Ukwanda prolactin: oonobangela, iimpawu, unyango, iziphumo

Ukuba iphakamileyo hormone prolactin, sexesheni waphazamiseka kunye nokulungelelana hormone kukho ubudlolo okanye iingxaki ethwele umntwana. Ngoko ke, abasetyhini kufuneka amisele kumgangatho egazini ngexesha ucwangciso lokukhulelwa.

Prolactin yenziweyo posa - nobubovu ezidalwe ibekwe apha ebuchotsheni. Yobuchopho elawula le nkqubo. hormone ziyivela kakhulu iimeko zangaphandle. Ngoko ke, prolactin phezulu ibe ngenxa yezi zizathu zilandelayo:

• iziyobisi;

• ukusilela kwezintso;

• uxinzelelo;

• ukuqina;

• ubuthongo;

• syndrome Cushing kaThixo;

• isifo Addison kaThixo ;

• acromegaly;

• sarcoidosis;

• neyrotuberkulez;

• ayanda;

• ixesha Kukudandatheka lo;

• nokukhulelwa;

• ukuvusa ingono;

• lwebele;

• sexual;

• Ukubulawa;

• atyiwe kwegazi phezu kwesifuba.

Ngamanye amaxesha ahlukeneyo umjikelo inqanaba hormone egazini yahluka ukusuka-6 ukuya 28 ng / ml. Ukuze ufumane iziphumo ethembekileyo ingenakuthatyathwa emva kocazululo ebuthongweni okanye iinkqubo. Le secretion of prolactin kwenzeka idaleka, nezihlandlo kwisigaba obesondliwa komjikelo. Kukho kwakhona okunzulu ngemihla kwinqanaba yayo, umzekelo, emva uvuka hormone yoxinaniso omncinane. Emva kokuba ndilale ukunyuka zayo secretion kwaye lukhula ephupheni.

Isinye esithathwini izigulane uwuphakamisile prolactin, wafumana yebhinqa adenoma. Ukuba ubukhulu bayo inkulu, inqanaba hormone ngaphezu kwe-100 ng / ml. amazinga aphantsi ingaba microadenomas kwi zobungakanani ezincinane, hayi ukubonwa yi X-ray.

Eyona ndlela kakhulu okucacileyo uxilongo yamathumba yebhinqa - a MRI. Kuyimfuneko ukuba Kwathi kucwangciso wosana, ukuba kukho urhano kukho adenoma, njengoko ithumba elikhulu banokuzinikela iingxaki.

Imilinganiselo microadenomas yebhinqa musa ukudlula 1 cm. Bona ukukhula ngokucothayo kakhulu kwaye zikholisa ukuba ingozi. Macroadenomas ububanzi mkhulu kuno-1 cm. Bona zihamba kunye yintloko, utshintsho kwiinkalo ezibonwayo kunye nelahleko maxa wambi ngokupheleleyo oko. Phezu Ubhaqo macroadenoma luyimfuneko yokubonisana of a neurosurgeon. Wenza isigqibo malunga uqhaqho. Ngexesha lokukhulelwa microadenomas ngokuqhelekileyo musa ukutshintsha, kodwa nangezilonda ubungakanani enkulu-20% yamatyala ezikhulayo.

Prolactin kwakhona rhoqo kwaphakanyiswa ukusilela kwezintso (chronic). Xa sezintso abohlukeneyo i kuqheleke secretion yayo.

Ukuba prolactin i eziphakamileyo, injongo kwi yonyango zilandelayo:

• ukunciphisa izinga layo;

• buyisela umjikelezo;

• ukunciphisa isayizi ithumba, ukuba ngoku.

Enye amachiza asetyenziswa ukuthoba hormone - yi Parlodel, nto ke leyo agonist dopamine. It abangaphangeliyo ukuba secretion of prolactin ngu receptors ekhuthazayo engqondweni. Umthamo ixhomekeke ebukhulwini kunye nohlobo sifo. Emva kokuba ukuqaliswa umjikelo bromocriptine kwakhona emva avareji kwiiveki 7. Nangona ezinye izigulane ukuba kwenzeka kwiintsuku nje ezimbalwa.

Bromocriptine ngokuqhelekileyo ukuthatha izihlandlo eziliqela ngemini. ithamo inganyuswa ukuba kuyimfuneko. Unyango kufuneka kuhlala imijikelo eziliqela emva kokubuyiselwa sexesheni ukuthintela ukwenzeka. Iziphumo ebezingalindelekanga bromocriptine:

• nokudinwa;

• nesiyezi;

• intloko ebuhlungu;

• ukuphalaza;

• umlomo owomileyo;

• isicaphucaphu.

Ukwandisa prolactin kungabangela hypothyroidism. Ukwamkela Gomonov kule meko ikhokelele kuqheleke kwinqanaba yayo.

Ubungqina obubonakalayo buxela ukuba prolactin ekuhlalutyeni ezi zinto zilandelayo:

• kwamathambo;

• gynecomastia;

• amandla aphantsi kunye yobuntu;

• hirsutism;

• ukutyeba;

• incopho kuyela;

• ukuphazamiseka zisanyisa;

• nenzalo;

• anovulation;

• lwebele;

• Ukukhethwa ingono;

• amenorrhea, oligomenorrhea;

• iintlungu ibele Zijika.

Ngenxa yoko, prolactin anda, kwiimeko ezininzi ngenxa adenomas yebhinqa. Ukongeza, ebangela ukuzikisa ingqondo yayo ephezulu hypothyroidism. Ukufumaneka eyonyukileyo prolactin kukhokelela ukuphazamiseka komsebenzi sexesheni kunye nokungabikho ovulation, ngoko ukukhulelwa kunye nabantwana iba cishe engenakwenzeka. Unyango ibandakanya ukunciphisa inqanaba layo, ukupheliswa oonobangela sifo kunye nomjikelo recovery.