Kuchuluka prolactin: zimayambitsa, zizindikiro, chithandizo, zotsatira

Ngati kukwezeka timadzi prolactin, ndi kusokonezedwa msambo ndi bwino m'thupi, ndipo pali osabereka kapena mavuto adanyamula mwana. Choncho, akazi ayenera kudziwa pa mlingo wake mu magazi pa mapulani mimba.

Prolactin amapangidwa ndi pituitary England - endocrine England inali ku ubongo. Ubongo imene imalamulira kutentha asaaonerera pa ndondomeko iyi. timadzi ta m'thupi timaganizira kwambiri zinthu zina. Choncho, mkulu prolactin mwina pa zifukwa zotsatirazi:

• mankhwala;

• aimpso kulephera;

• nkhawa;

• matenda enaake;

• kugona;

• syndrome Cushing ndi;

• matenda Addison ndi ;

• acromegaly;

• sarcoidosis;

• neyrotuberkulez;

• kutupa;

• nthawi postpartum;

• mimba;

• nipple kukondoweza;

• Kuyamwitsa;

• kugonana;

• mankhwala ochititsa dzanzi;

• choipa ndi opaleshoni pa chifuwa.

Pa nthawi zosiyana za vuto la mlingo timadzi m'magazi zimasiyanasiyana 6 mpaka 28 ng / ml. Kupeza zotsatira odalirika akhoza kumwedwa pambuyo kusanthula kugona kapena njira. The katulutsidwe wa prolactin zimachitika pulsed, pafupipafupi yozungulira gawo la kuzungulira. Palinso kusinthasintha tsiku mlingo wake, mwachitsanzo, pambuyo akudzuka timadzi ndende zazing'ono. Pambuyo tulo katulutsidwe ake ukuwonjezeka ndi kukula mu loto.

Gawo limodzi la odwala amene anakwezedwa prolactin, anapeza pituitary adenoma. Ngati kukula kwake ndi lalikulu, mlingo timadzi ndi oposa 100 ng / mL. M'munsi mitengo akhoza kukhala microadenomas pa zamitundu yaing'ono, osati wapezeka ndi X-ray.

The njira kwambiri nkhani ya matenda a zotupa pituitary - ndi Kujambula. M'pofunika kudali mapulani a mwanayo, ngati pali kukayikitsa adenoma ndi, monga chotupa chachikulu zimachititsa mavuto.

Makulidwe pituitary microadenomas musalumphe 1 cm. Iwo amakula pang'onopang'ono ndipo amakhala chosaopsa. Macroadenomas awiri kuposa 1 cm. Iwo limodzi ndi mutu, kusintha m'minda zithunzi ndi imfa zina kwathunthu kwa izo. Pa kudziwika macroadenoma n'kofunika upo wa neurosurgeon a. Iye chiganizo za opaleshoni. Pa mimba microadenomas samasankha kusintha, koma zotupa wa chachikulu mu 20% milandu akukulira.

Prolactin amadziwikanso pafupipafupi wokwezeka pa kulephera aimpso (aakulu). Pamene impso kupatsidwa zina ndi normalization wa katulutsidwe ake.

Ngati prolactin ndi kukwezeka, cholinga mankhwalawa zotsatirazi:

• kuchepetsa mlingo wake;

• kubwezeretsa mkombero;

• kuchepetsa kukula chotupa, ngati alipo.

Mmodzi wa mankhwala ntchito kwa timadzi kuchepetsa - ndi Parlodel, umene ndi dopamine agonist. Iwo kumabwezera mmbuyo ndi katulutsidwe wa prolactin ndi zolimbikitsa maselo a mu ubongo. Mlingo zimadalira mwamphamvu ndi chikhalidwe cha matenda. Pambuyo kumayambiriro bromocriptine mkombero abwezeretsedwa pambuyo pa avareji masabata 7. Ngakhale kuti anthu ena odwala kumachitika mu masiku pang'ono.

Bromocriptine zambiri kutenga kangapo patsiku. mlingo akhoza ziwonjezeke ngati n'koyenera. Chithandizo ayenera lolimba m'zinthu angapo pambuyo pa kubwezeretsedwa kusamba kuteteza zisadzachitikenso. Zotsatira zoyipa za bromocriptine:

• kutopa;

• chizungulire;

• mutu;

• kusanza;

• youma pakamwa;

• nseru.

Kuonjezera prolactin zingachititse hypothyroidism. Kulandira Gomonov Pankhaniyi kumabweretsa normalization mlingo wake.

Zikuonetsa kuti prolactin kudziwa zotsatirazi:

• kufooka kwa mafupa;

• gynecomastia;

• m'munsi potency ndi libido;

• hirsutism;

• kunenepa;

• Lolemera pachimake;

• matenda mkaka wa m'mawere;

• osabereka;

• anovulation;

• chifuwa;

• kusankha nipple ndi;

• amenorrhea, oligomenorrhea;

• ozungulira chifuwa ululu.

Choncho, prolactin kuchuluka, nthawi zambiri chifukwa adenomas pituitary. Komanso, chifukwa chofala ndende yake yapamwamba hypothyroidism. Chinawonjezeka ndende ya prolactin kumabweretsa kusokoneza ntchito kusamba ndi pakalibe ovulation, kotero pakati ndi kubereka ana amakhala sizingatheke. Chithandizo tichipeza kuchepetsa mlingo wake, kuwonongedwa kwa zimayambitsa matenda ndi achire mkombero.