Hoʻonui i ka umauma i nā kāne

Ke hoʻomohala i nā kiko o ka umauma maʻamau i nā kāne, ua kapa ʻia ʻo ia ʻo gynecomastia. He mea nui ia e ʻike inā ʻo ka ulu nui ka pale umauma ʻaʻole ka momona momona (lipomastia).

Hiki ke ʻano i hoʻokahi a i ʻole nā ​​umauma ʻelua. Hoʻomaka ia ma ke ʻano he puʻupuʻu liʻiliʻi ma lalo o ka nipple, a palupalu paha. ʻOi aku ka nui o kekahi umauma ma mua o ka umauma. I ka hala ʻana o ka manawa e lilo ka puʻupuʻu i mea palupalu a ʻano paʻakikī.

ʻO nā umauma nui i nā kāne he mea makaʻu ʻole ia, akā hiki i nā kāne ke hōʻalo i ke kau ʻana i kekahi kapa a i ʻole makemake ʻole e ʻike ʻia me ka ʻole o ka pālule. Hiki i kēia ke kumu i ke kaumaha nui, keu hoʻi i nā kāne ʻōpio.

Loaʻa paha i kekahi mau keiki hānau hou ka ulu ʻana o ka umauma me kahi waiū waiū (galactorrhea). Kū mau kēia ʻano i ʻelua mau pule a i mau mahina. I nā hihia kakaʻikahi, hiki ke mau a hiki i ka piha ʻana o ke keiki i ka 1 makahiki.

ʻO nā loli hormonone maʻamau ke kumu maʻamau o ka ulu ʻana o ka umauma i nā keiki hānau hou, nā keikikāne, a me nā kāne. Aia kekahi kumu ʻē aʻe.

NA HANA HORMONE

Hoʻokumu pinepine ʻia ka hoʻonui ʻana i ka umauma e ke kaulike ʻole o ka estrogen (wahine wahine) a me ka testosterone (kāne kāne). Loaʻa i nā kāne nā ʻano ʻelua o nā hormona i ko lākou kino. ʻO nā hoʻololi i nā pae o kēia mau hormona, a i ʻole pehea e hoʻohana ai a pane ai paha ke kino i kēia mau hormona, hiki ke hoʻonui i nā umauma i nā kāne.

I nā keiki hānau hou, ulu ka ulu o ka umauma i ka hōʻike ʻia ʻana i ka estrogen mai ka makuahine. Hānau ʻia ma kahi o hoʻokahi hapalua o nā pēpē keikikāne me nā umauma nui, i kapa ʻia nā pūpū umauma. Hele pinepine lākou i 2 a 6 mau mahina, akā hiki ke lōʻihi.

I nā ʻōpio a me nā ʻōpio, ulu ka ulu o ka umauma e nā loli hormonone maʻamau i kū i ka wā ʻōpio. Ma mua o hoʻokahi hapalua o nā keikikāne e hoʻomohala i ka hoʻonui ʻana i ka umauma i ka wā ʻōpio. Hele pinepine ka ulu o ka umauma ma kahi o 6 mau mahina a i 2 mau makahiki.

I nā kāne, hiki i nā loli hormonone ma muli o ka ʻelemakule ke kumu i ka ulu ʻana o ka umauma. Hiki pinepine paha kēia i nā kāne momona a momona paha a i nā kāne 50 a ʻoi paha makahiki.

OLELO HOOLAHA

Hiki i kekahi mau pilikia olakino ke hoʻoulu i ka umauma i nā kāne makua, e like me:

• Maʻi maʻi ʻōiwi
• Hewa ka hakuʻala a me ka dialysis
• Pae testosterone haʻahaʻa
• Obesity (ʻo ia hoʻi ke kumu maʻamau o ka ulu ʻana o ka umauma ma muli o ka momona)

ʻO nā kumu kumu ʻole:

• Nā kīnā genetic
• ʻO ka nui o ka thyroid a i ʻole ka thyroid
• Nā Tumors (me nā tumo benign o ka pituitary gland, i kapa ʻia ʻo prolactinoma)

NA LAAU LAPAAU A ME KA Lapaʻau Lapaʻau

ʻO kekahi mau lāʻau a me nā lāʻau e hiki ai ke ulu i ka ulu o nā kāne me:

• ʻO ka chemotherapy maʻi ʻaʻai
• Hormone lapaʻau no ka maʻi ʻaʻai prostate, e like me flutamide (Proscar), a i ʻole no ka prostate hoʻonui ʻia, e like me finasteride (Propecia) a i ʻole bicalutamide
• Ka mālama ʻana i ka uila
• Nā lāʻau HIV / AIDS
• ʻO Corticosteroids a me nā steroid anaboliko
• Estrogen (me nā mea i nā huahana soy)
• ʻO nā lāʻau ʻo Heartburn a me nā ulcer, e like me ka cimetidine (Tagamet) a i ʻole nā ​​mea hoʻopale proton pump
• Nā lāʻau lapaʻau kūpilikiʻi, e like me diazepam (Valium)
• Nā lāʻau puʻuwai, e like me spironolactone (Aldactone), digoxin (Lanoxin), amiodarone, a me nā alalai kalipuna
• Nā lāʻau lapaʻau anttifungal, e like me ketoconazole (Nizoral)
• Nā lāʻau lapaʻau e like me metronidazole (Flagyl)
• ʻO nā antidepressants Tricyclic e like me amitriptyline (Elavil)
• ʻO nā mea kanu e like me lavender, aila lāʻau aila, a me dong quai
• Opioids

KA LOLE ANA I KA LAAU A ME KA HUAKAI

Ke hoʻohana nei i kekahi mau mea i hiki ke hoʻonui i ka umauma:

• ʻAlekohola
• Nā Amphetamines
• Heroin
• Marijuana
• Methadone

Ua pili pū kekahi ʻo Gynecomastia i ka hōʻike ʻana i nā endocrine disrupters. ʻO kēia nā kemika maʻamau i ʻike pinepine ʻia i nā plastics.

Hiki i nā kāne i hoʻonui i nā umauma ke hoʻonui i ka makaʻu no ka maʻi ʻaʻai. Kākaʻikahi ka maʻi ʻaʻai umauma i nā kāne. Nā hōʻailona e kuhi paha i ka maʻi ʻaʻai umauma pū me:

• Ulu umauma ʻaoʻao ʻakahi
• ʻO ka puʻupuʻu paʻa a paʻakikī paha e like me ka hoʻopili ʻia i kaʻiʻo
• ʻEha ka ʻili ma luna o ka poli
• Hoʻokuʻu koko mai ka piko

No nā umauma pehu i palupalu, ke kōkua i nā kaomi anu. E noi i kāu mea mālama ola inā maikaʻi ka lawe ʻana i nā mea hōʻemi ʻeha.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe:

• E hōʻoki i ka lawe ʻana i nā lāʻau leʻaleʻa āpau, e like me ka mariuana
• E hōʻoki i ka lawe ʻana i nā mea hoʻopihaʻai āpau āpau a i ʻole nā ​​lāʻau āu e lawe nei no ke bodybuilding

Kāhea i kāu mea hāʻawi inā:

• Loaʻa ʻoe i ka pehu ʻana, ʻeha, a hoʻonui paha i hoʻokahi a i ʻole nā ​​umauma ʻelua
• Aia kahi pouli a hoʻokahe koko paha mai nā nipples
• Aia kekahi ʻeha ʻeha a ulcer paha ma luna o ka umauma
• ʻIke paha kahi puʻupuʻu umauma paʻakikī a paʻa paha

Inā ulu ka umauma o kāu keikikāne akā ʻaʻole i hiki i ka wā ʻōpio, e nānā ʻia e kahi mea hāʻawi.

E lawe kāu mea hāʻawi i ka mōʻaukala olakino a hana i kahi hoʻokolokolo kino.

ʻAʻole paha ʻoe e pono i kekahi mau hoʻokolohua, akā hiki ke hana ʻia nā hoʻokolohua aʻe e kāpae aku ai i kekahi mau maʻi.

• Nā hoʻāʻo pae kō koko
• Pākuʻi ultrasound
• Haʻawina ate a me ka hakuʻala
• Mamamogram

LAWAIA

ʻO ka manawa pinepine ʻaʻohe lapaʻau e pono ai. ʻO ka ulu ʻana o ka hānai i nā keiki hānau hou a me nā keiki kāne ʻōpio hele pinepine iā ia iho.

Inā loaʻa kahi maʻi i kahi pilikia, e mālama kāu mea lawelawe i kēlā ʻano.

E kamaʻilio pū kāu mea hāʻawi iā ʻoe e pili ana i nā lāʻau a i ʻole nā ​​mea i kumu e ulu ai ka umauma. ʻO ka kū ʻana i kā lākou hoʻohana a hoʻololi paha i nā lāʻau e pau ai ka pilikia. Mai hōʻoki i ka lawe ʻana i nā lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

ʻO ka ulu ʻana o ka umauma nui, kaulike ʻole, a i ʻole hele aku paha e hoʻoemi i ka maikaʻi o ke ola. Nā hana i hiki ke hoʻohana ʻia i kēia kūlana:

• ʻO ka mālama ʻana i ka Hormone e ālai ai i nā hopena o nā estrogen
• ʻO ke kaha hōʻemi hōʻoki e hoʻoneʻe i kaʻiʻo o ka umauma

ʻO Gynecomastia e noho nei no kahi manawa lōʻihi ʻaʻole hiki ke hoʻonā inā hoʻomaka ʻia ka lapaʻau kūpono.

Gynecomastia; Hoʻonui i ka umauma i kahi kāne kāne

• ʻO Gynecomastia

Ali O, Donohoue PA. ʻO Gynecomastia. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 603.

ʻO Anawalt BD. ʻO Gynecomastia. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 140.

ʻO Sansone A, Romanelli F, Sansone M, Lenzi A, Di Luigi L. Gynecomastia a me nā homone. Endocrine. 2017; 55 (1): 37-44. PMID: 27145756 pubmed.ncbi.nlm.nih.gov/27145756/.