Vechidiki
Gynecomastia inoreva kuwedzera kwechifu chechifu uye inoitika munenge hafu yevakomana sezvavanopinda mukupera. Kunyange zvazvo zvinotambudza kune vakawanda vechidiki vechidiki vanofunga kuti vari kuwedzera mazamu, vanofanirwa kuvimbiswa kuti gynecomastia yakajairika, yakajairika, uye kazhinji haifaniri kufambira mberi kusvika pakuonekwa kwayo nyore nyore nevezera ravo. Uye zvinonyanya kukosha, mumatambudziko mazhinji, gynecomastia inobva kunze pasina mushonga.
Zviratidzo
Vazhinji vakomana vane gynecomastia vachaona chechi duku, chakasimba, chinyararire pasi peimwe kana mbini mbiri. Vanogona kuramba vachikura zvishomanana pakutanga, asi ivo vachazopedzisira vapera zvakare, kazhinji mumwedzi mishoma kana makore. Unyoro hunowanzova kwenguva pfupi.
Kuziva
Kuongororwa kwegynecomastia kunowanzoitwa zvichienderana nekuongororwa kwakajeka kwemuviri (kusanganisira kuongorora testicular) uye muenzaniso wezviratidzo, kunyanya kuti mwana wako ari mukuyaruka. Kuongorora kwemishonga ipi iyo mwana wako ari kutora ichaitwawo. Kuedzwa, kunyange zvisingawanzodiki muvechi vechidiki, zvinogona kusanganisira:
- chiropa work test
- plasma DHEAS kana urinary 17-ketosteroids
- plasma estradiol
- plasma hCGá
- plasma H uye testosterone
Vechidiki avo vanonyanya kuwandisa vangave vane pseudogynecomastia , umo vakagadzirisa mazamu nekuda kwekuwedzera mafuta uye kwete echokwadi vemazamu. Kusiyana nevechidiki vane chokwadi che gynecomastia, pseudogynecomastia haichawanzoitiki pachega kunze kwekuti mwana wacho atakurema.
Mishonga
Kunyange zvazvo zvisingawanzodikanwa, kana mukomana achiri kuyaruka ane mazamu makuru kwazvo kana gynecomastia haasi kuenda, zvino kurapwa kunogona kuve sarudzo. Nyanzvi dzakawanda dzinokurudzira kurindira kwemakore maviri zvisati zvaitika mushure mekutarisa mastectomi ye gynecomastia, zvakadaro.
Kutsvakurudza kuri kuitwawo pakushandisa mishonga inorwisa-estrogen, yakadai se raloxifene uye tamoxifen, kubata zvirwere zvinoramba zvichiitika zvegynecomastia.
Mimwe mishonga inogona kusanganisira aromatase inhibitor testolactone uye iyo isina simba uyerogen danazol.
Yeuka kuti vazhinji vechidiki havadi chero kurapwa kwegynecomastia yavo kunyange zvakadaro.
Zvaunoda Kuziva
- Gynecomastia inowanzoenda mukati memakore maviri kusvika matatu mu 90 muzana yevechiri kuyaruka.
- Kusanzwisisana pakati peesrogen uye androgens, mahomoni anomuka panguva yekuyaruka, anofungidzirwa kuti anoita gynecomastia.
- Gynecomastia inowanzobatanidzwa nekushandisa zvinodhaka, kusanganisira mbanje uye anabolic steroids.
- Gynecomastia haina kunyanya kufanana mushure mekuyaruka, uye ava vakomana vanofanirwa kuve nemafungiro ekupedzisira ekuongorora.
- Gynecomastia inowanikwawo kune vana vane Klinefelter syndrome, Kallmann syndrome, cirrhosis, utachiona hwehutachiona, testicular feminization, uye maitiro ekuvhara mahomoni, uye inogona kuva nemigumisiro yechirwere yemimwe mishonga, yakadai se cimetidine, human growth hormone, uye spironolactone.
- Chirwere chepabonde hachiwanzoveki muvecheche, saka izvi zvingave zvisingabviri chikonzero chemuzamu kuzvidzora muvechiri kuyaruka. Kunyange zvakadaro, vakomana vanofanira kuona vanachiremba vevana kuti vaongorore kana vakaona bundu muzvipfuva zvavo, zvose zvekuongorora nekugutsikana kuti vakanaka.
> Sources:
> Inobatsira zvinokonzera raloxifene uye tamoxifen mukurapa kwe pubertal gynecomastia. Lawrence SE - J Chirwere - 01-JUL-2004; 145 (1): 71-6
Matambudziko epabonde mumurwere wechidiki. Arca MJ - Adolesc Med Clin - 01-OCT-2004; 15 (3): 473-85
Kusarudza mapurasitiki epurasitiki mukuyaruka. McGrath MH - Adolesc Med Clin - 01-OCT-2004; 15 (3): 487-502
Larsen: Williams Bhuku Rekunyorwa kweEctocrinology, 10th ed.,