Hyperprolactinemia - ndichiyani? Kodi hyperprolactinemia? chithandizo

Mu mankhwala, pali mfundo "hyperprolactinemia." Kodi ndi mmene kuonetsa, osati aliyense amadziwa. Koma posachedwapa ngati matenda ochuluka pokhala. Choncho n'kofunika kudziwa zizindikiro za matenda a, njira mankhwala, komanso mavuto zotheka, kotero kuti muphonye kamphindi mu nthawi ndi kukaonana ndi katswiri oyenerera.

Features matendawa

Hyperprolactinemia - momwe kumaonekera, mmene ankachitira? Funso limeneli likubwera mwa anthu amene sanamvepo tanthauzo amenewa. Hyperprolactinemia ndi chikhalidwe yodziwika ndi milingo apamwamba ndi timadzi prolactin m'magazi. Amalima prolactin pituitary endocrine England, amene ankaona "mtsogoleri" wa ntchito wapatali dongosolo endocrine. Iye ali ndi udindo zonse kugwira ntchito:

• chithokomiro;
• testes ndi mazira;
• adrenal.

Izi udindo pituitary kwagona kuti, kuwonjezera prolactin, chimabala mahomoni LH ndi FSH.

Ntchito ya prolactin mu thupi

timadzi Ichi ndi udindo kubalana lapansi. Prolactin amalimbikitsa kukula ndi chitukuko cha zopangitsa za mammary. ntchito yake yaikulu - mangolomera la mapangidwe mkaka ndi akazi amene anabereka. Mu thupi wamwamuna, timadzi izi amapangidwa zedi ang'onoang'ono.

Prolactin, pamodzi ndi ena mahomoni (LH, FSH) mu thupi la mkazi kumapangitsa yopanga estrogens, amene ali ndi udindo kusasitsa zonse dzira. Amasankha mtendere za kuzungulira kusamba, Mwina mimba. Ngati ife kulankhula za amuna, chifukwa mahomoni izi kubala testosterone. Ngakhale umuna motility amadalira prolactin.

Gawo

Malinga zinthu zimene zimachititsa kukula kwa hyperprolactinemia mankhwala akhoza kugawidwa boma ku mitundu:

1. thupi. misinkhu Prolactin kuonjezera chifukwa njira yachibadwa mu thupi la munthu. Matenda mu akhanda, pakati ndi akazi lactating.

2. Pathological. chifukwa lagona mu kudwala ena. Koma, ikusonyeza kumapeto, zimayambitsa hyperprolactinemia, pituitary chotupa.

3. pharmacological. Matenda, amagwirizana ndi kumwa mankhwala, mankhwala osokoneza bongo.

4. Idiopathic. timadzi mlingo zikuchulukirachulukira zifukwa zosadziwika.

pathogenesis

Thupi hyperprolactinemia chifukwa cha kusintha kwa zinthu zachilengedwe zimene zimachitika mu thupi tsiku lililonse. Iwo amakwiya:

1. Nthawi gestation. Women pafupi masabata 7 mimba, milingo prolactin kuonjezera. Zimenezi kukupitirirabe miyezi 9, koma atabadwa (miyezi 1-2), magawo onse kubwerera mwakale.

2. tulo. Pamene munthu tulo, ndiye ora kenako mu mulingo wake magazi prolactin adzauka, koma patapita kudzuka zikuchepa amagwa.

3. wopsinjika zinthu. Kupanikizika - chinthu kuti amakwiya chisokonezo mu thupi, kuphatikizapo amasulidwe mahomoni kwambiri. Pankhani ya vuto prolactin wopsinjika ayenera limodzi ndi kuchepa lakuthwa magazi, kukomoka.

4. thupi hyperprolactinemia mu akazi limapezeka nthawi yogonana, kukondoweza aliyense wa bere (makamaka pa kudyetsa mwana).

5. Kugwiritsa ntchito mapuloteni.

6. zotsatira chilichonse pa thupi kuti ululu.

Pathological hyperprolactinemia imfayo:

1. Matenda a ubongo imene imalamulira kutentha, ndi pituitary England (ankaona chifukwa ambiri a mtundu uwu).

2. kuvutika mu m'thupi maziko.

3. chotsatira pachifuwa choipa.

4. pafupipafupi kuchipala ndi uterine patsekeke.

5. Polycystic n'kuwasanganiza syndrome.

6. Mavuto ndi chiwindi.

7. aimpso kulephera.

8. zokhudza zonse lupus erythematosus.

Pharmacological kumachitika chifukwa phwando:

• antidepressants;
• kulera;
• antihypertensive wothandizila;
• neuroleptics.

umboni

Hyperprolactinemia anthu kumaonekera motere:

• ndichepe mu potency;
• laktoreey (kusankha colostrum kapena mkaka unyinji wa);
• maganizo ndi maganizo Kusakhazikika;
• osabereka;
• kufooka kwa mafupa,
• kunenepa;
• ndichepe kusonyeza makhalidwe sekondale kugonana.

ndi amasonyeza onse osiyana yokha hyperprolactinemia. Zizindikiro mu akazi:

• matenda kusamba;
• galactorrhea;
• osabereka;
• utachepa libido ;
• kusapeza pa kugonana chifukwa cha kusowa kwa kondomu;
• anorgasmia;
• ziphuphu zakumaso;
• seborrhea khungu;
• enaake owononga;
• virilescent mkazi, hypertrophy ake nkongo, kukula tsitsi lonse thupi.

Kodi wapadera za hyperprolactinemia? Zizindikiro akhale osakwatira ndiponso pamodzi ndi wina ndi mzake. Mphamvu ya zizindikiro ndi osiyana komanso. Mwachitsanzo, galactorrhea, lomwe limapezeka mu 80% akazi ndi hyperprolactinemia, akusonyeza kumaliseche pang'ono kuchokera unyinji pansi wolimba kukanikiza odwala ena, pamene ena amakwiya ndi mvula mwadzidzidzi.

mawonetseredwe zamatsenga

hyperprolactinemia syndrome (dzina lina la boma) ndi munthu tulo, mavuto kukumbukira. Luso ntchito kwambiri yafupika, ngakhale chifukwa zinkaoneka kuti si. Other mawonetseredwe maganizo ndi:

• kumverera zonse nkhawa ndi mantha;
• mmene alili;
• irritability;
• psychoses (nthawizina ngati limati yovuta, amafuna thandizo mwamsanga akatswiri);
• Nthawi zina, "mtima wozingwa" (otchedwa mowiriza chifuwa ululu popanda m'munsi organic).

ana

Nthawi zina mwana akapezeka ndi "hyperprolactinemia." Kuti zikhoza m'tsogolo? Ngati ife kulankhula za msungwana, ndiye kuti wachinyamata iye adzakhala kuphwanya msinkhu.

Anyamata ndi atsikana kupeza mavuto alionse ndi mapangidwe minofu fupa. Mafupa afooka, ndipo Chimaona.

kafukufuku

Kodi kafukufuku ndi hyperprolactinemia? zifukwa zimene anazilemba tizindikire kufunika njira zimenezi matenda:

• atayezetsa kwa prolactin;
• onse kusanthula mkodzo ndi magazi;
• scintigraphy a mafupa ndi;
• Prostate ultrasound;
• akazi US ndi chifuwa, yamchiberekero, uterine,
• X-ray a Chigaza ya;
• CT;
• MR.

Ndi magazi kuti milingo prolactin muyenera kukhala osamala kwambiri. Pakuti zizindikiro zolondola za lendi ake masiku 5-8 cha kuzungulira kusamba. Si nthawi zonse kusanthula ngwakufunika yokwanira kuti matenda. Hyperprolactinemia mu akazi nthawi zambiri zinchito, choncho tikulimbikitsidwa 3 zina amachita njira ya bwino.

chithandizo

movutikira kwambiri sayambitsa pharmacological hyperprolactinemia. Chithandizo imakhala okha kuwonongedwa kwa mankhwala (kapena m'malo ake), umene unali chifukwa cha kuphwanya lapansi. misinkhu prolactin kubwerera mwakale mu yochepa. Ngati ife kulankhula za mawonekedwe thupi, izo sikutanthauza alowererepo iliyonse.

mankhwala

Dofaminomimeticheskie mankhwala - pa chamankhwala chodalirika chithandizo cha hyperprolactinemia. Amachita chotupa, amene chikwiyire zipolowe, kuchepetsa. Nthawi zina zimachitika kuti mankhwala amathandiza kuchotsa kwathunthu. Kenako, milingo prolactin m'magazi mwakale.

Hypothyroidism amafuna kugwiritsa ntchito mahomoni chithokomiro. Ngati wodwala m'thupi kuvutika, dokotala n'kukulemberani yoyenera wothandizila m'thupi.

opareshoni

Opaleshoni alowererepo akusonyeza milandu zotsatirazi:

• enaake owononga;
• Pamene mankhwala mankhwala amalephera kapena wodwala si woyenera mankhwala zoyenerazi;
• Kukokoloka ndi neuralgia.

Opaleshoni si nthawi zonse kubala mukufuna. Pambuyo theka lake hyperprolactinemia akadzabweranso lapansi. Komanso zingasokoneze mavuto mtima:

• pa ntchito kuonongeka mitsempha chamawonedwe, pituitary kapena ubongo imene imalamulira kutentha mwendo;
• Izo zingachitike ndi kutaya kwa magazi mu ubongo.

mankhwala cheza

Njira imeneyi mankhwala ntchito pokha pokha kwambiri. Cheza mankhwala ndi nthawi yambiri ndipo amafuna wodwalayo woleza mtima, chifukwa ndondomekoyi ukhoza chaka ndi theka. Pambuyo mankhwala munthu akhoza kupeza kukha mwazi muubongo cheza choipa kwa mitsempha ndi ubongo necrosis.

njira Traditional

Madokotala ena amalangiza odwala awo kugwiritsa ntchito maphikidwe kwa mankhwala. Koma izi zimachitika pokhapokha chifukwa cha ngati boma udzakhazikitsidwe.

Popular njira:

• kangapo tsiku kumwa tiyi anapanga ku timbewu ndi chamomile;
• kwa mtendere wa boma maganizo muyenera kutsatira Valerian, motherwort, hawthorn, liziwawa St. John (opezeka pharmacies).

njira Traditional analimbikitsa monga kuwonjezera mankhwala zofunika mankhwala.

zosokonezeka

Hyperprolactinemia, pamene zizindikiro kwa nthawi yaitali sanali n'komwe, zikubweretsa mastitis kapena chotupa chija mu England mammary. Komanso, mkazi anamuopseza uterine hypoplasia.

Monga mmene kagayidwe wa hyperprolactinemia? ndi boma akuchita kagayidwe chiyani? Monga likukhalira, chinawonjezeka milingo prolactin zingachititse:

• atherosclerosis;
• oopsa;
• inatsekeratu mtsempha wamagazi matenda;
• kufooka kwa mafupa;
• urolithiasis;
• shuga.

kupewa

malangizo ofunika amene angandithandize kupewa hyperprolactinemia, palibe. munthu ayenera kupewa mavuto, kuti athe kumasuka. Yofunika kwambiri ndi ankaimba ndi chakudya chamagulu, masewera olimbitsa thupi (masewera, zonse kuyenda). Muyenera kusiya zizolowezi zoipa - mowa ndi kusuta fodya. Khofi kapena tiyi amphamvu si zofunika ntchito matenda a "hyperprolactinemia".

Zizindikiro mu akazi, monga kutulutsidwa kwa mkaka pa nipple kunja kwa mimba, osasamba msambo si nthawi zonse modetsa nkhawa ndi kukhala chifukwa kufunsira dokotala. Koma ichi ndi wolakwitsa mwamtheradi! Pambuyo zizindikiro chotero - mbendera kuti thupi lili ndi kuphwanya kuti sitingakane. Izi imakhudzanso amuna. Choncho m'pofunika kumvetsera kwambiri thanzi lawo ndipo musaiwale kuti kuphwanya iliyonse chinachake wololera ndipo angathe kuyambitsa mavuto oopsa.