Galactorrhea

I-Galactorrhea (guh-lack-toe-REE-uh) ukukhishwa okumhlophe kwesihni esingena-xhumano nokuveliswa kwesifuba njengoba kujwayelekile ekunceliseni. I-Galactorrhea ngokwayo akuyona isifo, kodwa ingaba uphawu lwesinye isimo sezokwelapha. Ngokuvamile kwenzeka kubesifazane, ngisho nalabo abangazange babe nabantwana noma abaye badlula ekuqedeni. Kodwa i-galactorrhea ingenzeka kumadoda nabantwana.

Ukuvuselelwa okukhulu kwesifuba, imiphumela emibi yemithi noma izimo ze-pituitary gland konke kungase kube nomthelela kwi-galactorrhea. Ngokuvamile, i-galactorrhea ivela amazinga aphezulu e-prolactin, i-hormone evuselela ukukhiqizwa kwesifuba.

Ngezinye izikhathi, imbangela ye-galactorrhea ayikwazi ukunqunywa. Isimo singase sihambe ngokwalo.

Izimpawu ezihambisana ne-galactorrhea zifaka: Ukukhishwa okumhlophe kwesihle kwesifuba okungase kube njalo, noma kungase kuye kuze kube khona. Ukukhishwa kwesihle kwesifuba okuhilela imisele eminingi yobisi. Ukukhishwa kwesihle kwesifuba okukhiphayo noma okucindezelwe ngesandla. Ukukhishwa kwesihle kwesifuba kwelinye noma womabili amabele. Ukungabikho noma ukungabi njalo kwesikhathi sakho. Izinhlungu zikhanda noma izinkinga zobuso. Uma une-discharge ehlala njalo, ephumayo yobisi oluyimhlophe oluvela kwelinye noma womabili amabele akho futhi awukhulelwe noma awuncelisi, yenza i-aphoyintimenti ukubona udokotela wakho. Uma ukucindezela kwesifuba - njengokuphatha okukhulu kwesihle ngesikhathi socansi - kuqalisa ukukhishwa kwesihle kwesifuba okuvela emisele eminingi, awunandaba. Ukukhishwa cishe akuyona into ebucayi. Lokhu kukhiphayo kuvame ukuhamba ngokwalo. Uma une-discharge ehlala njalo engapheli, yenza i-aphoyintimenti nodokotela wakho ukuze uhlolwe. Ukukhishwa okungeyona imhlophe kwesihle kwesifuba - ikakhulukazi igazi, eliphuzi noma elicacile eliphumayo elivela kwelinye i-duct noma elihambisana ne-lump ongayizwa - kudinga ukunakekelwa ngokushesha kwezokwelapha. Kungase kube uphawu lomdlavuza wamabele.

Uma une-discharge yobisi oluqhubekayo, oluvela ngokwalo ebele linye noma womabili, futhi awukhulelwe noma awuncelisi, yenza i-aphoyintimenti ukubona udokotela wakho. Uma ukugquma amabele — njengokugqamula okukhulu kwebele ngesikhathi socansi — kuqalisa i-discharge yobisi eziphumlweni eziningi, awunandaba. I-discharge cishe ayibonisi lutho olukhulu. Le discharge ivame ukuhamba yodwa. Uma une-discharge eqhubekayo engapheli, yenza i-aphoyintimenti nodokotela wakho ukuze uhlolwe. I-discharge yobisi olungelona obisi — ikakhulukazi igazi, eliphuzi noma elicacile elivela ngokwalo elivela ephumlweni elilodwa noma elihambisana ne-lump ongayizwa — idinga ukunakekelwa ngokushesha kwezokwelapha. Kungaba uphawu lomdlavuza webele olufihliwe.

Ulutho olukhulu ne-hypothalamus zisebheleni. Zilawula ukukhiqizwa kwamahomoni.

I-Galactorrhea ivame ukubangelwa ukuba nokweqile kwe-prolactin emzimbeni. I-Prolactin uhormone ehambisana nokukhiqizwa kobisi ngemva kokuzalwa kwengane. I-Prolactin yenziwa yi-pituitary gland, i-gland encane enjengebhinca ephansi kwelanga elikhipha futhi lilawula ama-hormone amaningi.

Izimbangela ezingaba khona ze-galactorrhea zihlanganisa:

• Ukusetshenziswa kwe-opioid.
• Izithasiselo zemifino, njenge-fennel, i-anise noma imbewu ye-fenugreek.
• Amaphilisi okuvimbela ukukhulelwa.
• I-tumor ye-pituitary engathandeki, ebizwa nge-prolactinoma, noma ezinye izimo ze-pituitary gland.
• I-thyroid ehambayo, ebizwa nge-hypothyroidism.
• I-Chronic kidney disease.
• Ukuvuselelwa okukhulu kwesifuba, okungase kuhambisane nobulili, ukuhlola rhoqo kwesifuba ngokuphatha i-nipple noma ukugqwala isikhathi eside.
• Ukonakala kwama-nerve odongeni lwesibeletho ngenxa yokucutshungulwa kwesifuba, ukushisa noma ezinye izikhungo zesifuba.
• Ukuhlinzwa komgogodla, ukulimala noma ama-tumor.
• Ukuqina.

Ngezinye izikhathi ochwepheshe bezempilo abakwazi ukuthola imbangela ye-galactorrhea. Lokhu kubizwa nge-idiopathic galactorrhea. Kungasho ukuthi inyama yesifuba yakho inobunzima obukhulu kuhormone yokukhiqiza ubisi i-prolactin egazini lakho. Uma une-sensitivity ephakeme ku-prolactin, ngisho nama-prolactin levels ajwayelekile angabangela i-galactorrhea.

Kwabesilisa, i-galactorrhea ingase ihambisane nokuntuleka kwe-testosterone, okuthiwa yi-male hypogonadism. Lokhu kuvame ukwenzeka kanye nokwanda noma ukubuthakathaka kwesifuba, okuthiwa yi-gynecomastia. Ukwehluleka kokuma komthondo nokuntuleka kwesifiso sobulili kuhambisana nokuntuleka kwe-testosterone.

I-Galactorrhea ngezinye izikhathi ivela ezinganeni ezisanda kuzalwa. Amazinga aphezulu e-estrogen kamama adlula kwi-placenta egazini lengane. Lokhu kungabangela ukukhula kwenyama yesifuba yengane, okungase kuhambisane nokuphuma kobisi e-nipple. Lokhu kuphuma kobisi kusesikhashana futhi kuyahamba ngokwalo. Uma ukuphuma kumi, ingane esanda kuzalwa kufanele ihlolwe uchwepheshe wezempilo.

Noma yini ebangela ukukhululwa kohormoni i-prolactin ingandisa ingozi ye-galactorrhea. Izimbangela zingozi zihlanganisa:

• Imithi ethile, izidakamizwa ezingamthetho kanye nezinhlanganisela zemifino.
• Izimo ezihlasela i-pituitary gland, njengezimpukane ze-pituitary ezingesiye i-cancer.
• Izimo zezokwelapha ezithile, njengokugula okungapheli kwesibindi, ukulimala komgogodla, ukulimala odongeni lwesibeletho kanye ne-thyroid engasebenzi kahle.
• Ukubamba nokuthinta okuningi kwamabele.
• Ukuqina.

Ukufumana imbangela ecashileyo ye-galactorrhea kungaba umsebenzi oqondile ngoba kunezinketho eziningi. Ukuhlolwa kungabandakanya: Ukuhlolwa komzimba, lapho ochwepheshe bakho bezempilo bengase bazame ukukhulula amanye amafutha e-nipple yakho ngokucophelela ukuhlola indawo ezungezile i-nipple yakho. Ochwepheshe bakho bokuhlala nabo bangase futhi bahlole izicubu zebele noma ezinye izindawo ezimbi zezicubu zebele eziqine kakhulu. Uvivinyo lwegazi, ukuhlola amazinga e-prolactin ohlelweni lwakho. Uma amazinga akho e-prolactin aphezulu, ochwepheshe bakho bezempilo cishe bayohlola amazinga akho e-thyroid-stimulating hormone (TSH) futhi. Uvivinyo lokukhulelwa, ukuvimba ukukhulelwa njengombangela ongenzeka wokukhishwa kwe-nipple. I-mammography yokuxilonga, i-ultrasound noma zombili, ukuthola izithombe zezicubu zebele lakho uma ochwepheshe bakho bokuhlala nabo befumanisa i-lump yebhele noma beqaphela ezinye izinguquko ezimbi zebele noma i-nipple ngesikhathi sokuhlolwa komzimba wakho. I-Magnetic resonance imaging (MRI) yobuchopho, ukuhlola i-tumor noma enye into engajwayelekile ye-pituitary gland yakho uma uvivinyo lwakho lwegazi lufumanisa amazinga aphezulu e-prolactin. Uma imithi oyithatha ingase ibe yimbangela ye-galactorrhea, ochwepheshe bakho bezempilo bangase bakutshele ukuba uyeke ukuthatha imithi isikhathi esithile. Ulwazi Olwengeziwe I-Mammogram I-MRI I-Ultrasound

Uma kunesidingo, ukwelashwa kwe-galactorrhea kugxila ekutholakala kwesizathu esiyimbangela. Ngezinye izikhathi ochwepheshe bezempilo abakwazi ukuthola isizathu esiqondile se-galactorrhea. Khona-ke ungase uthole ukwelashwa uma une-nipple discharge ephazamisayo noma eqhubekayo. Imithi evikela imiphumela ye-prolactin noma ephansi izinga le-prolactin emzimbeni wakho ingasiza ekususeni i-galactorrhea. Isizathu esiyimbangela Ukwelashwa okungenzeka Ukusetshenziswa kwemithi Yeka ukuthatha imithi, shintsha umthamo noma ushintshe kwenye imithi. Yenza izinguquko zemithi kuphela uma ochwepheshe bakho bezempilo bethi kulungile ukwenza kanjalo. I-thyroid gland engasebenzi kahle, ebizwa nge-hypothyroidism Thatha imithi, njenge-levothyroxine (Levothroid, Synthroid, nabanye), ukuze ulwe nokukhiqizwa okungenele komkhiqizo we-hormone yi-thyroid gland yakho (ukwelashwa kokufakwa kwe-thyroid). I-pituitary tumor, ebizwa nge-prolactinoma Sebenzisa imithi ukuze unciphise i-tumor noma wenze ukuhlinzwa ukuze uyisuse. Isizathu esingaziwa Zama imithi, njenge-bromocriptine (Cycloset, Parlodel) noma i-cabergoline, ukuze uphansi izinga lakho le-prolactin futhi unciphise noma uqede ukukhishwa kobisi kwesibeletho. Imiphikiswano yale miithi ivame ukubandakanya isicanucanu, ukukhungatheka nobuhlungu bekhanda. Cela i-aphoyintimenti