Gynecomastia ezingabantu: ukwelashwa ngaphandle kokuhlinzwa enkambweni steroid

Lesi sifo, njengoba gynecomastia, kuba ezijwayele khona namadoda amaningi. uphawu wayo isici Ukwanda ebeleni. Pathology kuzibonakalisa hhayi kuphela ukubukeka, kodwa futhi uletha uzwe ubuhlungu obukhulu ngokwengqondo. Ngenxa gynecomastia ezingabantu babe izakhiwo ezinkulu. Phatha ngaphandle ukuhlinzwa kungenzeka, kuphela uma isifo akasebenzisi.

Kuyini lokhu zokugula?

Gynecomastia kwabesilisa, ukwelashwa ngaphandle ukusebenza owenziwa nge zezidakamizwa nokusebenzisa amakhambi abantu, limelela ukukhula webele izicubu, ephelezelwa ushintsho ivolumu izakhiwo amafutha nezindlala. Lokhu zokugula has amanye amagama: izicubu deformity, webele ukukhulisa, hypertrophy of the nezindlala mammary.

webele ububanzi leso sifo angase afinyelele 10 cm, nakuba ezimweni eziningi zokhahlamba kusuka 3-4 cm. Uma kungenziwa lutho, lo gynecomastia kungaholela ukubukeka umdlavuza kule ndlala mammary.

Wamabele nokwengezwa kwenzeka ucansi aqinile bonke ubudala. Ngokwesibonelo, eminyakeni engaphezu kwengu-45, kuncike ukubukeka gynecomastia ngu-60% amadoda ezingaphansi kweminyaka engu-14 yilesi sifo 50-70% izingane kanye kuze kufinyelele 45 - 40% wabo bonke abantu.

Ngezinye izikhathi siyasebenza ngempela lapho gynecomastia itholakala amadoda, ukwelashwa ngaphandle ukuhlinzwa. Izithombe ethulwa zikuvumela ukubona ukuthi iqaleka injani amabele kuleli isifo.

uhlobo gynecomastia

Lesi sifo kwezokwelapha zokuhlukanisa izinhlobo eziningana: olulodwa futhi kabili emaceleni. Endabeni zokugula lokuqala kuthinta webele elilodwa kuphela, futhi okwesibili - amabili.

Kodwa ngaphezu kwakho konke abe iziguli efanayo inkinga abe gynecomastia zamazwe amabili. Kuleli fomu kukhona nokwanda ngesikhathi esisodwa kokubili nezindlala. Ngaphezu kwalokho, lesi sifo luhlukaniswe amafomu alandelayo:

• Amanga. I imisiwe webele adipose izicubu, iqhaza, njengoba umthetho, ukukhuluphala. Okusho ukuthi, akukho ekwandeni wendlala izicubu.
• Iqiniso. Kuleli fomu zokugula likhula, futhi ngezinye izikhathi kuba khona hypertrophy noma webele yezindlala ezicutshini, ngamanye amazwi, lo stoma.

gynecomastia eqiniso angase abe bokuphila sokugembula. Lapho ifomu bokuphila ukwanda izicubu akavele ngaphesheya kuyinsakavukela elisungulwe imithi. Kodwa ngo gynecomastia sokugembula, kunalokho, ngaphansi hypertrophy ijwabu ngaphandle uhla evamile. Le ndlela isifo iphathwa kuphela ukuhlinzwa.

Ukuthuthukiswa gynecomastia ezingabantu

Umdlavuza webele kwabobulili namandla esimweni esejwayelekile kukhona ampofu. Lesi sitho vestigial siqukethe Amapayipi esifushane, fat and izicubu yezindlala kanye ingono. kusebenta kwato evamile nokuthuthuka kuxhomeke umthelela hormone zesifazane ezifana estrogen futhi prolactin.

Okuqukethwe yokugcina emzimbeni yomuntu akufanele bube ngaphezu kuka 0,001% we isamba androgens. Ngezinye izikhathi, ngenxa yesizathu esithile kukhona ukukhula estrogen noma ukwehla izicubu luvelo testosterone. Ngaphansi kwethonya hormone besifazane eqala ukukhula isifuba besilisa ukuthuthukisa ukuthuthukiswa kwezicubu yezindlala. Gynecomastia kuholela ukukhula kokuqina esifubeni.

Izimbangela hypertrophy we nezindlala mammary

gynecomastia Kweqiniso kwabesilisa, ukwelashwa ngaphandle okuyinto ukusebenza Kwenziwa izindlela ezihlukahlukene kuphakama kusukela thuthuva emzimbeni. Lokhu zokugula kungaba umphumela okwandisa uketshezi of prolactin. Lokhu kwenzeka ngokuvamile i-hypothyroidism futhi pituitary izimila.

Kodwa yimbangela ejwayelekile kakhulu gynecomastia ezingabantu - ukuhluleka emzimbeni isilinganiso estrogen ne-testosterone. Isimo esifana ebonwe ukuvuvukala amasende, isifo Addison sika, umdlavuza wendlala yabesilisa, kanye izimila-hormone okuthiwa i-esebenzayo noma engu hypogonadism.

Enye ukukhulisa webele ezingabantu kungaholela hhayi endocrine zokugula imvelo: ukulimala noma herpetic lesion thoracic, senhliziyo, noma ukwehluleka kwezinso, ukutheleleka nge-HIV, isibindi sibe sesomile.

Ngokuvamile imbangela gynecomastia kukhona izifo ukuthi ahambisana iziyaluyalu umzimba ezifana isifo sofuba yamaphaphu, ukukhuluphala noma isifo sikashukela.

Gynecomastia ucansi strong kwenzeka ngokuvamile ngenxa ukungenisa imithi ethile, lapho isinyathelo receptor negative webele izicubu. Konke okunye ukwandisa ukukhiqizwa prolactin futhi i-estrogen, kodwa usangakwazi nethonya enobuthi emzimbeni. Le mithi ihlanganisa "Amiodarone", "cimetidine" Ama-anabolic steroid "Theophylline" antidepressant, corticosteroids noma okhilimu equkethe ama-hormone.

Hypertrophy we nezindlala mammary kwezinye izimo kwenzeka ngenxa yokuxhaphaza utshwala noma izidakamizwa.

Ngesikhathi esifanayo abantu abaningi bezibuza uma kwatholakala ukuthi nginesifo gynecomastia ezingabantu, ukwelashwa ngaphandle kokuhlinzwa e izinsizwa, intsha may noma cha. Kuyaqondakala ukuthi ugweme ukuhlinzwa kwenzeka kuphela kusaqalwa lesi sifo.

symptomatology zokugula

Gynecomastia kwabesilisa, ukwelashwa ngaphandle ukusebenza okuyinto eyenziwa izindlela ezahlukahlukene, bangase balwisane ukwephulwa libido, ubuthakathaka, ukukhathala, ngisho nokuvusa induku.

Izingane nalesi sifo kukhona ukuvuvukala endaweni esifubeni, futhi ngezinye izikhathi kungaba adedelwe colostrum. Abadala nale Ihlahlubo babhekana nokwenyuka afika ku-10 cm we nezindlala mammary, nesisindo 150, phezulu ukuhwalala we areola futhi ingono ukuvuvukala kungenzeka, kuyisici sobuntu wobulili bubuhle phakathi lactation.

nesigaba lesi sifo

Kulesi isifo ezingajabulisi esibhekana nazo izigaba ezintathu ukuthuthukiswa:

• Ukuthuthukisa. Ibizwa nangokuthi ifomu proliferative. Njengoba isinyathelo kungenziwa akhishwa ngaphandle ukusebenza. Ukuze ukwelashwa kuyoba imithi ngokwanele.
• Lesisemkhatsini. Kulesi sigaba, izicubu yezindlala uqala ukuvuthwa, kulesi sigaba ithatha cishe ngonyaka.
• Fibrous. Phakathi nalesi sigaba, ukwanda kanye nokuthuthukiswa adipose kanye ezicutshini. Ukhiphele Ngaphandle gynecomastia kulesigaba kunzima kakhulu, cishe akunakwenzeka ukusebenzisa izidakamizwa.

Izinkinga of gynecomastia ezingabantu

Lokhu zokugula angabangela isiguli ukuthi sishiye ngiyisiphukuphuku nemiphumela kakhulu ngokomqondo. Kodwa umphumela oyingozi kakhulu uma liyoshiswa kabusha ku isimila esibulalayo. Ngokwezibalo, 20-60% wobulili namandla umdlavuza webele kwenzeka ngokumelene isizinda gynecomastia.

Uma lesi sifo iphathwa ngu ukuhlinzwa ke postoperative yezinkinga ezithathelwanayo zingavela, ephula isikhumba, izibazi kanye asymmetry kwebele. Ngo amadoda omdala, abakhuluphele, emva ukususwa izicubu kakhulu kungenziwa eyenziwe enganele liningi igazi. Ngenxa yalokhu, kukhona necrosis we ingono ukuzwela kuwumphumela ushintsho isikhundla komkhuba izoyenqaba noma zinyamalale ngokuphelele.

Izindlela ze-ukuzimisela gynecomastia ezingabantu

Ngokuyinhloko udokotela ehlola isiguli uchitha uzizwa wamasende kanye nezindlala mammary, uthola umlando womndeni. Ngaphezu kwalokho, ihlola amazwi izici ngokobulili yesibili, uyezwa izifo ekhona, izidakamizwa kanye imilutha yotshwala.

Lapho izimpawu webele ukukhulisa kwabesilisa uhlobo lensikazi abafana ithunyelwa endocrinology. imishini Yokucwaninga kusiza ukuthola iziyaluyalu hormone e isiguli. ukuhlolwa Laboratory ukuvumela ukuba wazi okungaphakathi nitrogen igazi, estradiol, prolactin, testosterone, urea, creatinine, futhi hCG.

Ukuze ususe izinqubo neoplastic, isiguli ithunyelwe tomography computer nezindlala adrenal nobuchopho, kanye ukukhanya-X-ray. Uma udokotela Sasinukwa nomdlavuza wamasende ne-testosterone okwandisa kanye human chorionic gonadotropin, wenziwa ultrasound the scrotum. Ngaphezu kwalokho, ukwenza biopsy webele futhi mammography.

Gynecomastia ezingabantu: ukwelashwa ngaphandle kokuhlinzwa

Uphenyo izidakamizwa yokwelapha webele ukukhulisa ikakhulukazi omuhle. Ukuxazulula lenkinga, sebenzisa amathuluzi ehlukene, kuye ngokuthi izizathu ekuthuthukiseni gynecomastia ezingabantu. Ukwelashwa ngaphandle kokuhlinzwa enkambweni izidakamizwa kusiza ukuqeda lesi sifo.

Uma ukukhula webele kwenzeka ngenxa hypogonadism, isiguli babelwe ukuthola hormone wesilisa:

• "Androgel";
• "Omnadren";
• "Sustanon";
• "Chorionic gonadotropin".

Sebenzisa lezi izidakamizwa intramuscularly. sokugcina kufanele kuthathwe kanye ngemva kwezinsuku 5. A testosterone equkethe "Androgel 'lisetshenziswa njengophawu amafutha, silusebenzise nsuku zonke esikhumbeni. Ukuphumelela le ndlela yokwelapha impela high.

Ukuze ekwelapheni gynecomastia kuphinde Kunconywa ukuthatha kwezinto eziphilayo. Nokho, ukusetshenziswa kwazo kuvunyelwe kuphela ngokuhlangana ne yokwelapha main.

Esimeni singakwazi ukunciphisa i-estrogen, iqondiswa izidakamizwa ezilandelayo: "Tamoxifen" futhi "Clomiphene". Bayakwazi ukucindezela ukukhiqizwa hormone besifazane, kodwa kufanele ngaphandle kusukela ekudleni ukudla okunosawoti, utshwala ukudla okunamafutha aba maningi uma kuthengwa bona.

Khumbula ukuthi, uma sitholakale ngesikhathi kusaqalwa gynecomastia ezingabantu, kwelashwa impela ngaphandle ukuhlinzwa. Isikhathi kwelashwa izinyanga okungenani 2 uma ebekiwe hormone ukwelashwa besilisa izithasiselo begazi. Endabeni imithi yokuvimbela ekukhiqizweni kwama-hormone zesifazane, ukuqeda isifo ivuselela nemithi. impatho enjalo ihlala izinyanga ezingaphezu kweziyisithupha ukuqedela ukunyamalala izimpawu gynecomastia.

Gynecomastia ezingabantu: ukwelashwa ngaphandle kokuhlinzwa

Indlela esiphatha ngayo izidakamizwa ngalokhu kugula buthaka? Lapho ukuhlinzwa iyadingeka, noma enzile ukuqeda lesi sifo, ungasebenzisa amakhambi abantu: ikhukhamba akhiphe bee impova.

Kwezinye izimo kuyasiza uma kutholakala gynecomastia ezingabantu, ukwelashwa ngaphandle ukuhlinzwa. Esingayenza ngaphandle kokuthi siphathe i eyengeziwe webele ukukhulisa, abantu abaningi banesithakazelo. Ngenxa yalezi zinjongo ngeke asondele la amakhambi abantu njengoba peony tincture, kukhishwe Motherwort futhi valerian.

Ngaphezu kwalokho, udokotela wakho angase akukhuthaze ukuba enze ikhaya umsebenzi lapho Kutholwe gynecomastia ezingabantu. Ukwelashwa ngaphandle kokuhlinzwa Yiqiniso kwezidakamizwa kuleli cala akunakwenzeka, ngoba kungenxa kubo sifo ingaqala.

Ukwelashwa nokuvikelwa Gynecomastia "tamoxifen"

ukulungiselela njalo is bayindlala kakhulu ngoba uyakwazi ukuvimba ukukhiqizwa estrogens. Ngaphezu kwalokho, kwezinye izimo kuphumelela kangcono uma gynecomastia zikhonjwe amadoda, ukwelashwa ngaphandle ukuhlinzwa. "Tamoxifen" usesemuhle nokuthi kuyinto ejenti antitumor.

Indlela ukuqeda lesi sifo ekhaya?

Lapho gynecomastia itholakala amadoda, ukwelashwa ngaphandle kokuhlinzwa ekhaya kusiza kuphela uma webele ukhulise kakhulu kakhulu ngobukhulu bazo.

Siza ekulweni nalesi sifo ukulibopha ngezindwangu ezibandayo, ezisiza ekunciphiseni futhi ukunciphisa izicubu fat. Kuze kube yimanje, cubes ice kufanele zihambisana ngendwangu, bese unamathisele kubo esifubeni imizuzu embalwa.

Omunye yi kakhulu unika, uma gynecomastia iye sitholakale amadoda, ukwelashwa ngaphandle ukuhlinzwa. Izibuyekezo ukwelashwa omuhle turmeric, ngoba lesi sitshalo kwandisa testosterone futhi ngenkuthalo burns yamafutha amaningi emzimbeni. Ngakho-ke, abantu kokutshelwa ngokukhubazeka kwengane kuyoba usizo ukuphuza lokhu spice.

Council ekugcineni

Uma ungenawo aphathe gynecomastia, lesi sifo kuthatha asemrarweni. Ngemva ukukhula webele kuletha kokubili ezingokomzimba nezingokwengqondo ukungakhululeki indoda. Ngaphezu kwalokho, kufanele kuqondwe ukuthi ukuhlukumeza umzimba izakhiwo kungaba avuse ukuthuthukiswa izimila. Ngakho-ke, ukuze ugweme nemiphumela emibi ngendlela efanayo, kubalulekile ngesikhathi izinsolo lokuqala isifo ubheke onguchwepheshe.