Kodi Hyperprolactinemia ndi chiyani?

Zamkati

• Hyperprolactinemia
• Hyperprolactinemia imayambitsa
• Zizindikiro za hyperprolactinemia
• Kodi hyperprolactinemia imapezeka bwanji?
• Chithandizo cha Hyperprolactinemia
• Tengera kwina

Hyperprolactinemia

Prolactin ndi timadzi tomwe timapangidwa kuchokera ku pituitary gland. Zimathandiza kulimbikitsa ndi kusunga mkaka wa m'mawere. Hyperprolactinemia imafotokoza kuchuluka kwa hormone iyi m'thupi la munthu.

Ndi zachilendo kukhala ndi vutoli nthawi yapakati kapena popanga mkaka woyamwitsa.

Zinthu zina kapena kugwiritsa ntchito mankhwala enieni, komabe, zimatha kuyambitsa hyperprolactinemia mwa aliyense. Zomwe zimayambitsa komanso zomwe zimachitika chifukwa cha kuchuluka kwa ma prolactin zimasiyana kutengera kugonana kwa munthu.

Werengani kuti mudziwe zomwe zimayambitsa, zizindikiro, komanso chithandizo cha hyperprolactinemia.

Hyperprolactinemia imayambitsa

Kuchuluka kwa prolactin kumatha kubwera chifukwa cha zinthu zina zachiwiri. Nthawi zambiri, hyperprolactinemia imayambitsidwa ndi pakati - zomwe si zachilendo.

Malinga ndi a, zotupa za pituitary zimatha kuyambitsa pafupifupi 50% ya hyperprolactinemia. Prolactinoma ndi chotupa chomwe chimapangidwa m'matumbo a pituitary. Zotupa izi sizimayambitsa khansa. Koma zimatha kuyambitsa zizindikilo zomwe zimakhala zosiyana kutengera momwe munthu amagonana.

Zina mwazomwe zimayambitsa hyperprolactinemia ndi monga:

• asidi H2 blockers, monga cimetidine (Tagamet)
• Mankhwala osokoneza bongo, monga verapamil (Calan, Isoptin, ndi Verelan)
• estrogen
• mankhwala opatsirana pogonana monga desipramine (Norpramin) ndi clomipramine (Anafranil)
• cirrhosis, kapena kufooka kwakukulu kwa chiwindi
• Cushing syndrome, yomwe imatha chifukwa cha kuchuluka kwa mahomoni a cortisol
• matenda, chotupa, kapena kupwetekedwa mtima kwa hypothalamus
• Mankhwala oletsa kunyoza monga metoclopramide (Primperan, Reglan)

Zizindikiro za hyperprolactinemia

Zizindikiro za hyperprolactinemia zimatha kusiyanasiyana mwa amuna ndi akazi.

Popeza kuchuluka kwa ma prolactin kumakhudza mkaka komanso kusamba kwa nthawi, zimakhala zovuta kuzizindikira mwa amuna. Ngati bambo akuvutika ndi vuto la erectile, adotolo angawalimbikitse kukayezetsa magazi kuti ayang'ane kuchuluka kwa prolactin.

Zizindikiro mwa akazi:

• osabereka
• nthawi zosasintha
• kusintha kwa msambo
• Imani msambo
• kutaya kwa libido
• kuyamwa (galactorrhea)
• kupweteka mabere
• kuuma kwa nyini

Zizindikiro mwa amuna:

• kukula kwa mawere (gynecomastia)
• mkaka wa m'mawere
• osabereka
• Kulephera kwa erectile
• kutaya chilakolako chogonana
• kupweteka mutu
• masomphenya kusintha

Kodi hyperprolactinemia imapezeka bwanji?

Kuti apeze hyperprolactinemia, adokotala amayesa magazi kuti awone kuchuluka kwa ma prolactin.

Ngati milingo ya prolactin ili yokwera, adokotala amayesa zina. Ngati akukayikira chotupa, atha kuyitanitsa MRI kuti ayesere kudziwa ngati pali chotupa cha pituitary.

Chithandizo cha Hyperprolactinemia

Chithandizo cha hyperprolactinemia chimayang'ana kwambiri pakubwezeretsa kuchuluka kwa ma prolactin kukhala abwinobwino. Pankhani ya chotupa, pamafunika opaleshoni kuti muchotse prolactinoma, koma matendawa amatha kuthandizidwa ndi mankhwala.

Chithandizo chitha kukhala:

• cheza
• mahomoni opanga chithokomiro
• kusintha kwa mankhwala
• mankhwala ochepetsa prolactin, monga bromocriptine (Parlodel, Cycloset) kapena cabergoline

Tengera kwina

Nthawi zambiri, hyperprolactinemia imachiritsidwa. Chithandizo chimadalira pazomwe zimayambitsa kutulutsa kowonjezera kwa ma prolactin. Ngati muli ndi chotupa, mungafunike kuchitidwa opaleshoni kuti muchotse chotupacho ndikubwezeretsanso matenda anu am'mimba.

Ngati mukukumana ndi mkaka wosayenerera, kulephera kwa erectile, kapena kutaya chilakolako chogonana, dziwitsani dokotala za zizindikilo zanu kuti athe kuyesa mayeso oyenera kuti adziwe chomwe chimayambitsa.