Gynecomastia mwa anyamata akutchedwa kutambasula mawere. Matenda otere si matenda, koma ndi chizindikiro cha mtundu wina wa matenda m'thupi lomwe limafuna kuti munthu adziwe matenda. Gynecomastia amatanthauza mavuto aumunthu ndipo sizichitika kwa atsikana.
Pali mitundu yambiri ya gynecomastia:
- Chowonadi gynecomastia , momwe kufalikira kwa chifuwa cha m'mawere kumachitika chifukwa cha chigawo chododometsa;
- zabodza gynecomastia (lipomastia) , pamene bere limakula chifukwa cha kuika kwa adipose minofu ndipo nthawi zambiri chifukwa cha kunenepa kwambiri;
- Mixed gynecomastia , yomwe ikukula pamaso pa zifukwa ziwiri zapitazo.
Zifukwa za gynecomastia
- Physiological gynecomastia kawirikawiri sichimafuna kukonzekera kuchipatala ndikusowa patapita nthawi. Matenda a mthupi amakula mwa ana makumi asanu ndi atatu (80%) obadwa kumene chifukwa cha kumeza kwa mahomoni a mayi m'mimba mwa mnyamata. Matendawa nthawi zambiri amatha mwezi umodzi pambuyo pobadwa. Gynecomastia ali achinyamata amapezeka 30% anyamata a zaka 14-15. Matendawa amayamba chifukwa cha kukula kwa pang'onopang'ono kwa mavitamini omwe amachititsa kuti testosterone ipangidwe. Achinyamata amatha kumva ululu ndikukumana ndi mavuto aakulu.
- Pathological gynecomastia ikhoza kuchitika chifukwa cha zifukwa zoposa 30, zomwe zingathe kutsimikiziridwa ndi phunziro lonse. Mwachitsanzo, kawirikawiri zimachitikira gynecomastia mwa anyamata akugwirizanitsidwa ndi machitidwe aakulu a mahomoni a chiwerewere mu thupi, komanso kuchepa kwa mahomoni a amuna. Kuonjezera apo, gynecomastia ikhoza kukhala chifukwa cha matenda monga matenda aakulu a impso, kukula kwa zotupa ndi matenda a testicular. Pathological gynecomastia ingakhalenso chifukwa cha kugwiritsa ntchito maantibayotiki, estrogens, androgens, mankhwala osokoneza bongo komanso amtima, mankhwala osokoneza bongo komanso mowa.
Kuzindikira kwa gynecomastia
Ngati mutapeza zizindikiro zoyamba za gynecomastia, zomwe zimaphatikizapo zovuta m'mimba mwa mfupa, poyerekeza ndi bere, pagawidwe kalikonse, muyenera kufunsa dokotala mwamsanga. Ngakhale mtundu wa gynecomastia umene sumafuna chithandizo uyenera kuyang'aniridwa ndi dokotala, chifukwa vuto lotheka la gynecomastia lingakhale khansa ya m'mawere.
Kawirikawiri odwala, ndi maonekedwe a gynecomastia, ayendere kwa dokotalayo, koma kuti ayambe kuthetsa vutoli atapita kukachezera kwa katswiri wamagetsi. Dokotala adzayesa kafukufuku wamkulu, kuphatikizapo matumbo, kudziwa mtundu ndi gawo la gynecomastia, ndi kupeza chifukwa chake mothandizidwa ndi mayeso a laboratori. Zofufuza zimaphatikizapo kuyezetsa magazi, ma x-ray kapena ultrasound.
Kuchiza kwa gynecomastia
Pachiyambi choyamba cha matendawa, madokotala amapita kuchipatala, akugwiritsa ntchito mankhwala osokoneza bongo kuti asachepetse mphamvu ya mammary glands. Chithandizo cha gynecomastia kwa achinyamata chiyenera kuphatikizapo maganizo
Kuchiza opaleshoni ya gynecomastia, kuphatikizapo opaleshoni ya kuchotsa minofu yonyansa, imaperekedwa ngati mankhwala sagwira ntchito, kapena mwa mitundu ina ya matenda a gynecomastia. Kawirikawiri, makolo a achinyamata omwe amalimbikitsanso opaleshoni yokometsera kuti achotse minofu ya m'mawere, opaleshoniyi siifunikira, koma ikhoza kupulumutsa mwanayo ku zovuta zosafunikira.