Yuav ua li cas yog prolactinoma, cov tsos mob thiab yuav kho li cas

Zoo Siab

• Cov tsos mob Prolactinoma
• Yuav kuaj li cas
• Kev kho rau prolactinoma

Prolactinoma yog cov qog benign nyob rau hauv lub caj pas pituitary, tshwj xeeb tshaj yog nyob hauv lub caj pas pituitary uas ua rau kom ntau lawm ntawm prolactin, uas yog yam tshuaj lub luag hauj lwm rau kev ua kom cov qog mammary los ua kua mis thaum cev xeeb tub thiab thaum pub niam mis. Qhov nce ntawm tus nqi ntawm prolactin cim cov hyperprolactinemia, uas tuaj yeem ua rau pom qhov tshwm sim ntawm qee cov tsos mob xws li cev ntas tsis xwm yeem, poj niam tsis muaj lub cev ntas, muaj menyuam yaus thiab tsis muaj zog, piv txwv li tus txiv neej.

Prolactinoma tuaj yeem faib ua ob hom raws li nws qhov loj:

• Microprolactinoma, uas muaj txoj kab uas hla tsawg dua 10 hli;
• Macroprolactinoma, uas muaj ib qho sib npaug los yog ntau dua 10 hli.

Kev kuaj mob ntawm prolactinoma yog tsim los ntawm kev ntsuas cov prolactin hauv cov ntshav thiab cov txiaj ntsig ntawm cov duab cuam tshuam xws li cov khoom sib nqus thiab rov tom tom qab. Txoj kev kho yuav tsum tau pom zoo los ntawm tus kws tsim tshuaj endocrinologist lossis tus kws kho paj hlwb raws li cov yam ntxwv ntawm cov qog, thiab kev siv cov tshuaj los kho cov qib prolactin thiab txo cov tsos mob tau qhia.

Cov tsos mob Prolactinoma

Prolactinoma cov tsos mob yog cuam tshuam nrog kev nce hauv qhov ntau ntawm cov circulating prolactin, thiab tej zaum yuav muaj:

• Kev tsim cov kua mis tseem tsis tau xeeb menyuam lossis nyuam qhuav yug menyuam;
• Kev coj khaub ncaws tsis xwm yeem lossis tsis coj khaub ncaws,
• Ntxiv lawm tshob;
• Cuam meem cem, Thaum txiv neej;
• Tsis tshua muaj siab kev sib deev;
• Kev pub mis rau txiv neej.

Txawm hais tias qhov nce hauv cov nyiaj ntawm prolactin cuam tshuam nrog prolactinoma, nws kuj tseem tuaj yeem tshwm sim vim lwm yam xwm txheej xws li polycystic ovary syndrome, hypothyroidism, kev ntxhov siab, thaum cev xeeb tub thiab pub niam mis, raum tsis ua haujlwm, mob siab lossis vim muaj qee yam tshuaj noj. Xav paub ntau ntxiv txog cov laj thawj ntawm hyperprolactinemia.

Yuav kuaj li cas

Kev kuaj mob ntawm tus mob prolactinoma yog tsim thaum xub thawj los ntawm kev txheeb xyuas tus nqi ntawm cov prolactin thiab cov nqi yuav txawv raws li hom prolactinoma:

• Tus me microprolactinoma, qhov tseem ceeb ntawm prolactin nyob ntawm 50 txog 300 ng / dL;
• Tus macroprolactinoma, qhov txiaj ntsig ntawm prolactin nyob ntawm 200 txog 5000 ng / dL.

Ntxiv rau qhov ntau npaum ntawm lub cev ntoj ncig prolactin, tus kws kho mob feem ntau qhia kev ua haujlwm ntawm kev suav tomography thiab cov duab sib nqus resonance imaging kom paub tseeb cov yam ntxwv ntawm cov qog no. Cov pob txha densitometry thiab echocardiogram kuj tseem tuaj yeem thov txhawm rau saib seb puas muaj kev puas tsuaj cuam tshuam nrog qhov nce ntawm tus nqi ntawm cov ntshav ncig ua ke.

Saib seb qhov kev ntsuas prolactin tiav li cas thiab yuav ua li cas nkag siab txog qhov tshwm sim.

Kev kho rau prolactinoma

Kev kho cov kab mob prolactinoma ua rau kom cov tsos mob txo qis thiab rov muaj qhov tsis taus, ntxiv rau kev tswj hwm cov qib ntawm prolactin thiab tswj cov qog thiab kev loj hlob. Thawj kab ntawm kev kho mob qhia los ntawm tus endocrinologist yog nrog cov tshuaj xws li Bromocriptine thiab Cabergoline.

Thaum cov qib prolactin tsis raug tswj hwm, tus kws kho mob yuav pom zoo kom phais mob kom tshem cov qog. Ib qho ntxiv, yog tias tus neeg tsis teb nrog kev kho mob nrog kev kho mob, kev kho mob radiotherapy yuav pom zoo kom tswj hwm qhov loj ntawm lub qog thiab tiv thaiv kev mob ntawm cov kabmob.