Pituitary Tumor &Pregnancy

下垂体腫瘍は男性よりも頻繁に女性に影響を与え、妊娠中は、これらの腫瘍とその症状を治療するために余分な注意を払う必要があります。 Understanding symptoms and treatment options is the first step toward safely treating your pituitary tumor during pregnancy. In addition, the pituitary gland enlarges during pregnancy, so symptoms may persist or become worse.

1. 識別

   • プロラクチノーマ---下垂体腫瘍の最も一般的なタイプは、血液中のあまりにも多くのプロラクチンまたは周囲の組織の腫瘍の圧力によって引き起こされます。 The hormone prolactin is the hormone responsible for producing breast milk in a pregnant and lactating women.

     国立内分泌および代謝疾患情報サービスによると、小さい、良性の下垂体腫瘍は一般大衆の間で一般的です。 However, symptomatic prolactinomas are relatively uncommon, and they occur more often in women. Though causes are unknown, these tumors are generally not genetic.

   効果

   • When the pituitary gland becomes too large, symptoms such as headaches and visual disturbances can occur. High levels of prolactin can affect fertility and menstruation. In addition, non-pregnant or postpartum women may produce breast milk. Women with pituitary tumors may experience loss of libido and vaginal dryness.

   Treatment During Pregnancy

   • 国立内分泌および代謝疾患情報サービスは、妊娠する前に医師と治療オプションを議論することをお勧めします。 She may request an MRI scan to assess the size of the tumor and an eye exam to measure visual fields.

     In a normal pregnancy, the pituitary gland enlarges and prolactin production increases, so women who suffer from prolactinoma may experience this growth even more so.下垂体腫瘍の罹患した妊婦の3％未満は、頭痛や視力障害など、腫瘍の成長の症状を経験します。 In pregnant women with large prolactinomas---pituitary tumors---the risk of symptomatic tumor growth is about 30 percent.

   薬物

   • The medications bromocriptine and cabergoline are used treat pituitary tumors. In early pregnancy, both medications are still considered safe; however, safety throughout the pregnancy hasn't been established.ブロモクリプチンは妊娠初期に長い安全記録を持っているため、妊娠しようとするときは、カベルゴリンの代わりにブロモクリプチンを使用することを検討してください。

   考慮事項

   • Throughout your pregnancy, expect to see an endocrinologist every two months to asses tumor growth.頭痛、視力の変化、吐き気、嘔吐、過度の渇きまたは排尿、または極端な無気力など、腫瘍の成長の症状を発症する場合は、内分泌専門医に連絡してください。 Medications may have to be reinstated and additional treatment may be required if symptoms develop and persist in pregnancy.