Prolactin kuyesa magazi
Prolactin ndi timadzi timene timatulutsidwa ndimatumbo a pituitary. Kuyesa kwa prolactin kumayeza kuchuluka kwa prolactin m'magazi.
Muyenera kuyesa magazi.
Palibe kukonzekera kwapadera kofunikira.
Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.
Prolactin ndi timadzi timene timatulutsidwa ndimatumbo a pituitary. Pituitary ndi kansalu kakang'ono m'munsi mwa ubongo. Amayang'anira kuchuluka kwa thupi kwamahomoni ambiri.
Prolactin imalimbikitsa kukula kwa mawere ndi kupanga mkaka mwa amayi. Palibe ntchito yodziwika bwino ya prolactin mwa amuna.
Prolactin nthawi zambiri amayesedwa mukamayang'ana zotupa za pituitary komanso chifukwa cha:
- Kupanga mkaka wa m'mawere komwe sikugwirizana ndi kubadwa kwa mwana (galactorrhea)
- Kuchepetsa kugonana (libido) mwa abambo ndi amai
- Mavuto okonzera amuna
- Osakhoza kutenga pakati (kusabereka)
- Nthawi zosasamba kapena zosasamba (amenorrhea)
Makhalidwe abwinobwino a prolactin ndi awa:
- Amuna: ochepera 20 ng / mL (425 µg / L)
- Amayi osayembekezera: osakwana 25 ng / mL (25 µg / L)
- Amayi apakati: 80 mpaka 400 ng / mL (80 mpaka 400 µg / L)
Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa.
Anthu omwe ali ndi mikhalidwe yotsatirayi akhoza kukhala ndi milingo yambiri ya prolactin:
- Kuvulaza khoma pachifuwa kapena kukwiya
- Matenda a m'dera laubongo otchedwa hypothalamus
- Chithokomiro sichimapanga mahomoni amtundu wa chithokomiro (hypothyroidism)
- Matenda a impso
- Chotupa cha pituitary chomwe chimapanga prolactin (prolactinoma)
- Zotupa zina zamatenda ndi matenda m'deralo
- Kuchotsa kwachilendo kwa mamolekyulu a prolactin (macroprolactin)
Mankhwala ena amathanso kukulitsa kuchuluka kwa ma prolactin, kuphatikiza:
- Mankhwala opatsirana
- Zoyipa
- Estrogens
- Oletsa H2
- Methyldopa
- Metoclopramide
- Mankhwala opiate
- Phenothiazines
- Onaninso
- Risperidone
- Kutumiza
Zogulitsa za chamba zingathenso kukulitsa kuchuluka kwa ma prolactin.
Ngati gawo lanu la prolactin ndilokwera, mayesowo amatha kubwerezedwa m'mawa kwambiri mutatha kusala ola la 8.
Otsatirawa atha kukulitsa kwakanthawi milingo ya prolactin:
- Kupsinjika kwamaganizidwe kapena kuthupi (nthawi zina)
- Zakudya zomanga thupi kwambiri
- Kulimbitsa kwambiri mawere
- Kuyesedwa kwaposachedwa kwamabere
- Zochita zaposachedwa
Kumasulira kwa magazi osadziwika bwino a prolactin kumakhala kovuta. Nthawi zambiri, omwe amakupatsani mwayi amafunika kukutumizirani kwa katswiri wazamagetsi, dokotala wodziwa mavuto am'madzi.
Palibe chiopsezo chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.
Zowopsa zina zomwe zimakhudzidwa ndikutengedwa magazi ndizochepa koma mwina ndi izi:
- Kutaya magazi kwambiri
- Ma punctures angapo kuti mupeze mitsempha
- Kukomoka kapena kumva mopepuka
- Hematoma (magazi omanga pansi pa khungu)
- Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)
PRL; Galactorrhea - mayeso a prolactin; Kusabereka - mayeso a prolactin; Amenorrhea - mayeso a prolactin; Kutulutsa m'mawere - mayeso a prolactin; Prolactinoma - mayeso a prolactin; Pituitary chotupa - mayeso a prolactin
Chernecky CC, Berger BJ. Prolactin (prolactin wa anthu, HPRL) - seramu. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2013: 910-911.
Guber HA, Farag AF. Kuwunika kwa endocrine ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 24.
Kaiser U, Ho K. Pituitary physiology ndikuwunika kwa matenda. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 8.