Waliwo enkyukakyuka yonna mu busimu bw’omubiri gwo? Tumanye ku bulwadde bwa Prolactinoma (Prolactinoma) .

Ennaku yo ey’okugenda mu nsonga efuuse etali ya bulijjo mu bwangu? Oba waliwo amazzi amazungu agava mu mabeere go, ne bw’oba ​​tolina lubuto oba ng’oyonsa? Bw’oba ​​oli musajja, ofunye okukendeera kw’okwagala okwegatta oba embeera endala ezireeta obuzibu? Ensonga lwaki ebintu bino bibaawo eyinza okuba nga ky’otolowoozangako. Leero twogera ku mbeera ng’eyo, kwe kugamba, obulwadde obuyitibwa Prolactinoma.

Mu ngeri ennyangu, Prolactinoma kye ki?

Prolactinoma kizimba ekikula mu nseke entono esangibwa okumpi ennyo n’obwongo bwaffe, ku musingi gw’obwongo, ekiyitibwa pituitary gland. Kati, totya nga tugamba nti "ekizimba." Kino kizimba ekitali kya kookolo (benign). Ekyo kitegeeza nti si kizimba kya bulabe eri obulamu ekibuna omubiri gwonna nga kookolo. Kino kye kika ky’ekizimba ekisinga okubeera mu nseke y’omubiri (pituitary gland).

Ekizimba kino kireetera omubiri gwaffe okukola obusimu obuyitibwa prolactin okusinga bwe bulina okukola. Mu budde obwabulijjo, obusimu buno obwa prolactin bukulu nnyo mu nkula y’amabeere g’abakyala n’okukola amata ag’okuyonsa (okuyonsa). Naye obusimu buno bwe bweyongera, embeera eyitibwa hyperprolactinemia ebaawo, esobola okuleeta ebizibu eby’enjawulo eri abakyala n’abasajja.

Waliwo ebika by’obulwadde bwa prolactinoma?

Yee, entangawuuzi zino zaawulwamu ebika bibiri ebikulu okusinziira ku bunene bwazo. Kino okukitegeera, laba ekipande ekiri wansi.

Bubonero ki obulaga kino?

Obubonero buno businziira ku bungi bw’obusimu bwa prolactin obukolebwa n’obunene bw’ekizimba. Ka tulabe obubonero buno bwe buli.

Abakyala batera okutegeera embeera eno nga bukyali olw’obubonero ng’enkyukakyuka mu nsonga z’ekikyala oba amazzi agafuluma mu mabeere. Kyokka abantu abamira empeke eziziyiza okuzaala oba eddagala eddala ery’obusimu bayinza obutafuna bubonero buno. Ekirala, obubonero buyinza okulwawo mu bakyala n’abasajja abayise mu nsonga, ekiyinza okulwawo okuzuula obulwadde.

Kiki ekivaako kino?

Mu butuufu, abanoonyereza tebannazuula kintu kituufu ekivaako obulwadde bwa Prolactinoma. Ebiseera ebisinga, kibaawo buli luvannyuma lwa kiseera, nga tewali nsonga yonna ntongole. Kyokka, embeera ezimu ez’obuzaale ziyinza okwongera ku bulabe.

• ``Obulwadde bw'ebizimba mu bitundu by'omubiri ebingi (MEN) ekika kya 1''.
• `ABASAJJA ekika kya 4`
• ``Obulwadde bwa pituitary adenomas obwawuddwamu mu maka (FIPA)''.

Kino okisanga otya Omusawo?

Omusawo ajja kusooka kwetegereza n’obwegendereza obubonero bwo n’ebyafaayo by’obujjanjabi. Olwo, bajja kukola okukebera omubiri. Olwo bayinza okuteesa ku kukeberebwa okuwerako okukakasa nti omuntu azuuliddwa.

• Okukebera omusaayi gwa Prolactin: Kino kye kigezo ekisinga obukulu. Singa okukebera kuno kukakasa nti prolactin yo eri waggulu nnyo okusinga eya bulijjo, ojja kusindikibwa okwongera okukeberebwa okukebera oba olina ekizimba.
• MRI oba CT scan: Sikaani zino zisobola okulaga ddala oba ekizimba kya pituitary kiriwo era bwe kiba bwe kityo, kinene ki. Abasawo basinga kugamba nti bakebere MRI scan.
• Okukebera omuwendo gw’obusimu bw’omusajja mu musaayi: Bw’oba ​​oli musajja, omusawo ayinza n’okukuwa amagezi okukebera obusimu bwo obw’obusimu obuyitibwa testosterone.

Singa obulwadde buno bukakasiddwa, kiyinza okulagirwa okukebera emiwendo gy’obusimu obulala mu nseke y’omubiri (pituitary gland) n’okukeberebwa amaaso omusawo w’amaaso okulaba oba okulaba kwo kukosebwa singa oba olina ekizimba ekinene (macroprolactinoma).

Bujjanjabi ki obukolebwa ku kino?

Amawulire amalungi gali nti waliwo obujjanjabi obukola ennyo ku kino. Emirundi egisinga, embeera eno esobola okufugibwa n’eddagala.

Eddagala (eddagala) .

Abasawo batera okuwandiika eddagala eriyitibwa dopamine agonists. Eddagala lino liyinza okukendeeza ku bulwadde bwa prolactinoma n’okuzza emiwendo gya prolactin mu mbeera eya bulijjo.

• Cabergoline ne Bromocriptine: Lino lye ddagala ebbiri erisinga okukozesebwa. Ku zino, cabergoline y’asooka okulonda abasawo kubanga akola bulungi ate ng’alina ebizibu ebitono.
• Ebizibu ebivaamu: Eddagala lino liyinza okuvaako ebizibu ebitonotono ng’okuziyira, okusiiyibwa n’okuziyira.
• Ebbanga ly’obujjanjabi: Okuziyiza ekizimba okuddamu, ojja kwetaaga okumira eddagala lino obutasalako okumala waakiri emyaka ebiri . Oluvannyuma lw’emyaka ebiri, singa eddagala lyo erya prolactin lidda mu mbeera eya bulijjo ate ng’ekizimba tekikyalabika ku sikaani, omusawo ajja kukendeeza ku ddoozi y’eddagala lino mpolampola okukkakkana ng’agikomye.

Okuloongoosa

Okulongoosa tekitera kwetaagisa. Kino kiri mu mbeera nga zino:

• Singa eddagala liba n’ebizibu eby’amaanyi.
• Singa ekizimba tekikendeera n’eddagala.
• Singa eddagala lino likwatagana n’eddagala eddala ly’omira.
• Bw’oba ​​olina ekizimba ekinene nga weetaaga okukiggyamu nga tonnagezaako kufuna lubuto.

Okulongoosa kuliko ebika bibiri.

1. Okulongoosa mu ngeri ya Transsphenoidal: Kino kye kisinga okulongoosebwa. Wano, ekizimba kiggyibwamu nga kiyita mu kasala akatono munda mu nnyindo oba wansi w’omumwa ogwa waggulu.

2. Okulongoosa okuyita mu mutwe: Singa ekizimba kiba kinene nnyo, ekizimba kiggyibwamu nga kiyita mu kasenge akatono mu kiwanga.

Obujjanjabi bw’amasannyalaze (radiation therapy).

Obujjanjabi bw’amasannyalaze (radiation therapy) y’engeri ey’okusatu nga kookolo tazzeemu ddagala oba okulongoosebwa. Buno era bujjanjabi bwa bbula nnyo.

Endowooza etya eri obulwadde buno?

Entunula y’obulwadde bwa prolactinoma nnungi nnyo. Bwe bafuna obujjanjabi, abantu 4 ku buli 5 abalina ebizimba ebitonotono basobola okubeera n’emiwendo gya prolactin gyabwe egya bulijjo era ekizimba ne kikendeera.

Okulongoosa nakyo kitera okutuuka ku buwanguzi. Bwe kikolebwa omusawo omukugu mu kulongoosa, emiwendo gya prolactin gisobola okudda mu mbeera eya bulijjo mu bantu nga 90% abalina ebizimba ebitono n’abantu 50% abalina ebizimba ebinene.