Yintoni iprolactinoma, iimpawu kunye nendlela yokwenziwa kwonyango

Umxholo

• Iimpawu zeprolactinoma
• Uxilongo lwenziwa njani
• Unyango lweprolactinoma

Iprolactinoma sisifo esibuhlungu esikwi-pituitary gland, ngakumbi kwi-pituitary gland ekhokelela ekwandeni kwemveliso yeprolactin, eyihomoni ejongene nokukhuthaza amadlala we-mammary ukuba avelise ubisi ngexesha lokukhulelwa naxa uncancisa. Ukwanda kwenani leprolactin luphawu lwe-hyperprolactinemia, enokuthi ikhokelele ekubonakaleni kweempawu ezinje ngokuya exesheni ngokungaqhelekanga, ukungabikho exesheni, ukungachumi kunye nokungabi namandla, kwimeko yamadoda.

Iprolactinoma inokuhlelwa kwiindidi ezimbini ngokobungakanani bayo:

• Microprolactinoma, enobubanzi obungaphantsi kwe-10 mm;
• Imacroprolactinoma, enobubanzi obulinganayo okanye obungaphezulu kwe-10 mm.

Ukuchongwa kweprolactinoma kwenziwa ngokulinganisa kweprolactin egazini kunye neziphumo zovavanyo lokucinga ngemifanekiso njenge-magnetic resonance kunye nekhompyuter ye-tomography. Unyango kufuneka lukhuthazwe yi-endocrinologist okanye i-neurologist ngokweempawu zethumba, kunye nokusetyenziswa kwamachiza ukulawula amanqanaba eprolactin kunye nokunciphisa iimpawu kubonisiwe.

Iimpawu zeprolactinoma

Iimpawu zeprolactinoma zihambelana nokwanda kwenani lokujikeleza kweprolactin, kwaye kunokubakho:

• Ukuveliswa kobisi lwebele nokuba ungakhange ukhulelwe okanye usandula ukuhambisa umntwana;
• Ukuya exesheni ngokungaqhelekanga okanye ukungabikho exesheni,
• Ukungachumi;
• Ukungabi namandla, kwimeko yamadoda;
• Ukunciphisa umnqweno wesondo;
• Ukongezwa kwebele emadodeni.

Nangona ukwanda kwenani leprolactin kunxulumene neprolactinoma, inokwenzeka kwakhona ngenxa yezinye iimeko ezinjenge-polycystic ovary syndrome, i-hypothyroidism, uxinzelelo, ngexesha lokukhulelwa kunye nokuncancisa, ukusilela kwezintso, ukusilela kwesibindi okanye ngenxa yamayeza athile. Funda ngakumbi malunga nezizathu zehyperprolactinemia.

Uxilongo lwenziwa njani

Ukuxilongwa kweprolactinoma kwenziwa ekuqaleni ngokujonga inani lokujikeleza kweprolactin kwaye amaxabiso anokwahluka ngohlobo lweprolactinoma:

• Kwimeko ye microprolactinomaIxabiso leprolactin liphakathi kwama-50 nama-300 ng / dL;
• Kwimeko ye-macroprolactinomaIxabiso leprolactin liphakathi kwama-200 kunye nama-5000 ng / dL.

Ukongeza kumthamo wokujikeleza kweprolactin, ugqirha uhlala ebonisa ukusebenza kwecomputer tomography kunye nemagnetic resonance imaging ukuze kuqinisekiswe iimpawu zeli thumba. I-densitometry ye-Bone kunye ne-echocardiogram inokucelwa kwakhona ukuze kujongwe ukuba akukho monakalo uhambelana nokwanda kwesixa sokujikeleza kweprolactin.

Jonga ukuba lwenziwa njani uvavanyo lweprolactin kunye nendlela yokuqonda iziphumo.

Unyango lweprolactinoma

Unyango lweprolactinoma lujolise ekwehliseni iimpawu kunye nokubuyisela ukuchuma, ukongeza kulawulo lokujikeleza amanqanaba eprolactin kunye nokulawula ukukhula kwethumba kunye nophuhliso. Umgca wokuqala wonyango oboniswe yi-endocrinologist unamachiza anjengeBromocriptine kunye neCabergoline.

Xa amanqanaba eprolactin engalawulwa, ugqirha unokucebisa utyando ukususa ithumba. Ukongeza, ukuba umntu akaphenduli kunyango ngamayeza, i-radiotherapy inokucetyiswa ukuze kulawulwe ubungakanani besisu kunye nokuthintela ukuqhubela phambili kwesi sifo.