Umsebenzi we-hormonal ongajwayelekile ungathinta kokubili abesifazane nabesilisa
I-Hyperprolactinemia yisimo esinezici eziphakeme zehomoni okuthiwa i- prolactin egazini. I-prolactin ikhiqizwa yi- pituitary gland futhi idlala indima ebalulekile ekuthuthukiseni amabele ngesikhathi sokukhulelwa.
Nakuba i-hyperprolactinemia ithathwa njengokujwayelekile ngesikhathi sokukhulelwa nokuncelisa, ingenzeka ngezikhathi ezithile ngenxa yezifo kanye nokusetshenziswa kwemithi.
I-Hyperprolactinemia ingathinta kokubili owesifazane nabesilisa, okuholela ekungenikeleni kokungavamile kokungena kanye nokusebenza kabi kwe-erectile, phakathi kwezinye izinto.
Izimbangela ze-Hyperprolactinemia
Amazinga e-prolactin angaphakanyiswa nganoma yisiphi isibalo sezizathu. Esinye sezizathu ezivame kakhulu ukwakheka kwesisu esinobuthi emgodini we-pituitary. Lokhu kukhula okungenangqondo, okubizwa ngokuthi i-prolactinoma, kuyimfihlo ngokucacile i-prolactin ngokweqile ngenkathi kunciphisa amazinga amanye ama-hormone ocansi.
Izifo ezithinta ingxenye yobuchopho okuthiwa i- hypothalamus nazo zingabangela i-hyperprolactinemia. I-hypothalamus isebenza njengesixhumanisi phakathi kwesimiso sezinzwa kanye ne-pituitary gland. Ukwanda kwamazinga e-prolactin kungase kuhlotshaniswe ngokuqondile nesifo, ukuhlukunyezwa noma ukutheleleka kwe-hypothalamus.
Ezinye izimbangela zingabandakanya:
- I-Hypothyroidism (amazinga e-hormone aphansi e-thyroid)
- I-cirrhosis yesibindi
- Ukuhluleka kwezinso ezingapheli
- Ama-anti-depressants (i-Anafranil, i-Norpramin)
- Antipsychotics (Haldol, Zyprexa, Risperdal)
- Antihypertensives ( I-Verelan, iCalan, i-Covera-HS, i-Isoptin)
- I-Antinauseals (Reglan, Primperan, Lexapram)
- Ama-block Acid H2 (iTagamet, iZantac)
- I-Estrogen
Izimpawu ze-Hyperprolactinemia
Izimpawu ze-hyperprolactinemia kubantu besifazane zingahluka. Uma kwenzeka ngaphandle kokukhulelwa noma ukuncelisa, ingafaka:
- Ukungenzi lutho
- I-Gallactoria (i-lactation engavamile)
- Izikhathi ezingapheli noma ezingavamile
- Amenorrhea (ukunyamalala kwezikhathi zokuvuthwa )
- Ukulahlekelwa kwe-libido
- Ubuhlungu besisu
- Ubulili obubuhlungu ngenxa yokomile kwesisu
Uma kwenzeka emadodeni, izimpawu ngokuvamile zihilela ukungasebenzi komzimba kanye / noma ubuhlungu obuhlobene nokwakhiwa kweprolactinoma. Izimpawu kanye nezimpawu ezivamile zihlanganisa:
- Ukungasebenzi kwe-Erectile
- I-Gynecomastia (ukuthuthukiswa kwezicubu zesifuba)
- Ukubamba iqhaza
- Ukungenzi lutho
- Ukulahlekelwa kwe-libido
Ngenxa yokuthi i-hyperprolactinemia emadodeni ayibonakali njalo ngezibonakaliso ezingaphezulu, njengezinkinga zokuya esikhathini, ngezinye izikhathi kunzima ukubona. Kwezinye izimo, ikhanda elibangelwa i-pituitary tumor noma izinguquko embonweni kungase kube uphawu lokuqala lwesimo kokubili kokubili amadoda nabesifazane.
Ukuxilongwa kwe-Hyperprolactinemia
Ukuxilongwa kwe-hyperprolactinemia kuhilela ukuhlolwa kwegazi okujwayelekile ukuhlola amazinga e-prolactin. Uma amazinga egazi ephakanyisiwe, udokotela angase afune ukuphinda ukuhlolwa, ngalesi sikhathi ngemuva kokuzila ukudla amahora ayisishiyagalombili. Amazinga ajwayelekile e-prolactin angaphansi kuka-500 mIU / L abesifazane futhi angaphansi kuka-450 mIU / L yamadoda
Ukuskena kwe-imaginative i-resonance imaging (MRI) ingahle ilandelwe ukufuna ubufakazi bokukhula kwe-pituitary noma ukulimala kwezicubu ezizungezile.
Ukuhlolwa kwegazi ukuhlola amanye amazinga e-hormone kungasiza ekuboneni ezinye izimbangela zezimpawu.
Ukwelashwa kwe-Hyperprolactinemia
Umgomo wokwelashwa ukubuyisela i-prolactin kumazinga avamile. Kukhona izinketho ezijwayelekile zokufeza lokhu:
- I- Parlodel imithi (i-bromocriptine) ne-Dostinex (i-cabergoline) yaziwa ukuthi iphumelela ekunciphiseni amazinga e-prolactin kanye nezicubu zokuhlaselwa kwe-pituitary.
- Ngezinye izikhathi ukuhlinzwa kungasetshenziswa ukukhipha isisu somzimba uma imithi ingasebenzi noma ayibekezelelwanga kahle
- I-radiation, ngenkathi ingavamile ukusetshenziswa, ingase ifakwe ukuthi imithi nokuhlinzwa akuphumelelanga.
- I-Hypothyroidism ingelashwa nge-synthetic hormone ye-thyroid, okufanele idale amazinga e-prolactin phansi.
- Uma amazinga aphakeme e-prolactin abangelwa yimithi kadokotela, imishanguzo engafaka isicelo ingahle ibekiwe.
> Umthombo:
> Melmed, S .; I-Casanueva, F .; UHoffman, A. et al. "Ukuxilongwa Nokunakekelwa Kwe-Hyperprolactinemia: Isiqondiso Sokuzikhandla Emtholampilo Wase-Endocrine." I-Journal ye-Endocrinology Clinic ne-Metabolism. 2011; 96 (2): 272-88.