He aha ka Hyperprolactinemia?
Anter
- Hyperprolactinemia
- Nā kumu Hyperprolactinemia
- Nā ʻōuli o hyperprolactinemia
- Pehea e ʻike ʻia ai ka hyperprolactinemia?
- Hoʻomaʻo Hyperprolactinemia
- Lawe aku
Hyperprolactinemia
ʻO Prolactin kahi homone i hana ʻia mai ka pituitary gland. Kōkua ia i ka hoʻoulu a me ka mālama ʻana i ka hana ʻana o ka waiū umauma. Hoʻomaopopo ʻo Hyperprolactinemia i kahi keu o kēia hormone i ke kino o ke kanaka.
ʻO ka maʻamau ka loaʻa ʻana o kēia ʻano i ka wā hāpai a i ʻole ke hana ʻana i ka waiū no ka hānai ʻana.
ʻO kekahi mau kūlana a hoʻohana paha i nā lāʻau kikoʻī, akā hiki ke hana i ka hyperprolactinemia i kekahi. Hoʻololi nā kumu a me nā hopena o nā pae prolactin kiʻekiʻe i ka moekolohe o ke kanaka.
E heluhelu e aʻo e pili ana i nā kumu, nā ʻōuli, a me ka mālama ʻana i ka hyperprolactinemia.
Nā kumu Hyperprolactinemia
Hoʻokumu ʻia kahi pae hoʻonui o prolactin e nā ʻano kūlana kiʻekiʻe ʻelua. ʻO ka hapanui pinepine, hyperprolactinemia ka mea ma muli o ka hāpai ʻana - ka mea maʻamau.
Wahi a a, ʻo nā pituitary tumors ke kumu o ka 50 pakeneka o hyperprolactinemia. ʻO ka prolactinoma kahi tumo e hana ai i ka pituitary gland. ʻAʻole noncancerous kēia mau tumors. Akā hiki iā lākou ke kumu i nā hōʻailona ʻokoʻa no ka hilinaʻi ʻana i ka moekolohe o ke kanaka.
Nā kumu ʻē aʻe o hyperprolactinemia e komo pū ana:
- blockers acid H2, e like me cimetidine (Tagamet)
- nā lāʻau lapaʻau antihypertensive, e like me verapamil (Calan, Isoptin, a me Verelan)
- estrogen
- nā lāʻau antidepressant e like me desipramine (Norpramin) a me clomipramine (Anafranil)
- cirrhosis, a i ʻole ke kaha ʻana o ke ake
- ʻO Cushing syndrome, kahi e hopena i nā kiʻekiʻe o ka hormone cortisol
- maʻi, maʻi tumo, a hōʻeha paha o ka hypothalamus
- lāʻau lapaʻau anti-nausea e like me metoclopramide (Primperan, Reglan)
Nā ʻōuli o hyperprolactinemia
Hiki i nā ʻōuli o hyperprolactinemia ke ʻokoʻa i nā kāne a me nā wahine.
Ma muli o ka hopena o nā pae prolactin i ka hana ʻana o ka waiū a me nā pōʻai menstrual, hiki i ka paʻakikī ke ʻike i nā kāne. Inā loaʻa i kahi kāne kahi hana erectile, hiki i kā lākou kauka ke koi i kahi hoʻokolohua koko e nānā no ka nui o ka prolactin.
Nā ʻōuli i nā wahine:
- infertility
- wā kūlike ʻole
- hoʻololi i ke kahe menstrual
- hoʻomaha iki i ka pōʻai menstrual
- lilo o ka libido
- lactation (galactorrhea)
- ʻeha ma nā umauma
- Maloʻo maloʻo
Nā hōʻailona ma nā kāne:
- ulu umauma ʻole (gynecomastia)
- lactation
- infertility
- ka hana erectile
- nalo o ka moekolohe
- ʻeha poʻo
- loli hihiʻo
Pehea e ʻike ʻia ai ka hyperprolactinemia?
No ke kuhi ʻana i ka hyperprolactinemia, hana ke kauka i kahi hoʻokolohua koko e nānā i nā pae prolactin.
Inā kiʻekiʻe nā pae prolactin, e hoʻāʻo ke kauka no nā kūlana ʻē aʻe. Inā manaʻo lākou he hikoko, kauoha paha lākou i kahi scan MRI e hoʻāʻo e hoʻoholo inā aia kahi pituitary tumor.
Hoʻomaʻo Hyperprolactinemia
Mālama nui ʻia ka mālama ʻana i ka hyperprolactinemia i ka hoʻi ʻana i nā pae prolactin i ka maʻamau. I ke kumu o kahi tumo, pono paha ke ʻoki e wehe i ka prolactinoma, akā hiki ke mālama pinepine ʻia ke ʻano me ka lāʻau.
Hoʻopili paha ka mālama ʻana:
- pāhawewe
- nā homone thyroid synthetic
- loli o ka lāʻau
- ka lāʻau e hōʻemi ai i ka prolactin, e like me bromocriptine (Parlodel, Cycloset) a i ʻole cabergoline
Lawe aku
ʻO ka maʻamau, hiki ke mālama ʻia ʻo hyperprolactinemia. E hilinaʻi ka mālama ʻana i ka mea e hopena ai i ka huna prolactin. Inā loaʻa iā ʻoe kahi tumo, pono ʻoe i ke ʻoki e wehe i ka tumo a hoʻihoʻi i kāu gland pituitary i ka maʻamau.
Inā ʻoe e ʻike i ka lactation kūpono ʻole, ka hana erectile, a i ʻole ka nalo ʻana o ka makemake moekolohe, e hoʻomaopopo i kāu kauka no kāu mau hōʻailona i hiki iā lākou ke hana i nā hoʻokolohua kūpono e hoʻoholo ai i ke kumu.