Waa maxay Hyperprolactinemia?

Qanacsan

• Hyperprolactinemia
• Hyperprolactinemia ayaa sababa
• Calaamadaha cudurka 'hyperprolactinemia'
• Sidee lagu ogaadaa cudurka 'hyperprolactinemia'?
• Daaweynta Hyperprolactinemia
• Qaadid

Hyperprolactinemia

Prolactin waa hormoon laga soo saaro qanjirka 'pituitary gland'. Waxay ka caawisaa kicinta iyo ilaalinta wax soo saarka caanaha naaska. Hyperprolactinemia wuxuu sharxayaa xad-dhaaf hormoonkan ku jira jirka qofka.

Waa wax caadi ah in xaaladan la helo inta lagu guda jiro uurka ama marka la soo saarayo caano naas nuujinta.

Xaaladaha qaarkood ama isticmaalka daawooyinka gaarka ah, si kastaba ha noqotee, waxay ku sababi karaan hyperprolactinemia qof kasta. Sababaha iyo saameynta heerarka prolactin sare waxay ku kala duwan yihiin hadba nooca jinsiga qofka.

Akhriso si aad wax uga ogaatid sababaha, astaamaha, iyo daaweynta hyperprolactinemia.

Hyperprolactinemia ayaa sababa

Heerka sare ee prolactin waxaa sababi kara xaalado kaladuwan oo kaladuwan. Badanaa, hyperprolactinemia waxaa sababa uur - taas oo caadi ah.

Sida laga soo xigtay a, burooyinka pituitary waxaa laga yaabaa inay sabab u yihiin ku dhowaad 50 boqolkiiba hyperprolactinemia. Prolactinoma waa buro ka soo baxda qanjirka 'pituitary gland'. Burooyinkani caadi ahaan waa noncancerous. Laakiin waxay sababi karaan calaamado kala duwan oo ku xiran jinsiga qofka.

Sababaha kale ee keena hyperprolactinemia waxaa ka mid ah:

• aashitada H2, sida cimetidine (Tagamet)
• daawooyinka dhiig karka, sida verapamil (Calan, Isoptin, iyo Verelan)
• estrogen
• dawooyinka lidka diiqadda sida desipramine (Norpramin) iyo clomipramine (Anafranil)
• cirrhosis, ama nabar daran oo beerka ah
• Cushing syndrome, oo ka dhalan kara heerarka sare ee hoormoonka cortisol
• infekshinka, buro, ama jahwareerka hypothalamus
• daawada lalabbada sida metoclopramide (Primperan, Reglan)

Calaamadaha cudurka 'hyperprolactinemia'

Calaamadaha hyperprolactinemia way ku kala duwanaan karaan ragga iyo dumarka.

Maaddaama heerarka prolactin ay saameyn ku yeeshaan wax soo saarka caanaha iyo wareegyada caadada, way adkaan kartaa in lagu ogaado ragga. Haddii nin uu ku dhaco cillad aan caadi ahayn, dhakhtarkooda ayaa kugula talin kara baaritaanka dhiigga si loo raadiyo prolactin xad-dhaaf ah.

Calaamadaha dumarka:

• madhalaysnimo
• caadooyin aan caadi ahayn
• isbeddelka socodka caadada
• joogso wareegga caadada
• luminta libido
• nuujinta (galactorrhea)
• xanuunka naasaha
• qallajinta siilka

Astaamaha lagu garto ragga:

• koritaanka naaska oo aan caadi ahayn (gynecomastia)
• nuujinta
• madhalaysnimo
• cillad kacsi
• luminta rabitaanka galmada
• madax xanuun
• aragtida isbeddelka

Sidee lagu ogaadaa cudurka 'hyperprolactinemia'?

Si loo ogaado cudurka 'hyperprolactinemia', dhakhtar ayaa sameeya baaritaan dhiig si loo hubiyo heerarka prolactin.

Haddii heerarka prolactin uu sarreeyo, dhakhtarka ayaa baari doona xaalado kale. Haddii ay ka shakiyaan buro, waxay dalban karaan skaanka MRI si ay isugu dayaan inay go'aamiyaan haddii buro pituitary ay jirto.

Daaweynta Hyperprolactinemia

Daaweynta hyperprolactinemia badanaa waxay diirada saareysaa soo celinta heerarka prolactin-ka si caadi ah. Xaaladda buro, qalliin ayaa loo baahan karaa si looga saaro prolactinoma, laakiin xaaladda badanaa waxaa lagu maareyn karaa daawo.

Daaweyntu waxay ku lug yeelan kartaa:

• shucaac
• hormoonnada tayroodhka ee synthetic
• beddelka daawada
• daawo si loo yareeyo prolactin, sida bromocriptine (Parlodel, Cycloset) ama cabergoline

Qaadid

Caadi ahaan, hyperprolactinemia waa la daaweyn karaa. Daaweyntu waxay ku xirnaan doontaa waxa keena dheecaanka xad-dhaafka ah ee prolactin. Haddii aad leedahay buro, waxaad u baahan kartaa qalliin si looga saaro burooyinka oo aad ugu soo celiso qanjirkaaga pituitary caadi.

Haddii aad la kulanto caano aan caadi ahayn, cillad aan caadi ahayn, ama luminta rabitaanka galmada, u sheeg dhakhtarkaaga calaamadahaaga si ay u sameeyaan baaritaannada lagama maarmaanka u ah si loo ogaado sababta.