Hutano hweVarume2026 Chikunguru 15🔄 Updated: 2026 Chg 15⏱ 5 min

Pane shanduko here mumahormone emuviri wako? Ngatizivei nezveProlactinoma (Prolactinoma)

Creator: Dr. Priya Sammani
Published: 2026-07-15T18:59:01.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Kuenda kwako kumwedzi kwava kusingaenderani here? Kana kuti pane kubuda kwemukaka muzamu rako, kunyangwe usiri nepamuviri kana kuyamwisa here? Kana uri murume, wakasangana nekudzikira kwekuda zvepabonde here kana zvimwe zvinetso? Chikonzero chezvinhu izvi chingave chimwe chinhu chausati wambofunga nezvacho. Nhasi tiri kutaura nezvechirwere chakadai, kureva chirwere chinonzi Prolactinoma.

Zvichitaurwa zviri nyore, chii chinonzi Prolactinoma?

Prolactinoma bundu rinokura mugland diki riri pedyo nehuropi hwedu, pasi pehuropi, rinonzi pituitary gland. Zvino, musatya kana tichiti "bundu." Iri bundu risiri rekenza (risina kuipa). Izvi zvinoreva kuti harisi bundu rinouraya rinopararira mumuviri wese sekenza. Iri ndiro bundu rinowanzoonekwa mugland yepituitary.

Bundu iri rinoita kuti muviri wedu ugadzire hormone inonzi prolactin yakawanda kupfuura yainofanira kuita. Kazhinji, hormone iyi yeprolactin inonyanya kukosha pakukura kwemazamu evakadzi uye kugadzirwa kwemukaka wekuyamwisa (kuyamwisa). Asi kana hormone iyi ikawedzera, chirwere chinonzi hyperprolactinemia chinoitika, chinogona kukonzera matambudziko akasiyana-siyana kuvakadzi nevarume.

Kutaurwa kwebundu riri pedyo neuropi kunogona kutyisa. Asi yeuka, prolactinoma haisi njodzi kuhupenyu. Zvisinei, nekuda kwematambudziko ehutano ayo anogona kukonzera, zvakakosha kutsvaga rubatsiro rwechiremba kana zviratidzo zvikaonekwa.

Kune mhando dzeprolactinoma here?

Ehe, nzungu idzi dzakakamurwa kuita mhando mbiri huru zvichienderana nehukuru hwadzo. Kuti unzwisise izvi, ona tafura iri pazasi.

Rudzi rwebundu	Saizi	Zvinonyanya kuonekwa
Microprolactinomas	Idzi idiki kwazvo, dzine saizi iri pasi pesendimita imwe chete.	Izvi zvinonyanya kuitika kuvakadzi. 90% yevakadzi vane prolactinoma vane rudzi urwu rwebundu.
Macroprolactinomas	Idzi dzakakura kupfuura sendimita imwe chete.	Inonyanya kuwanikwa muvarume. Varume vanosvika 60% vane prolactinoma vane rudzi urwu rwebundu guru.

Ndezvipi zviratidzo zveizvi?

Zviratidzo zvinoenderana nehuwandu hweprolactin hormone inogadzirwa uye saizi yebundu. Ngationei kuti zviratidzo izvi ndezvipi.

Rudzi rwehunhu	Tsananguro
Zviratidzo zvinowanzoonekwa zvinokonzerwa nekuwedzera kweprolactin hormone
Zviratidzo muvakadzi	Kurega kuenda kumwedzi zvisina kurongeka kana kuti zvachose kusina chekuita nekuguma kuenda kumwedzi (amenorrhea). Kubuda kwemukaka mumazamu kana mukadzi asina pamuviri kana kuyamwisa (galactorrhea). Kuoma kwechikadzi, zvichiita kuti kusangana pabonde kurwadze. Kusabereka.
Zviratidzo muvarume	Kusashanda zvakanaka kwenhengo dzesikarudzi (ED). Kukura kwenyama yezamu (gynecomastia). Kusabereka.
Hunhu hwakajairika kune vese vari vaviri	Kuderera kwechido chebonde. Kuwedzera uremu. Kana zvikasarapwa, panewo mukana wekuti munhu awane chirwere che osteoporosis nekufamba kwenguva.
Zviratidzo zvinokonzerwa nebundu rakakura (Macroprolactinoma)
Zvinhu zvine chekuita nemusoro nekuona	Musoro unogara uchirwadza. Kusvotwa uye/kana kurutsa. Kuchinja kwekuona (sekuona kaviri, kuona padivi zvishoma). Marwadzo kana kumanikidzwa munzvimbo ye sinus. Kuchinja kwekunhuhwirira.

Vakadzi vanowanzo ziva chirwere ichi nekukurumidza nekuda kwezviratidzo zvakaita sekuchinja kwekuenda kumwedzi kana kubuda ropa mumazamu. Zvisinei, vanhu vanotora mapiritsi ekudzivirira pamuviri kana mamwe marapirwo emahormone vanogona kusaona zviratidzo izvi. Zvakare, zviratidzo zvinogona kunonoka kuvakadzi nevarume vakambosvika panguva yekuenda kumwedzi, izvo zvinogona kunonoka kuongororwa.

Chikonzero cheizvi chii?

Kutaura zvazviri, vaongorori havasati vawana chikonzero chaicho cheProlactinoma. Kazhinji, inoitika nguva nenguva, pasina chikonzero chaicho. Zvisinei, mamwe mamiriro ezvinhu emumajini anogona kuwedzera njodzi.

``Multiple endocrine neoplasia (MEN) rudzi 1''
`VARUME rudzi rwechina`
"Familial isolated pituitary adenomas (FIPA)''

Unoona sei izvi, Chiremba?

Chiremba wako achatanga anyatsoongorora zviratidzo zvako nenhoroondo yezveutano hwako. Zvadaro, achakuongororwa muviri. Vanogona kukurudzira bvunzo dzinoverengeka kuti vasimbise chirwere chako.

Kuongororwa ropa reprolactin: Uku ndiko kuongorora kuri nyore. Kana bvunzo iyi ikaratidza kuti huwandu hweprolactin yako hwakakwira zvakanyanya kupfuura zvakajairika, uchatumirwa kunoongororwazve kuti uone bundu.
MRI kana CT scan: Kuongororwa uku kunogona kuratidza kana bundu repituitary riripo uye, kana zvakadaro, kuti rakakura sei. Vanachiremba vanowanzo kurudzira kuongororwa kweMRI.
Kuongororwa kweropa reTestosterone: Kana uri murume, chiremba wako anogonawo kukurudzira kuti uedze mazinga e testosterone hormone yako.

Kana chirwere ichi chikaonekwa, zvinokurudzirwa kuti utarise huwandu hwemamwe mahormone mugland repituitary uye kuti uongororwe maziso nachiremba wemaziso kuti vaone kana kuona kwako kwakanganiswa kana uine bundu guru (macroprolactinoma).

Ndezvipi zvinorapwa izvi?

Mashoko akanaka ndeekuti kune mishonga inoshanda zvikuru pakurapa izvi. Kazhinji, chirwere ichi chinogona kudzorwa nemishonga.

Mishonga (mishonga)

Vanachiremba vanowanzo nyora mishonga inonzi dopamine agonists. Mishonga iyi inogona kuderedza prolactinoma uye kudzosa huwandu hweprolactin pahutano hwakajairika.

Cabergoline neBromocriptine: Iyi ndiyo mishonga mikuru miviri inoshandiswa. Pamishonga iyi, cabergoline ndiyo yekutanga kusarudzwa navanachiremba nekuti inoshanda zvakanyanya uye haina migumisiro yakawanda.
Migumisiro: Mishonga iyi inogona kukonzera migumisiro midiki yakadai sekusvotwa, kurutsa, uye dzungu.
Nguva yekurapwa: Kuti bundu risadzoke, unofanira kutora mushonga uyu nguva dzose kwemakore maviri kana kupfuura . Mushure memakore maviri, kana huwandu hweprolactin yako hwadzokera pahwakajairika uye bundu racho risingachaonekwi paskeni, chiremba wako achaderedza mushonga zvishoma nezvishoma uye pakupedzisira achaumisa.

Kuvhiya

Kuvhiyiwa hakudiwi zvakanyanya. Izvi zvinoitika mumamiriro ezvinhu akadai seaya:

Kana mushonga wacho uine migumisiro yakaipa.
Kana bundu rikasadzikira nemishonga.
Kana mushonga uyu ukapindirana nemimwe mishonga yauri kutora.
Kana uine bundu guru uye uchida kubviswa usati waedza kubata pamuviri.

Kune mhando mbiri dzekuvhiya.

1. Kuvhiyiwa kweTranssphenoidal: Uku ndiko kuvhiyiwa kunowanzoitwa. Pano, bundu rinobviswa nekucheka kudiki mukati memhino kana pasi pemuromo wepamusoro.

2. Kuvhiyiwa kweTranscranial: Kana bundu rakakura kwazvo, bundu rinobviswa nepaburi diki riri mudehenya.

Kurapa nemwaranzi

Kurapa nemwaranzi inzira yechitatu kana kenza ikasapindura kana yabatwa nemishonga kana kuvhiyiwa. Iyi inzira isingawanzoitiki.

Ndeipi tarisiro yechirwere ichi?

Tariro yeprolactinoma yakanaka kwazvo. Nekurapwa kwechiremba, vanhu vana pavanhu vashanu vane bundu diki vanogona kuita kuti huwandu hweprolactin yavo huve hwakanaka uye bundu rinogona kudzikira.

Kuvhiyiwa kunowanzobudirirawo. Kana kuchiitwa nachiremba ane ruzivo, huwandu hweprolactin hunogona kudzoserwa pahunhu hwakanaka muvanhu vanosvika 90% vane bundu diki uye 50% yevanhu vane bundu guru.

Mharidzo Yekuenda Nayo Kumba

Prolactinoma ibundu risiri rekenza (risina kuipa), saka usatya zvisina kufanira.

Kana uine zviratidzo zvakaita sekuenda kumwedzi kusina kurongeka, kubuda ropa rakafanana nemukaka kubva mumazamu, kana matambudziko epabonde, usanyara nazvo uye enda kuna chiremba nekukurumidza.

Chirwere ichi chinogona kuonekwa zviri nyore kuburikidza nekuongororwa kweropa uye kuskena kwakadai seMRI.

Mishonga ndiyo inowanzo shandiswa pakurapa, uye inoshanda zvikuru. Kuvhiyiwa hakuwanzodiwi.

Ichi chirwere chisingaurayise, chinorapika uye chinorapika. Saka tevera mirairo yachiremba wako uye tsvaga kurapwa.

prolactinoma sinhala, prolactinoma kiyanne mokakda, prolactinoma lakshana, pituitary gland gediyak, hormone asamanathawaya, osap akramawath weema, pirimi mada bawa

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.