Methati ea Prolactin

Litaba

• Liteko tsa prolactin ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea maemo a prolactin?
• Ho etsahalang nakong ea liteko tsa prolactin?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Litšupiso

Liteko tsa prolactin ke eng?

Teko ea prolactin (PRL) e metha boemo ba prolactin maling. Prolactin ke hormone e entsoeng ke tšoelesa ea pituitary, tšoelesa e nyane botlaaseng ba boko. Prolactin e etsa hore matsoele a hole le ho etsa lebese nakong ea bokhachane le kamora ho beleha. Maemo a Prolactin hangata a phahame bakeng sa bakhachane le bo-mme ba bacha. Maemo hangata a tlase ho basali ba sa imeng le ho banna.

Haeba maemo a prolactin a phahame ho feta a tloaelehileng, hangata ho bolela hore ho na le mofuta oa hlahala ea tšoelesa ea pituitary, e tsejoang ka hore ke prolactinoma. Hlahala ena e etsa hore tšoelesa e hlahise prolactin e ngata haholo. Prolactin e fetelletseng e ka baka tlhahiso ea lebese la matsoele ho banna le ho basali ba sa imeng kapa ba anyesang. Basali, prolactin e ngata haholo e ka baka mathata a ho ilela khoeli le ho hloka thari (ho se khone ho ima). Ho banna, e ka lebisa ho ho khanna thobalano e tlase le ho se sebetse ha erectile (ED). E tsejoang hape e le ho hloka matla, ED ke ho se khone ho fumana kapa ho boloka erection.

Prolactinomas hangata li kotsi (ha li na kankere). Empa ha li sa phekoloe, lihlahala tsena li ka senya lisele tse haufi.

Mabitso a mang: Teko ea PRL, tlhahlobo ea mali ea prolactin

E sebelisetsoa eng?

Hangata liteko tsa prolactin li sebelisoa ho:

• Hlahloba prolactinoma (mofuta oa hlahala ea tšoelesa ea pituitary)
• Thusa ho fumana sesosa sa linako tse sa tloaelehang tsa mosali le / kapa ho hloka thari
• Thusa ho fumana sesosa sa ho se sebetse hantle ha monna ka thobalano le / kapa ho se sebetse ha erectile

Hobaneng ha ke hloka tlhahlobo ea maemo a prolactin?

U kanna ua hloka teko ena haeba u na le matšoao a prolactinoma. Matšoao a ka kenyelletsa:

• Tlhahiso ea lebese la matsoele haeba u sa ima kapa u anyesa
• Ho tsuba ha nnyo
• Ho tšoaroa ke hlooho
• Liphetoho ponong

Matšoao a mang a fapane ho latela hore na u monna kapa mosali. Haeba u mosali, matšoao a boetse a latela hore na u fetile nako ea ho ilela khoeli. Ho khaotsa ho ilela khoeli ke nako bophelong ba mosali eo nako ea hae ea ho ilela khoeli e emisitseng 'me a ke keng a hlola a ima. Hangata e qala ha mosali a le lilemo tse ka bang 50.

Matšoao a prolactin e fetelletseng ho basali ba e-s'o fetole nako ea ho ilela khoeli a kenyelletsa:

• Linako tse sa tloaelehang
• Linako tse emisitseng ka botlalo pele ho lilemo tse 40. Hona ho tsejoa e le ho ilela khoeli pele ho nako.
• Ho hloka thari
• Bonolo ba matsoele

Basali ba fetileng ho khaotsa ho ilela khoeli ba ka 'na ba se ke ba ba le matšoao ho fihlela boemo bo mpefala. Prolactin e feteletseng kamora ho khaotsa ho ilela khoeli hangata e baka hypothyroidism. Boemong bona, 'mele ha o etse hormone ea qoqotho e lekaneng. Matšoao a hypothyroidism a kenyelletsa:

• Mokhathala
• Boima ba 'mele
• Bohloko ba mesifa
• Ho sokela
• Mathata a ho mamella mocheso o batang

Matšoao a prolactin e feteletseng ho banna a kenyelletsa:

• Ho tsuba ha nnyo
• Ho holisa matsoele
• Koloi e tlase ea thobalano
• Ho se sebetse ha Erectile
• Fokotsa moriri oa 'mele

Ho etsahalang nakong ea liteko tsa prolactin?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

O tla hloka ho etsa tlhahlobo ea hau lihora tse ka bang tharo ho isa ho tse nne kamora ho tsoha. Maemo a Prolactin a fetoha ho pholletsa le letsatsi, empa hangata ke a holimo haholo hoseng.

Etsa bonnete ba hore o bolella mofani oa tlhokomelo ea bophelo ka meriana efe kapa efe eo u e sebelisang. Meriana e meng e ka nyolla maemo a prolactine. Tsena li kenyelletsa lipilisi tsa thibelo ea bokhachane, meriana ea khatello e phahameng ea mali le lithibela-mafu.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba liphetho tsa hau li bonts'a li phahame ho feta maemo a tloaelehileng a prolactin, ho ka bolela hore u na le e 'ngoe ea maemo a latelang:

• Prolactinoma (mofuta oa hlahala ea tšoelesa ea pituitary)
• Hypothyroidism
• Lefu la hypothalamus. Hypothalamus ke sebaka sa boko se laolang tšoelesa ea pituitary le mesebetsi e meng ea 'mele.
• Lefu la sebete

Haeba liphetho tsa hau li bontša maemo a phahameng a prolactine, mofani oa tlhokomelo ea bophelo ba hau a ka laela tlhahlobo ea MRI (magnetic resonance imaging) ho shebisisa tšoelesa ea hau ea pituitary.

Mefuta e phahameng ea prolactin e ka phekoloa ka meriana kapa ho buuoa. Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Litšupiso

1. Matlafatsa [Inthanete]. Jacksonville (FL): Mokhatlo oa Amerika oa Clinical Endocrinologists; Prolactinemia: Bongata bo fetelletseng ba Hormone e sa tsejoeng e baka matšoao a mangata; [e qotsitsoeng ka la 9 Phupu 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho:
2. Esmaeilzadeh S, Mirabi P, Basirat Z, Zeinalzadeh M, Khafri S. Mokhatlo pakeng tsa endometriosis le hyperprolactinemia ho basali ba se nang thari. Iran J E Phethetsa Med [Marang-rang]. 2015 Mar [e qotsitsoeng ka 2019 Phupu 14]; 13 (3): 155-60. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4426155
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9. Sanchez LA, MP ea Figueroa, Ballestero DC. Mefuta e phahameng ea prolactin e amahanngoa le endometriosis ho basali ba hlokang thari. Boithuto bo laoloang ba ka moso. Fertil Steril [Inthanete]. 2018 Sep [e qotsitsoeng ka 2019 Phupu 14]; 110 (4): e395-6. E fumaneha ho tsoa ho: https://www.fertstert.org/article/S0015-0282 (18)31698-4/fulltext
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17. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Prolactin: Tlhatlhobo ea Teko; [e ntlafalitsoeng 2018 Nov 6; e qotsitsoeng ka la 9 Phupu 14]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/prolactin/hw47630.html#hw47633
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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.