Prolactin yana daya daga cikin mahimman kwayoyin hormones a jikin mace. Daga gaskiyar, a cikin abin da ke tattare da shi, ko abun ciki ya dace da ka'idodin al'ada, yawancin matakan lissafi sun dogara. Bari mu duba dalla-dalla, abin da ke da alhakin prolactin, al'ada a cikin mata ta tsufa (tebur), wanda aka nuna ta hanyar karkatawa daga al'ada.
Menene prolactin da alhakin?
Wannan hormone, na dangin proinctin-like sunadarai, ya fito ne daga kwakwalwa - a cikin sashin baya na gland. Bugu da ƙari, a wani ɓangare a cikin kira ya haɗa wasu gabobin: mammary gland, placenta, tsarin juyayi, tsarin rigakafi. A cikin jini, prolactin yana watsawa a wasu nau'i, bambanta a nauyi kwayoyin. Yawan da yafi girma shi ne saboda adadin prolactin tare da nauyin kwayoyin ƙananan, wanda yake aiki sosai.
Ayyukan halittu na prolactin suna ƙidaya ta daruruwan nau'o'i da ayyuka daban-daban. Bari mu jera manyan ayyuka a jikin mace:
- da samuwar halaye na jima'i a lokacin haihuwa;
- tsari na samar da madara ta mammary gland bayan bayarwa;
- rigakafin zanewa a lokacin lactation;
- rage rage jin tsoro;
- goyi bayan aikin rawaya jiki wanda ke haifar da kwari;
- inganta maturation na jigilar kwayoyi da kwayoyin halitta;
- tsari na ma'auni na ruwa-electrolyte;
- normalization na matakai na rayuwa;
- wadatarwa da kashi nama tare da alli;
- ƙarfin ci gaban sabon jini;
- da samuwar ilimin mahaifa;
- da ci gaba da jima'i, da sauransu.
Prolactin bincike
Yayinda aka gwada jarabawar jini wannan nau'in hormone ba'a ƙayyade ba, mutane da yawa suna da tambaya lokacin amfani da Prolactin. Sau da yawa, masanin ilimin likitancin mutum ne ya jagoranci jagorancin irin wadannan maganganun a gaban kukan, wanda za'a iya haɗuwa da wani cin zarafin kira na aiki mai aiki a hankali. Saboda haka, sau da yawa an bayar da jini ga prolactin idan akwai wani sake zagaye, rashin lafiyar jiki daga ƙuƙwalwa, rashin tsinkayewa, rawar gashi a fuska, matsalolin fata, da dai sauransu.
Domin samun sakamako wanda ya fi dacewa, kada ka la'akari da wane lokaci na sake zagaye don bada prolactin, amma kiyaye wasu dokoki da kuma aiwatar da hanyoyin da za a shirya. Babban ka'idodin bincike na wannan hormone kamar haka:
- Ana samarda samfurin samfurin a cikin kwanaki 3-5 na tsawon lokaci;
- an samo samfurin daga ɓarjin ulnar a cikin komai a cikin safiya, 3 hours bayan farkawa;
- rana kafin binciken ya ba ziyartar sauna, rairayin bakin teku, shan zafi mai zafi, jigilar mahaifa, jima'i, aikin jiki;
- a rana ta buƙatar abinci ana buƙatar, banda yawan abinci mai yawa, iyakance samfurori da kuma kawar da barasa;
- kafin shan jini ya kamata a iyakance shi da fushi;
- Da safe kafin gwajin, ba za ku iya shan taba ba kuma ya shafi yankin da ƙuƙuka.
Saboda karuwar ƙararrakin wannan hormone ga yawancin tasirin waje da na ciki, don su guje wa alamun kuskure, yawancin masana sun bada shawarar bayar da jini don nazarin sau uku a kowane lokaci. Sakamakon ya zama sananne a cikin rana guda, kuma likita ya kamata ya fassara alamomi kuma ya tabbatar da ganewar asali.
Prolactin - al'ada a mata (tebur)
Hanyoyin da ke tattare da yaduwar kwayar halitta a cikin jini ya bambanta dangane da shekarun, adadin isrogen da aka samar, da ciki, lokacin nono, da dai sauransu. Don sanya shi mafi dacewa don fassara sakamakon hormone prolactin cikin cikin mata, tebur tare da al'ada ta tsawon shekaru ya sake dawo da dabi'u don daidaitawa.
Yanayin shekarun | Sakamakon al'ada, md / l |
jarirai | 1700-2000 |
har zuwa shekara 1 | 630 |
Shekaru 1-10 | 40-400 |
Shekaru 11-16 | 40-600 |
Shekaru 16-45 (haihuwa) | 40-600 |
45 kuma mafi (menopause) | 25-400 |
Kamar yadda aka gani daga teburin, bisa ga matakin hormone prolactin, al'ada a cikin mata daidai yake a cikin shekaru bayan haihuwa da kuma kafin mazauni. Ya kamata a tuna cewa sauye-sauyen yau da kullum ya halatta, dangane da barci, cin abinci, damuwa, ayyukan jima'i, yanayin zafi, da dai sauransu. Bugu da ƙari, kiran wannan abu ba ɗaya ba ne a cikin bangarori daban-daban na juyayi. Wannan yana la'akari da ka'idojin shiri don bincike.
Prolactin a ciki yana da al'ada
Prolactin, ƙimar da mata ke haifarwa yayin da yaron yaro ya canza saboda yawancin matakai na jiki a cikin jiki, ya fara karuwa a hankali a farkon farkon shekaru uku kuma yana cigaba da daukaka har zuwa bayarwa (kawai bayan 'yan kwanaki kafin haihuwar haihuwa, ƙananan ragewa). A wannan yanayin, zangon da ke biyowa ya zama daidai, inda ka'idar prolactin a cikin mata ba ta nuna ba ta tsufa ba, amma ta wurin lokacin ciki.
Yanayin ɗaukar tayin | Sakamakon al'ada, md / l |
Makonni 8-12 | 500-2000 |
Mako 13-27 | 2000-6000 |
tun makonni 28 | 4000-10000 |
Bincike na prolactin a cikin ciki yana da wuya a tsara shi, kuma masana da yawa sunyi la'akari da cewa ba su da kwarewa, saboda bambanci da yawa tsakanin sakamakon al'ada. Idan irin wannan buƙatar ya taso, to, a matsayin al'ada suna darajar 10000 mU / l, wanda ba za'a wuce ba, idan duk abin da ke cikin jikin mace da jaririn da ke gaba zai cigaba sosai.
Prolactinum a lactemia - na al'ada ko kuma kudi
Bayan bayarwa, matakin prolactin ya dogara da irin nono. A cikin yanayin idan akwai abinci mai gina jiki ba tare da amfani da ƙirjin ba, a hankali an saita adadin wannan hormone a matakin 400-600 mU / l. Idan mace tana shan nono, yawancin lokacin jariri ya fi tsayi, mafi girman matakin. Tebur mai zuwa zai gaya maka yawan adadin hormone prolactin (na al'ada, dangane da lokacin ciyarwa).
Lactation lokacin | Sakamakon al'ada, md / l |
farkon watanni shida | 2500 |
Watanni 7-12 | 1000-1200 |
daga watanni 12 | 600-1000 |
Magani a cikin mazauni yana da al'ada a cikin mata
Bayan kammalawar haila na al'ada, lokacin da aka sake tsarawa a cikin jikin mace, matakin prolactin, kamar sauran kwayoyin halitta, ya fara ragu. A matsakaici, lambobinsa a cikin wannan zamani yana da iyaka daga 25 zuwa 400 mU / L (bayanai yana dauke da tebur - prolactin, al'ada a cikin mata ta hanyar tsufa). Kowace shekara waɗannan dabi'u suna karuwa sosai.
Hyperprolactinemia a cikin mata - menene yake?
Idan bincike ya nuna cewa an daukaka prolactin a cikin mace, yayin da ta ba juna biyu ba, ba a ciyar da nono ba, duk yanayin tarin jini ya cika (watau, abubuwa masu ilimin lissafi don kara yawan kira ba a lura da su), ya kamata ya binciko dalilin da ya shafi cututtuka. Wannan yanayin ana kiransa hyperprolactinemia kuma a lokuta da dama ana buƙatar gyara.
Dalilin ƙara yawan prolactin
Za'a iya haifar da karin kwayar cutar ta hanyar ƙungiyoyi uku na haddasawa:
1. Organic:
- ciwace-ciwacen glandes (prolactinoma, adenoma, meningioma, da sauransu);
- ciwan daji na hypothalamus (glioma, germinoma, da dai sauransu);
- cysts na kwakwalwa;
- ƙananan lahani na hypothalamus;
- irradiation na yankin hypothalamic;
- wani ciwo na yanke wani kafa na jikin mutum, da dai sauransu.
2. Aiki:
- cirrhosis na hanta;
- babban hypothyroidism;
- polycystic ovary;
- tsarin lupus erythematosus;
- na kullum renal rashin cin nasara;
- rashin isasshen kayan da ke ciki;
- m manipulations a cikin thorax;
- shingles, da dai sauransu.
3. Pharmacological - shan kwayoyi:
- antiemetics;
- antipsychotics;
- estrogen dauke da shirye-shirye;
- antihistamines;
- manciumists , da dai sauransu.
Hyperprolactinaemia a cikin mata - bayyanar cututtuka
Ƙarawa a cikin prolactin yana sau da yawa tare da bayyanarwar asibiti masu zuwa:
- fitarwa daga mammary glands;
- zafi a mammary gland;
- rufe a cikin kirji;
- bushewa na farji ;
- malfunctions na juyayi;
- yawan ciwon kai;
- dullness na sani;
- lalacewar hangen nesa;
- nauyi;
- rage libido;
- seborrhea na alamar baki ;
- kuraje;
- girma girma daga gashi a jiki;
- barci da damuwa, da dai sauransu.
Hyperprolactinemia a cikin mata - magani
Idan sakamakon binciken gwajin jini ya kafa hyperprolactinemia a cikin mata, yayin da akwai alamun rashin lafiya, don gano abubuwan da ke cutar da su, ana bada shawarar ƙarin hanyoyin bincike, daga cikinsu:
- gwaje-gwaje don hormones thyroid, jima'i na jima'i;
- nazarin kwayoyin halitta na biochemical;
- Duban dan tayi na thyroid gland shine ƙwayoyin, pelvic gabobin, na ciki ciki;
- haɗakar jiki mai kyau ko lissafin rubutu na kwakwalwa.
Jiyya ya dogara ne da abubuwan da ba a iya gani ba. Idan aka gano neoplasms na kwakwalwa, ana iya yin magani, sau da yawa tare da radiotherapy, wanda za'a iya tsara. A wasu lokuta, hanyoyin maganin magungunan sune magani ne, da nufin kawar da dalilin. Bugu da ƙari, kai tsaye don rage ƙaddamarwar wannan hormone, kwayoyin dopaminomimetic (Bromocriptine, Kabergolin, da dai sauransu) za'a iya tsara su.
Rage prolactin
Low prolactin bai zama na kowa ba, kuma mafi yawan sharuɗɗa kamar haka:
- wanda ba a taɓa ciki ba;
- infarction postpartum na pituitary gland shine;
- shan wasu magungunan (magunguna, kwayoyi masu magani, da dai sauransu).