Cabanga nje, awukhulelwe futhi awuncelisi. Kodwa ngokuzumayo uketshezi olumhlophe njengobisi luqala ukuphuma emabeleni akho. Mhlawumbe kukhona amabala ezingutsheni zakho. Uma ubona lokhu, wonke umuntu uyasaba futhi akhathazeke, akunjalo? "Ingabe nginokuthile okungathi sína?" Ucabanga. Kodwa empeleni, lesi yisimo abantu abaningi ababhekana naso, futhi isikhathi esiningi, akukho okufanele besabe. Kwezokwelapha, lokhu sikubiza ngokuthi 'iGalactorrhea'. Ngakho-ke namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-galactorrhea?
Kalula nje, i-galactorrhea ukukhishwa kobisi noma uketshezi olufana nobisi oluvela emabeleni akho uma ungakhulelwe noma ungancelisi. Lokhu kungenzeka uma kuthintwa izingono zakho, noma kungenzeka ngokuzumayo. Kungenzeka kwelinye noma kuwo womabili amabele.
Into ebaluleke kakhulu okufanele uyiqonde lapha ukuthi lokhu akusona isibonakaliso somdlavuza webele. Futhi akusona isifo esihlukile. Kunalokho, kuyisibonakaliso senye inkinga eyenzeka emzimbeni wethu.
Isizathu esiyinhloko salokhu yi-hormone ebizwa ngokuthi i-Prolactin , ekhiqizwa yi-pituitary gland, i-gland encane esezansi kobuchopho bethu. Le hormone ivame ukukhishwa ngesikhathi sokukhulelwa nokuncelisa. Yiyona ebangela ukuba ubisi lukhiqizwe emabeleni. Kodwa-ke, uma ngesizathu esithile le hormone ikhiqizwa ngokweqile emzimbeni uma ingadingeki, okungukuthi, uma kwenzeka isimo esibizwa ngokuthi 'i-Hyperprolactinemia', umzimba wethu uyaphambuka. Umzimba ucabanga ukuthi sekuyisikhathi sokukhiqiza ubisi. Yilapho-ke kwenzeka isimo se-galactorrhea.
Ubani othinteka kakhulu yilesi simo?
Kuvame kakhulu kwabesifazane. Kuvame kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-35 , okusho ukuthi baseminyakeni yokuzala futhi abake baba nabantwana ngaphambili. Ezinye izifundo ziphakamisa ukuthi abesifazane abangafika ku-20%, noma cishe oyedwa kwabesifazane abahlanu, bazobhekana nalesi simo ngesikhathi esithile empilweni yabo.
Kodwa ungamangali, lokhu kungenzeka kwabesilisa, futhi akuvamile kakhulu ezinganeni ezisanda kuzalwa. Uma lesi simo sivela kwabesilisa, sivame ukuhlotshaniswa namazinga aphansi e-testosterone noma ezinye izinkinga zama-hormone.
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Abantu abaningi bayesaba uma kwenzeka into efana nale, "Ingabe nginomdlavuza?" Kodwa imbangela evame kakhulu ye-galactorrhea yisifo esingenabungozi se-pituitary gland., okungukuthi, isimila esincane esingeyona ingozi. Lokhu kubizwa ngokuthi i-prolactinoma. Lesi simila sibangela ukukhiqizwa ngokweqile kwe-hormone prolactin. Lokhu kungalawulwa ngempumelelo enkulu ngemithi.
Kungaba nezinye izizathu eziningi futhi. Ake sizibheke ngokucacile.
| Imbangela | Incazelo |
|---|---|
| Eminye imithi oyithathayo | Izinto ezifana namaphilisi okuvimbela inzalo, eminye imithi yokucindezeleka kwegazi, kanye nemithi yokucindezeleka kungakhuphula amazinga e-prolactin. |
| Ukukhuthazwa njalo kwebele | Lesi simo singabangelwa nezinto ezifana nokwenza ucansi, ukucindezelwa njalo kwamabele ngokugqoka izingubo eziqinile, noma ukuzihlola njalo amabele. |
| Izinkinga ze-thyroid | Isimo esibizwa ngokuthi i-hypothyroidism, ikakhulukazi, singaba yimbangela yalokhu. |
| Izifo zezinso ezingamahlalakhona | Uma izinso zingasebenzi kahle, inqubo yokususa i-hormone ye-prolactin emzimbeni iyaphazamiseka, futhi amazinga ayo anganda. |
| Ezinye izithasiselo zemithi | Ukusetshenziswa kwemikhiqizo yamakhambi equkethe izinto ezifana ne-fenugreek kanye nembewu ye-fennel nakho kungabangela lokhu kwabanye abantu. |
| Ukulimala komgogodla | Ukuhlinzwa noma izingozi endaweni yomgogodla noma esifubeni kungathinta imizwa futhi kubangele ushintsho emazingeni e-prolactin. |
Ingabe zikhona ezinye izimpawu ngaphandle kokungena kobisi?
Yebo. Nakuba uphawu oluyinhloko luwukuphuma koketshezi olufana nobisi, ezinye izimpawu eziningana zingavela ngenxa yokwanda kwamazinga e-prolactin emzimbeni. Bheka ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Ubani ovame ukuthinteka kakhulu? |
|---|---|
| Ukuyeka kokuya esikhathini okungajwayelekile noma okuphelele (i-Amenorrhea) | Abesifazane |
| Ukoma kwesitho sangasese sowesifazane | Abesifazane |
| Ubuhlungu bekhanda kanye nokukhubazeka kokubona | Kuzo zombili izinhlangothi (ikakhulukazi uma kukhona isimila se-pituitary) |
| Ukunciphisa isifiso socansi | Kwabo bobabili abantu |
| Ukukhula kwezinwele ezintsha esifubeni noma esilevini | Abesifazane |
| Induna | Kwabo bobabili abantu |
| Ukwandiswa kwebele kwabesilisa (i-Gynecomastia) | Amadoda |
| Ukungasebenzi kahle kwe-Erectile | Amadoda |
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma uya kudokotela onalezi zimpawu, uzokwenza izivivinyo eziningana ukuthola imbangela.
- Ukuhlolwa komzimba: Okokuqala, udokotela uzohlola ngokucophelela amabele akho kanye nezingono zakho. Uzohlola nokuthi kukhona yini ukuphuma kwamanzi emzimbeni.
- Ukukubuza ngemininingwane: Bazokubuza ngemithi oyiphuzayo, ezinye izifo zakho, kanye nemininingwane mayelana nomjikelezo wakho wokuya esikhathini.
- Ukuhlolwa kwegazi: Lokhu kubaluleke kakhulu. Kuzokwenziwa ukuhlolwa kwegazi ukuhlola amazinga e-hormone yakho ye-prolactin . Kuzokwenziwa nokuhlolwa kokusebenza kwe-thyroid ukuhlola amazinga e-hormone yakho ye-thyroid.
- Ukuhlolwa kokukhulelwa: Kwenziwa ukuhlolwa komchamo noma kwegazi ukuqinisekisa ukuthi ukhulelwe yini.
- Ukuhlolwa kwezithombe:
- Uma usola ukuthi kukhona enye inkinga ngamabele akho (njengeqhubu), ungase wenze i-mammogram noma i-ultrasound scan.
- Uma izinga le-prolactin egazini liphezulu kakhulu, kunconywa ukuthi kwenziwe i-MRI noma i-CT scan yobuchopho ukuze kuhlolwe isimila se-pituitary.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi i-galactorrhea ivame ukuba yisimo esingelapheka. Ukwelashwa kuncike esibangweni. Ngezinye izikhathi, lesi simo singaphela ngaphandle kokwelashwa.
Udokotela wakho angase ancome izindlela zokwelapha ezilandelayo:
- Imithi yokwehlisa i-prolactin: Uma amazinga e-prolactin ephakanyisiwe ngenxa yesimila se-pituitary noma esinye isizathu, kunikezwa imithi efana ne-Cabergoline noma i-Bromocriptine ukuze iyilawule. Le mithi ivame ukunciphisa isimila futhi iyeke ukukhiqizwa kobisi.
- Ukushintsha imithi yakho: Uma imbangela yalesi simo kungumuthi owuthathayo wesinye isimo, udokotela wakho angase awuyeke lowo muthi noma akushintshele komunye umuthi. Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Ukwelapha isimo esiyisisekelo: Uma lokhu kungenxa yenkinga ye-thyroid (i-hypothyroidism), ukuyilapha kuzophinde kwelaphe isimo se-galactorrhea.
- Ukuhlinzwa noma ukwelashwa ngemisebe: Ukuhlinzwa noma ukwelashwa ngemisebe kungadingeka, akuvamile kakhulu, kuphela uma isimila se-pituitary singasabeli emithini noma uma sibangela ezinye izinkinga, njengokuphazamisa umbono.
Into ebaluleke kakhulu ukuthi uma une-galactorrhea, kufanele uthole imbangela eqondile bese uthola ukwelashwa okufanele. Ungazami ukuzelapha ngokubheka izinto ku-inthanethi.
Ingabe lokhu kungavinjelwa? Futhi kufanele ubonane nodokotela nini?
Kunzima kithi ukuvimbela izimbangela zangaphakathi ze-galactorrhea (njengezinkinga zama-hormone). Kodwa-ke, singanciphisa ingozi yezisusa zangaphandle.
- Gwema ukuvusa amabele nezingono njalo.
- Akudingeki ukuzihlola amabele izikhathi ezingaphezu kwesisodwa ngenyanga.
- Gwema ukugqoka izingubo eziqinile neziqinile ezithinta indawo yebele.
Uzobona nini udokotela
Uma ungakhulelwe noma ungancelisi futhi ukhipha ubisi oluvela kwelinye noma womabili amabele, qiniseka ukuthi ubona udokotela wakho. Ungalindi nje ukuthi kuphele ngokwako. Into ebaluleke kakhulu ukuthola imbangela.
Qaphela kakhulu lezi zimpawu: Uma ukuphuma kwegazi kugcwele igazi, kuphuzi okumnyama, kuluhlaza okotshani , noma uma uzwa iqhubu ebeleni lakho , kungaba uphawu lwesimo esibucayi. Ngakho funa iseluleko sezokwelapha ngokushesha. Esimweni esinjalo, akuwona umqondo omuhle ukulibazisa ngisho nakancane.
I-Galactorrhea ingaba yihlazo noma ihlazeke. Kodwa khumbula, ivame kakhulu kunalokho ocabanga. Futhi ingelapheka ngokuphelele ngokwelashwa. Ngakho-ke ungesabi, ungesabi, futhi ubone udokotela ukuze uthole iseluleko nokwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Galactorrhea ukukhishwa kobisi emabeleni okungahlobene nokukhulelwa noma ukuncelisa.
- Lokhu akusona isifo, kodwa kuwuphawu lwenye inkinga emzimbeni. Ngokuvamile akuyona inkinga enkulu futhi ingelashwa ngempumelelo.
- Imbangela evame kakhulu ukwanda kwe-hormone prolactin, evame ukubangelwa isimila esingesona umdlavuza endlaleni ye-pituitary.
- Eminye imithi oyithathayo, izinkinga ze-thyroid, kanye nokukhuthazwa kwamabele njalo nakho kungabangela lokhu.
- Uma uphuma ubisi emabeleni akho, ikakhulukazi uma lunegazi noma kukhona iqhubu ebeleni, ungalishayi indiva bese ubona udokotela wakho ngokushesha.
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