Une hormone inonzi prolactin yakawanda mumuviri wako here? Ngatikurukurei nezve hyperprolactinemia!

Wakambozvibvunza here kuti zvingani zvingaitika kana paine shanduko diki mumahormone mumuviri wako? Ndiyo mamiriro atichataura nezvawo nhasi, anonzi hyperprolactinemia. Zvichitaurwa zviri nyore, apa ndipo apo ropa rako rine hormone yakawandisa inonzi prolactin. Iyi hormone inonyanya kukonzera kukura kwemazamu uye kugadzirwa kwemukaka. Iyi mamiriro haatyisidzi hupenyu, asi dzimwe nguva anogona kukonzera matambudziko akadai sekushaya mbereko uye kukanganisa kugona kwako kurarama hupenyu hwakajairika. Asi mashoko akanaka ndeekuti pane mushonga wayo.

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, chirwere ichi chinonzi hyperprolactinemia hachiwanzoitiki. Chinobata vanhu vari pasi pe1% yevanhu vose. Zvisinei, vakadzi ndivo vanowanzobatwa nechirwere ichi kupfuura varume.

Ndezvipi zviratidzo zveizvi?

Rangarirai kuti vamwe vanhu vanogona kunge vaine hyperprolactinemia asi vasingaratidzi zviratidzo, kana kuti zviratidzo zvacho zvingave zvishoma. Zvisinei, pane zviratidzo zvishoma zvinogona kuitika nechirwere ichi, zvisinei nemunhu wacho.

Zviratidzo zvinozivikanwa zvinobata munhu wese

Izvi zvinogona kuitika kune chero munhu, zvisinei nekuti murume kana mukadzi:

• Kuoma kwekuva nevana (kusabereka) : Iri ndiro dambudziko guru.
• Kuderera kwerudo rwepabonde : Izvi zvinoreva kudzikira kwekuda kuita zvepabonde.
• Kuderera kwehuwandu hwemapfupa (osteopenia) : Izvi zvinogona kukonzera kuti mapfupa asashande zvakanaka nekufamba kwenguva.
• Kubuda kwemukaka kubva muzamu kana usiri nepamuviri kana kuti uchiyamwisa (`galactorrhea`) : Izvi zvinganzwika sezvisinganzwisisike, asi zvakare chiratidzo.

Hunhu hwakasiyana hwevakadzi

Kune vakadzi, kuwedzera kune zviratidzo izvi zvakajairika, zvimwe zviratidzo zvakasiyana zvinogona kuitika:

• Kuchinja kwekuenda kumwedzi hakunei nekuenda kumwedzi (kuguma kwekuenda kumwedzi) : Izvi zvinoreva kuti kuenda kumwedzi kunova kusina kurongeka kana kuti kunomira zvachose. Ungasava nemwedzi kwemwedzi yakawanda.
• Kurwadziwa panguva yebonde nekuda kwekuoma kwechikadzi : Izvi zvinokanganisawo vakadzi vazhinji.

Hunhu hwakasiyana nevarume

Chirwere ichi chinokanganisa varume zvakasiyana. Heano mamwe ezviratidzo zvavanosangana nazvo:

• Kusashanda zvakanaka kwenhengo dzepabonde (ED) : Izvi zvinoreva kuti zvakaoma kuti nhengo dzepabonde dzimire.
• Kudzikira kwemazinga e testosterone : Iri ihormone inokosha mumuviri wemurume.
• Kukura kwemazamu (`gynecomastia`) : Kukura kwemazamu emurume kuita seemukadzi.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Zvakanaka, ngationei kuti sei huwandu hweprolactin huchiwedzera seizvi. Panogona kunge paine zvikonzero zvakawanda.

• Prolactinoma: Ichi ndicho chikonzero chikuru. `(Prolactinoma)` ibundu risiri rekenza (risina njodzi) (`adenoma`) rinokura mu`(pituitary gland)` muuropi hwako. Bundu iri rinoita kuti hormone prolactin ibudiswe yakawandisa.
• Mamwe mabundu epituitary : Pamusoro peprolactinoma, mamwe mabundu makuru ari mupituitary gland kana pedyo nayo anogonawo kukonzera huwandu hwakawanda hweprolactin. Izvi zvinoitika nekuti bundu iri rinovhara kuburitswa kwekemikari inonzi dopamine mupituitary gland. Dopamine ihormone inodzora kugadzirwa kweprolactin.
• Mimwe mishonga : Kemikari inonzi dopamine inoderedza kugadzirwa kweprolactin. Saka, chero mushonga unokanganisa kugadzirwa kwedopamine unogona kuwedzera huwandu hweprolactin yako. Mimwe yemishonga iyi inosanganisira:
• Mapiritsi ekudzivirira pamuviri
• Mimwe mishonga yekurapa zvirwere zvepfungwa, yakadai seRisperidone neHaloperidol
• Mishonga yekurapa BP yakakwira, yakaita semethyldopa neverapamil
• Mishonga yekurwadziwa nechirungurira uye chirwere chegastroesophageal reflux (GERD) (semuenzaniso mishonga yeH2 antihistamines)
• Mishonga yekuderedza kushungurudzika, yakadai se tricyclic antidepressants uye SSRIs
• Mishonga yezviratidzo zvekusvika panguva yekuenda kumwedzi, yakadai se estrogen therapy
• Mishonga yekurutsa nekurutsa (antiemetics)
• Mishonga inouraya marwadzo ine maopioid

Zvakakosha : Unofanira kutaura nachiremba wako usati warega chero mushonga wauri kutora. Huwandu hweprolactin hunowanzo dzokera pahwakajairika mukati memazuva matatu kusvika mana ekurega mushonga.

• Mamwe Matambudziko Ehutano : Kunyangwe pasina prolactinoma, mamwe matambudziko anogona kukonzera mazinga eprolactin akakwira. Matambudziko akadaro anosanganisira:
• Kukuvara kwemadziro echipfuva (semuenzaniso, kutyoka kwembabvu)
• Chirwere cheitsvo chisingaperi
• Chirwere chechiropa chisingaperi
• Chirwere chaCushing
• Hypothyroidism (thyroid isingashande zvakanaka)
• Herpes zoster (shingles), kunyanya kana maronda/mavanga akaonekwa pachipfuva
• Chirwere chePolycystic ovary (PCOS)

Ko kana usingakwanise kuwana chikonzero?

Dzimwe nguva vanachiremba havakwanise kuwana chikonzero cheizvi. Kana zvakadaro, zvinonzi "idiopathic hyperprolactinemia." Izvi zvinowanzopera pasina kurapwa mukati memwedzi mishoma.

Ndezvipi zvinhu zvinokonzera njodzi?

Chinhu chega chinozivikanwa chinokonzera hyperprolactinemia chirwere chinonzi Multiple endocrine neoplasia (MEN) type 1 (MEN1). MEN1 chirwere chinogara nhaka chinogona kukonzera kukura kweprolactinoma.

Kana mumwe munhu mumhuri yako (mukoma, hanzvadzi, mubereki) aine `MEN1`, zvakanaka kuti uedze kuongororwa majini. Izvi zvinogona kubatsira kuona `(Prolactinoma)` nekukurumidza.

Unozviziva sei izvi chaizvo?

Kana uine zviratidzo izvi, chinhu chekutanga chinoitwa nachiremba ndechekuongorora ropa reprolactin (PRL).

Kana zvabuda zvikaratidza kuti une hyperprolactinemia, danho rinotevera nderekutsvaga chikonzero. Chiremba wako anogona kuraira kuongororwa kweropa uye kuongororwa kwemifananidzo (senge MRI scan).

Ndezvipi zviri kurapwa?

Kurapwa kunoenderana nechikonzero chacho. Kana huwandu hweprolactin yako hwakakwira asi zviratidzo zvako zviri zvishoma, ungasada kurapwa.

Kurapa kweprolactinoma

Ichi ndicho chikonzero chinowanzoitika. Saka kune nzira dzakawanda dzekurapa:

• Mishonga : Dopamine agonists inodzora huwandu hweprolactin yako. Mishonga iyi inoshandawo zvikuru mukuderedza bundu reprolactinoma. Iyi ndiyo nzira inonyanya kushandiswa yekurapa prolactinoma.
• Kuvhiyiwa : Kana prolactinoma ikasaderera nemishonga, kuvhiyiwa kungadiwa kuti ibviswe.
• Kurapa nemwaranzi : Iyi inzira yechitatu isingawanzo shandiswa. Inoshandiswa chete kana dzimwe nzira dzisiri kushanda.

Kana zviri nekuda kwemushonga...

Kana zvikaonekwa kuti huwandu hweprolactin yako hwakakwira nekuda kwemushonga wauri kutora, chiremba wako achakupa mushonga wakasiyana usingazokanganisa huwandu hweprolactin yako zvakanyanya.

Mikana yekupora ndeipi?

Hyperprolactinemia inowanzova nani nekuti chikonzero chacho chinorapwa zvinobudirira.

Kunyangwe izvi zvisiri pangozi yehupenyu, zvinogona kukonzera matambudziko akadai sekushaya mbereko uye kumwedzi kusina kurongeka, saka zvakakosha kutsvaga kurapwa kana uine chirwere ichi.

Mibvunzo yekubvunza chiremba wako

Kana uine hyperprolactinemia, zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Sei izvi zvakaitika kwandiri?
• Ndedzipi bvunzo dzandinofanira kuita?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndezvipi zvakanakira nezvakaipa zvesarudzo yega yega yekurapa?
• Dambudziko rangu rekushaya mbereko richagadziriswa here mushure mekurapwa uku?

Hyperprolactinemia inogona kukanganisa hupenyu hwako uye kukanganisa kugona kwako kuva nevana. Asi chinhu chakanakisa ndechekuti inogona kurapwa zvakanaka. Kana uine zviratidzo zvechirwere ichi, iva nechokwadi chekuona chiremba. Zvadaro kuongororwa kweropa kunogona kutarisa huwandu hweprolactin yako.

Pakupedzisira, zvekurangarira

Munoona, hyperprolactinemia kuwedzera kwehomoni inonzi prolactin mumuviri wedu. Izvi zvinogona kukonzera matambudziko akadai sekuomerwa nekubata pamuviri, kudzikira kwechido chebonde, kusashanda zvakanaka kwekuenda kumwedzi kuvakadzi, uye kushaya simba repabonde kuvarume .

Chikonzero chikuru cheizvi ibundu rinonzi "Prolactinoma" rinokura mugland repituitary. Dambudziko iri rinogonawo kukonzerwa nemishonga nezvimwe zvirwere .

Usazvidya moyo! Kune mishonga yakanaka yeizvi. Kana uine zviratidzo izvi, zvakanaka kuona chiremba nekukurumidza. Ipapo unogona kuwana chikonzero chaicho wotanga kurapwa kwakakodzera iwe. Zvakakosha zvikuru kutarisira hutano hwako.

Prolactin , Hyperprolactinemia, Pituitary gland, Kusawirirana kwemahormone, Kusabereka, Galactorrhea, Prolactinoma