Loaʻa iā ʻoe nā pae kiʻekiʻe o ka hormone prolactin i loko o kou kino? E kamaʻilio kākou e pili ana i ka hyperprolactinemia!

Ua noʻonoʻo paha ʻoe i ka nui o ka mea e hiki ke hana me kahi loli liʻiliʻi i kekahi o nā hormones i loko o kou kino? ʻO ia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo hyperprolactinemia. I ka ʻōlelo maʻalahi, ʻo ia ka wā e nui loa ai ka hormone i kapa ʻia ʻo prolactin i loko o kou koko. ʻO kēia hormone ke kuleana nui no ka ulu ʻana o ka umauma a me ka hana ʻana o ka waiū. ʻAʻole hoʻoweliweli kēia kūlana i ke ola, akā hiki i kekahi manawa ke hana i nā pilikia e like me ka hānau ʻole ʻana a hoʻopilikia i kou hiki ke ola i kahi ola maʻamau. Akā ʻo ka nūhou maikaʻi, aia kahi lāʻau no ia.

Pehea ka maʻamau o kēia ʻano?

ʻO ka ʻoiaʻiʻo, ʻaʻole maʻamau kēia ʻano i kapa ʻia ʻo hyperprolactinemia. Hoʻopilikia ia ma lalo o 1% o ka heluna kanaka. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kēia ʻano i nā wahine ma mua o nā kāne.

He aha nā hōʻailona o kēia?

E hoʻomanaʻo, hiki i kekahi poʻe ke loaʻa ka hyperprolactinemia akā ʻaʻole hōʻike i kekahi mau hōʻailona, ​​​​a i ʻole he palupalu loa nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e hiki ke kū mai me kēia ʻano, me ka nānā ʻole i ke kanaka.

Nā hōʻailona maʻamau e pili ana i nā mea āpau

Hiki i kēia mau mea ke hana i loko o kekahi, me ka nānā ʻole i ke kāne:

• Ka paʻakikī i ka loaʻa ʻana o nā keiki (ʻaʻohe keiki) : ʻO kēia ka pilikia nui.
• Libido haʻahaʻa : ʻO ke ʻano kēia o ka emi ʻana o ka hoihoi i nā hana moekolohe.
• Ka emi ʻana o ka nui o ka iwi (osteopenia) : Hiki i kēia ke hoʻonāwaliwali i nā iwi i ka hala ʻana o ka manawa.
• Ka kahe ʻana o ka waiū mai nā nipples i ka wā ʻaʻole ʻoe e hāpai a hānai waiū paha (`galactorrhea`) : He mea ʻē paha kēia, akā he hōʻailona nō hoʻi ia.

Nā ʻano kikoʻī i nā wahine

No nā wahine, ma waho aʻe o kēia mau hōʻailona maʻamau, hiki ke loaʻa kekahi mau hōʻailona kikoʻī ʻē aʻe:

• Nā loli i ke kaʻina hana menstrual ʻaʻole pili i ka menopause (ka pau ʻana o nā wā mahina) : ʻO ke ʻano kēia e lilo ka menstruation i mea maʻamau ʻole a pau loa paha. ʻAʻole paha ʻoe e loaʻa i kahi wā no nā mahina.
• ʻEha i ka wā moe ma muli o ka maloʻo o ka ʻōpū : He mea kēia e hoʻoluhi ai i nā wahine he nui.

Nā ʻano kikoʻī i nā kāne

ʻOkoʻa ka hopena o ke kūlana i nā kāne. Eia kekahi mau hōʻailona maʻamau e ʻike paha lākou:

• ʻO ka hana ʻino ʻana o ka erectile (ED) : ʻO ia hoʻi ka paʻakikī o ka loaʻa ʻana o kahi erectile.
• Ua emi nā pae testosterone : He hormone koʻikoʻi kēia i ke kino kāne.
• Ka hoʻonui ʻana o ka umauma (`gynecomastia`) : ʻO ka ulu ʻana o nā umauma o ke kāne e like me ko ka wahine.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻAe, i kēia manawa e nānā kākou i ke kumu e piʻi ai nā pae prolactin e like me kēia. Aia paha kekahi mau kumu.

• ʻO ka ProlactinomaʻO kēia ke kumu nui. ʻO ka `(Prolactinoma)` he puʻupuʻu ʻaʻole kanesa (`adenoma`) e ulu ana i loko o ka `(Pituitary gland)` i loko o kou lolo. ʻO kēia puʻupuʻu ke kumu o ka hana nui ʻana o ka hormone prolactin.
• ʻO nā puʻupuʻu pituitary ʻē aʻe : Ma waho aʻe o ka prolactinoma, hiki i nā puʻupuʻu nui ʻē aʻe i loko a kokoke paha i ka pituitary gland ke hana i nā pae prolactin kiʻekiʻe. Hana ʻia kēia no ka mea ke ālai nei ka puʻupuʻu i ka hoʻokuʻu ʻana o kahi kemika i kapa ʻia ʻo dopamine i ka pituitary gland. ʻO Dopamine kahi hormone e kāohi ana i ka hana ʻana o prolactin.
• Kekahi mau lāʻau lapaʻau : Hoʻemi kahi kemika i kapa ʻia ʻo dopamine i ka hana ʻana o ka prolactin. No laila, hiki i kekahi lāʻau lapaʻau e hoʻopilikia i ka hana ʻana o ka dopamine ke hoʻonui i kāu mau pae prolactin. ʻO kekahi o kēia mau lāʻau lapaʻau:
• Nā lāʻau hoʻomalu hānau
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo, e like me Risperidone lāua ʻo Haloperidol
• Nā lāʻau lapaʻau no ke koko kiʻekiʻe, e like me ka methyldopa a me ka verapamil
• Nā lāʻau lapaʻau no ka ʻāʻī puʻuwai a me ka maʻi reflux gastroesophageal (GERD) (e.g. H2 antihistamines)
• Nā lāʻau lapaʻau no ke kaumaha, e like me nā antidepressants tricyclic a me SSRIs
• Nā lāʻau lapaʻau no nā hōʻailona menopausal, e like me ka estrogen therapy
• Nā lāʻau lapaʻau no ka nausea a me ka luaʻi (antiemetics)
• Nā lāʻau hoʻopau ʻeha me nā opioids

He mea nui : Pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻōki ʻana i kekahi lāʻau lapaʻau āu e lawe nei. ʻO ka maʻamau, hoʻi ka pae prolactin i ka maʻamau i loko o ʻekolu a ʻehā mau lā o ka hoʻōki ʻana i ka lāʻau.

• Nā kūlana olakino ʻē aʻe : ʻOiai me ka ʻole o ka prolactinoma, hiki i kekahi mau kūlana ʻē aʻe ke hoʻonui i nā pae prolactin. ʻO ia mau kūlana:
• Nā ʻeha o ka paia o ka umauma (e.g., nā haki o ka iwi ʻaoʻao)
• Maʻi puʻupaʻa mau loa
• Maʻi akepaʻa mau loa
• ʻO ka maʻi Cushing
• Hypothyroidism (thyroid hana ʻole)
• ʻO ka Herpes zoster (shingles), ʻoiai inā ʻike ʻia nā pehu/kiko ma ka umauma
• ʻO ka maʻi ovary polycystic (PCOS)

He aha inā ʻaʻole hiki iā ʻoe ke loaʻa ke kumu?

I kekahi manawa, ʻaʻole hiki i nā kauka ke loaʻa ke kumu no kēia. I kēlā hihia, ua kapa ʻia ʻo "idiopathic hyperprolactinemia." Nalo pinepine kēia me ka ʻole o ka mālama ʻia i loko o kekahi mau mahina.

He aha nā kumu pilikia?

ʻO ke kumu pilikia wale nō i ʻike ʻia no ka hyperprolactinemia he ʻano i kapa ʻia ʻo Multiple endocrine neoplasia (MEN) type 1 (MEN1). He ʻano hoʻoilina ʻo MEN1 e hiki ai ke alakaʻi i ka ulu ʻana o ka prolactinoma.

Inā loaʻa i kekahi o kou ʻohana (kaikuaʻana, kaikuahine, makua) ka `MEN1`, he manaʻo maikaʻi ke loaʻa ʻana o ka hoʻāʻo genetic. Hiki i kēia ke kōkua i ka ʻike ʻana i kahi `(Prolactinoma)` i ka wā mua.

Pehea ʻoe e ʻike pono ai i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke hana i kahi hoʻāʻo koko prolactin (PRL).

Inā hōʻoia nā hopena he hyperprolactinemia kou, ʻo ka hana aʻe e ʻimi i ke kumu. Hiki i kāu kauka ke kauoha i nā hoʻokolohua koko hou a me nā hoʻokolohua kiʻi (e like me ka MRI scan).

He aha nā lāʻau lapaʻau?

Aia ka lāʻau lapaʻau ma ke kumu. Inā kiʻekiʻe kou pae prolactin akā palupalu kou mau hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau.

Ka mālama ʻana i ka prolactinoma

ʻO kēia ke kumu maʻamau. No laila, aia kekahi mau ala e mālama ai:

• Lāʻau lapaʻau : Hoʻokele nā ​​​​agonists Dopamine i kāu mau pae prolactin. He kūpono loa kēia mau lāʻau lapaʻau i ka hoʻemi ʻana i nā ʻōpū prolactinoma. ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia no ka prolactinoma.
• ʻOki kino : Inā ʻaʻole e emi ka prolactinoma me ka lāʻau lapaʻau, pono paha ke ʻoki kino e wehe ai.
• Lapaʻau radiation : ʻO ke kolu kēia o ke koho i hoʻohana pinepine ʻole ʻia. Hoʻohana wale ʻia ia ke kūleʻa ʻole nā ​​​​ʻano hana ʻē aʻe.

Inā no ka lāʻau lapaʻau...

Inā ʻike ʻia ua kiʻekiʻe kou pae prolactin ma muli o ka lāʻau āu e lawe nei, e kuhikuhi kāu kauka i kahi lāʻau ʻokoʻa ʻaʻole e like ka hopena me kāu mau pae prolactin.

He aha nā manawa kūpono e ho'ōla ai?

ʻO ka maʻamau, e hoʻomaikaʻi hou ka Hyperprolactinemia no ka mea ua mālama pono ʻia ke kumu kumu.

ʻOiai ʻaʻole kēia he mea hoʻoweliweli i ke ola, hiki iā ia ke hana i nā pilikia e like me ka hānau ʻole ʻana a me nā pōʻaiapuni menstrual kūpono ʻole, no laila he mea nui loa e ʻimi i ka lāʻau lapaʻau inā loaʻa iā ʻoe kēia maʻi.

Nā nīnau e nīnau aku ai i kāu kauka

Inā loaʻa iā ʻoe ka hyperprolactinemia, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:

• No ke aha i hiki mai ai kēia iaʻu?
• He aha nā hoʻokolohua e pono ai iaʻu e hana?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia koho lapaʻau?
• E hoʻoponopono ʻia anei koʻu pilikia hānau ʻole ma hope o kēia lāʻau lapaʻau?

Hiki i ka Hyperprolactinemia ke hoʻopilikia i kou ola maikaʻi a hoʻopilikia i kou hiki ke loaʻa nā keiki. Akā ʻo ka mea maikaʻi loa, hiki ke mālama maikaʻi ʻia. Inā loaʻa iā ʻoe nā hōʻailona o kēia ʻano, e ʻike pono i ke kauka. A laila hiki i kahi hoʻāʻo koko maʻalahi ke nānā i kāu mau pae prolactin.

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

Eia kekahi, ʻo ka hyperprolactinemia ka hoʻonui ʻia ʻana o ka hormone prolactin i loko o ko kākou kino. Hiki i kēia ke hana i nā pilikia e like me ka paʻakikī i ka hāpai ʻana i nā keiki, ka emi ʻana o ka makemake moekolohe, nā hewa o ka menstrual cycle i nā wahine, a me ka impotence moekolohe i nā kāne .

ʻO ke kumu nui o kēia he puʻupuʻu i kapa ʻia ʻo "Prolactinoma" e ulu ana i loko o ka pituitary gland. Hiki ke hana ʻia kēia ʻano e kekahi mau lāʻau lapaʻau a me nā maʻi ʻē aʻe .

Mai hopohopo! Aia nā lāʻau lapaʻau maikaʻi no kēia. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe. A laila hiki iā ʻoe ke ʻike i ke kumu pololei a hoʻomaka i ka lāʻau lapaʻau kūpono loa iā ʻoe. He mea nui loa ka mālama ʻana i kou olakino.

ʻO Prolactin, Hyperprolactinemia, Pituitary gland, Hormone imbalance, Infertility, Galactorrhea, Prolactinoma