Kuyini i-Hyperprolactinemia?

-Delile

• Hyperprolactinemia
• Izimbangela ze-Hyperprolactinemia
• Izimpawu ze-hyperprolactinemia
• Itholakala kanjani i-hyperprolactinemia?
• Ukwelashwa kwe-Hyperprolactinemia
• Ukudla okudlela endlini

Hyperprolactinemia

I-Prolactin iyi-hormone ekhiqizwa ngendlala ye-pituitary. Kuyasiza ukukhuthaza nokugcina ukukhiqizwa kobisi lwebele. I-Hyperprolactinemia ichaza okweqile kwale hormone emzimbeni womuntu.

Kuyinto evamile ukuba nalesi simo ngesikhathi sokukhulelwa noma lapho ukhiqiza ubisi lokuncelisa.

Izimo ezithile noma ukusetshenziswa kwemithi ethile, noma kunjalo, kungadala i-hyperprolactinemia kunoma ngubani. Izimbangela nemiphumela yamazinga aphezulu e-prolactin ayahluka ngokuya ngobulili bomuntu.

Funda ukuze ufunde ngezimbangela, izimpawu, nokwelashwa kwe-hyperprolactinemia.

Izimbangela ze-Hyperprolactinemia

Izinga elikhulisiwe leprolactin lingabangelwa izimo ezahlukahlukene zesekondari. Imvamisa, i-hyperprolactinemia ibangelwa ukukhulelwa - okujwayelekile.

Ngokuya nge-a, izicubu zepituitary zingaba yimbangela yamaphesenti acishe abe ngama-50 we-hyperprolactinemia. Iprolactinoma yisigaxa esakha indlala ye-pituitary. Lezi zicubu ngokuvamile azinomdlavuza. Kepha zingadala izimpawu ezihlukile ngokuya ngocansi lomuntu.

Ezinye izimbangela ze-hyperprolactinemia zifaka:

• i-acid H2 blockers, efana ne-cimetidine (Tagamet)
• imishanguzo yokulwa nomfutho wegazi ophakeme, njenge-verapamil (Calan, Isoptin, neVerelan)
• i-estrogen
• izidakamizwa zokucindezelwa njenge-desipramine (Norpramin) ne-clomipramine (Anafranil)
• i-cirrhosis, noma isibazi esinzima sesibindi
• I-Cushing syndrome, engabangelwa amazinga aphezulu we-hormone cortisol
• ukutheleleka, isimila, noma ukuhlukumezeka kwe-hypothalamus
• imishanguzo yokulwa nesicanucanu efana ne-metoclopramide (Primperan, Reglan)

Izimpawu ze-hyperprolactinemia

Izimpawu ze-hyperprolactinemia zingahluka kwabesilisa nabesifazane.

Njengoba amazinga e-prolactin ethinta ukukhiqizwa kobisi nemijikelezo yokuya esikhathini, kungaba nzima ukuthola emadodeni. Uma owesilisa ehlangabezana nokungasebenzi kahle kwe-erectile, udokotela wabo angancoma ukuhlolwa kwegazi ukuze afune i-prolactin eyeqile.

Izimpawu kwabesifazane:

• ukungazali
• izikhathi ezingajwayelekile
• shintsha ekuhambeni kokuya esikhathini
• ikhefu emjikelezweni wokuya esikhathini
• ukulahleka kwe-libido
• i-lactation (galactorrhea)
• ubuhlungu emabeleni
• ukoma kwesitho sangasese sowesifazane

Izimpawu kwabesilisa:

• ukukhula kwesisu okungavamile (gynecomastia)
• ukuncelisa
• ukungazali
• ukungasebenzi kahle kwe-erectile
• ukulahlekelwa isifiso sobulili
• ikhanda
• ukushintsha umbono

Itholakala kanjani i-hyperprolactinemia?

Ukuxilonga i-hyperprolactinemia, udokotela wenza ukuhlolwa kwegazi ukuhlola amazinga e-prolactin.

Uma amazinga e-prolactin ephezulu, udokotela uzohlolela ezinye izimo. Uma besola isimila, banga-oda ukuskena kwe-MRI ukuzama ukuthola ukuthi ngabe likhona yini i-pituitary tumor.

Ukwelashwa kwe-Hyperprolactinemia

Ukwelashwa kwe-hyperprolactinemia kugxile kakhulu ekubuyiseleni amazinga e-prolactin kokujwayelekile. Endabeni yesimila, kungadingeka ukuhlinzwa ukuze kususwe iprolactinoma, kepha isimo singaphathwa ngemithi.

Ukwelashwa kungafaka:

• imisebe
• zokwenziwa kwamahomoni wegilo
• ukushintsha kwemithi
• umuthi wokwehlisa iprolactin, njenge-bromocriptine (Parlodel, Cycloset) noma i-cabergoline

Ukudla okudlela endlini

Imvamisa, i-hyperprolactinemia iyelapheka. Ukwelashwa kuzoya ngokuthi yini ebangela uketshezi oluningi lwe-prolactin.Uma unesimila, ungadinga ukuhlinzwa ukuze ususe isimila bese ubuyisela indlala yakho yebhinqa kokujwayelekile.

Uma uhlangabezana nokuncelisa okungajwayelekile, ukungasebenzi kahle kwe-erectile, noma ukulahlekelwa isifiso sobulili, yazisa udokotela wakho ngezimpawu zakho ukuze bakwazi ukwenza izivivinyo ezidingekayo ukuthola imbangela.