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Основные ошибки при шпатлевке стен и потолка. #35
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Kini idanwo awọn ipele prolactin?

Idanwo prolactin (PRL) ṣe iwọn ipele ti prolactin ninu ẹjẹ. Prolactin jẹ homonu ti a ṣe nipasẹ ẹṣẹ pituitary, ẹṣẹ kekere kan ni isalẹ ti ọpọlọ. Prolactin n fa ki awọn ọyan dagba ki wọn ṣe wara lakoko oyun ati lẹhin ibimọ. Awọn ipele prolactin jẹ deede ga fun awọn aboyun ati awọn iya tuntun. Awọn ipele jẹ deede deede fun awọn obinrin ti ko ni aboyun ati fun awọn ọkunrin.

Ti awọn ipele prolactin ba ga ju deede, o nigbagbogbo tumọ si pe iru eegun ti ẹṣẹ pituitary wa, ti a mọ ni prolactinoma. Egbo yii jẹ ki ẹṣẹ ṣe agbejade prolactin pupọ pupọ. Exla prolactin le fa iṣelọpọ ti wara ọmu ninu awọn ọkunrin ati ninu awọn obinrin ti ko loyun tabi igbaya. Ninu awọn obinrin, prolactin pupọ pupọ tun le fa awọn iṣoro oṣu ati ailesabiyamo (ailagbara lati loyun). Ninu awọn ọkunrin, o le ja si iwakọ ibalopo kekere ati aiṣedede erectile (ED). Tun mọ bi ailera, ED ni ailagbara lati gba tabi ṣetọju okó kan.

Awọn prolactinomas nigbagbogbo jẹ alailẹgbẹ (aiṣe-aarun). Ṣugbọn ti a ko tọju, awọn èèmọ wọnyi le ba awọn awọ ara agbegbe jẹ.


Awọn orukọ miiran: Idanwo PRL, idanwo ẹjẹ prolactin

Kini o ti lo fun?

Ayẹwo awọn ipele prolactin jẹ igbagbogbo julọ lati:

  • Ṣe ayẹwo prolactinoma kan (iru eegun ti iṣan pituitary)
  • Ṣe iranlọwọ lati wa idi ti awọn aiṣedeede oṣu obirin ati / tabi ailesabiyamo
  • Ṣe iranlọwọ wa idi ti iwakọ ibalopo kekere ti ọkunrin ati / tabi aiṣedede erectile

Kini idi ti Mo nilo idanwo awọn ipele prolactin?

O le nilo idanwo yii ti o ba ni awọn aami aiṣan ti prolactinoma. Awọn aami aisan le pẹlu:

  • Ṣiṣẹ wara ọmu ti o ko ba loyun tabi loyan
  • Itusile ọmu
  • Efori
  • Awọn ayipada ninu iran

Awọn aami aisan miiran yatọ si da lori boya o jẹ ọkunrin tabi obinrin. Ti o ba jẹ obirin, awọn aami aisan tun dale lori boya o ti kọja iya-oṣu. Menopause ni akoko ninu igbesi aye obinrin nigbati awọn nkan oṣu rẹ ti duro ati pe ko le loyun mọ. O maa n bẹrẹ nigbati obinrin kan to to aadọta ọdun.


Awọn aami aiṣan ti prolactin ti o pọ julọ ninu awọn obinrin ti ko ti kọja menopause pẹlu:

  • Awọn akoko alaibamu
  • Awọn akoko ti o ti dẹkun patapata ṣaaju ọjọ-ori 40. Eyi ni a mọ bi menopause ti o tipẹ.
  • Ailesabiyamo
  • Oyan tutu

Awọn obinrin ti o ti kọja menopause le ma ni awọn aami aisan titi ipo naa yoo fi buru. Exla prolactin lẹhin menopause nigbagbogbo n fa hypothyroidism. Ni ipo yii, ara ko ṣe homonu tairodu ti o to. Awọn aami aisan ti hypothyroidism pẹlu:

  • Rirẹ
  • Ere iwuwo
  • Irora iṣan
  • Ibaba
  • Wahala fi aaye gba awọn iwọn otutu tutu

Awọn aami aisan ti prolactin ti o pọ julọ ninu awọn ọkunrin pẹlu:

  • Itusile ọmu
  • Igba gbooro
  • Iwakọ ibalopo kekere
  • Erectile alailoye
  • Idinku ninu irun ara

Kini o ṣẹlẹ lakoko idanwo awọn ipele prolactin?

Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.


Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

Iwọ yoo nilo lati ṣe idanwo rẹ nipa wakati mẹta si mẹrin lẹhin titaji. Awọn ipele prolactin yipada ni gbogbo ọjọ, ṣugbọn nigbagbogbo ga julọ ni kutukutu owurọ.

Rii daju lati sọ fun olupese itọju ilera rẹ nipa eyikeyi oogun ti o mu. Awọn oogun kan le gbe awọn ipele prolactin ga. Iwọnyi pẹlu awọn oogun iṣakoso bimọ, oogun titẹ ẹjẹ giga, ati awọn apakokoro.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.

Kini awọn abajade tumọ si?

Ti awọn abajade rẹ ba han ga ju awọn ipele prolactin deede, o le tumọ si pe o ni ọkan ninu awọn ipo atẹle:

  • Prolactinoma (oriṣi tumo ti ẹṣẹ pituitary)
  • Hypothyroidism
  • Arun ti hypothalamus. Hypothalamus jẹ agbegbe ti ọpọlọ ti o ṣakoso ẹṣẹ pituitary ati awọn iṣẹ ara miiran.
  • Ẹdọ ẹdọ

Ti awọn abajade rẹ ba fihan awọn ipele prolactin giga, olupese iṣẹ ilera rẹ le paṣẹ fun idanwo MRI (aworan iwoyi oofa) lati ni isunmọ ni pẹkipẹki ẹṣẹ pituitary rẹ.

Awọn ipele prolactin giga le ni itọju pẹlu oogun tabi iṣẹ abẹ. Ti o ba ni awọn ibeere nipa awọn abajade rẹ, sọrọ si olupese iṣẹ ilera rẹ.

Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.

Awọn itọkasi

  1. Agbara [Intanẹẹti]. Jacksonville (FL): American Association of Clinical Endocrinologists; Prolactinemia: Awọn opoiye ti o pọju ti Hormone ti a ko mọ Nfa Awọn ibiti Awọn aami aisan pọ; [toka si 2019 Jul 14]; [nipa iboju 3]. Wa lati: https://www.empoweryourhealth.org/magazine/vol6_issue2/prolactinemia_excess_quantities_of_lesser-known_hormone_causes_broad_range_of_symptoms
  2. Esmaeilzadeh S, Mirabi P, Basirat Z, Zeinalzadeh M, Khafri S. Association laarin endometriosis ati hyperprolactinemia ninu awọn obinrin alaini. Iran J Reprod Med [Intanẹẹti]. 2015 Mar [toka 2019 Jul 14]; 13 (3): 155-60. Wa lati: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4426155
  3. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington D.C.; Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2019. Hypothalamus; [imudojuiwọn 2017 Jul 10; toka si 2019 Jul 14]; [nipa iboju 3]. Wa lati: https://labtestsonline.org/glossary/hypothalamus
  4. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington D.C.; Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2019. Prolactin; [imudojuiwọn 2019 Apr 1; toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/tests/prolactin
  5. Lima AP, Moura MD, Rosa e Silva AA. Prolactin ati awọn ipele cortisol ninu awọn obinrin ti o ni endometriosis. Braz J Med Biol Res. [Intanẹẹti]. 2006 Aug [toka si 2019 Jul 14]; 39 (8): 1121-7. Wa lati: https://www.ncbi.nlm.nih.gov/pubmed/16906287?dopt=Abstract
  6. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn idanwo ẹjẹ; [toka si 2019 Jul 14]; [nipa iboju 3]. Wa lati: https://www.nhlbi.nih.gov/health-topics/blood-tests
  7. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Hypothyroidism; 2016 Aug [toka 2019 Jul 14]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/hypothyroidism
  8. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Prolactinoma; 2019 Apr [toka si 2019 Jul 14]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/prolactinoma
  9. Sanchez LA, MP Figueroa, Ballestero DC. Awọn ipele ti o ga julọ ti prolactin ni nkan ṣe pẹlu endometriosis ninu awọn obinrin alaileto. Iwadii ti ifojusọna ti iṣakoso. Fertil Steril [Intanẹẹti]. 2018 Oṣu Kẹsan [toka si 2019 Jul 14]; 110 (4): e395-6. Wa lati: https://www.fertstert.org/article/S0015-0282(18)31698-4/fulltext
  10. Ilera UF: Ile-ẹkọ Yunifasiti ti Ilera ti Florida [Intanẹẹti]. Gainesville (FL): Ile-iwe giga Yunifasiti ti Ilera ti Florida; c2019. Igbeyewo ẹjẹ Prolactin: Akopọ; [imudojuiwọn 2019 Jul 13; toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://ufhealth.org/prolactin-blood-test
  11. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2019. Encyclopedia Health: Dysfunction Disrectfunction (Agbara); [toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P01482
  12. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2019. Encyclopedia Health: Ifihan si Menopause; [toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P01535
  13. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2019. Encyclopedia Health: Prolactin (Ẹjẹ); [toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=prolactin_blood
  14. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2019. Neurosurgery: Eto Pituitary: Prolactinoma; [toka si 2019 Jul 14]; [nipa iboju 5]. Wa lati: https://www.urmc.rochester.edu/neurosurgery/specialties/neuroendocrine/conditions/prolactinoma.aspx
  15. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2019. Alaye Ilera: Endometriosis: Akopọ Akole; [imudojuiwọn 2018 May 14; toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://www.uwhealth.org/health/topic/major/endometriosis/hw102998.html
  16. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2019. Alaye Ilera: Prolactin: Awọn abajade; [imudojuiwọn 2018 Nov 6; toka si 2019 Jul 14]; [nipa awọn iboju 8]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/prolactin/hw47630.html#hw47658
  17. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2019. Alaye Ilera: Prolactin: Akopọ Idanwo; [imudojuiwọn 2018 Nov 6; toka si 2019 Jul 14]; [nipa iboju 2]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/prolactin/hw47630.html#hw47633
  18. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2019. Alaye Ilera: Prolactin: Kini o kan Iwadii naa; [imudojuiwọn 2018 Nov 6; toka si 2019 Jul 14]; [nipa awọn iboju 9]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/prolactin/hw47630.html#hw47674
  19. Ilera UW [Intanẹẹti]. Madison (WI): Ile-ẹkọ giga ti Wisconsin Awọn ile-iwosan ati Alaṣẹ Ile-iwosan; c2019. Alaye Ilera: Prolactin: Idi ti O Fi Ṣe; [imudojuiwọn 2018 Nov 6; toka si 2019 Jul 14]; [nipa iboju 3]. Wa lati: https://www.uwhealth.org/health/topic/medicaltest/prolactin/hw47630.html#hw47639

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.

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