Baadhitaanka dhiigga ee Prolactin

Prolactin waa hormoon uu sii daayo qanjirka 'pituitary gland'. Baaritaanka prolactin wuxuu cabiraa qadarka prolactin ee dhiiga.

Sambal dhiig ayaa loo baahan yahay.

Diyaargarow gaar ah looma baahna.

Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Intaas ka dib, waxaa laga yaabaa inay xoogaa wax garaacaan ama nabar yar. Tani dhawaan way tagi doontaa.

Prolactin waa hormoon uu sii daayo qanjirka 'pituitary gland'. Pituitary waa qanjir yar oo kuyaala salka maskaxda. Waxay nidaamisaa dheelitirka jirka ee hormoonno badan.

Prolactin wuxuu kiciyaa horumarka naaska iyo wax soo saarka caanaha ee haweenka. Ma jiro hawl caadi ah oo loo yaqaan prolactin-ka ragga.

Prolactin waxaa badanaa la cabiraa marka la baarayo burooyinka pituitary iyo sababta:

• Soosaarka caanaha naaska ee aan laxiriirin dhalmada (galactorrhea)
• Hoos u dhaca galmada (libido) ragga iyo dumarka
• Dhibaatooyinka kacsiga ee ragga
• Aan awoodin inaad uur yeelato (madhalaysnimo)
• Xilliga caadada oo aan caadi ahayn ama aan lahayn (amenorrhea)

Qiimaha caadiga ah ee prolactin waa:

• Ragga: in ka yar 20 ng / mL (425 µg / L)
• Haweenka aan uurka lahayn: in ka yar 25 ng / mL (25 µg / L)
• Haweenka uurka leh: 80 illaa 400 ng / mL (80 illaa 400 µg / L)

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabiyaan shaybaarro kala duwan. Kala hadal dhakhtarkaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Dadka qaba xaaladaha soo socda waxaa laga yaabaa inay yeeshaan heerar prolactin sareeya:

• Dhaawaca xabadka ama xanaaqa
• Cudurka aagga maskaxda ee loo yaqaan 'hypothalamus'
• Qanjirka 'thyroid' ma sameeyo hormoon tayroodh ku filan (hypothyroidism)
• Cudurka kilyaha
• Burooyinka 'pituitary' ee sameeya prolactin (prolactinoma)
• Burooyinka kale ee pituitary iyo cudurada aagga pituitary
• Nadiifinta aan caadiga ahayn ee molecules prolactin (macroprolactin)

Daawooyinka qaarkood ayaa sidoo kale kor u qaadi kara heerka prolactin, oo ay ka mid yihiin:

• Dawooyinka lidka ku ah diiqadda
• Butyrophenones
• Estrogens
• H2 xayirayaal
• Methyldopa
• Metoclopramide
• Daawooyinka opiate ka ah
• Phenothiazines
• Reserpine
• Risperidone
• Verapamil

Wax soo saarka Marijuana sidoo kale waxay sare u qaadi kartaa heerka prolactin.

Haddii heerkaaga prolactin uu sarreeyo, baaritaanka waxaa lagu celin karaa subaxa hore ka dib soonka 8-saac.

Kuwa soo socda ayaa si ku meelgaar ah u kordhin kara heerarka prolactin:

• Culeys shucuureed ama jireed (marmar)
• Cunnooyinka borotiinka sare leh
• Kicinta naasaha oo xoog leh
• Imtixaankii naasaha ee dhowaa
• Jimicsi dhow

Fasiraadda tijaabada dhiigga ee aan caadiga ahayn ee prolactin way adagtahay. Xaaladaha badankood, bixiyahaagu wuxuu ubaahan doonaa inuu kuu gudbiyo dhakhtarka endocrinologist, dhakhtar ku takhasusay dhibaatooyinka hormoonka.

Khatar yar baa ku jirta in dhiiggaaga lagaa qaado. Xididdada iyo halbowlayaasha waxay ku kala duwan yihiin cabirka qof ilaa qof kale iyo dhinac jirka ah ilaa dhinac kale. Qaadashada dhiigga dadka qaar way ka dhib badnaan kartaa kuwa kale.

Khataraha kale ee la xiriira dhiig qaadashada way yar yihiin laakiin waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Daloollo badan si loo helo xididdada
• Miyir beelid ama dareemid madax-wareer
• Hematoma (dhiigbax maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

PRL; Galactorrhea - tijaabada prolactin; Dhalmo la'aan - baaritaanka prolactin; Amenorrhea - tijaabada prolactin; Baxsiga naaska - tijaabada prolactin; Prolactinoma - tijaabada prolactin; Buroda pituitary - baaritaanka prolactin

Chernecky CC, Berger BJ. Prolactin (bini-aadamka prolactin, HPRL) - serum. Gudaha: Chernecky CC, Berger BJ, eds. Tijaabooyinka Shaybaarka iyo Nidaamyada Baadhista. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2013: 910-911.

Guber HA, Farag AF. Qiimeynta shaqada endocrine. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 24.

Kaiser U, Ho K. Fisiolojiyada pituitary iyo qiimeynta ogaanshaha. Gudaha: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 8.