Menene prolactinoma, alamomi da yadda ake yin magani
Wadatacce
Prolactinoma wani ciwo ne mai illa a cikin gland, musamman a cikin glandon da ke haifar da ƙara samar da prolactin, wanda shine hormone da ke motsa kumburin mammary don samar da madara yayin ciki da lokacin shayarwa. Inara yawan prolactin yana nuna hyperprolactinemia, wanda zai iya haifar da bayyanar wasu alamomin kamar jinin al'ada, rashin jinin al'ada, rashin haihuwa da rashin kuzari, game da maza.
Prolactinoma za a iya kasafta shi zuwa nau'i biyu gwargwadon girmansa:
- Microprolactinoma, wanda ke da diamita kasa da 10 mm;
- Macroprolactinoma, wanda ke da diamita daidai da ko ya fi girma fiye da 10 mm.
Ana gane cutar prolactinoma ne ta hanyar auna prolactin a cikin jini da kuma sakamakon gwajin hoto kamar su maganadisu da kuma lissafin kyan gani. Ya kamata likitan jiyya ko likitan jijiyoyin jiki su ba da shawarar magani dangane da halaye na kumburin, kuma ana nuna amfani da magunguna don tsara matakan prolactin da sauƙaƙe alamun.
Kwayar cutar prolactinoma
Kwayoyin cutar prolactinoma suna da alaƙa da ƙaruwar adadin prolactin da ke zagawa, kuma akwai yiwuwar:
- Samar da nono koda ba tare da yin ciki ba ko kuma sun haihu kwanan nan;
- Yin jinin al'ada ko rashin haila,
- Rashin haihuwa;
- Rashin ƙarfi, game da maza;
- Rage sha'awar sha'awa;
- Ara nono a cikin maza.
Kodayake yawan adadin prolactin yana da alaƙa da prolactinoma, amma kuma yana iya faruwa saboda wasu yanayi kamar polycystic ovary syndrome, hypothyroidism, danniya, yayin ciki da shayarwa, gazawar koda, rashin hanta ko kuma saboda wasu magunguna. Ara koyo game da abubuwan da ke haifar da hyperprolactinemia.
Yadda ake ganewar asali
Ganewar cutar prolactinoma ana yin ta ne da farko ta hanyar duba yawan yaduwar kwayar cutar kuma dabi'u na iya bambanta gwargwadon nau'in prolactinoma:
- Game da microprolactinoma, ƙimar prolactin suna tsakanin 50 zuwa 300 ng / dL;
- Game da macroprolactinoma, ƙimar prolactin suna tsakanin 200 zuwa 5000 ng / dL.
Baya ga sashin yaduwar maganin prolactin, likita galibi yana nuna aikin kidayar hoto da maganadisu mai motsi don tabbatar da halayen wannan kumburin. Hakanan za'a iya buƙatar ƙarar ƙira da jijiyar hoto don ganin idan akwai lalacewar da ke da alaƙa da ƙaruwar adadin prolactin da ke zagayawa.
Duba yadda ake gwajin prolactin da yadda za'a fahimci sakamakon.
Jiyya don prolactinoma
Jiyya don prolactinoma na nufin rage alamun da kuma dawo da haihuwa, ban da tsara ƙa'idodin yaduwar matakan prolactin da kula da ci gaban ƙari da ci gaba. Layin farko na magani da likitan endocrinologist ya nuna yana tare da magunguna kamar Bromocriptine da Cabergoline.
Lokacin da ba a tsara matakan prolactin ba, likita na iya ba da shawarar tiyata don cire ƙari. Bugu da kari, idan mutun bai amsa magani da magani ba, ana iya ba da shawarar maganin radiotherapy domin shawo kan girman kumburin da hana ci gaban cutar.