Yintoni Ebangela Ukuchithwa Kwengono (Galactorrhea)?

Umxholo

• Ziintoni iimpawu zegalactorrhea?
• Yintoni ebangela igalactorrhea?
• Prolactinoma
• Amanye amathumba
• Abanye oonobangela kuzo zonke izini
• Kwabasetyhini
• Kwindoda
• Kwiintsana
• Ifunyaniswa njani igalactorrhea?
• Iphathwa njani igalactorrhea?
• Yintoni imbonakalo?

Yintoni igalactorrhea?

IGalactorrhea yenzeka xa ubisi okanye ukuphuma kobisi okufana nobisi kuvuza iingono zakho. Kwahlukile kwimfihlo yobisi rhoqo eyenzeka ngexesha nasemva kokukhulelwa. Ngelixa inokuchaphazela bonke abantu besini, ihlala yenzeka rhoqo kubafazi abaphakathi kweminyaka engama-20 nama-35.

Ngelixa ungalindelanga ukubona ukuba kujongeka njani ngathi lubisi luphuma kwiingono zakho kunokuba yinto eyothusayo, akusoloko kukho nto uzikhathaza ngayo. Kodwa kwiimeko ezinqabileyo, kunokuba ngumqondiso wesimo esisisiseko esifuna unyango.

Ziintoni iimpawu zegalactorrhea?

Uphawu oluphambili lwegalactorrhea yinto emhlophe ephuma kwingono yakho.

Oku kukhutshwa kunoku:

• kuvuze ngamanye amaxesha okanye phantse rhoqo
• phuma kwingono enye okanye zombini
• Uluhlu lwexabiso ukusuka ekukhanyeni ukuya kubunzima

Unokuba nezinye iimpawu ngokunjalo, kuxhomekeke kwisizathu esingunobangela.

Yintoni ebangela igalactorrhea?

Izinto ezininzi zinokubangela i-galactorrhea kuzo zonke izini. Gcina ukhumbula ukuba abanye abantu banento ogqirha ababiza ngokuba yi-idiopathic galactorrhea. Le galactorrhea ngaphandle kwesizathu esicacileyo. Izicubu zakho zebele zinokuba novakalelo ngakumbi kwiihomoni ezithile.

Prolactinoma

IGalactorrhea ihlala ibangelwa yi-prolactinoma. Eli lithumba elenzeka kwilungu lakho lengqula. Ingacinezela kwi-pituitary gland yakho, iyikhuthaze ukuba ivelise iprolactin ngakumbi. Iprolactin yincindi yedlala ekuthiwa yi-lactation.

Kwabasetyhini, iprolactinoma inokubangela:

• amaxesha ngamaxesha okanye angabikho esikolweni
• libido ephantsi
• Iingxaki zokuchuma
• ukukhula kakhulu kweenwele

Amadoda anokuqaphela kwakhona:

• libido ephantsi
• Ukungasebenzi kakuhle kwe-erectile

Ukuba ikhula inkulu ngokwaneleyo ukuba ingabeka uxinzelelo kwimithambo-luvo kwingqondo yakho kufutshane ne-pituitary gland, unokuphinda uqaphele iintloko rhoqo okanye utshintsho lombono.

Amanye amathumba

Amanye amathumba nawo anokucinezela kwisiqu sakho sedlala yebhinqa, apho sinxibelelana nehipothalamus, indawo esezantsi kwengqondo yakho. Oku kunokumisa imveliso ye-dopamine. Ukongeza kulawulo lweemvakalelo zakho, i-dopamine ikwanceda ukugcina amanqanaba eprolactin ekujongeni ngokuwanciphisa njengoko kufuneka.

Ukuba awuvelisi i-dopamine eyaneleyo, i-pituitary gland yakho inokuvelisa i-prolactin eninzi kakhulu, ekhokelela ekukhutshweni kwengono.

Abanye oonobangela kuzo zonke izini

Ezinye iimeko ezininzi zinokubangela ukuba ube neprolactin eninzi kakhulu. Oku kubandakanya:

• hypothyroidism, eyenzeka xa idlala lengqula lingasebenzi ngokupheleleyo
• ukuthatha amayeza aphezulu oxinzelelo lwegazi, njenge methyldopa (Aldomet)
• iimeko zexesha elide zezintso
• ukuphazamiseka kwesibindi, njenge-cirrhosis
• ezinye iintlobo zomhlaza wemiphunga
• ukuthatha amayeza e-opioid, anje nge-oxycodone (Percocet) kunye ne-fentanyl (Actiq)
• ukuthatha i-anti-depressants, efana ne-paroxetine (Paxil) okanye i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo, njenge citalopram (Celexa)
• ukusebenzisa icocaine okanye intsangu
• ukuthatha amayeza athile, kubandakanya ifennel okanye imbewu ye-anise
• ukuthatha iiprokinetics kwiimeko zesisu
• usebenzisa i-phenothiazines ukulahla i-parasites

Kwabasetyhini

Ukuthatha iipilisi zokulawula ukuzalwa kunefuthe kumanqanaba ehomoni ahlukeneyo, anokubangela i-galactorrhea kwamanye amabhinqa.

Kwindoda

Indoda hypogonadism ibhekisa ekubeni ne testosterone esezantsi. Esi sesinye sezizathu eziqhelekileyo zegalactorrhea emadodeni. Inokubangela ne-gynecomastia, eyandisa amabele.

Kwiintsana

IGalactorrhea ibonwa rhoqo kwiintsana. Oku kunokuba sisiphumo somama ophakamileyo we-estrogen ngexesha lokukhulelwa. Ukuba ingena kwi-placenta, inokungena kwigazi lomntwana ngaphambi kokuzalwa. Oku kunokuzisa zombini amabele andisiweyo kunye nokukhutshwa kwengono.

Ifunyaniswa njani igalactorrhea?

IGalactorrhea ihlala iluphawu lwengxaki esempilweni, ke kubalulekile ukuba usebenze nogqirha ukukhomba unobangela.

Banokusebenzisa indibaniselwano yezi mviwo zilandelayo kunye neemvavanyo ukwenza isifo:

• Umzimba opheleleyo. Ugqirha wakho uya kuyibona indlela ingono yakho ephendula ngayo xa ucofwa, nokuba ngaba oko kubangela ukuba kuphume okungaphezulu. Banokuvavanya amabele akho na ukuba kukho naziphi na iimpawu zethumba.
• Uvavanyo lwegazi. Ukuvavanya i-prolactin yakho kunye ne-thyroid-evuselela amanqanaba e-hormone kunokunceda ekunciphiseni ukunciphisa imbangela.
• Iimvavanyo zeLebhu zokukhutshwa kwengono. Ukuba ukhulelwe ngaphambili, banokuthatha isampulu yokukhutshwa kwengono yakho kwaye bayivavanye ngamafutha. Olu luphawu lwe-galactorrhea, olunceda ukwahlulahlula kwi-lactation.
• Uvavanyo lokulinganisa. Iskena se-MRI okanye se-CT sinokukunceda ukujonga iprolactinomas okanye amanye amathumba kufutshane ne-pituitary gland okanye ujonge izicubu zakho zebele nantoni na engaqhelekanga. I-mammogram okanye i-ultrasound inokunceda ekuchongeni nasiphi na isigaxa esingaqhelekanga okanye izicwili zebele.
• Uvavanyo lokukhulelwa. Ukuba kukho naliphi na ithuba lokuba ukhulelwe, ugqirha wakho unokufuna ukusebenzisa uvavanyo lokukhulelwa ukulawula ukuphuma kwe-lactation.

Iphathwa njani igalactorrhea?

Ukunyanga i-galactorrhea kuxhomekeke kwisizathu. Kodwa ukuba uneprolactinoma encinci ebangela naziphi na ezinye iimpawu, imeko inokuzilungisa ngokwayo.

Olunye unyango olunokubakho lwegalactorrhea lubandakanya:

• Ukuphepha amayeza anokubangela ukukhutshwa. Ukuba ukrokrela amayeza owathathayo anokubangela igalactorrhea, sebenza nogqirha wakho ukuze ubone ukuba ikhona enye into onokuyithatha endaweni yoko. Qinisekisa ukuba awuyeki ukuthatha nantoni na ngokukhawuleza, njengoko oku kunokukhokelela kwezinye iziphumo ebezingalindelekanga.
• Ukuthatha amayeza ukunciphisa okanye ukuyeka iprolactin ngokwandisa amanqanaba akho e-dopamine. Imizekelo eqhelekileyo ibandakanya i-bromocriptine (Cycloset) okanye i-cabergoline (Dostinex). La mayeza anokunceda ukunciphisa i-prolactinomas kunye nezinye izicubu. Banokukunceda ukulawula amanqanaba akho eprolactin.
• Ugqirha lokususa iprolactinoma okanye elinye ithumba. Ukuba iyeza alibonakali lisebenza okanye ithumba likhulu kakhulu, unokufuna utyando ukuze ulisuse.

Yintoni imbonakalo?

Nje ukuba baqonde unobangela, uninzi lwabantu abane-galactorrhea lubuyela kwimeko yesiqhelo. Izifo zedlala lengqula zihlala zingenabungozi, kwaye amayeza anokunceda ekulawuleni naziphi na iimpawu azibangelayo. Okwangoku, zama ukunqanda ukwenza nantoni na edala ukukhutshwa kwengono, njengokukhuthaza iingono zakho ngexesha lokwabelana ngesondo okanye ukunxiba iimpahla eziqinileyo.