Dhalinyaro
Ginecomastia waxaa loola jeedaa balaarinta naasaha ee labka ah waxayna dhacdaa qiyaastii wiilasha badhkeed markay soo maraan baaluq. Inkasta oo ay murugo u tahay wiilasha wiilasha badan oo u maleynaya in ay naasuhu yeeshaan, waa in lagu xaqiijiyaa in ginecomastia ay tahay mid caadi ah, caadi ah, oo badanaana ma socdaan ilaa ay si fudud u ogaan karaan asxaabtooda. Tan ugu muhiimsan, xaaladaha badankood, ginecomastia way baxdaa iyada oo aan wax daawo ah lahayn.
Astaamaha
Inta badan wiilasha qaba ginecomastia waxay dareemi doonaan yar yar, firfircoon, qandho leh hal ama labadaba. Waxay sii wadi karaan in ay sii koraan wax yar marka ugu horeysa, laakiin markaa kadib waxay marka dambe dib udhigaan, marar dhowr bilood ama dhowr sano. Tijaabadu sidoo kale waa mid ku meel gaar ah.
Ciladeynta
Ciladda ginecomastia waxaa badanaa lagu sameeyaa iyadoo lagu saleynayo baaritaan jirka ah oo faahfaahsan (oo ay ku jiraan imtixaanka tijaabada ah) iyo astaamaha calaamadaha, gaar ahaan xaqiiqda ah in ilmahaagu uu qaangaadhay. Dib-u-eegis daawo kasta oo ilmahaagu qaadanayo ayaa sidoo kale la sameyn doonaa. Imtixaanka, inkasta oo aan inta badan lagama maarmeynin wiilasha wiilasha, waxaa ka mid noqon kara:
- baaritaanka shaqada beerka
- plasma DHEAS ama kaadida 17-ketosteroids
- plazma estradiol
- plasma hCGá
- plasma LH iyo testosterone
Dhallinyarta aad u culus ayaa laga yaabaa inay qabaan pseudogynecomastia , taas oo ay leeyihiin naaso ballaaran sababtoo ah dufanka kordhaya oo aan ahayn naas naasaha. Marka loo eego dhalinyaro leh ginecomastia dhab ah, pseudogynecomastia badanaa iskama tagi karto haddii ilmuhu miisaankiisu hoos u dhaco.
Daaweynta
Inkasta oo aan loo baahnayn, hadana haddii ilmo yar oo qaba naaso weyn ama ginecomastia uu ka baxo, markaas daaweynta qalliinka waxay noqon kartaa ikhtiyaar. Khubarada intooda badani waxay ku talinayaan in ay sugaan ugu yaraan laba sano ka hor intaan la fiirin mastektomi ee ginecomastia, inkastoo.
Cilmi-baadhis ayaa sidoo kale lagu sameeyaa isticmaalka dawooyinka anti-estrogen, sida raloxifene iyo tamoxifen, si loo daaweeyo kiisaska joogtada ah ee ginecomastia.
Daawooyinka kale waxaa ku jiri kara arooriyaha daawada aromatase ee testolactone iyo danrrax daciif ah oo daciif ah.
Xusuusnow in inta badan dhalinyaradu uma baahna wax daaweyn ah ee ginekomastia.
Maxaad u Baahan Tahay Inaad Ogaato
- Ginecomastia badanaa waxay u baxdaa laba illaa saddex sano ah 90 boqolkiiba dhalinyarada.
- Isku-dheellitirka udhexeeya estrogen iyo androgens, hormoonnada sii kordhaya inta lagu jiro qaan-gaarnimada, ayaa loo maleynayaa inay sababeen ginecomastia.
- Ginecomastia waxaa sidoo kale lala xiriiriyaa isticmaalka daroogada, oo ay ku jiraan marijuana iyo stabdhabyada anabolic.
- Ginecomastia waa wax aad u yar ka hor intaanay qaan-gaarin, wiilasha intarnetka ah waa inay lahaadaan qiimeyn dhammeystiran oo indho-indhayn.
- Ginecomastia waxaa sidoo kale lagu arkaa caruurta qaba xanuunka Klinefelter syndrome, xanuunka cirrhosis, cirrhosis, xanuunka thyroid, feminization testicular, iyo hormoonnada hormoonka, waxayna noqon kartaa saameyn dhinaca daawooyinka qaarkood, sida cetetidine, hoormoonka koritaanka bini'aadamka, iyo spironolactone.
- Kansarka naasku aad ayuu u yaryahay wiilasha dhallinyarada ah, sidaas awgeed waxay noqon kartaa wax sabab u ah bararka naasaha ee dhalinyarada. Weli, wiilasha waa inay arkaan dhakhtarka carruurtooda qiimeyn haddii ay dareemaan burqaan naasahooda, labaduba waa qiimeyn iyo u-qaddarin si ay u wanaagsan yihiin.
> Ilo:
> Saameynta faa'iido leh ee raloxifene iyo tamoxifen ee daaweynta loo yaqaan 'pubertal gynecomastia'. Lawrence SE - J Pediatr - 01-JUL-2004; 145 (1): 71-6
Ciladaha naasaha ee bukaanka qaangaarka ah. Arca MJ - Goobta Carruurta - 01-OCT-2004; 15 (3): 473-85
Nidaamka qaliinka caagga ah ee doorashada oo qaangaar ah. McGrath MH - Adolesc Med Clin - 01-OCT-2004; 15 (3): 487-502
Larsen: Williams Bookbook ee Endocrinology, 10th ed.,