Thursday, February 17, 2011
Artis Top Bispak Seksi
Artis Top Bispak Seksi Hyperprolactinemia. Prolactin levels increased in normal pregnancy, and therefore, hyperprolactinemia is discussed here is that happened prior to pregnancy. Often times, the examination was conducted to find the cause of hyperprolactinemia. Causes The most common are prolactinomas, which is a prolactin-producing pituitary tumors can be divided according to their size into makroadenoma (> 1 cm) or microadenomas (<1 cm.). Prolactinomas were diagnosed through pencitraaan pituitary gland using magnetic resonance imaging (MRI) or computed tomography (CT). The main concern is the growth of tumors in pregnancy is more common in makroprolaktinoma. Prolactin secretion is inhibited by dopamine, so that dopamine agonists (eg, bromocriptine) is used to treat hyperprolactinemia. Hyperprolactinemia causes amenorrhea and dopamine agonists are used to restore fertility. Once pregnant, most women can discontinue the treatment. However, in case makroadenoma, dopamine agonist therapy is sometimes continued pregnancy.
Serum prolactin levels are not much help in pregnancy. Visual field examination must be conducted in women with symptoms of headache or visual field disturbances or in female patients who are not being treated makroprolaktinoma. This can happen because the expansion of the tumor can cause suppression kiasma optikum. CT or MRI should be performed if suspicious tumor expansion occurs. Breastfeeding is not contraindicated.