Waa maxay prolactinoma, astaamaha iyo sida daaweynta loo sameeyo

Qanacsan

• Calaamadaha Prolactinoma
• Sidee lagu ogaadaa cudurka
• Daaweynta prolactinoma

Prolactinoma waa buro aan fiicnayn oo ku taal qanjirka 'pituitary gland', gaar ahaan qanjirka 'pituitary gland' kaasoo horseed u noqda wax soo saar kordhaya ee prolactin, taas oo ah hormoon mas'uul ka ah kicinta qanjidhada naasaha si ay caano u soo saaraan muddada uurka iyo inta naas nuujinta. Kordhinta xaddiga prolactin waxaa lagu gartaa hyperprolactinemia, taas oo u horseedi karta muuqaalka astaamaha qaarkood sida caadada oo aan joogto ahayn, maqnaanshaha caadada, madhalaysnimo iyo awood la’aan, marka laga hadlayo ragga.

Prolactinoma waxaa loo kala saari karaa laba nooc iyadoo loo eegayo cabirkeeda:

• Microprolactinoma, kaasoo dhexroorkiisu ka yar yahay 10 mm;
• Macroprolactinoma, kaas oo leh dhexroor u dhigma ama ka weyn 10 mm.

Baadhista cudurka prolactinoma waxaa lagu sameeyaa cabbirka prolactin ee dhiigga iyo natiijada ka soo baxda tijaabooyinka sawirka sida magnetic resonance iyo tomography compute. Daaweynta waa inuu kugula taliyaa dhakhtarka endocrinologist ama neerfaha si waafaqsan astaamaha burooyinka, iyo isticmaalka daroogada si loo xakameeyo heerarka prolactin loona yareeyo astaamaha ayaa la muujiyay.

Calaamadaha Prolactinoma

Calaamadaha prolactinoma waxay la xiriiraan kororka xaddiga wareegga prolactin, waxaana jiri kara:

• Soosaarida caanaha naaska xitaa adigoon xaamilo noqon ama aan dhowaan dhalan;
• Caadada aan caadiga ahayn ama caadada oo aan lahayn,
• Madhalaysnimo;
• Awood la'aan, marka laga hadlayo ragga;
• Hoos u dhaca rabitaanka galmada;
• Kordhinta naasaha ee ragga.

In kasta oo kordhinta xaddiga prolactin ay la xiriirto prolactinoma, haddana waxay sidoo kale u dhici kartaa xaalado kale sida polycystic ovary syndrome, hypothyroidism, stress, inta lagu guda jiro uurka iyo naas nuujinta, kalyaha oo shaqeynaya, beerka oo shaqeynaya ama daawooyinka qaarkood. Waxbadan ka baro sababaha keena hyperprolactinemia.

Sidee lagu ogaadaa cudurka

Ciladda prolactinoma waxaa lagu ogaadaa bilowga iyadoo la hubinayo xaddiga wareegga prolactin iyo qiimayaashu way kala duwanaan karaan iyadoo loo eegayo nooca prolactinoma:

• Xaalada microprolactinoma, qiyamka prolactin-ku wuxuu u dhexeeyaa 50 ilaa 300 ng / dL;
• Xaalada macroprolactinoma, qiyamka prolactin-ku wuxuu u dhexeeyaa 200 ilaa 5000 ng / dL.

Marka lagu daro qiyaasta wareejinta prolactin, dhakhtarku wuxuu inta badan muujiyaa waxqabadka sawir-qaadista xisaabinta iyo sawir-qaadista magnetic si loo xaqiijiyo astaamaha burooyinkaan. Lafaha densitometry iyo echocardiogram ayaa sidoo kale la codsan karaa si loo arko haddii uu jiro waxyeello la xiriirta kororka xaddiga prolactin wareegaya.

Eeg sida loo sameeyo tijaabada prolactin iyo sida loo fahmo natiijada.

Daaweynta prolactinoma

Daaweynta prolactinoma waxay ujeedadeedu tahay in la yareeyo astaamaha lana soo celiyo bacriminta, marka lagu daro xakamaynta heerarka wareegga prolactin iyo xakameynta koritaanka burooyinka iyo horumarka. Qadka ugu horeeya ee daaweynta ee uu muujiyey endocrinologist waxaa kujira dawooyin ay kamid yihiin Bromocriptine iyo Cabergoline.

Marka heerarka prolactin aan la xakamayn, dhakhtarku wuxuu kugula talin karaa qalliin si looga saaro burada. Intaas waxaa sii dheer, haddii qofku uusan ka jawaabin daaweynta daaweynta, shucaaca ayaa lagula talin karaa si loo xakameeyo xajmiga burooyinka loogana hortago horumarka cudurka.