I-Gynecomastia kubafana ibizwa ngokuthi ukukhuliswa kwesifuba. Ukukhubazeka okunjalo akuyona isifo, kodwa kuyisibonakaliso senye uhlobo lwesifo emzimbeni odinga ukuxilongwa ngezokwelapha. I-Gynecomastia ibhekisela ezinkingeni zamadoda futhi ayikho emantombazaneni.
Kunezinhlobo eziningana ze-gynecomastia:
- i-gynecomastia yeqiniso , lapho ukwandiswa kwegciwane lesifuba kubonakala khona ngenxa yenkampani yeglandular;
- i-gynecomastia yamanga (i-lipomastia) , lapho isifuba sanda ngenxa yokwehliswa kwezicubu ze-adipose futhi ngokuvamile kunomphumela wokukhuluphala;
- I-gynecomastia ehlanganisiwe, eqala phambi kwezizathu ezimbili zangaphambilini.
Izimbangela ze-gynecomastia
- I-gynecomastia engokwemvelo kaningi ayidingi ukulungiswa kwezokwelapha futhi iyanyamalala ngemuva kwesikhathi esithile. I-gynecomastia yemvelo ikhula ezinganeni ezingu-80% ezisanda kuzalwa ngenxa yokungenisa amahomoni omama emzimbeni womfana. Lesi simo ngokuvamile sanyamalala zingakapheli inyanga ngemva kokuzalwa. I-Gynecomastia intsha ivela kubafana abangu-30% abaneminyaka engu-14-15. Lesi simo siqala ngenxa yokuthuthuka okuncane kwezinhlelo ze-enzyme ezixhumanisa ukukhiqizwa kwe-testosterone. Izinsana zingabhekana nemizwa ebuhlungu futhi zithole okuhlangenwe nakho okukhulu ngokomzwelo.
- I-gynecomastia ye-pathological ingenzeka ngenxa yezizathu ezingaphezu kwezingu-30, okungafakwa kuphela ngokutadisha okuphelele. Isibonelo, ukutholakala kaningi kwe-gynecomastia ezinsizweni ezinsizwa kuhlotshaniswa ne-predominance yama-hormone wesifazane emzimbeni, kanye nokunciphisa izinga lama-hormone wesilisa. Ngaphezu kwalokho, i-gynecomastia ingaba yimbangela yezifo ezinjengokuhluleka kwezinso ezingapheli, ukuthuthukiswa kwezicubu kanye ne-patticology ye-testicular. I-gynecomastia ye-pathological ingase ibe yimbangela yokusetshenziswa kwama-antibiotics, ama-estrogens, i-androgens, izidakamizwa ze-antifungal nezisifo senhliziyo, izidakamizwa nophuzo oludakayo.
Ukuxilongwa kwe-gynecomastia
Uma uthola izimpawu zokuqala ze-gynecomastia, ezifaka ukungavumelani endaweni yesifuba, i-asymmetry yebele, noma yikuphi ukwabiwa, kufanele uthintane nodokotela ngokushesha. Ngisho noma uhlobo olunjalo lwe-gynecomastia olungadingi ukwelashwa kufanele lulawulwe udokotela, ngoba ukuhlukunyezwa okungenzeka kwe-gynecomastia kungaba ngumdlavuza webele.
Ngokuvamile iziguli, ngokubonakala kwezibonakaliso ze-gynecomastia, ziphendukela kudokotela ohlinzayo, kodwa ukuqala ukuxazulula inkinga ngokulandela ukuvakashela ochwepheshe be-endocrinologist. Udokotela uzoqhuba ukuhlolwa okuyinhloko, kufaka phakathi i-palpation, anqume uhlobo kanye nesigaba se-gynecomastia, futhi uthole ukuthi yini imbangela ngosizo lwama-laboratory ukuhlolwa. Izifundo zihlanganisa ukuhlolwa kwegazi le-hormonal, i-x-ray noma i-ultrasound ukuhlolwa kwebele, i-biopsy.
Ukwelashwa kwe-gynecomastia
Esigabeni sokuqala sesi sifo, odokotela basebenzisa imithi, bebeka izidakamizwa ukunciphisa ivolumu yezinhlayiya ze-mammary. Ukwelashwa kwe-gynecomastia kwabasha kufanele kufaka phakathi kwengqondo
Ukunakekelwa kokuhlinzwa kwe-gynecomastia, kuhlanganise nokuhlinzekwa kokususwa kwezicubu ezigulisayo, kunqunywe uma imithi ingasebenzi, noma kwezinye izinhlobo ze-gynecomastia yokugula. Ngokuvamile, abazali bentsha bafuna ukuhlinzekwa ngezimonyo ukukhipha izicubu ezincelisayo zesifuba, ukuhlinzwa okunjalo akudingekile, kodwa kungasindisa ingane yakho ezindaweni eziyinkimbinkimbi ezingadingekile.