Hyperprolactinemia

I-hyperprolactinemia yisimo somzimba lapho inani eliningi kakhulu le-hormone yeprolactin ikhiqizwa yi-pituitary gland. Iziphi izimbangela zalesi sifo, indlela yokuphatha ngayo nokuthi yimiphi imiphumela engase ibe khona - cabanga ngalesi sihloko.

1. I-hyperprolactinaemia esebenzayo ingenxa yokucindezeleka okungapheli okungapheli.
2. I-hyperprolactinaemia ye-Idiopathic yiyona eyedlula izinga lokukhiqizwa kwe-hormone ngezizathu ezingaziwa.
3. I-hyperprolactinemia yesikhashana iwumphumela wokungasebenzi .

Izimbangela ze-hyperprolactinaemia kwabesifazane

Isizathu esiyinhloko saleso sifo ukuphazanyiswa kwinkimbinkimbi ye-hypothalamic-pituitary. Noma yiziphi izinguquko ekusebenzeni kwalesi simiso kubangele ukukhiqizwa kweprolactin. Zingacasuka kokubili ukulimala ngokomzimba - izicubu (i-pituitary microadenoma, i-prolactinoma, i-glioma), i-craneocerebral trauma, nezinhlobo ezahlukene zezifo (i-encephalitis, i-meningitis). Ngaphezu kwalokho, ukusetshenziswa kwezidakamizwa ze-hormonal kanye nokukhulelwa komlomo kungabangela i-hyperprolactinemia.

Ezimweni lapho imbangela yalesi sifo ayikwazi ukuqiniswa, izici zokuqeda ukucindezeleka, umsebenzi oqinile ngokomzwelo nangokwenyama, ukungabi nokulala.

Izimpawu ze-hyperprolactinaemia

• ukuphazamiseka komjikelezo wokuya esikhathini, i-amenorrhea, i-galactorrhea;
• ukungabi nabantwana okungezansi, ukungabi nabantwana okungapheli;
• ikhanda njalo lifana nokuhlaselwa kwe-migraine ;
• ukuzondwa nokuhlanza;
• kunciphise libido;
• izimo ezicindezelayo;
• ukucasula;
• iqhuma ebusweni, endaweni yangakini: i-chin, i-cheekbones, izihlathi;
• i-dyshormonal ukukhathazeka.

Ukwelashwa kwe-hyperprolactinemia

Ukwelashwa kwalesi sifo kuxhomeke kwizimbangela ezibangele lesi simo.

Uma isici esinqunyiwe yisifo se-pituitary noma ukulimala komzimba, khona-ke noma ukungena kokuhlinzwa (microsurgery) noma i-radiotherapy ne-radiation yezicubu ezinobuthi kuyasetshenziswa.

Ezimweni lapho i-pituitary gland, ngokusho kwemiphumela ye-imagination magnontic resonance, ayengaphansi kwezinguquko zomzimba, i-hyperprolactinaemia ihilela ukwelashwa okulindelekile ngemithi. Bavimbela ukukhiqizwa ngokweqile kweprolactin, ukulinganisela izinga lokulinganiswa kwe-hormone futhi babuyisele ikhono lokukhulelwa nokubeletha izingane.

Ngesinye isikhathi i-hyperprolactinemia ibangelwa umsebenzi owanelisayo we-adrenal. Ngalokhu kutholakala, ukwelashwa kwe-hormone yokwelashwa kunqunywe ngezidakamizwa ezivimba ukugeleza i-galactorrhea nokukhiqizwa kwe prolactin.

Imiphumela ye-hyperprolactinaemia

Uma imbangela yalesi sifo kungumuthi we-pituitary gland, ukuphazanyiswa okubonakalayo okuncane kungenzeka. Naphezu kokuthi i-neoplasm iyinto encane kakhulu, ingafiphaza inzwa ye-optic.

Omunye wemiphumela evamile kakhulu ukungasebenzi. Kodwa kulokhu akuwona umusho, ithuba lokuba nezingane lungabuyiselwa ngempumelelo yokwelashwa kwe-hyperprolactinemia nokubuyiselwa kwesizinda semvelo se-hormone evamile.

Njengoba kubonisiwe, ukukhathazeka kubhekisela ezimpawu zesifo esibuzwayo. I-hyperprolactinaemia ngaphandle kokwelashwa okufanele kufanele ibhubhise isimo sowesifazane, isifuba sanda kakhulu usayizi, ukuvuvukala, ukushintsha isimo kanye nombala, futhi izingono zingabonakala. Kunconywa ukuba uqale ukwelashwa ngezibonakaliso zokuqala zokukhathazeka, njengoba lesi sifo kwezinye izimo senza ukuthuthukiswa komdlavuza webele.