Enara girman nono a cikin maza
Lokacin da ƙwayar nono mara kyau ta haɓaka cikin maza, ana kiranta gynecomastia. Yana da mahimmanci a gano idan yawan ci gaban shine ƙwayar nono ba ƙari mai ƙima ba (lipomastia).
Yanayin na iya faruwa a nono daya ko duka biyun. Yana farawa ne kamar ƙaramin dunƙule a ƙarƙashin kan nono, wanda zai iya zama mai laushi. Breastaya nono na iya zama girma fiye da ɗayan. Bayan lokaci dunƙulen na iya zama ba mai taushi ba kuma yana jin daɗi.
Breastsananan nono a cikin maza yawanci ba su da lahani, amma yana iya sa maza su guji saka wasu sutura ko kuma kada su so a gan su ba tare da riga ba. Wannan na iya haifar da damuwa mai mahimmanci, musamman ga samari.
Wasu jarirai sabbin haihuwa na iya samun ci gaban nono tare da fitowar madara (galactorrhea). Wannan yanayin yawanci yakan ɗauki makonni biyu zuwa watanni. A wasu lokuta ba safai ba, zai iya wucewa har yaro ya cika shekara 1 da haihuwa.
Sauye-sauyen hormone na yau da kullun sune sanadin ci gaban nono ga jarirai, samari, da maza. Akwai wasu dalilai kuma.
SAUYIN KOWA
Enara girman nono yawanci yakan haifar da rashin daidaituwar estrogen (hormone mace) da testosterone (hormone maza). Maza suna da nau'ikan hormones iri biyu a jikinsu. Canje-canje a matakan wadannan kwayoyin halittar, ko kuma yadda jiki ke amfani ko amsar wadannan kwayoyin, na iya haifar da girman nono a cikin maza.
A cikin jarirai sabbin haihuwa, ana samun ci gaban nono ta hanyar fuskantar isrogen daga mahaifiya. Kimanin rabin rabin yara ana haifuwa da nono masu faɗaɗa, waɗanda ake kira kumburin nono. Yawanci sukan tafi cikin watanni 2 zuwa 6, amma na iya daɗewa.
A cikin yara da matasa, haɓakar nono yana faruwa ne sakamakon canjin hormone na yau da kullun wanda ke faruwa a lokacin balaga. Fiye da rabin yara maza suna samun girman girman nono yayin balaga. Girman nono yakan gushe cikin kimanin watanni 6 zuwa shekaru 2.
A cikin maza, canzawar hormone saboda tsufa na iya haifar da ci gaban nono. Wannan na iya faruwa sau da yawa a cikin mutane masu kiba ko masu kiba kuma a cikin maza masu shekaru 50 zuwa sama.
YANAYIN LAFIYA
Wasu matsalolin lafiya na iya haifar da haɓakar nono a cikin mazan maza, gami da:
- Ciwon hanta na kullum
- Ciwon koda da wankin koda
- Testosteroneananan matakin testosterone
- Kiba (kuma shine sanadin sanadin girman nono saboda kitse)
Causesananan dalilai sun haɗa da:
- Launin kwayoyin
- Ciwan aiki mai yawa ko kuma rashin aikinyi
- Umumurai (haɗe da ƙari na gland, ake kira prolactinoma)
MAGUNGUNA DA MAGUNGUNA
Wasu magunguna da magunguna waɗanda zasu iya haifar da haɓakar nono ga maza sun haɗa da:
- Ciwon daji na ilimin sankara
- Maganin Hormone don cutar sankarar prostate, kamar flutamide (Proscar), ko don faɗaɗa prostate, kamar finasteride (Propecia) ko bicalutamide
- Radiation maganin kwayar cutar
- Magungunan HIV / AIDS
- Corticosteroids da anabolic steroids
- Estrogen (gami da waɗanda suke cikin kayayyakin waken soya)
- Maganin ƙwannafi da magungunan gyambon ciki, kamar cimetidine (Tagamet) ko proton pump inhibitors
- Magungunan anti-tashin hankali, kamar su diazepam (Valium)
- Magungunan zuciya, kamar su spironolactone (Aldactone), digoxin (Lanoxin), amiodarone, da alli channel blockers
- Magungunan antifungal, kamar ketoconazole (Nizoral)
- Magungunan rigakafi kamar metronidazole (Flagyl)
- Tricyclic antidepressants kamar amitriptyline (Elavil)
- Ganye irin su lavender, man itacen shayi, da dong quai
- Opioids
SHAYE-SHAYE DA SHAYE-SHAYE
Amfani da wasu abubuwa na iya haifar da fadada nono:
- Barasa
- Amfetamines
- Heroin
- Marijuana
- Methadone
Hakanan an haɗa Gynecomastia zuwa haɗuwa da masu rikicewar endocrine. Wadannan sunadarai ne na yau da kullun waɗanda ake samu a robobi.
Mazajen da suka kara girman nono na iya samun haɗarin kamuwa da cutar sankarar mama. Ciwon nono a cikin maza ba safai ba. Alamomin da zasu iya ba da shawarar cutar sankarar mama sun hada da:
- Ciwon nono mai gefe daya
- Marke ko dunƙulewar nono wanda yake jin kamar an haɗe shi da nama
- Ciwon fata akan nono
- Fitar jini daga kan nono
Ga kumburin nono masu taushi, sanya matsi masu sanyi na iya taimakawa. Tambayi mai ba ku kiwon lafiya idan ya yi daidai don ɗaukar magungunan rage zafi.
Sauran nasihun sun hada da:
- Dakatar da shan duk magungunan nishaɗi, kamar su marijuana
- Dakatar da shan duk wani sinadarai mai gina jiki ko duk wani magani da kake sha don gina jiki
Kira mai ba da sabis idan:
- Kuna da kumburi kwanan nan, zafi, ko faɗaɗawa a ɗaya ko duka ƙirjin
- Akwai fitar ruwa mai duhu ko jini daga kan nonon
- Akwai ciwon fata ko miki a kan nono
- Umpullar nono tana jin daɗi ko ƙarfi
Idan ɗanka yana da girman nono amma har yanzu bai balaga ba, sai mai kula da shi ya duba shi.
Mai ba ku sabis zai ɗauki tarihin likita kuma ya yi gwajin jiki.
Kila ba ku buƙatar kowane gwaji, amma ana iya yin gwaje-gwaje masu zuwa don kore wasu cututtuka:
- Gwajin gwajin jini
- Nono tayi
- Nazarin aikin hanta da koda
- Mammogram
MAGANI
Sau da yawa ba a buƙatar magani. Cigaban nono a cikin jarirai da samari samari sukan tafi da kan su.
Idan yanayin rashin lafiya yana haifar da matsalar, mai ba da sabis ɗinku zai magance wannan yanayin.
Mai ba ku sabis zai yi magana da ku game da magunguna ko abubuwan da ke iya haifar da haɓakar nono. Dakatar da amfani da su ko canza magunguna zai sa matsalar ta tafi. KADA KA daina shan kowane magani kafin magana da mai baka.
Ci gaban nono wanda yake babba, mara daidai, ko baya tafiya yana iya haifar da raguwar ingancin rayuwa. Magungunan da za'a iya amfani dasu a wannan yanayin sune:
- Maganin Hormone wanda ke toshe tasirin estrogens
- Tiyatar rage nono don cire kayan nono
Gynecomastia da ya kasance na dogon lokaci ba zai iya warwarewa ba koda an fara magani mai kyau.
Gynecomastia; Kara girman nono a cikin namiji
- Gynecomastia
Ali O, Donohoue PA. Gynecomastia. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi 603.
Anawalt BD. Gynecomastia. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 140.
Sansone A, Romanelli F, Sansone M, Lenzi A, Di Luigi L.Gynecomastia da hormones. Endocrine. 2017; 55 (1): 37-44. PMID: 27145756 pubmed.ncbi.nlm.nih.gov/27145756/.