Gynecomastia muvakomana inonzi mazamu ekuwedzera. Kurwara kwakadaro haisi chirwere, asi chiratidzo chete chemwe rudzi rwechirwere mumuviri unoda kurapwa kwechiremba. Gynecomastia inoreva matambudziko evanhu uye hazviitiki kune vasikana.
Kune marudzi mazhinji emhando ye gynecomastia:
- ichokwadi gynecomastia , umo kubatanidzwa kwemuzamu gland kunoitika nekuda kwechikamu chekudzivirira;
- nhema gynecomastia (lipomastia) , apo bvudzi rinowedzera nekuda kwekuiswa kweadipose tissue uye inowanzowanzoguma nekuwedzerwa;
- Mixed gynecomastia , iyo inokura muhupo hwezvikonzero zviviri zvekare.
Zvinokonzera gynecomastia
- Physiological gynecomastia kakawanda hairevi kururamiswa kwechiremba uye inopera shure kwechinguva. Physiological gynecomastia inowedzera muvana makumi mapfumbamwe nemakumi mapfumbamwe nevana kubva pakuzvarwa kwemahomoni emuviri mumuviri wemukomana. Izvi zvinowanzowanzopera mumwedzi mushure mokuberekwa. Gynecomastia muvechiri kuyaruka inowanikwa mu30% yevakomana vane makore 14-15. Iyi mamiriro ezvinhu anowedzera pamusana pekudzikira kunonoka kwemaitiro enzyme anokonzera kugadzirwa kwe testosterone. Vana vaduku vanogona kunzwa kurwadziwa uye kunzwa zviitiko zvakakomba zvepfungwa.
- Pathological gynecomastia inogona kuitika nekuda kwezvikonzero zvinopfuura makumi matatu, izvo zvingaongororwa chete nekudzidza zvakakwana. Semuenzaniso, kuitika kazhinji kwegynecomastia muvarume vechidiki kunosanganiswa nehukuru hwemadzimai ehurmoni evanhukadzi mumuviri, pamwe nekuderera kwehutachiona hwemadhomoni evanhu. Mukuwedzera, gynecomastia inogona kuva nemigumisiro yezvirwere zvakadai sekusingaperi kusagadzikana kwepuro, kukura kwechirwere uye testicular pathology. Pathological gynecomastia inogonawo kuva nemigumisiro yekushandiswa kwemishonga inorwisa mabhakitiriya, estrogens, androgens, antifungal uye mishonga yemwoyo, zvinodhaka uye doro.
Kuongororwa kwegynecomastia
Kana iwe ukawana zviratidzo zvekutanga zvegynecomastia, izvo zvinosanganisira kusanzwisisika munzvimbo yechipfuva, asymmetry yemazamu, chero upi zvawakagoverwa, unofanirwa kubvunza chiremba. Kunyange iyo gynecomastia iyo isingashandisi kurapwa inofanira kudzorwa nechiremba, nokuti chinetso chinogona kuitwa che gynecomastia chinogona kuva kenza yemazamu.
Kazhinji varwere, nechitarisiko chezviratidzo zve gynecomastia, tendeukira kumuchiremba, asi kutanga kutanga kugadzirisa dambudziko rinotevera kushanya kumugumo wenhau. Chiremba achaitisa kuongororwa kwekutanga, kusanganisira palpation, kutsanangura rudzi uye gango re gynecomastia, uye kuziva chikonzero nekubatsira kweongororo ye laboratori. Zvidzidzo zvinosanganisira kuongorora ropa rehomoni, x-ray kana ultrasound kuongorora kwezamu, biopsy.
Kurapa kwegynecomastia
Muchikamu chekutanga chechirwere, vanachiremba vanoenda kumishonga, vachinyora madhiragi kuti vaderedze ivhu rezvinyorwa zvemamota. Kurapa kwegynecomastia muvechiri kuyaruka kunofanira kusanganisira mupfungwa
Kurapwa kwegynecomastia, kusanganisira chirwere chokubviswa kwezvinyama, zvinorayirwa kana mishonga isingabatsiri, kana mune dzimwe mhando dzechirwere chinonzi gynecomastia. Kazhinji, vabereki vevechiri kuyaruka vanoomerera pakuvhiyiwa kwekunakisa kuti vabvise mafuta ehutachiva, kushanda kwakadaro hakuna kudiwa, asi kunogona kuchengetedza wechidiki kubva pamatambudziko asingakoshi.