Hyperprolactinemia - waa maxay? Sidee hyperprolactinemia? daaweynta

In daawada, waxaa jira fikirka ah "hyperprolactinemia." Waa maxay iyo sida loo soo bandhigo, qof kasta oo aan og yahay. Laakiin dhawaan cudurka noocan oo kale ah waxaa sii kordheysa isagoo. Sidaa darteed waa muhiim in la ogaado calaamadaha this disorder, hababka daaweynta, iyo sidoo kale dhibaatooyinka ay suurtagal tahay, si aanay u seegi daqiiqad in waqti iyo tashan farsamo aqoon.

Features cudurka

Hyperprolactinemia - taasi waa sida ay u muuqato, sida loo daaweeyo? Su'aashani waxay ku baxdo in dadka aan weligood maqlay qeexidda noocan oo kale ah. Hyperprolactinemia waa xaalad lagu gartaa heerka sare ee prolactin hoormoonka ee dhiigga. Waxay soo saartaa qanjirka pituitary hormoonada jidhka prolactin, taas waxaa loo arkaa "hoggaamiyaha" shaqada qiimo leh nidaamka hormoonada jidhka ah. Waxa uu u xilsaaran in ay sharciyaynta shaqaynaya ee:

• thyroid;
• xiniinyaha iyo ugxan,
• adrenal.

mas'uuliyadda pituitary Tani been in xaqiiqda ah in uu, marka lagu daro prolactin, saarta hormoonnada LH iyo FSH.

Doorka prolactin ee jirka

hormone Tani waxay masuul ka tahay dhalmo ah. Prolactin kor u koritaanka iyo horumarka ka mid ah qanjidhada caanaha. Hawshoodu ugu weyn - kicinta ah ee formation of caano dumarka dhashay. In jidhka lab, hormone this waxaa la soo saaray tiro yar.

Prolactin, oo ay la socdaan kale hormoonnada (LH, FSH) ee jirka qof dumar ah ayaa wuxuu kobciyaa soo saarka ee estrogens, kaas oo masuul ka ah koriinkedu buuxda ee ukunta yihiin. Waxay go'aan ka xasiloonida ee wareegga caadada, ixtimaalka ee rimidda. Haddii aan ka hadlo nin, hormoonnada kuwan mahad in ay soo saaraan testosterone. Xitaa motility shahwada ku xiran yahay prolactin.

kala soocidda

Iyada oo ku xidhan arrimaha in ay kiciyaan horumarinta hyperprolactinemia in daawada gobolka this loo qaybin karaa nooc:

1. saykoolaji. heerarka Prolactin kordhiyo sabab u tahay geedi socodka caadiga ah ee jidhka bini'aadamka. Ogaadaa in dhallaanka, uurka leh iyo dumarka nuujinaya.

2. cudur. Sababta been cudurada qaarkood. Laakiin, sida dhaqanka shows, inta badan sababa hyperprolactinemia, buro pituitary.

3. pharmacological. xaalad Tani waxay la xidhiidhaa qaadashada daroogada, mukhaadaraadka.

4. Idiopathic. heerka hoormoonka sii kordhaya sababo aanan la garanayn.

pathogenesis

hyperprolactinemia nafsaaniga ah waa natiijada hababka dabiiciga ah kuwaas oo ka dhaca jidhka bini'aadamka maalin kasta. Waxaa dhirfinaya:

1. Muddada uurka The. Haweenka ayaa ku dhow inay 7 toddobaad ee uurka, heerarka prolactin kordhiyo. Nidaamkan wuxuu soconayaa oo dhan 9 bilood, laakiin dhalashada (1-2 bilood) ka dib, cabbir kasta oo ku soo laabto si caadi ah.

2. hurdada. Marka qof hurda dhaco, ka dibna saacad ka dib heerarka uu prolactin dhiig kici, laakiin ka dib markii tooso maratay dhaco.

3. xaalado walaac. Stress - factor in dhirfinaya rabshooyin ee jirka ku jira, oo ay ku jiraan la sii daayo hormoonnada dheeraad ah. In the case of xaaladda walaac prolactin waa in uu la socdaa hoos u dhac af ee cadaadiska dhiigga, suuxid.

4. hyperprolactinemia saykoolaji dumarka dhacdaa inta lagu jiro galmada, kicinta mid ka mid ah naaska (gaar ahaan inta lagu jiro quudinta ilmaha).

5. Isticmaalka borotiinka.

6. saamaynta kasta oo jidhka ka mid ah oo keena xanuun.

cadhaysiiyaan hyperprolactinemia bahal ah:

1. Cudurada of hypothalamus ah, qanjirka pituitary ee (loo arkaa sababta ugu badan ee noocan ah).

2. aan caadi ahayn ee asalka hormoon.

3. dhaawac feeraha sababtay.

4. badan xoqid saabka minka.

5. syndrome ugxan polycystic.

6. Dhibaatooyinka beerka.

7. failure Kelyaha.

8. lupus erythematosus oo nidaamsan.

Pharmacological dhacaa, maxaa yeelay, soo dhoweynta:

• murugada,
• uurka;
• wakiilada antihypertensive;
• neuroleptics.

caddayn

Hyperprolactinemia ragga muuqato sida soo socota:

• hoos ku awoodba;
• laktoreey (xulashada dambar aha ama caano ka dhuuqayaan);
• xasilooni nafsi ah iyo dareen,
• dhalmo la'aan;
• osteoporosis;
• cayilka;
• hoos ku hadal of sifooyinka sare galmada.

Oo dhan teedu kala duwan laftiisa hyperprolactinemia. Calaamadaha dumarka:

• xanuunada caadada;
• galactorrhea;
• dhalmo la'aan;
• hoos libido ;
• raaxo marka galmada sababa la'aanta sifaynta;
• anorgasmia;
• finan;
• madax seborrhea;
• apoplexy;
• naag virilescent, iyada hypertrophy kintirka, koraan timaha jirka oo dhan.

Waa maxay gaar ah oo ku saabsan hyperprolactinemia? Calaamadaha Waxaa laga yaabaa in labada hal iyo weheliso mid kale. Xooggii uu u calaamadaha sidoo kale waa ka duwan yahay. Tusaale ahaan, galactorrhea, taas oo dhacda in 80% haweenka la hyperprolactinemia, muujinayaa dheecaan yar ka ib hoostiisa xooggan oo riixaya in bukaanka qaar ka mid ah, halka ka kalena dhirfinaya mudda lama filaan ah.

daliilka derjada

hyperprolactinemia syndrome (magac kale oo gobolka this) waa hurdo la'aan qofka, dhibaatooyin la xiriira xusuusta. Awood u leh inay shaqo weyn u dhimay, inkasta oo sababta muuqata, waayo ma aha. daliilka kale nafsi ah waa:

• dareen joogta ah oo walaac iyo cabsi,
• isbeddelo ah niyadda;
• caro;
• waalli (dalalka muhiim mararka qaarkood sida, waxay u baahan yihiin caawin xirfadaysan degdeg ah);
• Marar dhif ah, ee "Walbahaar qalbiga" (ee loo yaqaan xanuunka xabadka lama filaan ah oo aan salka ah organic).

carruurta

Mararka qaar ilmaha waxaa lagu gartaa "hyperprolactinemia." Taasi waxaa laga yaabaa keeni mustaqbalka? Haddii aan ka hadlo gabadha, ka dibna isagoo da 'yar ahaan doontaa xadgudub ku ah baaluq.

Labada wiilasha iyo gabdhaha aad u hesho wax dhibaato ah formation of unugyada lafta. lafaha noqdo mid daciif ah oo debcaan.

sahan

Maxaa sahanka waa hyperprolactinemia? Sababaha in ay ahaayeen ku qoran, loo ogaado baahida loo qabo habab lagu ogaanayo sida:

• baaritaan dhiig for prolactin;
• Falanqaynta guud ee kaadida iyo dhiig;
• scintigraphy ee lafaha,
• ultrasound Prostate;
• haweenka US leeyihiin naasaha, ugxan sidaha, makaanka,
• X-rays qalfoofku;
• CT;
• MR.

Iyada oo uu baaritaanka dhiigga heer prolactin u baahan tahay in aad uga taxadirtaa. Waayo, tilmaamayaasha sax ah oo ay kirada for 5-8 maalmood ee wareegga caadada. Waxaa had iyo jeer ma falanqaynta hal ku filan si ay u sameeyaan ogaanshaha. Hyperprolactinemia in haweenka inta badan waa functional, sidaas waxaa lagu talinayaa in 3 jeer in ay door biday in ay habkan of baaritaanka.

daaweynta

dhib badan ma keeno hyperprolactinemia pharmacological. Daaweynta waxay ka kooban tahay oo kaliya in tirtiridda daroogada (ama ciddii beddesha), taas oo sabab u ahayd xadgudubka. heerarka prolactin dib u caadi ah in muddo gaaban. Haddii aan ka hadlo qaab jir, waxa aanu u baahan-gelinta kasta.

daawo

daroogada Dofaminomimeticheskie - halbowlaha ah ee daaweynta hyperprolactinemia. Waxay u dhaqmaan on burada, taas oo ka xanaajisay rabshooyin, anagoo nusqaamin. Mararka ay dhacdo in daroogada ka caawisaa in laga takhaluso waxaa ka mid ah gabi ahaanba. Ka dibna, heerarka prolactin in dhiigga si caadi ah.

Hypothyroidism waxay u baahan tahay isticmaalka hoormoonada thyroid. Haddii bukaanka waa caadi ahayn hormoon, dhakhtarka kuu qoray wakiilada ku haboon hormoon.

hawlgalka

qalliin ayaa la tilmaamay in arrimaha soo socda:

• apoplexy;
• Marka daaweynta caafimaad ku guuldareysto ama bukaanka aan ku haboonayn ee daawooyinka lagama maarmaanka ah;
• nabaad by neuralgia.

Operation waxaa had iyo jeer ma soo saaraan natiijada la rabay. Ka dib markii iyada hyperprolactinemia qeybtii celinta ah. Sidoo kale hanjabo dhibaatooyin bukaanka:

• inta lagu jiro hawlgalka ay waxyeello dareemayaasha optic, pituitary ama lugta hypothalamus;
• Waxaa laga yaabaa inuu dhaco hemorrhage ah ee maskaxda ku jira.

Dawaynta ilayska

Habkan daaweynta loo isticmaalo oo kaliya xaaladaha khatarta ah. Dawaynta ilayska waa waqti iyo u baahan tahay bukaanka waa inay dulqaad muujiyaan, maxaa yeelay, habka socon karaa sanad iyo bar ah. Daaweynta Taas ka dib qofku ka heli kartaa hemorrhage maskaxda ah, dhaawac shucaaca ee dareemayaasha iyo galleeyda maskaxda.

hab dhaqameed

dhakhaatiirta qaarkood waxay ku taliyaan bukaanka si ay u isticmaalaan cuntada ee daawo-dhaqameed. Laakiin tani dhacdo oo kaliya ka dib markii Jidka gobolka noocan oo kale ah ayaa la samayn doonaa.

hababka caanka ah:

• dhawr jeer maalintii ah oo aan cabbo shaah ka reexaanta iyo chamomile sameeyey;
• waayo, xasiloonida ee gobolka dareen waa in aad dalbataa Valerian, motherwort, Hawthorn, St. John ee johannesört (laga helo farmasiyada).

hab dhaqameed waxaa lagu talinayaa sida Intaa waxaa dheer ah si daaweyn caafimaad ee aasaasiga ah.

dhibaatooyin

Hyperprolactinemia, halkaas oo calaamadaha muddo dheer aan la tixgeliyo, taasoo keentay in naaso ama kansar ee qanjirka caanaha. Sidoo kale, naagta ku hanjabay hypoplasia makaanka.

Sida sida dheef ah ee hyperprolactinemia? Waa maxay gobolka samaynaysaa si ay dheef? Sida ay soo baxday, heerarka prolactin kordhay waxay keeni kartaa:

• atherosclerosis,
• hypertension,
• cudurka halbowlaha wadnaha,
• osteoporosis;
• urolithiasis,
• diabetes.

ka hortagga

tilmaamaha saxda ah oo kaa caawin lahaa fogaado hyperprolactinemia, ma. Qofka waa inay iska ilaaliyaan xaaladaha walaaca, ay si buuxda u dejiso. door muhiim ah waxaa ciyaaray by cunto isku dheeli tiran ah, dhaqdhaqaaqa jirka (sports, si joogto ah oo socda). Waxaad u baahan tahay in la siiyo ilaa caadooyinka xun - khamriga iyo sigaarka. Qaxwaha iyo shaaha xoog Ma wanaagsana in la isticmaalo in cudurka of "hyperprolactinemia".

Calaamadaha dumarka, sida la sii daayo oo caano ah ka ibta ka baxsan ee uurka, dhiigga caadada joogto ahayn, had iyo jeer ma ilaaliyaan oo ay noqoto sabab ah tashan dhakhtar. Laakiin tani waxay gabi ahaanba waa khalad! Ka dib markii calaamadaha sida - signal a in jidhku waa, xadgudubyada taas oo aan la iska indho tiri karin. Tani waxay sidoo kale khuseysaa rag. Sidaa darteed waxaa lagama maarmaan ah in ay fiiro dheeraad ah u lahayn caafimaadkiisa iyo ha iloobin in xadgudub kasta oo wax macquul ah oo keeni kartaa dhibaatooyin khatar ah.