Yu tink se yu mɔnt saykl nɔ de apin ɔltɛm? Ɔ yu gɛt wayt wata we tan lɛk milk we de kɔmɔt na yu bɔdi, ilɛksɛf yu nɔ gɛt bɛlɛ ɔ yu nɔ de gi pikin in bɛlɛ? If yu na man, yu dɔn si se yu nɔ want fɔ du mami ɛn dadi biznɛs ɔ ɔda tin dɛn we gɛt prɔblɛm? Di rizin fɔ dɛn tin ya kin bi sɔntin we yu nɔ ɛva tink bɔt. Tide wi de tɔk bɔt dis kayn sik, dat na wan sik we dɛn kɔl Prolactinoma.
Fɔ tɔk am simpul wan, wetin na Prolactinoma?
Prolactinoma na wan tכmכro we de divεlכp na wan sכmכl gland we de rili nia wi bren, na di bכs pat na di bren, we dεn kכl di pituitary gland. Naw, nɔ fred we wi se "tumor." Dis na tumor we nɔ gɛt kansa (benign). Dat min se i nɔto tumbu we de mek pɔsin in layf de pan denja we de skata ɔlsay na di bɔdi lɛk kansa. dis na di tכmכro we kכmכn pas כl we de divεlכp na di pituitary gland.
Dis tumbu de mek wi bɔdi de mek bɔku ɔmon we dɛn kɔl prolaktin pas aw i fɔ mek. nכmal wan, dis prolaktin כmon imכtant fכ uman in brεst divεlכpmεnt εn fכ prodyuz milk fכ gi pikin bεlε (laktashכn). Bɔt we dis ɔmon de bɔku, wan sik we dɛn kɔl hyperprolactinemia kin apin, i kin mek uman ɛn man gɛt difrɛn prɔblɛm dɛn.
We dɛn tɔk bɔt wan tumbu nia di bren, dat kin mek pɔsin fred. Bɔt mɛmba se, prolaktinoma nɔ de mek pɔsin in layf de pan denja. Bɔt bikɔs ɔf di wɛlbɔdi prɔblɛm dɛn we i kin kam wit, i impɔtant fɔ go to dɔktɔ if yu gɛt di sik.
Yu tink se sɔm kayn Prolactinoma de?
Yɛs, dɛn sheb dɛn nɛt ya to tu men kayn dɛn bay aw dɛn saiz. Fɔ ɔndastand dis, luk di tebul we de dɔŋ ya.
| Tayp fɔ di tumbu | Sayz | Di wan dɛn we dɛn kin si mɔ |
|---|---|---|
| Maykroprolaktinoma dɛn | Dɛn tin ya rili smɔl, dɛn nɔ kin rich 1 sɛntimita. | I kin bɔku pan uman dɛn. 90% pan di uman dεm we gεt prolaktinoma gεt dis sכm kayn tכmכro. |
| Makroprolaktinoma dɛn | Dɛn tin ya big pas 1 sɛntimita. | I kin apin mɔ pan man dɛn. Na lɛk 60% pan di man dɛn we gɛt prolaktinoma gɛt dis big kayn tɔŋ. |
Wetin na di sayn dɛm fɔ dis?
di simptom dεm dipכnt pan di כmכnt כf di prolaktin כmon we dεn prodyuz εn di sayz כf di tכmכro. Lɛ wi si wetin na dɛn sayn ya.
| Tayp we gɛt kwaliti dɛn | Tɔk bɔt |
|---|---|
| Di kɔmɔn simptom dɛm we kin kam bikɔs di prɔlaktin ɔmon we de bɔku | |
| Di sayn dɛm we kin apin to uman dɛm |
|
| Di sayn dɛn we kin apin to man dɛn | |
| Kɔmɔn kwaliti dɛn fɔ ɔl tu di pati dɛn | |
| Di simptom dɛm wae kin kam wae wan tumor dɔn big (Macroprolactinoma) . | |
| Di tin dɛn we gɛt fɔ du wit ed ɛn vishɔn |
|
uman dεm kin no di kכndyushכn kwik biכs fכ di sayn dεm lεk we dεn de chenj dεn mεnstral saykl כ we dεn de kכmכt na dεn bכdi. Bɔt pipul dɛn we de tek bɔn kɔntrol pils ɔ ɔda ɔmon tritmɛnt nɔ kin gɛt dɛn sik ya. Dɔn bak, di sayn dɛm kin delay pan uman ɛn man dɛm we dɔn go tru menopause, we kin delay fɔ no di sik.
Wetin na di rizin fɔ dis?
Infakt, di wan dɛn we de stɔdi bɔt dis nɔ dɔn fɛn ɛni patikyula tin we kin mek pɔsin gɛt Prolactinoma yet. Bɔrku tɛm, i kin apin wan wan tɛm, ɛn nɔr kin gɛt ɛni patikyula rizin. Bɔt sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks kin mek di prɔblɛm bɔku.
- ``Mכltipכl εndokrin niכplasia (MEN) tayp 1''.
- `MAN dɛn tayp 4`
- ``Familial isolεt pituitary adenomas (FIPA)''.
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ go tek tɛm luk fɔs pan yu sik dɛn ɛn di mɛdikal istri. Dɔn, dɛn go du wan ɛgzam fɔ dɛn bɔdi. Dɔn dɛn kin tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt di sik.
- Prolaktin blɔd tɛst: Dis na di bɛsis tɛst we pas ɔl. If dis tɛst kɔnfyus se yu prolaktin lɛvɛl bɔku pas aw i kin bi, dɛn go rifer yu fɔ mek dɛn du ɔda tɛst fɔ chɛk fɔ si if yu gɛt tumbu.
- MRI ɔ CT skan: Dɛn skan ya kin sho klia wan if di pituitary tumor de ɛn if na so i bi, aw i big. Bɔku tɛm, dɔktɔ dɛn kin se dɛn fɔ du MRI skan.
- Testosterone level blood test: If yu na man, yu dɔktɔ kin se bak fɔ test yu testosterone hormone level.
If dɛn kɔnfyus di sik, i kin fayn fɔ chɛk di lɛvɛl dɛn fɔ ɔda ɔmon dɛn na di pituitary gland ɛn mek wan dɔktɔ we de mɛn yu yay ɛgzam fɔ si if yu yay afɛkt if yu gɛt big tumbu (macroprolactinoma).
Wetin na di tritmɛnt dɛm fɔ dis?
Di gud nyus na dat, tritmɛnt dɛn de we rili fayn fɔ dis. Bɔrku tɛm, dɛn kin kɔntrol di sik wit mɛrɛsin.
Mɛrɛsin dɛn (drɔg dɛn) .
Bɔku tɛm, dɔktɔ dɛn kin gi dɛn mɛrɛsin dɛn we dɛn kɔl dopamine agonists. Dɛn mɛrɛsin ya kin mek di prolaktinoma smɔl ɛn mek di prolaktin lɛvɛl kam bak to nɔmal.
- Cabergoline ɛn Bromocriptine: Na dɛn tu men mɛrɛsin ya we dɛn kin yuz. Fɔ dɛn wan ya, kabɛrgɔlin na di fɔs tin we dɔktɔ dɛn kin pik bikɔs i kin wok mɔ ɛn i nɔ kin gɛt bɔku sayd ɛfɛkt dɛn.
- Sayd ɛfɛkt: Dɛn mɛrɛsin ya kin mek yu gɛt smɔl smɔl sayd ɛfɛkt lɛk fɔ nɔs, fɔ vɔmit, ɛn fɔ gɛt diziz.
- Di tɛm we yu fɔ tek di tritmɛnt: Fɔ mek di tumbu nɔ kam bak, yu go nid fɔ tek dis mɛrɛsin ɔltɛm fɔ at le tu ia . Afta tu ia, if yu prolaktin lɛvɛl dɔn kam bak to nɔmal ɛn di tumbu nɔ de igen pan skan, yu dɔktɔ go ridyus di doz fɔ di mɛrɛsin smɔl smɔl ɛn leta i go stɔp am.
Ɔpreshɔn
I nɔ kin rili nid fɔ du ɔpreshɔn. Dis kin bi insay kes dɛn lɛk dɛn wan ya:
- If di mɛrɛsin gɛt siriɔs sayd ɛfɛkt.
- If di tumbu nɔ shrink wit mɛrɛsin.
- If dis mɛrɛsin riak wit ɔda mɛrɛsin dɛn we yu de tek.
- If yu gɛt big tumbu ɛn nid fɔ pul am bifo yu tray fɔ gɛt bɛlɛ.
Tu kayn ɔpreshɔn dɛn de.
1. Transsphenoidal ɔpreshɔn: Dis na di ɔpreshɔn we dɛn kin du pas ɔl. na ya, dεn kin pul di tכmכro tru wan sכmכl insay di nos כ כnda di כp lip.
2. Transkranial opareshכn: If di tכmכro rili big, dεn kin pul di tכmכro tru wan sכmכl opin na di sכkul.
Redyushɔn tɛrapi
Radiation therapy na di tɔd opshɔn we di kansa nɔ de ansa to mɛrɛsin ɔ ɔpreshɔn. Dis na tritmɛnt bak we nɔ kin apin so ɔltɛm.
Wetin na di lukin-grɔn fɔ dis sik?
Di luk fɔ prolaktinoma rili fayn. wit mεdikal tritmεnt, 4 pan 5 pipul dεm we gεt sכm tכmכro kin gεt dεn prolaktin lεvεl nכmal εn di tכmכro kin shrink.
Bɔku tɛm, ɔpreshɔn kin fayn bak. we dεn du am bay εkspiriεns sכja, di prolaktin lεvεl kin kam bak to nכmal pan lεk 90% pan pipul dεm we gεt sכm tכmכro εn 50% pan di pipul dεm we gεt big tכmכro.
Mɛsej we dɛn kin kɛr go na os
- Prolactinoma na wan tumor wae nɔr gɛt kansa (benign), so nɔr frayd am wae nɔr nid.
- If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de gɛt mɔnt ɔltɛm, we yu gɛt milk we de kɔmɔt na yu bɔdi, ɔ yu gɛt prɔblɛm wit mami ɛn dadi biznɛs, nɔ shem fɔ am ɛn go to dɔktɔ kwik kwik wan.
- Dis sik kin izi fɔ no tru blɔd tɛst ɛn skan lɛk MRI.
- Bɔku tɛm, na mɛrɛsin dɛn kin bi di men tritmɛnt, ɛn dɛn kin rili wok. I nɔ kin rili nid fɔ du ɔpreshɔn.
- Dis na sik we nɔ de mek pɔsin in layf de pan denja, we pɔsin kin trit ɛn we pɔsin kin mɛn. So fala wetin yu dɔktɔ tɛl yu ɛn go to tritmɛnt.
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