He aha ka galactorrhea, nā kumu nui a me ka mālama ʻana
Anter
ʻO Galactorrhea kahi huna kūpono ʻole o kahi wai i loaʻa ka waiū mai ka umauma, i ʻike ʻia i loko o nā kāne a me nā wahine hāpai ʻole a hānai ʻole. ʻO ia kahi hōʻailona maʻamau i hoʻokumu ʻia e ka hoʻonui ʻana o ka prolactin, kahi hormone i hana ʻia i ka lolo nona ka hana e hoʻoulu ai i ka hoʻokumu ʻana o ka waiū e nā umauma, kahi ʻano i kapa ʻia ʻo hyperprolactinemia.
ʻO nā kumu nui no ka hoʻonui ʻana i ka prolactin ka hāpai hāpai a me ka hānai ʻana, a aia kekahi mau kumu no ka hoʻonui kūpono ʻole ʻana, e like me ka tumo pituitary o ka lolo, ka hoʻohana ʻana i nā lāʻau, e like me kekahi neuroleptics a me nā antidepressants, ka hoʻoulu ʻana i ka umauma a i ʻole nā maʻi endocrine, e like me hypothyroidism a me maʻi polycystic ovary syndrome.
No laila, e mālama i ka hyperprolactinemia a me ka galactorrhea, pono ia e hoʻonā i kāna kumu, ma ka wehe ʻana i kahi lāʻau a mālama ʻana paha i kahi maʻi e hoʻoulu nei i ka hana ʻana o ka waiū e nā umauma.
Nā kumu nui
ʻO nā kumu nui no ka hana ʻana i ka waiū e nā umauma ka hāpai ʻana a me ka hānai ʻana, akā naʻe, hiki ke galactorrhea, ma muli o nā hanana e like me:
- Pituitary adenoma: he tumign benign o ka pituitary gland, kuleana no ka hana ʻana i kekahi mau hormones, e like me ka prolactin. ʻO ka ʻano nui ka prolactinoma, ka mea maʻa mau e hoʻonui ai i nā pae prolactin o ke koko ma mua o 200mcg / L;
- Nā hoʻololi ʻē aʻe i ka pituitary gland: ka maʻi ʻaʻai, ka cyst, ka hoʻāhu, ka hoʻomālamalama ʻana a i ʻole nā ʻeha o ka lolo, no ka laʻana;
- ʻO ka hoʻonāukiuki ʻana i ka umauma a i ʻole ka paia umauma: ʻo ke kumu nui o ka hoʻonāukiuki ʻana ka omo ʻana i nā umauma e ka pēpē, ka mea e hoʻoulu ai i nā gūlū mammary a hoʻonui i ka hana o ka cerebral prolactin a, no laila, ka hana ʻana o ka waiū;
- Nā maʻi e kumu ai nā maʻi hormonal: kekahi o nā mea nui ka hypothyroidism, ka cirrhosis o ke ake, ka maʻi kō ʻole o ka maʻi, ka maʻi ʻo Addison a me ka polycystic ovary syndrome;
- Maʻi ʻaʻai umauma: hiki ke hana i ka galactorrhea i loko o ka nipple hoʻokahi, maʻamau me ke koko;
- Hoʻohana o nā lāʻau:
- Nā Antipsychotics, e like me Risperidone, Chlorpromazine, Haloperidol a i ʻole Metoclopramide;
- Nā mea koho, e like me Morphine, Tramadol a i ʻole Codeine;
- Nā reducers acid Gastric, e like me Ranitidine a i ʻole Cimetidine;
- Nā Antidepressants, e like me Amitriptyline, Amoxapine a i ʻole Fluoxetine;
- ʻO kekahi mau lāʻau antihypertensive, e like me Verapamil, Reserpina a me Metildopa;
- Hoʻohana o nā hormones, e like me estrogens, anti-androgens a i ʻole HRT.
ʻO ka hiamoe a me ke koʻikoʻi kekahi mau ʻano ʻē aʻe e hoʻonui ai i ka hana prolactin, eia nō naʻe, ʻaʻole iki lākou i nā loli e hana i nā galactorrhea.
Nā ʻōuli maʻamau
ʻO Galactorrhea ka hōʻailona nui o hyperprolactinemia, a i ʻole keu o ka prolactin i loko o ke kino, a akaka paha, milky a koko paha ke kala, a ʻike ʻia i hoʻokahi a i ʻole nā umauma ʻelua.
Eia nō naʻe, kū aʻe kekahi mau ʻōuli a me nā ʻōuli ʻē aʻe, ʻoiai ka hoʻonui ʻana o kēia hormone hiki ke hoʻololi i nā homone wahine, e like me ka hoʻēmi ʻana o ka estrogen a me ka testosterone, a i ʻole, inā aia kekahi mau tumors i ka pituitary gland. ʻO nā hōʻailona nui:
- Amenorrhea, ʻo ia ka interruption o ovulation a me menstruation i nā wahine;
- ʻO ka moekolohe a me ka hana erectile i nā kāne;
- Infertility a hoʻemi i ka makemake moekolohe;
- Osteoporosis;
- ʻEha poʻo poʻo;
- Nā loli ʻike kiʻi, e like me ka ʻino a me ka ʻike o nā wahi lilelile.
Hiki i nā hoʻololi Hormonal ke kuleana no ka infertility ma ka ʻaoʻao o nā kāne a wahine paha.
Pehea e kuhikuhi ai
ʻIke ʻia ʻo Galactorrhea ma ka hoʻokolohua olakino olakino, hiki ke ʻike ʻia a ʻike ʻia ma hope o ka hōʻike nipple. Hōʻoia ʻia ʻo Galactorrhea i nā manawa a pau e hūnā ai ka waiū i nā kāne, a i ʻole ke ʻike ʻia i nā wahine hāpai ʻole a hānai waiu paha i nā mahina 6 i hala.
E hoʻomaopopo i ke kumu o ka galactorrhea, e nānā ke kauka i ka mōʻaukala o nā lāʻau a me nā hōʻailona ʻē aʻe e ʻike ʻia e ke kanaka. Hoʻohui ʻia, hiki i kekahi mau hoʻokolohua ke hana e noiʻi i ke kumu o ka galactorrhea, e like me ke ana ʻana o ka prolactin i loko o ke koko, ke ana ʻana i nā waiwai TSH a me T4, e nānā i ka hana thyroid, a inā pono, MRI lolo e nānā i ke kū o nā tumors a i ʻole nā hoʻololi ʻē aʻe i ka pituitary gland.
Pehea e hana ai i ka lāʻau
Alakaʻi ʻia ka lāʻau no ka galactorrhea e ka endocrinologist, a ʻokoʻa e like me nā kumu o ka maʻi. Inā he hopena ʻaoʻao ia o kahi lāʻau, pono ʻoe e kamaʻilio me ke kauka e nānā i ka hiki ke hoʻomaha a pani ʻia paha o kēia lāʻau me kekahi.
Ke kumu ʻia ia e ka maʻi, he mea nui ia e mālama pono ʻia, i mea e hoʻokūpaʻa ai i nā haunaele hormonal, e like me, no ka laʻana, ka hoʻololi ʻana o nā homone thyroid i hypothyroidism, a i ʻole ka hoʻohana ʻana o corticosteroids no granulomas pituitary. A i ʻole, ke kumu ʻia ka galactorrhea e kahi tumo, hiki i ke kauka ke koi aku i ka lāʻau lapaʻau me ka hemo ʻana o ke ʻoki a me nā kaʻina hana e like me radiotherapy.
Hoʻohui ʻia, aia kekahi mau lāʻau i hiki ke hoʻoliʻiliʻi i ka hana ʻana o ka prolactin a me ka kaohi ʻana i ka galactorrhea, ʻoiai e hana ʻia nā ʻano hana e like me Cabergoline a me Bromocriptine, ʻo ia nā lāʻau i loko o ka papa o nā antagonists dopaminergic.
Mahalo
