Uyini i-Galactorrhea? Izimpawu, Izimbangela, Nokwelashwa

I-Galactorrhea kukunika amabele akhiqiza ubisi noma ukukhishwa okufana nobisi ngisho noma ungakhulelwe noma ungancelisi. Lesi simo singathinta noma ubani onenyama yamabele, kubandakanya amadoda, nakuba kuvamile kakhulu kwabesifazane abaseminyakeni yokuzala.

Umphunga ofana nobisi uvela ezindlini zakho zamabele, ezifanayo nezivamile ukukhiqiza ubisi ngesikhathi sokuncelisa. Ngisho noma i-galactorrhea ingase ibe yinto ekukhathazayo uma ivela ngokungalindelekile, ngokuvamile iyaphekwa uma odokotela beqonde imbangela eyingqayizivele.

Ziyini izimpawu ze-galactorrhea?

Isimpawu esiyinhloko ukukhishwa okumhlophe noma okucacile okuvela kwisibopho esisodwa noma kokubili. Lokhu kukhishwa kungase kuvele ngokwalo noma kuphela uma ucindezela kancane isipontsho sakho.

Ungase uqaphele izinto eziningi ezenzeka kanye nokukhiqizwa kobisi:

• Izikhathi zenyanga ezingavamile noma eziphuthelwe
• Ubuhlungu bekhanda obuza futhi buhambe
• Ukushintsha embonweni wakho, njengokuphambuka
• Ukuthanda ucansi okunciphisiwe
• Ubuhlungu noma ukugcwaliswa kwamabele
• I-hot flashes noma ukushisa ebusuku
• Ukukhathala okungapheli ngisho noma ukhululeke

Abanye abantu baba nezimpawu ezingavamile ezidinga ukunakekelwa okusheshayo. Lezi zibandakanya ubuhlungu bekhanda obukhulu obuhluke kulokho okuvamile, ukushintsha kombono ngokuzumayo, noma ukukhishwa okunegazi noma okune-pus.

Ukuhlanganiswa kwezimpawu ozibonayo ngokuvamile kunika odokotela izinkomba mayelana nalokho okubangela i-galactorrhea yakho. Umuthi wakho uzama ukukutshela okuthile, futhi lezi zibonakaliso zisiza ekuhlanganiseni iphazili.

Yini ebangela i-galactorrhea?

I-Galactorrhea kwenzeka uma umzimba wakho ukhiqiza i-prolactin eningi kakhulu, uhormone ovamile ukuqalisa ukukhiqizwa kobisi ngesikhathi sokukhulelwa nokuncelisa. Izici eziningi zingabangela lokhu kungalingani kwamahormone.

Izimbangela ezivamile kakhulu zifaka:

• Imithi ethile efana ne-antidepressants, imithi yegazi, noma imithi yokulwa nokugula
• Amaphilisi okuvimbela ukukhulelwa noma ukwelashwa kwamahormone
• Ukuvuselelwa kwamabele njalo ngemvunulo ecindezelayo noma ukubamba okukhulu
• Ukuqina, kokubili komzimba nangokomzwelo
• Izinkinga ze-thyroid, ikakhulukazi i-thyroid engasebenzi kahle
• Ukulimala kwesibindi noma izingqinamba
• Izithasiselo zezitshalo ezifana ne-fennel noma i-red clover

Izimbangela ezingavamile kodwa ezingathi sína zihilela i-pituitary gland yakho, ubukhulu obuncane obunqunyiwe emazantsi engqondo yakho. I-prolactinoma, okuyigciwane elihlala lingabi yingozi kuleli gciwane, lingabangela ukukhiqizwa kwe-prolactin okukhulu kakhulu.

Ngezinye izikhathi, odokotela abakwazi ukuqonda imbangela ethile ngisho noma sebehlole kahle. Lokhu kubizwa ngokuthi i-galactorrhea ye-idiopathic, futhi ngisho noma kuzwakale kuyesabekayo, ngokuvamile kuzixazulula ngokwalo noma kuphendule kahle ekwelapheni.

Nini okufanele ubheke udokotela nge-galactorrhea

Kufanele uxhumane nodokotela wakho uma uqaphela noma yikuphi ukukhishwa okufana nobisi ezibophweni zakho uma ungakhulelwe noma ungancelisi. Ukubheka kusenesikhathi kusiza ekuqondeni izimbangela ezilaphekayo futhi kukhululeke ingqondo yakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu bekhanda obukhulu, ukushintsha kombono, noma ukukhishwa okunegazi noma okunuka kabi. Lezi zimpawu zingase zibonise izimo ezidinga ukwelashwa okusheshayo.

Ungalindi ukuthola usizo uma ukukhishwa kuchaphazela impilo yakho yansuku zonke noma kukubangele ukukhathazeka okukhulu. Ukuthula kwengqondo yakho kubalulekile, futhi udokotela wakho angakusiza ekuqondeni ukuthi izimpawu zakho zidinga ukunakekelwa okusheshayo noma zingaphathwa ngokunakekelwa okuvamile.

Ziyini izici ezingaholela e-galactorrhea?

Izici eziningi zingandisa amathuba akho okukhula kwe-galactorrhea. Ukuqonda lokhu kusiza wena nodokotela wakho ukuthi niqonde izimbangela ezingaba khona ngokushesha.

Ungase ube sengozini enkulu uma:

• Ungowesifazane ophakathi kweminyaka engama-20 nama-35
• Uthatha imithi eyaholela ekungalingani kwamahormone
• Unembali yezinkinga ze-thyroid
• Uhlangabezana namanqanaba aphezulu okuqina okuqhubekayo
• Unezingqinamba zesibindi noma izingqinamba
• Usebenzisa izidakamizwa ezijabulisayo njenge-marijuana noma i-opioids
• Unembali yomndeni wezinkinga ze-pituitary

Izici ezingavamile ezingaholela e-galactorrhea zifaka ukulimala kwesifuba esikhathini esidlule, ukuvuselelwa kwamabele njalo ngama-bras angafanele, noma izimo ezithile zokungasebenzi kahle komzimba. Ngisho nokuba ne-shingles eyaholela endaweni yesifuba lakho ngezinye izikhathi kungabangela i-galactorrhea.

Ukuba nalezi zici ezingaholela e-galactorrhea akusho ukuthi uzokuthola ngokuqinisekile. Zisiza nje iqembu lakho lokunakekelwa kwezokwelapha ukuthi liqonde isimo sakho ngokukhethekile kangcono futhi liqondise inqubo yabo yokuhlola.

Ziyini izinhlanganisela ezingaba khona ze-galactorrhea?

Abantu abaningi abane-galactorrhea abanawo amaphutha athi sína, ikakhulukazi uma isimo siqondiwe futhi silashwe kahle. Noma kunjalo, ukushiya izimbangela ezingqayizivele zingaphathwa ngezinye izikhathi kungabangela ezinye izinkinga zezempilo.

Izinhlanganisela ezingaba khona zingafaka:

• Izinkinga zokuzala uma ukungalingani kwamahormone kuchaphazela ukukhulelwa
• Ukulahlekelwa kwamathambo ngenxa yamathuba aphezulu e-prolactin isikhathi eside
• Ukukhathazeka ngokomzwelo noma ukukhathazeka ngezimpawu
• Ubunzima bobuhlobo ngenxa yokunciphisa ukufuna ucansi
• Ukuphazamiseka kokulala ngenxa yokushintsha kwamahormone

Kwezinye izimo lapho i-pituitary tumor iyimbangela, izinhlanganisela zingafaka izinkinga zombono uma igciwane likhula laze lacindezela izinzwa eziseduze. Abanye abantu bangase babe nobuhlungu bekhanda obuqhubekayo noma ukungalingani kwamahormone okuchaphazela ezinye izinqubo zomzimba.

Izindaba ezinhle ukuthi izinhlanganisela eziningi zivimbeka ngokunakekelwa kwezokwelapha okufanele. Ukulandelela njalo nokuphathwa okufanele kusiza ekuqinisekiseni ukuthi i-galactorrhea ayichaphazeli kakhulu impilo yakho yonke nokuphulukisa kwakho.

I-galactorrhea ihlonishwa kanjani?

Udokotela wakho uzoqala ngokubuza imibuzo eminingi mayelana nezimpawu zakho, imbali yenyanga, imithi, nempilo yakho yonke. Le ngxoxo iyabasiza ukuthi baqonde isimo sakho esikhethekile futhi baqondise ukuhlolwa kwabo.

Ukuhlolwa komzimba ngokuvamile kufaka ukubheka amabele akho nezibopho, kanye nokubheka intamo yakho ukuze ubone ukuqina kwe-thyroid. Udokotela wakho angase futhi ahlole imibono yakho uma becabanga ngenkinga ye-pituitary.

Izivivinyo zegazi ngokuvamile zizalandela ukuze zilinganise amanqanaba amahormone. Lezi ngokuvamile zifaka i-prolactin, ama-hormone e-thyroid, futhi ngezinye izikhathi ama-hormone okukhulelwa ngisho noma ungacabangi ukuthi ukhulelwe.

Uma amanqanaba akho e-prolactin aphezulu kakhulu, udokotela wakho angase akukhuthaze i-MRI ye-pituitary gland yakho. Lokhu kubonisa kusiza ekuqondeni noma yikuphi ukukhula noma izinkinga zokwakheka ezingase zibangele izimpawu zakho.

Izivivinyo ezengeziwe zingafaka izifundo zokusebenza kwesibindi nezingqinamba, ikakhulukazi uma imiphumela yakho yokuqala iphakamisa ukuthi lezi zitho zingase zihileleke. Inqubo yokuxilonga iphelele kodwa iqinisekisa ukuthi uthola ukwelashwa okufanele.

Uyini ukwelashwa kwe-galactorrhea?

Ukwelashwa kwe-galactorrhea kugxile ekulungiseni imbangela eyingqayizivele kunokukhiqizwa kobisi ngokwalo. Uhlelo lwakho lokwelashwa oluthile kuncike kulokho okubangela izimpawu zakho.

Uma imithi iyimbangela, udokotela wakho angase alungise izinhlelo zakho zokwelashwa noma akuhambise kweminye imithi engachaphazeli amanqanaba e-prolactin. Ungalokothi uyeke imithi ngokwakho, njengoba lokhu kungaba yingozi ezimweni ezithile.

Ngokuphathelene ne-prolactinomas noma ezinye izinkinga ze-pituitary, odokotela ngokuvamile bancoma imithi ebizwa ngokuthi yi-dopamine agonists. Le mi-thi efana ne-bromocriptine noma i-cabergoline iyasiza ekuqedeni izigciwane nokunciphisa ukukhiqizwa kwe-prolactin.

Izinkinga ze-thyroid zidinga ukushintshwa noma ukuphathwa kwamahormone e-thyroid. Uma amanqanaba akho e-thyroid eqondile, i-galactorrhea ngokuvamile iphulukana kakhulu.

Kwezinye izimo lapho kungekho sizathu esithile esitholakele, udokotela wakho angase akhuthaze indlela yokulinda ngokuqapha njalo. Ngezinye izikhathi i-galactorrhea iziqeda ngokwayo ngaphandle kokwelashwa.

Indlela yokuphatha i-galactorrhea ekhaya

Ngesikhathi ukwelashwa kwezokwelapha kulungisa imbangela yengqayizivele, amasu amaningana ekhaya angakusiza uzizwe ukhululekile ngesikhathi umzimba wakho ukhululeka. Lezi zindlela zisebenza kangcono kanye nokunakekelwa kwezokwelapha kochwepheshe.

Gwema ukuvuselelwa kwamabele okungadingekile ngokugqoka ama-bras ahambisanayo, asekelayo, nezingubo eziqondile. Izingubo ezinamathelayo ngezinye izikhathi zingenza ukukhiqizwa kobisi kube kubi ngokuvuselela njalo inyama yamabele akho.

Amathuluzi okulawula ukucindezeleka njengokuphefumula okujulile, ukuzivocavoca okuthambile, noma ukucamngca kungasiza njengoba ukucindezeleka kungase kube yimbangela yokungalingani kwamahormone. Thola imisebenzi ekwenza uzizwe uzolile futhi ukhululekile.

Gcina ulandelela izimpawu zakho encwadini, ubhale lapho ukukhishwa kuvela khona nanoma yiziphi izimpawu ezihlobene. Lolu lwazi lusisiza iqembu lakho lokunakekelwa kwezokwelapha ukuthi liqonde ukuthi ukwelashwa kwakho kusebenza kahle kangakanani.

Gcina ucoceka kahle amabele ngokuhlanza ngobumnene noma yikuphi ukukhishwa ngamanzi afudumele. Gwema amasoseji aqinile noma ukusula, okuyingozi ekuthambiseni isikhumba.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola okuningi kakhulu ekuhambeni kwakho. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenzayo ukuze zilungise noma zibe zimbi.

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, nezithasiselo zezitshalo ozithathayo. Faka imithamo nokuthi uthathe isikhathi esingakanani ngasinye, njengoba ezinye zingase zichaphazele amanqanaba amahormone.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Ungase uzibuze ngezinketho zokwelashwa, isikhathi esithathayo sokuphulukisa, noma ukuthi izimpawu zakho zizochaphazela yini ikhono lakho lokuncelisa esikhathini esizayo.

Cabanga ukuletha umngani noma ilungu lomndeni othembekile ukuze likusize ukukhumbula ulwazi olubalulekile. Izivivinyo zezokwelapha zingase zibe yinto enzima, futhi ukuba nokusekelwa kusiza ukugxila kulokho udokotela wakho akushoyo.

Uma kungenzeka, gwema ukuvuselela izibopho zakho usuku noma amabili ngaphambi kwe-aphoyintimenti yakho. Lokhu kusiza udokotela wakho ukuthi athole umbono oqondile ngezindlela zakho zokukhishwa kwemvelo.

Yini okufanele uyikhumbule mayelana ne-galactorrhea?

I-Galactorrhea isimo esilaphekayo esivame ukuthuthuka kakhulu ngokwelashwa okufanele. Nakuba ukuthola ukukhishwa okungalindelekile kwamabele kungase kube yinto ekukhathazayo, izimbangela eziningi zilapheka futhi azibangeli ingozi enkulu yempilo isikhathi eside.

Isinyathelo esibaluleke kakhulu ukuthola ukuxilongwa okuqondile odokotela wakho. Bangakwazi ukuqonda ukuthi i-galactorrhea yakho ivela emithini, ukungalingani kwamahormone, noma ezinye izimo ezilaphekayo.

Khumbula ukuthi awuwedwa ekubhekaneni nalesi simo. Abantu abaningi baba ne-galactorrhea ngesinye isikhathi, futhi ukwelashwa okuphumelelayo kukhona ukuze kusize uzizwe kangcono futhi ulungise noma yiziphi izinkinga zezempilo ezingqayizivele.

Imibuzo evamile ebuzwayo mayelana ne-galactorrhea

Ingabe i-galactorrhea ingaba khona kumadoda?

Yebo, amadoda angaba ne-galactorrhea ngoba anamanyama amabele futhi akhiqiza i-prolactin, nakuba kungavamile kakhulu kunabesifazane. Uma kwenzeka kumadoda, ngokuvamile kuhlobene nokungalingani kwamahormone, imithi ethile, noma izinkinga ze-pituitary. Indlela yokuhlola nokuphatha ifana naleyo esetshenziswa kwabesifazane.

Ingabe i-galactorrhea izochaphazela ikhono lami lokuncelisa kamuva?

I-Galactorrhea ngokuvamile ayihluphi ikhono lakho lokuncelisa kahle esikhathini esizayo. Uma imbangela eyingqayizivele ilaphekile futhi ama-hormone akho ebuyele esimweni, umsebenzi wakho wamabele ngokuvamile ubuyela esimweni. Noma kunjalo, xoxa ngesimo sakho esikhethekile nodokotela wakho, njengoba ezinye izimo ezingqayizivele zingase zidinga ukulandelela okuqhubekayo.

Kuthatha isikhathi esingakanani ukuze i-galactorrhea iphele?

Isikhathi sihluka kuye ngimbangela eyingqayizivele nendlela yokwelashwa. Uma ukushintsha kwemithi kuyisixazululo, ungase ubone ukuthuthuka phakathi kwamasonto ambalwa kuya ezinyangeni. Ngokuphathelene nokungalingani kwamahormone noma izinkinga ze-pituitary, kungase kuthathe izinyanga eziningi zokwelashwa ukuze ubone ukushintsha okukhulu. Udokotela wakho uzolandelela intuthuko yakho futhi alungise ukwelashwa njengoba kudingeka.

Ingabe ukukhishwa kwe-galactorrhea kufana nobisi lwasebeleni?

Ukukhishwa kufana kakhulu nobisi lwasebeleni ngokwakheka nokuvela, njengoba kuvela ezindlini zamabele ezifanayo ezakhiqiza ubisi ngesikhathi sokuncelisa. Ngokuvamile kumhlophe noma kucace futhi kungaba bukhulu noma buncane kuye ngesimo sakho. Umehluko oyinhloko ukuthi kwenzeka ngaphandle kwesimo esivamile sokukhulelwa nokuncelisa.

Kufanele ngigweme ukudla okuthile noma imisebenzi nge-galactorrhea?

Abantu abaningi abadingi ukwenza izinguquko ezinkulu zokuphila, kodwa ezinye izinguquko zingasiza. Gwema ukuvuselelwa kwamabele okukhulu ngemvunulo ecindezelayo noma ukubamba okungadingekile. Ezinye izithasiselo zezitshalo ezifana ne-fennel noma i-fenugreek zingandisa amanqanaba e-prolactin, ngakho-ke xoxa ngalezi nodokotela wakho. Ukulawula ukucindezeleka nokulondoloza impilo enhle ngokuvamile kusekela uhlelo lwakho lokwelashwa lonke.