I-prolactin emadodeni: izimbangela, izimpawu nokwelashwa

-Delile

• Izimpawu zokwanda kweprolactin emadodeni
• Izimbangela zokwanda kweprolactin emadodeni
• Ukuhlolwa kweprolactin kwabesilisa
• Ukwelashwa kwehlise i-prolactin

I-Prolactin yi-hormone okuthi, yize ibhekene nokukhiqizwa kobisi lwebele, emadodeni, ineminye imisebenzi, njengokuphumuza umzimba ngemuva kokufinyelela ku-orgasm, ngokwesibonelo.

Amazinga ajwayelekile we-prolactin emadodeni angaphansi kuka-10 kuye ku-15 ng / mL, kepha angafinyelela amanani aphezulu kakhulu ngenxa yokugula, ukusetshenziswa kwezidakamizwa ezinomphumela ohlangothini, noma ngenxa yesimila ebuchosheni.

Izimpawu zokwanda kweprolactin emadodeni

Ukuphuma kobisi ngengono yendoda, kungahle kube khona kwezinye izimo, futhi kungabonwa lapho udokotela ecindezela esifundeni esimnyama sesifuba. Ezinye izimpawu yilezi:

• Ukwehla kwesifiso sobulili;
• Ukungabi namandla ocansini;
• Nciphisa inani lesidoda;
• Ukunciphisa amazinga e-testosterone;
• Ukukhuliswa kwamabele nokuvalwa kobisi akuvamile ukwenzeka.

Ezinye izimpawu nezimpawu ezingavamile kakhulu ukuphathwa yikhanda, izinguquko embonweni ngenxa ye-atrophy ye-optic nerve kanye nokukhubazeka kwemizwa ye-cranial, evame kakhulu emadodeni kunabesifazane, mhlawumbe ngoba emadodeni izicubu ngokuvamile zikhulu kunezabesifazane.

Izimbangela zokwanda kweprolactin emadodeni

Ezinye izibonelo zamakhambi eziholela ekwandeni kwe-prolactin yesilisa yilezi:

• Ama-anti-depressants: i-alprazolam, i-fluoxetine, i-paroxetine;
• Izindlela zokwelapha isithuthwane: i-haloperidol, i-risperidone, i-chlorpromazine;
• Izindlela zokwelapha isisu nesicanucanu: i-cimetidine ne-ranitidine; i-metoclopramide, i-domperidone ne-cisapride;
• Amakhambi we-high blood pressure: i-reserpine, i-verapamil, i-methyldopa, i-atenolol.

Ngaphezu kwezidakamizwa, izicubu zepituitary, ezibizwa ngokuthi ama-prolactinomas, nazo zingadala ukwanda kweprolactin egazini. Izifo ezinjenge-sarcoidosis, isifo sofuba, i-aneurysm ne-radiotherapy ekhanda nazo zingabandakanyeka, kanye nokuhluleka kwezinso, isibindi sokuqina kwesibindi kanye ne-hypothyroidism.

Ukuhlolwa kweprolactin kwabesilisa

Emadodeni, amanani we-prolactin kufanele abe ngu-20 ng / mL ophakeme, futhi uma leli nani liphakama, iba sengozini enkulu yesimila, ebizwa ngeprolactinoma.

Lapho ebona lokhu kwanda kokuhlolwa kwegazi udokotela angalawula ukuhlolwa kwe-imaging ukuze ahlaziye kangcono indlala. Izivivinyo ezingabuye zi-odolwe ngama-X-ray ekhanda neMagnetic Resonance Imaging.

Ukwelashwa kwehlise i-prolactin

Ukwelashwa kukhonjisiwe ukulwa nokungazali, izinkinga zocansi nokuqinisa amathambo. Ngalokhu kungadingeka ukuthatha imishanguzo efana neBromocriptine neCabergoline (lisuride, igolide, quinagolide).

Ukuhlinzwa kukhonjiswa ukuthi kususwe isimila, uma sikhulu noma sikhula ngosayizi. I-Radiotherapy ayikhonjiswa njalo ngoba izinga lokuphumelela alikho phezulu kakhulu.

Ukuhlolwa kufanele kuphindwe njalo ezinyangeni ezi-2 noma ezi-3 onyakeni wokuqala wokwelashwa, bese kuba njalo ezinyangeni eziyisithupha noma unyaka nonyaka, njengoba kukhetha udokotela wezifo zemvelo.