Chii chinonzi prolactinoma, zviratidzo uye marapirwo anoitwa

Zvemukati

• Zviratidzo zveprolactinoma
• Maitiro ekuongororwa kunoitwa
• Kurapa kweprolactinoma

Prolactinoma ibundu rinotapukira rinowanikwa mune yepituitary gland, kunyanya mune iyo pituitary gland inotungamira mukuwedzera kugadzirwa kweprolactin, inova hormone inoitisa kukurudzira materu emammary kuti abudise mukaka panguva yekuzvitakura uye panguva yekuyamwisa. Kuwedzera kwehuwandu hweprolactin hunoratidza hyperprolactinemia, iyo inogona kutungamira pakuonekwa kwezvimwe zviratidzo sekusaenda kumwedzi zvisiri izvo, kusaenda kumwedzi, kushaya mbereko uye kushaya simba, mune varume.

Prolactinoma inogona kuiswa mumhando mbiri maererano nehukuru hwayo:

• Microprolactinoma, Iyo ine dhayamita isingasviki gumi mm;
• Macroprolactinoma, iyo ine dhayamita yakaenzana kana kupfuura gumi mm.

Kuongororwa kweprolactinoma kunoitwa kuburikidza nekuyera kweprolactin muropa uye mhedzisiro yekuyedza kufungidzira senge magnetic resonance uye computed tomography. Kurapa kunofanira kukurudzirwa naiye endocrinologist kana chiremba wezvehutano maererano nehunhu hwebundu, uye kushandiswa kwemishonga kudzora mwero weprolactin uye kubvisa zviratidzo kunoratidzwa.

Zviratidzo zveprolactinoma

Zviratidzo zveprolactinoma zvine chekuita nekuwedzera kwehuwandu hwekupararira kweprolactin, uye panogona kunge paine:

• Kugadzirwa kwemukaka wechipfuva kunyangwe usina kuve nepamuviri kana uchangobva kusununguka mwana;
• Kutsiva kumwedzi kana kusaenda kumwedzi,
• Kushaya mbereko;
• Kushaya simba, mune varume;
• Kuderedza chishuwo chepabonde;
• Chipfuva kuwedzera varume.

Kunyangwe kuwedzera kwehuwandu hweprolactin kune hukama neprolactinoma, zvinogona kuitikawo nekuda kwemamwe mamiriro akaita se polycystic ovary syndrome, hypothyroidism, kushushikana, panguva yekuzvitakura nekuyamwisa, itsvo kutadza, chiropa kutadza kana nekuda kwemimwe mishonga. Dzidza zvakawanda nezvezvinokonzera hyperprolactinemia.

Maitiro ekuongororwa kunoitwa

Kuongororwa kweprolactinoma kunoitwa pekutanga nekutarisa huwandu hwekupararira kweprolactin uye hunhu hunosiyana zvichienderana nerudzi rweprolactinoma:

• Kana iri microprolactinoma, iyo prolactin kukosha iri pakati pe50 uye 300 ng / dL;
• Kana iri macroprolactinoma, iyo prolactin kukosha iri pakati pe200 uye 5000 ng / dL.

Pamusoro pechiyero chekutenderera prolactin, chiremba anowanzo kuratidza mashandiro ekomputa tomography uye yemagineti resonance imaging kuitira kuti aongorore hunhu hweiyi bundu. Bone densitometry uye echocardiogram inogonawo kukumbirwa kuitira kuti uone kana paine kukuvara kwakanangana nekuwedzera kwehuwandu hwekutenderera prolactin.

Ona kuti bvunzo yeprolactin inoitwa sei uye kuti unganzwisise sei mhedzisiro.

Kurapa kweprolactinoma

Kurapa kweprolactinoma kunovavarira kudzikisa zviratidzo uye kudzorera kubereka, mukuwedzera kune kudzora kutenderera kwemazinga eprolactin uye kudzora kukura kwechirwere uye kukura. Mutsara wekutanga wekurapa unoratidzwa neiyo endocrinologist ndeye nemishonga yakadai seBromocriptine neCabergoline.

Kana huwandu hweprolactin husina kudzorwa, chiremba anogona kukurudzira kuvhiyiwa kubvisa bundu. Uye zvakare, kana munhu wacho akasapindura kurapwa nemushonga, radiotherapy inogona kukurudzirwa kuitira kudzora saizi yebundu uye kudzivirira kuwedzera kwechirwere.