Whakaarohia, kāore koe i te hapu, kāore hoki i te whāngai u. Engari ka puta whakarere mai he wai mā, pērā i te miraka, i ō ū. Tērā pea he paru kei ō kākahu. Ka mataku, ka manukanuka te katoa ina kite i tēnei, tika? "He mate kino kei ahau?" E whakaaro ana koe. Engari ko te mea pono, he mate tēnei e pāngia ana e te tini o te tangata, ā, i te nuinga o te wā, kāore he mea hei wehi. I roto i te rongoā, ka karangatia tēnei ko 'Galactorrhea'. Nō reira, i tēnei rā ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai koe.
He aha te galactorrhea?
Ki te whakarapopototanga, ko te galactorrhea te putanga mai o te waiū, he wai rite ki te waiū rānei mai i ō ū i te wā kāore koe e hapu ana, e whāngai u ana rānei. Ka puta pea tēnei ina pāngia ō uma, ka puta noa rānei. Ka puta pea i te ū kotahi, i ngā ū e rua rānei.
Ko te mea nui kia mārama ki konei, ehara tēnei i te tohu o te mate pukupuku o te ū. Ehara hoki i te mate motuhake. Engari, he tohu noa iho tēnei o tētahi atu raruraru e puta ana i roto i tō tātou tinana.
Ko te take matua mō tēnei ko te homoni e kiia nei ko te Prolactin , e hangaia ana e te repe pituitary, he repe iti kei te pūtake o tō tātou roro. Ko te tikanga ka tukuna tēnei homoni i te wā e hapu ana, me te wā e whāngai ana i te u. Koinei te take e puta ai te waiū i roto i ngā ū. Heoi, ki te puta he nui rawa atu o tēnei homoni i roto i te tinana i te wā kāore e hiahiatia ana, arā, ki te puta he āhuatanga e kiia nei ko te 'Hyperprolactinemia', ka hē te haere o tō tātou tinana. Ka whakaaro te tinana kua tae ki te wā ki te whakaputa waiū. Koinā te wā ka puta ai te āhuatanga o te galactorrhea.
Ko wai te mea tino pāngia e tēnei āhuatanga?
He mea tino noa tēnei i roto i ngā wāhine. He mea tino noa tēnei i roto i ngā wāhine i waenga i te 20 me te 35 tau te pakeke , arā, kua tae rātou ki te pakeke whānau tamariki, ā, kua whānau tamariki i mua. E ai ki ētahi rangahau, tae atu ki te 20% o ngā wāhine, arā, tata ki te kotahi i roto i te rima o ngā wāhine, ka pāngia e tēnei āhuatanga i tētahi wā o ō rātou oranga.
Kaua e miharo, ka pā tēnei ki ngā tāne, ā, he onge noa iho ki ngā pēpi whānau hou. Mena ka pā tēnei āhuatanga ki ngā tāne, he maha ngā wā e pā ana ki te iti o te taumata testosterone, ki ētahi atu raruraru homoni rānei.
He aha tēnei e tupu nei? He aha ngā take matua?
He tokomaha te hunga e mataku ana ina puta mai tēnei momo mea, "He mate pukupuku tōku?" Engari ko te tino take o te galactorrhea he pukupuku pai o te repe pituitary., arā, he pukupuku iti kāore i te mōrearea. Ka kiia tēnei he prolactinoma. Ka nui rawa te whakaputanga o te homoni prolactin e tēnei pukupuku. Ka taea te whakahaere i tēnei me te tino angitu mā te rongoā.
Tērā pea he maha atu anō ngā take. Me titiro mārama tātou ki a rātou.
| Take | Whakaahuatanga |
|---|---|
| Ko ētahi rongoā ka tangohia e koe | Ka taea e ngā mea pēnei i ngā pire ārai whānau, ētahi rongoā mō te toto toto tiketike, me ngā rongoā mō te pouri te whakanui ake i ngā taumata prolactin. |
| Te whakaohooho pinepine i te ū | Ka taea hoki tēnei āhuatanga te puta mai i ngā mea pēnei i te moepuku, te pēhi pinepine i ngā ū mā te mau i ngā kākahu piripono, te tirotiro pinepine rānei i a koe anō i ō ū. |
| Ngā raruraru tairoi | Tērā pea tētahi atu take o tēnei ko tētahi āhuatanga e kīia nei ko te hypothyroidism. |
| Ngā mate tākihi mau tonu | Ina kore e mahi tika ngā whatukuhu, ka ngoikore te tukanga tango i te homoni prolactin mai i te tinana, ā, ka piki ake pea ōna taumata. |
| Ētahi tāpiringa otaota | Ka pā mai tēnei mate ki ētahi tāngata mā te whakamahi i ngā hua otaota kei roto ngā mea pēnei i te fenugreek me te purapura fennel. |
| Ngā whara o te taurakira | Ka pā pea ngā pokanga, ngā aituā rānei ki te tuaiwi, ki te uma rānei, ki ngā io, ā, ka puta he panoni ki ngā taumata prolactin. |
He tohu anō kei tua atu i te taenga mai o te waiū?
Āe. Ahakoa ko te tohu matua ko te putanga mai o te wai miraka, ka puta pea ētahi atu tohu nā te pikinga o ngā taumata prolactin i roto i te tinana. Tirohia mēnā kei a koe ēnei tohu anō hoki.
| Tohu | Ko wai te mea e tino pāngia ana? |
|---|---|
| Te koretake o te paheketanga, te mutu katoa rānei o te paheketanga (Amenorrhea) | Ngā wāhine |
| Te maroke o te tara | Ngā wāhine |
| Ngā mamae o te upoko me te ngoikore o te tirohanga | Mō ngā taha e rua (ina koa mēnā he pukupuku pituitary) |
| Te whakaiti i te hiahia moepuku | Mō ngā taha e rua |
| Te tupu o ngā huruhuru hou i te uma, i te kauae rānei | Ngā wāhine |
| hakihaki | Mō ngā taha e rua |
| Te whakanui i ngā ū i roto i ngā tāne (Gynecomastia) | Ngā Tāne |
| Te ngoikore o te ure | Ngā Tāne |
Me pēhea te tātaritanga a te tākuta i tēnei? (Tauātanga)
Ina haere koe ki te tākuta me ēnei tohu, ka whakahaerehia e ia ētahi whakamātautau hei kimi i te pūtake.
- Whakamātautau tinana: Tuatahi, ka tirotirohia e te tākuta ō ū me ō uma. Ka tirohia hoki e ia mēnā he rerenga wai.
- Te pātai atu ki a koe mō ētahi atu kōrero: Ka pātai atu rātou ki a koe mō ngā rongoā e tangohia ana e koe, ō mate kē atu, me ngā kōrero mō tō huringa paheketanga.
- Ngā whakamātautau toto: He mea tino nui tēnei. Ka mahia he whakamātautau toto hei tirotiro i ō taumata homoni prolactin . Ka mahia hoki he whakamātautau mahi tairoi hei tirotiro i ō taumata homoni tairoi.
- Whakamātautau hapūtanga: Ka mahia he whakamātautau mimi, he whakamātautau toto rānei hei whakaū mēnā kei te hapū koe.
- Ngā whakamātautau whakaahua:
- Ki te whakapae koe he raruraru anō kei ō ū (pēnei i te puku), ka taea pea te tango i te mammogram, i te ultrasound rānei.
- Mena he tino tiketike te taumata prolactin i roto i te toto, ka tūtohutia kia whakamahia he matawai MRI , CT rānei o te roro hei tirotiro mō te pukupuku pituitary.
He aha ngā maimoatanga mō tēnei?
Ko te rongo pai, he maha ngā wā ka taea te rongoā i te galactorrhea. Ko te maimoatanga kei runga i te pūtake. I ētahi wā, ka memeha te mate me te kore he maimoatanga.
Ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei:
- Ngā rongoā whakaheke prolactin: Mena ka piki ake ngā taumata prolactin nā te pukupuku pituitary, nā tētahi atu take rānei, ka hoatu ngā rongoā pēnei i a Cabergoline, Bromocriptine rānei hei whakahaere i tēnei. He maha ngā wā ka whakaitihia e ēnei rongoā te pukupuku, ka aukati hoki i te whakaputa waiū.
- Te whakarerekē i tō rongoā: Mena ko te take o tēnei mate he rongoā e tangohia ana e koe mō tētahi atu mate, ka mutu pea taua rongoā e tō tākuta, ka whakawhiti rānei i a koe ki tētahi atu rongoā. Kaua rawa e mutu te tango i tō rongoā me te kore he tohutohu a tō tākuta.
- Te rongoā i te mate taketake: Mena he raruraru tairoi (hypothyroidism) te take o tēnei, ka ora anō hoki te mate galactorrhea mā te rongoā.
- Pokanga, rongoā irahiko rānei: Tērā pea ka hiahiatia te pokanga, te rongoā irahiko rānei, engari he tino onge, engari mēnā kāore te pukupuku pituitary e aro ki te rongoā, mēnā rānei ka puta he raruraru anō, pērā i te pā ki te tirohanga.
Ko te mea nui, ki te pāngia koe e te galactorrhea, me kimi e koe te tino take, ā, me whiwhi i te rongoā tika mōna. Kaua e rapu i ngā mea i runga i te ipurangi hei rongoā māu anō.
Ka taea te ārai i tēnei? Ā, āhea koe me toro atu ki te tākuta?
He uaua ki a tātou te ārai i ngā take ā-roto o te galactorrhea (pērā i ngā raruraru homoni). Heoi, ka taea e tātou te whakaiti i te mōrearea o ngā whakaohooho o waho.
- Āta karohia te whakaohooho pinepine i ngā ū me ngā uma.
- Kāore e hiahiatia kia tirotirohia ō ū ake i te neke atu i te kotahi i te marama.
- Kaua e mau i ngā kākahu piri, piri hoki e mirimiri ana ki te rohe o te ū.
Āhea te wā e kite ai i te tākuta
Mena kāore koe e hapu ana, e whāngai u ana rānei, ā, he rere waiū kei te puta mai i tētahi, i ngā ū e rua rānei, me toro atu ki tō tākuta. Kaua e tatari kia memeha noa iho. Ko te mea nui ko te kimi i te pūtake.
Kia tūpato ki ēnei tohu: Mena he toto te toto, he kōwhai pouri, he kakariki , he pupuhi rānei kei roto i tō ū , he tohu pea tēnei mō tētahi mate kino. Nō reira, rapua tonutia he tohutohu hauora. I roto i tēnei āhuatanga, ehara i te mea pai kia whakaroa noa iho.
Ka whakama, ka whakamā rānei te mate pāwera. Engari kia maumahara, he nui ake te kitea i tō whakaaro. Ā, ka taea te whakaora katoa mā te rongoā. Nō reira kaua e mataku, kaua e mataku, me toro atu ki te tākuta mō ngā tohutohu me ngā maimoatanga tika.
Karere Tangohia ki te Kāinga
- Ko te galactorrhea te rerenga waiū mai i ngā ū, kāore e pā ana ki te hapūtanga, ki te whāngai u rānei.
- Ehara tēnei i te mate, engari he tohu nō tētahi atu raruraru o te tinana. He maha ngā wā ehara i te mate kino, ā, ka taea te rongoā angitu.
- Ko te tino take ko te pikinga o te homoni prolactin, he maha ngā wā ka puta mai i tētahi pukupuku ehara i te matepukupuku i roto i te repe pituitary.
- Ko ētahi rongoā e tangohia ana e koe, ngā raruraru tairoi, me te whakaohooho pinepine i te ū ka puta ai tēnei.
- Ki te puta mai he rerenga waiū mai i ō ū, inā koa he toto, he puku rānei kei roto i te ū, kaua e warewaretia, engari me toro atu ki tō tākuta tonu.
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