Hawlaha hoormoonka aan caadiga ahayn waxay saameysaa dumarka iyo ragga labadaba
Hyperprolactinemia waa gobol lagu yaqaan heerarka sare ee hoormoonka loo yaqaan ' prolactin' ee dhiigga. Prolactin waxaa soo saaraa qanjirka pituitary waxayna kaalin muhiim ah ka qaadataa horumarka naasaha xiliga uurka.
Inkastoo hyperprolactinemia loo arko mid caadi ah inta lagu jiro uurka iyo naas-nuujinta, waxay ku dhici kartaa waqtiyo kale sababtoo ah cudur iyo daawada isticmaalka.
Hyperprolactinemia waxay u saameyn kartaa haweenka iyo ragga labadaba, taasoo keeneysa caadooyin aan caadi ahayn iyo cillad aan caadi ahayn, iyo waxyaabo kale.
Sababaha Hyperprolactinemia
Heerarka prolactin waxaa laga yaabaa inay sare u kacaan sababo badan. Mid ka mid ah sababaha ugu caansan waa abuurista buro booge ah oo qanjirada qanjirada. Kobcin la'aanta ah ee noncancerous, oo loo yaqaan prolactinoma, ayaa si qarsoodi ah u qarsoodieysa prolatifin xad dhaaf ah iyadoo hoos loo dhigayo heerka hoormoonka kale ee galmada.
Cudurada saameeya qayb ka mid ah maskaxda oo lagu magacaabo hypothalamus waxay sidoo kale keeni kartaa hyperprolactinemia. Hypothalamus wuxuu u shaqeeyaa xidhiidhka ka dhexeeya habdhiska neerfaha iyo qanjirka 'pituitary gland'. Korodhka heerarka prolactinku badanaa waxay si toos ah ugu xiran yihiin buro, naxdin, ama infekshin hypothalamus.
Sababaha kale waxaa ka mid noqon kara:
- Hypothyroidism (heerarka hoormoonka tayroodhka hooseeya)
- Cirrhosis ee beerka
- Kelyo-bax aan caadi aheyn
- Antidepressants (Anafranil, Norpramin)
- Cudurka dabiiciga ah (Haldol, Zyprexa, Risperdal)
- Antihypertensives ( Verelan, Calan, Covera-HS, Isoptin)
- Antinosis (Reglan, Primperan, Lexapram)
- Acid H2 Blockers (Tagamet, Zantac)
- Estrogen
Astaamaha Hyperprolactinemia
Calaamadaha lagu garto hyperprolactinemia ee dumarka way kala duwanaan karaan. Marka ay dhacaan ka baxsan uurka ama naas-nuujinta, waxay ku jiri karaan:
- Kufsi la'aan
- Gallastoria (nuujin aan caadi ahayn)
- Wakhti aan macquul ahayn ama aan joogto ahayn
- Amenorrhea (waayitaanka muddada qaliinka)
- Lumida libido
- Xanuunka naaska
- Galmada xannuun leh oo ay ugu wacan tahay qallayl siilka
Marka uu ku dhaco ragga, astaamaha waxay caadi ahaan ku lug yeeshaan cillad galmo iyo / ama xanuun la xidhiidha sameynta prolactinoma. Calaamadaha iyo calaamadaha caamka ah waxaa ka mid ah
- Kala-bax la'aan Erectile
- Ginecomastia (horumarinta nudaha naasaha)
- Naas-nuujinta
- Kufsi la'aan
- Lumida libido
Sababtoo ah hyperprolactinemia ee ragga ma aha mid had iyo goor u muuqda calaamadaha xanuunka badan, sida dhibaatooyinka caadada, mararka qaarkood way adag tahay in la ogaado. Xaaladaha qaarkood, madax xanuun ay keento buro cagaarsho ama isbeddelka aragga ayaa noqon kara calaamadda koowaad ee xaaladda ragga iyo dumarka labadaba.
Ciladeynta Hyperprolactinemia
Ciladda hurgunka 'hyperprolactinemia' waxaa ka mid ah baaritaanka joogtada ah ee dhiigga si loo hubiyo heerarka prolactin. Haddii heerarka dhiiggu sarreeyo, dhakhtarku wuxuu rabi karaa in uu ku celiyo imtixaanka, waqtigan ka dib markaad soonto ugu yaraan siddeed saacadood. Heerarka prolactin caadiga ah waxay ka yar yihiin 500 mIU / L ee haweenka waxayna ka yar yihiin 450 mIU / L ragga
Sawirka sawirka maan-dooriyaha (MRI) ayaa laga yaabaa in lagu dalbado inuu raadiyo caddaynta korriinsho yar-yar ama dhaawac ku yimaada unugyada ku wareegsan.
Baaritaanka dhiigga si loo qiimeeyo heerarka hoormoonka kale ayaa faa'iido u leh in lagu xukumo sababaha kale ee suurtogalka ah ee astaamaha.
Daaweynta Hyperprolactinemia
Hadafka daaweynta waa in lagu celiyo heerarka caadiga ah. Waxaa jira tiro ka mid ah ikhtiyaaraadka caadiga ah si loo gaadho tan:
- Daawooyinka Parlodel (Bromocriptine) iyo Dostinex (cabergolin) ayaa la ogyahay in ay wax ku ool u yihiin hoos u dhigista heerarka prolatifin iyo yareynta burooyinka pituitary.
- Qaliinka waxaa laga yaabaa in mararka qaarkood loo isticmaalo in laga saaro buro buruqda ah haddii daawooyinka aan shaqaynayn ama si liidan loo dulqaadan karin
- Shucaac, inta badan la isticmaalo, ayaa laga yaabaa in la soo jeediyo haddii daawooyinka iyo qalliinka aysan waxtar lahayn.
- Hypothyroidism waxaa lagu daaweyn karaa hoormoonka tayroodhka ee loo yaqaan 'synthetic hormone hormone', taas oo keeneysa in hoos loo dhigo hoos u dhigida.
- Haddii heerarka prolactin-ka sareeya ay sababaan daawooyinka dhakhtarku qoro, daawooyinka bedelka ah ayaa la qori karaa.
> Isha:
> Melmed, S .; Casanueva, F .; Hoffman, A. et al. "Ciladeynta iyo Daaweynta Hyperprolactinemia: Tilmaamaha Habka Tababarka Caafimaadka Bulshada ee Endocrine." Joornaalka Endocrinology Clinic iyo Metabolism. 2011; 96 (2): 272-88.