Prolactin ndi mahomoni omwe amadziwika ndi chingwe cha pituitary, kamangidwe kakang'ono mu ubongo komwe kumabisa mahomoni ena. Ntchito yaikulu ya Prolactin ndiyo kupititsa patsogolo chitukuko cha m'mawere ndi kuyamba kuyamwa (kuyamwitsa). Mabala a prolactin amakula kwambiri m'mimba mwa amayi omwe ali ndi pakati ndi omwe akuyamwitsa.
Ngati muli ndi nthawi yosasamba, kusabereka, kapena kuyamwa mkaka (makamaka ngati simukuyamwitsa mwana), dokotala wanu akhoza kuitanitsa mayeso a magazi kuti awone ngati miyezo yanu ya prolactin ikukwera.
Zizindikiro
Zizindikiro za hyperprolactinemia (kapena mkulu wa prolactin) zingakhale zosapezeka, kapena akazi angazindikire zotsatirazi:
- kusabereka
- Mkaka woyera umatuluka kuchokera ku nkhono
- Zosasintha, zosavuta kapena zosasintha nthawi
- Kutaya kwa libido
- Zowawa kapena zosasangalatsa kugonana
- Vuma lakuya
- Zikodzo
- Kuchuluka kwa tsitsi ndi nkhope kumaso (hirsutism)
- Kutentha kumatentha
Zomwe Zimayambitsa Mapulogalamu a Prolactin
Matenda a hyperprolactinemia, kapena ma prolactin apamwamba, angayambidwe ndi zinthu zambiri monga:
- Chotupa chokhala ndi matenda kapena matenda
- Matenda a hypothalamus
- Hypothyroidism
- Matenda a impso
- Matenda a Cushing
- Mankhwala angayambitsenso mapuloteni otchuka a prolactin kuphatikizapo tricyclic anti-depressants (makamaka clomipramine ndi desipramine), antipsychotics (ie, Haldol, Zyprexa, ndi Risperdal), verapamil (chifukwa cha kuthamanga kwa magazi), Reglan (metoclopramide; antinausea mankhwala) ndi acid blockers (H2 blockers).
Kodi Prolactin Amayesedwa Bwanji?
Prolactin amatha kuyeza mosavuta mwa kuyesa magazi nthawi zonse.
Chifukwa zifukwa zingapo zingakhudze kufunika kwa magazi, amayi ayenera kupewa kutsegulira mawere ndi kugonana usiku usanakumane.
Kodi Mipangidwe Yapamwamba ya Prolactin Imatanthauza Chiyani?
Ngati mayeso a magazi abwereranso, dokotala angafune kubwereza mayesero, nthawi ino atatha kudya osachepera maola 8. Chithunzi cha magnetic resonance (MRI) chikhoza kulamulidwa kuti chifufuze umboni wa kukula kwa chiwopsezo kapena kuwonongeka kwa matenda ozungulira.
Kuyezetsa magazi pofufuza momwe mahomoni ena amatha kukhalira kungakhale kothandiza komanso kuthetsa vuto linalake.
Chithandizo cha miyeso yapamwamba ya prolactin ndi kubwerera ku mizere yoyenera. Izi zimachitika kawirikawiri ndi mankhwala monga dopamine agonists, kapena muzovuta kwambiri, opaleshoni kuti achepetse kapena kuchotsa chotupacho. Kupita patsogolo, kamodzi kamodzi ka prolactin ali m'zigawo zoyenera, dokotala wanu angakulimbikitseni kuti muziyang'anitsitsa nthawi zonse ma prolactin poyesera magazi. Nthaŵi zina, MRI ingathenso kuyesa kukula kwa chotupa ndikuyang'ana kukula.