Prolactine ni iki? Ibyo wamenya ku ngaruka zayo n'uko yipimishwa

Muraho neza! Kuri uyu munsi, twifuza kuganira kuri kimwe mu bice by'ingenzi bigize ubuzima bwacu bw'imbere mu mubiri, cyane cyane ku bijyanye n'umusemburo wa prolactine (prolactin). Nk'abaganga banyu, buri gihe tuba twifuza ko muba muzi neza uko imibiri yacu ikora kugira ngo mube mwatera intambwe mu kwitaho. Ese waba wari wibaza icyo uyu musemburo ukora cyangwa impamvu hari igihe usanga uri ku rwego rwo hejuru cyangwa rwo hepfo? Reka tubiganireho mu buryo burambuye kandi bworoheje, aho turi buze gusobanura buri kintu cyose cyatuma ubyumva neza!

Prolactine ni iki? Mu magambo make...

Hari ubwo wumva ijambo prolactine ukumva ni nk'ikintu kigoye cyane, si byiza se? Ariko mu by'ukuri, ni umusemburo usanzwe ukorerwa mu mubiri wacu. Ushobora kwibaza uti: "Ese uyu musemburo ukora iki nyine?" Ubundi, mu rurimirwacu rw'abavuzi, tuvuga ko prolactine ari umusemburo ufasha cyane cyane abagore mu gihe cyo gutwita no mu gihe cyo konsa abana babo. Byumvikane ko ari umusemburo w'ingenzi cyane mu muryango nyarwanda, aho ababyeyi bitaho ku bana babo bakiri bato bakoresheje amashereka.

Kuri iyi ngingo, biroroshye kubyumva, si byiza se? Ubwonko bwacu bufite agace gato cyane kitwa pituitary gland (agace ka pituitary), ari na ko gasohora uyu musemburo mu maraso kugira ngo ugere ku nzego zibishinzwe mu mubiri wacu.

Ni iyihe serivisi prolactin itanga ku mubiri wacu?

Reka twibaze hamwe: ni ryari wumvise ko umubiri ukeneye amashereka nyuma yo kubyara? Ni ho prolactine igira uruhare runini cyane! Iyo umugore amaze kwibaruka, urugero rwa prolactine rurazamuka cyane mu maraso kugira ngo amabere atangire gukora amashereka ahagije yo guha umwana. Biratangaje cyane, ntabwo ari byo? Umubiri wacu ufite uburyo butangaje bwo kwitegura kwita ku mwana ukiri muto.

Usibye ibyo rero, prolactine igira n'uruhare mu zindi nzego nko mu misemburo y'imyororokere, mu mikorere y'umutima, ndetse no mu gushyigikira ubudahangarwa bw'umubiri. Gusa, nk'ukotwakomeje kubivuga, akamaro kayo kagaragara cyane ku babyeyi batwite cyangwa abonsa.

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Prolactine ikorwa ite? Ituruka he?

Nk'uko twabivuze mu ngingo yabanje, uyu musemburo ntiwishyira ukwe mu mubiri wacu. Ukorerwa mu gace k'ubwonko kitwa pituitary gland, cyane cyane mu gice cy'imbere cyayo (anterior pituitary). Iyo rumaze gukorerwa aho, ruhita rujya mu maraso maze rugasakara mu mibiri yacu hose rugana ku ngingo zarwo.

Mu buzima busanzwe, hari indi misemburo yo mu bwonko iganisha kuri iyi pituitary gland igenda igenzura niba prolactine igomba gukorwa ku rugero rwinshi cyangwa ruto. Nk'urugero, umusemburo wa dopamine ni wo ukora akazi ko kugabanya cyangwa guhagarika gukora kwa prolactine igihe bitari ngombwa. Birashimishije kubona uko imibiri yacu yateguwe mu buryo bw'itumanaho ryihariye, si ko uri kubibona se?

Ni iki gituma urugero rwa prolactine ruhinduka?

Ese wigeze wibaza impamvu urugero rw'imisemburo yacu rudahora rushikamye? Hari ibintu byinshi byoroheje bishobora gutuma prolactine ihindagurika mu buzima bwa buri munsi:

• Guhungabana cyangwa stress: Iyo uri mu bihe bikomeye by'ihungabana cyangwa stress yo mu mutwe, urugero rwa prolactine rushobora kuzamuka gato.
• Imyitozo ngorora mubiri y'imbaraga nyinshi: Gukora imyitozo ikomeye cyane ishobora gutuma umubiri uhindura by'agateganyo imikorere y'imisemburo.
• Igihe cyo konsa cyangwa gutwita: Aha ho ni ho hagaragara kuzamuka gukomeye kandi ibisanzwe rwose.
• Kuryama cyangwa gisinzira: Mu ijoro mu gihe turimo dusinzira neza, urugero rwa prolactine rurazamuka kurusha uko ruba ruri ku manywa.

Hyperprolactinemia - urugero rwa prolactine rukomeje kuba rwinshi

Reka twerekeze ku bindi bice byihariye. Iyo tuvuze ijambo hyperprolactinemia, tuba tuvuga igihe urugero rwa prolactine ruri mu maraso ruri hejuru cyane y'urugero rusanzwe rutari mu bihe bisanzwe byo gutwita cyangwa konsa. Ibi bishobora gutera ibibazo bitandukanye ku buzima bw'umugore cyangwa n'umugabo.

Mu bagore, usanga bishobora gutera ihungabana mu mihango yabo ya buri kwezi, cyangwa se amashereka agatangira kuza mu mabere niyo umuntu atatwite cyangwa atonsa (ibyo twita galactorrhea). Naho ku bagabo, bishobora kugabanya ubushake bw'imibonano mpuzabitsina cyangwa se bikagira ingaruka ku ngingo zabo z'imyororokere.

Ni iki gitera urugero rudasanzwe rwa prolactine?

Ese ni iki nyine gitera ko prolactine izamuka cyane ku buryo bukabije? Hari impamvu zitandukanye twe abaganga dusuzuma mu ivuriro ryacu ry'ibanze cyangwa igihe twohereje umurwayi kwa muganga w'inzobere:

• Utubuye tworoheje two mu bwonko (Prolactinoma): Ubu ni utubuye twiza (non-cancerous tumors) dukunda kumvira muri pituitary gland tugakora prolactine nyinshi cyane.
• Imiti runaka: Hari imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe cyangwa izindi zifata igifu ishobora gutuma urugero rwa prolactine rwiyongera.
• Uburwayi bwa thyroid gland (Hypothyroidism): Iyo uruhago rwa thyroid rudakora neza, rishobora kuzamura n'indi misemburo irimo na prolactine.
• Ubwitegure bw'umubiri cyangwa se izindi mpamvu z'ubuzima zisanzwe: Nk'uko twabivuze, rimwe na rimwe no guhagarika imihango cyangwa ibibazo by'umusemburo w'imyororokere nabyo birabigaragaza.

Igipimo cya prolactin gipimwa gute?

Ubwo wari wibaza uti: "Ese mbigenza nte ngo menye niba prolactine yanjye imeze neza?" Igisubizo kiroroshye cyane. Umuganga wawe agufatira ibizamini by'amaraso (blood test) mu ivuriro ry'ibanze cyangwa se mu bitaro bikwegereye.

Aha rero, ni byiza kumenya ko kugira ngo igipimo kizavemo icyizere nyacyo, rimwe na rimwe umuganga ashobora kukubwira ko ugomba kwipimisha mu gitondo ukibyuka, cyangwa se ukirinda gukora imyitozo ikomeye cyangwa guhagarika ibintu bimwe na bimwe byatera stress mbere y'amasaha macye yo kwipimisha. Byose bikorwa kugira ngo dushakishe ukuri nyako k'ubuzima bwawe!

Ese urugero rusanzwe rwa prolactine rukwiye kuba rumeze rute?

Mu buryo rusange, urugero rwa prolactine rushobora gutandukana bitewe n'ibitaro cyangwa se laboratoire yipimishijeho, ndetse n'uko umuntu ahagaze (niba ari umugore utwite, utonsa, cyangwa se umugabo). Dore uko bikunda kugaragara:

Ni ryari ngomba kujya kwa muganga?

Nk'abaganga banyu, buri gihe tubibutsa ko tutagomba kwirengagiza ibimenyetso umubiri utwoherereza. Ukwiye kugana ivuriro ry'ibanze cyangwa ibitaro igihe ubonye ibi bimenyetso:

• Imihango yawe yahindutse cyangwa ikaba yarahagaritse burundu utatwite.
• Amashereka yatangiye kuza mu mabere yawe utwite cyangwa utonsa, cyangwa se n'abandi bantu (harimo n'abagabo).
• Umutwe udashira kandi ukomeye cyane hamwe no kugabanyuka k'ubushobozi bwo kureba neza (kuko hari igihe umuvuvuko uterwa n'agace k'ubwonko).
• Guteshwa umutwe n'ubushake bucye mu mibonano mpuzabitsina bidafite indi mpamvu yagaragara.