Prolactin muvarume: zvinokonzera, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvekuwedzera kweprolactin muvarume
• Zvinokonzera kuwedzera prolactin muvarume
• Prolactin kuongororwa kwevarume
• Kurapa kwekudzikisa prolactin

Prolactin ihormoni iyo, kunyangwe iine chekuita nekugadzirwa kwemukaka wemukaka, muvarume, une mamwe mabasa, sekuzorodza muviri mushure mekusvika kune orgasm, semuenzaniso.

Akajairika mazinga eprolactin muvarume ari pasi pegumi kusvika gumi neshanu ng / mL, asi inogona kusvika kumusoro kwakanyanya kukosha nekuda kwekurwara, kushandiswa kwemishonga ine iyi divi mhedzisiro, kana nekuda kwetundu muuropi.

Zviratidzo zvekuwedzera kweprolactin muvarume

Kubuda kwemukaka kuburikidza nezamu remurume, kunogona kunge kuripo mune dzimwe nguva, uye kunogona kucherechedzwa kana chiremba achimanikidza nharaunda yakasviba yezamu. Zvimwe zviratidzo ndezvi:

• Kuderedza chishuwo chepabonde;
• Kushaya bonde;
• Kuderera muhuwandu hwehurume;
• Kuderedzwa kwe testosterone mazinga;
• Kuwedzera kwemazamu uye kuchengetedza mukaka hazviwanzo kuitika.

Zvimwe zviratidzo zvisingawanzozivikanwa nezviratidzo marwadzo emusoro, shanduko muchiono nekuda kweatrophy yeiyo optic nerve uye kuora mitezo yemakumbo etsinga, ayo anowanzo kuve mune varume kupfuura vakadzi, pamwe nekuti mune varume matumbo acho anowanzove makuru kupfuura evakadzi.

Zvinokonzera kuwedzera prolactin muvarume

Mimwe mienzaniso yemishonga inotungamira mukuwedzera kwevarume prolactin ndeiyi:

• Zvinodzvinyirira: alprazolam, fluoxetine, paroxetine;
• Mishonga yekurapa: haloperidol, risperidone, chlorpromazine;
• Mishonga yemudumbu uye kusvotwa: cimetidine uye ranitidine; metoclopramide, domperidone uye cisapride;
• Yakakwirira BP mishonga: reserpine, verapamil, methyldopa, atenolol.

Pamusoro pemishonga, pituitary tumors, inonzi prolactinomas, inogona zvakare kukonzera kuwanda kwepractactin muropa. Zvirwere zvakaita sarcoidosis, tuberculosis, aneurysm uye radiotherapy kumusoro zvinogona zvakare kuverengerwa, pamwe neitsvo kutadza, chiropa cirrhosis uye hypothyroidism.

Prolactin kuongororwa kwevarume

Mune varume, prolaktini tsika dzinofanirwa kuve dzinosvika makumi maviri ng / mL, uye iyo yakakwira iyi kukosha, inowedzera mukana wekuti bundu, rinonzi prolactinoma.

Kana uchicherekedza kuwedzera uku mukuyedzwa kweropa chiremba anogona kuraira bvunzo dzekufungidzira kuti anyatsoongorora gland. Kuyedza kunogona zvakare kuodha maX-ray emusoro uye Magnetic Resonance Imaging.

Kurapa kwekudzikisa prolactin

Kurapa kunoratidzwa kurwisa kushaya mbereko, matambudziko epabonde uye kusimbisa mapfupa. Kune izvi zvinogona kudikanwa kutora mishonga yakadai seBromocriptine uye Cabergoline (lisuride, peridhe, quinagolide).

Kuvhiya kunoratidzirwa kubvisa bundu, kana riri hombe kana riri kuwedzera saizi. Radiotherapy haina kugara ichiratidzwa nekuti iyo yekubudirira mwero haina kunyanya kukwirira.

Bvunzo dzinofanirwa kudzokororwa pamwedzi miviri kana mitatu mugore rekutanga rekurapwa, uyezvezve imwe neimwe mwedzi mitanhatu kana gore mushure megore, sekuda kunoita endocrinologist.