He aha ke kumu o ka hoʻokuʻu ʻana o Nipple (Galactorrhea)?

Anter

• He aha nā hōʻailona o ka galactorrhea?
• He aha ke kumu o ka galactorrhea?
• Prolactinoma
• Nā Tumora ʻē aʻe
• Nā kumu ʻē aʻe i nā kāne ʻelua
• I nā wahine
• I nā kāne
• I nā keiki hānau hou
• Pehea ke kuhi ʻia o ka galactorrhea?
• Pehea e mālama ʻia ai ka galactorrhea?
• He aha ke kuanaʻike?

He aha ka galactorrhea?

Hana ʻo Galactorrhea ke kulu ka waiū a i ʻole kahi waiū e like me ka waiū mai kou nipples. He ʻokoʻa ia mai ka huna waiū maʻamau i hana ʻia i ka wā a ma hope o ka hāpai ʻana. ʻOiai hiki ke hoʻopili i nā kāne āpau, hana pinepine ia i nā wahine ma waena o nā makahiki 20 a 35.

ʻOiai ke ʻike ʻole nei i ka mea e like me ka waiū e puka mai ana i kāu nipples hiki ke makaʻu, ʻaʻole ia he mea e hopohopo ai. Akā i nā hihia kakaikahi, he hōʻailona paha ia o kahi ʻano paʻa e pono ai ka lāʻau.

He aha nā hōʻailona o ka galactorrhea?

ʻO ka hōʻailona nui o ka galactorrhea kahi mea keʻokeʻo e puka mai ana mai kou piko.

Hiki i kēia hoʻokuʻu ke:

• kulu i kekahi manawa a aneane mau paha
• e puka i waho o hoʻokahi a i ʻole ʻelua nipples
• mai ka māmā a i ke kaumaha

Loaʻa paha iā ʻoe nā ʻōuli ʻē aʻe, kaukaʻi ʻia i ke kumu kumu.

He aha ke kumu o ka galactorrhea?

Hiki i kekahi mau mea ke kumu i ka galactorrhea i nā kāne āpau. E noʻonoʻo e loaʻa i kekahi poʻe ka mea a nā kauka e kapa ai he idiopathic galactorrhea. ʻO kēia galactorrhea me ka ʻole o kekahi kumu. E maʻalahi paha kāu kino umauma i kekahi mau hormona.

Prolactinoma

Hoʻokumu pinepine ʻia ʻo Galactorrhea e kahi prolactinoma. He tumo kēia e hana i kāu gland pituitary. Hiki iā ia ke kaomi i kāu pituitary gland, e hoʻouluulu iā ia e hana i kahi prolactin hou aʻe. ʻO Prolactin ka hormone ʻo ia ke kuleana nui no ka lactation.

I nā wahine, hiki i kahi prolactinoma ke kumu:

• mau manawa pinepine ʻole a ma mua paha
• libido haʻahaʻa
• pilikia pilikia
• ulu nui o ka lauoho

E ʻike paha nā kāne:

• libido haʻahaʻa
• ka hana erectile

Inā ulu nui ia e kau i ke aʻa i kou lolo ma kahi kokoke o kāu pituitary gland, ʻike paha ʻoe i ka ʻeha mau o ke poʻo a i ʻole nā ​​loli ʻike.

Nā Tumora ʻē aʻe

Hiki i nā hikoko ʻē aʻe ke kaomi ma luna o ke koʻo o ka pituitary gland, kahi e hoʻopili ai i ka hypothalamus, kahi ma ke kumu o kou lolo. Hiki i kēia ke ho'ōki i ka hana o dopamine. Ma waho aʻe o ka hoʻoponopono ʻana i kou mau manaʻo, kōkua pū kekahi me ka dopamine e mālama i kāu mau pae prolactin ma ka hoʻoliʻiliʻi ʻana iā lākou e like me ka mea e pono ai.

Inā ʻaʻole ʻoe e hana ana i ka nui dopamine, hiki i kāu pituitary gland ke hoʻohua i ka nui o ka prolactin, i ka hopena i ka hoʻokuʻu ʻia ʻana o ka nipple.

Nā kumu ʻē aʻe i nā kāne ʻelua

Hiki i nā kūlana ʻē aʻe ke kumu iā ʻoe i ka nui o ka prolactin. Pākuʻi ʻia kēia mau mea:

• hypothyroidism, kahi e hana ai ke hana ʻole ka thyroid gland i ka piha piha
• ke lawe nei i kekahi mau lāʻau lapaʻau kiʻekiʻe, e like me methyldopa (Aldomet)
• nā kūlana hakuʻala wā lōʻihi
• nā maʻi ate, e like me ka cirrhosis
• kekahi ʻano o ka maʻi ʻaʻai māmā
• lawe i nā lāʻau opioid, e like me oxycodone (Percocet) a me fentanyl (Actiq)
• ke lawe nei i kekahi mau antidepressants, e like me paroxetine (Paxil) a i ʻole nā ​​mea hōʻemi serotonin reuptake (SSRIs), e like me citalopram (Celexa)
• e hoʻohana ana i ka cocaine a i ʻole ka pakalōlō
• ke lawe nei i kekahi mau mea hoʻopili lāʻau, e laʻa me ka fennel a me ka hua anise
• lawe i nā prokinetics no nā kūlana gastrointestinal
• e hoʻohana ana i nā phenothiazines e pakele ai i nā parasites

I nā wahine

Lawe ka lāʻau lapaʻau hānau i nā pae hormonone like ʻole, i hiki ke kumu i ka galactorrhea i kekahi mau wahine.

I nā kāne

ʻO ka hypogonadism kāne e pili ana i ka loaʻa ʻana o ka testosterone haʻahaʻa. ʻO kēia kekahi o nā kumu maʻamau o galactorrhea i nā kāne. Hiki iā ia ke kumu i ka gynecomastia, kahi e hoʻonui ai i nā umauma.

I nā keiki hānau hou

ʻIke pinepine ʻia ʻo Galactorrhea i nā keiki hānau hou. Hiki i kēia ke hopena o ka estrogen kiʻekiʻe o ka makuahine i ka wā hāpai. Inā komo i ka placenta, hiki ke komo i loko o ke koko o kahi pēpē ma mua o ka hānau ʻana. Hiki i kēia ke lawe i nā umauma nui a hoʻonui ʻia i ka nipple.

Pehea ke kuhi ʻia o ka galactorrhea?

ʻO Galactorrhea ka mea maʻa mau i kahi pilikia o ke olakino paʻa, no laila he mea nui e hana pū me ke kauka e kuhikuhi i ke kumu.

E hoʻohana paha lākou i kahi hui o nā hōʻike aʻe a me nā hoʻokolohua e hana ai i kahi kuhi:

• Kino piha. E ʻike paha kāu kauka pehea e pane ai kāu nipple i ka ʻomi ʻia ʻana, a inā paha he kumu ia e puka hou ai i waho. Hiki iā lākou ke nānā i kou umauma no nā hōʻailona o ka tumo.
• Nā hoʻāʻo koko. ʻO ka hoʻāʻo ʻana i kāu mau prolactin a me nā pae hormonone stimulate e hiki ke kōkua i ka hōʻemi hou ʻana i ke kumu kūpono.
• Nā ho'āʻo Lab o ka hoʻokuʻu nipple. Inā hāpai ʻoe i ka wā ma mua, lawe paha lākou i kahi laʻana o kou hemo nipple a nānā iā ia no nā ʻāpana momona. He hōʻailona haʻi moʻolelo kēia o ka galactorrhea, e kōkua ana i ka hoʻokaʻawale iā ia mai ka lactation.
• Hōʻike kiʻi. Hiki i kahi MRI a i ʻole CT scan ke kōkua e nānā no nā prolactinomas a i ʻole nā ​​tumors ʻē aʻe e kokoke ana i kāu pituitary gland a i ʻole nānā i kāu kiko umauma no nā mea maʻamau ʻole. Hiki i kahi mammogram a i ʻole ke ultrasound ke kōkua e ʻike i nā puʻupuʻu ʻokoʻa a i ʻole nā ​​kiko o ka umauma.
• Nā hoʻāʻo hāpai keiki. Inā loaʻa kahi manawa e hāpai ai ʻoe, makemake paha kāu kauka e hoʻohana i kahi hōʻike hāpai hāpai e kāpae i ka lactation.

Pehea e mālama ʻia ai ka galactorrhea?

Mālama ʻia ka galactorrhea ma muli o ke kumu. Akā inā he wahi prolactinoma liʻiliʻi kāu e hana nei i nā hōʻailona ʻē aʻe, hoʻoholo paha ke ʻano iā ia iho.

ʻO kekahi mau hana kūpono ʻē aʻe no galactorrhea e komo pū ana:

• Ke pale nei i nā lāʻau e hoʻopuka ai paha. Inā kānalua ʻoe i kahi lāʻau āu e lawe ai e kumu ana i ka galactorrhea, e hana me kāu kauka e ʻike inā aia kekahi hiki iā ʻoe ke lawe ma kahi. E hōʻoia wale nō ʻaʻole ʻoe e haʻalele i ka lawe ʻana i kekahi mea me ka ʻole, ʻoiai hiki i kēia ke alakaʻi i nā hopena ʻē aʻe i manaʻo ʻole ʻia.
• ʻO ka lawe ʻana i ka lāʻau e hōʻemi a hooki paha i ka prolactin ma ka hoʻonui ʻana i kāu kiʻekiʻe o ka dopamine. ʻO nā laʻana e laʻa pū me bromocriptine (Cycloset) a i ʻole cabergoline (Dostinex). Hiki i kēia mau lāʻau ke kōkua i ka hōʻemi ʻana i nā prolactinomas a me nā tumors ʻē aʻe. Hiki iā lākou ke kōkua i ka hoʻoponopono ʻana i kāu pae prolactin.
• ʻO ke keʻena hana e wehe i kahi prolactinoma a i ʻole nā ​​tumo ʻē aʻe. Inā ʻaʻole holo ka lāʻau a nui paha ka tumo, pono paha ʻoe i ke ʻoki e wehe iā ia.

He aha ke kuanaʻike?

Ke hoʻoholo koke lākou i ke kumu, ʻo ka hapa nui o ka poʻe me ka galactorrhea e hoʻōla piha. ʻO ka maʻi pituitary gland tumors pinepine ʻole ia, a hiki i ka lāʻau ke kōkua pinepine i ka mālama ʻana i nā ʻōuli a lākou e hana ai. I kēia manawa, e hoʻāʻo e hōʻalo i ka hana ʻana i nā mea āpau e hoʻonui ai i ka nipple, e like me ka hoʻoulu ʻana i kou nipples i ka wā moekolohe a i ʻole ke komo ʻana i nā kapa paʻa.