Ukukhishwa kwengono

Ukukhishwa kwengono yinoma yikuphi uketshezi oluphuma endaweni yengono esifubeni sakho.

Kwesinye isikhathi ukukhishwa ezingubeni zakho kulungile futhi kuzoba ngcono ngokwakho. Kungenzeka ukuthi ube nokukhishwa kwengono uma ukhulelwe okungenani kanye.

Ukukhishwa kwengono imvamisa akuwona umdlavuza (ubungozi), kepha kuyaqabukela, kungaba uphawu lomdlavuza webele. Kubalulekile ukuthola ukuthi kubangelwa yini nokuthi uthole ukwelashwa. Nazi ezinye izizathu zokukhishwa kwengono:

• Ukukhulelwa
• Ukuncelisa ibele kwakamuva
• Ukuhlikihla endaweni kusuka kubhodisi noma isikibha
• Ukulimala ebeleni
• Ukutheleleka kwamabele
• Ukuvuvukala nokuvaleka kwamapayipi wamabele
• Izicubu zepituitary ezingenasifo somdlavuza
• Ukukhula okuncane ebeleni okuvamisile ukuthi kungabi ngumdlavuza
• Indlala yegilo engasebenzi kahle (hypothyroidism)
• Isifuba se-Fibrocystic (ukuqina okuvamile esifubeni)
• Ukusetshenziswa kwemithi ethile njengamaphilisi okulawula ukubeletha noma ama-anti-depressants
• Ukusetshenziswa kwamakhambi athile, njenge-anise ne-fennel
• Ukunwetshwa kwamapayipi obisi
• I-Intraductal papilloma (isimila esihle emgodini wobisi)
• Isifo sezinso esingalapheki
• Ukusetshenziswa kwezidakamizwa okungekho emthethweni, kufaka phakathi i-cocaine, i-opioid kanye nensangu

Kwesinye isikhathi, izingane zingaba nokukhishwa kwengono. Lokhu kudalwa ama-hormone avela kumama ngaphambi kokuzalwa. Kufanele ihambe emasontweni ama-2.

Umdlavuza onjengesifo sePaget (uhlobo lomdlavuza olungandile olubandakanya isikhumba sengono) nawo ungadala ukukhipha ingono.

Ukukhishwa kwengono okungajwayelekile kuyinto:

• Igazi
• Kuvela engonweni eyodwa kuphela
• Iphuma yodwa ngaphandle kokukhama noma ukuthinta ingono yakho

Ukukhishwa kwengono kungenzeka kube okujwayelekile uma:

• Iphuma kuzo zombili izingono
• Kwenzeka lapho ukhama izingono zakho

Umbala wokukhishwa awukutsheli ukuthi kujwayelekile yini. Ukukhishwa kungabukeka kunebala, kucacile, kuphuzi, kuluhlaza noma kube nsundu.

Ukukhama ingono yakho ukuze uhlole ukuphuma kungayenza ibe yimbi nakakhulu. Ukushiya ingono yodwa kungenza ukuphuma kuyeke.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlola abuze imibuzo mayelana nezimpawu zakho nomlando wezokwelapha.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi leProlactin
• Ukuhlolwa kwegazi lendlala yegilo
• I-Head CT scan noma i-MRI ukubheka isimila se-pituitary
• Isimame
• I-Ultrasound yebele
• Ukuxilongwa kwesifuba
• I-Ductography noma i-ductogram: i-x-ray enombala ohlukile ojojowe emgodini wobisi othintekile
• Isikhumba biopsy, uma isifo sePaget sikhathaza

Lapho nje imbangela yokukhishwa kwengono yakho itholakele, umhlinzeki wakho angancoma izindlela zokuyelapha. Ungakwazi:

• Udinga ukuguqula noma imuphi umuthi odale ukuphuma
• Susa izigaxa
• Susa wonke noma amanye wemifudlana yamabele
• Thola okhilimu ukwelapha izinguquko zesikhumba ezungeze ingono yakho
• Thola imithi yokwelapha isimo sempilo

Uma konke ukuhlolwa kwakho kujwayelekile, ungahle ungadingi ukwelashwa. Kufanele ube nenye i-mammogram nokuhlolwa komzimba kungakapheli unyaka.

Isikhathi esiningi, izinkinga zezingono akuwona umdlavuza webele. Lezi zinkinga zizophela ngokwelashwa okulungile, noma zingabukwa ngokuhamba kwesikhathi.

Ukukhishwa kwengono kungaba uphawu lomdlavuza webele noma isimila se-pituitary.

Izinguquko zesikhumba ezungeze ingono zingabangelwa yisifo sePaget.

Cela umhlinzeki wakho ahlole noma yikuphi ukukhishwa kwengono.

Ukukhishwa emabeleni; Uketshezi lobisi; Ukumuncwa - okungavamile; Ubisi lwabathakathi (ubisi olusanda kuzalwa); IGalactorrhea; Ingono eguquliwe; Izinkinga zengono; Umdlavuza webele - ukukhishwa

• Ibele lesifazane
• I-papilloma yokufundela
• Indlala yesifuba
• Ukukhishwa okungavamile engonweni
• I-anatomy yesifazane ejwayelekile

IKlimberg VS, iHunt KK. Izifo zesifuba. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhlaka 21. ISt Louis, MO: Elsevier; 2022: isahluko 35.

I-Leitch AM, i-Ashfaq R. Ukukhishwa nokukhishwa kwengono. Ku: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, ama-eds. Isifuba: Ukuphathwa Okuphelele Kwezinkinga zeBenign neMalignant. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 4.

USandadi S, Rock DT, Orr JW, Valela FA. Izifo zamabele: ukutholwa, ukuphathwa, nokubhekwa kwezifo zesifuba. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 15.