Fa no sɛ, wunnyinsɛn na worenom nufu nso. Nanso mpofirim ara nsu fitaa bi te sɛ nufusu fi ase fi wo nufu mu. Ebia nkekae bi wɔ wo ntade so. Sɛ wuhu eyi a, obiara suro kakra na ɛhaw no, ɛnte saa? "So mewɔ biribi a anibere wom?" Wodwene ho. Nanso nokwarem no, eyi yɛ tebea a nnipa pii hyia, na mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wosuro. Wɔ aduruyɛ mu no, yɛfrɛ eyi 'Galactorrhea'. Enti ɛnnɛ yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne galactorrhea?
Sɛ yɛbɛka no tiawa a, galactorrhea yɛ nufusu anaa nsu a ɛte sɛ nufusu a efi wo nufu mu bere a wunnyinsɛn anaasɛ womma nufu no. Eyi betumi asi bere a wɔde wɔn nsa aka wo nufu no, anaasɛ ebetumi aba ara kwa. Ebetumi asi wɔ nufu biako anaa abien no nyinaa mu.
Ade a ɛho hia sen biara a ɛsɛ sɛ yɛte ase wɔ ha ne sɛ eyi nyɛ nufu mu kokoram ho sɛnkyerɛnne. Saa ara nso na ɛnyɛ yare a ɛda nsow. Mmom no, ɛyɛ ɔhaw foforo bi a ɛrekɔ so wɔ yɛn nipadua mu ho sɛnkyerɛnne .
Nea enti titiriw a ɛte saa ne hormone a wɔfrɛ no Prolactin , a pituitary gland, ntini ketewaa bi a ɛwɔ yɛn amemene no ase no na ɛyɛ. Mpɛn pii no, saa hormone yi fi nipadua mu bere a wɔyem ne bere a wɔrema nufu no. Ɛno na ɛma nufusu ba nufu no mu. Nanso, sɛ biribi nti wɔyɛ saa hormone yi boro so wɔ nipadua no mu bere a ɛho nhia, kyerɛ sɛ, sɛ tebea bi a wɔfrɛ no ‘Hyperprolactinemia’ ba a, yɛn nipadua no yera. Nipadua no susuw sɛ bere aso sɛ ɛyɛ nufusu. Ɛno ne bere a galactorrhea tebea no ba.
Hena na tebea yi ka no kɛse?
Ɛtaa ba mmea so kɛse. Ɛtaa ba mmea a wɔadi fi mfe 20 kosi 35 so titiriw , a ɛkyerɛ sɛ wɔadi mfe a wobetumi awo na wɔawo mma pɛn. Nhwehwɛmu bi kyerɛ sɛ mmea a ɛkɔ soro kodu 20%, anaa bɛyɛ mmea baanum biara mu biako benya saa tebea yi wɔ wɔn asetra mu bere bi.
Nanso mma ɛnyɛ wo nwonwa, eyi betumi ato mmarima, na ɛntaa nsi koraa wɔ nkokoaa a wɔawo wɔn foforo so. Sɛ tebea yi ba mmarima so a, ɛtaa ne testosterone dodow a ɛba fam anaa nkwaadɔm mu haw afoforo wɔ abusuabɔ.
Dɛn nti na eyi rekɔ so? Dɛn ne ade titiriw nti a ɛte saa?
Nnipa pii suro sɛ biribi te sɛ eyi si a, "So mewɔ kokoram?" Nanso nea ɛtaa de galactorrhea ba ne akisikuru a ɛnyɛ hu a ɛwɔ pituitary gland no mu., kyerɛ sɛ, akisikuru ketewaa bi a ɛnyɛ hu. Wɔfrɛ eyi sɛ prolactinoma. Saa akisikuru yi ma hormone a wɔfrɛ no prolactin no yɛ kɛse dodo. Wobetumi de nnuru adi eyi so yiye.
Ntease afoforo pii nso betumi aba. Momma yɛnhwɛ wɔn yiye.
| Sɛnti | Nkyerɛmu |
|---|---|
| Nnuru bi a wonom | Nneɛma te sɛ nnuru a wɔde siw awo ano, nnuru bi a wɔde sa mogya mmoroso, ne nnuru a wɔde sa adwenemhaw betumi ama prolactin dodow akɔ soro. |
| Nufu a wɔtaa kanyan no | Saa tebea yi nso betumi afi nneɛma te sɛ nna mu dwumadi, nufu a wɔtaa piapia denam ntade a ɛyɛ den a wɔhyɛ so, anaa nufu a wɔtaa hwehwɛ wɔn ho mu. |
| Thyroid ho haw ahorow | Tebea bi a wɔfrɛ no hypothyroidism titiriw nso betumi de eyi aba. |
| Asaabo mu nyarewa a enni sabea | Sɛ asaabo no ntumi nyɛ adwuma yiye a, ɔkwan a wɔfa so yi prolactin hormone no fi nipadua no mu no sɛe, na ne dodow betumi akɔ soro. |
| Nnuru a wɔde ma nhabannuru bi | Nnuru a wɔde nhabannuru yɛ a nneɛma te sɛ fenugreek ne fennel aba wom a wɔde di dwuma nso betumi de eyi aba nnipa binom so. |
| Akyi berɛmo mu opira | Oprehyɛn anaa akwanhyia a ɛba akyi berɛmo anaa koko so no betumi aka ntini ahorow no na ama nsakrae aba prolactin dodow mu. |
So sɛnkyerɛnne afoforo bi wɔ hɔ a nufusu a ɛba mu no nka ho?
Aane. Ɛwom sɛ sɛnkyerɛnne titiriw ne nsu a ɛte sɛ nufusu a efi mu ba de, nanso sɛnkyerɛnne afoforo pii betumi aba esiane prolactin dodow a ɛkɔ soro wɔ nipadua no mu nti. Hwɛ sɛ wo nso wowɔ saa sɛnkyerɛnne ahorow yi anaa.
| Nsɛnkyerɛnne a ɛkyerɛ | Henanom na ɛtaa ka wɔn? |
|---|---|
| Brayɛ a ennyae daa anaasɛ ennyae koraa (Amenorrhea) . | Ɔbaa |
| Vaginal a ɛyɛ kusuu | Ɔbaa |
| Tiyɛ ne aniwa a ɛyɛ mmerɛw | Wɔ afã abien no nyinaa fam (titiriw sɛ pituitary tumor bi wɔ hɔ a) . |
| Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛso tew | Wɔ afã abien no nyinaa fam |
| Nwi foforo a enyin wɔ koko anaa abɔgyesɛ so | Ɔbaa |
| Acne a ɛwɔ nipadua no mu | Wɔ afã abien no nyinaa fam |
| Nufu a ɛyɛ kɛse wɔ mmarima mu (Gynecomastia) . | Mmarima |
| Ɔbarima ne ɔbea nna a ɛnyɛ adwuma yiye | Mmarima |
Ɔkwan bɛn so na oduruyɛfo no hu eyi? (Nyare a Wɔahu) .
Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ saa sɛnkyerɛnne ahorow yi a, ɔbɛyɛ nhwehwɛmu mpɛn pii de ahu nea ɛde ba.
- Nipadua mu nhwehwɛmu: Nea edi kan no, oduruyɛfo no bɛhwɛ wo nufu ne wo nufu mu yiye. Ɔbɛhwɛ nso sɛ ebia nsu biara a ɛbɛtɔ no afi hɔ anaa.
- Wobebisa wo nsɛm a ɛkɔ akyiri: Wobebisa wo nnuru a wonom, wo nyarewa afoforo, ne wo brayɛ ho nsɛm a ɛkɔ akyiri.
- Mogya mu nhwehwɛmu: Eyi ho hia paa. Wɔbɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea wo prolactin hormone dodow te . Wɔbɛyɛ thyroid dwumadi ho nhwehwɛmu nso de ahwɛ sɛnea wo thyroid hormone dodow te.
- Nyinsɛn mu nhwehwɛmu: Wɔyɛ nsu anaa mogya mu nhwehwɛmu de kyerɛ sɛ woanyinsɛn anaa.
- Mfoninitwa sɔhwɛ ahorow:
- Sɛ wususuw sɛ ɔhaw foforo bi wɔ wo nufu ho (te sɛ akisikuru) a, ebia wɔbɛyɛ wo nufu ho mfonini anaa ultrasound scan.
- Sɛ prolactin dodow a ɛwɔ mogya no mu no dɔɔso yiye a, wɔkamfo kyerɛ sɛ wɔnyɛ amemene no MRI anaa CT scan mfa nhwɛ sɛ ebia pituitary tumor bi wɔ hɔ anaa.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛmpa no ne sɛ mpɛn pii no galactorrhea yɛ tebea a wotumi sa. Ayaresa no gyina nea ɛde ba no so. Ɛtɔ da bi a, tebea no tumi kɔ a wonnya ayaresa biara.
Ebia wo duruyɛfo bɛkamfo ayaresa ahorow a edidi so yi akyerɛ wo:
- Nnuru a ɛtew prolactin so: Sɛ prolactin dodow kɔ soro esiane pituitary tumor anaa biribi foforo nti a, wɔma nnuru te sɛ Cabergoline anaa Bromocriptine de siw ano. Saa nnuru yi taa ma akisikuru no so tew na ɛma nufusu gyae.
- Nnuru a wobɛsesa: Sɛ nea ɛde tebea yi ba ne aduru a worenom ama yare foforo a, ebia wo duruyɛfo begyae saa aduru no anaasɛ ɔbɛsesa wo akɔ aduru foforo so. Nnyae w’aduru nom da a wunnya wo duruyɛfo afotu.
- Tebea a ɛde ba no a wɔbɛsa: Sɛ eyi fi thyroid haw bi (hypothyroidism) a, sɛ wɔsa a, ɛbɛsa galactorrhea tebea no nso.
- Oprehyɛn anaa mframa a wɔde sa yare: Ebia ɛho behia sɛ wɔyɛ oprehyɛn anaa mframa a wɔde sa yare, ɛntaa nsi koraa, sɛ pituitary tumor no ntumi nyɛ adwuma wɔ nnuru ho anaasɛ ɛde ɔhaw afoforo ba, te sɛ nea ɛka aniwa so nkutoo a.
Nea ɛho hia sen biara ne sɛ, sɛ wowɔ galactorrhea a, ɛsɛ sɛ wuhu nea ɛde ba ankasa na wunya ayaresa a ɛfata. Mmɔ mmɔden sɛ wobɛsa wo ho yare denam nneɛma a wobɛhwehwɛ wɔ intanɛt so no so.
So wobetumi asiw eyi ano? Na bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Ɛyɛ den ma yɛn sɛ yebesiw nneɛma a ɛde galactorrhea ba wɔ yɛn mu (te sɛ hormone haw ahorow) ano. Nanso, yebetumi atew asiane a ɛwɔ abɔnten so nneɛma a ɛkanyan obi so no so.
- Kwati sɛ wobɛtaa kanyan nufu ne nufusu no.
- Ɛho nhia sɛ wɔyɛ nufu mu nhwehwɛmu bɛboro pɛnkoro ɔsram biara.
- Kwati sɛ wobɛhyɛ ntade a ɛyɛ den na ɛyɛ den a ɛbɔ nufu no fã.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wunnyinsɛn anaasɛ worenom nufu na nufusu bi fi wo nufu biako anaa abien no nyinaa mu a, akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn. Mma ntwɛn kɛkɛ sɛ n’ankasa nkɔ. Ade a ɛho hia sen biara ne sɛ wubehu nea ɛde ba.
Hu saa sɛnkyerɛnne ahorow yi titiriw: Sɛ nsu a ɛretu no yɛ mogya, kɔkɔɔ tuntum, ahabammono , anaasɛ wote nka sɛ akisikuru bi wɔ wo nufu mu , ebetumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne. Enti hwehwɛ aduruyɛfo afotu ntɛm ara. Wɔ tebea a ɛte saa mu no, ɛnyɛ papa sɛ wobɛtwentwɛn wo nan ase kakra mpo.
Galactorrhea betumi ayɛ aniwu anaa aniwu. Nanso kae sɛ ɛtaa ba sen sɛnea wususuw. Na wobetumi de ayaresa asa no koraa. Enti nsuro, mma wo ho nnyɛ wo hu, na kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu ne ayaresa a ɛfata.
Nkrasɛm a Wɔde Kɔ Fie
- Galactorrhea yɛ nufusu a efi nufu mu a ɛne nyinsɛn anaa nufu a wɔde ma no nni abusuabɔ.
- Eyi nyɛ yare, na mmom ɛyɛ ɔhaw foforo a ɛwɔ nipadua no mu ho sɛnkyerɛnne. Mpɛn pii no, ɛnyɛ tebea a emu yɛ den na wobetumi asa no yiye.
- Nea ɛtaa de ba ne hormone prolactin a ɛkɔ soro, na ɛtaa fi akisikuru a ɛnyɛ kokoram a ɛwɔ pituitary gland no mu.
- Nnuru bi a wonom, thyroid ho haw, ne nufu a wɔtaa kanyan wo nso betumi de eyi aba.
- Sɛ nufusu bi fi wo nufu mu, titiriw sɛ mogya ayɛ wo anaasɛ akuru bi wɔ nufu no mu a, mmu w’ani ngu so na kɔ wo duruyɛfo nkyɛn ntɛm ara.
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