He aha ka prolactinoma, nā ʻōuli a pehea e hana ai ka lāʻau

Anter

• Nā ʻōuli Prolactinoma
• Pehea e hana ʻia ai ke kuhi
• Hoʻomaʻo no ka prolactinoma

ʻO Prolactinoma kahi tumo puʻupuʻu aia i loko o ka pituitary gland, ʻoi aku ke kikoʻī i ka pituitary gland e alakaʻi ai i ka hoʻonui ʻana i ka hana ʻana o ka prolactin, kahi hormone e kuleana ai no ka hoʻoulu ʻana i nā ʻōpū mammary e hana i ka waiū i ka wā hāpai a me ka wā hānai. ʻO ka hoʻonui ʻana i ka nui o ka prolactin e hōʻike i ka hyperprolactinemia, hiki ke alakaʻi i ke ʻano o kekahi mau ʻōuli e like me ka menstruation maʻamau, ka ʻole o ka menstruation, infertility a me ka impotence, i ka hihia o nā kāne.

Hiki ke hoʻokaʻawale ʻia ʻo Prolactinoma i ʻelua ʻano e like me ka nui:

• ʻO Microprolactinoma, nona ke anawaena o lalo o 10 mm;
• ʻO Macroprolactinoma, nona ke anawaena i like a ʻoi aku paha ma mua o 10 mm.

Hana ʻia ke kuhi o ka prolactinoma ma o ke ana ʻana o ka prolactin i loko o ke koko a me ka hopena o nā hoʻokolohua kiʻi e like me ka resonance ʻumeʻume a me ka tomography i helu ʻia. Pono e koi ʻia ka lapaʻau e ka endocrinologist a i ʻole neurologist e like me ke ʻano o ka tumo, a hōʻike ʻia ka hoʻohana ʻana i nā lāʻau e hoʻoponopono i nā pae prolactin a hoʻomaha i nā ʻōuli.

Nā ʻōuli Prolactinoma

Pili nā ʻōuli Prolactinoma i ka hoʻonui ʻana o ka nui o ka prolactin circulate, a aia paha:

• ʻO ka hana ʻana i ka waiū hānai me ka hāpai ʻole a hānau hou paha o kahi pēpē.
• Kūleʻa maʻamau ʻaʻohe menstruation,
• Infertility;
• Impotence, ma ka hihia o nā kāne;
• Hoemi i ka makemake moekolohe;
• Hoʻonui i ka umauma i nā kāne.

ʻOiai ʻo ka hoʻonui ʻana o ka nui o ka prolactin e pili ana i ka prolactinoma, hiki ke hana ʻia ma muli o nā hanana ʻē aʻe e like me ka polycystic ovary syndrome, hypothyroidism, stress, i ka wā hāpai a me ka hānai ʻana i ka waiū, ʻole ka hakuʻala, ʻole ka ate a ma muli o kekahi mau lāʻau. E aʻo hou aʻe e pili ana i nā kumu o hyperprolactinemia.

Pehea e hana ʻia ai ke kuhi

Hana mua ʻia ke kuhi o ka prolactinoma e ka nānā ʻana i ka nui o ka hoʻolaha ʻana o ka prolactin a me nā ʻano like ʻole e like me ke ʻano o ka prolactinoma.

• I ka hihia o microprolactinoma, nā waiwai prolactin ma waena o 50 a me 300 ng / dL;
• I ka hihia o macroprolactinoma, nā waiwai prolactin ma waena o 200 a me 5000 ng / dL.

Ma waho aʻe o ke ana o ka hoʻolaha ʻana o ka prolactin, hōʻike pinepine ke kauka i ka hana o ka tomography compute a me nā kiʻi resonance ʻume mākenēki i mea e hōʻoia ai i nā ʻano o kēia tumo. Noi pū ʻia paha ka densitometry iwi a me ka echocardiogram i mea e ʻike ai inā aia kekahi mea ʻino e pili ana i ka hoʻonui ʻana i ka nui o ka prolactin e holo nei.

E ʻike pehea e hana ai i ka hoʻokolohua prolactin a pehea e maopopo ai i ka hopena.

Hoʻomaʻo no ka prolactinoma

Hoʻopaʻa ka lāʻau no ka prolactinoma e hoʻoliʻiliʻi i nā ʻōuli a hoʻihoʻi i ka momona, i ka hoʻohui ʻana i ka mālama ʻana i nā pae prolactin a me ka kaohi ʻana i ka ulu a me ka ulu ʻana o ka tumo. ʻO ka lālani mua o ka lāʻau i hōʻike ʻia e ka endocrinologist me nā lāʻau e like me Bromocriptine a me Cabergoline.

Ke hoʻokau ʻole ʻia nā pae prolactin, hiki i ke kauka ke paipai i ke ʻoki e hemo i ka tumo. Eia hou, inā ʻaʻole pane ke kanaka i ka lapaʻau me ka lāʻau, e koi ʻia ka radiotherapy i mea e kaohi ai i ka nui o ka tumo a pale i ka holomua o ka maʻi.