Hiki iā ʻoe ke loaʻa ka waiū mai kou mau umauma me ka ʻole o ka hāpai ʻana? (Galactorrhea)

E noʻonoʻo, ʻaʻole ʻoe e hāpai a ʻaʻole hoʻi e hānai waiū. Akā, i kēia lā, hoʻomaka koke kahi wai keʻokeʻo e like me ka waiū e puka mai ana mai kou mau umauma. Malia paha he mau ʻōpala ma kou mau lole. Ke ʻike ʻoe i kēia, makaʻu iki nā mea a pau a hopohopo, ʻeā? "He mea koʻikoʻi anei kaʻu?" Manaʻo ʻoe. Akā, ʻo ka ʻoiaʻiʻo, he ʻano kēia i ʻike ʻia e nā poʻe he nui, a ʻo ka hapa nui o ka manawa, ʻaʻohe mea e makaʻu ai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'Galactorrhea'. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka galactorrhea?

I ka ʻōlelo maʻalahi, ʻo ka galactorrhea ka hoʻokuʻu ʻia ʻana o ka waiū a i ʻole kahi wai e like me ka waiū mai kou mau umauma i ka wā ʻaʻole ʻoe e hāpai a hānai waiū paha. Hiki ke hana kēia i ka wā e hoʻopā ʻia ai kou mau nipples, a i ʻole hiki ke hana koke ʻia. Hiki ke hana ma kekahi a i ʻole nā ​​​​umauma ʻelua.

ʻO ka mea nui e hoʻomaopopo ai ma ʻaneʻi, ʻaʻole kēia he hōʻailona o ka maʻi ʻaʻai umauma. ʻAʻole hoʻi he maʻi ʻokoʻa. Akā, he hōʻailona ia o kekahi pilikia ʻē aʻe e kū nei i loko o ko kākou kino.

ʻO ke kumu nui o kēia, ʻo ia ka hormone i kapa ʻia ʻo Prolactin , ka mea i hana ʻia e ka pituitary gland, kahi gland liʻiliʻi ma ke kumu o ko kākou lolo. Hoʻopuka pinepine ʻia kēia hormone i ka wā hāpai a me ka hānai waiū. ʻO ia ke kumu e hana ʻia ai ka waiū i loko o nā umauma. Eia nō naʻe, inā no kekahi kumu e hana nui ʻia ai kēia hormone i loko o ke kino i ka wā ʻaʻole pono, ʻo ia hoʻi, inā loaʻa kahi kūlana i kapa ʻia ʻo 'Hyperprolactinemia', hele hewa ko kākou kino. Manaʻo ke kino ua hiki i ka manawa e hana ai i ka waiū. ʻO ia ka manawa e hana ʻia ai ke kūlana o ka galactorrhea.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻOi aku ka maʻamau i nā wahine. He mea maʻamau ia i nā wahine ma waena o 20 a me 35 mau makahiki , ʻo ia hoʻi he makahiki hānau keiki lākou a ua loaʻa nā keiki ma mua. Manaʻo kekahi mau noiʻi a hiki i ka 20% o nā wahine, a i ʻole hoʻokahi o nā wahine ʻelima, e ʻike i kēia ʻano i kekahi manawa o ko lākou ola.

Akā, mai kāhāhā, hiki ke hana kēia i nā kāne, a kākaʻikahi loa i nā pēpē hānau hou. Inā loaʻa kēia ʻano i nā kāne, pili pinepine ia i nā pae testosterone haʻahaʻa a i ʻole nā ​​pilikia hormonal ʻē aʻe.

No ke aha lā kēia e hana nei? He aha nā kumu nui?

Nui ka poʻe e makaʻu nei ke hana ʻia kekahi mea e like me kēia, "He maʻi kanesa koʻu?" Akā ʻo ke kumu maʻamau o ka galactorrhea he puʻupuʻu maikaʻi ʻole o ka pituitary gland., ʻo ia hoʻi, he puʻupuʻu liʻiliʻi ʻaʻole ia he mea weliweli. Ua kapa ʻia kēia he prolactinoma. Hoʻoulu kēia puʻupuʻu i ka hana nui ʻana o ka hormone prolactin. Hiki ke hoʻomalu ʻia kēia me ka holomua me ka lāʻau lapaʻau.

Aia paha kekahi mau kumu ʻē aʻe. E nānā pono kākou iā lākou.

Aia kekahi mau hōʻailona ʻē aʻe ma waho aʻe o ka waiū e komo mai ana?

ʻAe. ʻOiai ʻo ka hōʻailona nui ka hoʻokuʻu ʻia ʻana o kahi wai waiū, hiki ke loaʻa kekahi mau hōʻailona ʻē aʻe ma muli o ka piʻi ʻana o nā pae prolactin i loko o ke kino. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, ​​e hana ʻo ia i kekahi mau hoʻokolohua e ʻike ai i ke kumu.

• Hoʻokolokolo kino: ʻO ka mea mua, e nānā pono ke kauka i kou mau umauma a me nā nipples. E nānā pū ʻo ia no kekahi kahe ʻana.
• Ke noi nei iā ʻoe no nā kikoʻī: E nīnau lākou iā ʻoe e pili ana i nā lāʻau lapaʻau āu e lawe ai, kou mau maʻi ʻē aʻe, a me nā kikoʻī e pili ana i kou pōʻaiapuni menstrual.
• Nā hoʻāʻo koko: He mea nui loa kēia. E hana ʻia kahi hoʻāʻo koko e nānā i kāu pae hormone prolactin . E hana ʻia hoʻi kahi hoʻāʻo hana thyroid e nānā i kāu pae hormone thyroid.
• Hoʻāʻo hāpai keiki: Hana ʻia kahi hoʻāʻo mimi a koko paha e hōʻoia inā hāpai ʻoe.
• Nā hoʻāʻo kiʻi:
• Inā ʻoe e kānalua he pilikia ʻē aʻe me kou mau umauma (e like me kahi puʻupuʻu), hiki iā ʻoe ke hana i kahi mammogram a i ʻole ultrasound scan.
• Inā kiʻekiʻe loa ka pae prolactin i loko o ke koko, ua ʻōlelo ʻia kahi MRI a i ʻole CT scan o ka lolo e nānā i kahi puʻupuʻu pituitary.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka galactorrhea. Aia ka lāʻau lapaʻau i ke kumu. I kekahi manawa, hiki ke nalowale ke ʻano me ka ʻole o ka lāʻau lapaʻau.

Hiki i kāu kauka ke ʻōlelo i kēia mau lāʻau lapaʻau:

• Nā lāʻau hoʻohaʻahaʻa prolactin: Inā kiʻekiʻe nā pae prolactin ma muli o kahi puʻupuʻu pituitary a i ʻole kekahi kumu ʻē aʻe, hāʻawi ʻia nā lāʻau lapaʻau e like me Cabergoline a i ʻole Bromocriptine e kāohi iā ia. Hoʻemi pinepine kēia mau lāʻau i ka puʻupuʻu a hoʻōki i ka hana ʻana o ka waiū.
• Ke hoʻololi nei i kāu lāʻau lapaʻau: Inā ʻo ke kumu o kēia kūlana he lāʻau lapaʻau āu e lawe nei no kekahi kūlana ʻē aʻe, hiki i kāu kauka ke hoʻōki i kēlā lāʻau lapaʻau a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
• Ke mālama ʻana i ke kūlana kumu: Inā ma muli kēia o ka pilikia thyroid (hypothyroidism), e hoʻōla pū ka mālama ʻana iā ia i ke kūlana galactorrhea.
• ʻO ke ʻoki kino a i ʻole ka radiation therapy: Pono paha ke ʻoki kino a i ʻole ka radiation therapy, he mea kākaʻikahi loa, inā ʻaʻole pane ka puʻupuʻu pituitary i ka lāʻau lapaʻau a inā paha e hoʻoulu ia i nā pilikia ʻē aʻe, e like me ka hoʻopilikia ʻana i ka ʻike.

Hiki ke pale ʻia kēia? A i ka manawa hea ʻoe e ʻike ai i ke kauka?

He mea paʻakikī iā mākou ke pale aku i nā kumu kūloko o ka galactorrhea (e like me nā pilikia hormonal). Eia nō naʻe, hiki iā mākou ke hōʻemi i ka pilikia o nā mea hoʻonāukiuki o waho.

• E hōʻalo i ka hoʻonāukiuki pinepine ʻana i nā umauma a me nā nipples.
• ʻAʻole pono ka nānā ponoʻī ʻana i ka umauma ma mua o hoʻokahi manawa i ka mahina.
• E pale i ke komo ʻana i nā lole paʻa a ʻūlū e hamo ana i ka ʻāpana umauma.

I ka manawa hea e ʻike ai i ke kauka

Inā ʻaʻole ʻoe e hāpai a hānai waiū paha a he wai waiū mai kekahi a i ʻole nā ​​umauma ʻelua, e ʻike pono i kāu kauka. Mai kali wale a nalo wale ia. ʻO ka mea nui loa, ʻo ia ka ʻimi ʻana i ke kumu.

Hiki i ka Galactorrhea ke hilahila a hoʻohilahila paha. Akā e hoʻomanaʻo, ʻoi aku ka maʻamau ma mua o kou manaʻo. A hiki ke ho'ōla loa ʻia me ka lāʻau lapaʻau. No laila, mai makaʻu, mai hopohopo, a e ʻike i ke kauka no ka ʻōlelo aʻo kūpono a me ka lāʻau lapaʻau.