Prolactin-ka ragga: sababaha, astaamaha iyo daaweynta

Qanacsan

• Calaamadaha lagu garto prolactin-ka ragga
• Sababaha keena prolactin-ka ragga
• Baaritaanka prolactin ee ragga
• Daaweynta si loo yareeyo prolactin

Prolactin waa hormoon inkasta oo ay mas'uul ka tahay soo saarista caanaha naaska, haddana ragga, waxay leedahay shaqooyin kale, sida nasashada jirka ka dib markay gaarto kacsiga, tusaale ahaan.

Heerarka caadiga ah ee prolactin-ka ragga ayaa ka yar 10 illaa 15 ng / mL, laakiin waxay ku gaari kartaa qiimayaal aad u sareeya xanuun dartiis, isticmaalka daroogooyinka leh saameyntan, ama buro maskaxda ku jirta awgeed.

Calaamadaha lagu garto prolactin-ka ragga

Soo bixitaanka caanaha ee ibta naaska ninka, ayaa laga yaabaa inay dhacdo mararka qaarkood, waana la ogaan karaa marka dhakhtarku ku cadaadiyo gobolka madow ee naaska. Calaamadaha kale waa:

• Hoos u dhaca rabitaanka galmada;
• Caqli galmo;
• Hoosudhaca tirada manida;
• Yaraynta heerarka testosterone;
• Kordhinta naasaha iyo dheecaanka caanuhu marar dhif ah ayey dhici karaan.

Calaamadaha iyo astaamaha kale ee aan caadiga ahayn waa madax-xanuun, isbeddello xagga aragga ah oo ay sabab u tahay soo-noqoshada neerfaha indhaha iyo curyaannimo ku dhaca dareemayaasha cranial, kuwaas oo ku badan ragga marka loo eego dumarka, laga yaabee inay ragga sabab u tahay in burooyinka guud ahaan ay ka weyn yihiin dumarka.

Sababaha keena prolactin-ka ragga

Qaar ka mid ah tusaalooyinka daaweynta ee keena kordhinta prolactin-ka ragga waa:

• Dawooyinka lidka ku ah diiqadda: alprazolam, fluoxetine, paroxetine;
• Daawooyinka suuxdinta: haloperidol, risperidone, chlorpromazine;
• Daawooyinka caloosha iyo lallabbada: cimetidine iyo ranitidine; metoclopramide, domperidone iyo cisapride;
• Daawooyinka dhiig karka sareeya: Respine, verapamil, methyldopa, atenolol.

Daroogooyinka ka sokow, burooyinka pituitary, ee loo yaqaan prolactinomas, waxay kaloo sababi karaan prolactin dhiigga ku sii kordha. Cudurada sida sarcoidosis, qaaxada, aneurysm iyo shucaaca madaxa ayaa sidoo kale laga yaabaa inay ku lug yeeshaan, iyo sidoo kale kalyaha oo shaqeynaya, cirrhosis beerka iyo hypothyroidism.

Baaritaanka prolactin ee ragga

Ragga, qiyamka prolactin waa inuu ahaadaa ugu badnaan 20 ng / mL, oo ​​kolba qiimahaas sare, khatarta buro, oo loo yaqaan prolactinoma ayaa sii kordheysa.

Markaad aragto kororka kuyimid baaritaanka dhiigga dhakhtarku wuxuu amri karaa baaritaannada sawirka si loo qiimeeyo qanjirka. Tijaabooyinka sidoo kale la dalban karo waa raajada madaxa iyo sawirka 'magnetic resonance imaging'.

Daaweynta si loo yareeyo prolactin

Daaweyntu waxay muujineysaa in lala dagaallamo madhalaysnimada, dhibaatooyinka galmada iyo in la xoojiyo lafaha. Tan awgeed waxaa laga yaabaa inay lagama maarmaan noqoto in la qaato daawooyinka sida Bromocriptine iyo Cabergoline (lisuride, pergolide, quinagolide).

Qalliinka waxaa lagu muujiyaa in laga soo saaro burooyinka, markuu weynaado ama sii kordhayo cabirkiisa. Daaweynta shucaaca markasta lama tilmaamo maxaa yeelay heerka guusha aad uma sarreeyo.

Baadhitaanka waa in lagu celiyaa 2dii ama 3dii bilood ee kasta sanadka ugu horeeya ee daaweynta, ka dibna 6dii biloodba mar ama sanadba sanadka ka dambeeya, sida dhakhtarka cilminafsiga ilmuhu doorbido.