Should pituitary adenoma take medicine
summary
In recent years, with the increasing incidence rate of pituitary adenomas, people are no longer familiar with pituitary adenomas. Pituitary tumors not only affect the normal life of patients, but also bring many pressures to their families. Not only do we need to treat pituitary tumors in time, but also care for patients with vertical tumors, which many patients do not know. Can pituitary adenomas take medicine? Now let's take a look.
Should pituitary adenoma take medicine
Pituitary microadenoma is one of the causes of prolactin increase, and your prolactin level is very high, so you need to take a period of time, during taking medicine, you need to review the prolactin value, according to the prolactin value to increase or decrease, if the dosage can make prolactin decrease, then use this dosage to maintain it until it is normal, and then slowly reduce it In the process of reduction, we should continue to monitor the value of prolactin. If we maintain the original dose in the normal range for a period of time, we should reduce the amount again. If it increases, we should increase the amount again. Therefore, it is troublesome and needs to be monitored all the time.
1、 Surgical treatment: the first choice, patients with pituitary apoplexy should be emergency surgery. 2. Stereotactic radiosurgery: if there is no sign of intracranial hypertension and the tumor diameter is less than 3cm, gamma knife or X-knife can be considered. 3. Radiotherapy: the tumor can not be completely removed or can not tolerate surgery.
Drug therapy: Patients with hypopituitarism can be treated with drug replacement therapy, and those with secretory functional adenomas can be treated with drugs to inhibit pituitary hormone secretion. Principles of medication: 1. Non secretory functional adenoma can be treated with prednisone, cortisone, thyroxine tablets, methyltestosterone, pituitrin and other replacement therapy to improve pituitary dysfunction, according to the needs of the disease. 2. Drug therapy of tumor: bromocriptine is suitable for PRL adenoma and GH adenoma, cyproheptadine is suitable for ACTH adenoma and GH adenoma, and aminotropine is suitable for ACTH adenoma. It is easy to relapse after drug withdrawal, and is often used as an adjuvant after surgery or radiotherapy. 3. Mannitol, furosemide and dexamethasone are the main drugs to correct brain edema and reduce intracranial pressure, even human albumin can be used. 4. Pay attention to the balance of electrolyte and body fluid, and supplement blood loss during operation. 5. Antibiotics can be used to prevent infection, and neurotrophic drugs can be used to promote the recovery of brain cells.
matters needing attention
Prevention of infection, symptomatic treatment, treatment of complications.