Umsebenzi ongaqhelekanga we-hormonal uchaphazela bonke abasetyhini namadoda
I-Hyperprolactinemia yindawo ebonakalayo ngamanqanaba aphezulu ehomoni okuthiwa iprolactin egazini. Iprolactin ikhiqizwa yi- pituitary gland kwaye idlala indima ebalulekileyo ekuphuhliseni amabele ngexesha lokukhulelwa.
Nangona i-hyperprolactinemia ithathwa njengento eqhelekileyo ngexesha lokukhulelwa kunye nokuncelisa, itholakala ngamanye amaxesha ngenxa yezifo kunye nokusetyenziswa kwamachiza.
I-Hyperprolactinemia inokuchaphazela kokubhinqa kunye namadoda, okubangelwa kwixesha elingavumelekanga lokuya esikhathini kunye nokungasebenzi kwe-erectile, phakathi kwezinye izinto.
Iimbangela ze-Hyperprolactinemia
Amanqanaba ePlactin anokuphakanyiswa kunani na izizathu zezizathu. Esinye sezizathu eziqhelekileyo yindlela yokwakhiwa kwesisu esinobulunga kwi-pituitary gland. Ukukhula okungaqhelekanga, okubizwa ngokuba yiprolactinoma, kuyimfihlo ngokucacileyo iprolactin ngokugqithiseleyo xa kunciphisa amanqanaba amanye amahomoni wesini.
Izifo ezichaphazela inxalenye yengqondo ebizwa ngokuba yi- hypothalamus inokudala i-hyperprolactinemia. I-hypothalamus isebenza njengekhonkco phakathi kwenkqubo ye-nervous and pituitary gland. Ukwanda kwinqanaba leprolactin linokuqhagamshelana ngokuthe ngqo kunye ne-tumor, intlungu, okanye intsholongwane ye-hypothalamus.
Ezinye izizathu zingabandakanya:
- I-Hypothyroidism (amanqanaba e-hormone aphantsi)
- I-cirrhosis yesibindi
- Ukungaphumeleli kwengqondo
- I-Anti-depressants (i-Anafranil, i-Norpramin)
- Antipsychotics (iHalol, iZyprexa, iRhaperdal)
- Antihypertensive ( Verelan, Calan, Covera-HS, Isoptin)
- I-Antinauseals (Reglan, Primperan, Lexapram)
- I-Acid H2 blockers (iTagamet, iZantac)
- Estrogen
Izimpawu ze-Hyperprolactinemia
Iimpawu ze-hyperprolactinemia kwabasetyhini ziyahluka. Xa kwenzeka ngaphandle kokukhulelwa okanye ukuncelisa, bangabandakanya:
- Ukungenzi lutho
- Gallactoria (i-lactation engavumelekanga)
- Izihlandlo ezingapheliyo okanye ezingavumelekanga
- I-Amenorrhea (ukusabalaliswa kwexesha le-ovulation)
- Ukulahleka kwe-libido
- Iintlungu zesisu
- Ubundlobongela obubuhlungu ngenxa yobume bendoda
Xa kwenzeka kumadoda, iimpawu zibandakanya ukungasebenzi kwezesondo kunye / okanye intlungu ehambelana nokubunjwa kweprolactinoma. Imiqondiso kunye neempawu eziqhelekileyo ziquka:
- Ukungasebenzi kwe-Erectile
- I-Gynecomastia (ukuphuhliswa kwesisu sebele)
- Lactation
- Ukungenzi lutho
- Ukulahleka kwe-libido
Ngenxa yokuba i-hyperprolactinemia emadodeni ayibonakali rhoqo ngeempawu ezigqithiseleyo, njengengxaki yokuya esikhathini, maxa wambi kunzima ukubona. Kwezinye iimeko, iintloko ezibangelwa yisisu okanye ukutshintsha embonweni kungabonakaliswa kuqala kwimeko kumadoda nabasetyhini.
Ukuxilongwa kwe-Hyperprolactinemia
Ukuxilongwa kwe-hyperprolactinemia kubandakanya ukuhlolwa kwegazi rhoqo ukujonga amanqanaba eprolactin. Ukuba amazinga egazi aphakanyisiwe, ugqirha unokufuna ukuphinda uvavanyo, ngeli xesha emva kokuzila ukutya okungenani iiyure ezisibhozo. Amanqanaba e-prolactin aqhelekileyo angaphantsi kwe-500 mIU / L yabasetyhini kwaye angaphantsi kwe-450 mIU / L yamadoda
I -scanning magnetic imaging (MRI) iyakutyala ukuba ikhangele ubungqina bokukhula kwepituitary okanye umonakalo kwizicubu ezijikelezayo.
Ukuhlolwa kwegazi ukuphonononga amanye amazinga e-hormone kunokuba luncedo ekulawuleni naziphi na ezinye izizathu ezibangela iimpawu.
Unyango lwe-Hyperprolactinemia
Injongo yonyango ukubuyisela iprolactin kumazinga aqhelekileyo. Kukho inani leendlela eziqhelekileyo zokuphumeza oku:
- Amayeza eParlodel (i-bromocriptine) kunye ne-Dostinex (i-cabergoline) yaziwa ukuba iyasebenza ekunciphiseni amanqanaba eprolactin kunye nokuncipha kwezicubu.
- Ngamanye amaxesha ukuhlinzwa kungasetyenziselwa ukususa isisu sokunyanga xa amayeza ayisebenzi okanye ayinyamezelwanga
- Izaziso, ngelixa zingasetyenziswa kangangoko, kunokucetyiswa ukuba amayeza kunye nokuhlinzwa akuphumelelanga.
- I-Hypothyroidism ingaphathwa nge-synthetic thyroid hormone, emele ivelise amanqanaba eprolactin.
- Ukuba amazinga aphakamileyo e-prolactin abangelwa yimichiza yonyango, amayeza atshintsho angafakwa.
> Umthombo:
> Melmed, S .; I-Casanueva, F .; Hoffman, A. et al. "Ukuxilongwa kunye nokunyangwa kwe-Hyperprolactinemia: Umgaqo-nkqubo we-Clinic Practice Clinic." Umbhalo we-Clinical Endocrinology kunye neMetabolism. 2011; 96 (2): 272-88.