Kana iwe uri kutsvaga kubvisa pamuviri kunokonzera kana uine ruzivo rweimwe kana kukanganisa kwakawanda iwe pachako, ungave wakadzidza kuti vanachiremba havagoni kutsanangura chikonzero nei zvichiitika. Muzvokwadi, maererano neAmerican College of Obstetrics uye Gynecology, kupererwa kwemasimba kunowanzove nechikonzero chinozivikanwa chete kubva pa25 kusvika ku50 muzana yenguva.
Kune mazano akawanda pamusoro pezvinoita kuti imwe hafu yezviitiko zvinokonzera kusaputsika, asi zvishomanana zvakajekeswa.
Imwe nyanzvi inowira muchikamu chekupedzisira ndeyekuti huwandu hwakawanda hwehomoni inonzi prolactin inogona kuita kuti kubata pamuviri kurasike.
Apo chirwere chepamusoro cheprolactin chinovhiringidza kushanda kweiiii mumukadzi we premenopausal, kuvharwa kwe-estradiol, main estrogen, kunoderedza. Zviratidzo zvinosanganisira nguva dzisina nguva kana kuti dzisipo kumwedzi, kusabereka, menopausal zviratidzo (kupisa uye kupisa kwemadzimai) uye, mushure memakore akawanda, osteoporosis. High prolactin mazinga anogonawo kukonzera mukaka kubudiswa kubva mazamu.
Chii Chinonzi Prolactin?
Prolactin inonzi hormone inogadzirwa zvikurukuru neanterior pituitary gland, gland-sized scland iri muchero hweuropi. Prolactin inodanwa nezita rayo nekuti inobatsira zvikuru mukuderedza kukonzerwa kwekaka mumadzimai anonyengera. Maitiro ePlactin anowanzowedzera mumuviri wevakadzi, kunyange zvazvo mazinga akasiyana zvikuru muvakadzi. Zviratidzo zveprolactin dzinosvika pakukwirira kwepamusoro panguva yekutakura uye dzozodzokera kumashure mavhiki matanhatu mushure mokuberekwa (kunyange kana mukadzi ari kuyamwa).
Apo maitiro eprolactin akakwirira, mamiriro acho anonzi hyperprolactinemia, uye aya mazinga akakwirira anogona kukanganisa maitiro emadzimai emukadzi anoita sei. Izvi zvinogona kutungamirira kumwedzi kusina maturo, kusabereka, uye dzimwe nguva mukaka kusunungurwa kubva pamabere, kunyange zvazvo mukadzi asingateereri.
Chikonzero chikuru che hyperprolactinemia chirwere chisina kenza chinonzi adenoma, asi mamiriro acho anogonawo kuitika kune vamwe vanhu vane hypothyroidism.
Prolactin inogonawo kukwidziridzwa mukupindurwa kwezvinhu zvinokonzera zvakatipoteredza, zvakadai sekudzidzira kunetsa kana kushungurudzika, uye kune vanhu vanotora mishonga inobatsira uropi chemakemikari, dopamine.
Basa mukubereka
Nemhaka yokuti kuenda kumwedzi uye chirwere chinowanzoitika chinopera panguva yemarara, prolactin inoshanda sekudzivirira kwepanyama kunodzivirira kudzivirirwa shure. Izvozvo zvichitaura, miviri yako yeprolactin maitiro haafaniri kutendwa semakondomu akanaka. Iva nechokwadi chekutaura nezvekuvhara kwepabonde shure kwekubereka nemupi wehutano wehutano.
Maererano nedzidziso iyi yakagamuchirwa yakasimba yokuti maitiro eplactin akakwirira anogona kukanganisa basa revanhu, vakadzi vane nhengo dzakakwirira dzeprolactin avo vari kuedza kubata pamuviri vanogona kuve nekuenda kumwedzi uye / kana maitiro ekunyengera asingakoshi, zvichiita kuti zvive zvakaoma kuva nepamuviri.
Kana zvasvika kune prolactin uye kuora mwoyo kwakapfurikidza , zvakadaro, juri rinenge richiri kunze. Zvidzidzo zvishomanana zvakawana huwandu hwakawanda hweprolactin kuvakadzi vane mhirizhonga inowanzoitika. Izvi zvinorevei izvi, zvisinei, zvinopesana. Vamwe vanhu vanofunga kuti prolactin yakakwirira inogona kukonzera kupererwa, asi vamwe vanofunga kuti yakangokurumidza kuti vataure zvakajeka.
Mukutsigira Idzidziso
Zvichipa kushandiswa kwehomoni dzakawanda dzakasiyana mumuviri womunhu, zvinogoneka kuti kusawirirana kunogona kukonzera matambudziko akawanda.
Sezvo hyperprolactinemia inogona kukonzera kukanganisa mune vamwe vakadzi, vamwe vanachiremba vanogona kutarisa hutachiona hwomukadzi uye kupa mishonga kuderedza muzinga kana wakakwiridzirwa.
Muchiitiko chekunonoka kwemasimba uye prolactin, imwe yekare yakadzidza yakawana huwandu hwakakura hweprolactini kuvakadzi vaiva nematambudziko maviri kana kurasikirwa pamuviri. Apo vakadzi ava vaibatwa nemishonga inonzi bromocriptine (iyo inobatsira kuderedza mapurogiramu eprolactin) mumubereki wavo wakatevera, pane 85 muzana yemararamiro akaberekwa akaenzaniswa nevakadzi vasingateereri vane 52 kubva muzana vanoberekwa vachizvarwa.
Izvi zvitsva hazvina kusimbiswa muchidzidzo chikuru.
Asi, nokuti kurapwa kunofungidzirwa kuti kwakachengeteka, vamwe vanachiremba vanoedza uye vanobata prolactin yakakwirira apo vachiedza vakadzi nekuda kwechikonzero chekusava nemasimba.
Mukupikiswa kweChidzidzo
Zvidzidzo zvakawana hukama pakati pehutambo hweprolactin uye kupererwa kwepamuviri hazvikwani zvakakwana kuti zvive zvakakwana.
Mukuwedzera, vatsvakurudzi havasi kunyatsonzwisisa kushanda kweprolactin mumuviri, uye vazhinji vanofunga kuti yakangokurumidza kuti vataure kana kuti kwete yepamusoro yeprolactin mazinga kune vakadzi vane hupombwe hwakakosha vane chero hupi hwehutano hwakakosha. Zvimwe zvinhu zvinogona kufanirwa kuverenga nezvemazinga epamusoro eprolactin kuvakadzi vane masimba.
Kwainoenda
Vamwe vanachiremba vanoedza nguva dzose kuedza prolactin muvakaroorana vanowanzopererwa uye vanorayira mishonga, yakadai se bromocriptine kana cabergoline, kuti kuderedze maitiro eprolactin. Iyi mishonga inoratidzika yakachengeteka kushandiswa panguva yekudzivirira uye inowanzoshandiswa kune vakadzi vane infertility kubva ku hyperprolactinemia. Izvo zvinotaurwa, hapana mazano anorongwa kuti aongorore uye aporere prolactin kuvakadzi vanowanzopererwa.
> Sources:
> Colao, Annamaria, Abs Roger, David Gonzalez-Barcena, Phillipe Rwiyo, Wolfgang Paulus, naDavid Kleinberg, "Kuberekwa kwekuberekwa kwechitevera cabergoline kurapwa: kwakagadzirwa nemakore gumi nemaviri ekuongorora." Clinical Endocrinology Jan 2008.
> Hirahara F, Andoh N, Sawai K, Hirabuki T, Uemura T, Minaguchi H. Kurwara kwemvura kunokonzerwa neHyperprolactinemic uye zvinokonzerwa nemararamiro ekurapa bromocriptine. Fertil Steril . 1998 Aug; 70 (2): 246-52.
> Kaunitz, AM. (January 2017). Postpartum kubata pamuviri. Mu: UpToDate, Schreiber CA (Ed), UpToDate, Waltham, MA.
> Practice Komiti yeAmerican Society yekuberekwa Mishonga. Kuongorora uye kurapwa kwekurasikirwa kwekudzivirira pamuviri zvakare: maonero emakomiti. Fertil Steril . 2012 Nov; 98 (5): 1103-11.
> Snyder, PJ. (November 2016). Zvinokonzera hyperprolactinemia. Mu: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.