Hōʻike koko Prolactin

ʻO Prolactin kahi homone i hoʻokuʻu ʻia e ka pituitary gland. Ke ana ka prolactin i ka nui o ka prolactin i ke koko.

Pono kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

ʻO Prolactin kahi homone i hoʻokuʻu ʻia e ka pituitary gland. ʻO ka pituitary kahi gland liʻiliʻi ma ke kumu o ka lolo. Hoʻoponopono ia i ke kaulike o ke kino o nā hormones he nui.

Hoʻoulu ka Prolactin i ka ulu ʻana o ka umauma a me ka hana ʻana i ka waiū i nā wahine. ʻAʻohe hana maʻamau i ʻike ʻia no ka prolactin i nā kāne.

Ana pinepine ʻia ʻo Prolactin i ka nānā ʻana i nā tumā pituitary a me ke kumu o:

• ʻAʻole pili ka hana waiū i ka hānau hānau (galactorrhea)
• Hoʻoemi i ka hoʻokau wahine (libido) i nā kāne a me nā wahine
• Nā pilikia kūkulu i nā kāne
• ʻAʻole hiki ke hāpai (infertility)
• Kūleʻa a ʻaʻohe manawa menstrual (amenorrhea)

ʻO nā waiwai maʻamau no ka prolactin:

• Men: ma lalo o 20 ng / mL (425 µg / L)
• Nā wahine hāpai ʻole: ma lalo o 25 ng / mL (25 µg / L)
• Nā wahine hāpai: 80 a 400 ng / mL (80 a 400 µg / L)

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Loaʻa i nā poʻe me nā kūlana aʻe ke kiʻekiʻe o nā pae prolactin:

• ʻO ka hōʻeha ʻia o ka paia o ka umauma a i ʻole ka ukiuki
• ʻO ka maʻi o kahi wahi o ka lolo i kapa ʻia ʻo hypothalamus
• ʻAʻole lawa ka thyroid gland i ka nui o ka thyroid (hypothyroidism)
• ʻO ka maʻi kīwī
• Pituitary tumor e hana ana i ka prolactin (prolactinoma)
• ʻO nā maʻi pituitary ʻē aʻe a me nā maʻi i kahi o ka pituitary
• ʻO ka hoʻomaʻemaʻe kūpono ʻole o nā mole prolactin (macroprolactin)

Hiki i kekahi mau lāʻau ke hoʻāla i ka pae prolactin, me:

• Nā Antidepressants
• Butyrophenones
• ʻO Estrogens
• Nā poloka H2
• Methyldopa
• Metoclopramide
• Hoʻopau i nā lāʻau
• Nā Phenothiazines
• Reserpine
• ʻO Risperidone
• Verapamil

Hiki i nā huahana Marijuana ke hāpai i ka pae prolactin.

Inā kiʻekiʻe kou pae prolactin, hiki ke hana hou i ka hōʻoia ma ke kakahiaka nui ma hope o ka wikiwiki o 8-hola.

Hiki i ka mea aʻe ke hoʻonui iki i nā pae prolactin:

• Emotional a i ʻole ke koʻikoʻi koʻikoʻi (i kekahi manawa)
• ʻAiʻai protein-kiʻekiʻe
• Hoʻonāukiuki ikaika i ka umauma
• Hōʻike umauma hou
• Hana hoʻoikaika hou

He paʻakikī ka wehewehe ʻana i kahi hoʻokolohua koko prolactin kiʻekiʻe kiʻekiʻe. I ka hapanui o nā hihia, pono ʻoe e hāʻawi iā ʻoe i kahi endocrinologist, kahi kauka e loea i nā pilikia hormone.

ʻAʻohe liʻiliʻi o ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

PRL; Galactorrhea - hoʻāʻo prolactin; Infertility - hoʻāʻo prolactin; Amenorrhea - hoʻāʻo prolactin; Pepeʻi umauma - hoʻāʻo prolactin; Prolactinoma - hoʻāʻo prolactin; Tumo pituitary - hoʻāʻo prolactin

Chernecky CC, Berger BJ. ʻO Prolactin (prolactin kanaka, HPRL) - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 910-911.

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

Kaiser U, Ho K. Pituitary physiology a me ka loiloi diagnostic. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 8.