Abnormal hormonal basa inobata vose vakadzi nevarume
Hyperprolactinemia inzvimbo inoratidzwa nehupamhi hwehomoni inonzi prolactin muropa. Prolactin inobudiswa nehutu hwepituitary uye inotamba basa rinokosha pakuvandudza mazamu panguva yekuzvitakura.
Kunyange zvazvo hyperprolactinemia inofungidzirwa zvakakwana panguva yekudzivirira nekuyamwisa, inogona kuitika kune dzimwe nguva nemhaka yezvirwere uye kushandiswa kwemishonga.
Hyperprolactinemia inogona kukanganisa vose mukadzi nevarume, zvichiita kuti nguva dzisina nguva yokuenda kumwedzi uye erectile dysfunction, pakati pezvimwe zvinhu.
Zvinokonzera Hyperprolactinemia
Mazana ePlactin angave akakwidziridzwa nokuda kwechikonzero chipi zvacho chezvikonzero. Chimwe chezvikonzero zvinowanzovhiringidzika ndeyekugadzirwa kwebhanirini inobata pamuviri wepituitary gland. Ichi chisinganyanyi kuwedzera, chinonzi prolactinoma, chinonyatsovanza prolactin yakawandisa nekuderedza maitiro eimwe mahomoni evanhukadzi.
Zvirwere zvinokonzera chikamu cheropi chinonzi hypothalamus chinogona kukonzera hyperprolactinemia. I hypothalamus inoshanda sehukama pakati pemamiriro emagetsi uye chirwere chepituitary. Kuwedzera kwemaitiro eprolactin kunogona kuwaniswa zvakananga nehutu, tsvina, kana utachiona hwe hypothalamus.
Zvimwe zvinokonzera zvinogona kusanganisira:
- Hypothyroidism (low thyroid hormone levels)
- Kurwisa kwechiropa
- Kusangana kwepfungwa kusingaperi
- Anodzvinyirira (Anafranil, Norpramin)
- Antipsychotics (Haldol, Zyprexa, Risperdal)
- Antihypertensives ( Verelan, Calan, Covera-HS, Isoptin)
- Antinauseals (Reglan, Primperan, Lexapram)
- Acid H2 blockers (Tagamet, Zantac)
- Estrogen
Zviratidzo zveHyperprolactinemia
Zviratidzo zve hyperprolactinemia muvakadzi zvinogona kusiyana. Kana zvichiitika kunze kwekudzivirira kana kunwisa, zvinogona kusanganisira:
- Infertility
- Gallactoria (asinganzwisisiki lactation)
- Kushata kana kusina nguva nguva
- Ameniorrhea (kuparara kwemaawa ovulation)
- Kurasikirwa kwe libido
- Kutambudzika kwepabonde
- Kutambudzika kwepabonde pamusana pemadzimai akaoma
Kana zvichiitika kuvanhu, zviratidzo zvinowanzobatanidza kusagadzikana kwepabonde uye / kana kurwadziwa kunoenderana nekuumbwa kweprolactinoma. Zviratidzo nezviratidzo zvinowanzobatanidza:
- Erectile dysfunction
- Gynecomastia (kukura kwemafupa emvere)
- Lactation
- Infertility
- Kurasikirwa kwe libido
Nokuti hyperprolactinemia mune varume hairati inoratidze nezviratidzo zvakanyanya, zvakadai sematambudziko ekuenda kumwedzi, dzimwe nguva zvakaoma kuona. Mune zvimwe zviitiko, misoro inokonzerwa nechirwere chepituitary kana kuchinja mune zvingave chiratidzo chekutanga chechiitiko mune varume nevakadzi.
Kuongororwa kweHyperprolactinemia
Kuongororwa kwe hyperprolactinemia kunosanganisira kuongororwa kweropa rekuita kuti uone maitiro eprolactin. Kana kuwedzera kweropa kuchikwidziridzwa, chiremba angada kudzoka kuedza, nguva ino mushure mekutsanya kwemaawa masere. Kazhinji prolactin mazinga ari pasi pe 500 mIU / L yevakadzi uye pasi pe 450 mIU / L yevarume
A magnetic resonance imaging (MRI) scan inogona kurongedzwa kutsvaga uchapupu hwekukura kwepituitary kana kukanganisa kumasukisi akakomberedza.
Ropa rekuedzwa kuti riongorore mamwe mahomoni anokwanisa kuva anobatsira pakuronga chero zvimwe zvinokonzera zviratidzo.
Kurapa kweHyperprolactinemia
Chinangwa chekurapa ndechekudzorera prolactin kumazinga akaenzana. Kune huwandu hwehutano hwakasarudzwa hwokuti uite izvi:
- Mishonga yePralodel (bromocriptine) uye Dostinex (cabergoline) inozivikanwa kuti inoshanda mukuderedza maitiro eprolactin uye kuputika kwemapuiti echirwere .
- Kuvhiya dzimwe nguva kungashandiswa kubvisa chirwere chepituitary kana mishonga isiri kushanda kana isingabvumirwi
- Mazairo, asi zvisingawanzoshandiswa, inogona kurongedzerwa kana mishonga uye chirwere chisina kubudirira.
- Hypothyroidism inogona kurapwa nehutachiona hwetroroid hormone, iyo inofanira kuunza maitiro eprolactin pasi.
- Kana yakakwirira yeprolactin inokonzerwa nemishonga yemishonga, mushonga wemishonga inogona kuiswa.
> Kwakabva:
> Melmed, S ;; Casanueva, F .; Hoffman, A. et al. "Kuongororwa uye Kurapa kweHyperprolactinemia: An Endocrine Society Mishonga yeKunyorera Maitiro." Zvinyorwa zveKliniki Endocrinology uye Metabolism. 2011; 96 (2): 272-88.