Ayyukan hormonal halayen yana rinjayar duka mata da maza
Hyperprolactinemia ne jihar da ke dauke da matakan hormone da ake kira prolactin cikin jini. Ana samar da kwayar halitta ta hanyar glandar da ke cikin jiki kuma tana taka muhimmiyar rawa a ci gaba da ƙirjin a lokacin daukar ciki.
Yayin da ake daukar hyperprolactinemia sosai a lokacin haihuwa da kuma nono, zai iya faruwa a wasu lokuta saboda cutar da amfani da kwayoyi.
Hyperprolactinemia zai iya rinjayar duka mata da maza, wanda ya haifar da rashin haɓakaccen lokaci da cin hanci da rashawa, a tsakanin sauran abubuwa.
Dalilin Hyperprolactinemia
Matakan ƙwayar ƙafa za a iya daukaka ga wasu dalilai. Ɗaya daga cikin mawuyacin dalilin shi ne kafawar ciwon ƙwayar cuta a kan gland shine. Wannan ci gaban da ba shi da girma, wanda aka sani da prolactinoma, ya ɓoye kwayoyin halitta mai zurfi yayin da ya rage matakan sauran jima'i na jima'i.
Cututtuka da ke shafi ɓangare na kwakwalwa da ake kira hypothalamus na iya haifar da hyperprolactinemia. Ayyukan hypothalamus suna aiki a matsayin hanyar haɗi tsakanin tsarin tausayi da kuma gland. Ƙara yawan matakan prolactin sau da yawa ana iya danganta shi da ƙwayar cuta, cututtuka, ko kamuwa da cutar hypothalamus.
Sauran abubuwa sun haɗa da:
- Hypothyroidism (low thyroid hormone matakan)
- Cirrhosis na hanta
- Kwanan koda koda
- Magungunan antidepressants (Anafranil, Norpramin)
- Antipsychotics (Haldol, Zyprexa, Risperdal)
- Antihypertensives ( Verelan, Calan, Covera-HS, Isoptin)
- Antinauseals (Reglan, Primperan, Lexapram)
- Acid H2 blockers (Tagamet, Zantac)
- Estrogen
Hanyoyin cututtuka na Hyperprolactinemia
Hanyoyin cututtuka na hyperprolactinemia a cikin mata na iya bambanta. Lokacin da ke faruwa a waje na ciki ko nono, zasu iya hada da:
- Ba da amfani
- Gallactoria (lactation abnormal)
- Ba daidai ba ko lokaci maras lokaci
- Amenorrhea (bacewar lokacin haihuwa)
- Rashin libido
- Jin zafi
- Jima'i mai lalacewa saboda rashin bushewa
Lokacin da yake faruwa a cikin maza, alamar cututtuka sune yawancin lalacewar jima'i da / ko ciwo da ke haɗuwa da samuwar prolactinoma. Alamomi da alamu sun hada da:
- Erectile dysfunction
- Gynecomastia (ci gaba nono nono)
- Lactation
- Ba da amfani
- Rashin libido
Domin hyperprolactinemia a cikin maza ba koyaushe yana bayyana tare da rashin alamun bayyanar cututtuka, irin su matsalolin mutum, akwai wani lokaci mawuyacin kusantar. A wasu lokuta, ciwon kai da cutar ta hanyar tsinkaye ko canzawa cikin hangen nesa na iya zama alamar farko na yanayin a cikin maza da mata.
Sanin ganowar Hyperprolactinemia
Sakamakon ganewar cutar hyperprolactinemia ya haɗa da gwajin jini na yau da kullum don duba matakan prolactin. Idan matakan jini ya karu, likita na iya sake maimaita gwaji, wannan lokaci bayan azumi na akalla sa'o'i takwas. Tsarin gine-gine na al'ada ba su da kasa da 500 mIU / L ga mata kuma ƙasa da 450 mIU / L ga maza
Za'a iya ba da izini na hoton fuska mai haske (MRI) don neman hujjoji na ci gaban haɗuwa ko kuma lalata kayan ciki.
Yin gwajin jini don kimanta wasu matakan hormone zai iya zama da amfani wajen yin watsi da wasu mawuyacin yiwuwar bayyanar cututtuka.
Jiyya na Hyperprolactinemia
Makasudin magani shi ne ya dawo prolactin zuwa matakan al'ada. Akwai adadin zaɓuɓɓukan daidaitattun don cimma wannan:
- Magunguna Parlodel (bromocriptine) da Dostinex (cabergoline) an san su suna tasiri wajen rage matakan prolactin da kuma rage ciwon sukari.
- Za'a iya amfani da tiyata a wasu lokuta don cire tumar pituitary idan magunguna ba su aiki ko an yi musu rashin haƙuri
- Ragewa, yayin da ba a yi amfani da shi ba, za a iya nuna idan magunguna da tiyata ba su da tasiri.
- Za a iya amfani da hypothyroidism tare da hormone na thyroid, wanda zai kawo matakan prolactin žasa.
- Idan matakan high prolactin suna haifar da kwayoyi kwayoyi, maye gurbin magungunan ƙwayoyi.
> Source:
> Melmed, S .; Casanueva, F .; Hoffman, A. et al. "Sanin ganowa da maganin Hyperprolactinemia: Dokar Endocrin Society Clinical Practice Guideline." Jaridar Clinical Endocrinology da Metabolism. 2011; 96 (2): 272-88.