO KUledzeretsa

Kugwiritsa ntchito zinthu zina kumatha kukulitsa mawere:

• Mowa
• Amphetamine
• Heroin
• Chamba
• Methadone

Gynecomastia idalumikizidwanso ndikuwonetsedwa ndi osokoneza a endocrine. Awa ndi mankhwala wamba omwe amapezeka m'mapulasitiki.

Amuna omwe akulitsa mawere atha kukhala ndi chiopsezo chowonjezeka cha khansa ya m'mawere. Khansa ya m'mawere mwa amuna ndiyosowa. Zizindikiro zomwe zitha kunena kuti khansa ya m'mawere ndi monga:

• Kukula kwa bere limodzi
• Bulu lolimba kapena lolimba lomwe limamverera ngati limalumikizidwa ndi minofu
• Khungu likupweteka pachifuwa
• Magazi kutuluka kumabele

Kwa mawere otupa omwe ali ofewa, kugwiritsa ntchito ma compress ozizira kungathandize. Funsani wothandizira zaumoyo wanu ngati zili bwino kuti mutenge ululu.

Malangizo ena ndi awa:

• Lekani kumwa mankhwala onse osangalatsa, monga chamba
• Lekani kumwa zowonjezerapo thanzi kapena mankhwala aliwonse omwe mumamwa pomanga thupi

Itanani omwe akukuthandizani ngati:

• Muli ndi kutupa kwaposachedwa, kupweteka, kapena kukulitsidwa mu bere limodzi kapena onse awiri
• Pali kutulutsa kwamdima kapena kwamagazi kuchokera kumabele
• Pali khungu kapena chilonda pakhungu
• Bulu la bere limamva kukhala lolimba kapena lolimba

Ngati mwana wanu wamwamuna wakula msinkhu koma sanathe msinkhu, muuzeni amene akukupatsani.

Wothandizira anu atenga mbiri ya zamankhwala ndikuwunika.

Simungasowe kuyesedwa, koma mayeso otsatirawa atha kuchitidwa kuti athetse matenda ena:

• Mayeso amwazi wamagazi
• Chiberekero cha m'mawere
• Ntchito ya chiwindi ndi impso
• Mammogram

CHITHANDIZO

Nthawi zambiri sipakhala chithandizo. Kukula kwa m'mimba mwa ana obadwa kumene komanso anyamata achichepere nthawi zambiri kumatha pakokha.

Ngati vuto lazachipatala likuyambitsa vutoli, omwe akukuthandizani adzakuthandizani.

Wopezayo amakambirana nanu zamankhwala kapena zinthu zomwe zingayambitse kukula kwa mawere. Kuletsa kugwiritsa ntchito kwawo kapena kusintha mankhwala kumapangitsa vutolo kutha. Osasiya kumwa mankhwala musanalankhule ndi omwe akukuthandizani.

Kukula kwa m'mawere komwe kuli kwakukulu, kosagwirizana, kapena sikutha kungayambitse kuchepa kwa moyo. Mankhwala omwe angagwiritsidwe ntchito panthawiyi ndi awa:

• Chithandizo cha mahomoni chomwe chimalepheretsa zotsatira za ma estrogens
• Opaleshoni ya kuchepetsa mabere kuchotsa minofu ya m'mawere

Gynecomastia yomwe yakhalapo kwanthawi yayitali siyingathe kuthetsedwa ngakhale atalandira chithandizo choyenera.

Gynecomastia; Kukula kwa m'mawere mwa mwamuna

• Gynecomastia

Ali O, Donohoue PA. Gynecomastia. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 603.

Anawalt BD. Gynecomastia. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 140.

Sansone A, Romanelli F, Sansone M, Lenzi A, Di Luigi L. Gynecomastia ndi mahomoni. Endocrine. 2017; 55 (1): 37-44. PMID: 27145756 pubed.ncbi.nlm.nih.gov/27145756/.