So nsakrae bi wɔ wo nipadua mu nkwaadɔm mu? Momma yɛnhwɛ yiye wɔ Prolactinoma (Prolactinoma) ho .

So wo brayɛ nna abɛyɛ nea ɛnkɔ so daa mpofirim? Anaasɛ nsu fitaa a ɛte sɛ nufusu bi fi wo nufu mu, sɛ wunnyinsɛn anaa woremma nufu mpo a? Sɛ woyɛ ɔbarima a, so woanya nna ho anigye a ɛso atew anaa tebea afoforo a ɛde ɔhaw ba? Ebia nea enti a saa nneɛma yi ba no yɛ biribi a wunsusuw ho da. Ɛnnɛ yɛreka tebea a ɛte saa, kyerɛ sɛ, yare bi a wɔfrɛ no Prolactinoma ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Prolactinoma?

Prolactinoma yɛ akisikuru a ɛba ntini ketewaa bi a ɛbɛn yɛn amemene no yiye, wɔ amemene no ase, a wɔfrɛ no pituitary gland mu. Afei, nsuro bere a yɛka sɛ "tumor." Eyi yɛ akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa). Ɛno kyerɛ sɛ ɛnyɛ akisikuru a ɛde nkwa to asiane mu a ɛtrɛw kɔ nipadua no nyinaa mu te sɛ kokoram. Eyi ne akisikuru a ɛtaa ba wɔ pituitary gland no mu.

Saa akisikuru yi ma yɛn nipadua no yɛ hormone bi a wɔfrɛ no prolactin pii sen sɛnea ɛsɛ sɛ ɛyɛ. Mpɛn pii no, saa prolactin hormone yi ho hia titiriw ma mmea nufu nyin ne nufusu a wɔyɛ de ma nufu (nufusu). Nanso sɛ saa hormone yi kɔ soro a, tebea bi a wɔfrɛ no hyperprolactinemia ba, ebetumi de ɔhaw ahorow aba mmea ne mmarima nyinaa so.

So Prolactinoma ahorow bi wɔ hɔ?

Yiw, wɔkyekyɛ nnuaba yi mu akuw atitiriw abien a egyina ne kɛse so. Sɛ wopɛ sɛ wote eyi ase a, hwɛ pon a ɛwɔ ase hɔ no.

Dɛn ne eyi ho sɛnkyerɛnne?

Nsɛnkyerɛnne no gyina prolactin hormone dodow a wɔyɛ ne akisikuru no kɛse so. Ma yɛnhwɛ nea saa sɛnkyerɛnne ahorow yi yɛ.

Mmea taa hu tebea no ntɛm esiane sɛnkyerɛnne ahorow te sɛ nsakrae a ɛba wɔn brayɛ mu anaasɛ nufu mu nsu a ɛba wɔn mu nti. Nanso, ebia nnipa a wɔnom nnuru a wɔde siw awo ano anaa nnuru foforo a wɔde sa awo ano no renhu saa sɛnkyerɛnne ahorow yi. Afei nso, yare no ho sɛnkyerɛnne betumi akyɛ wɔ mmea ne mmarima a wɔatwa brayɛ mu, na ɛno betumi akyɛ sɛ wobehu yare no.

Dɛn nti na ɛte saa?

Nokwarem no, nhwehwɛmufo nnya nhuu biribi pɔtee a ɛde Prolactinoma ba. Mpɛn pii no, ɛba bere ne bere mu, a ɛnyɛ nea ɛde ba pɔtee biara. Nanso, awosu mu tebea horow bi betumi ama asiane no ayɛ kɛse.

• ``Multiple endocrine neoplasia (MEN) a ɛyɛ nea ɛto so 1''.
• `MMAN type 4`
• ``Abusua mu pituitary adenomas a wɔatew wɔn ho (FIPA)''.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Wo duruyɛfo bedi kan ahwɛ wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm yiye. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu. Afei ebia wɔbɛkamfo nhwehwɛmu pii akyerɛ de akyerɛ sɛ wɔahu yare no.

• Prolactin mogya mu nhwehwɛmu: Eyi ne nhwehwɛmu a ɛho hia sen biara. Sɛ nhwehwɛmu yi si so dua sɛ wo prolactin dodow dɔɔso sen sɛnea ɛte daa a, wɔde wo bɛkɔ akɔyɛ nhwehwɛmu foforo akɔhwɛ sɛ wowɔ akisikuru anaa.
• MRI anaa CT scan: Saa scan ahorow yi betumi akyerɛ sɛ ebia pituitary tumor bi wɔ hɔ anaa, na sɛ ɛte saa a, sɛnea ɛsõ. Nnuruyɛfo taa kamfo kyerɛ sɛ wɔnyɛ MRI scan.
• Testosterone dodow mogya mu nhwehwɛmu: Sɛ woyɛ ɔbarima a, ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ ɔnsɔ wo testosterone hormone dodow mu nhwehwɛmu.

Sɛ wosi yare no so dua a, wobetumi akamfo akyerɛ sɛ wobɛhwɛ sɛnea nkwaadɔm afoforo a ɛwɔ pituitary gland no mu no te na woayɛ w’ani mu nhwehwɛmu wɔ aniwa ho oduruyɛfo bi nkyɛn ahwɛ sɛ sɛ wowɔ akisikuru kɛse bi (macroprolactinoma) a, w’aniwa no aka wo anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Asɛmpa no ne sɛ, ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa eyi. Mpɛn pii no, wobetumi de nnuru adi tebea no so.

Nnuru (nnuru) .

Nnuruyɛfo taa kyerɛw nnuru a wɔfrɛ no dopamine agonists. Saa nnuru yi betumi atew prolactinoma no so na ama prolactin dodow asan aba sɛnea na ɛte kan no.

• Cabergoline ne Bromocriptine: Eyinom ne nnuru atitiriw abien a wɔde di dwuma. Eyinom mu no, cabergoline ne nea nnuruyɛfo di kan paw efisɛ etu mpɔn kɛse na enni nsunsuanso bɔne pii.
• Nsunsuanso bɔne: Nnuru yi betumi de nsunsuanso nketenkete te sɛ akisikuru, ɔfe, ne adwenemhaw aba.
• Bere tenten a wɔde sa yare: Sɛnea ɛbɛyɛ a akisikuru no rensan mma bio no, ebehia sɛ wokɔ so nom saa aduru yi anyɛ yiye koraa no mfe abien . Mfe abien akyi no, sɛ wo prolactin dodow asan aba sɛnea na ɛte kan no na akisikuru no ntumi nhu bio wɔ mfoninitwa mu a, wo duruyɛfo no bɛtew aduru no dodow so nkakrankakra na awiei koraa no wagyae.

Sɛɛgyiri

Wɔntaa nhia sɛ wɔyɛ oprehyɛn. Eyi te saa wɔ nsɛm te sɛ eyinom mu:

• Sɛ aduru no wɔ nsunsuanso bɔne a emu yɛ den a.
• Sɛ aduru no antew akisikuru no so a.
• Sɛ saa aduru yi ne nnuru afoforo a worenom no yɛ adwuma a.
• Sɛ wowɔ akisikuru kɛse bi na ɛsɛ sɛ woyi fi hɔ ansa na woabɔ mmɔden sɛ wubenyinsɛn a.

Oprehyɛn ahorow abien na ɛwɔ hɔ.

1. Transsphenoidal oprehyɛn: Eyi ne oprehyɛn a wɔtaa yɛ sen biara. Ɛha yi, wɔfa ntwitwiridii ketewaa bi a ɛwɔ hwene no mu anaa anofafa a ɛwɔ soro no ase so yi akisikuru no.

2. Transcranial surgery: Sɛ akisikuru no sõ yiye a, wofa ɔkwan ketewaa bi a ɛwɔ ti nhwi no mu mu yi akisikuru no.

Mframa a wɔde sa yare

Mframa a wɔde sa yare yɛ ɔkwan a ɛto so abiɛsa a wobetumi afa so bere a kokoram no ntumi nyɛ adwuma wɔ nnuru anaa oprehyɛn ho no. Eyi nso yɛ ayaresa a wɔntaa nhu koraa.

Dɛn ne yare yi ho anidaso?

Adwene a ɛwɔ prolactinoma ho no ye yiye. Sɛ wɔde ayaresa di dwuma a, nnipa 5 biara mu 4 a wɔwɔ akisikuru nketenkete no betumi ama wɔn prolactin dodow ayɛ nea ɛfata na akisikuru no betumi atew.

Oprehyɛn nso taa yɛ nea edi mu. Sɛ oduruyɛfo a ne ho akokwaw yɛ oprehyɛn a, prolactin dodow betumi asan aba sɛnea na ɛte kan no mu wɔ nnipa a wɔwɔ akisikuru nketewa bɛyɛ 90% ne nnipa a wɔwɔ akisikuru akɛse 50% mu.