Prolactin kuaj ntshav

Prolactin yog yam tshuaj tso tawm los ntawm lub caj pas pituitary. Qhov kev soj ntsuam cov ntshav kuaj ntshav tawm ua cov prolactin hauv cov ntshav.

Xav tau cov ntshav ntxiv.

Tsis muaj kev npaj tshwj xeeb yog tsim nyog.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Prolactin yog yam tshuaj tso tawm los ntawm lub caj pas pituitary. Lub pituitary yog ib lub caj pas me me ntawm lub hauv paus ntawm lub paj hlwb. Nws tswj hwm lub cev qhov kev tshuav ntawm ntau cov tshuaj hormones.

Prolactin txhawb kev loj hlob ntawm lub mis thiab kev tsim kua mis hauv cov poj niam. Kuj tsis paub tias muaj nuj nqi dab tsi rau prolactin rau txiv neej.

Prolactin feem ntau yog ntsuas thaum kuaj cov qog qwj thiab ua rau:

• Kev tsim cov kua mis uas tsis cuam tshuam txog kev yug menyuam (galactorrhea)
• Tsawg tus txiv neej tsav tsheb tsis ua haujlwm (libido) hauv cov txiv neej thiab poj niam
• Teeb meem erection rau tus txiv neej
• Cev tsis tab seeb (muaj me nyuam ntxiv)
• Kev coj khaub ncaws tsis xwm yeem lossis tsis coj khaub ncaws (kev coj khaub ncaws)

Qhov tseem ceeb rau cov prolactin yog:

• Cov txiv neej: qis dua 20 ng / mL (425 µg / L)
• Cov poj niam tsis yog poj niam: tsawg dua 25 ng / mL (25 µg / L)
• Cov poj niam cev xeeb tub: 80 txog 400 ng / mL (80 txog 400 µg / L)

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis kuaj cov qauv sib txawv. Tham nrog koj tus kws kho mob hais txog lub ntsiab lus ntawm koj cov kev sim tshwj xeeb.

Cov neeg nrog rau cov xwm txheej hauv qab no tej zaum yuav muaj ntau qib prolactin:

• Hauv siab sab phab ntsa raug mob lossis voos
• Kab mob ntawm thaj chaw ntawm lub paj hlwb uas hu ua hypothalamus
• Cov thyroid caj pas tsis ua kom cov thyroid hormones txaus (hypothyroidism)
• Mob raum
• Cov qog Pituitary uas ua rau prolactin (prolactinoma)
• Lwm cov qog pituitary thiab kab mob hauv thaj chaw ntawm lub pituitary
• Kev tshem tawm txawv txav ntawm cov prolactin lwg me me (macroprolactin)

Qee yam tshuaj kuj tseem tuaj yeem nce qib prolactin, suav nrog:

• Cov tshuaj tiv thaiv kab mob
• Butyrophenones
• Estrogens
• H2 blockers
• Methyldopa
• Metoclopramide
• Opiate tshuaj
• Phenothiazines
• Reserpine
• Risperidone
• Verapamil

Cov tshuaj maj siv kuj tseem tuaj yeem nce qib prolactin.

Yog tias koj cov qib prolactin siab, qhov kev ntsuas yuav tuaj yeem rov ua dua thaum sawv ntxov ntxov tom qab kev ceev 8 teev.

Cov hauv qab no tuaj yeem nce qib prolactin:

• Kev xav hauv siab lossis lub cev (qee zaus)
• Muaj zaub mov muaj protein ntau
• Kev txhawb nqa nruj ntawm lub mis
• Kev kuaj mis tsis ntev los no
• Kev tawm dag zog tsis ntev los no

Kev sib txhais ntawm kev tso ntshav ntshav siab tsis sib thooj yog qhov nyuaj. Feem ntau, koj tus kws kho mob yuav tsum xa koj mus rau tus kws kho keeb (endocrinologist), tus kws kho mob uas paub tshwj xeeb txog teeb meem hauv tshuaj hormones.

Qhov koj yuav tau noj koj cov ntshav tsawg tsawg yuav muaj feem tsawg. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis tab sis yuav suav nrog:

• Los ntshav ntau
• Ntau cov punctures los nrhiav cov leeg ntshav
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Hematoma (ntshav buildup hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

PRL; Galactorrhea - kuaj cov kab mob prolactin; Ntxiv lawm tshob - prolactin kuaj; Amenorrhea - kuaj prolactin; Kev pauj kua mis - kev sim tshuaj prolactin; Prolactinoma - tshuaj tiv thaiv prolactin; Cov qog Pituitary - prolactin kuaj

Chernecky CC, Berger BJ. Prolactin (tib neeg prolactin, HPRL) - ntshav dej. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2013: 910-911.

Guber HA, Farag AF. Kev soj ntsuam ntawm endocrine muaj nuj nqi. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 24.

Kaiser U, Ho K. Pituitary physiology thiab tshuaj xyuas kev txheeb xyuas. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 8.