I taksa hormone-ah hian danglamna a awm em? Prolactinoma (Prolactinoma) hi i hrechiang ang u

I thlasik hun chu a inthlak danglam nghal em? A nih loh leh i hnute atang hian milky white discharge a awm em, i naupai lo emaw, i hnute i pe lo emaw pawh nise? Mipa i nih chuan mipat hmeichhiatna lama i ngaihvenna tlahniam emaw, harsatna dang emaw i tawk tawh em? Heng thilte chhan hi i ngaihtuah ngai loh thil a ni mai thei. Vawiin hian chutiang dinhmun, chu chu natna Prolactinoma an tih chungchang kan sawi a ni.

A awlsam zawngin, Prolactinoma chu eng nge ni?

Prolactinoma hi kan thluak hnaih tak, thluak bul hnaia awm, pituitary gland an tih, gland te tak te atanga lo piang chhuak a ni. Tunah chuan, "tumor" kan tih hian hlau suh. Hei hi cancer ni lo (benign) tumor a ni. Chumi awmzia chu cancer ang maia taksa pum puia darh chhuak nunna atana hlauhawm tumor a ni lo tihna a ni. Hei hi pituitary gland-a tumor chi khat lo awm tam ber a ni.

He tumor hian kan taksain hormone prolactin an tih chu a siam chhuah tur aia tam a siam chhuak thin. A tlangpuiin he prolactin hormone hi hmeichhe hnute thanna atan leh nau hnute pek (lactation) atana bawnghnute siamna atan a pawimawh ber a ni. Mahse he hormone hi a lo pun chuan hyperprolactinemia an tih natna a lo awm a, hmeichhia leh mipa tan harsatna hrang hrang a thlen thei a ni.

Prolactinoma chi hrang hrang a awm em?

Ni e, heng nut te hi an lian leh te a zirin chi hnih lian takah an inthen a. Hei hi hrethiam tur chuan a hnuaia table hi en la.

Hei hi eng symptoms nge ni?

A natna lan chhuah dan chu prolactin hormone siam chhuah zat leh tumor lian leh teah a innghat a ni. Heng symptoms te hi eng nge ni tih i lo en ang u.

Hmeichhia hian an thlasik hun inthlak danglam emaw, hnute tui chhuak emaw ang chi natna lanchhuahna avang hian an hre hmasa zawk thin. Mahse, birth control pill emaw, hormone enkawlna dang emaw ei thinte chuan heng symptoms hi an nei lo mai thei. Tin, hmeichhia leh mipa menopause paltlang tawhah pawh symptoms a tlai thei a, chu chuan diagnosis a tikhawtlai thei bawk.

Hei hi eng nge a chhan?

Dik tak chuan zirchiangtute chuan Prolactinoma hi a chhan chiang tak an la hmu lo. A tam zawkah chuan a lo thleng fo thin a, a chhan chiang tak a awm lo. Mahse, genetic condition thenkhat chuan a hlauhawmna a tipung thei a ni.

• ``Multiple endocrine neoplasia (MEN) chi 1 a awm a ni'' tih a ni.
• `MIPA chi 4`
• ``Chhungkaw pakhata pituitary adenomas (FIPA) isolated'' tih hi a ni.

Engtin nge hei hi i hmuh theih, Doctor?

I doctor chuan i symptoms leh medical history te uluk takin a en hmasa ang. Tichuan, taksa enfiahna an nei ang. Chumi hnuah chuan test eng emaw zat neih an rawt thei a, chu chuan a natna hmuhchhuah chu a finfiah thei a ni.

• Prolactin thisen test: Hei hi test bulpui ber a ni. He test hian i prolactin level chu a tlangpui aia sang zawk a nih thu a nemnghet a nih chuan, tumor a awm leh awm loh enfiah turin test dang neih belh turin refer i ni ang.
• MRI emaw CT scan: Heng scan te hian pituitary tumor a awm leh awm loh chiang takin a tarlang thei a, a awm a nih chuan engzat nge a lian tih pawh a hriat theih bawk. Doctor-te chuan MRI scan an rawt tam ber.
• Testosterone level thisen test: Mipa i nih chuan i doctor pawhin i testosterone hormone level test turin a rawt thei bawk.

Natna hi finfiah a nih chuan pituitary gland-a hormone dang awm zat enfiah a, mit lam doctor-in mit enfiah a, tumor lian tak (macroprolactinoma) i neih chuan i mit a nghawng em tih enfiah a tha thei ang.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu hei hi enkawlna tha tak tak a awm a ni. A tam zawkah chuan damdawi hmanga enkawl theih a ni.

Damdawi (damdawi) .

Doctor-te chuan dopamine agonists an tih damdawi an pe fo thin. Heng damdawi te hian prolactinoma chu a ti tlem thei a, prolactin level chu a pangngaiah a hruai kir leh thei bawk.

• Cabergoline leh Bromocriptine: Heng damdawi hman ber pahnih hi an ni. Heng zingah hian cabergoline hi doctor thlan hmasak ber a ni a, a chhan chu a hlawk zawk a, side effect a nei tlem zawk bawk.
• Side effects: Heng damdawi te hian side effect tenau te, luak chhuak, luak chhuak, leh luak chhuak te a thlen thei.
• Enkawl hun chhung: Tumor a lo kir leh loh nan he damdawi hi kum hnih tal i ei chhunzawm zel a ngai ang . Kum hnih hnuah i prolactin level chu a pangngaia a lo kir leh a, scan-ah tumor chu a lang tawh lo a nih chuan i doctor chuan damdawi dose chu a tihtlem zauh zauh ang a, a tawpah chuan a titawp ang.

Inzai

Surgery neih a ngai lo. Hei hi hetiang ang case-ah hian a ni:

• Damdawi hian side effect na tak a neih chuan.
• Damdawi hmanga tumor a tlahniam loh chuan.
• He damdawi hian i ei mek damdawi dang nen a inrem a nih chuan.
• Tumor lian tak i neih a, naupai tum hmaa lak chhuah a ngai a nih chuan.

Surgery hi chi hnih a awm a.

1. Transsphenoidal surgery: Hei hi surgery hman tlanglawn ber a ni. Hetah hian hnar chhungah emaw, hmui chunglam hnuaiah emaw incision te tak te hmangin tumor chu lakchhuah a ni.

2. Transcranial surgery: Tumor a lian hle a nih chuan luruh chhunga inhawng te tak te hmangin tumor chu lakchhuah a ni.

Radiation hmanga enkawlna a ni

Cancer hian damdawi emaw, operation emaw a dawn loh chuan radiation therapy hi a pathumna a ni. Hei pawh hi enkawlna tlem tak a ni.

He natna hi eng nge a hmalam hun?

Prolactinoma vei theihna tur thlirna a tha hle. Damdawi hmanga enkawl chuan tumor te tak te nei mi 5 zinga 4 chu an prolactin level chu a normal thei a, tumor chu a tlahniam thei bawk.

Surgery pawh a hlawhtling fo thin. Surgeon tawnhriat ngah takin a tih chuan tumor te tak te nei zinga 90% vel leh tumor lian nei zinga 50% velah prolactin level chu a pangngaiin a awm leh thei a ni.