He aha te Prolactinoma? Tohutohu, Take, me te Maimoatanga

Ko te prolactinoma he pūngāwerewere kore mate pukupuku e tupu ana i roto i tōu whekau pituitary, ā, e hanga ana i te nui o te homoni e kiia nei ko te prolactin. Ko tēnei whekau iti, rite te rahi ki te pēra karepe, kei raro i tōu roro, ā, e āwhina ana ki te whakahaere i ngā mahi maha o te tinana.

Ina pangia koe e te prolactinoma, ka hanga tō tinana i te prolactin nui atu i te mea e hiahiatia ana. Ka pā tēnei homoni nui atu ki ō wā, ki tō hua, me te waiū, ahakoa kāo e hapu ana, kāore rānei e whāngai u. Ko te mea pai, ko ēnei pūngāwerewere he pai te whakautu ki te maimoatanga.

He aha ngā tohu o te prolactinoma?

Ko ngā tohu e pā ana ki a koe e whakawhirinaki ana ki tō ira tangata me te nui o te prolactin e hanga ana e tō tinana. Ka kite ngā wāhine i ngā huringa o ō rā wā tuatahi, ā, ka rere ke ngā pānga ki ngā tāne.

Ko ēnei ngā tohu tino noa e pā ana ki ngā wāhine:

• Ngā wā kore rerekē, ngā wā kāore rānei e puta rawa
• Te rere o te waiū i ngā u, ahakoa kāore e hapu ana, kāore rānei e whāngai u
• Te uaua ki te hapu
• Te iti o te hiahia mo te moe
• Te maroke o te tara i te wā e moe ana
• Ngā werawera rite ki te menopause

Ko ngā tāne e pangia ana e te prolactinoma ka kite i ēnei huringa:

• Te iti o te hiahia mo te moe, te uaua rānei ki te whakaara
• Te nui ake o ngā u, te mamae rānei
• Ko te tino onge, te waiū e puta ana i te uma
• Te kore hua, te uaua rānei ki te whānau tamariki
• Te ngaro o te huruhuru o te tinana me te mata
• Te ngenge me ngā huringa o te ngākau

Ina tupu ake ngā prolactinoma, ka taea e rātou te pēhi i ngā hanganga e tata ana, ā, ka puta mai ētahi atu tohu. Ka pā pea ki a koe ngā mamae o te mahunga, ngā raruraru o te tirohanga pēnei i te tirohanga rua, te ngaro rānei o te tirohanga taha, te huringa rānei o tō ihu.

Ka pangia etahi tangata e te ngoikore o te wheua i te roa o te wā, na te mea ka taea e ngā taumata prolactin teiti te whakaiti i ētahi atu homoni nui e pupuri ana i te kaha o ngā wheua. Ka puta tenei i te wa roa, ā, ka kore pea e puta mai ngā tohu marama tae noa ki muri.

He aha ngā momo prolactinoma?

Ka whakarōpū ngā tākuta i ngā prolactinoma i runga i ō rātou rahi, ā, e āwhina ana i te whakatau i te huarahi maimoatanga pai. E rua ngā momo matua me mohio koe.

Ko ngā microprolactinomas he iti iho i te 10 millimeters te whānuitanga, rite te rahi ki te pēra pī. Ko ēnei te nuinga o ngā prolactinoma, ā, tērā pea i ngā wāhine. Ka puta mai ngā tohu e pā ana ki te homoni, engari ka tino kore e tupu nui rawa ki te pēhi i ngā kōpū o te roro.

Ko ngā macroprolactinomas he 10 millimeters te rahi ake rānei, ā, he tino noa i ngā tāne. Na tō rātou rahi, he tino pea te puta mai o ngā mamae o te mahunga me ngā raruraru o te tirohanga hei tāpiri ki ngā tohu homoni. Ka puta mai hoki i a rātou ngā taumata prolactin teitei rawa.

Ko te rahi o tō prolactinoma e āwhina ana i tō tākuta ki te kī he aha te āhua o tōna mahi, me ngā maimoatanga e pai ana mō tō āhuatanga motuhake.

He aha te take o te prolactinoma?

Kāore i tino mōhiotia te take pono o te whanaketanga o ngā prolactinoma, engari ka puta mai i ngā huringa i roto i ngā pūtau o tō whekau pituitary. Ka whakaeketia e ēnei huringa ngā pūtau motuhake ki te tupu me te maha atu i te mea e tika ana.

Ko te nuinga o ngā prolactinoma ka puta noa atu, kāore he take mārama, kāore rānei he hītori whānau. Ka pā pea ō ira ki ētahi take, engari he tino onge tēnei. He tino onge, ka taea e ngā prolactinoma te wāhi o te āhuatanga ira e kiia nei ko te multiple endocrine neoplasia type 1, e pā ana ki ngā whekau maha e hanga ana i te homoni.

Ka taea hoki e ētahi rongoā te whakaara i ngā taumata prolactin, ā, ka arahi pea ki ngā huringa pituitary. Ko ēnei ngā rongoā pouri, ngā rongoā anti-mate, me ngā rongoā e whakamahia ana hei whakaora i te toto teitei, i ngā āhuatanga hinengaro rānei.

He mea nui kia mōhio kōu e kore e puta mai ngā prolactinoma i tetahi mea i mahi koe, kāore rānei i mahi. Kāore e pā ana ki te ahotea, ki te kai, ki ngā whiringa noho rānei.

Nōhea te haere ki te tākuta mō te prolactinoma?

Me whakarite e koe he hui ki tō tākuta mena ka kite koe i ngā huringa pumau i tō wā, te puta mai o te waiū kaore i te tumanakohia, te raruraru rānei o te hua. Ka tika te arotake i ēnei tohu ahakoa he ngawari.

Mō ngā wāhine, ko te ngaro i te toru wā atu rānei i te rō i te kore hapu he tohu mārama ki te rapu awhina hauora. Ko te rere o te waiū i ō u i te wā kāore e whāngai u he mea hoki e tika ana te arotake wawe.

Me haere ngā tāne ki tō rātou tākuta mō ngā raruraru pumau ki te mahi taane, ngā huringa uma kaore i te whakamāramahia, te ngenge rānei e hono atu ana ki ngā huringa o te ngākau. He maha ngā take o ēnei tohu, engari he mea tika te kōrero ki te kaiwhakarato hauora.

Rapua te tiaki hauora tere ake mena ka puta mai ngā mamae o te mahunga, teitei, teitei rānei, te kite rānei i ngā huringa i tō tirohanga pēnei i te tirohanga rua, te ngaro rānei o te tirohanga taha. Ahakoa kāore ēnei tohu i te tohu tonu i te raruraru nui, me arotake wawe kia kore ai e puta mai ngā raruraru.

He aha ngā take morearea mō te prolactinoma?

He maha ngā take e pā ana ki tō tūponotanga ki te whanake i te prolactinoma, ahakoa ko te whai i ngā take morearea kāore e tikanga ka whanake koe i tētahi. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te pupuri i te mataara ki ngā tohu pea.

He mea nui te tau, me ngā prolactinoma e tino kitea ana i roto i ngā tāngata i waenga i te 20 me te 50 tau te pakeke. He tino pea ngā wāhine ki te whanake i ngā microprolactinomas, ā, ko ngā tāne te nuinga o ngā macroprolactinomas i te wā e kitea ana.

Ka pā pea tō hītori whānau ki ētahi take onge, ina koa ki te whai whānau i te multiple endocrine neoplasia type 1. Engari, ko te nuinga o ngā prolactinoma ka puta mai kāore he hononga whānau.

Ko te tango i ētahi rongoā mo te wā roa ka piki ake tō morearea. Ko ēnei ngā rongoā antipsychotic, ētahi rongoā pouri, ngā rongoā mō te mate, me ētahi rongoā toto teitei e pā ana ki te dopamine i roto i tō roro.

Ko te whai i ētahi atu raruraru pituitary, te whakawhāiti rānei o mua ki tō mahunga me tō kaki ka piki ake pea tō morearea, ahakoa he onge tēnei.

He aha ngā raruraru pea o te prolactinoma?

Ahakoa he tino whakahaeretia ngā prolactinoma, ko te waiho i a rātou kāore i te maimoatia ka arahi pea ki ngā take hauora roa. Ko te mārama ki ēnei raruraru pea e āwhina ana ki te whakamārama he aha te tino tūtohutia o te maimoatanga.

Ko ngā raruraru tino noa e pā ana ki ō wheua me tō hauora whakaū. Ka taea e ngā taumata prolactin teitei te whakaiti i te estrogen i ngā wāhine me te testosterone i ngā tāne. I te roa o te wā, ka arahi tēnei koretake homoni ki te osteoporosis, ka ngoikore ake ō wheua, ā, ka ngāwari ki te pakaru.

Ko ngā raruraru hua tetahi atu take nui. Ka uaua pea ngā tāne me ngā wāhine ki te hapu noa i te wā e teitei tonu ana ngā taumata prolactin. I ngā wāhine, ka taea te koretake o te ovulation, te mutu rānei rawa.

Mō ngā prolactinoma nui ake, ka taea te whanaketanga o ngā raruraru e pā ana ki te tupu. Ka taea e te pūngāwerewere te pēhi i ngā hanganga e tata ana, ka pā pea ki tō tirohanga mō ake tonu atu, te whakakore rānei i ētahi atu homoni pituitary.

He tino onge, ka taea e ngā prolactinoma nui rawa te whakaeke i ngā tohu neurological nui ake. Ka uru pea ēnei ki ngā mamae o te mahunga pumau, te ngaro nui o te tirohanga, te raruraru rānei ki ētahi atu mahi o te roro. Engari, me te tirotiro tika me te maimoatanga, he tino onge ēnei raruraru nui.

Ka taea hoki te pānga o te hauora cardiovascular i te roa o te wā na te huringa homoni, ahakoa ka puta tenei i te wa roa, ā, ka taea te aukati i te nuinga o te wā me te maimoatanga tika.

Me pēhea te whakatau i te prolactinoma?

Ko te whakatau i te prolactinoma ka tīmata i te whakamātautau toto ngāwari hei ine i ō taumata prolactin. Ka tono pea tō tākuta i tēnei whakamātautau mena ka tohu ō tohu i te prolactin teitei.

Ko ngā taumata prolactin noa he iti iho i te 25 nanograms ia milliliter i ngā wāhine, me te iti iho i te 15 i ngā tāne. Mena he teitei ō taumata, ka tono pea tō tākuta kia whakahokia te whakamātautau hei whakau i ngā hua, na te mea ka rereke te prolactin i te rā katoa.

Ina whakautia te prolactin teitei, ka tono pea tō tākuta i te tātaritanga MRI o tō whekau pituitary. Ka taea e tēnei tātaritanga whakaahua te whakaatu mena kei reira te pūngāwerewere, me te whakatau i tōna rahi me tōna wāhi tika.

Ka whakamātautau pea tō tākuta i ētahi atu homoni pituitary ki te kite mena kei te pā te prolactinoma ki ētahi atu mahi whekau. Ka āwhina tēnei huarahi whānui ki te hanga i te mahere maimoatanga tino pai mō tō āhuatanga motuhake.

I etahi wā, me hiahiatia ētahi atu whakamātautau hei whakakore i ētahi atu take o te prolactin teitei, pēnei i ngā raruraru thyroid, i te mate whatukuhu rānei. Ka arataki tō tākuta i a koe i ngā whakamātautau e hiahiatia ana i runga i ō āhuatanga motuhake.

He aha te maimoatanga mō te prolactinoma?

Ko te maimoatanga mō te prolactinoma e whakauru ana ki ngā rongoā e taea te whakaiti i te pūngāwerewere me te whakatika i ō taumata prolactin. Ko te nuinga o ngā tāngata e pai ana te whakautu ki ēnei maimoatanga, ā, ka kite i te whakapainga nui i ō rātou tohu.

Ko ngā rongoā tino tono ko ngā dopamine agonists. Ko ēnei ngā cabergoline me te bromocriptine, e mahi ana mā te whakaatu i te dopamine i roto i tō roro. Ka whakaiti noa te dopamine i te hanga prolactin, no reira ka āwhina ēnei rongoā ki te whakahoki i te toenga homoni noa.

Ko te cabergoline te mea tino pai na te mea ka tangohia rua noa i te wiki, ā, he iti ake ngā pānga taha. Me tango ia rā te bromocriptine, engari kua whakamahia haumaru mō ngā tekau tau maha, ā, he tino tūtohutia i te wā hapu.

Ka kite te nuinga o ngā tāngata i ō rātou tohu e pai ake ana i roto i ngā wiki torutoru ki ngā marama i te tīmatanga o te rongoā. Ka noa ngā taumata prolactin, ka hoki mai ngā wā, ā, ka whakahokia te hua i roto i ngā take maha.

He tino onge te pokanga, engari ka whakaaro pea mena kāore ngā rongoā e mahi pai ana, te whakaeke rānei i ngā pānga taha kaore e taea te whakamanawanui. Ko te huarahi pokanga tino noa ko te pokanga transsphenoidal, kei reira te taote e tae atu ana ki te whekau pituitary mā tō ihu.

Ko te rongoā radiation he tino onge te whakamahi, i te nuinga o te wā anake mena kāore ngā rongoā me ngā pokanga i angitu. Ka kōrero tō rōpū hauora i ngā whiringa katoa mena kāore ngā maimoatanga noa e whai hua.

Me pēhea te whakahaere i te prolactinoma i te kāinga?

Ko te tango i ō rongoā pumau pera me te tohu ko te mea nui rawa atu e taea e koe te mahi i te kāinga. Whakaritea he mahinga, te whakamahi rānei i ngā whakamahara hei awhina i a koe ki te mahara, ina koa na te mea ko ētahi rongoā ka tangohia torutoru noa ngā wā i te wiki.

Pupuri i te ara o ō tohu i roto i te pukapuka ngāwari, i te taupānga waea rānei. Tātaihia ngā huringa i ō wā, ngā taumata kaha, i ngā pānga taha rānei mai i te rongoā. Ka āwhina tēnei mōhiohio i tō tākuta ki te whakarite i tō maimoatanga mena e hiahiatia ana.

Arotake ki te pupuri i te hauora wheua pai mā te whakakori tinana pumau me te nui o te kōhatu me te hua D. Na te mea ka taea e ngā prolactinoma te pā ki te mātotorutanga wheua, ka tino nui ēnei kaupapa.

Kai i te kai tino pai e whai hua ana ki te kōhatu me te hua D. Ko ngā puna pai ko ngā hua waiū, ngā huawhenua matomato, me ngā kai whakakikī. Ka tūtohu pea tō tākuta i ngā taapiri i runga i ō hiahia motuhake.

Whakahaerehia te ahotea mā ngā tikanga whakangāwari, te whakakori tinana pumau, i ngā mahi rānei e pai ana koe. Ahakoa kāore te ahotea e whakaeke i ngā prolactinoma, ka taea te pā ki tō oranga whānui me te āhua o tō whakahaere i te maimoatanga.

Noho hono atu ki ngā hoa me ngā whānau mō te tautoko ngākau. Ka taea e te whakahaere i te āhuatanga e pā ana ki te homoni te pā ki tō ngākau me ō whānau, no reira he mea nui te pupuri i ngā hononga pāpori pai.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia katoa ō tohu me te wā i tīmata ai rātou. Whakauruhia ngā kōrero mō ngā huringa wā, te waiū e puta mai ana, ngā raruraru mahi taane, ngā mamae o te mahunga, i ngā raruraru o te tirohanga rānei.

Hangaia he rārangi katoa o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā rongoā, ngā rongoā-kāore-i-te-whakahaunga, me ngā taapiri. Ka taea e ētahi rongoā te pā ki ngā taumata prolactin, no reira he mea nui tēnei mōhiohio mō tō tākuta.

Whakaritea he rārangi o ngā pūrongo e hiahia ana koe ki te ui. Ka hiahia pea koe ki te mōhio mō ngā whiringa maimoatanga, ngā pānga taha pea, te roa o te maimoatanga, te āhua rānei o te āhuatanga ki ō mahere mo te hapu.

Mena e taea ana, kawea mai tētahi mema whānau, tētahi hoa rānei mō te tautoko me te awhina ki te mahara ki ngā mōhiohio nui i kōrerotia i te wā o te hui.

Kohikohia ngā hua whakamātautau o mua, ngā rēkōta hauora rānei e pā ana ki ō tohu. Mena kua whakamātautau toto koe, kua whakaahuahia rānei i ētahi atu wāhi, kawea mai ngā kōpe, te whakarite rānei kia tukuna ki te tari o tō tākuta.

He aha te mea nui mō te prolactinoma?

Ko ngā prolactinoma he āhuatanga tino whakahaeretia e tino kore e whakaeke i ngā morearea hauora nui ina whakahaeretia tika. Ka kite te nuinga o ngā tāngata i te whakapainga nui i ō rātou tohu me te rongoā, ā, ka ora tonu i ngā oranga noa.

Ko te mea nui rawa atu hei mahara ko te whakatau me te maimoatanga wawe ka taea te aukati i ngā raruraru pea, me te whakahoki i tō kounga ora. Mena kei te pāngia koe e ngā tohu pēnei i ngā wā kore rerekē, te puta mai o te waiū kaore i te tumanakohia, te raruraru rānei o te hua, kaua e whakaroa ki te kōrero ki tō tākuta.

Me te maimoatanga tika, ka kite te nuinga o ngā tāngata i ō rātou taumata prolactin e hoki ana ki te noa, ka mutu ō rātou tohu, ā, ka whakahokia te hua. Ko ngā prolactinoma nui ake hoki e tino pai ana te whakautu ki te rongoā, ka iti haere te rahi i te roa o te wā.

Noho āta whai ki tō mahere maimoatanga, me te pupuri i ngā hui whai muri pumau ki tō rōpū hauora. Ka whakarite tēnei hononga pumau i ngā hua pai rawa atu, ā, ka āwhina ki te hopu i ngā huringa wawe.

Ngā pūrongo e ui pinepinetia ana mō te prolactinoma

Ka taea e au te hapu mena he prolactinoma taku?

Ae, ka taea e ngā wāhine maha e whai prolactinoma te hapu angitu me te maimoatanga tika. Ka whakahokia e ngā rongoā te ovulation me te hua noa i roto i ngā marama torutoru. Ka mahi tahi tō tākuta ki a koe ki te whakarite i tō mahere maimoatanga haumaru i te wā hapu, na te mea ko ētahi rongoā te mea pai atu i ētahi atu i tēnei wā.

Me tango rongoā tonu ahau mō te toenga o toku oranga?

Kāore pea. Ka taea e ētahi tāngata te whakaiti, te mutu rānei i ō rātou rongoā, ina koa rātou e whai pūngāwerewere iti. Ka tirotirohia e tō tākuta ō taumata prolactin me ō tohu i te roa o te wā ki te whakatau mena he taea te whakarite rongoā. Engari, ko te nuinga o ngā tāngata ka haere tonu te maimoatanga roa ki te pupuri i ngā taumata homoni noa.

Ka taea e ngā prolactinoma te huri hei mate pukupuku?

Ko ngā prolactinoma he pai te nuinga o te wā, ko te tikanga kāore e horapa ki ētahi atu wāhi o tō tinana pēnei i te mate pukupuku. Ahakoa ka taea te tupu nui ake i te roa o te wā mena kāore i te maimoatia, ka noho tonu he kore mate pukupuku. He tino onge te morearea o te prolactinoma e huri ana ki te mate pukupuku.

Kei ngā whānau ngā prolactinoma?

Ko te nuinga o ngā prolactinoma ka puta noa atu kāore he hononga whānau. Engari, i ngā take tino onge, ka taea te wāhi o te mate ira e kiia nei ko te multiple endocrine neoplasia type 1. Mena he maha ō mema whānau e whai pūngāwerewere pituitary ana, i ētahi atu raruraru endocrine rānei, korerohia tēnei ki tō tākuta.

He aha ngā pānga taha me tumanako ahau mai i ngā rongoā maimoatanga?

Ko ngā pānga taha noa mai i ngā rongoā dopamine agonist ko te mate, te wiri, te ngenge, me te kōpū kōtiti, ina koa i te tīmatanga o te maimoatanga. Ka pai ake ēnei i te whakatika o tō tinana ki te rongoā. Ko te tango i te rongoā me te kai, me te tīmatanga ki te horo iti ka āwhina ki te whakaiti i ngā pānga taha. Kōrerohia tonu ngā tohu e awangawanga ana ki tō tākuta.