He rerekētanga kei roto i ngā homoni o tō tinana? Kia mōhio tātou ki te Prolactinoma (Prolactinoma)

Kua rerekē haere tō huringa paheketanga? He wai mā rānei kei roto i ō ū, ahakoa kāore koe i te hapu, kāore hoki i te whāngai u? Mena he tāne koe, kua pāngia koe e te hekenga o te hiahia moepuku, e ētahi atu āhuatanga raruraru rānei? Ko te take o ēnei mea, tera pea he mea kāore anō kia whakaarohia e koe. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga pēnei, arā, he mate e kiia nei ko te Prolactinoma.

He aha te Prolactinoma i te whakarapopototanga?

Ko te Prolactinoma he pukupuku e tupu ana i roto i tētahi repe iti e tata ana ki tō tātou roro, i te pūtake o te roro, e kiia nei ko te repe pituitary. Nā, kaua e wehi ina kīia "pukupuku." He pukupuku kore-matepukupuku (pai) tēnei. Ko te tikanga ehara i te pukupuku morearea e horapa puta noa i te tinana pērā i te matepukupuku. Koinei te momo pukupuku tino noa e tupu ana i roto i te repe pituitary.

Mā tēnei pukupuku ka nui ake te homoni e whakaputaina ana e te tinana e kiia nei ko te prolactin i tōna rahinga e tika ana. I te nuinga o te wā, he mea nui tēnei homoni prolactin mō te whanaketanga o ngā ū o ngā wāhine me te whakaputa waiū mō te whāngai ū (lactation). Engari ina piki ake tēnei homoni, ka puta he āhuatanga e kiia nei ko te hyperprolactinemia, ka puta he maha ngā raruraru mō ngā wāhine me ngā tāne.

He momo prolactinoma kei reira?

Āe, e rua ngā momo matua o ēnei nati i runga i te rahi. Hei mārama ake ki tēnei, tirohia te ripanga i raro nei.

He aha ngā tohu o tēnei?

Ko ngā tohumate e whakawhirinaki ana ki te nui o te homoni prolactin e whakaputaina ana me te rahi o te pukupuku. Kia titiro tātou he aha ēnei tohumate.

He nui ake te tūponotanga ka kitea wawetia e ngā wāhine te mate nā te mea he tohu pēnei i ngā huringa o te huringa paheketanga, i te putanga mai rānei o te ū. Heoi, ko te hunga e tango ana i ngā pire ārai whānau, i ētahi atu maimoatanga homoni rānei, kāore pea ēnei tohu e pāngia e ēnei. Waihoki, ka roa pea ngā tohu i roto i ngā wāhine me ngā tāne kua pāngia e te menopause, ka roa ai te tātaritanga.

He aha te take mō tēnei?

Ina hoki, kāore anō kia kitea e ngā kairangahau tētahi tino take mō te Prolactinoma. I te nuinga o te wā, ka puta noa mai i ētahi wā, kāore he tino take. Heoi anō, ka piki ake pea te mōrearea i ētahi āhuatanga ira.

• ``Ngā mate pukupuku endocrine maha (MEN) momo 1''
• `TĀNE momo 4`
• ``Familial isolated pituitary adenomas (FIPA)''

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ka tirohia tuatahitia e tō tākuta ō tohu me tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau tinana. Kātahi ka tūtohu pea rātou i ētahi whakamātautau hei whakaū i te mate.

• Whakamātautau toto mō te prolactin: Koinei te whakamātautau tino taketake. Mena ka whakaūtia e tēnei whakamātautau he nui ake ō taumata prolactin i te mea noa, ka tukuna koe mō ētahi atu whakamātautau hei tirotiro mō te pukupuku.
• Matawai MRI, matawai CT rānei: Ka taea e ēnei matawai te whakaatu tika mēnā kei reira he pukupuku pituitary, ā, mēnā kei reira, me pēhea tōna rahi. Ko te nuinga o ngā tākuta e taunaki ana i te matawai MRI.
• Whakamātautau toto mō te taumata testosterone: Mena he tāne koe, ka tūtohu pea tō tākuta kia whakamātauria ō taumata homoni testosterone.

Mena kua whakaūtia te mate, tera pea ka tūtohutia kia tirohia ngā taumata o ētahi atu homoni i roto i te repe pituitary me te tirotiro kanohi e te tākuta kanohi kia kite ai mena kei te pāngia tō tirohanga mena he pukupuku nui tōu (macroprolactinoma).

He aha ngā maimoatanga mō tēnei?

Ko te rongo pai, he tino whai hua ngā maimoatanga mō tēnei. I te nuinga o te wā, ka taea te whakahaere i te mate mā te rongoā.

Ngā rongoā (tarukino)

He maha ngā wā ka tohua e ngā tākuta ngā rongoā e kiia nei ko ngā dopamine agonists. Ka taea e ēnei rongoā te whakaiti i te prolactinoma me te whakahoki i ngā taumata prolactin ki te āhua noa.

• Cabergoline me Bromocriptine: Koinei ngā rongoā matua e rua e whakamahia ana. O ēnei, ko te cabergoline te whiringa tuatahi a ngā tākuta nā te mea he nui ake tōna whai huatanga, ā, he iti ake ngā pānga taha.
• Ngā pānga taha: Tērā pea ka pā mai ētahi pānga taha iti pēnei i te whakapairuaki, te ruaki, me te whanoke i ēnei rongoā.
• Te roa o te maimoatanga: Hei ārai i te hokinga mai o te pukupuku, me tango tonu e koe tēnei rongoā mō te rua tau neke atu rānei . I muri i ngā tau e rua, ki te hoki anō ō taumata prolactin ki te āhua noa, ā, kāore e kitea te pukupuku i roto i ngā matawai, ka whakaitihia mārire e tō tākuta te horopeta o te rongoā, ā, ka mutu i te mutunga.

Pokanga

Kāore e hiahiatia he pokanga. Ka pā tēnei ki ēnei āhuatanga:

• Mena he nui ngā pānga taha o te rongoā.
• Ki te kore te puku e mimiti mā te rongoā.
• Mena ka tauhohe tēnei rongoā ki ētahi atu rongoā e tangohia ana e koe.
• Mena he nui te pukupuku kei a koe, ā, me tango i mua i te ngana ki te hapu.

E rua ngā momo pokanga.

1. Pokanga transsphenoidal: Koinei te pokanga tino noa. I konei, ka tangohia te pukupuku mā te tapahi iti i roto i te ihu, i raro rānei i te ngutu o runga.

2. Pokanga whakawhiti angaanga: Mena he tino nui te pukupuku, ka tangohia te pukupuku mā roto i tētahi kōhao iti i te angaanga.

Te rongoā irahiko

Ko te rongoā irahiko te tuatoru o ngā kōwhiringa ina kore te mate pukupuku e pai ki te rongoā, ki te pokanga rānei. He maimoatanga tino onge anō hoki tēnei.

He aha te tirohanga mō tēnei mate?

He tino pai te tirohanga mō te prolactinoma. Mā te maimoatanga hauora, ka taea e te 4 o roto i te 5 o ngā tāngata he iti ngā pukupuku te whakahoki i ō rātou taumata prolactin ki te taumata tika, ā, ka taea hoki e te pukupuku te whakaiti.

He angitu hoki te pokanga i ētahi wā. Ina mahia e te taote pokanga mātau, ka taea te whakahoki i ngā taumata prolactin ki te āhua noa i roto i te 90% o te hunga he pukupuku iti, me te 50% o te hunga he pukupuku nui.