I-prolactin i-hormone efihliwe yi-pituitary gland, isakhiwo esincane ebuchosheni obufihla amanye ama-hormone. Umsebenzi oyinhloko kaPlactin ukuthuthukisa ukuthuthukiswa kwesifuba nokuqala uketshezi (ukuncelisa). Amazinga e-prolactin avame ukuphakanyiswa kwabesifazane abakhulelwe nabanconyayo.
Uma unezinkathi ezingajwayelekile zokungena esikhathini, ukungabi namntwana noma ukuvuza ubisi (ikakhulukazi uma ungekho ingane), udokotela wakho angalawula ukuhlola kwegazi ukuze abone ukuthi amazinga akho e-prolactin aphakanyisiwe.
Izimpawu
Izimpawu ze-hyperprolactinemia (noma amazinga aphakeme e-prolactin) kungenzeka ukuthi azikho, noma abesifazane bangabona lokhu okulandelayo:
- ukungabikho
- Ubisi olumhlophe olugeleza kusuka ezingeni
- Azikho, izikhathi ezingapheli noma ezingavamile
- Ukulahlekelwa kwe-libido
- Ubulili obubuhlungu noma obungakhululekile
- Ukomisa kwamagagasi
- I-acne
- Ukukhula ngokweqile komzimba nokubukeka kwezinwele (hirsutism)
- Ukushisa okushisayo
Izimbangela Zamazinga Aphezulu Eprolactin
Ama-hyperprolactinemia, noma amazinga aphezulu e-prolactin, angabangelwa izici eziningi ezifana:
- Isifo sesifo noma isifo
- Izifo ze-hypothalamus
- I-Hypothyroidism
- Isifo sezinso
- Isifo sikaCushing
- Imithi ingabangela amazinga aphezulu e-prolactin afaka ama-anti-depressants ama-tricyclic (i-clomipramine kanye ne-desipramine), ama-antipsychotics athile (okungukuthi, i-Haldol, iZyprexa, no-Risperdal), i-verapamil (yegazi), i-Reglan (i-metlanlopramide; i-antinausea imithi) kanye nama-acid blockers (H2 abavimba).
I-Prolactin Ilinganiselwa Kanjani?
I-prolactin ingalinganiswa kalula ngokusebenzisa ukuhlolwa kwegazi okujwayelekile.
Ngenxa yokuthi izici eziningana zingathinta izindinganiso zegazi, abesifazane kufanele bagweme ukuvuselela isisu nokulala ngokobusuku ngaphambi kokuhlolwa.
Iyini Amazinga Eprolactin Ephakeme Asho?
Uma ukuhlolwa kwegazi kubuyela emuva, udokotela angase afise ukuphinda ukuhlolwa, ngalesi sikhathi ngemuva kokuzila okungenani amahora angu-8. I- imagery i-resonance magnetic (MRI) ingahle ilandelwe ukuba ibuke ubufakazi bokukhula kwe-pituitary noma ukulimala kwezicubu ezizungezile.
Ukuhlolwa kwegazi ukuhlola ukukhiqizwa kwamanye ama-hormone e-pituitary kungenziwa futhi kungasiza ukulawula ezinye izimo ezibangela izimpawu ezifanayo.
Ukwelashwa kwamazinga aphezulu e-prolactin ukubuyisela amazinga ezigabeni ezivamile. Lokhu kungenziwa njalo ngemithi efana ne-dopamine agonists, noma ezimweni ezibucayi, ukuhlinzwa ukunciphisa noma ukususa isisu. Ukuqhubekela phambili, uma amazinga e-prolactin asesimweni esivamile, udokotela wakho angase ancome ukuthi uhlolwe njalo ngamazinga e-prolactin ngokuhlola igazi. Ngezinye izikhathi, i-MRI ingadingeka futhi ukuhlola ubukhulu besisu futhi ibheke ukukhula.