I-prolactinum i-hormone ye-pituitary, ehlinzekela ukuthuthukiswa kwezigulane ze-mammary phakathi nenkathi yokukhulelwa futhi ngesikhathi sokukhulelwa, ukukhiqizwa ubisi ngesikhathi sokuncelisa. Ukuze unikeze ukuhlaziywa kwegazi kwi-hormone prolaktin udokotela angancoma kokubili abesifazane, namadoda.
Kuphi ukuhlaziywa kweprolactin enikeziwe?
Ukunikeza ukuhlaziywa kwegazi kwi-hormone ye-prolactin kwabesifazane batusa:
- nge-amenorrhea ngaphezu kwezinyanga eziyisithupha;
- kanye nokucinwa kwezigulane zabo ezincelisayo ezifana nobisi, kwabesifazane abangabuthongo nabangenalutho;
- nge-infertility;
- ngekhanda elibi noma ukukhubazeka okubonakalayo kwemvelaphi engaziwa;
- ngokunyuka kwengcindezi engavamile;
- ngokukhuluphala.
Ukuhlola igazi kweprolactin kumadoda kunconywa:
- nge- gynecomastia (izilonda ezincelisayo ezincelisayo zamadoda);
- nge-erectile ukungasebenzi;
- ngekhanda elibi noma ukukhubazeka okubonakalayo kwe-etiology engacacile.
Ukuhlaziywa kweprolactin - ukulungiselela
Kusihlwa kosuku lapho kuhlaziywa khona i-hormone prolactin, kunconywa ukuba ugweme ukucindezeleka, ukugwema izenzo zobulili, hhayi ukucasula izingono zezinhlayiya ze-mammary. Amahora angu-12 ngaphambi kokuhlolwa, akufanele udle, futhi awukwazi ukubhema amahora amathathu ngaphambi kokuhlolwa. Ukuze ukwazi ukuthi udlulise kahle kanjani ukuhlaziywa kweprolactin, kumelwe ukhumbule ukuthi izinga le-hormone lingashintsha ngisho nosuku lonke futhi kuxhomeke ngisho nalapho owesifazane evuka. Ngakho-ke, ukuhlaziywa kuthathwa phakathi kuka-9 no-10 ekuseni, kodwa awudingi ukuvuka kuze kube ngu-6-7 ekuseni. Izinga le-hormone egazini libuye lixhomeke kwisigaba sokujikeleza kokuya esikhathini, ngakho-ke ukuhlaziywa kwenziwa kusukela ezinsukwini eziyisihlanu kuya kwezingu-8 kusukela ngosuku lokuqala lokuya esikhathini.
Ukuhlaziywa kwe-hormone prolactin - okujwayelekile
Kwabesifazane, izinga lixhomeke ekubeni khona kokukhulelwa. Umkhuba wokuhlaziywa kweprolactin kwabesifazane abangakhulelwe kuwu-4 - 23 ng / ml. Ekukhulelwe, imiphumela yokuhlaziywa kweprolactin izohluka - izinga leprolactin ngesikhathi sokukhulelwa landa kakhulu. Izinga labesifazane abakhulelwe lisezingeni elibanzi futhi liyahlukahluka kuye ngokuthi iminyaka yobudala isukela ku 34 kuya ku-386 ng / ml. Ukukhula kweprolactin egazini labesifazane abakhulelwe kuqala emavikini ayisishiyagalombili, kanti izinga eliphezulu leprolactin libhekwa emavikini angu-20-25. Emadodeni, izinga leprolactin akufanele lidlule u-3 - 15 ng / ml.
Ukuhlolwa kweprolactin kubonisani?
Uma ukuhlolwa kwegazi kweprolactin kutholakala, ukucubungula kwayo kwenziwa ngudokotela. Akunconywa ukuba wenze iziphetho ngokuzimela, njengoba izinga le-hormone lixhomeke ezintweni eziningi zangaphandle zethonya. Ngisho nokulungiselela okungalungile kokuhlaziywa, ukucindezeleka noma ukukhulelwa okungatholakali kungabangela ukwanda kweprolactin, engakhulumi ngesifo. Uma udokotela engabaza imiphumela yokuhlaziywa, angakhipha ukuhlolwa kokukhulelwa noma acele ukubuyisa ukuhlaziywa.
Uma ukwanda kwamazinga e-prolactin akungabaza, khona-ke lokhu kungaba isibonakaliso sezifo eziningi:
- I-prolactinoma (i-tumor elikhiqiza i-hormone ye-pituitary gland), izinga leprolactin lapho ngokuvamile lidlula 200 ng / ml. Ezinye izimpawu yi-amenorrhea, ukungasebenzi, i-galactorrhea, umbono okhubazekile, ikhanda, ukukhuluphala, ukunyuka kwengcindezi.
- I-Hypothyroidism (ukwehla kwegciwane le-thyroid), lapho izinga legazi emahomoni akhe linciphisa, futhi futhi ukukhuluphala, isikhumba esomile, ukuvuvukala,
ukuphazamiseka kokuya esikhathini, ukucindezeleka, ukulala nokukhathala. - I-polycystic ovary , okuzophinde kuhlanganise nokuphulwa komjikelezo wokuya esikhathini, i-hirsutism, ukungabi nabantwana.
- Ezinye izifo lapho i-prolactin iphuma khona - i-anorexia, i-cirrhosis, isifo sezinso, izicubu ze-hypothalamus.
Ukunciphisa izinga le-prolactin ngokuvamile akugulwanga futhi kuvame ukugcinwa emva kokuthatha imithi ethile (i-Dopamine, i-Levodopa), kepha kungaba uphawu lwezifo ezifana nesifo sofuba nesifo sofuba se-pituitary gland, kanye nomphumela wokulimala kwekhanda noma i-radiotherapy ye-pituitary gland.