Dɛn ne Prolactin? Momma yɛnka ho asɛm tiawa!

Ebia woate asɛmfua ‘prolactin’ ho asɛm anaasɛ woante. Nanso eyi yɛ hormone a ɛyɛ nnwuma a ɛho hia pii wɔ yɛn nipadua mu, titiriw wɔ mmea nipadua mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa hormone yi ho hia na ama ɛna atumi ayɛ nufusu ama ne ba. Enti momma yɛnhwɛ nea prolactin yi yɛ, nea ɛyɛ yɛn nipadua, ne nea ɛba sɛ ɛkɔ soro anaasɛ ɛso tew a. Momma yɛmfa nsɛm a ɛnyɛ den nka biribiara ho asɛm.

Dɛn na prolactin yɛ yɛn nipadua?

Sɛ yɛbɛka no tiawa a, hormone prolactin no ka yɛn nipadua no dwumadi ɔhaha pii ho. Nanso atitiriw abien na ɛwɔ hɔ . Ma yɛnhwɛ nea wɔyɛ.

• Nea edi kan ne sɛ ɛbɛboa ma nufu mu ntini a ɛma nufusu no anyin wɔ nufu no mu.
• Nea ɛto so abien ne sɛ wɔbɛboa nufusu a wɔyɛ ne nufusu ne nufu a wɔde ma wɔ akokoaa no awo akyi.

Eyinom ne nneɛma atitiriw abien no. Sɛ eyinom da nkyɛn a, adamfo a wɔfrɛ no prolactin yi boa wɔ nnwuma nketenkete afoforo pii mu.

Sɛnea wɔboa ma nufu nyin na ɛma nufu

Afei ma yɛnhwɛ sɛnea eyi ba. Sɛ wunyinsɛn a, hormone prolactin, ne hormone afoforo abien a wɔfrɛ no estrogen ne progesterone bom yɛ adwuma ma nufu mu ntini nyin na esiesie nufu no ma nufusu yɛ. Ne titiriw no, saa nkwaadɔm yi bom yɛ kotoku nketewa a ɛwɔ nufu no mu a ɛyɛ nufusu, a wɔfrɛ no nufu mu ntini mu no. Ɛyɛ nufusu kotoku yi mu na wɔyɛ nufusu na wɔkora so.

Sɛ wɔwo akokoaa no wie a, nneɛma a ɛma nufusu mu nkwammoaa yi mu (receptors) a ɛyɛ prolactin hormone no yɛ adwuma no dodow kɔ soro. Eyi kyerɛ sɛ prolactin wɔ hokwan pii sɛ ɛbɛyɛ adwuma. Eyi nti na nufusu fi ase fi nufusu no mu (nufusu) no. So ɛnyɛ adwinnade a ɛyɛ nwonwa yiye?

Prolactin bere a wɔyem ne awo akyi

Prolactin yɛ hormone soronko koraa. Nea enti a ɛte saa ne adeyɛ a wɔfrɛ no positive feedback loop . Wunim nea ɛno yɛ? Susuw ho saa kwan yi so, sɛ akokoaa nom nufusu a, saa nkanyan no de sɛnkyerɛnne bi kɔ pituitary gland no so sɛ ‘ɛnyɛ prolactin pii’. Afei pituitary gland no ma prolactin pii ba. Sɛ prolactin kɔ soro a, nufusu a wonya nso kɔ soro. Dodow a akokoaa no nufu no, dodow no ara na nufusu pii ba. Ɛno na wɔfrɛ saa positive feedback loop yi. Ɛne sɛ, adeyɛ bi ma saa adeyɛ no yɛ kɛse mpo. Akokoaa a ɔnom nufu no ne ade titiriw a ɛkanyan prolactin pii fi mu.

Ɔkwan bɛn so na wɔyɛ prolactin? Ɛhe na efi?

Prolactin a wɔyɛ wɔ wo nipadua mu no mu dodow no ara fi ntini ketewaa bi a ɛwɔ w’amemene no ase a wɔfrɛ no pituitary gland mu. Saa ntini yi na ɛyɛ prolactin na ɛma ɛkɔ wo nipadua mu.

Nanso nnipa bi nso wɔ hɔ a wobetumi adi prolactin a wɔyɛ yi so. ƐyɛNtini mu nkwaadɔm a ɛma nipadua no yɛ adwuma a wɔfrɛ no dopamine ne hormone estrogen na ɛkyerɛ prolactin dodow a ɛsɛ sɛ wɔyɛ ne bere a ɛsɛ sɛ woyi fi mu. Wɔte sɛ kar polisifo, wogyina bere a ɛho hia na wogyae wɔn ma wɔkɔ bere a ɛho hia.

Dɛn ne nneɛma a ebetumi ama nsakrae aba prolactin dodow mu?

Ɛnyɛ bere nyinaa na prolactin dodow yɛ pɛ. Ɛtɔ mmere bi a, wɔsakrasakra wɔ awosu mu.

Ɛyɛ ade a ɛfata sɛ prolactin dodow bɛkɔ soro kakra.

Ɛyɛ ade a ɛfata sɛ prolactin dodow bɛkɔ soro bere a wɔyem ne nufu a wɔma wɔn nufu no. Nanso mmere foforo nso wɔ hɔ a ebia prolactin dodow bɛkɔ soro kakra bere tiaa bi, a ɛkyerɛ bere tiaa bi . Eyinom bi ne:

• Nipadua mu adwennwen: Sɛ nhwɛso no, bere a wote ɛyaw a emu yɛ den nka no.
• Bere a woreyɛ apɔw-mu-teɛteɛ no.
• Bere a woadi aduan bi akyi.
• Ɔbarima ne ɔbea nna akyi.
• Nufusu a wɔkanyan no a ɛne nufu a wɔde ma no nni abusuabɔ: Ebetumi afi ntade bi anaa nneɛma afoforo mu aba.
• Sɛ opira bi wɔ koko no fã a.
• Sɛ tebea bi a ɛte sɛ akisikuru ba a.

Ɛwom mpo sɛ ebia prolactin dodow bɛkɔ soro kakra wɔ saa bere yi mu de, nanso mpɛn pii no ɛsan kɔ sɛnea na ɛte kan no bere tiaa bi akyi. Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.

Prolactin dodow a ɛkɔ soro bere tenten (hyperprolactinemia) .

Nanso ɛtɔ mmere bi a, esiane aduruyɛ mu tebea horow bi anaa nnuru bi nti, prolactin dodow betumi akɔ soro wɔ ɔkwan a ɛnteɛ so bere tenten, kyerɛ sɛ, bere tenten. Eyi ne tebea a yɛfrɛ no hyperprolactinemia .

Nea ɛde eyi ba titiriw ne tebea bi a wɔfrɛ no prolactinoma . Eyi yɛ akisikuru ketewaa bi a ɛba wɔ pituitary gland no mu, titiriw pituitary adenoma . Nanso, eyi nyɛ kokoram, na mmom ɛyɛ akisikuru a ɛnyɛ hu, a wotumi sa wɔ nsɛm dodow no ara mu.

Nsɛnkyerɛnne bi a ebetumi aba bere a wowɔ hyperprolactinemia ne:

• Awo a wontumi nwo: Eyi kyerɛ sɛ wontumi nnyinsɛn .
• Ɔbarima ne ɔbea nna ho anigye a wɔhwere.
• Nsu a ɛte sɛ nufusu a efi nufu no mu ba bere mpo a ɔmma nufu (Galactorrhea).
• Mmea nna a ɛnkɔ so daa: Brayɛ a ɛnkɔ so daa.
• Ɔbarima a ɔbarima ne ɔbea nna a ɛnyɛ adwuma yiye.

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn, efisɛ ayaresa pa wɔ hɔ ma saa tebea yi.

So prolactin dodow betumi akɔ fam wɔ ɔkwan a ɛnteɛ so?

Yiw, ɛtɔ mmere bi a prolactin dodow betumi akɔ fam wɔ ɔkwan a ɛnteɛ so. Nanso eyi taa yɛ ɔhaw bere a wawo akokoaa akyi. Efisɛ, gye sɛ woanyinsɛn anaasɛ worenom nufu, mpɛn pii no wo prolactin dodow sua. Ɛno yɛ tebea a ɛma apɔwmuden.

Enti, sɛnkyerɛnne biako pɛ a ɛkyerɛ sɛ prolactin sua wɔ ɔkwan a ɛnteɛ so ne nufusu a ennya mma bere a wɔawo akokoaa no akyi, anaasɛ nufusu a wɔde ma no sua koraa.

Wɔ eyi mu no, nea ɛde ba no betumi ayɛ tebea bi a ɛntaa nsi a wɔfrɛ no hypopituitarism , a ɛyɛ tebea a wo pituitary gland no ntumi nyɛ hormone biako anaa nea ɛboro saa yiye.

Nanso ade biako a ɛsɛ sɛ yɛkae ne sɛ nufu a wɔde ma no yɛ adeyɛ a ɛyɛ den yiye. Nneɛma pii betumi ama nufusu a wɔde ma no sua. Enti sɛ wowɔ ɔhaw bi te sɛ nufusu a ɛnnɔɔso a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo anaa nufu ho ɔfotufo nkyɛn.

Wobɛyɛ dɛn ahwɛ sɛnea prolactin dodow te? Sɔhwɛ bɛn na wɔyɛ?

Wubetumi ayɛ mogya mu nhwehwɛmu de ahu sɛnea wo prolactin dodow te. Wɔfrɛ eyi prolactin (PRL) nhwehwɛmu .

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ebia wowɔ prolactin dodow a ɛdɔɔso, sɛnea yɛadi kan aka no (sɛ nhwɛso no, nufusu a efi wo nufu mu bere a womma nufu, brayɛ a ɛnkɔ so daa) a, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ wobɛyɛ prolactin nhwehwɛmu yi.

Saa sɔhwɛ yi nso boa ma wohu sɛnea pituitary gland no reyɛ adwuma.

Ɛsɛ sɛ prolactin dodow a ɛfata yɛ dɛn?

Momma yɛnhwɛ gyinapɛn ahorow a ɛfata ma obi a ɔwɔ apɔwmuden prolactin dodow no bi. Nanso, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu. Enti, ɛho hia sɛ wohwɛ range a ɛfata wɔ w’amanneɛbɔ no mu.

Eyinom ne gyinapɛn ahorow a wogye tom kɛse:

• Wɔ mmarima fam no: Ɛsɛ sɛ ennu 20 ng/mL (nanograms wɔ mililita biara mu).
• Wɔ mmea a wonnyinsɛn anaasɛ wɔma nufu fam no: Ɛsɛ sɛ ɛyɛ nea ennu 25 ng/mL.
• Wɔ mmea a wɔyem anaa wɔma nufu fam no: Ne dodow betumi ayɛ 80 ng/mL kosi 400 ng/mL.

Sɛ wowɔ nsɛmmisa bi fa gyinapɛn ahorow a ɛwɔ w’amanneɛbɔ no mu ho a, ɛbɛyɛ papa bere nyinaa sɛ wubebisa wo duruyɛfo.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn fa prolactin ho?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ebia wowɔ prolactin dodow a ɛkɔ soro (e.g. brayɛ a ɛnkɔ so daa, awo a wontumi nwo, nufusu a efi wo nufu mu ba) a, kɔ oduruyɛfo nkyɛn ntɛm ara. Wo duruyɛfo betumi de mogya mu nhwehwɛmu a ɛnyɛ den ahwɛ wo prolactin dodow.

Na, wo nso.Sɛ wowɔ nufusu ho nsɛm biara, te sɛ nufusu a ɛba fam a, kɔ nufusu ho ɔfotufo anaa nufusu ho ɔbenfo. Wobetumi ama wo mmoa ne akwankyerɛ a wuhia.

Prolactin yɛ hormone a ɛho hia yiye wɔ nyinsɛn ne nufu mu. Mmere foforo nso, ebia yɛrennwen ho pii, nanso eye sɛ yebehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ prolactin dodow kɔ soro wɔ ɔkwan a ɛnteɛ so. Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ eyi ho a, nsuro sɛ wo ne oduruyɛfo bɛkasa. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Kae sɛ nsɛm a wɔaboaboa ano (Take-Home Message) .

Enti, mewɔ anidaso sɛ wowɔ prolactin ho adwene pa fi nea yɛaka ho asɛm nnɛ no mu.

Prolactin yɛ hormone a ɛho hia a yɛn pituitary gland no yɛ a ɛboa titiriw ma nufu ma nufu ne nufu nyin.

• Mpɛn pii no, saa dodow yi kɔ soro bere a wɔyem ne bere a wɔrema nufu no.
• Ɛtɔ mmere bi a, hyperprolactinemia , tebea a ɛma prolactin dodow kɔ soro bere nyinaa no betumi aba. Nea ɛde eyi ba titiriw ne prolactinoma .
• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ brayɛ a ɛnkɔ so daa, awo a wontumi nwo, anaa nufusu a efi wo nufu mu ba bere a woremma nufu , ebetumi ayɛ prolactin a ɛkɔ soro ho sɛnkyerɛnne.
• Sɛ nufusu biara mma bere a wɔawo akokoaa akyi a, ebetumi ayɛ prolactin a enni nipadua no mu ho sɛnkyerɛnne.
• Sɛ wowɔ saa nsɛnkyerɛnne anaa nneɛma a ɛhaw wo yi bi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhwehwɛ aduruyɛfo afotu. Mma ɛnhaw wo, ayaresa ahorow wɔ hɔ ma saa tebea horow yi pii.

Ɛho hia sɛ wohwɛ wo nipadua ne w’akwahosan so. Enti, yɛwɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso!

` Prolactin, hormone, nufusu, nufusu, pituitary gland, hyperprolactinemia, mmea akwahosan