Galactorrhea

Galactorrhea (guh-lack-toe-REE-uh) chirwere chekubuda mukaka kubva muzvitsitsinho, kunze kwekubereka mukaka panguva yekuyamwisa. Galactorrhea haisi chirwere pachayo, asi inogona kuva chiratidzo cheimwe chirwere. Kazhinji inoitika muvakadzi, kunyange avo vasati vambove nevana kana avo vakapfuura menopause. Asi galactorrhea inogona kuitikawo muvarume nevana.

Kusimudzira kwakanyanya kwemazamu, migumisiro yemishonga kana mamiriro egland ye pituitary zvose zvinogona kukonzera galactorrhea. Kazhinji, galactorrhea inokonzerwa nekuwanda kwe prolactin, homoni inokurudzira kubereka mukaka.

Dzimwe nguva, chikonzero chegalactorrhea hachigoni kuzivikanwa. Chirwere ichi chinogona kupera chega.

Zviratidzo zvine chekuita ne galactorrhea zvinosanganisira: Kubuda mukaka kubva papurau kunogona kuva kwenguva dzose, kana kungouya nekubva. Kubuda mukaka kubva mumatunhu akawanda emukaka. Kubuda mukaka kunobuda oga kana kubudiswa nemaoko. Kubuda mukaka kubva pabvudzi rimwe kana maviri. Kusavapo kana kusanzwisisika kwemwedzi. Kurwadziwa kwemusoro kana matambudziko ekutarisa. Kana uine kubuda kwenguva refu, kwakazvimiririra kwemukaka kubva pabvudzi rimwe kana maviri uye haumi kana kusona mwana, bvunza chiremba wako. Kana kukurudzira pabvudzi - sekunge kubata-bata kwepurau kwakanyanya panguva yekubata - kuchikonzera kubuda mukaka kubva mumatunhu akawanda, hauna chikonzero chekunetseka. Kubuda kwacho zvimwe hakurevi chinhu chakakomba. Kubuda uku kazhinji kunopera oga. Kana uine kubuda kwenguva refu kunongopera, bvunza chiremba wako kuti aongorore. Kubuda kwepurau kusina mukaka - kunyanya ropa, yero kana yakajeka kubuda kwakazvimiririra kunobva pamutunhu mumwe chete kana kuwirirana nehuremu hwaunonzwa - kunoda kutarisirwa nekukurumidza kwemishonga. Zvinogona kuva chiratidzo chekenza yebvudzi.

Kana uine kubuda mukaka kubva pamukaka zvisingaperi, zvichiitika oga kubva pabvudzi rimwe kana maviri, uye haumi kana kusona mwana, bvunza chiremba wako. Kana kukurudzira mazamu — sekufambisa mazamu zvakanyanya panguva yechigaro chepabonde — kuchikonzera kubuda mukaka kubva mumatombo mazhinji, hauna chikonzero chekunetseka. Kubuda kwacho zvichida hakurevi chinhu chakakomba. Kubuda uku kazhinji kunopera oga. Kana uine kubuda kwenguva refu kusina kupera, bvunza chiremba wako kuti aongorore. Kubuda mukaka kwemukaka — kunyanya kubuda ropa, yero kana yakajeka inobuda oga inobva pamatombo rimwe kana ine hukama nehurema unonzwa — kunoda kutarisirwa nekukurumidza kwemishonga. Zvinogona kuva chiratidzo chekenza yemazamu iri pasi.

Gland ye pituitary ne hypothalamus dziri muuropi. Dzinoona nezvekugadzirwa kwemahomoni.

Galactorrhea kazhinji inokonzerwa nekuva neprolactin yakawanda mumuviri. Prolactin ndiyo homoni inokonzera kugadzirwa kwemukaka mushure mekuberekwa kwemwana. Prolactin inogadzirwa negland ye pituitary, gland duku ine chimiro chebhinzi iri pasi peuropi rinoburitsa uye rinotonga mahomoni akawanda.

Zvinokonzera galactorrhea zvinosanganisira:

• Kushandisa opioid.
• Zvishandiso zvemakwenzi, senge fennel, anise kana mbeu ye fenugreek.
• Mapiritsi ekudzivirira mimba.
• Tumor ye pituitary isina kenza, inonzi prolactinoma, kana zvimwe zvirwere zve gland ye pituitary.
• Thyroid isina kushanda zvakanaka, inonzi hypothyroidism.
• Chirwere cheitsvo chekare.
• Kusimudzira kwakanyanya kwemazamu, izvo zvinogona kuwirirana ne zvepabonde, kuongorora mazamu kazhinji nekutambanudza nipple kana kusvikirwa kwenguva refu kwehembe.
• Kukuvadzwa kwetsoka kumadziro echifuva kubva pakuvhiya kwechifuva, kupiswa kana kukuvara kwemoyo.
• Kuita kuvhiya kwemutsipa wemutsipa, kukuvara kana matumor.
• Kunetseka.

Dzimwe nguva vanachiremba havawanikwe chikonzero che galactorrhea. Izvi zvinonzi idiopathic galactorrhea. Zvinogona kureva kuti tishu remazamu ako ine hanya zvakanyanya nehomoni inogadzira mukaka prolactin iri muropa rako. Kana uine kuwedzera kwehanya kuprolactin, kunyangwe mazinga eprolactin akajairwa anogona kukonzera galactorrhea.

Pavamwari, galactorrhea inogona kuwirirana nekushomeka kwe testosterone, kunonzi male hypogonadism. Izvi kazhinji zvinoitika pamwe chete nekuwedzera kana kurwadziwa kwemazamu, kunonzi gynecomastia. Erectile dysfunction uye kushayikwa kwechido chepabonde zvakare zvinowirirana nekushomeka kwe testosterone.

Galactorrhea dzimwe nguva inoitika muvana vachangoberekwa. Mamazinga epamusoro emahomoni e estrogen eamai anopfuura placenta kuenda muropa remwana. Izvi zvinogona kukonzera kuwedzera kwe tishu remazamu emwana, izvo zvinogona kuwirirana nekubuda kwemukaka kubva mu nipple. Kubuda kwemukaka uku kwenguva pfupi uye kunopera oga. Kana kubuda uku kuchipfuurira, mwana anofanira kuongororwa nachiremba.

Chero chinhu chinokonzera kubuda kwehomoni prolactin chinogona kuwedzera njodzi yegalactorrhea. Zvinokonzera njodzi zvinosanganisira:

• Mishonga chaiyo, zvinodhaka zvisiri pamutemo uye zvinowedzerwa zvemishonga yemiti.
• Zvirwere zvinokanganisa gland ye pituitary, senge zvirwere zve pituitary zvisina kenza.
• Zvimwe zvirwere zvemuviri, senge chirwere cheitsvo chisingaperi, kukuvara kweruzha rwegumbo, kukuvara pakavharo rechipfuva uye thyroid isina basa.
• Kubata kwakawanda nekukwesha mazamu.
• Kuneta.

Kuwana chikonzero chiripo chegalactorrhea kunogona kuva basa rakaoma nekuti kune mikana yakawanda. Kuongororwa kunogona kusanganisira: Kuongororwa kwemuviri, umo mushandi wehutano wako anogona kuedza kubudisa mamwe mafluid kubva paruoko rwako nekutarisa nyoro nzvimbo iri pedyo neruoko rwako. Munyanzvi wako wekuchengetedza anogonawo kutarisa kuvepo kwezvikwata zvemazamu kana mamwe mativi anokonzera hanya etishu yakakura yemazamu. Kuongororwa kweropa, kuti uone huwandu hwe prolactin mumuviri wako. Kana huwandu hweprolactin hwako hwakakwira, mushandi wehutano wako anogona kutarisawo huwandu hwako hwe thyroid-stimulating hormone (TSH). Kuongororwa kwekushaya pamuviri, kuti ubvise pamuviri sechinhu chinogona kukonzera kubuda kwemukaka kubva paruoko. Mammography yekurapa, ultrasound kana ese ari maviri, kuti uwane mifananidzo yetishu yemazamu ako kana munyanzvi wako wekuchengetedza akawana chikwata chemazamu kana akaona mamwe kuchinja anokonzera hanya emazamu kana eruoko pakuongororwa kwemuviri wako. Magnetic resonance imaging (MRI) yehuropi, kuti uone kuvepo kwetumor kana mamwe matambudziko egland yako yepituitary kana kuongororwa kweropa kwako kukaratidza huwandu hwakakwira hwe prolactin. Kana mushonga waunotora ungave chikonzero chegalactorrhea, mushandi wehutano wako anogona kukupai zano rekusiya kutora mushonga kwenguva. Mamwe Mashoko Mammogram MRI Ultrasound

'Kana zvichidiwa, kurapwa kwegalactorrhea kunonyanya kutarisa pakugadzirisa chikonzero chiripo. Dzimwe nguva vanachiremba havawanikwe chikonzero chaicho chegalactorrhea. Ipapo unogona kurapwa kana uine kubuda kwemukaka kubva pazamu kunonetsa kana kusingaperi. Mushonga unodzivirira migumisiro ye prolactin kana kuderedza prolactin muviri wako inogona kubatsira kubvisa galactorrhea. Chikonzero chiripo Kurapwa kunobvira Kushandisa mushonga Rega kutora mushonga, shandura huwandu kana shandura kune mumwe mushonga. Shandura mishonga chete kana chiremba wako akati zvakanaka kuzviita. Glands ye thyroid isingashande zvakanaka, inonzi hypothyroidism Tora mushonga, se levothyroxine (Levothroid, Synthroid, nezvimwewo), kuti udzikise kushomeka kwehomoni inogadzirwa neglands ye thyroid (kurapwa kwe thyroid). Pituitary tumor, inonzi prolactinoma Shandisa mushonga kudzikisa tumor kana kuita opresheni kuibvisa. Chikonzero chisingazivikanwi Edza mushonga, se bromocriptine (Cycloset, Parlodel) kana cabergoline, kuderedza prolactin yako uye kuderedza kana kumisa kubuda kwemukaka kubva pazamu. Migumisiro yemishonga iyi kazhinji inosanganisira kurutsa, kushaya simba uye kurwadziwa kwemusoro. Kumbira nguva yekuonana nachiremba'