Yu gɛt bɔku bɔku ɔmon we dɛn kɔl prolaktin na yu bɔdi? Lɛ wi tɔk bɔt haypa prolaktinemia!

Yu dɔn ɛva tink bɔt aw bɔku tin kin apin if yu jɔs chenj sɔm pan di ɔmon dɛn na yu bɔdi? Na dat na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl hyperprolactinemia. Fɔ tɔk am simpul wan, dis na we yu blɔd gɛt tumɔs ɔmon we dɛn kɔl prolaktin. dis כmon na in de mek di brεst divεlכp εn di milk we i de mek. Dis sik nɔ kin mek yu layf de pan denja, bɔt sɔntɛnde i kin mek yu gɛt prɔblɛm lɛk we yu nɔ ebul fɔ bɔn pikin ɛn i kin ambɔg yu fɔ liv nɔmal layf. Bɔt di gud nyus na dat, tritmɛnt de fɔ am.

Aw dis sik kin kɔmɔn?

Infakt, dis sik we dɛn kɔl hyperprolactinemia nɔ kin bɔku so. I de afɛkt less dan 1% pan di jenɛral pipul dɛm. Bɔt uman dɛn kin gɛt dis sik pas man dɛn.

Wetin na di sayn dɛm fɔ dis?

Yu fɔ mɛmba se sɔm pipul dɛn kin gɛt hyperprolactinemia bɔt nɔr kin sho ɛni sayn, ɔr de sik kin rili smɔl. Bɔt sɔm kayn kɔmɔn sayn dɛm de wae kin apun wit dis sik, ilɛksɛf na pɔrsin.

Kɔmɔn sayn dɛm wae kin afɛkt ɔlman

Dɛn tin ya kin apin to ɛnibɔdi, ilɛksɛf na man ɔ uman:

• I nɔ izi fɔ bɔn pikin (infertility) : Dis na di men prɔblɛm.
• Low libido : Dis min se di intres fɔ du mami ɛn dadi biznɛs go dɔŋ.
• di bon dεnsiti we de dכn (osteopenia) : Dis kin mek di bon dεm wik as tεm de go.
• Milki dischaj frɔm di nipples we yu nɔ gɛt bɛlɛ ɔ we yu de gi pikin bɔbi (`galactorrhea`) : Dis kin tan lɛk se i strenj smɔl, bɔt na wan sayn bak.

Karakta dɛn we spɛshal fɔ uman dɛn

Fɔ uman dɛn, apat frɔm dɛn kɔmɔn sayn ya, sɔm ɔda patikyula sayn dɛn kin apin:

• di chenj dεm we de apin na di mεnstral saykl we nכ de rilet to mεnopos (di sכt we di mכnt de sכmtεm) : Dis min se di mεnstral nכ de rεgεl כ i de stכp כltogεda. Sɔntɛm yu nɔ go gɛt prɛgnɛshɔn fɔ sɔm mɔnt.
• Pen we yu de du mami ɛn dadi biznɛs bikɔs di vagina dray : Dis na sɔntin bak we de mek bɔku uman dɛn nɔ kin fil fayn.

Karakta dɛn we spɛshal fɔ man dɛn

Di sik kin afɛkt man dɛn difrɛn we. Na sɔm kɔmɔn sayn dɛm wae dɛn kin gɛt:

• Erectile dysfunction (ED) : Dis min se i nɔ kin izi fɔ gɛt erection.
• di tεstostεron lεvεl dεm we de dכn : Dis na imכtant כmon na di man bכdi.
• Breast enlargement (`gynecomastia`) : di gro we man in brεst de gro fכ lεk di wan we uman gεt.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Okay, naw lɛ wi luk wetin mek di prolaktin lɛvɛl de go ɔp lɛk dis. Bɔku rizin dɛn kin de.

• Prolaktinoma we dɛn kɔl prolaktinoma: Dis na di men rizin. `(Prolactinoma)` na wan tכmכro we nכ de kεnsar (benign) we de divεlכp na di `(Pituitary gland)` na yu bren. dis tכmכro de mek di כmon prolaktin kכmכt pasmak.
• כda pituitary tכmכro dεm : Apat frכm wan prolactinoma, כda big tכmכro dεm we de insay כ nia di pituitary gland kin mek bak di prolaktin lεvεl dεm hכy. dis kin apin biכs di tכmכro de blכk wan kεmikכl we dεn kכl dopamin fכ kכmכt na di pituitary gland. Dopamine na wan ɔmon we de kɔntrol di we aw di prolaktin de mek.
• Sɔm mɛrɛsin dɛn : Wan kemikal we dɛn kɔl dopamine de mek di prolaktin nɔ bɔku. So, eni mεdikeshכn we de afekt dopamin prodakshכn kin inkrεs yu prolaktin lεvεl. Sɔm pan dɛn mɛrɛsin ya na:
• Pils dɛn we dɛn kin yuz fɔ kɔntrol pikin
• Sɔm mɛrɛsin fɔ mental sik, lɛk Risperidone ɛn Haloperidol
• Mɛrɛsin fɔ ay blɔd prɛshɔn, lɛk mɛtildopa ɛn verapamil
• Mεdisin dεm fכ at bכn εn gεstroεsophageal rεfluks sik (GERD) (e.g. H2 antihistamines) .
• Mɛrɛsin fɔ pwɛl hat, lɛk trisayklik antidipreshɔn ɛn SSRI
• Mεdikeshכn dεm fכ di mεnoposal symptom dεm, lεk εstrojen tεrapi
• Mɛrɛsin fɔ nɔs ɛn vɔmit (antiemetics) .
• Di mɛrɛsin dɛn we de mek pɔsin fil pen we gɛt opioid

Impɔtant : Yu fɔ rili tɔk to yu dɔktɔ bifo yu stɔp ɛni mɛrɛsin we yu de tek. Di prɔlaktin lɛvɛl kin kam bak to nɔmal insay tri to 4 dez afta dɛn dɔn stɔp di mɛrɛsin.

• Ɔda wɛlbɔdi prɔblɛm dɛn : Ivin if yu nɔ gɛt prolaktinoma, sɔm ɔda tin dɛn kin mek di prolaktin lɛvɛl go ɔp. Dɛn kayn kɔndishɔn dɛn ya na:
• Injuri dεm na di chεst wכl (e.g., rib frakshכn) .
• Kidni sik we nɔ de mɛn
• Di sik we nɔ de mɛn na di liva
• Di sik we Cushing gɛt
• Hypothyroidism (tayroyd we nɔ de wok fayn) .
• Hɛpi zosta (shingles), mɔ if blista/spɔt dɛn de na di chɛst
• Polisistik ovari sindrom (PCOS) .

Wetin yu go du if yu nɔ ebul fɔ fɛn rizin?

Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn rizin fɔ dis. if na so i bi, dεn kכl am "idiopathic hyperprolactinemia." Dis kin go wae yu nɔr gɛt tritmɛnt insay sɔm mɔnt.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

di onli risk fכ haypaprolaktinεmia we dεn no na wan kכndyushכn we dεn kכl Multiple endocrine neoplasia (MEN) tayp 1 (MEN1). MEN1 na wan kכndyushכn we dεn kin gεt we kin mek i gεt prolaktinoma.

If pɔsin na yu famili (brɔda, sista, mama ɔ papa) gɛt `MEN1`, i fayn fɔ mek dɛn du jenɛtik tɛst. Dis kin ɛp fɔ no if yu gɛt `(Prolactinoma)` kwik kwik wan.

Aw yu no dis klia wan?

If yu gɛt dɛn sik ya, di fɔs tin we dɔktɔ go du na fɔ du prolaktin (PRL) blɔd tɛst.

If di rizɔlt kɔnfyus se yu gɛt hyperprolactinemia, di nɛks tin we yu fɔ du na fɔ fɛn di kɔz. Yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda blɔd tɛst ɛn fɔ mek dɛn tek imej (lɛk MRI skan).

Wetin na di tritmɛnt dɛn?

Di tritmɛnt dipen pan di tin we mek i apin. If yu prolaktin lɛvɛl bɔku bɔt yu simptom nɔr de, yu nɔr nid tritmɛnt.

Tritmɛnt fɔ prolaktinoma

Dis na di tin we kin mek pɔsin gɛt dis sik. So bɔku we dɛn de fɔ trit am:

• Mεdikeshכn : Dopamin agonist dεm de kכntro yu prolaktin lεvεl. Dɛn mɛrɛsin ya kin rili wok bak fɔ mek di prolaktinoma tumor dɛn smɔl. Dis na di tritmɛnt we dɛn kin yuz mɔ fɔ prolaktinoma.
• Ɔpreshɔn : If di prolaktinoma nɔ shrink wit mɛrɛsin, i kin nid fɔ du ɔpreshɔn fɔ pul am.
• Radiation therapy : Dis na tɔd opshɔn wae dɛn nɔr kin yuse. Dɛn kin yuz am nɔmɔ we ɔda we dɛn nɔ de wok fayn.

If na bikɔs ɔf di mɛrɛsin...

If dɛn kam fɔ no se yu prolaktin lɛvɛl bɔku bikɔs ɔf wan mɛrɛsin we yu de tek, yu dɔktɔ go gi yu difrɛn mɛrɛsin we nɔ go gɛt bɛtɛ ifɛkt pan yu prolaktin lɛvɛl.

Wetin na di chans fɔ mek i wɛl?

Bɔrku tɛm, di haypa prolaktinemia kin bɛtɛ bikɔs dɛn kin trit di ɔndalayn kɔz fayn fayn wan.

Pan ɔl we dis nɔ de mek yu layf de pan denja, i kin mek yu gɛt prɔblɛm dɛn lɛk we yu nɔ ebul fɔ bɔn pikin ɛn we yu nɔ de gɛt mɔnt ɔltɛm, so i rili impɔtant fɔ go to tritmɛnt if yu gɛt dis sik.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

If yu gɛt hyperprolactinemia, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin mek dis bin apin to mi?
• Us tɛst dɛn a nid fɔ du?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di bɛnifit ɛn bad tin dɛn we ɛni tritmɛnt we yu kin gɛt?
• Yu tink se dɛn go sɔlv mi prɔblɛm we a nɔ ebul fɔ bɔn pikin afta dis tritmɛnt?

Hyperprolactinemia kin afɛkt yu kwaliti layf ɛn ambɔg yu ebul fɔ bɔn pikin. Bɔt di bɛst tin na dat dɛn kin trit am fayn. If yu gɛt sayn fɔ dis sik, mek shɔ se yu go to dɔktɔ. Dɔn, wan simpul blɔd tɛst kin chɛk yu prolaktin lɛvɛl.

Fɔ dɔn, wetin fɔ mɛmba

Si, haypa prolaktinemia na di inkris na di ɔmon prolaktin na wi bɔdi. Dis kin mek prɔblɛm dɛn lɛk we i nɔ kin izi fɔ gɛt bɛlɛ, we i nɔ kin want fɔ du mami ɛn dadi biznɛs igen, uman dɛn nɔ kin gɛt mɔnt, ɛn man dɛn nɔ kin ebul fɔ du mami ɛn dadi biznɛs .

di men tin we kin mek dis apin na wan tכmכro we dεn kכl ``Prolactinoma`` we de divεlכp na di pituitary gland. Dis sik kin kam bak bikɔs ɔf sɔm mɛrɛsin ɛn ɔda sik dɛn .

Nɔ wɔri! Gud tritmɛnt dɛn de fɔ dis. If yu gɛt dɛn kayn sik ya, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan. Dɔn yu kin no di rayt tin ɛn bigin di tritmɛnt we go fayn fɔ yu. I rili impɔtant fɔ tek kia ɔf yu wɛlbɔdi biznɛs.

` Prolaktin, Haypaprolaktinemia, Pituitary gland, Hכmon imbalans, Infεrtiliti, Galaktorria, Prolaktinoma