Prolactin waa hormoon qarsoodi ah qanjidhada pituitary, qaab dhismeed yar oo maskaxda ah oo qarsoodi ah hormoonnada kale. Hawlaha aasaasiga ah ee Prolactin waa inay kor u qaadaan hormarinta naasaha iyo bilawga nuujinta (naasnuujinta). Heerarka prolactin caadi ahaan waxay sare u kacaan haweenka uurka leh iyo kuwa kalkaalinta naaska.
Haddii aad leedahay caadooyin aan caadi ahayn, dhalmo la'aan, ama caanaha naaska nuujinta (gaar ahaan haddii aadan ilmo nuujinayn), dhakhtarkaagu wuxuu dalban karaa baaritaanka dhiigga si loo eego haddii heerarka prolatifin uu sarreeyo.
Astaamaha
Calaamadaha hyperprolactinemia (ama heerarka prolactin sare) waxay noqon karaan kuwo aan jirin, ama haweenku waxay dareemi karaan waxyaabahan soo socda:
- dhalmo la'aan
- Caanaha cad waxay ka daadiyaan ibta
- Maqnaansho, aan caadi ahayn ama waqtiyo aan joogto ahayn
- Lumida libido
- Xanuun ama xanuun aan fiicnayn
- Qalitaanka siilka
- Acne
- Kororka jidhka iyo koritaanka timaha (hirsutism)
- Saacadaha kulul
Sababaha Heerarka Heerka sare ee Prolactin
Hyperprolactinemia, ama heerarka prolactin sare, waxaa sababi kara arrimo badan sida:
- Buro Cagaarshow ama cudur
- Cudurada hypothalamus
- Hypothyroidism
- Cudurka Kelyaha
- Cushing cudurka
- Daawooyinka waxay sidoo kale keeni karaan heerarka sare ee prolactininka (tricyclic antidepressants) (gaar ahaan clomipramine iyo desipramine), dawooyinka dhimirka qaarkood (sida Haldol, Zyprexa, iyo Risperdal), verapamil (cadaadiska dhiigga), Reglan (metoclopramide, daawada antinosis) xannibaadayaasha).
Sidee loo Qiyaasaa Prolactin?
Prolactin ayaa si fudud loogu cabbiri karaa iyada oo loo marayo baaritaanka joogtada ah ee dhiigga.
Sababtoo ah dhowr arrimood ayaa saameyn ku yeelan kara qiimaha dhiigga, haweenku waa inay iska ilaaliyaan kicinta naasaha iyo galmada habeenkii baaritaanka ka hor.
Waa Maxay Heerka Heerka sare ee Prolactin?
Haddii tijaabada dhiigga dib ugu soo noqnoqonayo, dhakhtarku wuxuu rabi karaa in uu ku celiyo imtixaanka, waqtigan ka dib marka uu soomo ugu yaraan 8 saacadood. Sawir -celinta xasaasiyadda maan-dooriyaha (MRI) ayaa laga yaabaa in lagu amro in la raadiyo caddaynta korriin-yarida ama uur-maskaxda ku hareeraysan.
Baaritaanka dhiigga si loo qiimeeyo wax soo saarka hoormoonada kale ee hormoonada ah ayaa laga yaabaa in la sameeyo waxaana laga yaabaa inay noqoto mid waxtar leh si looga hortago xaalado kale oo keena astaamo isku mid ah.
Daaweynta qiyaasta prolactin-ka ee sarreeya waa in la soo celiyo heerarka caadiga ah. Tani waxaa badanaa lagu sameyn karaa daawooyinka sida dopamine agonists, ama xaalado halis ah, qalliin si loo yareeyo ama looga saaro burooyinka. Marka hore, mar haddii heerarka prolactin-ka ay yihiin kuwo caadi ah, dhakhtarkaagu wuxuu kugula talin doonaa in lagaa ilaaliyo heerarka prolactin adigoo samaynaya baaritaan dhiig. Marmarka qaarkood, MRI ayaa laga yaabaa in loo baahdo si loo eego xajmiga bukaanka isla markaana raadiyo korriin.