I-prolactin ephezulu: izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu ze-prolactin ephezulu
• Izimbangela eziyinhloko
• Injani impatho

Iprolactin ephezulu, eyaziwa nangokuthi yi-hyperprolactinemia, yisimo esivezwa ngokwanda kwaleli hormone egazini, okuvame ukuhlobene nokukhuthaza ukukhiqizwa kobisi yizindlala ezincelisayo ngesikhathi sokukhulelwa, ukulawulwa kwamahomoni abesifazane ahlobene nokuvuthwa nokuya esikhathini, kanye ukuphumula ngemuva kwe-orgasm, esimweni samadoda.

Ngakho-ke, i-prolactin ephezulu ingenzeka kubo bobabili abesilisa nabesifazane futhi ibe yimiphumela yokukhulelwa, i-polycystic ovary syndrome, ukucindezeleka noma isimila endleni ye-pituitary, ngokwesibonelo, futhi kungadala izimpawu ezingahluka ngokuya ngesizathu.

Kubalulekile ukuthi udokotela ojwayelekile, udokotela wezifo zabesifazane noma urologist aboniswe ngokushesha lapho kuvela izimpawu nezimpawu ezibonisa i-hyperprolactinemia, ngoba ngale ndlela kungenzeka ukuqinisekisa ukuxilongwa, ukukhomba imbangela bese uqala ukwelashwa okufanele kakhulu.

Izimpawu ze-prolactin ephezulu

Izimpawu ze-prolactin ephezulu ingahluka kuye ngendoda kuya kowesifazane futhi ngokusho kwembangela yamazinga akhuphukayo eprolactin egazini. Kodwa-ke, ngokuvamile, izimpawu nezimpawu eziyinhloko ze-hyperprolactinemia yilezi:

• Ukwehla kwe-libido;
• Ukuguqulwa kumjikelezo wokuya esikhathini, lapho owesifazane engaba nokuya esikhathini okungajwayelekile noma okungekho;
• Ukungasebenzi kwe-Erectile;
• Ukungabi nenzalo;
• Ukukhumuzeka kwamathambo;
• Ukukhuliswa kwamabele emadodeni;
• Kwehle izinga le-testosterone nokukhiqizwa kwesidoda.

I-prolactin ephezulu ivame ukukhonjwa ngudokotela wezifo zabesifazane, udokotela wezifo zomchamo, noma udokotela ojwayelekile ngokuhlola izimpawu zomuntu, umlando wezempilo, nokukala i-hormone esegazini.

I-Hyperprolactinemia ibhekwa lapho amazinga e-prolactin ephezulu kune-29.2 ng / mL, esimweni sabesifazane abangakhulelwe nangaphandle kwesikhathi sokuncelisa, nangaphezulu kwama-20 ng / mL endabeni yamadoda, inani lesethenjwa elingaba khona liyahluka phakathi kwamalabhorethri. Funda kabanzi mayelana nokuhlolwa kwe-prolactin nokuthi ungawuqonda kanjani umphumela.

Izimbangela eziyinhloko

I-Prolactin yi-hormone ekhiqizwa ngokwemvelo ngesikhathi sokukhulelwa futhi umsebenzi wayo ukukhuthaza izindlala ezincelisayo ukukhiqiza ubisi, lokhu kukhuphuka kuthathwa njengokujwayelekile, ngaphezu kokubona ukwanda okusondele esikhathini sokuya esikhathini. Kodwa-ke, ezinye izimo ezingaholela ekwandeni kweprolactin futhi okufanele ziphenywe futhi ziphathwe ngokuyalelwa ngudokotela yilezi:

• Izinguquko ku-thyroid, ikakhulukazi i-hypothyroidism;
• I-Polycystic ovary syndrome;
• Imiphumela emibi yemithi ethile, njenge-anti-depressants kanye ne-anticonvulsants;
• Ukucindezeleka;
• Isifo sika-Addison;
• Ukuvezwa kwemisebe esifundeni sekhanda;
• Ukuhlinzwa ekhanda noma esifubeni noma ukuhlukumezeka kulezi zingosi;
• Zijwayeze ukuzivocavoca umzimba kakhulu.

Ngaphezu kwalokho, kujwayelekile ukuthi ushintsho endlaleni ye-pituitary, ikakhulukazi ama-nodules noma izicubu, kuholele emazingeni akhuphukile we-prolactin namanye ama-hormone, ngoba le ndlala ye-endocrine inesibopho sokulawula ukukhiqizwa kwamahomoni. Ngakho-ke, lapho kunoshintsho kule ndlala, kunokungasebenzi kahle ekukhiqizeni amanye amahomoni, kufaka phakathi iprolactin.

Injani impatho

Ukwelashwa kwe-prolactin ephezulu kuvame ukwehluka ngokuya ngesizathu samazinga akhuphukile ale hormone futhi kuhloswe ngayo ukulawula nokunciphisa izimpawu nezimpawu, kanye nokulawula amazinga e-prolactin egazini.

Ngakho-ke, lapho ukwanda kwe-prolactin kungenxa yokusebenzisa amakhambi we-hormonal, ngokwesibonelo, udokotela angakhombisa ukumiswa kwesidakamizwa, ukushintshaniswa noma ukushintshwa komthamo. Endabeni yamathumba, kungahle kuboniswe ukuhlinzekwa kokukhipha isimila, kulandelwe izikhathi ze-chemotherapy.

Lapho ukwanda kweprolactin kwenzeka ngenxa yokukhulelwa, ukwelashwa akudingeki, ngoba lokhu kwanda kubhekwa njengokujwayelekile futhi kudingekile ukuze kukhiqizwe ubisi olwanele lokuncelisa ingane ibele. Uma kunjalo, amazinga e-prolactin ancipha njengoba ukuncelisa kwenzeka.

Ngaphezu kwalokho, lapho i-hyperprolactinemia iphumela ekungasebenzi kahle kwezocansi, ikakhulukazi emadodeni, noma kubangela ukuba buthakathaka kwamathambo, ukwehla komjikelezo wokuya esikhathini noma ushintsho kweminye imisebenzi yomzimba, kungakhonjiswa ukusetshenziswa kwemithi ethile kulezi zimo.