Hyperprolactinemia

Hyperprolactinemia ndi chikhalidwe cha thupi momwe mahomoni ambiri a prolactin amawonekera kwambiri. Kodi ndizifukwa ziti zomwe zimayambitsa matendawa, momwe mungachitire ndi zotsatira zake zomwe zingakhalepo - ganizirani nkhaniyi.

1. Mankhwala osokoneza bongo amayamba chifukwa chovutika maganizo kwambiri.
2. Idiopathic hyperprolactinaemia ndi kuchulukitsa kwa msinkhu wa kupanga mahomoni kwa zifukwa zosadziŵika.
3. Kuchulukitsa mankhwala osokoneza bongo ndi zotsatira za kusabereka.

Chifukwa cha hyperprolactinaemia mwa amayi

Chifukwa chachikulu cha matendawa ndi kusokonezeka kwa chimbudzi cha hypothalamic-pituitary. Kusintha kulikonse kwa kayendetsedwe ka dongosolo lino kumayambitsa kuchulukitsa kwa prolactin. Amatha kukhumudwa ndi matumbo (pituitary microadenoma, prolactinoma, glioma), kupwetekedwa kwa matenda osokoneza bongo, ndi matenda osiyanasiyana (encephalitis, meningitis). Kuonjezerapo, kugwiritsa ntchito mankhwala osokoneza bongo komanso mankhwala opatsirana pakamwa kungayambitse hyperprolactinemia.

Pamene vutoli silitha kukhazikitsidwa, zifukwa zomwe zimayambitsa matenda ndizopweteketsa, zozizwitsa zamaganizo ndi zochitika zolimbitsa thupi, kusowa tulo.

Zizindikiro za hyperprolactinaemia

• kusokonezeka kwa msambo, amenorrhea, galactorrhea;
• kusabereka kwachiwiri, kuperewera kwa endocrine;
• Mutu umakhala wofanana ndi kusokonezeka kwa migraine ;
• chizungulire ndi mseru;
• kuchepetsa libido;
• zovuta;
• kukwiya;
• msuzi pamaso, kumalo amodzi: chins, cheekbones, masaya;
• dyshormonal chisamaliro.

Kuchiza kwa hyperprolactinemia

Mankhwala a matendawa amadalira zifukwa zomwe zimayambitsa vutoli.

Ngati chidziwitso chake ndi chotupa kapena chiwonongeko chakuthupi, ndiye kuti opaleshoni (microsurgery) kapena radiotherapy ndi mafinya opweteka amagwiritsidwa ntchito.

Panthawi yomwe chifuwa cha pituitary, malinga ndi zotsatira za kuganizira za maginito, sizinasinthidwe, hyperprolactinaemia imaphatikizapo mankhwala osamalitsa ndi mankhwala. Amapewa kupanga kwambiri prolactin, kuonetsetsa kuti maselo a hormone ndi oyenerera komanso kubwezeretsa kubereka ndi kubereka ana.

Nthawi zina ma hyperprolactinaemia amayamba chifukwa cha ntchito yosakwanira ya adrenal. Ndili ndi matendawa, mankhwala opangidwa ndi mahomoni amaikidwa ndi mankhwala omwe amaletsa kutuluka galactorrhea ndi kuchulukitsidwa kwa prolactin.

Zotsatira za hyperprolactinaemia

Pamene chifuwa cha matendawa ndi chotupa cha nthendayi, zosokoneza zooneka zosavuta zimatha. Ngakhale kuti mankhwalawa ndi ofooka kwambiri, amatha kufalitsa mitsempha ya optic.

Imodzi mwa zotsatira zofala kwambiri ndi kusabereka. Koma pakadali pano si chiganizo, mwayi wokhala ndi ana ukhoza kubwezeretsedwa ndi mankhwala ochizira a hyperprolactinemia ndi kubwezeretsanso chikhalidwe cha mahomoni.

Monga tawonetsera, kunyalanyaza kumatanthauza zizindikiro za matendawa. Mankhwala osokoneza bongo popanda mankhwala oyenera amavulaza kwambiri mkhalidwe wa mkazi, chifuwa chimakula kwambiri, kukula, kusintha maonekedwe ndi mtundu, ndi ntchentche zikhoza kuwonekera. Ndibwino kuti tiyambe kulandira chithandizo pa zizindikiro zoyambirira za kusamala, popeza matendawa nthawi zina amachititsa kuti chitukuko cha m'mawere chikule.