Hyperprolactinemia - kuyini? Kanjani hyperprolactinemia? ukwelashwa

Kwezokwelapha, kukhona welithi "hyperprolactinemia." Kuyini futhi kanjani ukuba abonise, akubona bonke uyazi. Kodwa muva nje kokutshelwa ngokukhubazeka kwengane uya kokuba. Ngakho-ke kubalulekile ukwazi izimpawu ngamandla kwalesi sifo, izinqubo zokwelapha, kanye yezinkinga kungenzeka, ngakho miss isikhashana ngesikhathi futhi uthintane uchwepheshe ofanelekayo.

Izici lesi sifo

Hyperprolactinemia - ukuthi indlela kuzibonakalisa, nendlela aphatha ngayo? Lo mbuzo uphakama kubantu abangakaze ezwa incazelo enjalo. Hyperprolactinemia yisimo libhekene nenkinga yezinga ephakeme i-hormone okuthiwa i-prolactin egazini. Uveza prolactin pituitary endocrine indlala, okuyinto kubhekwa "umholi" umsebenzi owusizo ohlelweni endocrine. Yena unesibopho lokulawula ukusebenza:

• yegilo;
• testes futhi ezikhiqiza amaqanda;
• adrenal.

Lo msebenzi pituitary itholakala lokuthi ukuthi, ngaphezu prolactin, amahomoni LH futhi FSH.

Indima prolactin emzimbeni

Lokhu i-hormone unesibopho kabusha. Prolactin ikhuthaza ukukhula nokuthuthuka le nezindlala mammary. umsebenzi Its main - ezishukumisayo kwetinhlavu ubisi e abesifazane Ngubani owazala. Emzimbeni wesilisa, le hormone ekhiqizwa eziningi ezincane.

Prolactin, kanye nabanye hormone (LH, FSH) e yomzimba wowesifazane ezizokhuthaza ukukhiqizwa kwamangqamuzana estrogens, okuyinto banesibopho nokuvuthwa egcwele iqanda. Yizo ezinquma ukuzinza nomjikelezo wokuya esikhathini, ematfuba nje ebamba isisu. Uma sikhuluma amadoda, sibonga la ma-hormone ukukhiqiza testosterone. Ngisho motility isidoda luncike prolactin.

ngezigaba

Kuye izici ezibanga ukuthuthukiswa hyperprolactinemia kwezokwelapha ingahlukaniswa ngalesi simo zibe izinhlobo:

1. bokuphila. amazinga Prolactin ukwandisa ngenxa izinqubo evamile emzimbeni womuntu. Uma sisheshe satholakala e izinsana, wakhulelwa futhi abesifazane lactating.

2. sokugembula. Isizathu sitholakala zokugula ezithile. Kodwa, njengoba umkhuba imibukiso, ngokuvamile kubangela hyperprolactinemia, isimila pituitary.

3. kwemithi. Lesi simo lihlotshaniswa izidakamizwa, nezidakamizwa.

4. Idiopathic. i-hormone ezingeni liyakhula ngezizathu ezingaziwa.

pathogenesis

hyperprolactinemia bokuphila kuwumphumela kwezinqubo ezingokwemvelo ezenzeka emzimbeni womuntu nsuku zonke. It kuphakamisa:

1. Isikhathi sokukhulelwa. Abesifazane eduze 7 Emasontweni onke okukhulelwa, amazinga prolactin ukwandisa. Le nqubo iyaqhubeka phakathi nazo zonke izinyanga 9, kodwa ngemva kokuzalwa (1-2 izinyanga), yonke nemingcele ukubuyela esimweni esivamile.

2. Ukulala. Lapho umuntu ezumeka, kamuva ke ihora emazingeni lakhe elachitheka prolactin basukume, kodwa emva uvuka ngokucijile uwela.

3. nezimo ezicindezelayo. Ukucindezeleka - into kuphakamisa thuthuva emzimbeni, kuhlanganise ukukhishwa kwama-hormone ngaphezulu. Endabeni isimo prolactin esicindezelayo kufanele kuhambisane ukwehla elibukhali blood pressure, yokufikelwa.

4. hyperprolactinemia bokuphila besifazane kwenzeka ngesikhathi sokuya ocansini yimuphi ukushukuma kwebele (ikakhulukazi phakathi ukusuthisa umntwana).

5. Ukusetshenziswa amaprotheni.

6. Noma iyiphi imiphumela emzimbeni ezibangela ubuhlungu.

Sokugembula hyperprolactinemia avuse:

1. Izifo hypothalamus engeziwe, le ndlala pituitary (kubhekwe yimbangela ejwayelekile kakhulu lolu hlobo).

2. Ukukhubazeka esizindeni hormone.

3. Umphumela esifubeni ukulimala.

4. njalo nokususa ngalo ingaphakathi lesizalo.

5. Polycystic syndrome esibelethweni.

6. Izinkinga kwesibindi.

7. ukwehluleka kwezinso.

8. lefundo lupus erythematosus.

Kwemithi kwenzeka ngoba reception:

• antidepressant;
• zokuvimbela inzalo;
• ejenti antihypertensive;
• neuroleptics.

ubufakazi

Hyperprolactinemia ezingabantu kubonakala ngendlela elandelayo:

• ehle potency;
• laktoreey (ukukhethwa colostrum noma ubisi kusukela ingono);
• Ukungazinzi ezingokwengqondo nezingokomzwelo;
• ukungazali;
• kwamathambo;
• ukukhuluphala;
• ehle ukubonakaliswa yesibili ubulili izici.

Zonke sibonisa ezahlukene uqobo hyperprolactinemia. Izimpawu kwabesifazane:

• iziyaluyalu kokuya esikhathini;
• galactorrhea;
• ukungazali;
• kwehle libido ;
• ukungakhululeki ngesikhathi bezoziphatha kubangelwa ukuntula Lubrication;
• anorgasmia;
• induna;
• seborrhea ekhanda;
• apoplexy;
• owesifazane virilescent, hypertrophy wakhe clitoris, ukhule izinwele wonke umzimba.

Yini ekhethekile ngale hyperprolactinemia? Izimpawu zingase zibe kokubili single futhi kuhlanganiswe komunye nomunye. Amandla izimpawu ubuye ezahlukene. Ngokwesibonelo, galactorrhea, okuyinto eyenzeka ngo-80% labesifazane hyperprolactinemia, liveza osenyameni okuncane kusukela embeleni ngaphansi eyingqabavu ngokucindezela kwezinye iziguli, kuyilapho omunye kuphakamisa a ezinkulu okungazelelwe.

ukubonakaliswa ngemilingo

hyperprolactinemia syndrome (elinye igama ngalesi simo) kuyinto ukuqwasha umuntu, izinkinga inkumbulo. Amandla umsebenzi is kakhulu ziyancipha, nakuba kwesizathu ngoba akusiyo. Okunye ukubonakaliswa ngokwengqondo yilezi:

• umuzwa njalo ukukhathazeka nokwesaba;
• kwemizwelo;
• ukucasuka;
• kwengqondo (ngezinye izikhathi ezinjalo uthi ezibucayi, zidinga usizo lochwepheshe ngokushesha);
• Ezimweni ezingavamile, "inhliziyo melancholy" (okuthiwa nokuguqulwa esifubeni ubuhlungu ngaphandle base organic).

izingane

Ngezinye izikhathi kuyenzeka ingane ukuthi unesifo "hyperprolactinemia." Lokho kungase kubangele esikhathini esizayo? Uma sikhuluma intombazane ke esemncane yena luzophula nezingokomzwelo zokuthomba.

Abafana namantombazane usathola izinkinga lapho kumiswa ithambo izicubu. Amathambo buthakathaka futhi ziyaqothuka.

inhlolovo

Yini inhlolovo kuyinto hyperprolactinemia? Izizathu akade, ukucacisa obonisa isidingo sezindlela enjalo zokuxilonga:

• ukuhlolwa igazi for prolactin;
• ukuhlaziywa jikelele umchamo futhi igazi;
• scintigraphy we skeleton;
• ultrasound Zendlala Yesinye;
• US abesifazane babe webele, wesibeletho, lesizalo,
• X-ray Yekhanda;
• CT;
• MR.

Nge ukuhlolwa igazi amazinga prolactin kudingeka uqaphe kakhulu. Ukuze izinkomba olunembile iqashwe yayo izinsuku 5-8 of umjikelezo wokuya esikhathini. Akukhona njalo ukuhlaziya olulodwa kwanele lokwenza ukuxilongwa. ngokuvamile Hyperprolactinemia kwabesifazane ukusebenza, ngakho-ke Kunconywa izikhathi 3 iphendukele zale nqubo yokuhlola.

ukwelashwa

kobudisi akakubangeli hyperprolactinemia kwemithi. Ukwelashwa siqukethe kuphela ukuqedwa izidakamizwa (noma esikhundleni yayo), ebelikude imbangela ukuhlukumeza. amazinga prolactin zibuyele kokujwayelekile esikhathini esifushane. Uma sikhuluma ifomu bokuphila, akudingi kokungenela.

imithi

Dofaminomimeticheskie izidakamizwa - ngumgogodla nokwelashwa hyperprolactinemia. Ayakwenza isimila, okuyinto sokucasuka thuthuva, yawanciphisa. Ngezinye izikhathi kuyenzeka ukuthi izidakamizwa kuyasiza ayibulale ngokuphelele. Ngemva kwalokho, prolactin amazinga egazini kokuvamile.

Hypothyroidism kudinga ukusetshenziswa hormone. Uma isiguli kwezinso hormone, udokotela lunquma ejenti hormone ezifanele.

ukusebenza

kokungenela Steel kuboniswa kulezi zimo ezilandelayo:

• apoplexy;
• Lapho ukwelashwa yezokwelapha ehluleka noma isiguli angahambisani izidakamizwa kudingekile;
• nokucekelwa ngu neuralgia.

Msebenzi njalo nemiphumela ebesiyilindele. Ngemva kwakhe hyperprolactinemia isigamu uyabuya. Futhi ukusongela yezinkinga nesineke:

• ngesikhatsi operation ezilimele emsipheni optic, pituitary noma umlenze ngxenye;
• Kungase kwenzeke ukopha ebuchosheni.

ukwelashwa ngemisebe

Le ndlela yokwelashwa isetshenziswa kuphela ezimweni ezimbi kakhulu. ukwelashwa ngemisebe isikhathi esiningi futhi kudinga isiguli ukuba nesineke, ngoba inqubo ingahlala unyaka nesigamu. Ngemva kwale kwelashwa umuntu ungathola nenkinga yokopha ebuchosheni, emisebeni ukulimala izinzwa kanye nobuchopho necrosis.

izindlela kwesiko

Abanye odokotela batusa i iziguli zabo ukusebenzisa zokupheka of imithi yendabuko. Kodwa lokhu kwenzeka kuphela ngemva imbangela isimo esinjalo titawusungulwa.

izindlela ezidumile:

• izikhathi eziningana ngosuku ukuphuza itiye elenziwe kusukela Mint chamomile;
• I-ukuzinza isimo esingokomzwelo kumelwe sisebenzise valerian, motherwort, hawthorn, wort iSt John (utholakala Pharmacy).

izindlela Traditional yanconywa njengenhlangano Ngaphezu ukwelashwa eyisisekelo.

yezinkinga

Hyperprolactinemia, lapho izimpawu isikhathi eside awazange athunjelwe akhawunti, okuholela mastitis noma umdlavuza kule ndlala mammary. Futhi, owesifazane ezisengozini lesizalo hypoplasia.

Kepha indlela umzimba hyperprolactinemia? Sinjani isimo ngokwenza ukuba umzimba? Njengoba kuvela, amazinga prolactin anda kungabangela:

• isifo sokuqina kwemithambo yegazi;
• nomfutho wegazi ophezulu;
• yenhliziyo isifo Umthambo;
• kwamathambo;
• urolithiasis;
• sikashukela.

zokuvimbela

imiyalo eqondile ezazizosiza ukugwema hyperprolactinemia, akukho. Umuntu kufanele ugweme izimo ezibangela ukucindezeleka, ukuba uphumule ngokugcwele. Indima ebalulekile udlalwa ngumuntu nokudla okunomsoco, umsebenzi ngokomzimba (ezemidlalo, nokuhamba njalo). Udinga ukuba bangayeki imikhuba emibi - utshwala nokubhema. Ikhofi netiye eqinile akuyona efiselekayo ukusebenzisa sitholakele "hyperprolactinemia".

Izimpawu kubantu besifazane, ezifana ukukhululwa ubisi kusukela ingono ngaphandle kokukhulelwa, okungajwayelekile imijikelezo kokuya esikhathini, hhayi aqaphe futhi babe isizathu kokukhuluma nodokotela njalo. Kodwa lena ngokuphelele! Ngemva izimpawu ezinjalo - kuwuphawu lokuthi kukhona isidumbu, ukwephula okungase akunakugwenywa. Lokhu kusebenza futhi amadoda. Ngakho-ke kubalulekile ukuba ngonanzelelo impilo yabo futhi ungakhohlwa ukuthi yikuphi ukwephula into enengqondo futhi kungabangela yezinkinga eziyingozi.