Zomwe Zimayambitsa Kutuluka Kwa Nipple (Galactorrhea)?

Zamkati

• Kodi zizindikiro za galactorrhea ndi ziti?
• Nchiyani chimayambitsa galactorrhea?
• Prolactinoma
• Zotupa zina
• Zina zomwe zimayambitsa amuna ndi akazi
• Mwa akazi
• Mwa amuna
• Mu akhanda
• Kodi galactorrhea imapezeka bwanji?
• Kodi galactorrhea imathandizidwa bwanji?
• Maganizo ake ndi otani?

Kodi galactorrhea ndi chiyani?

Galactorrhea imachitika mkaka kapena zotuluka ngati mkaka zimatuluka m'matumbo anu. Ndizosiyana ndi kutulutsa mkaka wokhazikika komwe kumachitika nthawi yapakati komanso pambuyo pathupi. Ngakhale zimatha kukhudza amuna kapena akazi onse, zimakonda kuchitika mwa azimayi azaka zapakati pa 20 ndi 35.

Ngakhale mosayembekezereka kuwona zomwe zikuwoneka ngati mkaka kutuluka mawere anu zitha kukhala zowopsa, nthawi zambiri sizikhala nkhawa. Koma nthawi zina, ikhoza kukhala chizindikiro chazovuta zomwe zimafunikira chithandizo.

Kodi zizindikiro za galactorrhea ndi ziti?

Chizindikiro chachikulu cha galactorrhea ndi chinthu choyera chomwe chimatuluka m'kamwa mwanu.

Kutulutsa uku kumatha:

• kutuluka mwina kapena pafupipafupi
• kutuluka kuwerewere limodzi kapena onse awiri
• kuyambira kuchuluka mpaka kulemera

Muthanso kukhala ndi zisonyezo zina, kutengera chomwe chimayambitsa.

Nchiyani chimayambitsa galactorrhea?

Zinthu zingapo zimatha kuyambitsa galactorrhea mwa amuna kapena akazi onse. Kumbukirani kuti anthu ena ali ndi zomwe madokotala amatcha idiopathic galactorrhea. Izi ndi galactorrhea popanda chifukwa chomveka. Matenda anu am'mawere amatha kukhala okhudzidwa ndi mahomoni ena.

Prolactinoma

Galactorrhea nthawi zambiri imayambitsidwa ndi prolactinoma. Ichi ndi chotupa chomwe chimapangidwa m'matenda anu am'mimba. Itha kusindikiza pamatenda anu am'mimba, ndikupangitsa kuti ipange prolactin wambiri. Prolactin ndiye mahomoni omwe makamaka amayambitsa mkaka wa m'mawere.

Kwa akazi, prolactinoma itha kuchititsanso:

• osabwereza kapena osakhalapo nthawi
• otsika libido
• mavuto obereka
• Kukula kwambiri kwa tsitsi

Amuna amathanso kuzindikira:

• otsika libido
• Kulephera kwa erectile

Ngati ikukula mokulira kukakamiza mitsempha muubongo wanu pafupi ndi khungu lanu, mutha kuzindikiranso kupweteka kwa mutu kapena kusintha kwamaso.

Zotupa zina

Zotupa zina zimathanso kukanikiza pachala cha khungu lanu, komwe chimalumikizana ndi hypothalamus, dera lomwe lili kumapeto kwa ubongo wanu. Izi zitha kuletsa kupanga dopamine. Kuphatikiza pa kuwongolera momwe mumamvera, dopamine imathandizanso kuti muyang'ane milingo yanu ya prolactin pochepetsa ngati kuli kofunikira.

Ngati simukutulutsa dopamine yokwanira, khungu lanu lamatenda limatha kutulutsa ma prolactin ochulukirapo, zomwe zimatulutsa mawere.

Zina zomwe zimayambitsa amuna ndi akazi

Zinthu zina zambiri zimatha kukupangitsani kukhala ndi prolactin wambiri. Izi zikuphatikiza:

• hypothyroidism, yomwe imachitika pamene chithokomiro sichigwira ntchito mokwanira
• kumwa mankhwala ena othamanga magazi, monga methyldopa (Aldomet)
• matenda a impso a nthawi yayitali
• Matenda a chiwindi, monga chiwindi
• mitundu ina ya khansa yamapapu
• kumwa mankhwala a opioid, monga oxycodone (Percocet) ndi fentanyl (Actiq)
• kumwa mankhwala opatsirana pogonana, monga paroxetine (Paxil) kapena serotonin reuptake inhibitors (SSRIs), monga citalopram (Celexa)
• kugwiritsa ntchito cocaine kapena chamba
• kumwa mankhwala ena azitsamba, kuphatikizapo fennel kapena nyerere
• kumwa ma prokinetics pazovuta zam'mimba
• kugwiritsa ntchito phenothiazines kuchotsa tiziromboti

Mwa akazi

Kutenga mapiritsi oletsa kubereka kumakhudza mahomoni osiyanasiyana, omwe amatha kuyambitsa matenda a galactorrhea mwa akazi ena.

Mwa amuna

Male hypogonadism amatanthauza kukhala ndi testosterone yotsika. Ichi ndi chimodzi mwazomwe zimayambitsa matenda a galactorrhea mwa amuna. Zitha kupanganso gynecomastia, yomwe imakulitsa mawere.

Mu akhanda

Galactorrhea imawonekeranso m'mwana wakhanda. Izi zitha kukhala zotsatira za kuchuluka kwa estrogen yamayi panthawi yapakati. Ngati ilowa m’chiberekero, imatha kulowa m’magazi a mwana asanabadwe. Izi zitha kubweretsa mawere okulitsidwa komanso kutuluka kwamabele.

Kodi galactorrhea imapezeka bwanji?

Galactorrhea nthawi zambiri imakhala chizindikiro chazovuta zathanzi, chifukwa chake ndikofunikira kugwira ntchito ndi dokotala kuti mudziwe chifukwa chake.

Angagwiritse ntchito mayeso ndi mayeso otsatirawa kuti adziwe:

• Thupi lathunthu. Dokotala wanu adzawona momwe kansalu kanu kamayankhira pofinyidwa, komanso ngati izi zimayambitsa kutuluka kwina. Angayang'anenso mabere anu ngati ali ndi zotupa zilizonse.
• Kuyesa magazi. Kuyesa ma prolactin ndi mahomoni olimbikitsa chithokomiro kumathandizira kuchepetsa zomwe zingayambitse.
• Kuyesa kwa labu kutulutsa kwamabele. Ngati mwakhala ndi pakati m'mbuyomu, atha kutenga zina mwa zotupa zanu zamabele ndikuziwunika ngati ali ndi mafuta. Ichi ndi chizindikiro chodziwika cha galactorrhea, kuthandiza kusiyanitsa ndi mkaka wa m'mawere.
• Kuyesa kuyesa. Kujambula kwa MRI kapena CT kumatha kuthandizira kuwunika ma prolactinomas kapena zotupa zina pafupi ndi khungu lanu kapena kuwunika minofu yanu ya m'mawere ngati ili yachilendo. Mammogram kapena ultrasound ingathandize kuzindikira ziphuphu zilizonse zachilendo kapena minofu ya m'mawere.
• Mayeso apakati. Ngati pali mwayi uliwonse kuti mungakhale ndi pakati, dokotala wanu angafune kugwiritsa ntchito mayeso oyembekezera kuti athetse mkaka wa m'mawere.

Kodi galactorrhea imathandizidwa bwanji?

Kuchiza galactorrhea kumadalira chifukwa chake. Koma ngati muli ndi prolactinoma yaying'ono yomwe imayambitsa zizindikiro zina zilizonse, vutoli limatha kuthetsa lokha.

Zina mwazithandizo za galactorrhea ndi izi:

• Kupewa mankhwala omwe angayambitse kutuluka. Ngati mukuganiza kuti mankhwala omwe mumamwa atha kuyambitsa matenda a galactorrhea, gwirani ntchito ndi dokotala kuti muwone ngati pali ina yomwe mungatenge m'malo mwake. Onetsetsani kuti musasiye kutenga chilichonse mwadzidzidzi, chifukwa izi zingayambitse zotsatira zina zosayembekezereka.
• Kumwa mankhwala kuti muchepetse kapena kusiya prolactin powonjezera kuchuluka kwanu kwa dopamine. Zitsanzo zambiri zimaphatikizapo bromocriptine (Cycloset) kapena cabergoline (Dostinex). Mankhwalawa amatha kuthandizira kuchepetsa ma prolactinomas ndi zotupa zina. Zitha kuthandizanso kuwongolera kuchuluka kwanu kwa ma prolactin.
• Kuchita opaleshoni kuchotsa prolactinoma kapena chotupa china. Ngati mankhwala akuwoneka kuti sakugwira ntchito kapena chotupacho ndi chachikulu kwambiri, mungafunike kuchitidwa opaleshoni kuti muchotse.

Maganizo ake ndi otani?

Akazindikira chifukwa chake, anthu ambiri omwe ali ndi galactorrhea amachira. Zotupa zamagulu am'mimba nthawi zambiri zimakhala zopanda vuto, ndipo mankhwala amatha kuthandizira kuthana ndi zizindikilo zilizonse zomwe zimayambitsa. Pakadali pano, yesetsani kupewa chilichonse chomwe chingapangitse kutulutsa kwamabele, monga kulimbikitsa mawere anu panthawi yogonana kapena kuvala zovala zolimba.