I-testosterone ephansi namabele wesilisa (Gynecomastia)

-Delile

• Ukuqonda okuphansi T
• Ukuqonda i-gynecomastia
• Izimbangela ze-T ephansi ne-gynecomastia
• Ukwelashwa
• Gynecomastia
• Okuphansi T
• Imiphumela emibi yokwelashwa
• Khuluma nodokotela wakho
• Ukuthatha

Ukubuka konke

Izinga eliphansi le-testosterone emadodeni kwesinye isikhathi lingaholela esimeni esibizwa nge-gynecomastia, noma ukukhula kwamabele amakhulu.

I-testosterone yi-hormone eyenzeka ngokwemvelo. Inesibopho sezici zomzimba zesilisa futhi ithinta nokuya ocansini kwendoda nemizwa. Lapho kunokungalingani kwamahomoni omzimba emadodeni, kufaka phakathi i-testosterone, i-gynecomastia ingaqala.

Kokubili i-testosterone ne-gynecomastia ephansi kuyelapheka. Kubalulekile ukuthi uqale uqonde izimbangela zesimo ngasinye.

Ukuqonda okuphansi T

Amazinga e-testosterone ngokuvamile ancipha njengoba amadoda ekhula. Lokhu kubizwa ngokuthi yi-hypogonadism, noma “low T.” Ngokwe-Urology Care Foundation, owesilisa oyedwa kwabane oneminyaka engaphezu kwengu-45 une-T ephansi. Ukuba namazinga aphansi e-testosterone kungaholela ezinkingeni eziningi:

• kunciphise i-libido
• ukubala kwesidoda okuphansi
• ukungasebenzi kahle kwe-erectile (ED)
• amabele wesilisa akhulisiwe, abizwa nge-gynecomastia

Ukuqonda i-gynecomastia

Umzimba wesilisa ukhiqiza kokubili i-testosterone ne-estrogen, yize i-estrogen ivame ukutholakala emazingeni aphansi. Uma amazinga womuntu we-testosterone ephansi kakhulu uma kuqhathaniswa ne-estrogen, noma uma kunomsebenzi owedlulele we-estrogen ophathelene ne-testosterone, amabele amakhulu angakhula.

Lapho abafana bethomba futhi kuba noshintsho olubonakalayo ekusebenzeni kwamahomoni emzimbeni, i-gynecomastia ingavela. Kodwa-ke, ingazixazulula ngokuhamba kwesikhathi nangaphandle kokwelashwa. Ukweqiwa kwezicubu zamabele kungalingana kuwo womabili amabele, noma kungahle kube nokuningi esifubeni esisodwa kunesinye.

Njengoba amazinga e-testosterone ewela emadodeni amadala, i-gynecomastia ingahle ikhule futhi iqhubeke ngaphandle uma yelashwa. IGynecomastia ithinta cishe umuntu oyedwa kwabane phakathi kweminyaka yobudala engama-50 nengama-80, ngokusho kweMayo Clinic. Isimo ngokuvamile asinabungozi noma sibucayi. Kwezinye izimo, kungaholela kwizicubu zesifuba esibuhlungu.

Izimbangela ze-T ephansi ne-gynecomastia

I-Low T imvamisa imane nje ingumphumela wokuguga. Izimo zezempilo ezingaphansi kwazo nazo zingaba imbangela. Khuluma nodokotela wakho mayelana nokuthi i-T yakho ephansi ingaba yini umphumela wesimo esingaphansi, njenge:

• ukulimala kwamaseli kuma-testes akhiqiza i-testosterone
• ingozi
• ukuvuvukala (ukuvuvukala)
• umdlavuza wamasende
• ukwelashwa komdlavuza, kufaka phakathi imisebe kanye ne-chemotherapy
• izifo ezithinta izingxenye zobuchopho, njenge-hypothalamus ne-pituitary gland

Ngokwengeziwe, uma uthatha ama-anabolic steroids, ungahle futhi ulimaze amandla omzimba wakho wokwenza i-testosterone.

Ukwelashwa

Kunezinhlobo zokwelashwa ezitholakalayo zombili i-gynecomastia kanye ne-T ephansi.

Gynecomastia

I-Gynecomastia ingalashwa ngemithi efana ne-raloxifene (Evista) ne-tamoxifen (Soltamox). Ukuphathwa Kwezokudla Nezidakamizwa e-U.S. Kugunyaze le mithi yokwelapha umdlavuza webele, kepha hhayi i-gynecomastia. Ukusetshenziswa kwezidakamizwa ukwelapha isimo esingagunyaziswanga yi-FDA kwaziwa njengokusetshenziswa kwe- “off-label”. Ukwelashwa ngaphandle kwamalebula kungaphepha. Kepha kufanele ukhulume ngokusetshenziswa kwale mithi nodokotela wakho ngaphambi kokuqala ukwelashwa.

Kukhona izinketho zokuhlinzwa, futhi. Kungenzeka ukuthi uzwile nge-liposuction, esusa amafutha amaningi esiswini. Ingasetshenziselwa ukususa amafutha emabeleni, futhi. I-Liposuction ayithinti indlala yesifuba, noma kunjalo. I-mastectomy ukususwa kokuhlinzwa kwezicubu zezindlala zesifuba. Kungenziwa ngokusikwa okuncane nangesikhathi esifushane sokululama. Lezi zindlela zokwelapha zingabandakanya ukuhlinzekwa kokulungiswa noma kwezimonyo ukukunikeza umumo nokubukeka okufunayo.

Okuphansi T

Ngaphezu kokwelapha i-gynecomastia, ungahle uthande ukwelapha amazinga aphansi e-T. Testosterone emadodeni athanda ukwehla ngokukhula. Yingakho amadoda amaningi amadala ezama i-testosterone replacement therapy. Ukwelashwa kuyatholakala ngezindlela ezahlukahlukene:

• izikhumba zesikhumba
• amabala
• imijovo

Abesilisa abathola i-testosterone therapy esikhundleni bavame ukuba nemiphumela ebonakalayo. Imvamisa bathola ukuthuthuka ku:

• amandla
• ukushayela ucansi
• ukuvinjelwa
• lala
• isisindo semisipha

Bangabona ushintsho oluhle ekubukeni nasezimweni zabo. Emadodeni ane-T ephansi, ukwelashwa nge-testosterone replacement therapy kungasombulula i-gynecomastia.

Imiphumela emibi yokwelashwa

Kunemiphumela engemihle engaba khona ekwelashweni okushintshwa kwe-testosterone. Abesilisa abangahle babe nomdlavuza webele noma umdlavuza we-prostate akufanele bathole ukwelashwa okufaka esikhundleni se-testosterone. Kube khona impikiswano mayelana nokuthi ukwelashwa kungayinyusa yini ingozi yokuba nomdlavuza wendlala yabesilisa. Ngaphezu kwalokho, kungakhuphula ubungozi bakho emicimbini yenhliziyo nemithambo yegazi, ukuvimbela ukuphefumula kokulala, kanye nokukhiqizwa kwamaseli abomvu ngokweqile. Kuyafaneleka ukuba nengxoxo nodokotela wakho mayelana nocwaningo lwakamuva, kanye nezingozi nezinzuzo zokwelashwa kwe-testosterone.

Khuluma nodokotela wakho

Ungazizwa ungakhululekile ukuxoxa nge-testosterone ephansi ne-gynecomastia. Kepha izimo azivamile. Ngokusho kweBoston University School of Medicine, abesilisa abayizigidi ezi-4 kuye kwezi-5 e-United States bane-testosterone ephansi. IGynecomastia ijwayelekile futhi.

Ukuthatha

I-Low T ne-gynecomastia yizimo ezivamile phakathi kwamadoda, ikakhulukazi njengoba ekhula. Izinketho eziningi zokwelashwa ziyatholakala. Ukuxoxa ngezindlela zokwelashwa nodokotela wakho kungakusiza ukuthi ulawule impilo yakho nomzimba wakho. Ungazuza futhi ngokukhuluma nomelaphi mayelana nokukhathazeka kwakho. Iqembu lokusekelwa lamanye amadoda ane-gynecomastia lingakunika umbono othile wokusiza ukubhekana nalesi simo futhi.

Ngokungafani nezinye izimo ezingenazo izinketho zokwelashwa zangempela, i-T ephansi ne-gynecomastia ingahle yelashwe, futhi ikhwalithi yakho yempilo ingathuthuka.