He aha ka Prolactinoma? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka prolactinoma he ʻano maʻi ʻaʻohe ʻaʻai e ulu ana i loko o kou gland pituitary a hana nui i kahi hormone i kapa ʻia ʻo prolactin. Aia kēia gland liʻiliʻi, nui e like me ka hua waina, ma lalo o kou lolo a kōkua maʻamau i ka hoʻokele ʻana i nā hana o ke kino.

Ke loaʻa iā ʻoe ka prolactinoma, hana nui kou kino i ka prolactin ma mua o ka mea e pono ai. Hiki i kēia hormone ke hoʻopilikia i kou mau manawa, ka hānau keiki, a me ka hana waiū, ʻoiai ʻaʻole ʻoe i hapai a hānai waiū paha. ʻO ka mea maikaʻi, ʻaneʻane maikaʻi mau kēia mau maʻi a pane maikaʻi i ka lapaʻau.

He aha nā hōʻailona o ka prolactinoma?

ʻO nā hōʻailona āu e ʻike ai e hilinaʻi ana i kou wahine a me ka nui o ka prolactin hou āu e hana nei. Hoʻomaopopo pinepine nā wāhine i nā loli i kā lākou mau manawa mua, ʻoiai e ʻike paha nā kāne i nā hopena ʻē aʻe.

Eia nā hōʻailona maʻamau i ʻike ʻia e nā wāhine:

• Nā manawa kūpono ʻole a i ʻole nā ​​manawa e pau loa ai
• Ke kahe ʻana o ka waiū mai nā umauma ke ʻole i hapai a hānai waiū paha
• Paʻakikī ke hapai keiki
• Hōʻemi ʻia ka makemake i ka moekolohe
• Ka maloʻo o ka pepeiao wahine i ka wā o ka moekolohe
• Nā wela wela e like me ka menopause

ʻIke pinepine nā kāne me ka prolactinoma i kēia mau loli:

• Hōʻemi ʻia ka makemake i ka moekolohe a i ʻole ka pilikia me nā erection
• Hoʻonui ʻia a i ʻole ka ʻeha o nā umauma
• ʻAʻole pinepine, ka hana waiū mai ka umauma
• Ka nele o ka hānau keiki a i ʻole ka pilikia i ka hānau ʻana i nā keiki
• Nā nalowale o ka lauoho kino a me ka maka
• Luhi a me nā loli o ka manaʻo

Ke ulu nui nā prolactinoma, hiki iā lākou ke pā i nā ʻano kokoke a hoʻokumu i nā hōʻailona hou aku. Hiki iā ʻoe ke ʻike i nā ʻeha poʻo, nā pilikia ʻike e like me ka ʻike pālua a i ʻole ka nalowale ʻana o ka ʻike peripheral, a i ʻole nā ​​loli i kou ʻono.

Hoʻomohala kekahi poʻe i ka nāwaliwali o nā iwi ma hope o ka manawa no ka mea hiki i nā kiʻekiʻe o ka prolactin ke hoʻemi i nā hormone koʻikoʻi ʻē aʻe e mālama i nā iwi ikaika. Hana kēia me ka mālie a ʻaʻole paha e hoʻokumu i nā hōʻailona maopopo a hiki i ka hope.

He aha nā ʻano o ka prolactinoma?

Hoʻokaʻawale nā ​​kauka i nā prolactinoma ma muli o ko lākou nui, kahi e kōkua ai i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa. Aia ʻelua ʻano nui āu e ʻike ai.

ʻO nā microprolactinomas he liʻiliʻi ma mua o 10 milimita, nui e like me ka pea liʻiliʻi. ʻO kēia ka hapa nui o nā prolactinoma, ʻoi aku hoʻi i nā wāhine. Hana pinepine lākou i nā hōʻailona pili hormone akā ʻaʻole pinepine e ulu nui e pā i nā pūnaewele lolo a puni.

Ana nā macroprolactinomas he 10 milimita a ʻoi aku paha a ʻoi aku ka maʻamau i nā kāne. Ma muli o ko lākou nui, ʻoi aku ka nui o ka hoʻokumu ʻana i nā ʻeha poʻo a me nā pilikia ʻike ma kahi o nā hōʻailona hormone. Hana pinepine lākou i nā kiʻekiʻe kiʻekiʻe o ka prolactin.

ʻO ka nui o kāu prolactinoma e kōkua i kāu kauka e wānana pehea e hana ai a me nā lapaʻau e hana maikaʻi loa no kāu kūlana kikoʻī.

He aha ka mea e hoʻokumu ai i ka prolactinoma?

ʻAʻole maopopo loa ke kumu o ka hoʻomohala ʻana o nā prolactinoma, akā ʻike ʻia lākou mai nā loli i nā sela o kāu gland pituitary. Hoʻokumu kēia mau loli i kekahi mau sela e ulu a hoʻonui ma mua o ka mea e pono ai.

Hana pinepine nā prolactinoma me ka ʻole o kekahi kumu maopopo a i ʻole ka mōʻaukala ʻohana. Hiki i kāu mau gene ke pāʻani i kahi kuleana i kekahi mau hihia, akā he mea maʻamau ʻole kēia. ʻAʻole pinepine, hiki i nā prolactinoma ke lilo i ʻāpana o kahi kūlana genetic i kapa ʻia ʻo multiple endocrine neoplasia type 1, kahi e hoʻopilikia ai i nā gland hana hormone he nui.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻokiʻekiʻe i nā kiʻekiʻe o ka prolactin a alakaʻi i nā loli pituitary. ʻO kēia mau mea e komo pū ana i kekahi mau antidepressants, nā lāʻau lapaʻau anti-nausea, a me nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe a i ʻole nā ​​kūlana psychiatric.

He mea nui e ʻike ʻaʻole i hoʻokumu ʻia nā prolactinoma e kekahi mea āu i hana ai a i ʻole ʻaʻole i hana ai. ʻAʻole pili lākou i ke kaumaha, ka ʻai, a i ʻole nā ​​koho nohona.

I ka wā e ʻike ai i ke kauka no ka prolactinoma?

Pono ʻoe e hoʻonohonoho i kahi hālāwai me kāu kauka inā ʻike ʻoe i nā loli mau i kāu manawa, ka hana waiū i manaʻo ʻole ʻia, a i ʻole nā ​​pilikia hānau keiki mau. Pono kēia mau hōʻailona i ka loiloi ʻoiai inā he mālie lākou.

No nā wāhine, ʻo ka nalowale ʻana o ʻekolu mau manawa a ʻoi aku paha me ka ʻole o ka hapai ʻana he hōʻailona maopopo ia e ʻimi i ka mālama lapaʻau. Pono kekahi waiū e kahe mai kou mau umauma ke ʻole ʻoe e hānai waiū i ka loiloi koke.

Pono nā kāne e ʻike i kā lākou kauka no nā pilikia mau me ka hana moekolohe, nā loli umauma i wehewehe ʻole ʻia, a i ʻole ka luhi mau i hui pū ʻia me nā loli o ka manaʻo. Hiki i kēia mau hōʻailona ke loaʻa i nā kumu he nui, akā pono lākou e kūkākūkā me kahi mea mālama ola.

E ʻimi i ka mālama lapaʻau wikiwiki inā loaʻa iā ʻoe nā ʻeha poʻo koke a nui a i ʻole ʻike ʻoe i nā loli i kou ʻike e like me ka ʻike pālua a i ʻole ka nalowale ʻana o ka ʻike peripheral. ʻOiai ʻaʻole mau kēia mau hōʻailona e hōʻike ana i kahi pilikia koʻikoʻi, pono lākou i ka loiloi koke e kāpae i nā pilikia.

He aha nā mea pilikia no ka prolactinoma?

ʻOiai hiki ke mālama ʻia nā prolactinoma, hiki i ka waiho ʻana iā lākou me ka mālama ʻole ʻana ke alakaʻi i nā pilikia olakino lōʻihi. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua i ka wehewehe ʻana i ke kumu e manaʻo ʻia ai ka lapaʻau.

ʻO nā pilikia maʻamau loa e hoʻopilikia i kou mau iwi a me kou olakino hānau keiki. Hiki i nā kiʻekiʻe o ka prolactin ke hoʻemi i ka estrogen i nā wāhine a me ka testosterone i nā kāne. Ma hope o ka manawa, hiki i kēia kūlike hormonal ke alakaʻi i ka osteoporosis, e hoʻoliʻiliʻi i kou mau iwi a maʻalahi i nā haki.

ʻO nā pilikia hānau keiki kekahi pilikia nui. Hiki i nā kāne a me nā wāhine ke hakakā e hapai keiki maoli ke kiʻekiʻe nā kiʻekiʻe o ka prolactin. I nā wāhine, hiki i ka ovulation ke lilo i mea kūpono ʻole a i ʻole e pau loa.

No nā prolactinoma nui, hiki ke hoʻomohala i nā pilikia pili ulu. Hiki i ka maʻi ke pā i nā ʻano kokoke, e hoʻopilikia paha i kou ʻike mau loa a i ʻole e hoʻopilikia i nā hormone pituitary ʻē aʻe.

ʻAʻole pinepine, hiki i nā prolactinoma nui loa ke hoʻokumu i nā hōʻailona neurological koʻikoʻi. Hiki i kēia ke komo pū me nā ʻeha poʻo mau, ka nalowale nui o ka ʻike, a i ʻole nā ​​pilikia me nā hana lolo ʻē aʻe. Eia naʻe, me ka nānā pono a me ka lapaʻau, he mea maʻamau ʻole kēia mau pilikia koʻikoʻi.

Hiki ke hoʻopilikia ʻia ka olakino cardiovascular ma hope o ka manawa ma muli o nā loli hormonal, ʻoiai e hana mālie kēia a hiki ke pale ʻia me ka lapaʻau kūpono.

Pehea e ʻike ʻia ai ka prolactinoma?

Hoʻomaka pinepine ka ʻike ʻana i ka prolactinoma me kahi hōʻike koko maʻalahi e ana i kāu mau kiʻekiʻe prolactin. E kauoha paha kāu kauka i kēia hōʻike inā hōʻike kāu mau hōʻailona i ka prolactin kiʻekiʻe.

ʻO nā kiʻekiʻe prolactin maʻamau ma lalo o 25 nanograms i kēlā me kēia mililita i nā wāhine a ma lalo o 15 i nā kāne. Inā kiʻekiʻe kāu mau kiʻekiʻe, e kauoha paha kāu kauka i ka hōʻike hou e hōʻoia i nā hopena, ʻoiai hiki ke hoʻololi ʻia ka prolactin i ka lā holoʻokoʻa.

Ke hōʻoia ʻia ka prolactin kiʻekiʻe, e kauoha paha kāu kauka i kahi MRI scan o kāu gland pituitary. Hiki i kēia hōʻike kiʻi ke hōʻike inā aia kahi maʻi a hoʻoholo i kona nui a me kona wahi pololei.

Hiki i kāu kauka ke ho'āʻo i nā hormone pituitary ʻē aʻe e ʻike inā e hoʻopilikia ana ka prolactinoma i nā hana gland ʻē aʻe. Kōkua kēia ala hoʻopili piha e hana i ka papahana lapaʻau maikaʻi loa no kāu kūlana kikoʻī.

I kekahi manawa, pono nā ho'āʻo hou aku e kāpae i nā kumu ʻē aʻe o ka prolactin kiʻekiʻe, e like me nā pilikia thyroid a i ʻole ka maʻi kidney. E alakaʻi kāu kauka iā ʻoe i nā ho'āʻo e pono ai ma muli o kāu mau kūlana pilikino.

He aha ka lapaʻau no ka prolactinoma?

ʻO ka lapaʻau no ka prolactinoma e komo pinepine ana i nā lāʻau lapaʻau e hiki ke ho'emi i ka maʻi a hoʻoponopono i kāu mau kiʻekiʻe prolactin. Pane maikaʻi loa ka hapa nui o nā kānaka i kēia mau lapaʻau a ʻike i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona.

ʻO nā lāʻau lapaʻau i kuhikuhi pinepine ʻia i kapa ʻia ʻo dopamine agonists. ʻO kēia mau mea e komo pū ana i ka cabergoline a me ka bromocriptine, kahi e hana ai ma ka hoʻohālikelike ʻana i ka dopamine i kou lolo. Hoʻopau maoli ka dopamine i ka hana prolactin, no laila kōkua kēia mau lāʻau lapaʻau e hoʻihoʻi i ka kaulike hormone maʻamau.

Hoʻomakemake pinepine ʻia ka Cabergoline no ka mea lawe pinepine ʻia ia i ʻelua manawa i ka hebedoma a loaʻa pinepine nā hopena ʻaoʻao liʻiliʻi. Pono ka Bromocriptine i ka lawe ʻana i kēlā me kēia lā akā ua hoʻohana ʻia me ka palekana no nā makahiki he nui a manaʻo pinepine ʻia i ka wā hapai.

ʻIke pinepine ka hapa nui o nā kānaka i ka hoʻomaikaʻi ʻana i kā lākou mau hōʻailona i loko o kekahi mau pule a mahina paha o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Hoʻoponopono pinepine nā kiʻekiʻe Prolactin, hoʻi nā manawa, a hoʻihoʻi ʻia ka hānau keiki i nā hihia he nui.

ʻAʻole pinepine ka ʻoki ʻana, akā hiki ke noʻonoʻo ʻia inā ʻaʻole hana maikaʻi nā lāʻau lapaʻau a i ʻole e hoʻokumu i nā hopena ʻaoʻao hiki ʻole ke ʻae ʻia. ʻO ke ala ʻoki maʻamau loa ʻo ia ka ʻoki transsphenoidal, kahi e hiki ai i ke kauka ke komo i ka gland pituitary ma o kou ihu.

Hoʻohana ʻia ka radiation therapy ma kahi ʻano maʻamau ʻole, maʻamau wale nō ke kūleʻa ʻole nā ​​lāʻau lapaʻau a me ka ʻoki ʻana. E kūkākūkā pono kāu hui lapaʻau i nā koho āpau inā ʻaʻole kūleʻa nā lapaʻau maʻamau.

Pehea e mālama ai i ka prolactinoma ma ka home?

ʻO ka lawe mau ʻana i kāu mau lāʻau lapaʻau e like me ke kauoha ʻana ka mea nui loa āu e hiki ai ke hana ma ka home. E hoʻonohonoho i kahi papa hana a hoʻohana i nā mea hoʻomanaʻo e kōkua iā ʻoe e hoʻomanaʻo, ʻoiai ua lawe ʻia kekahi mau lāʻau lapaʻau i kekahi mau manawa i ka hebedoma.

E mālama i kāu mau hōʻailona i kahi puke moʻolelo maʻalahi a i ʻole ka polokalamu kelepona. E hoʻomaopopo i nā loli i kāu mau manawa, nā pae ikehu, a i ʻole kekahi mau hopena ʻaoʻao mai ka lāʻau lapaʻau. Kōkua kēia ʻike i kāu kauka e hoʻoponopono i kāu lapaʻau inā pono.

E kālele i ka mālama ʻana i ka olakino iwi maikaʻi ma o ka hoʻoikaika kino kaumaha a me ka lawa o ka calcium a me ka vitamin D. ʻOiai hiki i nā prolactinoma ke hoʻopilikia i ka nui o nā iwi, lilo kēia mau ʻanuʻu i mea nui loa.

E ʻai i ka ʻai kaulike waiwai i ka calcium a me ka vitamin D. ʻO nā kumu maikaʻi e komo pū ana i nā huahana waiū, nā lau ʻōmaʻomaʻo, a me nā meaʻai i hoʻoikaika ʻia. Hiki i kāu kauka ke manaʻo i nā mea hoʻohui ma muli o kāu mau pono pilikino.

E mālama i ke kaumaha ma o nā ʻano hoʻomaha, ka hoʻoikaika kino maʻamau, a i ʻole nā ​​hana āu e hauʻoli ai. ʻOiai ʻaʻole hoʻokumu ke kaumaha i nā prolactinoma, hiki iā ia ke hoʻopilikia i kou olakino holoʻokoʻa a pehea ʻoe e mālama ai i ka lapaʻau.

E noho pili me nā hoaaloha a me nā ʻohana no ke kākoʻo manaʻo. Hiki i ka mālama ʻana i kahi kūlana pili hormone ke hoʻopilikia i kou manaʻo a me nā pilina, no laila he waiwai ka mālama ʻana i nā pilina pilikanaka maikaʻi.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona a pau a me ka manawa i hoʻomaka ai lākou. E komo i nā kikoʻī e pili ana i nā loli menstrual, kekahi hana waiū, nā pilikia hana moekolohe, nā ʻeha poʻo, a i ʻole nā ​​pilikia ʻike.

E hana i kahi papa inoa piha o nā lāʻau lapaʻau āu e lawe ai, me nā lāʻau lapaʻau kuhikuhi, nā lāʻau lapaʻau ma luna o ka counter, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā kiʻekiʻe prolactin, no laila he mea nui kēia ʻike no kāu kauka.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau. Makemake paha ʻoe e ʻike e pili ana i nā koho lapaʻau, nā hopena ʻaoʻao hiki, pehea ka lōʻihi o ka lapaʻau, a i ʻole pehea e hoʻopilikia ai ke kūlana i kāu mau hoʻolālā no ka hapai keiki.

Inā hiki, e lawe mai i kahi lālā ʻohana a hoaaloha paha no ke kākoʻo a e kōkua i ka hoʻomanaʻo ʻana i nā ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ka hālāwai.

E hōʻiliʻili i nā hopena ho'āʻo mua a i ʻole nā ​​moʻolelo lapaʻau e pili ana i kāu mau hōʻailona. Inā loaʻa iā ʻoe nā ho'āʻo koko a i ʻole nā ​​haʻawina kiʻi i hana ʻia ma kahi ʻē aʻe, e lawe mai i nā kope a hoʻonohonoho paha iā lākou e hoʻouna ʻia i ke keʻena o kāu kauka.

He aha ka mea nui e pili ana i ka prolactinoma?

He mau kūlana hiki ke mālama ʻia nā prolactinoma e ʻaʻole pinepine e hoʻokumu i nā pilikia olakino koʻikoʻi ke mālama pono ʻia. ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona me ka lāʻau lapaʻau a hele aku e ola i nā ola maʻamau loa.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua a me ka lapaʻau ke pale aku i nā pilikia hiki a hoʻihoʻi i kou maikaʻi o ke ola. Inā ʻike ʻoe i nā hōʻailona e like me nā manawa kūpono ʻole, ka hana waiū i manaʻo ʻole ʻia, a i ʻole nā ​​pilikia hānau keiki, mai kānalua e kamaʻilio me kāu kauka.

Me ka lapaʻau kūpono, ʻike ka nui o nā kānaka i ka hoʻi ʻana o kā lākou mau kiʻekiʻe prolactin i ka maʻamau, hoʻonā ʻia kā lākou mau hōʻailona, ​​a hoʻihoʻi ʻia kā lākou hānau keiki. Pane maikaʻi pinepine nā prolactinoma nui i ka lāʻau lapaʻau, pinepine e ho'emi nui ʻia ma hope o ka manawa.

E noho kūpaʻa i kāu papahana lapaʻau a mālama i nā hālāwai hahai mau me kāu hui mālama ola. Hōʻoia kēia pilina mau i nā hopena maikaʻi loa a kōkua i ka hopu ʻana i nā loli koke.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka prolactinoma

Hiki iaʻu ke hapai keiki inā loaʻa iaʻu ka prolactinoma?

ʻAe, hiki i nā wāhine he nui me nā prolactinoma ke hapai keiki me ka holomua me ka lapaʻau kūpono. Hoʻihoʻi pinepine nā lāʻau lapaʻau i ka ovulation maʻamau a me ka hānau keiki i loko o kekahi mau mahina. E hana pū kāu kauka me ʻoe e hoʻoponopono i kāu papahana lapaʻau me ka palekana i ka wā hapai, ʻoiai ua makemake ʻia kekahi mau lāʻau lapaʻau ma mua o nā mea ʻē aʻe i kēia manawa.

Pono anei iaʻu e lawe i ka lāʻau lapaʻau no ke koena o koʻu ola?

ʻAʻole pono. Hiki i kekahi poʻe ke ho'emi a ho'ōki paha i kā lākou lāʻau lapaʻau, ʻoi aku hoʻi nā mea me nā maʻi liʻiliʻi. E nānā kāu kauka i kāu mau kiʻekiʻe prolactin a me nā hōʻailona ma hope o ka manawa e hoʻoholo ai inā hiki ke hoʻoponopono i ka lāʻau lapaʻau. Eia naʻe, hoʻomau ka nui o nā kānaka i ka lapaʻau lōʻihi e mālama i nā kiʻekiʻe hormone maʻamau.

Hiki i nā prolactinoma ke lilo i kanesa?

ʻAneʻane maikaʻi mau nā prolactinoma, ʻo ia hoʻi ʻaʻole lākou e pālahalaha i nā ʻāpana ʻē aʻe o kou kino e like me ka kanesa. ʻOiai hiki iā lākou ke ulu nui ma hope o ka manawa inā ʻaʻole i mālama ʻia, noho lākou ʻaʻohe kanesa. He mea maʻamau loa ka pilikia o ka lilo ʻana o ka prolactinoma i malignant.

Ke holo nei nā prolactinoma i nā ʻohana?

Hana pinepine nā prolactinoma me ka ʻole o kekahi pilina ʻohana. Eia naʻe, i nā hihia maʻamau ʻole, hiki iā lākou ke lilo i ʻāpana o kahi syndrome genetic i kapa ʻia ʻo multiple endocrine neoplasia type 1. Inā loaʻa iā ʻoe nā lālā ʻohana he nui me nā maʻi pituitary a i ʻole nā ​​pilikia endocrine ʻē aʻe, e haʻi aku i kāu kauka.

He aha nā hopena ʻaoʻao āu e manaʻo ai mai nā lāʻau lapaʻau lapaʻau?

ʻO nā hopena ʻaoʻao maʻamau mai nā lāʻau lapaʻau dopamine agonist e komo pū ana i ka nausea, dizziness, luhi, a me ka constipation, ʻoi aku hoʻi i ka hoʻomaka ʻana o ka lapaʻau. Hoʻomaikaʻi pinepine kēia mau mea ke hoʻololi kāu kino i ka lāʻau lapaʻau. ʻO ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai a me ka hoʻomaka ʻana me kahi kiʻekiʻe haʻahaʻa ke kōkua i ka hoʻemi ʻana i nā hopena ʻaoʻao. E kūkākūkā mau i nā hōʻailona pilikia me kāu kauka.