Galactorrhea

Galactorrhea (guh-lack-toe-REE-uh) ni isubira ry'amata mu maziba y'amabere ritajyanye no guhita umwana. Galactorrhea ubwayo si indwara, ahubwo ishobora kuba ikimenyetso cy'ikindi kibazo cy'ubuzima. Akenshi iba mu bagore, ndetse n'abatabyaye cyangwa bamaze guca akarenge. Ariko galactorrhea ishobora kubaho mu bagabo no mu bana.

Gukorakora cyane amabere, ingaruka z'imiti cyangwa ibibazo by'umusemburo wa pituitary byose bishobora gutera galactorrhea. Akenshi, galactorrhea iterwa n'ikigero cyiyongereye cya prolactin, umusemburo ukurura umukamo w'amata.

Hari igihe impamvu ya galactorrhea itamenyekana. Iki kibazo gishobora gukira kigenda.

Ibimenyetso bifitanye isano na galactorhea birimo: Imyuka y'amata ava mu ibere ishobora kuba ihoraho, cyangwa ishobora kuza igakagenda. Imyuka y'amata iva mu myanya myinshi y'amata. Imyuka y'amata isohotse ukwayo cyangwa yakuweho n'amaboko. Imyuka y'amata iva mu ibere rimwe cyangwa mu byombi. Igihe cy'uburumbuke kidahari cyangwa kidahwitse. Uburwayi bw'umutwe cyangwa ibibazo by'ububone. Niba ufite imyuka y'amata ihoraho, isohotse ukwayo iva mu ibere rimwe cyangwa mu byombi kandi utwite cyangwa utanywa, tanga umwanya wo kubonana n'umuganga wawe. Niba gukorakora amabere - nko gukorakora cyane imitsi y'amabere mu gihe cy'imibonano mpuzabitsina - bitera imyuka y'amata iva mu myanya myinshi, nta mpamvu yo guhangayika. Imyuka ishobora kuba idatanga ikimenyetso gikomeye. Iyi myuka ikunda gushira ukwayo. Niba ufite imyuka ihoraho idashira, tanga umwanya wo kubonana n'umuganga wawe kugira ngo ayisuzuma. Imyuka itari iya mata - cyane cyane amaraso, umuhondo cyangwa isobanutse isohotse ukwayo iva mu mwanya umwe cyangwa ifitanye isano n'igituntu wumva - isaba ubuvuzi bw'ihutirwa. Bishobora kuba ikimenyetso cya kanseri y'amabere.

Niba ufite isereri y'amata iva ku ibere rimwe cyangwa ku byombi idashira kandi utwite cyangwa ntongoye, hamagara muganga wawe.

Niba gukorakora amabere - nko gukorakora cyane imitsi y'amabere mu gihe cy'imibonano mpuzabitsina - bituma havuka isereri iva mu mitsi myinshi, nta mpamvu yo kugira ubwoba. Iyo sereri ishobora kuba idatanga ikibazo gikomeye. Iyo sereri ikunda gucika ubwayo. Niba ufite isereri idashira, hamagara muganga wawe kugira ngo ayisuzuma.

Isereri itari amata - cyane cyane amaraso, umuhondo cyangwa isereri isobanutse iva mu muhogo umwe cyangwa ifatanije n'igituntu wumva - isaba ubufasha bwa muganga vuba. Bishobora kuba ikimenyetso cya kanseri y'amabere.

Umuhini w'ubwonko (glande pituitaire) n'agace k'ubwonko kari hafi yacyo (hypothalamus) biri mu bwonko. Bigira uruhare mu gukora imisemburo.

Galactorrhée ikunze guterwa no kugira prolactine nyinshi mu mubiri. Prolactine ni yo misemburo ishinzwe gukora amata nyuma y'aho umwana avutse. Prolactine ikorwa n'umuhini w'ubwonko, uwo ni umuhini muto usa n'ibishyimbo uri hasi y'ubwonko usohora kandi ugenzura imisemburo myinshi.

Impamvu zishoboka za galactorrhée zirimo:

• Gukoresha imiti igabanya ububabare (opioïdes).
• Ibinyobwa by'ibimera, nka fennel, anise cyangwa imbuto za fenugrec.
• Amapasipile y'ubuzima bw'imyororokere.
• Uburibwe budatera kanseri bwo mu muhini w'ubwonko, bwitwa prolactinome, cyangwa izindi ndwara z'umuhini w'ubwonko.
• Gukora nabi kw'umwijima, bwitwa hypothyroidism.
• Indwara z'impyiko zidakira.
• Gukorakora cyane amabere, bishobora kuba bifitanye isano n'imibonano mpuzabitsina, gusuzuma amabere kenshi ukora ku mboro cyangwa gukorakora kw'imyenda igihe kirekire.
• Kwangirika kw'imitsi yo ku rukuta rw'ibere biturutse ku kubagwa ku gituza, inkongi cyangwa izindi mpanuka zo ku gituza.
• Kubagwa, imvune cyangwa uburibwe bw'umugongo.
• Umuvuduko.

Hari igihe abaganga batabasha kubona impamvu ya galactorrhée. Ibi bita galactorrhée idiopathique. Bishobora gusobanura ko umubiri w'amabere yawe ufite ubushobozi bwo kwakira misemburo ikora amata (prolactine) iri mu maraso yawe. Niba ufite ubushobozi bwo kwakira prolactine, ndetse n'igipimo gisanzwe cya prolactine gishobora gutera galactorrhée.

Mu bagabo, galactorrhée ishobora kuba ifitanye isano no kugabanuka kwa testosterone, bita hypogonadisme y'abagabo. Ibi bikunze kuba hamwe no kubyimbagira cyangwa kubabara kw'amabere, bita gynécomastie. Kugira ikibazo cyo gukora imibonano mpuzabitsina no kutagira ubushake bw'imibonano mpuzabitsina na byo bifitanye isano no kugabanuka kwa testosterone.

Galactorrhée rimwe na rimwe iba mu bana bavutse. Igipimo kinini cya estrogeni cya nyina kinyura mu nzira y'umwana (placenta) kijya mu maraso y'umwana. Ibi bishobora gutera kubyimbagira kw'amabere y'umwana, bishobora kuba bifitanye isano no gusohora amata mu mboro. Iyo mboro isohora amata iba ari igihe gito kandi irakuraho ubwabyo. Niba iyo mboro ikomeza, umwana agomba kurebwa n'abaganga.

Ikintu icyo ari cyo cyose gitera hormone prolactin gisohoka gishobora kongera ibyago byo kurwara galactorrhea. Ibintu byongera ibyago birimo:

• Imiti imwe, ibiyobyabwenge bitemewe n'amategeko ndetse n'ibinyobwa by'ibimera.
• Indwara zibangamira imisemburo y'ubwonko, nka tumorous zidakomeretsa za pituitary.
• Indwara zimwe na zimwe, nka kidney chronic disease, imvune y'umugongo, imvune ku rukuta rw'ibituza n'umwijima udakora neza.
• Gukorakora no gukanda cyane amabere.
• Umuvuduko w'amarangamutima.

Kumenya icyateye galactorrhea bishobora kuba akazi gakomeye kubera ko hari impamvu nyinshi zishoboka. Ibipimo bishobora kuba birimo: Isuzuma ngororamubiri, aho umuhanga mu buvuzi ashobora kugerageza gukurura amazi ava mu ibere ryawe ahereye ku gusuzuma neza agace kari hafi y'umunwa w'ibere. Umuhanga mu buvuzi ashobora kandi kureba niba hari ibintu byavuzwe cyangwa ibindi bice by'umubiri by'amabere byagaragaye. Ibizamini by'amaraso, kugira ngo harebwe urugero rwa prolactine mu mubiri wawe. Niba urugero rwa prolactine rwawe ari rwinshi, umuhanga mu buvuzi ashobora kureba urugero rwa hormone istimula thyroid (TSH). Ibizamini byo kureba niba utwite, kugira ngo habeho gukuraho uburyo bwo gutwita nk'impamvu ishoboka yo kuva mu munwa w'ibere. Mammogram, ultrasound cyangwa byombi, kugira ngo hafatwe amashusho y'umubiri w'amabere yawe niba umuhanga mu buvuzi abonye ikibazo cy'amabere cyangwa akabona ibindi bimenyetso by'amabere cyangwa umunwa w'ibere mu gihe cy'isuzuma ngororamubiri. Magnetic resonance imaging (MRI) y'ubwonko, kugira ngo harebwe niba hari ibindi bintu bitari byiza mu gice cy'ubwonko cya pituitary niba ibizamini by'amaraso bigaragaje urugero rwinshi rwa prolactine. Niba umuti ufasha ushobora kuba ari wo watumye haboneka galactorrhea, umuhanga mu buvuzi ashobora kukubwira ko uhagarika gufata uwo muti igihe runaka. Amakuru y'inyongera Mammogram MRI Ultrasound

Iyo bibaye ngombwa, kuvura galactorrhea bibanda ku gukemura ikibazo kibitera. Rimwe na rimwe, abaganga ntibashobora kubona icyateye galactorrhea. Muri urwo rwego, ushobora kuvurwa niba ufite ibinyabutaba by'umubabaro cyangwa bikomeza igihe kirekire. Imiti ibuza ingaruka za prolactine cyangwa igabanya urwego rwayo mu mubiri wawe ishobora kugufasha gukuraho galactorrhea. Ikibazo kibitera Uko wavurwa Imiti ikoreshwa Reka gufata imiti, hindura umwanya cyangwa hindura indi miti. Hindura imiti gusa niba umuganga wawe abikuyemeje. Gukora nabi kw'umwijima, bita hypothyroidism Fata imiti, nka levothyroxine (Levothroid, Synthroid, izindi), kugira ngo uhangane no kudakora neza kw'ihormoni y'umwijima wawe (ubuvuzi bwo gusimbuza umwijima). Uburibwe bw'umusemburo, bita prolactinoma Koresha imiti kugira ngo ugabanye uburibwe cyangwa ukore igikorwa cyo kubukuraho. Ikibazo kitazwi Gerageza imiti, nka bromocriptine (Cycloset, Parlodel) cyangwa cabergoline, kugira ngo ugabanye urwego rwa prolactine kandi ugabanye cyangwa uhagarike ibinyabutaba by'amata. Ingaruka mbi z'iyi miti zigiramo kuba ufite isereri, guhindagurika no kubabara umutwe. Saba gahunda