Hyperprolactinemia ke eng?

Litaba

• Hyperprolactinemia
• Hyperprolactinemia e baka
• Matšoao a hyperprolactinemia
• Hyperprolactinemia e fumanoa joang?
• Kalafo ea Hyperprolactinemia
• Tsa Tsau-tsau

Hyperprolactinemia

Prolactin ke hormone e hlahisoang ke tšoelesa ea pituitary. E thusa ho hlasimolla le ho boloka tlhahiso ea lebese la matsoele. Hyperprolactinemia e hlalosa ho fetella ha hormone ena 'meleng oa motho.

Ho tloaelehile ho ba le boemo bona nakong ea bokhachane kapa ha u hlahisa lebese bakeng sa ho anyesa.

Maemo a itseng kapa ts'ebeliso ea meriana e itseng, leha ho le joalo, e ka baka hyperprolactinemia ho mang kapa mang. Lisosa le litlamorao tsa maemo a phahameng a prolactin lia fapana ho latela bong ba motho.

Bala ho ithuta ka lisosa, matšoao le kalafo ea hyperprolactinemia.

Hyperprolactinemia e baka

Tekanyo e ntseng e eketseha ea prolactin e ka bakoa ke maemo a fapaneng a maemo a bobeli. Hangata, hyperprolactinemia e bakoa ke ho ima - e leng ntho e tloaelehileng.

Ho latela a, lihlahala tsa pituitary e ka ba sesosa sa liperesente tse 50 tsa hyperprolactinemia. Prolactinoma ke hlahala e hlahisoang ke tšoelesa ea pituitary. Hangata lihlahala tsena ha li na kankere. Empa li ka baka matšoao a fapaneng ho latela bong ba motho.

Lisosa tse ling tsa hyperprolactinemia li kenyelletsa:

• acid H2 blockers, joalo ka cimetidine (Tagamet)
• Meriana e thibelang khatello ea mali, e kang verapamil (Calan, Isoptin le Verelan)
• estrogen
• Lithethefatsi tse loantšang khatello ea maikutlo tse kang desipramine (Norpramin) le clomipramine (Anafranil)
• ho thatafala ha sebete, kapa lesapo le matla sebeteng
• Cushing syndrome, e ka bakoang ke maemo a phahameng a "hormone" ea "cortisol"
• tšoaetso, hlahala kapa ts'oaetso ea hypothalamus
• Meriana e khahlanong le ho nyekeloa ke pelo e kang metoclopramide (Primperan, Reglan)

Matšoao a hyperprolactinemia

Matšoao a hyperprolactinemia a ka fapana ho banna le basali.

Kaha maemo a prolactin a ama tlhahiso ea lebese le linako tsa ho ilela khoeli, ho ka ba thata ho e fumana ho banna. Haeba monna a e-na le bothata ba ho se sebetse hantle, ngaka ea bona e ka khothaletsa tlhahlobo ea mali ho batla prolactin e fetelletseng.

Matšoao ho basali:

• nyopa
• linako tse sa tloaelehang
• phetoho phallo ea ho ilela khoeli
• khefutsa nakong ea ho ilela khoeli
• tahlehelo ea libido
• lebese (galactorrhea)
• bohloko ba matswele
• ho oma hoa botshehadi

Matšoao ho banna:

• kholo e sa tloaelehang ea matsoele (gynecomastia)
• lebese
• nyopa
• ho se sebetse ha erectile
• ho felloa ke takatso ya thobalano
• ho tšoaroa ke hlooho
• phetoho ea pono

Hyperprolactinemia e fumanoa joang?

Ho fumana hyperprolactinemia, ngaka e etsa tlhahlobo ea mali ho lekola maemo a prolactin.

Haeba maemo a prolactin a phahame, ngaka e tla etsa liteko tsa maemo a mang. Haeba ba belaella hlahala, ba ka odara tlhahlobo ea MRI ho leka ho fumana hore na hlahala ea pituitary e teng.

Kalafo ea Hyperprolactinemia

Kalafo ea hyperprolactinemia e shebane haholo le ho khutlisa maemo a prolactine ho ea maemong a tloaelehileng. Tabeng ea hlahala, ho ka hlokahala opereishene ho tlosa prolactinoma, empa boemo bona hangata bo ka laoloa ka meriana.

Kalafo e ka kenyelletsa:

• radiation
• maiketsetso lihomone tsa qoqotho
• phetoho ea meriana
• meriana ea ho fokotsa prolactin, joalo ka bromocriptine (Parlodel, Cycloset) kapa cabergoline

Tsa Tsau-tsau

Ka tloaelo, hyperprolactinemia ea phekoleha. Kalafo e tla itšetleha ka se bakang sephiri se fetelletseng sa prolactin. Haeba u na le hlahala, ho ka 'na ha hlokahala hore u buuoe ho tlosa hlahala eo' me u khutlisetse tšoelesa ea hao ea pituitary setloaeling.

Haeba u e-na le ho anyesa ka mokhoa o sa tloaelehang, ho se sebetse hantle ha erectile, kapa ho lahleheloa ke takatso ea thobalano, tsebisa ngaka ea hau ka matšoao a hau e le hore ba tsebe ho etsa liteko tse hlokahalang ho fumana sesosa.