Ke kahe wale nei ʻoe i ka waiū mai kou mau umauma? E kamaʻilio kākou e pili ana i kēia maʻi i kapa ʻia ʻo Galactorrhea!

Ke noʻonoʻo nei paha ʻoe, "ʻAuē, ʻaʻole au i hāpai, a ʻaʻole au e hānai waiū ana, no laila pehea lā e puka mai ai kahi mea e like me ka waiū mai loko mai o koʻu mau umauma?" ʻAe, he mea kupanaha iki ia. Akā hiki nō ia. I ka lāʻau lapaʻau, kapa mākou i kēia maʻi he galactorrhea. Mai hopohopo, ʻaʻole ia he maʻi weliweli i ka hapa nui o nā hihia. E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī a me ka maʻalahi i kēia lā.

He aha maoli ka Galactorrhea?

I ka ʻōlelo maʻalahi, ʻo ka galactorrhea ka hoʻokuʻu koke ʻia ʻana o ka waiū a i ʻole kahi wai keʻokeʻo waiū mai kou mau umauma i ka wā ʻaʻole ʻoe e hāpai a ma hope paha o ka hānai ʻana. Hiki ke hana koke ʻia kēia a i ʻole ke hoʻopā ʻoe i kou mau umauma. ʻO ka mea nui loa, ʻaʻole ia e pili ana i ka hānai maʻamau.

ʻO ka hapa nui o ka manawa, ʻo kēia ma muli o ko mākou kino e hana nui ana i ka hormone i kapa ʻia ʻo Prolactin . ʻO kēia hormone ka mea e kōkua iā mākou e hana i ka waiū umauma ma hope o ka hānau ʻana. Hoʻopuka ʻia kēia hormone e kahi gland liʻiliʻi ma ke kumu o ko mākou lolo, a mākou e kapa nei ʻo ka pituitary gland. No laila, inā no kekahi kumu e piʻi aʻe kēia pae o Prolactin, manaʻo ke kino ua hiki i ka manawa e hana ai i ka waiū, a ʻo ia ka manawa e puka mai ai ka waiū.

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

ʻO Galactorrhea kahi maʻi i ʻike nui ʻia i nā wahine . Akā, mai kāhāhā, hiki iā ia ke hoʻopilikia i nā kāne a i kekahi manawa i nā keiki ʻōpio . He mea maʻamau ia i nā wahine hānau keiki (ma waena o 20 a me 35 mau makahiki) a me nā wahine i loaʻa nā keiki ma mua. Wahi a kekahi mau noiʻi, a hiki i ka 20% o nā wahine e ʻike paha i kēia maʻi.

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

ʻO ke kumu nui o ka galactorrhea he puʻupuʻu liʻiliʻi i loko o ka pituitary gland . Akā, mai hopohopo, ʻo ka hapa nui o ka manawa he mau puʻupuʻu ʻaʻole cancerous (benign) . Hoʻoulu kēia puʻupuʻu i ka pituitary gland e hana i ka prolactin nui loa. Kāhea mākou i kēia hyperprolactinemia. Hoʻopunipuni kēlā prolactin keu i ke kino e hana i ka waiū.

Aia kekahi mau kumu ʻē aʻe?

ʻAe, aia kekahi mau kumu ʻē aʻe. ʻO lākou:

• ʻO kekahi mau lāʻau lapaʻau āu e lawe ai: No ka laʻana, ʻo kekahi mau lāʻau hoʻomalu hānau, nā lāʻau lapaʻau no ke koko kiʻekiʻe, a i ʻole nā ​​​​​​antidepressants hiki ke lilo i kumu o kēia.
• Hoʻoulu pinepine ʻia ka umauma: Hiki ke hana ʻia kēia e ka moekolohe, ke komo ʻana i nā lole paʻa, a i ʻole ka nānā pinepine ʻana i ka umauma.
• Nā maʻi thyroid:Hiki i kahi kaulike ʻole o nā hormones thyroid ke hoʻopilikia i kēia.
• Maʻi puʻupaʻa mau loa: Hiki ke hana kēia ke hana pono ʻole nā ​​puʻupaʻa ma muli o nā loli i nā hormones.
• ʻO kekahi mau mea hoʻohui lāʻau: No ka laʻana, hiki i ka fenugreek a me ka fennel ke hana i kēia i kekahi poʻe.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau: Ka hoʻohana ʻana i nā lāʻau lapaʻau, ʻoiai nā opioids.
• ʻEha a ʻeha paha i kou iwi kuamoʻo: He mea kakaikahi kēia, akā hiki ke hana.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui , he kahe keʻokeʻo a waiū mai kou mau umauma i ka wā ʻaʻole ʻoe e hāpai a hānai waiū paha . ʻIke pinepine ʻia kēia ma nā umauma ʻelua. Hiki ke puka mai i waho ke ʻomi ʻoe i ka nipple, a i ʻole e liki wale paha.

Ma waho aʻe o kēia hōʻailona nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe:

• Ka pau ʻana o ka menstruation i ke ʻano kūpono ʻole a i ʻole ka pau piha ʻana (ua kapa ʻia kēia ʻo amenorrhea).
• Maloʻo ka ʻōpū .
• ʻO ke poʻo pinepine .
• Hoʻemi ʻia ka makemake moe kolohe .
• Ka ulu ʻana o ka lauoho hou ma ka umauma a i ʻole ka ʻauwae .
• ʻAkika .
• I nā kāne, hiki ke loaʻa ka erectile dysfunction .

He kūlana hoʻoweliweli anei kēia i ke ola?

ʻAʻole maʻamau . ʻO Galactorrhea kahi maʻi i hiki ke mālama ʻia a ho'ōla ʻia i ka nui. Inā loaʻa kou maʻi i kahi puʻupuʻu pituitary gland, pinepine hoʻi ʻaʻole ia he maʻi kanesa a pane maikaʻi i ka mālama ʻana. No laila, mai hopohopo pono ʻole.

Hiki i kēia kūlana ke hoʻonui i ke kaumaha?

ʻAʻole ʻo Galactorrhea ke kumu pololei o ka piʻi ʻana o ke kaumaha. Eia nō naʻe, hiki ke pili nā pae kiʻekiʻe o ka hormone prolactin a me nā maʻi thyroid me ka piʻi ʻana o ke kaumaha . No laila, inā loaʻa iā ʻoe ka galactorrhea a ke piʻi nei ke kaumaha, ʻo ke kumu paha he kiʻekiʻe o nā pae prolactin a i ʻole ka pilikia thyroid.

He waiū maoli anei kēia?

ʻAe, i ke ʻano o ka galactorrhea, ʻo ka wai e puka mai ana mai nā umauma ua manaʻo ʻia he waiū . ʻO kēia no ka mea ʻo ka hormone like i kapa ʻia ʻo prolactin e kōkua ana i ka hana ʻana i ka waiū umauma i ka wā e hānau ai kahi pēpē e hana pū i ka waiū i kēia manawa.

Hiki i nā pēpē hānau hou a me nā kāne ke loaʻa i kēia?

• No nā pēpē hānau hou: ʻAe, akā he mea kakaikahi loa kēia.ʻO ke kumu o kēia, ʻo ia nā hormones estrogen o ka makuahine e komo ana i ke kino o ka pēpē i ka wā e noho ana ke pēpē i loko o ka ʻōpū. Nalowale wale kēia ma kekahi mau lā ma hope o ka hānau ʻana. Eia nō naʻe, e hoʻomaopopo pono i ke kauka lapaʻau o kāu keiki.
• No nā kāne: ʻAe, hiki i nā kāne ke loaʻa i ka galactorrhea. ʻIke ʻia i kekahi manawa me ka gynecomastia, kahi kūlana i hoʻonui ʻia ai nā umauma o nā kāne, a i ʻole i ka poʻe me nā pae haʻahaʻa o ka hormone testosterone (hypogonadism).

Pehea e hoʻomaopopo pono ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e hana ʻo ia i kekahi mau hoʻokolohua e ʻike pono ai i ke ʻano o ke kūlana.

• Ka hoʻokolokolo kino: E nānā pono ʻia kou mau umauma a me kou mau nipples.
• Ke hoʻāʻo ʻana i ka hoʻokuʻu ʻana o ka nipple: Hiki ke lawe ʻia kahi laʻana o ka hoʻokuʻu ʻana a hoʻouna ʻia i kahi lab no ka hoʻāʻo ʻana.
• Ke nīnau nei e pili ana i kou mōʻaukala olakino a me nā lāʻau lapaʻau: E nīnau ʻia ʻoe e pili ana i nā maʻi i loaʻa iā ʻoe ma mua a me nā lāʻau lapaʻau āu e lawe nei.
• Nā hoʻāʻo koko:
• E nānā i kāu pae hormone prolactin.
• E nānā i ka hana thyroid.
• He hoʻāʻo hāpai .
• Nā hoʻāʻo kiʻi e nānā i nā ʻiʻo umauma: Hiki ke hana ʻia kahi mammogram a i ʻole ultrasound scan.
• Nā scan kūikawā e nānā i kahi puʻupuʻu i loko o ka pituitary gland: Ua kapa ʻia kēia mau mea he CT scans (Computer Tomography scan) a me MRI scans (MRI - Magnetic Resonance Imaging).

He aha ka lāʻau lapaʻau no kēia?

ʻOkoʻa ka lāʻau no ka galactorrhea ma muli o ke kumu . No kekahi poʻe , e hoʻomaikaʻi ia iā ia iho me ka ʻole o ka lāʻau lapaʻau.

Hiki i kāu kauka ke ʻōlelo i kēia mau mea e kōkua iā ʻoe e mālama i kēia ʻano maʻi:

• Nā lāʻau lapaʻau e hoʻemi ana i nā pae prolactin: Nā lāʻau lapaʻau e like me Cabergoline lāua ʻo Bromocriptine.
• Ke pale ʻana i nā mea e hoʻoulu ai i nā nipples.
• E hoʻōki a hoʻololi paha i ka lāʻau lapaʻau āu e lawe nei (ma ke aʻo ʻana a ke kauka wale nō, ʻoiaʻiʻo).
• Inā he thyroid hana ʻole kou (hypothyroidism), e mālama ʻia .
• E ʻaʻahu i nā lole palupalu a ʻaʻole paʻa (e hōʻemi i ka friction ma nā nipples).
• Ke hoʻohana nei i nā pale umauma (e omo i ka waiū e liki ana i loko o nā lole).

Ua ʻōlelo mua mākou inā he puʻupuʻu pituitary gland ke kumu o kēia, ʻaʻole ia he maʻi kanesa. Inā ʻaʻohe pilikia ʻē aʻe mai ka puʻupuʻu, hiki i ke kauka ke hoʻoholo ʻaʻole pono ka lāʻau lapaʻau. Eia nō naʻe, inā pono e mālama ʻia ka puʻupuʻu pituitary gland, mālama pinepine ʻia me ka lāʻau lapaʻau e hoʻēmi i ka puʻupuʻu . He mea kākaʻikahi loa, pono ke ʻoki kino a i ʻole ka radiation therapy.

Hiki i kēia ke hana i nā pilikia ʻē aʻe?

I kekahi manawa, hiki i nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka galactorrhea ke hoʻoulu i ka hānau ʻole ʻana a i ʻole nā ​​​​pilikia ʻike .

Eia kekahi, inā haʻahaʻa kou pae estrogen ma muli o kahi puʻupuʻu pituitary, hiki paha iā ʻoe ke loaʻa i ka osteoporosis, kahi kūlana e hoʻonāwaliwali ai a palupalu kou mau iwi . Inā hana ʻia kēlā, hiki i kāu kauka ke kuhikuhi i kahi mea e like me nā pila hoʻomalu hānau i loaʻa ka estrogen e hōʻemi i kēlā pilikia.

Pehea ka lōʻihi o kēia kūlana?

ʻOkoʻa kēia ma muli o ke kumu . Ke loaʻa iā ʻoe ka lāʻau kūpono no kāu galactorrhea, pono e pau ka hoʻokahe waiū. Eia nō naʻe, inā he puʻupuʻu pituitary gland ke kumu, kahi e pono ai ka lāʻau lapaʻau, ke ʻoki ʻana, a i ʻole ka radiation therapy, hiki ke lōʻihi ka manawa e ho'ōla ai.

Aia kekahi mau ala e pale aku ai i kēia?

He mea paʻakikī iki ke pale aku i ka Galactorrhea. Eia nō naʻe, aia kekahi mau ʻōlelo aʻoaʻo e hiki ke hōʻemi i kēia pilikia:

• E hōʻalo i ka hoʻoulu pinepine ʻana i ka umauma a me ka nipple.
• Mai hana i ka hoʻokolokolo ponoʻī ʻana i ka umauma ma mua o hoʻokahi manawa i ka mahina.
• E pale i ke komo ʻana i nā lole paʻa a hamo paha i kou mau umauma.

Āhea wau e ʻike ai i ke kauka?

Inā hoʻomaka koke ʻoe e ʻike i kahi kahe waiū mai kekahi a i ʻole nā ​​​​​​uma ʻelua o kou mau umauma me ke kumu ʻole, pono ʻoe e ʻike i ke kauka . He hoʻoulu wale nō paha ia o ka umauma, a inā ʻoe e hoʻōki i ka hoʻopā ʻana i kou mau nipples a me kou mau umauma, e nalo wale nō ia. Eia nō naʻe, inā mau ka kahe ʻana a manaʻo ʻoe ʻaʻole ia mai ka hoʻopā mau ʻana , pono ʻoe e ʻike i ke kauka no ka ʻōlelo aʻo.

ʻOi aku hoʻi, inā he koko ke kahe mai ka nipple, a he melemele ʻeleʻele paha, a inā ʻoe e manaʻo ana i kahi puʻupuʻu i loko o kou umauma, he hōʻailona paha ia o kahi maʻi koʻikoʻi. No laila, inā ʻike ʻoe i kekahi mea e like me ia, mai hoʻokaʻulua a e ʻike koke i ke kauka.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He kahe waiū ka Galactorrhea mai kou mau umauma i ka wā ʻaʻole ʻoe e hāpai a hānai waiū paha. Hiki i kēia ke hilahila a ʻoluʻolu ʻole. Eia naʻe, ʻaʻole ia he maʻi e hoʻoweliweli i ke ola a hiki ke mālama ʻia .

A hiki i kou ʻike ʻana i ke kauka, hiki iā ʻoe ke hoʻohana i kahi mea e like me nā pale umauma e omo i ka waiū i loko o kou mau lole. E hoʻomanaʻo, ʻoi aku ka maʻamau o kēia ʻano ma mua o kou manaʻo. No laila, mai kānalua e kamaʻilio me ke kauka e pili ana i kēia mau hōʻailona. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka ʻōlelo aʻoaʻo kūpono a me ka lāʻau lapaʻau i ka wā hikiwawe loa. E kamaʻilio me kāu kauka e pili ana i kāu mau nīnau a me nā makaʻu āpau. A laila e ʻoluʻolu ʻoe.

ʻO Galactorrhea, ka hoʻokuʻu ʻana o ka waiū, ka umauma, nā hormones, prolactin, ka pituitary gland, ke olakino wahine