Gynecomastia

Kufotokozera kwathunthu kwa matendawa

Ichi ndi kukula kwa pathological glands zamphongo zamphongo, zomwe zimawonetseredwa ndi kuwonjezeka kwa kukula kwa mawere, kuphatikizika kwawo, ndi kulemera kwake. Pa palpation ya bere, zowawa ndi kusapeza bwino kumachitika.

Zilonda za mammary zimatha kukula mpaka masentimita 10 m'mimba mwake (nthawi zambiri, kukula kwake ndi 2-4 centimita). Kuchulukitsa kwa mawere kumatha kukhala kogwirizana kapena kofanana (mbali zonse ziwiri).

Kuchuluka kwa matendawa kumatengera zaka zomwe mwamuna amagwera (mnyamata, mnyamata). Achinyamata omwe ali ndi chitukuko chabwino (ali ndi zaka 13-14), 50-70% amawerengera pafupifupi 40% ya amuna omwe ali ndi zaka zoberekera ali ndi gynecomastia, mwa amuna akuluakulu chizindikiro chimasintha pamlingo wa 60-70%.

Gynecomastia nthawi zambiri imabweretsa zovuta m'maganizo ndi thupi kuposa matenda. Ndikoyenera kudziwa kuti ngati palibe chithandizo chomwe chikuchitika, chotupa choopsa cha m'mawere chimayamba. Choyamba, muyenera kuyesa njira zochiritsira zochiritsira, ngati sizikuthandizani, ndiye kuti opaleshoni ikuwonetsedwa.

Mitundu ya gynecomastia

Ndi chiyambi chake, gynecomastia ndi koona ndi zabodza.

Ndi gynecomastia weniweni kuchuluka kwa bere kumawonjezeka chifukwa cha kukula kwa stroma ndi mammary glands.

Za pseudogynecomastia, ndiye bere limakula kukula chifukwa cha mafuta a thupi (mtundu uwu wa gynecomastia umawonedwa mwa amuna onenepa).

Gynecomastia weniweni, nawonso, angakhale mkati mwa chikhalidwe cha thupi (kutengera zaka za mwamuna). Komanso, zikhoza kukhala matenda - chifukwa cha ma pathologies osiyanasiyana komanso kusagwira bwino ntchito m'thupi la munthu.

Zifukwa za gynecomastia

Zomwe zimayambitsa matendawa zidzagawidwa m'magulu awiri (malingana ndi mitundu iwiri ikuluikulu ya gynecomastia).

Gulu 1

Zifukwa chitukuko chenicheni zokhudza thupi gynecomastia

Physiological gynecomastia (yomwe imatchedwanso "idiopathic") imatha kuwonedwa mwa makanda, achinyamata komanso ukalamba.

Pafupifupi 90% ya ana obadwa kumene, kutupa kwa mammary glands kumawonedwa, komwe pambuyo pa masiku 14-30 kumachepa paokha popanda chithandizo chilichonse. Kukula koteroko kwa minyewa ya mammary kumachitika chifukwa cha maliseche omwe adabwera kwa khanda ali m'mimba.

Muunyamata (omwe ali ndi zaka 13-14), pafupifupi 60% ya anyamata ali ndi gynecomastia (ndipo 80% ya iwo ali ndi kukula kwa mammary glands). Kuwonjezeka kotereku kumachitika chifukwa cha kusakhwima kwa chiberekero komanso kuchuluka kwa mahomoni ogonana achikazi kuposa amuna. Nthawi zambiri, matendawa amabwerera okha mkati mwa zaka 1-2, popanda kuchitidwa opaleshoni.

Akakalamba (zaka 55 mpaka 80), amuna amathanso kukhala ndi gynecomastia. Izi zimachitika chifukwa cha kuchepa kwa kupanga kwa testosterone. Homoni yachikazi, estrogen, imayamba kulamulira mahomoni aamuna.

Gulu 2

Zifukwa za chitukuko cha pathological gynecomastia

Mtundu uwu wa gynecomastia ukhoza kukula chifukwa cha:

  • kusalinganika kwa estrogen ndi testosterone m'thupi (kusagwirizana koteroko kumachitika ndi zotupa za ma testicles, adrenal glands, mapapo, m'mimba, pituitary gland, kapamba, ndi prostate adenoma, ndi njira zosiyanasiyana zotupa, ndi kufooka kwa zotupa zachimuna. );
  • hyperprolactinemia (kuchuluka kwa prolactin - timadzi timene timayambitsa kubereka, kuchuluka kwake kumawonjezeka ndi hypothyroidism ndi mapangidwe a chotupa cha pituitary gland);
  • kukhalapo kwa matenda omwe amakhudza kagayidwe kachakudya m'thupi: matenda a shuga, kunenepa kwambiri, kufalikira kwa goiter, chifuwa chachikulu cha m'mapapo;
  • kukhalapo kwa matenda osagwirizana ndi endocrine: HIV, chifuwa chachikulu, matenda a chiwindi, mtima kapena aimpso, chifukwa cha kuledzera kosiyanasiyana;
  • kumwa mankhwala omwe amachulukitsa kupanga kwa prolactin kapena estrogens, kumakhudza minofu ya m'mawere, yomwe imakhudza kwambiri ntchito ya testicles (izi zikhoza kukhala corticosteroids, antidepressants, anabolic steroids, zonona zomwe zili ndi estrogens);
  • kugwiritsa ntchito heroin, chamba, mowa.

Zizindikiro za gynecomastia

Mwa makanda obadwa kumene, zopangitsa mammary kukula ndi coarsely pang'ono, kumaliseche sapezeka kawirikawiri (mosasinthasintha iwo amafanana ndi colostrum).

Pamaso pa mitundu ina ya gynecomastia mwa amuna, kuchuluka kwa mabere kumawonedwa kuchokera ku 2 mpaka 15 masentimita awiri. Chifuwa chimatha kulemera pafupifupi magalamu 160. Nthawi yomweyo, nipple imakulanso kukula, halo imakhala ndi pigment, imakula mpaka 3 centimita mozungulira. Nthawi zambiri, kukulitsa kwa glands za mammary kumakhala kowawa, munthu amatha kumva kufinya, kusapeza bwino povala zovala (pogwira nsonga zamabele, zimatha kukhala tcheru).

Ngati bere limodzi lokha likukulitsidwa, chiopsezo cha kuwonongeka kwa chotupa ku mammary glands chimawonjezeka. Ngati muli ndi kumaliseche kwamagazi, kutupa kwa ma axillary lymph nodes, kapena kusintha kosiyanasiyana pakhungu pa chifuwa chanu, ndiye kuti pali kuthekera kwakukulu kwa khansa ya m'mawere.

Gynecomastia imapezeka mu magawo atatu:

  1. 1 Pa siteji yowonjezera (kukula), kusintha koyambirira kumawonedwa (gawoli limatenga miyezi 4 ndipo, ndi chithandizo choyenera, chirichonse chimapita popanda zotsatira ndi opaleshoni).
  2. 2 B nthawi yanthawi kusasitsa kwa gland kumawonedwa (gawo limatenga miyezi 4 mpaka 12).
  3. 3 Pa fayilo ya siteji ya fibrous adipose ndi minofu yolumikizana imawoneka mu gland ya mammary, kusinthika kwa matendawa kwachepetsedwa kale.

Zothandiza zakudya gynecomastia

Ndi matendawa, kugonana kwachimuna kumafunika kuyang'ana pa zinthu zomwe zimachulukitsa testosterone.

Kupanga kwake kumakhudzidwa ndi mavitamini A, E, unsaturated acids omega 3 ndi 6, lutein, selenium, zinki, chitsulo, carotenoids, bioflavonoids ndi carotenes. Zakudya zonsezi zitha kupezeka kuchokera ku chakudya. Tiyeni tigawane iwo m'magulu osiyanasiyana ndikuganizira zomwe amuna ayenera kudya komanso kuchuluka kwake.

1. Malo oyamba olemekezeka amakhala ndi nsomba: nkhanu, hering'i, sardines, shrimps, oyster, nsomba, nsomba, saury, trout. Ndi bwino kuphika iwo steamed kapena grilled (mukhozanso kuphika iwo). Muyenera kudya nsomba zosachepera katatu pa sabata.

2. Ndiye mukhoza kuvala mphamvu ndi zothandiza zipatso, zipatso ndi ndiwo zamasamba. Kutsindika kuyenera kuikidwa pa banja lonse la cruciferous (kwa mitundu yonse ya kabichi), mphesa zobiriwira, parsley, mpiru, apurikoti, sipinachi, anyezi, watercress, letesi wobiriwira, malalanje, makangaza, mango, turnips, dzungu, blueberries, plums, kaloti. , nectarine, mandimu, mbatata, tsabola wachikasu ndi wofiira, mandimu, black currant. Mukhozanso kudya zipatso zouma: ma apricots zouma, madeti, prunes, zoumba.

Amadyedwa mwatsopano - amakhala athanzi kuposa mazira, owiritsa kapena zamzitini.

Ndikoyenera kudziwa kuti zipatso, masamba ndi zipatso ziyeneranso kugawidwa ndi mtundu. Mitundu iliyonse imathandiza m'njira zosiyanasiyana.

Masamba, zipatso zobiriwira ndizomwe zimayambitsa kukula, ndi antioxidant, zimatsuka thupi la mankhwala owopsa komanso machitidwe. Chisamaliro chapadera chiyenera kuperekedwa kwa mitundu yonse ya kabichi. Ndi iye amene amalimbikitsa kuchotsedwa kwa estrogen m'chiwindi (hormone iyi imalepheretsa kupanga testosterone). Kabichi, monga masamba onse, amadyedwa mwatsopano.

Zipatso, masamba ndi zipatso, zomwe zimakhala lalanje kapena zachikasu, zimalepheretsa kugunda kwa mtima, mawonekedwe a khansa (izi ndizofunikira kwambiri mu gynecomastia, chifukwa khansa imatha kuwoneka m'mawere). Komanso, iwo kulimbikitsa chitetezo chokwanira.

Red zipatso ndi ndiwo zamasamba bwino ntchito ya munthu mkodzo dongosolo, kuteteza ku mapangidwe khansa maselo. Cherry, mavwende, tomato, sitiroberi, raspberries, cranberries adzakhala zothandiza. Payokha, muyenera kuwunikira mphesa zofiira. Lili ndi flavonoids. Amachepetsa ntchito ya aromatase (enzyme yomwe imasintha testosterone kukhala mahomoni achikazi a estrogen).

Masamba ndi zipatso zokhala ndi buluu ndi violet mitundu zimathandizira kuyeretsa thupi la radionuclides ndikuchepetsa ukalamba. Izi zimachitika chifukwa cha proanthocyanidins ndi anthocymnidins omwe amapezeka mu plums, blueberries, ndi black currants.

3. Pa sitepe yachitatu, timayika mbewu za fiber ndi tirigu (ngale balere, mapira ndi buckwheat phala). Fiber, yomwe ili mumbewu, imayambitsa matumbo ndi m'mimba motility, zomwe zimapangitsa kuti thupi lizichotsa mwamsanga zinyalala za chakudya. Kupatula apo, chakudya chofufumitsa kapena chowola m'matumbo chimakhudza kwambiri kufalikira kwa ziwalo za m'chiuno ndipo zimayambitsa kutenthedwa kwa ma testicles (kutentha kwambiri sikulola kupanga mahomoni ogonana).

Ndi bwino kusankha phala kuchokera ku mbewu zonse ndikudya tsiku ndi tsiku. Ayenera kuphikidwa pamoto wochepa pa kutentha pafupifupi madigiri 60.

4. Kenaka, ganizirani zonunkhira (curry, adyo, cardamom, anyezi, tsabola wofiira, turmeric). Zokometsera zimakulitsa ntchito ya michere yomwe imayang'anira kukonza kwa estrogen, potero imachotsa estrogen m'thupi mwachangu kwambiri.

5. Musaiwale za kumwa. Muyenera kumwa osachepera 2 malita patsiku. Bwino kusankha kasupe koyera kapena madzi amchere. Madzi amathandiza kuti madzi asamayende bwino komanso amatsuka poizoni m'thupi. Komanso, imadyetsa ma cell a thupi, chifukwa chake munthu amakhalabe wachinyamata kwa nthawi yayitali.

Traditional mankhwala gynecomastia

Folk azitsamba ayenera kugwiritsidwa ntchito kokha m`thupi kusokonezeka ndi koyambirira magawo matenda. Makhansa sadzatha mosavuta.

Chimodzi mwazolimbikitsa kwambiri za testosterone ndi mizu ya ginseng. Idyani chidutswa cha muzu tsiku lililonse. Ayenera kutafunidwa bwino ndi mano (monga ngati akupera) ndipo madzi onse omwe amawonekera pokutafuna ayenera kumeza.

Mowa tincture umathandizanso bwino motsutsana ndi gynecomastia. Ndipo amakonzedwa ndi mizu ya ginseng, khungwa la yohimbe, udzu watsopano wa oat ndi masamba a ginkgo biloba. Zosakaniza zonse ziyenera kutengedwa mu 50 g. Zitsamba ziyenera kusakanikirana ndikutsanuliridwa ndi 1 lita imodzi ya mowa wonyezimira, kuyika m'malo amdima kwa masiku 14. Pambuyo pa nthawiyi, zonse ziyenera kusefedwa, kutsanulira mu botolo ndikusungidwa mufiriji. Tengani madontho 30 pa mlingo uliwonse. Payenera kukhala 3-4 madyerero oterowo patsiku. Kutalika kwa mankhwala ndi masiku 60.

Vinyo wakuda. Imathandizira kugaya chakudya, imachepetsa cholesterol komanso imathandizira kupanga mahomoni achimuna. Tengani ochepa osambitsidwa, zouma ndi wosweka mizu lovage, kutsanulira botolo la vinyo wofiira, kuvala mpweya ndi kutentha mpaka chithovu mitundu (kuwira ndi mosamalitsa oletsedwa), kusiya adzapatsa kwa 3 masiku. Kenako sefa ndi kutenga kapu yaing'ono tsiku lililonse pambuyo chakudya. Mukatha kudya, padutsa ola limodzi.

Kuchepetsa kukula kwa bere, muyenera kutenga decoction zotsatirazi. Tengani magalamu 100 a ginseng wa ku Siberia ndi magalamu 50 aliwonse a muzu wa ginseng, licorice ndi masamba a rasipiberi. Sakanizani zonse ndi kutsanulira 0.5 malita a madzi otentha. Kuumirira mpaka kulowetsedwa akazizira pansi. Sefa ndi kumwa chifukwa cha madziwo pang'onopang'ono tsiku lonse. Muyenera kumwa msuzi wotere kwa miyezi iwiri. Mukhoza kupitiriza kumwa mwezi wina. Maphunziro sayenera kupweteka kwa miyezi 2 yonse.

Pofuna kuchiza matendawa, wodwalayo ayenera kutenga decoction ya thyme kwa masiku 14-21. Kukonzekera izo, kutenga 2 supuni youma, akanadulidwa zitsamba, kutsanulira 1 lita imodzi ya madzi, kubweretsa kwa chithupsa ndi kusunga moto kwa mphindi 10, dikirani mpaka msuzi akazizira pansi, fyuluta. Imwani chifukwa kuchuluka kwa kulowetsedwa patsiku. Imwani kapu ya msuzi wa thyme panthawi imodzi. Mukhozanso kusamba ndi izo (zingathandize kuthetsa nkhawa, kusintha magazi mu ziwalo za m'chiuno ndi kumasuka basi).

Zakudya zowopsa komanso zovulaza za gynecomastia

  • nsomba (ikhoza kudyedwa osapitirira 1 nthawi pa sabata - izi zimagwirizanitsidwa ndi kudzikundikira kwa mercury m'thupi la munthu);
  • manyumwa (ali ndi mankhwala apadera omwe amachepetsa kuwonongeka kwa estrogen m'chiwindi);
  • mchere (kuchuluka kwa sodium m'thupi kumachepetsa kupanga testosterone);
  • shuga (amathandiza kupanga insulini, yomwe imachepetsa kapena kuimitsa kupanga testosterone palimodzi);
  • caffeine (amapha testosterone yaulere, mukhoza kutenga 1 chikho cha khofi patsiku);
  • nyama, yomwe mahomoni achikazi amawonjezeredwa (kuti apeze kulemera msanga kwa nyama), amapezeka mu nkhumba, nkhuku, ng'ombe (koma ngati mudya chidutswa 1 patsiku la nyama yoteroyo, ndiye kuti sipadzakhala zovulaza kuposa zabwino) ;
  • zakudya zamafuta (kuwonjezera cholesterol);
  • soya (ali ndi ma analogi a mahomoni achikazi);
  • mkaka wamafuta opangidwa kunyumba (muli ndi estrogen ya ng'ombe, mkaka wotere ukhoza kumwa mpaka lita imodzi patsiku);
  • Zinthu zophikidwa ndi yisiti yoyera (shuga, yisiti, ndi zidulo zimachepetsa kupanga testosterone)
  • mazira a nkhuku (ali ndi cholesterol yambiri ndi estrogen; mlingo wofunikira ndi dzira limodzi masiku awiri aliwonse);
  • soda (yomwe ili ndi shuga, caffeine);
  • nyama zogulidwa m'sitolo (zimakhala ndi utsi wamadzimadzi, womwe umawononga minofu ya testicular, yomwe ndi 95% ya kuchuluka kwa testosterone yomwe imapangidwa ndi iwo);
  • mowa (amapha testosterone yaulere ndipo imakhudza kwambiri minofu ya testicular), makamaka mowa woopsa - uli ndi phytoestrogens (mahomoni ogonana achikazi);
  • chakudya chofulumira, zinthu zomwe zatha, zakudya zomwe zili ndi E-coding ndi GMOs (zili ndi ma enzyme onse omwe amachepetsa kupanga testosterone).

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!

Chakudya cha matenda ena:

Siyani Mumakonda