Kuwedzera kwemazamu muvanhurume

Kana chisina kujairika chipfuva chemazamu chinokura muvanhurume, chinonzi gynecomastia. Izvo zvakakosha kuti uone kana kukura kwakanyanya iri yemazamu tishu uye kwete yakawandisa mafuta tishu (lipomastia).

Mamiriro acho anogona kuitika mune rimwe kana maviri mazamu. Inotanga sebundu diki pasi pezamu, iro rinogona kunge riri nyoro. Rimwe zamu rinogona kunge rakakura kudarika rimwe. Nekufamba kwenguva bundu rinogona kuzove risinganyoro uye richinzwa kuoma.

Mazamu akawedzeredzwa muvanhurume kazhinji haana kukuvadza, asi anogona kukonzera kuti varume vadzivise kupfeka zvimwe zvipfeko kana kusada kuonekwa vasina hembe. Izvi zvinogona kukonzera kushushikana kwakanyanya, kunyanya mumajaya.

Vamwe vacheche vanogona kuve nekukura kwemazamu pamwe nekubuda kwemukaka (galactorrhea). Iyi mamiriro inowanzo gara kwemavhiki mashoma kusvika kumwedzi. Muzviitiko zvisingawanzoitika, zvinogona kutora kusvika mwana aine gore rimwe chete.

Kazhinji mahormone shanduko ndicho chikonzero chakanyanya kukonzera kukura kwemazamu muvacheche, vakomana nevarume. Kune zvimwe zvikonzero futi.

HORMONE INOCHINJA

Kuwedzera kwemazamu kunowanzo kukonzerwa nekusaenzana kweestrogen (mukadzi mahormone) uye testosterone (murume mahormone). Vanhurume vane mhando mbiri dzehomoni mumuviri wavo. Shanduko muzvikamu zveaya mahormone, kana mune mashandisiro anoita muviri kana kupindura mahormone aya, zvinogona kukonzera mazamu akawedzerwa mune vanhurume.

Mune vacheche, kukura kwemazamu kunokonzerwa nekuratidzwa kune estrogen kubva kuna amai. Inenge hafu yevakomana vacheche vanozvarwa vaine mazamu akawedzerwa, anonzi mazamu buds. Vanowanzoenda mukati memwedzi miviri kusvika mitanhatu, asi vanogona kugara kwenguva refu.

Mumakore ekuyaruka uye kuyaruka, kukura kwemazamu kunokonzerwa neyakajairika mahormone shanduko anoitika mukuyaruka. Inopfuura hafu yevakomana inokudziridza kuwedzera kwezamu panguva yekuyaruka. Kukura kwemazamu kunowanzoenda mukati memwedzi mitanhatu kusvika kumakore maviri.

Muvarume, mahormone anochinja nekuda kwekukwegura kunogona kukonzera kukura kwemazamu. Izvi zvinogona kuitika kazhinji mune varume vakawandisa kana vakafuta uye mune varume vane makore makumi mashanu zvichikwira.

MAITIRO Ehutano

Mamwe matambudziko ehutano anogona kukonzera kukura kwemazamu muvarume vakuru, kusanganisira:

• Chirwere chechiropa chisingaperi
• Itsvo kutadza uye dialysis
• Yakadzika testosterone nhanho
• Kufutisa (zvakare ndiyo inonyanya kukonzera kukura kwemazamu nekuda kwemafuta)

Kazhinji zvikonzero zvinosanganisira:

• Kuremara kwemajini
• Utachiona hwakanyanyisa kana thyroid isingashande
• Tumors (kusanganisira bhenign tumor ye pituitary gland, inonzi prolactinoma)

Mishonga NEMAHARA CHIRAPO

Mimwe mishonga uye marapirwo anogona kukonzera kukura kwemazamu muvarume anosanganisira:

• Kenza chemotherapy
• Hormone kurapwa kwekenza yeprostate, senge flutamide (Proscar), kana yeprostate yakawedzerwa, yakadai seye finasteride (Propecia) kana bicalutamide
• Radiation kurapwa kwema testicles
• Mishonga yeHIV / AIDS
• Corticosteroids uye anabolic steroids
• Estrogen (kusanganisira iya iri mune zvigadzirwa zve soy)
• Kushungurudza uye mishonga yemaronda, senge cimetidine (Tagamet) kana proton pump inhibitors
• Anti-kunetseka mishonga, senge diazepam (Valium)
• Mishonga yemwoyo, senge spironolactone (Aldactone), digoxin (Lanoxin), amiodarone, uye calcium chiteshi blockers
• Antifungal mishonga, senge ketoconazole (Nizoral)
• Mishonga inorwisa mabhakitiriya senge metronidazole (Flagyl)
• Tricyclic antidepressants senge amitriptyline (Elavil)
• Mishonga yemakwenzi yakadai sa lavender, mafuta emuti wetii, uye dong quai
• Opioid

KUSHANDISA ZVINODHAKA NEDZWA

Kushandisa zvimwe zvinhu kunogona kukonzera kuwedzera kwechifuva:

• Doro
• Amphetamine
• Heroin
• Mbanje
• Methadone

Gynecomastia yakave zvakare yakabatana nekuratidzwa kune endocrine vanokanganisa. Aya ndiwo makemikari anowanzo kuwanikwa mumapurasitiki.

Varume vakawedzera mazamu vanogona kuve nenjodzi yakawedzera yekenza yemazamu. Kenza yemuzamu muvarume haiwanzoitika. Zviratidzo zvinogona kuratidza kenza yemazamu zvinosanganisira:

• Imwe-yakatsigira zamu kukura
• Yakasimba kana yakaoma bundu bundu iro rinonzwa senge rakasungirirwa munyama
• Ganda rinorwadza pamusoro pechipfuva
• Ropa rinobuda kubva munyatso

Pamazamu ekuzvimba ari nyoro, kushandisa kutonhora kumanikidza kunogona kubatsira. Kumbira mubatsiri wako wehutano kana zvakanaka kutora marwadzo ekudzora.

Mamwe matipi anosanganisira:

• Regedza kutora zvese zvinodhaka zvekuvaraidza, senge mbanje
• Regedza kutora zvese zvinovaka muviri zvekuwedzera kana chero mishonga yauri kutora yekuvaka muviri

Fonera mupiki wako kana:

• Iwe uchangobva kuzvimba, kurwadziwa, kana kuwedzera mune rimwe kana maviri mazamu
• Kune rima kana reropa rinobuda kubva minyatso
• Pane ganda rinorwadza kana ulcer pamusoro pechipfuva
• Bundu remuzamu rinonzwa rakaoma kana kusimba

Kana mwanakomana wako akura pachipfuva asi asati asvika pazera rekuyaruka, zviongororwe neanokupa.

Mupiki wako achatora nhoroondo yezvokurapa uye oongorora muviri.

Unogona kusada chero bvunzo, asi bvunzo dzinotevera dzingaitwe kutonga kunze kwezvimwe zvirwere:

• Ropa mahormone muyero bvunzo
• Zamu Ultrasound
• Chiropa uye itsvo basa rekudzidza
• Mammogram

KURAPWA

Kazhinji hapana kurapwa kunodiwa. Kukura kwemazamu mucheche achangoberekwa uye vakomana vadiki kunowanzoenda kwoga.

Kana chirwere chiri kukonzeresa dambudziko, mupi wako anozorapa iwo mamiriro.

Mupiki wako achataura newe nezve mishonga kana zvinhu zvinogona kukonzera kukura kwemazamu. Kumisa mashandisiro avo kana kushandura mishonga kunoita kuti dambudziko ripere. Usarega kutora chero mishonga usati wataura nemupi wako.

Kukura kwemazamu kwakakura, kusaenzana, kana kusingaendi kunogona kukonzera kudzikira kwehunhu hwehupenyu. Mishonga inogona kushandiswa mune ino mamiriro ndeiyi:

• Hormone kurapwa iyo inovhara mhedzisiro yeestrogens
• Kuvhiya zamu kubvisa zamu nyama

Gynecomastia anga aripo kwenguva yakareba haigone kugadzirisa kunyangwe kurapwa kwakatangwa.

Gynecomastia; Kukura kwemazamu mukono

• Gynecomastia

Ali O, Donohoue PA. Gynecomastia. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 603.

Anawalt BD. Gynecomastia. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsuwa 140.

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