Hyperprolactinemiaal yog dab tsi?

Zoo Siab

• Hyperprolactinemia
• Hyperprolactinemia ua rau
• Cov tsos mob ntawm hyperprolactinemia
• Yuav kuaj li cas thiaj paub tias muaj hyperprolactinemia?
• Kho hyperprolactinemia
• Nqa Nyiaj

Hyperprolactinemia

Prolactin yog yam tshuaj tsim los ntawm cov qog pituitary. Nws pab txhawb nqa thiab saib xyuas lub mis tawm. Hyperprolactinemia tau piav qhia txog ib yam dhau ntawm cov tshuaj no hauv tib neeg lub cev.

Nws ib txwm muaj qhov xwm txheej no thaum cev xeeb tub lossis thaum tsim cov mis rau menyuam noj niam mis.

Qee yam kev mob lossis kev siv cov tshuaj tshwj xeeb, txawm li cas los xij, tuaj yeem ua rau hyperprolactinemia nyob hauv ib tus neeg. Cov laj thawj thiab kev cuam tshuam ntawm cov qib prolactin txawv nyob ntawm tus neeg sib deev.

Nyeem rau kom paub txog cov ua rau, tshwm sim, thiab kho mob hyperprolactinemia.

Hyperprolactinemia ua rau

Kev nce qib ntawm prolactin tuaj yeem tshwm sim los ntawm ntau yam kev mob theem nrab. Feem ntau, hyperprolactinemia yog tshwm sim los ntawm cev xeeb tub - uas yog dab tsi.

Raws li ib qho, cov qog pituitary yuav yog qhov ua rau yuav luag 50 feem pua ​​ntawm hyperprolactinemia. Prolactinoma yog nqaij hlav uas ua rau lub qog pituitary. Cov hlav no ib txwm tsis muaj teebmeem. Tab sis lawv tuaj yeem ua rau cov tsos mob sib txawv raws li tus neeg sib deev.

Lwm yam ua rau hyperprolactinemia muaj xws li:

• acid H2 blockers, xws li cimetidine (Tagamet)
• cov tshuaj tiv thaiv kab mob siab, xws li verapamil (Calan, Isoptin, thiab Verelan)
• tshuaj estrogen
• tshuaj tiv thaiv kab mob xws li desipramine (Norpramin) thiab clomipramine (Anafranil)
• cirrhosis, lossis ua mob hnyav heev ntawm daim siab
• Cushing syndrome, uas tuaj yeem tshwm sim los ntawm theem siab ntawm hormone cortisol
• mob voos, mob qog, lossis kev mob siab ntawm hypothalamus
• noj tshuaj tiv thaiv xeev siab xws li metoclopramide (Primperan, Reglan)

Cov tsos mob ntawm hyperprolactinemia

Cov tsos mob ntawm hyperprolactinemia yuav txawv nyob rau txiv neej thiab poj niam.

Txij li cov qib prolactin muaj feem cuam tshuam rau kev tsim cov mis thiab lub cev ntas, nws tuaj yeem nyuaj rau pom hauv tus txiv neej. Yog tias tus txiv neej tab tom mob erectile ua hauj lwm zoo, lawv tus kws kho mob yuav pom zoo kom kuaj ntshav mus saib cov roj ntsha ntau dhau.

Cov tsos mob hauv cov pojniam:

• ntxiv lawm tshob
• sijhawm tsis tu ncua
• hloov kev coj khaub ncaws
• Ncua lub cev ntas
• poob ntawm libido
• lactation (galactorrhea)
• mob hauv lub mis
• paum dryness

Cov tsos mob hauv cov txiv neej:

• mis loj hlob tsis zoo (muaj mob rau lub cev)
• kev pub mis
• ntxiv lawm tshob
• erectile kawg
• poob ntawm kev sib deev muaj siab
• mob taub hau
• kev pom kev hloov

Yuav kuaj li cas thiaj paub tias muaj hyperprolactinemia?

Txhawm rau kuaj hyperprolactinemia, tus kws kho mob ua ntsuas ntshav kom kuaj cov qib prolactin.

Yog tias qib prolactin ntau, tus kws kho mob yuav kuaj xyuas lwm yam mob. Yog tias lawv xav tias lub qog, lawv yuav yuam kom kuaj MRI txhawm rau sim seb puas yog tus mob qog nqaij hlav.

Kho hyperprolactinemia

Kev kho mob ntawm hyperprolactinemia feem ntau tsom mus rau kev rov qab cov qib prolactin rov qab mus rau qub. Hauv kev mob qog, phais yuav tsum tau tshem tawm qhov mob prolactinoma, tab sis tus mob feem ntau tuaj yeem tswj hwm nrog kev siv tshuaj kho mob.

Kev kho mob yuav suav nrog:

• hluav taws xob
• hluavtaws cov thyroid hormones
• hloov kev noj tshuaj
• tshuaj noj kom txo cov tshuaj prolactin, xws li bromocriptine (Parlodel, Cycloset) lossis cabergoline

Nqa Nyiaj

Feem ntau, hyperprolactinemia yog kho tau. Kev kho mob yuav yog nyob ntawm dab tsi ua rau muaj kev cuam tshuam nrog prolactin ntau heev. Yog tias koj muaj mob qog, koj yuav xav phais kom tshem tawm cov qog thiab rov qab ua haujlwm rau koj lub caj pas pituitary kom zoo li qub.

Yog tias koj muaj kev tsis haum xeeb ua tsis taus mis, mob hauv lub cev, lossis lub siab tsis sib deev, qhia rau koj tus kws kho mob txog koj cov tsos mob kom lawv tuaj yeem ua cov kev ntsuas tsim nyog los txiav txim qhov ua rau.