He aha ka prolactin? Pehea kona koʻikoʻi no kou kino?

Ua lohe paha ʻoe i ka inoa ʻo 'Prolactin', ʻoiai i ka wā hāpai a inā he makuahine hānai ʻoe. Akā, ua noʻonoʻo paha ʻoe i ke ʻano o ka prolactin, a no ke aha he mea nui ia i ko mākou kino? I kēia lā, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Prolactin?

I ka ʻōlelo maʻalahi, he ʻelele kemika kūikawā ka prolactin, a he hormone paha, i hana ʻia i loko o ko kākou kino. Ua kapa ʻia hoʻi ʻo 'lactotropin', a i kekahi manawa ua hoʻopōkole ʻia ʻo `(PRL)' e nā kauka. ʻO ia ke kuleana nui no ka hana ʻana i ka waiū, ʻo ia hoʻi , ka lactation, a me ka ulu ʻana o kekahi mau ʻiʻo i loko o nā umauma . Eia naʻe, ʻaʻole i kaupalena ʻia ka prolactin i kēlā. Hāʻawi ia i nā haneli o nā kaʻina hana ʻē aʻe i loko o ko kākou kino. Inā ʻoe e hāpai ana a hānai waiū paha, kiʻekiʻe pinepine kāu mau pae prolactin.

He aha nā hana nui o Prolactin?

E like me kā mākou i ʻōlelo ai ma mua, pili ka prolactin i nā mea he nui i loko o ko mākou kino. Akā, aia ʻelua mau hana nui. ʻO ia hoʻi:

• Hoʻoulu i ka ulu ʻana o nā kelepa mammary i loko o nā ʻiʻo umauma.
• Kōkua i ka lactation a me ka hānai ʻana i ka waiū.

E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

Pehea e kōkua ai i ka ulu ʻana o ka umauma

Ke hāpai ʻoe, hoʻomaka kou kino e hoʻomākaukau no kāu pēpē ma ke ʻano kupaianaha. I loko o kēia manawa, ʻo ka hormone prolactin, me ʻelua mau hormones koʻikoʻi ʻē aʻe, ʻo estrogen a me progesterone , kōkua i kou ʻiʻo umauma e ulu a hana i ka waiū. ʻO ke kikoʻī, hana pū kēia mau hormones e hoʻomohala i nā ʻano liʻiliʻi e like me ka ʻeke i loko o kou mau umauma i kapa ʻia ʻo mammary alveoli . ʻO kēia mau mammary alveoli kahi e hana ʻia ai a mālama ʻia ai kāu waiū. E noʻonoʻo e like me kāu hale hana waiū e hoʻomākaukau ana no ka hiki ʻana mai o ka pēpē.

Kākoʻo lactation a me ka hānai waiū

Ma hope o ka hānau ʻana o kāu pēpē, piʻi ka nui o nā mea loaʻa prolactin i loko o nā pūnaewele alveoli mammary i loko o kou mau umauma. Ua like kēia me nā puka no ka waiū e puka mai ana e piʻi aʻe. ʻO kēia ke kumu e hoʻomaka ai ka waiū e kahe i waho o ka nipple, ʻo ia ke kumu o ka lactation .

Aia kekahi mea kupaianaha e pili ana i ka prolactin. ʻO ia kekahi o nā hormones liʻiliʻi i loaʻa kahi 'positive feedback loop'. I ka ʻōlelo maʻalahi, ke hoʻokuʻu ʻia ka prolactin, hoʻouna ia i kahi hōʻailona ʻē aʻe i kā mākou pituitary gland e 'hana i ka prolactin hou aʻe'. Ua like ia me ka wā e hana maikaʻi ai mākou, paipai kekahi iā mākou a haʻi iā mākou e 'hana maikaʻi aʻe'. Ke omo ka pēpē, hoʻokuʻu kēlā hoʻoulu ʻana i ka prolactin hou aʻe. A laila loaʻa i ka pēpē ka nui o ka waiū. ʻAʻole anei kēia he hana kūlohelohe kupaianaha?

Ma hea mai ka prolactin?

ʻO ka hapa nui o ka prolactin i hana ʻia i loko o kou kino mai ka pituitary gland, kahi gland liʻiliʻi i loaʻa ma ke kumu o kou lolo. ʻO kēia gland ka mea e hana ai i ka prolactin a hoʻokuʻu iā ia i loko o ke kino. Hoʻomalu ʻia ka hana ʻana o ka prolactin e ka neurotransmitter dopamine a me ka hormone estrogen . Ua like kēia me nā mea hoʻokele haku o ka hana ʻana o ka prolactin.

He aha ke kumu e loli ai ka pae prolactin?

Hiki ke loli nā pae prolactin no nā kumu like ʻole. He mea maʻamau kekahi mau loli, akā he mea e hopohopo ai kekahi.

Nā manawa e piʻi maʻamau ai nā pae

Ua ʻike mākou i kēia manawa e piʻi maoli ana nā pae prolactin i ka wā hāpai a me ka hānai waiū. Eia kekahi, i kekahi mau kūlana ʻē aʻe, hiki ke piʻi iki nā pae prolactin no kekahi manawa pōkole wale nō. ʻO ia mau kūlana:

• Ke kaumaha kino: Eia kekahi laʻana, ke manaʻo ʻoe i ka ʻeha nui.
• Hoʻoikaika Kino: Ke hoʻoikaika kino ʻoe.
• Ma hope o ka ʻai ʻana.
• Ma hope o ka moe kolohe ʻana.
• ʻO ka hoʻoulu ʻana o nā nipples i pili ʻole i ka hānai waiū: Hiki ke hana ʻia e kekahi mau lole a i ʻole nā ​​​​kumu ʻē aʻe.
• ʻO kekahi ʻeha ma ka umauma.
• Nā ʻōʻili.

Hiki ke piʻi iki aʻe nā pae prolactin i nā manawa e like me kēia, akā hoʻi koke lākou i ka maʻamau.

Nā pae kiʻekiʻe mau o ka prolactin - Hyperprolactinemia

Hiki i kekahi mau kūlana olakino a me kekahi mau lāʻau lapaʻau ke hoʻomau i ke kiʻekiʻe o kāu mau pae prolactin no ka manawa lōʻihi. He kūlana kēia a nā kauka e kapa nei he hyperprolactinemia . ʻO ke kumu maʻamau o kēia he pituitary adenoma , kahi puʻupuʻu e ulu ana i loko o ka pituitary gland i kapa ʻia he prolactinoma . Eia nō naʻe, ʻaʻole maʻamau kēia mau puʻupuʻu he maʻi kanesa.

ʻO nā hōʻailona maʻamau o ka hyperprolactinemia:

• Ka hānau ʻole : Paʻakikī i ka loaʻa ʻana o nā keiki.
• Ua emi ka makemake i ka moekolohe.
• He kahe waiū mai loko mai o nā umauma i ka wā ʻaʻole hāpai (galactorrhea).
• Ka menstruation kūpono ʻole: Nā pōʻaiapuni menstruation kūpono ʻole o nā wahine.
• Ka hana ʻino ʻana o ka erectile i nā kāne.

E noʻonoʻo i kahi wahine ʻōpio i kapa ʻia ʻo Nimali e makemake ana e loaʻa kahi pēpē. Akā, he ʻano ʻē kona mau wā a i kekahi manawa ʻaʻole hiki mai no nā mahina. Eia kekahi, ʻoiai ʻaʻole ʻo ia e hāpai, he wai waiū kona e puka mai ana mai kona mau umauma. Inā loaʻa iā ia kēia mau hōʻailona, ​​ʻo ke kumu paha he kiʻekiʻe o ka prolactin, i kapa ʻia ʻo hyperprolactinemia. No laila, he mea nui loa ka ʻimi ʻana i ke kōkua lapaʻau.

Nā kumu o nā pae prolactin haʻahaʻa loa

Inā ʻaʻole ʻoe e hāpai a hānai waiū paha, haʻahaʻa pinepine kāu mau pae prolactin. No laila, ʻo ka hōʻailona wale nō e haʻahaʻa loa ana kāu mau pae prolactin ʻo ia ka nele o ka hana ʻana o ka waiū umauma ma hope o ka hānau ʻana o kahi pēpē.

I kēia mau hihia, ʻo ke kumu paha he kūlana i kapa ʻia ʻo hypopituitarism . He kūlana kakaikahi loa kēia kahi i hana ʻole ai ka pituitary gland i hoʻokahi a ʻoi aku paha o nā hormones āna e hana maʻamau ai.

Akā, hoʻokahi mea e hoʻomanaʻo ai, he hana paʻakikī loa ka hānai ʻana i ka waiū. Nui nā kumu ʻē aʻe no ka emi ʻana o ka waiū. No laila, inā loaʻa iā ʻoe kahi pilikia e like me ka lawa ʻole o ka waiū, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka a i ʻole kekahi loea hānai no ka ʻōlelo aʻo.

He aha ka hoʻāʻo e ana i ka pae o ka prolactin?

Aia kahi hoʻāʻo koko maʻalahi e hiki ke ana i ka pae o ka prolactin i loko o kou koko. Ua kapa ʻia kēia ʻo ka hoʻāʻo prolactin (PRL) . Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he kiʻekiʻe kou mau pae prolactin (e like me nā hōʻailona a mākou i kūkākūkā ai ma mua), hiki i kāu kauka ke paipai i kēia hoʻāʻo koko. Hiki iā ia ke kōkua i ka loiloi ʻana i ka maikaʻi o ka hana ʻana o kāu gland pituitary.

He aha ke ʻano o nā pae prolactin maʻamau?

Ma keʻano laulā, ʻo nā waiwai i ʻae ʻia no nā pae prolactin penei:

• No ke kāne: ʻOi aku ma mua o 20 nanograms no kēlā me kēia milliliter (20 ng/mL) .
• No ka wahine hāpai ʻole a hānai waiū paha: Ma lalo o 25 nanograms no ka milliliter (25 ng/mL) .
• No ka wahine hāpai a hānai waiū paha:Hiki ke piʻi aʻe ia mai 80 a 400 nanograms i kēlā me kēia milliliter (80 a 400 ng/mL).

Akā e hoʻomanaʻo he ʻokoʻa iki paha kēia mau pae maʻamau mai kēlā me kēia keʻena hoʻokolohua. No laila, e nānā i nā pae maʻamau i helu ʻia ma kāu hōʻike keʻena hoʻokolohua. Inā he mau nīnau kāu e pili ana i kāu mau hopena, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka.

Āhea wau e ʻike ai i ke kauka e pili ana i koʻu pae prolactin?

Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he kiʻekiʻe kou pae prolactin (no ka laʻana, nā wā kūpono ʻole, ka hānau ʻole ʻana, a i ʻole ka waiū umauma i ka wā ʻaʻole ʻoe e hāpai), e ʻike pono i kāu kauka. Hiki iā ia ke kauoha i kahi hoʻāʻo koko maʻalahi e nānā i kāu mau pae prolactin.

Inā pilikia ʻoe me kāu lako waiū, e like me ka lawa ʻole o ka waiū, e ʻike i kahi loea, e like me ke kākā'ōlelo lactation a i ʻole kekahi loea hānai waiū.

ʻO ka mea hope loa, ʻo ka mea nui loa

He hormone koʻikoʻi loa ka Prolactin i ka wā hāpai a me ka hānai waiū. Eia nō naʻe, ʻaʻole paha ʻoe e noʻonoʻo e pili ana i ia mea a hiki i kou hoʻomaka ʻana e ʻike i nā hōʻailona (e like me nā wā kūpono ʻole a i ʻole ka hānau ʻole ʻana) e hōʻike ana he kiʻekiʻe loa kāu mau pae prolactin.

E hoʻomanaʻo, inā he kānalua a hopohopo paha kāu e pili ana i kāu mau pae prolactin, mai kānalua e kamaʻilio me ke kauka. Eia lākou e kōkua iā ʻoe. Ua mākaukau lākou e hoʻolohe i kāu mau nīnau, hana i nā hoʻokolohua e pono ai, a hāʻawi iā ʻoe i ka lāʻau kūpono loa.

ʻO Prolactin, nā hormones, ka hānai waiū, ka hāpai ʻana, ka pituitary gland, hyperprolactinemia, ke olakino wahine