Hyperprolactinemia

Hyperprolactinemia ndiyo mamiriro emuviri umo mune zvakawanda zvakakwana zvehomoni yeprolactin inobudiswa nehutu hwepituitary. Ndezvipi zvinokonzera chirwere ichi, mararamiro aungaita uye zvinoguma nei - funga nyaya ino.

Mhando dzechirwere ichi:
  1. Basa rinoshandiswa hyperprolactinaemia rinokonzerwa nekusingaperi kwekushungurudzika.
  2. Idiopathic hyperprolactinaemia ndiyo inopfuura yehuwandu hwekuita kwehomoni kune zvikonzero zvisingazivikanwi.
  3. Nguva yakanyanya hyperprolactinemia inokonzerwa nekushaya vana.

Zvinokonzera hyperprolactinaemia kuvakadzi

Chikonzero chikuru chechirwere ndiko kukanganiswa kwehutano hwe hypothalamic-pituitary. Chero kuchinja kupi nekushanda kwegadziriro ino kunokonzera kuwedzera kwekushandiswa kweprolactin. Vanokwanisa kutsamwirwa neviri nekukuvadzwa mumuviri - maronda (pituitary microadenoma, prolactinoma, glioma), craniocerebral trauma, uye marudzi akasiyana ezvirwere (encephalitis, meningitis). Mukuwedzera, kushandiswa kwemishonga yemarmonal uye mishonga yekudzivirira kumuromo kunogona kukonzera hyperprolactinemia.

Mumamiriro ezvinhu apo chinokonzera chirwere chacho hachigoni kuiswa, chigadziro chinokonzera kushungurudzika, kusimba kwepfungwa uye muviri, kusagona kwekurara.

Zviratidzo zve hyperprolactinaemia

Kurapa kwe hyperprolactinemia

Kurapa kwechirwere kunobva pane zvikonzero zvakakonzera chirwere ichi.

Kana icho chinogadzirisa chinokonzera chirwere chepituitary kana kukuvara kwepanyama, ipapo chirwere chokuvhiya (microsurgery) kana radiotherapy nemirairo yezviremara zvinoshandiswa zvinoshandiswa.

Mamiriro ezvinhu apo pituitary gland, maererano nemigumisiro yemaginiti resonance imaging, yakanga isingashandurwi kuchinja kwemuviri, hyperprolactinaemia inosanganisira kurapwa kwakakodzera nemishonga. Vanodzivisa kuwedzerwa kwekugadzirwa kweprolactin, kuisa muitiro wehutoriyano huripo uye kudzorera kukwanisa kubata uye kubereka vana.

Dzimwe nguva hyperprolactinaemia inokonzerwa nehuwandu hwemabasa adrenal. Nezviongorori izvi, hormone replacement therapy inorayirwa nemishonga inomisa kubuda galactorrhea uye kuwedzera kwekugadzirwa kweprolactin.

Migumisiro ye hyperprolactinaemia

Kana chinokonzera chirwere ichi chirwere cheplandia, ganda rekushungurudzika kwezvinhu zvinogona kuitika. Pasinei nekuti iyo neoplasm yakanyanya kuduku, inogona kufambisa mutsara we optic.

Chimwe chemigumisiro inowanzoitika ndeyokushaya. Asi munyaya iyi haisi mutsara, mukana wokuva nevana unogona kudzorerwa nekubudirira kwehutano hwe hyperprolactinemia nekudzorerwa kwemaitiro ehutachiona akasiyana.

Sezvinoratidzwa, kutarisira kunoreva zviratidzo zvechirwere chiri mubvunzo. Hyperprolactinaemia pasina kurapa kwakakodzera kunonyanya kukanganisa mamiriro emukadzi, chifuva chinowedzera zvakakura muhukuru, huchikudzimara, kuchinja maitiro uye marara, uye mbungu dzinogona kuonekwa. Zvinokurudzirwa kutanga utachiona pazviratidzo zvekutanga zvekuchengetedza, sezvo chirwere ichi mune zvimwe zviitiko chinokonzera kukura kwekenza yebere.