Prolactinoma ni iki? Ibimenyetso, Impamvu, n'Umuti

Prolactinoma ni igisebe kitazana kanseri gikura mu gice cy'ubwonko cyitwa pituitary gland, kikaba gikora imisemburo myinshi yitwa prolactin. Uyu mwijima muto, ufite ubunini bwa kavu, uba hasi y'ubwonko kandi ubusanzwe ufasha kugenzura imikorere myinshi y'umubiri.

Iyo ufite prolactinoma, umubiri wawe ukora prolactin nyinshi kurusha uko ukenewe. Iyi misemburo yiyongereye ishobora kugira ingaruka ku mihango yawe, ubushobozi bwo kubyara, no gukora amata, nubwo utwite cyangwa utonsa.

Ibimenyetso bya prolactinoma ni ibihe?

Ibimenyetso ubona biterwa n'igitsina cyawe n'ingano y'imisemburo ya prolactin umubiri wawe ukora. Abagore bakunda kubona impinduka mu mihango yabo mbere, mu gihe abagabo bashobora kugira ingaruka zitandukanye.

Dore ibimenyetso bisanzwe abagore bagira:

• Imihango idahwitse cyangwa ihagarara burundu
• Amata ava mu mabere utwite cyangwa utonsa
• Gukomerana kubyara
• Kugabanuka kw'irari ryo gutera akabariro
• Ubwumva bw'umutwe mu gihe cy'imibonano mpuzabitsina
• Ubushyuhe nk'ubwo mu gihe cy'imihango

Abagabo bafite prolactinoma bakunda kubona impinduka zikurikira:

• Kugabanuka kw'irari ryo gutera akabariro cyangwa kugorana kw'igitsina
• Kubyimbagira cyangwa kubabara kw'amabere
• Gake, amata ava mu gituza
• Kubura ubushobozi bwo kubyara
• Gutakaza ubwoya ku mubiri no mu maso
• Uburwayi n'impinduka z'imitekerereze

Iyo prolactinoma ikura, ishobora gukanda ku bice by'ubwonko biri hafi, ikaba itera ibindi bimenyetso. Ushobora kugira umutwe, ibibazo by'ububone nk'uko wabona ibintu bibiri cyangwa gutakaza ububone bwa kure, cyangwa ndetse impinduka mu kunuka.

Bamwe baragira intege nke z'amagufa kubera ko urwego rwinshi rwa prolactin rushobora kugabanya izindi misemburo ikomeza amagufa. Ibi bibaho buhoro buhoro kandi bishobora kutagaragara kugeza nyuma.

Ubwoko bwa prolactinoma ni ubuhe?

Abaganga bagabanya prolactinoma hashingiwe ku bunini bwayo, ibyo bifasha mu gutoranya uburyo bwiza bwo kuvura. Hari ubwoko bubiri nyamukuru ukwiye kumenya.

Microprolactinomas ni nto kurusha mm 10, ubunini bwa pisine nto. Ibi bigize umubare munini wa prolactinoma, cyane cyane mu bagore. Ubusanzwe biterwa n'ibimenyetso by'imisemburo ariko gake cyane bikura bihagije kugira ngo bikanda ku mubiri w'ubwonko.

Macroprolactinomas ipimwa mm 10 cyangwa irengeje, kandi ikunze kugaragara mu bagabo. Kubera ubunini bwayo, ikunze gutera umutwe n'ibibazo by'ububone uretse ibimenyetso by'imisemburo. Nanone ikunze gukora urwego rwinshi rwa prolactin.

Ubunini bwa prolactinoma yawe bufasha muganga wawe kumenya uko ishobora kwitwara n'uburyo bwo kuvura buzakora neza mu mimerere yawe.

Impamvu za prolactinoma ni izihe?

Impamvu nyamukuru y'uko prolactinoma iba ntabwo imenyekanye neza, ariko isa n'iterwa n'impinduka mu miterere y'uturemangingo two mu gice cy'ubwonko cyitwa pituitary gland. Izi mpinduka zituma uturemangingo tumwe na tumwe gukura no kwiyongera kurusha uko bikwiye.

Prolactinoma nyinshi iba ku bushake nta mpamvu isobanutse cyangwa amateka y'umuryango. Gene zawe zishobora kugira uruhare mu bihe bimwe na bimwe, ariko ibi ni bike cyane. Gake cyane, prolactinoma ishobora kuba igice cy'indwara y'umuryango yitwa multiple endocrine neoplasia type 1, igira ingaruka ku miterere myinshi ikora imisemburo.

Imiti imwe na imwe ishobora kandi kongera urwego rwa prolactin, rimwe na rimwe ikaba itera impinduka muri pituitary. Ibi birimo imiti imwe yo kuvura ihungabana, imiti yo kurwanya isesemi, n'imiti ikoreshwa mu kuvura umuvuduko ukabije w'amaraso cyangwa ibibazo by'ubuzima bwo mu mutwe.

Ni ngombwa kumenya ko prolactinoma iterwa n'ibyo wakoze cyangwa utakoreye. Ntabwo bifitanye isano n'umunaniro, indyo, cyangwa imibereho.

Ni ryari ukwiye kujya kwa muganga kubera prolactinoma?

Ukwiye guhamagara muganga wawe niba ubona impinduka zihoraho mu mihango yawe, gukora amata utari utegereje, cyangwa ibibazo byo kubyara. Ibi bimenyetso bikwiye gusuzuma nubwo bisa nkaho ari bito.

Ku bagore, gutakaza imihango itatu cyangwa irengeje nta nda, ni ikimenyetso cyo gushaka ubufasha bw'abaganga. Amata yose ava mu mabere utonsa, akwiye gusuzuma vuba.

Abagabo bagomba kujya kwa muganga kubera ibibazo byahoraho by'imikorere y'igitsina, impinduka z'amabere zitazwi, cyangwa umunaniro uhoraho hamwe n'impinduka z'imitekerereze. Ibi bimenyetso bishobora kuba bifite impamvu nyinshi, ariko bikwiye kuganirwaho n'umuganga.

Shaka ubufasha bw'abaganga vuba niba ufite umutwe ukomeye cyangwa ubona impinduka mu bubone bwawe nk'uko wabona ibintu bibiri cyangwa gutakaza ububone bwa kure. Nubwo ibi bimenyetso bidahora bigaragaza ikibazo gikomeye, bikeneye gusuzuma vuba kugira ngo habeho gukumira ingaruka.

Ibyago byo kurwara prolactinoma ni ibihe?

Ibintu bimwe na bimwe bishobora kugira ingaruka ku buryo bwo kurwara prolactinoma, nubwo ufite ibyago bidakubwira ko uzayirwara. Gusobanukirwa ibi bintu bishobora kugufasha kumenya ibimenyetso bishoboka.

Imyaka igira uruhare, prolactinoma ikunze kuvurwa mu bantu bari hagati y'imyaka 20 na 50. Abagore bafite amahirwe menshi yo kurwara microprolactinomas, mu gihe abagabo bakunze kugira macroprolactinomas iyo bavuwe.

Amateka y'umuryango wawe ashobora kuba afite akamaro mu bihe bike, cyane cyane niba abavandimwe bafite multiple endocrine neoplasia type 1. Ariko, umubare munini wa prolactinoma uba nta shingiro mu muryango.

Guta imiti imwe igihe kirekire bishobora kongera ibyago byawe. Ibi birimo imiti imwe yo kuvura indwara zo mu mutwe, imiti imwe yo kuvura ihungabana, imiti yo kurwanya isesemi, n'imiti imwe yo kuvura umuvuduko w'amaraso igira ingaruka kuri dopamine mu bwonko.

Kugira ibindi bibazo bya pituitary cyangwa guhabwa imirasire mu mutwe no mu ijosi bishobora kongera ibyago byawe, nubwo ibi ari bike.

Ingaruka zishoboka za prolactinoma ni izihe?

Nubwo prolactinoma isanzwe ivurwa, kuyireka idavuwe ishobora gutera ibibazo byinshi by'ubuzima mu gihe kirekire. Gusobanukirwa izi ngaruka zishoboka bifasha gusobanura impamvu kuvura bikunze gusabwa.

Ingaruka zisanzwe zigira ingaruka ku magufa n'ubuzima bw'imyororokere. Urwego rwinshi rwa prolactin rushobora kugabanya estrogen mu bagore na testosterone mu bagabo. Mu gihe kirekire, kudahuza kw'imisemburo bishobora gutera osteoporosis, bigatuma amagufa yawe aba afite intege nke kandi akaba ashobora kuvunika.

Ibibazo byo kubyara ni ikindi kibazo gikomeye. Abagabo n'abagore bashobora kugorana kubyara mu buryo busanzwe iyo urwego rwa prolactin rukomeje kuba rwinshi. Mu bagore, ovulation ishobora kuba idahwitse cyangwa ihagarara burundu.

Ku prolactinoma nini, ingaruka ziterwa no gukura zishobora kubaho. Igisebe gishobora gukanda ku bice by'ubwonko biri hafi, bigashobora kugira ingaruka ku bubone bwawe burundu cyangwa bigatinda imisemburo ya pituitary.

Gake cyane, prolactinoma nini cyane ishobora gutera ibibazo bikomeye by'ubwonko. Ibi bishobora kuba umutwe uhoraho, gutakaza ububone bukomeye, cyangwa ibibazo by'imikorere y'ubwonko. Ariko, hakoreshejwe ubugenzuzi n'ubuvuzi bikwiye, izi ngaruka zikomeye ni nke cyane.

Ubuzima bw'umutima na bwo bushobora kugira ingaruka mu gihe kirekire kubera impinduka z'imisemburo, nubwo ibi bisanzwe bibaho buhoro buhoro kandi bikunze kwirindwa hakoreshejwe uburyo bukwiye bwo kuvura.

Prolactinoma imenyekanwa ite?

Kumenya prolactinoma bisanzwe bitangira hakoreshejwe ikizamini cy'amaraso cyo gupima urwego rwa prolactin. Muganga wawe azakora iki kizamini niba ibimenyetso byawe bigaragaza prolactin nyinshi.

Urugero rusanzwe rwa prolactin ubusanzwe ruri munsi ya 25 nanograms kuri milliliter mu bagore na munsi ya 15 mu bagabo. Niba urwego rwawe rwinshi, muganga wawe ashobora gusubiramo ikizamini kugira ngo yemeze ibyavuye, kuko prolactin ishobora guhinduka umunsi wose.

Iyo prolactin nyinshi yemewe, muganga wawe azakora isesengura rya MRI ry'igice cy'ubwonko cyitwa pituitary gland. Iki kizamini cyo kubona amashusho gishobora kwerekana niba hari igisebe kiriho kandi kimenye ubunini n'aho giherereye.

Muganga wawe ashobora kandi gupima izindi misemburo ya pituitary kugira ngo arebe niba prolactinoma igira ingaruka ku mikorere y'izindi miterere. Ubu buryo burambuye bufasha gukora gahunda y'ubuvuzi ikwiye mu mimerere yawe.

Rimwe na rimwe, ibizamini byongeyeho bikenewe kugira ngo habeho gukumira izindi mpamvu za prolactin nyinshi, nko guhindagurika kwa thyroid cyangwa indwara z'impyiko. Muganga wawe azakuyobora mu bizamini bikenewe hashingiwe ku mimerere yawe.

Umuti wa prolactinoma ni uwuhe?

Umuti wa prolactinoma ubusanzwe ukoreshwa mu miti ishobora kugabanya igisebe no kugabanya urwego rwa prolactin. Abantu benshi bagira impinduka nziza kuri ubu buryo bwo kuvura kandi bagira impinduka nziza mu bimenyetso byabo.

Imiti ikunze kwandikwa yitwa dopamine agonists. Ibi birimo cabergoline na bromocriptine, bikora binyuze mu guhamagarira dopamine mu bwonko. Dopamine igabanya umusaruro wa prolactin, bityo iyi miti ifasha gusubiza imisemburo isanzwe.

Cabergoline ikunze gukundwa kuko isanzwe ifatwa kabiri mu cyumweru kandi ikaba ifite ingaruka nke. Bromocriptine isaba gufata buri munsi ariko imaze gukoreshwa neza imyaka myinshi kandi ikunze gusabwa mu gihe cyo gutwita.

Abantu benshi babona ibimenyetso byabo bigenda bigabanuka mu byumweru bike cyangwa amezi yo gutangira imiti. Urwego rwa prolactin rugaruka mu buryo busanzwe, imihango igaruka, kandi ubushobozi bwo kubyara bugaruka mu bihe byinshi.

Ubuganga buke burakenewe ariko bushobora kugenzurwa niba imiti idakora neza cyangwa igira ingaruka zitari nziza. Uburyo bwo kubaga busanzwe ni transsphenoidal surgery, aho umuganga agera kuri pituitary gland anyuze mu mazuru.

Umuti wa radiation ukoreshwa gake cyane, ubusanzwe iyo imiti n'ubuganga bitakora. Ikipe yawe y'abaganga izakuganiraho byose niba uburyo busanzwe bwo kuvura budakora.

Uko wakwitwara mu rugo ufite prolactinoma

Guta imiti yawe buri gihe nkuko yanditswe ni ikintu cy'ingenzi cyane ushobora gukora mu rugo. Shyiraho gahunda cyangwa ukoreshe ibimenyetso kugira ngo bikwibutse, cyane cyane ko imiti imwe ifatwa inshuro nke mu cyumweru.

Komeza ukure ibimenyetso byawe mu gitabo cyoroshye cyangwa porogaramu ya terefone. Bandika impinduka mu mihango yawe, ingufu, cyangwa ingaruka z'imiti. Aya makuru afasha muganga wawe guhindura uburyo bwawe bwo kuvura niba bikenewe.

Fata umwanya wo kwita ku buzima bw'amagufa yawe binyuze mu myitozo ngororamubiri isanzwe n'ibiribwa bihagije bya calcium na vitamine D. Kubera ko prolactinoma ishobora kugira ingaruka ku buzima bw'amagufa, ibi bintu biba by'ingenzi cyane.

Funga indyo yuzuye irimo calcium na vitamine D. Ibiribwa byiza birimo ibinyampeke, imboga z'icyatsi kibisi, n'ibiribwa byongerwamo. Muganga wawe ashobora kandi kugutegurira imiti ishingiye ku byo ukeneye.

Genzura umunaniro binyuze mu buryo bwo kuruhuka, imyitozo ngororamubiri isanzwe, cyangwa ibikorwa ukunda. Nubwo umunaniro utatera prolactinoma, ushobora kugira ingaruka ku mibereho yawe muri rusange n'uko uhangana no kuvura.

Komeza ube hafi y'inshuti n'umuryango wawe kugira ngo ugire inkunga yo mu mutwe. Guhangana n'indwara y'imisemburo rimwe na rimwe bishobora kugira ingaruka ku mimerere yawe n'imibanire yawe, bityo kugira imibanire myiza ya sosiyete ni ingenzi.

Uko wakwitegura gusura muganga

Mbere yo gusura muganga, andika ibimenyetso byawe byose n'igihe byatangiye. Gabanya amakuru yerekeye impinduka z'imihango, gukora amata, ibibazo by'imikorere y'igitsina, umutwe, cyangwa ibibazo by'ububone.

Andika urutonde rwuzuye rw'imiti yose ufashe, harimo imiti yandikiwe na muganga, imiti yo mu maduka, n'imiti y'inyongera. Imiti imwe ishobora kugira ingaruka ku rwego rwa prolactin, bityo aya makuru ni ingenzi kuri muganga wawe.

Tegura urutonde rw'ibibazo ushaka kubaza. Ushobora kwifuza kumenya ibijyanye n'uburyo bwo kuvura, ingaruka zishoboka, igihe kuvura bishobora kumara, cyangwa uko iyi ndwara ishobora kugira ingaruka ku migambi yawe yo gutwita.

Niba bishoboka, zana umuntu wo mu muryango cyangwa inshuti kugira ngo aguhe inkunga kandi agufashe kwibuka amakuru y'ingenzi yavuzwe mu gihe cy'isura.

Kora kopi y'ibizamini byawe byabanje cyangwa imyirondoro y'ubuvuzi ifitanye isano n'ibimenyetso byawe. Niba warigeze ukora ibizamini by'amaraso cyangwa ibizamini by'amashusho ahandi, zana kopi cyangwa utegure ko byoherezwa mu biro by'umuganga wawe.

Icyo ukwiye kumenya kuri prolactinoma

Prolactinoma ni indwara ivurwa neza kandi gake cyane itera ibibazo bikomeye by'ubuzima iyo ivuwe neza. Abantu benshi bagira impinduka nziza mu bimenyetso byabo hakoreshejwe imiti kandi bakomeza kubaho ubuzima busanzwe.

Ikintu cy'ingenzi cyo kwibuka ni uko kuvura hakiri kare no kuvura bishobora gukumira ingaruka zishoboka no gusubiza ubuzima bwawe bwiza. Niba ufite ibimenyetso nk'imihango idahwitse, gukora amata utari utegereje, cyangwa ibibazo byo kubyara, ntutinye kuvugana na muganga wawe.

Hakoreshejwe uburyo bukwiye bwo kuvura, abantu benshi babona urwego rwabo rwa prolactin rugaruka mu buryo busanzwe, ibimenyetso byabo bigakira, kandi ubushobozi bwabo bwo kubyara bugasubira. Nubwo prolactinoma nini isanzwe ivurwa neza hakoreshejwe imiti, ikunze kugabanuka cyane mu gihe.

Komeza wiyemeze gahunda yawe yo kuvura kandi ukomeze gukurikirana inama n'itsinda ryawe ry'abaganga. Ubufatanye buhoraho buzatanga ibisubizo byiza kandi bufasha gufata impinduka zose hakiri kare.

Ibibazo bikunze kubaho kuri prolactinoma

Nshobora gutwita niba mfite prolactinoma?

Yego, abagore benshi bafite prolactinoma bashobora gutwita neza hakoreshejwe uburyo bukwiye bwo kuvura. Imiti ikunze gusubiza ovulation isanzwe n'ubushobozi bwo kubyara mu mezi make. Muganga wawe azakorana nawe kugira ngo ahindura gahunda yawe yo kuvura mu buryo butekanye mu gihe cyo gutwita, kuko imiti imwe ikunze gukundwa kurusha iyindi muri iki gihe.

Nzakenera gufata imiti ubuzima bwanjye bwose?

Oya. Bamwe bashobora kugabanya cyangwa guhagarika imiti yabo, cyane cyane abafite imisebe mito. Muganga wawe azakurikirana urwego rwa prolactin yawe n'ibimenyetso byawe mu gihe kugira ngo amenye niba impinduka z'imiti zishoboka. Ariko, abantu benshi bakomeza kuvurwa igihe kirekire kugira ngo bagumane urwego rw'imisemburo isanzwe.

Prolactinoma ishobora guhinduka kanseri?

Prolactinoma isanzwe iba nta kanseri, bivuze ko idakwirakwira mu bindi bice by'umubiri wawe nk'uko kanseri ikora. Nubwo ishobora gukura mu gihe idavuwe, igumana nta kanseri. Ibyago byo kuba prolactinoma yaba kanseri ni bike cyane.

Prolactinoma irazamuka mu miryango?

Prolactinoma nyinshi iba ku bushake nta shingiro mu muryango. Ariko, mu bihe bike cyane, ishobora kuba igice cy'indwara y'umuryango yitwa multiple endocrine neoplasia type 1. Niba ufite abantu benshi bo mu muryango bafite imisebe ya pituitary cyangwa ibindi bibazo by'imisemburo, bivuge kuri muganga wawe.

Ni izihe ngaruka mbi nkwitega kuva ku miti yo kuvura?

Ingaruka zisanzwe ziterwa na dopamine agonist ni isesemi, guhindagurika, umunaniro, no gucibwamo, cyane cyane iyo utangiye kuvura. Ibi bikunze kugenda bigabanuka uko umubiri wawe ukoresha imiti. Gufata imiti hamwe n'ibiribwa no gutangira urwego ruto bishobora kugabanya ingaruka mbi. Itegeko ryose rigaragaza ibimenyetso by'ubuzima buke, ubwira muganga wawe.