Umbhali: Eugene Taylor
Umhla Wokudalwa: 10 Eyethupha 2021
Hlaziya Umhla: 13 Eyenkanga 2024
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Umxholo

Hyperprolactinemia

Iprolactin yincindi yedlala eveliswa kwidlala lepituitary. Inceda ukukhuthaza kunye nokugcina imveliso yobisi lwebele. Hyperprolactinemia ichaza ukugqitha kwale hormone emzimbeni womntu.

Kuqhelekile ukuba ube nale meko ngexesha lokukhulelwa okanye xa uvelisa ubisi lokuncancisa.

Iimeko ezithile okanye ukusetyenziswa kwamayeza athile, nangona kunjalo, kunokubangela i-hyperprolactinemia kuye nakubani na. Oonobangela kunye neziphumo zamanqanaba aphezulu eprolactin ayahluka ngokuxhomekeke kwisini somntu.

Funda ukuze ufunde malunga nezizathu, iimpawu kunye nonyango lwe-hyperprolactinemia.

Hyperprolactinemia ibangela

Inqanaba elonyukayo leprolactin linokubangelwa ziimeko zesekondari ezahlukeneyo. Rhoqo, i-hyperprolactinemia ibangelwa kukukhulelwa-okuqhelekileyo.

Ngokutsho kwe-pituitary tumors inokuba ngunobangela weepesenti ezingama-50 ze-hyperprolactinemia. Iprolactinoma lithumba elenzeka kwilungu lobudoda. Ezi tumors zihlala zingenomdlavuza. Kodwa banokubangela iimpawu ezahlukileyo ngokuxhomekeka kwisini somntu.


Ezinye izizathu zehyperprolactinemia zibandakanya:

  • i-asidi H2 blocker, enje nge-cimetidine (Tagamet)
  • amayeza okunyanga uxinzelelo lwegazi, njenge-verapamil (Calan, Isoptin, kunye neVerelan)
  • estrogen
  • iziyobisi ezichasene noxinzelelo ezifana ne-desipramine (Norpramin) kunye ne-clomipramine (Anafranil)
  • i-cirrhosis, okanye isibetho esiqatha sesibindi
  • I-Cushing syndrome, enokubangelwa ngamanqanaba aphezulu e-hormone ye-cortisol
  • usulelo, ithumba, okanye ukwenzakala kwehypothalamus
  • iyeza lokuthintela isicaphucaphu elinje nge-metoclopramide (Primperan, Reglan)

Iimpawu hyperprolactinemia

Iimpawu zehyperprolactinemia zingahluka kumadoda nabasetyhini.

Kuba amanqanaba eprolactin echaphazela ukuveliswa kobisi kunye nokuya exesheni, kunokuba nzima ukufumanisa emadodeni. Ukuba indoda inengxaki yokungasebenzi kakuhle emzimbeni, ugqirha unokucebisa uvavanyo lwegazi ukukhangela iprolactin engaphezulu.

Iimpawu kubantu basetyhini:

  • ukungachumi
  • amaxesha angaqhelekanga
  • utshintsho ekuhambeni kwexesha
  • nqumama kumjikelo wokuya exesheni
  • ukulahleka kwe-libido
  • zisanyisa (galactorrhea)
  • iintlungu emabeleni
  • ukoma kwilungu lobufazi

Iimpawu emadodeni:


  • ukukhula okungaqhelekanga kwebele (gynecomastia)
  • zisanyisa
  • ukungachumi
  • Ukungasebenzi kakuhle kwe-erectile
  • Ukuphulukana nomnqweno wesini
  • intloko ebuhlungu
  • utshintsho lombono

Ifunyaniswa njani i-hyperprolactinemia?

Ukuchonga i-hyperprolactinemia, ugqirha wenza uvavanyo lwegazi ukujonga amanqanaba eprolactin.

Ukuba amanqanaba eprolactin aphezulu, ugqirha uya kuvavanya ezinye iimeko. Ukuba barhanela ithumba, banokuyalela ukuba kuskenwe i-MRI ukuzama ukumisela ukuba likho ithumba.

Unyango lwe-Hyperprolactinemia

Unyango lwe-hyperprolactinemia lujolise ikakhulu ekubuyiseleni amanqanaba eprolactin kwindawo yesiqhelo. Kwimeko yethumba, kunokufuneka kwenziwe utyando ukuze kususwe iprolactinoma, kodwa imeko inokuhlala ilawulwa ngamayeza.

Unyango lunokubandakanya:

  • imitha
  • iihomoni zokwenziwa kwendlala
  • utshintsho amayeza
  • amayeza okunciphisa iprolactin, njenge-bromocriptine (Parlodel, Cycloset) okanye i-cabergoline

Yise kude

Ngokwesiqhelo, i-hyperprolactinemia iyanyangeka. Unyango luya kuxhomekeka kwinto ebangela ukogqitha kwepractactin secretion. Ukuba unethumba, unokufuna utyando ukuze ususe eli thumba kwaye ubuyisele idlala lengqula endaweni yesiqhelo.


Ukuba uhlangabezana nokuncancisa okungaqhelekanga, ukungasebenzi kakuhle kwe-erectile, okanye ukulahleka komnqweno wesini, yazisa ugqirha wakho ngeempawu zakho ukuze bakwazi ukwenza iimvavanyo eziyimfuneko ukumisela unobangela.

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