Awọn ipele Prolactin

Akoonu

• Kini idanwo awọn ipele prolactin?
• Kini o ti lo fun?
• Kini idi ti Mo nilo idanwo awọn ipele prolactin?
• Kini o ṣẹlẹ lakoko idanwo awọn ipele prolactin?
• Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
• Ṣe eyikeyi awọn eewu si idanwo naa?
• Kini awọn abajade tumọ si?
• Awọn itọkasi

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

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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.