Yini Ebangela Ukuchithwa Kwengono (Galactorrhea)?

-Delile

• Ziyini izimpawu ze-galactorrhea?
• Yini ebangela i-galactorrhea?
• Iprolactinoma
• Ezinye izicubu
• Ezinye izimbangela kwabesilisa nabesifazane
• Kwabesifazane
• Kwabesilisa
• Ezinganeni ezisanda kuzalwa
• I-galactorrhea itholakala kanjani?
• I-galactorrhea iphathwa kanjani?
• Uyini umbono?

Yini i-galactorrhea?

IGalactorrhea yenzeka lapho ubisi noma ukuphuma kobisi okufana nobisi kuvuza izingono zakho. Kuhlukile ekusithekeni kobisi okujwayelekile okwenzeka ngesikhathi nangemva kokukhulelwa. Yize ingathinta bonke ubulili, ijwayele ukwenzeka kaningi kwabesifazane abaphakathi kweminyaka engama-20 nengama-35.

Ngenkathi ngokungalindelekile ukubona ukuthi kubukeka kanjani njengobisi luphuma izingono zakho kungashaqisa, imvamisa akuyona into okufanele ukhathazeke ngayo. Kepha ezimweni ezingavamile, kungaba uphawu lwesimo esidinga ukwelashwa.

Ziyini izimpawu ze-galactorrhea?

Uphawu oluyinhloko lwe-galactorrhea yinto emhlophe ephuma kwingono yakho.

Lokhu kukhishwa kunga:

• kuvuze ngezikhathi ezithile noma cishe njalo
• phuma kungono eyodwa noma zombili
• ububanzi besamba kusuka ekukhanyeni kuye kusindayo

Ungaba nezinye izimpawu futhi, kuya ngesizathu esiyimbangela.

Yini ebangela i-galactorrhea?

Izinto eziningana zingadala i-galactorrhea kubo bonke ubulili. Khumbula ukuthi abanye abantu banalokho odokotela abakubiza ngokuthi i-idiopathic galactorrhea. Le galactorrhea ngaphandle kwesizathu esicacile. Izicubu zakho zesifuba zingamane zizwele kakhulu kuma-hormone athile.

Iprolactinoma

IGalactorrhea ivame ukubangelwa yi-prolactinoma. Lesi yisimila esakha indlala yakho yebhinqa. Ingacindezela indlala yakho ye-pituitary, iyishukumise ukuthi ikhiqize i-prolactin eyengeziwe. Iprolactin yihomoni ebhekele kakhulu ukuncelisa ubisi.

Kwabesifazane, i-prolactinoma nayo ingadala:

• izikhathi ezingavamile noma ezingekho
• libido ephansi
• izinkinga zokuzala
• ukukhula ngokweqile kwezinwele

Abesilisa futhi bangaqaphela:

• libido ephansi
• ukungasebenzi kahle kwe-erectile

Uma ikhula yanele ngokwanele ukufaka ingcindezi emithanjeni yobuchopho bakho eduze kwendlala yakho ye-pituitary, ungahle ubone izinhlungu zekhanda ezivamile noma izinguquko zombono.

Ezinye izicubu

Ezinye izicubu zingaphinde zicindezele isiqu se-pituitary gland yakho, lapho sixhuma khona ne-hypothalamus, indawo engezansi kobuchopho bakho. Lokhu kungamisa ukukhiqizwa kwe-dopamine. Ngaphezu kokulawula imizwa yakho, i-dopamine isiza nokugcina amazinga akho e-prolactin ngokuwanciphisa lapho kudingeka.

Uma ungakhiqizi i-dopamine eyanele, i-pituitary gland yakho ingaveza i-prolactin eningi kakhulu, okuholele ekuchithweni kwengono.

Ezinye izimbangela kwabesilisa nabesifazane

Ezinye izimo eziningi zingadala ukuthi ube ne-prolactin eningi kakhulu. Lokhu kufaka phakathi:

• i-hypothyroidism, eyenzeka lapho indlala yegilo ingasebenzi ngokugcwele
• ukuthatha imithi ethile yomfutho wegazi ophezulu, njenge-methyldopa (Aldomet)
• izimo zezinso zesikhathi eside
• ukuphazamiseka kwesibindi, njenge-cirrhosis
• ezinye izinhlobo zomdlavuza wamaphaphu
• uthatha imishanguzo ye-opioid, njenge-oxycodone (Percocet) ne-fentanyl (Actiq)
• ukuthatha imishanguzo ethile yokulwa nokudangala, njenge-paroxetine (Paxil) noma i-serotonin reuptake inhibitors (SSRIs) ekhethiwe, efana ne-citalopram (Celexa)
• usebenzisa i-cocaine noma insangu
• ukuthatha izithako ezithile zamakhambi, kufaka phakathi i-fennel noma imbewu ye-anise
• ukuthatha ama-prokinetics ngezimo zamathumbu
• usebenzisa ama-phenothiazines ukuqeda ama-parasites

Kwabesifazane

Ukuphuza amaphilisi okulawula ukubeletha kuthinta amazinga e-hormone ahlukene, angadala i-galactorrhea kwabanye besifazane.

Kwabesilisa

I-hypogonadism yesilisa isho ukuba ne-testosterone ephansi. Lesi ngesinye sezimbangela ezivame kakhulu ze-galactorrhea emadodeni. Kungadala futhi i-gynecomastia, ekhulisa amabele.

Ezinganeni ezisanda kuzalwa

IGalactorrhea ibuye ibonakale ezinganeni ezisanda kuzalwa. Lokhu kungaba umphumela we-estrogen ephakeme yomama ngesikhathi sokukhulelwa. Uma ingena ku-placenta, ingangena egazini lengane ngaphambi kokuzalwa. Lokhu kungaletha kokubili ukukhuliswa kwamabele nokukhishwa kwengono.

I-galactorrhea itholakala kanjani?

IGalactorrhea imvamisa iwuphawu lwenkinga yezempilo, ngakho-ke kubalulekile ukusebenzisana nodokotela ukukhomba imbangela.

Kungenzeka basebenzise inhlanganisela yezivivinyo nokuhlolwa okulandelayo ukwenza ukuxilongwa:

• Umzimba ogcwele. Udokotela wakho cishe uzobona ukuthi ingono yakho isabela kanjani ekukhanyeni, nokuthi ngabe lokho kubangela ukuphuma okukhulu. Bangabuye bahlole amabele akho ukuthola noma yiziphi izimpawu zesimila.
• Ukuhlolwa kwegazi. Ukuhlola amazinga akho e-prolactin nama-hormone akhuthaza i-thyroid kungasiza ekunciphiseni imbangela engaba khona.
• Ukuhlolwa kweLab kokukhishwa kwengono. Uma ukhulelwe esikhathini esedlule, bangathatha isampula lokukhishwa kwengono yakho bese bekuhlolela izingcezu zamafutha. Lesi isibonakaliso sokuxoxa se-galactorrhea, esisiza ukusihlukanisa ne-lactation.
• Ukuhlola ukuhlolwa. Iskena se-MRI noma se-CT singasiza ukuhlola ama-prolactinomas noma ezinye izicubu eziseduze nendlala yakho ye-pituitary noma uhlole izicubu zesifuba sakho nganoma yini engajwayelekile. I-mammogram noma i-ultrasound ingasiza ekuboneni noma yiziphi izigaxa ezingavamile noma izicubu zamabele.
• Ukuhlolwa kokukhulelwa. Uma kukhona ithuba lokuthi ungakhulelwa, udokotela wakho angahle afune ukusebenzisa isivivinyo sokukhulelwa ukukhipha i-lactation.

I-galactorrhea iphathwa kanjani?

Ukwelapha i-galactorrhea kuya ngesizathu. Kepha uma une-prolactinoma encane edala ezinye izimpawu, isimo singazixazululela sisodwa.

Ezinye izindlela zokwelashwa ze-galactorrhea zifaka:

• Ukugwema imithi engadala ukukhishwa. Uma usola ukuthi umuthi owuthathayo kungenzeka ubangele i-galactorrhea, sebenza nodokotela wakho ukubona ukuthi kukhona yini enye ongayithatha esikhundleni. Vele uqiniseke ukuthi awuyeki ukuthatha noma yini ngokungazelelwe, ngoba lokhu kungaholela kweminye imiphumela emibi ebingahlosiwe.
• Ukuthatha imithi ukunciphisa noma ukuyeka iprolactin ngokwandisa amazinga akho e-dopamine. Izibonelo ezijwayelekile zifaka i-bromocriptine (Cycloset) noma i-cabergoline (i-Dostinex). Le mithi ingasiza ukunciphisa ama-prolactinomas nezinye izicubu. Zingasiza futhi ukulawula amazinga akho we-prolactin.
• Ukuhlinzwa ukususa i-prolactinoma noma esinye isimila. Uma umuthi ungabonakali usebenza noma isimila sikhulu kakhulu, ungadinga ukuhlinzwa ukuze ususwe.

Uyini umbono?

Lapho sebethole imbangela, abantu abaningi abane-galactorrhea bayalulama ngokugcwele. Izicubu ze-pituitary gland ngokuvamile azinabungozi, futhi imishanguzo ingasiza ekulawuleni noma yiziphi izimpawu ezizibangelayo. Okwamanje, zama ukugwema ukwenza noma yini edala ukukhishwa kwezingono, njengokuvuselela izingono zakho ngesikhathi socansi noma ukugqoka izingubo eziqinile.