He nui rawa ngā taumata o te homoni prolactin i roto i tō tinana? Me kōrero tātou mō te hyperprolactinemia!

Kua whakaaro koe ki te nui o ngā mea ka puta mai i tētahi panonitanga iti noa iho o ētahi o ngā homoni i roto i tō tinana? Koinei te āhua ka kōrerohia e tātou i tēnei rā, e kiia nei ko te hyperprolactinemia. He māmā noa iho, koinei te wā e nui rawa ai te homoni e kiia nei ko te prolactin i roto i tō toto. Ko tēnei homoni te kawenga matua mō te whanaketanga o ngā ū me te whakaputa waiū. Ehara tēnei āhua i te mea morearea ki te ora, engari i ētahi wā ka puta he raruraru pēnei i te kore tamariki, ā, ka whakararuraru i tō kaha ki te noho i te oranga noa. Engari ko te rongo pai he rongoā kei reira mōna.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, ehara tēnei āhuatanga e kiia nei ko te hyperprolactinemia i te mea noa. E pāngia ana e te iti iho i te 1% o te taupori whānui. Heoi, he nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei āhuatanga i ngā tāne.

He aha ngā tohu o tēnei?

Kia maumahara, tera pea ētahi tāngata e pāngia ana e te hyperprolactinemia engari kāore e whakaatu i ngā tohu, he ngawari noa iho rānei ngā tohu. Heoi, he iti noa ngā tohu noa ka puta me tēnei mate, ahakoa ko wai te tangata.

Ngā tohu noa e pā ana ki te katoa

Ka taea ēnei te pā ki te tangata katoa, ahakoa te ira tangata:

• Te uaua ki te whānau tamariki (kore tamariki) : Koinei te raruraru matua.
• Te iti o te hiahia moepuku : Ko te tikanga tēnei he hekenga o te hiahia ki ngā mahi moepuku.
• Te hekenga o te kiato o te wheua (osteopenia) : Ka ngoikore pea ngā wheua i roto i te wā.
• Te rerenga waiū mai i ngā uma i te wā kāore koe e hapu ana, e whāngai u ana rānei ('galactorrhea') : He ahua rerekē pea tēnei, engari he tohu anō hoki.

Ngā āhuatanga motuhake ki ngā wāhine

Mō ngā wāhine, hei tāpiri atu ki ēnei tohu noa, ka puta pea ētahi atu tohu motuhake:

• Ngā huringa o te huringa paheketanga kāore e pā ana ki te menopause (te mutunga o ngā paheketanga o ia marama) : Ko te tikanga ka koretake te paheketanga, ka mutu katoa rānei. Tērā pea kāore tō paheketanga mō ngā marama.
• Te mamae i te wā moe tāne nā te maroke o te tara : He mea anō tēnei e kore ai e pai te noho o te nuinga o ngā wāhine.

Ngā āhuatanga motuhake ki ngā tāne

He rerekē te pānga o tēnei mate ki ngā tāne. Anei ētahi tohu noa ka pā ki a rātou:

• Te ngoikore o te ure (ED) : Ko te tikanga he uaua ki te whakatū ure.
• Te hekenga o ngā taumata testosterone : He homoni nui tēnei i roto i te tinana tāne.
• Te whakanui i ngā ū (gynecomastia) : Te tipu o ngā ū o te tāne kia rite ki ō te wahine.

He aha tēnei e tupu nei? He aha ngā take?

Āe, me titiro tātou ki te take e piki haere ai ngā taumata prolactin pēnei. Tērā pea he maha ngā take.

• ProlactinomaKoinei te take matua. Ko te `(Prolactinoma)` he pukupuku kore-matepukupuku (`adenoma`) e tupu ana i roto i te `(Pituitary gland)` i roto i tō roro. Mā tēnei pukupuku ka nui rawa te whakaputanga o te homoni prolactin.
• Ētahi atu pukupuku pituitary : Haunga te prolactinoma, ka taea hoki e ētahi atu pukupuku nui i roto, i te taha rānei o te repe pituitary te whakanui ake i te taumata prolactin. Ka puta tēnei nā te mea ka aukati te pukupuku i te tukunga o tētahi matū e kiia nei ko te dopamine ki te repe pituitary. Ko te Dopamine he homoni e whakahaere ana i te hanga o te prolactin.
• Ngā rongoā : Ka whakaitihia te hanga prolactin e te matū e kiia nei ko te dopamine. Nō reira, ko ngā rongoā katoa e pā ana ki te hanga dopamine ka taea te whakanui ake i ō taumata prolactin. Ko ētahi o ēnei rongoā ko:
• Ngā pire ārai whānau
• Ko ētahi rongoā mō te mate hinengaro, pērā i te Risperidone me te Haloperidol
• Ngā rongoā mō te toto toto tiketike, pērā i te methyldopa me te verapamil
• Ngā rongoā mō te mamae o te puku me te mate reflux gastroesophageal (GERD) (hei tauira, ngā antihistamine H2)
• Ngā rongoā mō te pouri, pērā i ngā rongoā ārai pouri tricyclic me ngā SSRI
• Ngā rongoā mō ngā tohu o te menopause, pērā i te rongoā estrogen
• Ngā rongoā mō te whakapairuaki me te ruaki (ngā rongoā ārai-mimi)
• Ngā rongoā mamae kei roto ngā opioids

He mea nui : Me kōrero koe ki tō tākuta i mua i te whakamutu i tētahi rongoā e tangohia ana e koe. Ka hoki anō ngā taumata prolactin ki te āhua noa i roto i ngā rā e toru ki te whā i muri i te whakamutu i te rongoā.

• Ētahi atu āhuatanga hauora : Ahakoa kāore he prolactinoma, ka taea e ētahi atu āhuatanga te whakanui ake i ngā taumata prolactin. Ko ēnei āhuatanga ko:
• Ngā whara o te pakitara o te uma (hei tauira, ngā whati rara)
• Mate tākihi mau tonu
• Mate ate mau tonu
• Te mate a Cushing
• Te ngoikore o te tairoi (te ngoikore o te mahi o te tairoi)
• Herpes zoster (he kiriuhi kiri), ina koa ka puta he pupuhi/ira i te uma
• Te mate ovarian polycystic (PCOS)

A, ki te kore e kitea he take?

I ētahi wā, kāore e kitea e ngā tākuta te take o tēnei. Mēnā koinei te āhua, ka kiia ko te "idiopathic hyperprolactinemia". I roto i ētahi marama torutoru ka ngaro noa iho tēnei me te kore rongoā.

He aha ngā āhuatanga mōrearea?

Ko te tūponotanga mō te hyperprolactinemia anake e mōhiotia ana ko te mate e kiia nei ko te Multiple endocrine neoplasia (MEN) momo 1 (MEN1). He mate tuku iho te MEN1 ka arahi pea ki te whanaketanga o te prolactinoma.

Mena kei te pāngia tētahi o tō whānau (tuākana, tuahine, mātua) e te `MEN1`, he mea pai kia whakamātauria he ira. Mā tēnei ka āwhina i te tautuhi wawe i tētahi `(Prolactinoma)`.

Me pēhea koe e tino mōhio ai ki tēnei?

Mena kei a koe ēnei tohu, ko te mea tuatahi ka mahia e te tākuta ko te whakamātautau toto prolactin (PRL).

Ki te whakaūtia e ngā hua he hyperprolactinemia tōu, ko te mahi e whai ake nei ko te kimi i te pūtake. Tērā pea ka tonoa e tō tākuta ētahi atu whakamātautau toto me ngā whakamātautau whakaahua (pēnei i te matawai MRI).

He aha ngā maimoatanga?

Ko te maimoatanga kei runga i te take. Mena he teitei ō taumata prolactin engari he ngawari ō tohu, kāore pea koe e hiahia ki te maimoatanga.

Te maimoatanga o te prolactinoma

Koinei te tino take. Nō reira, he maha ngā huarahi hei rongoā:

• Rongoā : Mā ngā dopamine agonists e whakahaere ō taumata prolactin. He tino whai hua hoki ēnei rongoā ki te whakaiti i ngā pukupuku prolactinoma. Koinei te maimoatanga e whakamahia whānuitia ana mō te prolactinoma.
• Pokanga : Ki te kore te prolactinoma e mimiti mā te rongoā, me pokanga pea hei tango.
• Te rongoā irahiko : Ko te tuatoru tēnei o ngā kōwhiringa kāore i te tino whakamahia. Ka whakamahia anake ina kore e angitu ētahi atu tikanga.

Mena nā te rongoā...

Ki te kitea he nui tō taumata prolactin nā te rongoā e tangohia ana e koe, ka tohua e tō tākuta tētahi atu rongoā kāore e nui te pānga ki ō taumata prolactin.

He aha ngā tūponotanga o te whakaoranga?

Ka pai ake te hyperprolactinemia nā te mea kua rongoatia pai te pūtake o te mate.

Ahakoa ehara tēnei i te mea mōrearea ki te ora, ka pā mai pea ngā raruraru pēnei i te kore tamariki me ngā huringa paheketanga koretake, nō reira he mea tino nui kia rapu maimoatanga mēnā kei a koe tēnei mate.

Ngā pātai hei pātai atu ki tō tākuta

Mena he hyperprolactinemia tōu, he pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha i pā ai tēnei ki ahau?
• He aha ngā whakamātautau me mahi e au?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha ngā painga me ngā ngoikoretanga o ia kōwhiringa maimoatanga?
• Ka ea taku raruraru kore tamariki i muri i tēnei maimoatanga?

Ka pā te hyperprolactinemia ki tō kounga o te oranga, ā, ka whakararuraru hoki i tō āheinga ki te whānau tamariki. Engari ko te mea pai rawa atu, ka taea te rongoā pai. Mena kei a koe ngā tohu o tēnei mate, me toro atu ki te tākuta. Kātahi ka taea e te whakamātautau toto ngāwari te tirotiro i ō taumata prolactin.

Hei whakamutunga, he aha ngā mea hei maumahara

Titiro, ko te hyperprolactinemia he pikinga o te homoni prolactin i roto i tō tātou tinana. Ka taea e tēnei te whakaputa raruraru pēnei i te uaua ki te hapu tamariki, te heke o te hiahia moepuku, te koretake o te huringa paheketanga i roto i ngā wāhine, me te ngoikore o te moepuku i roto i ngā tāne .

Ko te tino take o tēnei he pukupuku e kiia nei ko te "Prolactinoma" e tupu ana i roto i te repe pituitary. Ka taea hoki tēnei āhuatanga te puta mai i ētahi rongoā me ētahi atu mate .

Kaua e manukanuka! He pai ngā rongoā mō tēnei. Mena kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta i te wā e taea ai. Kātahi ka taea e koe te kimi i te take tika, ka tīmata i te rongoā e pai ana ki a koe. He mea tino nui te tiaki i tō hauora.

` Prolactin, Hyperprolactinemia, Repe pituitary, Taurite kore o ngā homoni, Kore tamariki, Galactorrhea, Prolactinoma