IGynaecomastia Yentsha: Izimpawu, Izimbangela, Ukuxilongwa Nokwelashwa

I-Teenae gynaecomastia yisimo esibonakala ngokukhula kwamabele kwabesilisa abasebasha, okuvame ukubangelwa ukwanda okungenabungozi kwamapayipi emithanjeni. webele izindlala kanye nezingxenye stromal, kuhlanganise amafutha. Kungase kubangelwe ukungalingani kwama-hormone kuma-estrogen nama-hormone e-testosterone. I-Gynaecomastia ingase yenzeke futhi ibonakale kwelinye noma womabili ebeleni futhi ngezinye izikhathi ingalingani. Ingase ingabangeli izinkinga ezinkulu kodwa ingase ibangele izimpawu zobuhlungu emabeleni athintekile. Kungase kuzihambela ngokwazo, kodwa uma kungenjalo, ukungenelela kwezokwelapha noma ukuhlinzwa kungase kubaluleke. 

Iyini I-Teenage Gynaecomastia?

I-Gynecomastia kwabesilisa abasebasha ukukhuliswa noma ukukhula ngokweqile kwezicubu zezindlala emabeleni abo. Kungase kwenzeke ebuntwaneni, ebusheni, ngisho nasebangeni eliphakathi, kodwa ngokuvamile kwenzeka lapho umfana osemusha noma oweve eshumini nambili ebhekana noshintsho lwamahomoni ngesikhathi sokuthomba. Osemusha one-gynaecomastia kungenzeka ukuthi wandise amabele, futhi angase adinge ukuhlolwa kwezokwelapha ngabahlinzeki bezempilo.

Ngokuvamile, i-gynaecomastia yentsha ayibangeli inkinga enkulu yezempilo kodwa ingaba imbangela yokuphoxeka. Ezikhathini eziningi, i-gynecomastia iyahamba yodwa. Nokho, uma kungaxazululeki ngokuzenzakalelayo, kungase kudingeke ukungenelela kwezokwelapha ukuze kulungiswe. 

Izimpawu ze-Teenage Gynecomastia

Uphawu oluyinhloko lwe-gynaecomastia yentsha ukukhula kwamabele kwabesilisa. Akubangelwa ukunqwabelana kwamafutha kodwa kunalokho kuwumphumela wokwanda kwezicubu zezindlala emabeleni. Ezimweni eziningi, i-symmetric, uma kubhekwa indawo ezungezile ingono inerabha noma umuzwa oqinile lapho uthintwa. Kungase kuqale njengesigaxa noma izicubu ezinamafutha ngaphansi kwengono kube nobuhlungu engonweni ethintekile. 

Nakuba kungase kwenzeke nhlangothi zombili, kungase kube nesenzakalo sokukhula kwebele lowesilisa ohlangothini olulodwa kuphela. Ngezinye izikhathi, ukukhuliswa kungase kungalingani nhlangothi zombili, lapho ibele elilodwa lingase libe likhulu kunelinye. 

Izimpawu ze-gynaecomastia yentsha zingase zibonakale zifana nezinye izimo zezokwelapha lapho kungase kube khona:

• Ubuhlungu, ikakhulukazi entsheni
• Kuvuvukele izicubu zamabele
• Ubumnene ebeleni 
• Ukuzwela ezingonweni lapho bezihlikihla ezimpahleni

Ngakho-ke, kuyalulekwa ukuthi uvakashele umhlinzeki wezokunakekelwa kwempilo noma udokotela ukuze akhiphe noma axilonge noma yisiphi esinye isimo esingaba yingozi empilweni njenge izimila noma umdlavuza. 

Izimbangela Ze-Teenage Gynaecomastia

I-Gynaecomastia entsheni ngokuvamile iyisimo esibucayi, okungukuthi, isimo esingenawo umdlavuza. Kungase kuvame ukuhlotshaniswa noshintsho lwamahomoni ngesikhathi sokuthomba; nokho, ngezinye izikhathi isizathu sokwenzeka okunjalo asaziwa. Owesifazane amahomoni ebizwa ngokuthi i-estrogen namahomoni wesilisa abizwa ngokuthi i-testosterone akhona ngamanani ahlukene kwabesilisa nabesifazane. Ukuphazamiseka kwebhalansi yala ma-hormone kwabesilisa kuholela esimweni se-gynecomastia. Kungase futhi kubangelwe ezinye izici ezihlobene nokuthuthukiswa okuvamile kwabesilisa abathombile noma abangakafiki, okungase kuhlanganise okulandelayo.

• Ukuguga: Ukuguga kungase kubangele ukwehla kokukhiqizwa kwe-testosterone okuholela ku-gynaecomastia yentsha.
• Imithi : I-Gynaecomastia yentsha ingase ibangelwe yimithi ethile, njenge kwemithi elwa namagciwane, ama-antidepressants, nemithi yenhliziyo, noma ngenxa yokwelashwa okuhlukahlukene komdlavuza, njenge-chemotherapy, imithi yomdlavuza wendlala yesinye, njll. 
• Izifo Ezithize Noma Izimo: Ukuba sengozini yezimo ezithile zempilo noma izifo kungase kuholele ku-gynaecomastia kwabesilisa abasebasha, njenge:
  • Ukukhuluphala
  • Ukulimala noma ukuhlukumezeka
  • Isibindi izifo
  • Izinso isifo
  • Lung umdlavuza
  • Umdlavuza wamasende
  • Izimila zezindlala ze-adrenal noma i-pituitary gland
  • Congenital ukuphazamiseka
  • I-Thyroid ukuphazamiseka

Itholakala Kanjani I-Teenage Gynecomastia?

Ukuxilongwa kwe-gynaecomastia kudinga ukuhlolwa ngokomzimba nangokwezokwelapha ngumhlinzeki wezempilo. Bangase bahlole umlando wezokwelapha weziguli zabo kanye nomlando wezokwelapha womndeni wabo. Bangase bafune ulwazi olwengeziwe ngezimpawu ezitholakalayo nanoma yimiphi imithi ephuzwa isiguli.

Umhlinzeki wokunakekelwa kwezempilo kungenzeka ancome ukuhlolwa okuthile okufanele kwenziwe ukuze kubhekwe izizathu ezingaba ze-gynaecomastia noma ukuthola noma yisiphi esinye isimo esinezimpawu ezifanayo. Bangase batuse ukuhlolwa komdlavuza webele futhi.

Ukuhlolwa okunconywe abahlinzeki bokunakekelwa kwezempilo kwe-teenage gynaecomastia kungase kuhlanganise:

• Ukuhlolwa kwegazi, okuhlanganisa ukuhlola ukusebenza kwesibindi nezifundo zamahomoni
• I-Urine ukuhlolwa
• I-mammogram, okuyi-X-ray yebele
• Izikena ze-Computerized tomography (CT).
• Ukuskena kwe-Magnetic resonance imaging (MRI).
• I-testicular ultrasounds ikhiqiza izithombe zamasende kanye nezicubu eziwazungezile
• I-biopsy yezicubu zamabele, ikhipha ucezu oluncane lwethishu ukuze luhlolwe elabhorethri

Yelashwa Kanjani I-Teenage Gynecomastia?

I-gynaecomastia yentsha ebangelwa izinguquko zesikhashana emazingeni amahomoni ngesikhathi esivamile sokukhula nokukhula ingase inyamalale phakathi nezinyanga eziyisithupha kuya eminyakeni emibili. Kodwa-ke, ngezinye izikhathi i-gynaecomastia yentsha ingase iqhubeke nangaphezu kokuthomba futhi ingabizwa ngokuthi i-persistent pubertal gynaecomastia. 

Ezimweni eziningi, i-gynecomastia ivela ngesikhathi sokuthomba kwabesilisa. I-Gynaecomastia ingase ixazulule ngokuzenzakalelayo ngaphandle kokungenelela kwezokwelapha. Kodwa uma kubangelwa isimo sezokwelapha, ukwelashwa kwe-gynecomastia kubalulekile ukubuyisela isimo esijwayelekile futhi uphathe lesi simo kanyekanye. Ngokuvamile, akukho ukwelashwa okudingekile ukwelapha i-gynaecomastia uma kubangelwa ukungalingani emazingeni amahomoni. Ithimba lezempilo lentsha lingase lituse ukuhlolwa kwezempilo njalo ngemva kwezinyanga ezintathu kuya kweziyisithupha ukuze lihlole isimo futhi liqaphe ukuqhubeka kwaso. Ingase ihambe esikhathini esiyizinyanga eziyisithupha noma iminyaka emi-2 kuya kwemi-3. 

Ukwelashwa kwe-gynecomastia yentsha kungasiza ngezimpawu zobuhlungu nokuzwela uma ingabi ngcono ngokwayo. Ukwelashwa kwe-Gynaecomastia kungase kuncike ezicini eziningana ezifana neminyaka yesiguli, isimo sezempilo sisonke kanye nomlando wezempilo wangaphambilini, nokubekezelela imithi ethile, ukwelashwa, noma ukwelapha, phakathi kokunye. 

• Imithi: I-Tamoxifen, umphikisi we-estrogen, ibhekwa njengesebenzayo ku-gynecomastia yakamuva kanye nethenda uma ithathwa ngemithamo ye-10-20 mg kabili njalo, noma njengoba kunqunywe udokotela. 
• Ukwelapha ngeHormone: Ukwelashwa ngamahomoni kungase futhi kusetshenziswe ngenjongo yokwelapha i-gynaecomastia entsheni. 
• Ukuhlinzwa: Uma ezinye izindlela zokwelapha i-gynaecomastia entsheni zingasiphathi kahle lesi simo futhi izicubu zamabele zingancishisiwe, ukuhlinzwa kungase kucatshangelwe ukuze kukhishwe izicubu zebele ezengeziwe. Izinhlobo ezimbili zokuhlinzwa kwe-gynaecomastia zingatholakala:
  • Liposuction: Le ndlela ingase isuse amafutha ebele kodwa hhayi izicubu zendlala yebele ngokwazo. 
  • I-Mastectomy: Lolu hlobo lwenqubo yokuhlinzwa lususa izicubu zendlala yebele. Uma izicubu ze-gland zincane, kungenziwa ukusikwa okuncane, okungenza ukululama ngokushesha. Kwesinye isikhathi, zombili lezi zinqubo zingahlanganiswa ukuze kube nemiphumela engcono kakhulu.
  • Ukunciphisa i-mammoplasty: Lokhu kuhlinzwa kungase kucatshangelwe ukunciphisa ibele ezimweni ezimbi kakhulu zesimo, i-gynecomastia yesikhathi eside, noma ezimeni lapho imithi yokwelapha ingazange ibe nenzuzo ekubuyiseleni ukubukeka okuvamile kwebele elithintekile.

Isiphetho

I-Teenae gynaecomastia yisimo sokukhula kwamabele okwenzeka kwabesilisa eminyakeni yabo yokuthomba. Ikakhulukazi kwenzeka ngenxa yokushintshashintsha kwamazinga amahomoni noma ukuguga, futhi ingase ibe nezici ezithile zobungozi, njengokuthatha imithi ethile noma izimo zempilo ezikhona, ezibangela ukwenzeka kwayo. Ivamise ukuzixazulula ngokwayo kodwa ingase idinge usizo lwezokwelapha uma ingabi ngcono ngisho nangemva kweminyaka emibili noma emithathu yesigameko sokuqala sokukhula kwebele.