Prolactin emadodeni: oonobangela, iimpawu kunye nonyango

Umxholo

• Iimpawu zokwanda kweprolactin emadodeni
• Izinto ezibangela ukwanda kweprolactin emadodeni
• Uvavanyo lweprolactin yamadoda
• Unyango kwi-prolactin esezantsi

Iprolactin yincindi yamadlala, nangona inoxanduva lokuvelisa ubisi lwebele, emadodeni, ineminye imisebenzi, njengokuhlaziya umzimba emva kokufikelela kwi-orgasm, umzekelo.

Amanqanaba aqhelekileyo eprolactin emadodeni angaphantsi kwe-10 ukuya kwi-15 ng / mL, kodwa inokufikelela kumaxabiso aphezulu kakhulu ngenxa yokugula, ukusetyenziswa kwamachiza aneempembelelo zecala, okanye ngenxa yethumba ebuchotsheni.

Iimpawu zokwanda kweprolactin emadodeni

Ukuphuma kobisi kwingono yendoda, kunokubakho kwezinye iimeko, kwaye kunokujongwa xa ugqirha ecinezela kummandla omnyama webele. Ezinye iimpawu zezi:

• Ukunciphisa umnqweno wesondo;
• Ukungabi namandla ngokwesondo;
• Ukuncipha kwenani lesidoda;
• Ukunciphisa amanqanaba e testosterone;
• Ukwandiswa kwebele kunye nokukhutshwa kobisi kunqabile ukuba kwenzeke.

Ezinye iimpawu kunye neempawu ezingaqhelekanga ziintloko, yintloko, utshintsho kumbono ngenxa ye-atrophy ye-optic nerve kunye nokukhubazeka kwemithambo-luvo, exhaphake kakhulu emadodeni kunabafazi, mhlawumbi kuba emadodeni amathumba ubukhulu bukhulu kakhulu kunabafazi.

Izinto ezibangela ukwanda kweprolactin emadodeni

Eminye imizekelo yamayeza akhokelela ekonyukeni kweprolactin yamadoda yile:

• Ukudakumba: i-alprazolam, i-fluoxetine, i-paroxetine;
• Unyango lwesifo sokuwa: i-haloperidol, i-risperidone, i-chlorpromazine;
• Unyango lwesisu kunye nesicaphucaphu: i-cimetidine kunye ne-ranitidine; metoclopramide, domperidone kunye ne-cisapride;
• Unyango lwegazi oluphezulu: i-reserpine, i-verapamil, i-methyldopa, i-atenolol.

Ukongeza kwiziyobisi, izilonda zepituitary, ezibizwa ngokuba yi-prolactinomas, zinokubangela ukwanda kweprolactin egazini. Izifo ezinje nge-sarcoidosis, isifo sephepha, i-aneurysm kunye ne-radiotherapy entloko nazo zinokubandakanyeka, kunye nokusilela kwezintso, ukuqina kwesibindi kunye ne-hypothyroidism.

Uvavanyo lweprolactin yamadoda

Emadodeni, amaxabiso eprolactin kufuneka abe ubuninzi be-20 ng / mL, kwaye eli xabiso liphezulu, kokukhona umngcipheko wethumba ubizwa ngokuba yi-prolactinoma.

Xa ujonge oku kunyuka kuvavanyo lwegazi ugqirha unoku-odola uvavanyo lwe-imaging ukuze avavanye ngcono isifo. Uvavanyo olunoku-odolwa kwakhona zii-X-ray zentloko kunye neMagnetic Resonance Imaging.

Unyango kwi-prolactin esezantsi

Unyango lubonakalisiwe ukulwa nokungachumi, iingxaki zesondo kunye nokomeleza amathambo. Ngenxa yoku kunokuba yimfuneko ukuthatha amayeza anjengeBromocriptine kunye neCabergoline (lisuride, igolide, quinagolide).

Utyando luboniswa ukuba lisuse ithumba, xa likhulu okanye lonyusa ubungakanani. I-Radiotherapy ayisoloko iboniswa kuba inqanaba lempumelelo alikho phezulu kakhulu.

Uvavanyo kufuneka luphindwe rhoqo kwiinyanga ezi-2 okanye ezi-3 kunyaka wokuqala wonyango, kwaye emva kweenyanga ezi-6 okanye unyaka emva konyaka, njengoko i-endocrinologist ikhetha.