Ukukhuliswa kwamabele emadodeni

Lapho izicubu zesifuba ezingavamile zikhula kwabesilisa, ibizwa ngokuthi i-gynecomastia. Kubalulekile ukuthola ukuthi ukukhula okweqile kuyizicubu zesifuba hhayi izicubu zamafutha ngokweqile (lipomastia).

Isimo singenzeka ebeleni elilodwa noma womabili. Iqala njengesigaxa esincane ngaphansi kwengono, esingahle sithambe. Isifuba esisodwa singaba sikhulu kunesinye. Ngokuhamba kwesikhathi isigaxa singancipha futhi sizizwe sinzima.

Amabele akhulisiwe kwabesilisa imvamisa ayinabungozi, kepha angadala ukuthi amadoda agweme ukugqoka izingubo ezithile noma angafuni ukubonwa ngaphandle kwehembe. Lokhu kungadala ukucindezeleka okukhulu, ikakhulukazi ezinsizweni.

Ezinye izingane ezisanda kuzalwa zingakhula ngamabele kanye nokukhishwa okushubile (i-galactorrhea). Lesi simo sivame ukuhlala amasonto ambalwa kuye ezinyangeni. Ezimweni ezingavamile, ingahlala kuze kube yilapho ingane ineminyaka engu-1 ubudala.

Izinguquko ezijwayelekile zehomoni ziyimbangela ejwayelekile yokuthuthuka kwamabele ezinganeni ezisanda kuzalwa, kubafana nakwabesilisa. Kunezinye izimbangela futhi.

UKUGUQULWA KWEHORMONE

Ukwandiswa kwesisu kuvame ukubangelwa ukungalingani kwe-estrogen (i-hormone yabesifazane) ne-testosterone (i-hormone yabesilisa). Abesilisa banezinhlobo zombili zamahomoni emzimbeni wabo. Izinguquko emazingeni ala mahomoni, noma ukuthi umzimba usebenzisa noma uphendula kanjani kula mahomoni, zingadala amabele akhulisiwe kwabesilisa.

Ezinganeni ezisanda kuzalwa, ukukhula kwamabele kudalwa wukuvezwa yi-estrogen evela kumama. Cishe uhhafu wezingane ezingabafana zizalwa zinamabele akhulisiwe, abizwa ngokuthi amabele efihlekile. Imvamisa ziyahamba ezinyangeni ezimbili kuya kweziyisithupha, kepha zihlala isikhathi eside.

Ebusheni nasebusheni, ukukhula kwamabele kubangelwa izinguquko ezijwayelekile zehomoni ezenzeka lapho uthomba. Abangaphezu kwengxenye eyodwa yabafana bakhulisa ukukhuliswa okuthile kwebele ngesikhathi sokuthomba. Ukukhula kwamabele kuvame ukuhamba cishe ezinyangeni eziyisithupha kuye eminyakeni emibili.

Emadodeni, ukushintsha kwama-hormone ngenxa yokuguga kungadala ukukhula kwebele. Lokhu kungenzeka kaningi emadodeni akhuluphele ngokweqile noma abakhuluphele nakubesilisa abaneminyaka engama-50 nangaphezulu.

IZIMO ZEMPILO

Izinkinga ezithile zempilo zingadala ukukhula kwamabele emadodeni amadala, kufaka phakathi:

• Isifo esingalapheki sesibindi
• Ukuhluleka kwezinso kanye ne-dialysis
• Izinga le-testosterone eliphansi
• Ukukhuluphala (futhi kuyimbangela evame kakhulu yokukhula kwamabele ngenxa yamafutha)

Izimbangela eziningi zifaka:

• Ukukhubazeka kofuzo
• Indlala yegilo eyeqile noma engasebenzi kahle
• Izicubu (kufaka phakathi isimila esibi se-pituitary gland, esibizwa ngeprolactinoma)

IMITHI NEZOKWELAPHA

Eminye imithi nokwelashwa okungadala ukukhula kwamabele emadodeni kufaka:

• I-Cancer chemotherapy
• Ukwelashwa kwehormone komdlavuza wendlala yabesilisa, njenge-flutamide (Proscar), noma i-prostate enwetshiwe
• Ukwelashwa ngemisebe yamasende
• Imithi ye-HIV / AIDS
• I-Corticosteroids ne-anabolic steroids
• I-Estrogen (kufaka phakathi leyo emikhiqizweni yesoya)
• Imithi yesilungulela neyesilonda, efana ne-cimetidine (Tagamet) noma i-proton pump inhibitors
• Imithi yokulwa nokukhathazeka, njenge-diazepam (Valium)
• Imithi yenhliziyo, efana ne-spironolactone (Aldactone), i-digoxin (i-Lanoxin), i-amiodarone, ne-calcium block blockers
• Imithi yokubulala amagciwane, njenge ketoconazole (Nizoral)
• Imithi elwa namagciwane efana ne-metronidazole (Flagyl)
• I-Tricyclic antidepressants efana ne-amitriptyline (Elavil)
• Amakhambi afana ne-lavender, uwoyela wesihlahla setiyi, ne-dong quai
• Ama-opioid

UKUSETSHENZISWA KWEZIDAKAMIZWA NOKUTSHWALA

Ukusebenzisa izinto ezithile kungadala ukukhuliswa kwebele:

• Utshwala
• Ama-Amphetamines
• I-Heroin
• Insangu
• I-Methadone

IGynecomastia iphinde yaxhunyaniswa nokuchayeka kwabaphazamisi be-endocrine. Lawa amakhemikhali ajwayelekile atholakala kaningi kupulasitiki.

Abesilisa abanamabele akhulisiwe bangaba nengozi eyengeziwe yomdlavuza webele. Umdlavuza webele emadodeni uyivelakancane. Izimpawu ezingaphakamisa umdlavuza webele zifaka:

• Ukukhula kwebele okukodwa
• Isigaxa esiqinile noma esiqinile esizwa sengathi sinamathele ezicutshini
• Isikhumba sibuhlungu ngaphezu kwebele
• Ukukhishwa kwegazi engonweni

Kumabele avuvukile athambile, ukusebenzisa ukucindezela okubandayo kungasiza. Buza umhlinzeki wakho wezokunakekelwa kwempilo ukuthi KULUNGILE yini ukudambisa izinhlungu.

Amanye amathiphu afaka:

• Yeka ukuthatha zonke izidakamizwa zokuzijabulisa, njengensangu
• Yeka ukuthatha zonke izithasiselo zokudla okunempilo noma noma imiphi imithi oyiphuzayo yokwakha umzimba

Shayela umhlinzeki wakho uma:

• Unokuvuvukala kwakamuva, ubuhlungu, noma ukukhuliswa kwelinye noma kuwo womabili amabele
• Kukhona ukukhipha okumnyama noma okunegazi okuvela ezingonweni
• Kukhona isifo sesikhumba noma isilonda ngaphezu kwebele
• Isigaxa sebele sizwa kanzima noma siqinile

Uma indodana yakho ikhula ibele kepha ingakafiki ebusheni, yihlolisise ngumhlinzeki.

Umhlinzeki wakho uzothatha umlando wezokwelapha futhi enze ukuhlolwa komzimba.

Ungahle ungadingi zivivinyo, kepha lezi zivivinyo ezilandelayo zingenziwa ukukhipha izifo ezithile:

• Ukuhlolwa kwezinga lama-hormone egazi
• I-ultrasound yamabele
• Izifundo zomsebenzi wesibindi nowezinso
• I-Mammogram

UKWELASHWA

Imvamisa akudingeki ukwelashwa. Ukukhula kwamabele ezinganeni ezisanda kuzalwa nabafana abancane kuvame ukuzihambela kukodwa.

Uma isimo sezokwelapha sidala inkinga, umhlinzeki wakho uzosiphatha leso simo.

Umhlinzeki wakho uzokhuluma nawe ngemithi noma izinto ezingadala ukukhula kwamabele. Ukumisa ukusetshenziswa kwabo noma ukushintsha imithi kuzokwenza inkinga iphele. Ungayeki ukuthatha noma yimiphi imithi ngaphambi kokukhuluma nomhlinzeki wakho.

Ukukhula kwamabele okukhulu, okungalingani, noma okungapheli kungadala ukwehla kwekhwalithi yempilo. Izindlela zokwelapha ezingasetshenziswa kulesi simo yilezi:

• Ukwelashwa kweHormone okuvimba imiphumela yama-estrogens
• Ukuhlinza ukunciphisa amabele ukususa izicubu zesifuba

IGynecomastia ebisikhona isikhathi eside mancane amathuba okuthi ixazululwe noma ngabe kuqalwe ukwelashwa okufanele.

Gynecomastia; Ukukhuliswa kwamabele kowesilisa

• Gynecomastia

U-Ali O, uDonohoue PA. Gynecomastia. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 603.

I-Anawalt BD. Gynecomastia. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 140.

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