Chii chinonzi galactorrhea, zvikonzero zvikuru uye kurapwa

Zvemukati

• Zvinokonzera
• Zviratidzo zvakajairika
• Maitiro ekuongorora
• Kurapwa kunoitwa sei

Galactorrhea ndiko kusanzwisisika kwakavanzika kwemvura ine mukaka kubva pazamu, iyo inowanikwa mune varume kana vakadzi vasina nhumbu kana kuyamwisa. Kazhinji chiratidzo chinokonzerwa nekuwedzera kweprolactin, kemikari inogadzirwa muuropi ine basa rekusimudzira kuumbwa kwemukaka nemazamu, chirwere chinonzi hyperprolactinemia.

Izvo zvikonzero zvikuru zvekuwedzera kweprolactin kuve nepamuviri uye kuyamwisa, uye kune zvikonzero zvinoverengeka zvekuwedzera kwayo zvisina kukodzera, kusanganisira bundu pituitary bundu, kushandiswa kwemishonga, senge mamwe maurouroptics uye mishonga yekudzvinyirira, kusimudzira chipfuva kana zvimwe zvirwere zve endocrine, senge hypothyroidism uye polycystic ovary chirwere.

Nekudaro, kurapa hyperprolactinemia uye galactorrhea, zvakafanira kugadzirisa chisakiso chayo, kungave nekubvisa mushonga kana kurapa chirwere chiri kukonzera kugadzirwa kwemukaka nemazamu.

Zvinokonzera

Zvinonyanya kukonzera kugadzirwa kwemukaka nemazamu kuve nepamuviri uye kuyamwisa, zvisinei, galactorrhea inoitika, kunyanya nekuda kwemamiriro akadai se:

• Pituitary adenoma: iro bundu rinotapukira repituitary gland, rinotungamira mukugadzirwa kwemahormone akati wandei, kusanganisira prolactin. Rudzi rukuru ndeye prolactinoma, iyo inowanzo kukonzera kuwedzera kweropa reprolactin mazinga akakurisa kudarika 200mcg / L;
• Dzimwe shanduko pituitary gland: kenza, cyst, kuzvimba, irradiation kana kurohwa kwehuropi, semuenzaniso;
• Kukurudzira kwemazamu kana chipfuva madziro: muenzaniso mukuru wekusimudzira ndiko kuyamwa kwemazamu nemwana, izvo zvinoita kuti mammary gland uye awedzere kugadzirwa kweuropi prolactin uye, zvichidaro, kugadzirwa kwemukaka;
• Zvirwere zvinokonzera kukanganiswa kwehomoni: zvimwe zvezvakanyanya ndeye hypothyroidism, cirrhosis yechiropa, kusingaperi kweitsvo kutadza, chirwere cheAdisonison uye polycystic ovary syndrome;
• Gomarara repazamu: inogona kukonzera galactorrhea mune rimwe zamu, kazhinji neropa;
• Kushandiswa kwemishonga: 
  • Antipsychotic, senge Risperidone, Chlorpromazine, Haloperidol kana Metoclopramide;
  • Opiates, senge Morphine, Tramadol kana Codeine;
  • Gastric acid inoderedza, senge Ranitidine kana Cimetidine;
  • Mishonga yekudzvinyirira, yakadai seAmitriptyline, Amoxapine kana Fluoxetine;
  • Mimwe mishonga inodzvinyirira, yakadai saVerapamil, Reserpina neMetildopa;
  • Kushandisa mahormone, senge estrogens, anti-androgens kana HRT.

Kurara uye kusagadzikana ndeimwe mamiriro anokonzera kuwedzera mukugadzirwa kweprolactin, zvisinei, hazviwanzo kukonzera shanduko dzakaringana kukonzera galactorrhea.

Zviratidzo zvakajairika

Galactorrhea ndicho chiratidzo chikuru chehyperprolactinemia, kana kuwandisa kweprolactin mumuviri, uye inogona kuve yakajeka, ine mukaka kana yeropa muvara, uye inoonekwa mune rimwe kana mazamu ese.

Nekudaro, zvimwe zviratidzo nezviratidzo zvinogona kumuka, sezvo kuwedzera kwehomoni iyi kunogona kukonzera shanduko mune mahormone ebonde, senge kudzikiswa kweestrogen uye testosterone, kana, zvakare, kana paine mamota mudumbu repituitary. Zviratidzo zvikuru ndezvi:

• Amenorrhea, iko kukanganisa kweiyo ovulation uye kuenda kumwedzi kune vakadzi;
• Kusagadzikana kwepabonde uye kusagadzikana kwe erectile mumarume;
• Kusabereka uye kuderera kwechido chebonde;
• Osteoporosis;
• Kurwadziwa nemusoro;
• Kutaridzika shanduko, senge kusagadzikana uye kuona kwenzvimbo dzinojeka.

Hormonal shanduko inogona zvakare kuve inokonzeresa kushaya mbereko kune chikamu chevarume kana vakadzi.

Maitiro ekuongorora

Galactorrhea inoonekwa pane zvekurapwa zvekurapwa, izvo zvinogona kungoerekana zvaitika kana kuoneka mushure mekutaura kwembambo. Galactorrhea inosimbiswa pese panochengetedzwa mukaka mune varume, kana painoonekwa mune vakadzi vasina pamuviri kana kuyamwisa mumwedzi mitanhatu yadarika.

Kuti aone chinokonzera galactorrhea, chiremba anoongorora nhoroondo yemishonga uye zvimwe zviratidzo izvo munhu anogona kusangana nazvo. Uye zvakare, kumwe kuyedzwa kunogona kuitwa kutsvaga chinokonzeresa galactorrhea, senge kuyerwa kweprolactin muropa, kuyerwa kweTSH uye T4 kukosha, kuongorora hutachiona, uye, kana zvichidikanwa, brain MRI yekuongorora kuvapo kwemamota. kana zvimwe shanduko pituitary gland.

Kurapwa kunoitwa sei

Mushonga we galactorrhea unotungamirwa neiyo endocrinologist, uye inosiyana zvichienderana nezvikonzero zvechirwere. Kana chiri chikamu chemhedzisiro yemushonga, iwe unofanirwa kutaura nachiremba kuti aongorore mukana wekumisa kana kutsiva uyu mushonga neimwe.

Kana ichikonzerwa nechirwere, zvakakosha kuti ibatwe nemazvo, kuitira kudzikamisa kuvhiringidzika kwehomoni, senge, semuenzaniso, kutsiva mahormone ehutachiona mu hypothyroidism, kana kushandiswa kwecorticosteroids yepituitary granulomas. Kana, apo galactorrhea inokonzerwa nebundu, chiremba anogona kukurudzira kurapwa nekubviswa kwekuvhiya kana maitiro senge radiotherapy.

Uye zvakare, kune mishonga inogona kudzikisira kugadzirwa kweprolactin uye kudzora galactorrhea, nepo kurapwa kwekupedzisira kuchiitwa, senge Cabergoline neBromocriptine, iri mishonga mukirasi yevanopikisa dopaminergic.