Uma ucwaninga ukukhulelwa kwesisu okubangelwa ukukhulelwa kwesisu noma kubhekana nokuhlukunyezwa okukodwa noma ngaphezulu, kungenzeka ukuthi ufunde ukuthi odokotela abakwazi njalo ukuchaza ukuthi kungani kwenzeka. Eqinisweni, ngokusho kwe-American College of Obstetrics and Gynecology, ukuhlukunyezwa okuphindaphindiwe kunesizathu esibonakalayo kuphela amaphesenti angu-25 kuya kwangu-50 esikhathi.
Kunezinkolelo eziningi mayelana nalokho okubangela esinye isigamu sezimo zokuphumula eziphindaphindiwe, kepha bambalwa okuqinisekisiwe.
Enye imfundiso ewela esigabeni sokugcina ukuthi amazinga aphezulu ehomoni okuthiwa i-prolactin angabangela ekulahlekeni kokukhulelwa.
Lapho ukuhlushwa kwe-prolactin ephezulu kuphazamisa ukusebenza kwama-ovari kumfazi wesandulela-mlando, ukufihla kwe-estradiol, i-estrogen eyinhloko, kwehla. Izimpawu zihlanganisa izikhathi ezingajwayelekile noma ezingekho esikhathini sokuya esikhathini, ukungasebenzi, izimpawu zamadoda (ukushisa okushisayo nokumelela kwesisu) futhi, ngemva kweminyaka eminingana, i-osteoporosis. Amazinga aphezulu e-prolactin angabangela nokukhishwa ubisi emabeleni.
Iyini iprolactin?
I-prolactin iyi-hormone ekhishwa ngokuyinhloko yi-gland epituitary yangaphambili, isikhumba se-pea esisekelwe ebuchosheni. I-prolactin igama layo ngoba lidlala indima enkulu ekunciphiseni ukhiqizwa ubisi ekukheni abesifazane. Amazinga e-prolactin avame ukukhuphuka kulo lonke ukukhulelwa komama, nakuba amazinga ahluka kakhulu kubantu besifazane. Amazinga e-prolactin afinyelela ezingeni eliphezulu kakhulu ngesikhathi sokubeletha bese ebuyela emuva evamile ezungeze amasonto ayisithupha emva kokubeletha (ngisho noma owesifazane ebeletha).
Lapho amazinga e-prolactin ephakanyisiwe, lesi simo sibhalwe nge-hyperprolactinemia, futhi la mazinga aphezulu angaphazamisa indlela ama-ovari esesimame asebenza ngayo. Lokhu kungaholela ekungenikeni kokuya esikhathini, ukungabi namuntu, futhi ngezinye izikhathi ukukhishwa ubisi ezibelethweni, noma ngabe owesifazane akabeleli.
Isizathu esivame kakhulu se-hyperprolactinemia yi-tumor e-non-cancerous pituitary ebizwa ngokuthi i-adenoma, kodwa isimo singase senzeke nakwabanye abantu abane-hypothyroidism.
I-prolactin nayo ingaphakanyiswa ekuphenduleni izimbangela zemvelo, njengokuzivocavoca okucindezelayo noma ukucindezeleka, futhi kubantu abaphuza imithi ethinta amakhemikhali ebuchopho, i-dopamine.
Iqhaza ekukhuliseni
Ngenxa yokuthi ukuya esikhathini kanye nomjikelezo ovuthiwe ovuthiwe uvame ukuphela ngesikhathi sokulahlwa, i-prolactin isebenza ngokukhulelwa kwemvelo okuvikela ukukhulelwa emuva. Lokhu kuthiwa, amazinga omzimba wakho we-prolactin akufanele athembele njengendlela yokubeletha efanele. Qinisekisa ukuthi uxoxisana nokukhulelwa kokubeletha emva kokubeletha nomhlinzeki wakho wezempilo.
Ngokwalolu lwazi olwamukelekile kahle ukuthi amazinga aphezulu e-prolactin angaphazamisa umsebenzi we-ovarian, abesifazane abanezinga eliphezulu le-prolactin abazama ukukhulelwa bangase bahlangabezane nemijikelezo yesimiso kanye / noma ye-ovulatory engavamile, okwenza kube nzima ukukhulelwa.
Uma kuziwa nge-prolactin ne-miscarriages ephindaphindiwe , noma kunjalo, ijaji lingaphandle. Ucwaningo oluthile luye lwathola amazinga aphezulu e-prolactin kwabesifazane abanokukhubazeka okuphindaphindiwe. Lokhu okushoyo kusho, kodwa, kuyinkinga. Abanye abantu bacabanga ukuthi i-prolactin ephakeme ingabangela ukuhlukumeza, kuyilapho abanye bezwa ukuthi kusencane kakhulu ukuthi bangasho ngokunjalo.
Ngokusekelwa kweTheory
Njengoba kunikezwe ukusebenzisana kwamahomoni amaningi kangaka emzimbeni womuntu, kungenzeka ukuthi ukungalingani kungabangela izinkinga eziningi.
Njengoba i-hyperprolactinemia ingabangela ukuhlukumeza kwamanye amantombazane, odokotela abathile bangase bahlole izinga leprolactin yowesifazane futhi banikele imithi ukwehlisa izinga uma liphakanyisiwe.
Endabeni yokukhubazeka okuphindaphindiwe kanye ne-prolactin, isifundo esisodwa esidala sathola amazinga aphezulu e-prolactin kwabesifazane ababenokulahlekelwa kokubili noma ukukhulelwa. Lapho laba besifazane belashwa ngemithi ebizwa ngokuthi i-bromocriptine (eyenza ukunciphisa amazinga e-prolactin) ekukhulelweni kwabo okulandelayo, kwakunezinga elingama-85 okuzalwa ngokuzalwa uma kuqhathaniswa nabesifazane abangaphenduliwe abanamaphesenti angu-52 abazalwa ngokuzalwa.
Lokhu okutholakele akuqinisekisiwe esifundweni esikhulu.
Kodwa, ngoba ukwelashwa kucatshangwa ukuthi kuphephile, abanye odokotela bahlola futhi baphathe i-prolactin ephakeme lapho behlola abesifazane ngenxa yezimbangela zokuphazamiseka eziphindaphindiwe.
Ekuphikisweni kweNkolelo
Izifundo ezitholile ukuxhumana phakathi kwamazinga aphezulu e-prolactin nokukhulelwa komzimba akuzona ezinkulu ngokwanele ukuba zifinyeleleke.
Ngaphezu kwalokho, abacwaningi abakwazi ukuqonda ngokugcwele ukusebenza kweprolactin emzimbeni, futhi abaningi banomuzwa wokuthi kusencane kakhulu ukusho ukuthi ngabe amazinga aphezulu e-prolactin abesifazane abanobuchopho abathintekile yini kunoma yikuphi ukuphikisana komtholampilo. Ezinye izici zingase zilandise ama-prolactin amazinga aphezulu kulabo abathintekayo.
Lapho Uqala khona
Abanye odokotela bavame ukuhlola i-prolactin emibhangqwaneni enezinsizwa eziphindaphindiwe bese beka imithi, njenge-bromocriptine noma i-cabergoline, ukunciphisa ama-prolactin. Lezi mithi zibonakala ziphephile ukusebenzisa ngesikhathi sokukhulelwa futhi zisetshenziselwa kakhulu abesifazane abangenasifo esivela ku-hyperprolactinemia. Lokhu kuthiwa, azikho izincomo ezisemthethweni zokuhlola nokuphatha i-prolactin kwabesifazane abanokukhubazeka okuphindaphindiwe.
> Imithombo:
> Colao, Annamaria, Roger Abs, David Gonzalez-Barcena, Phillipe Chanson, Wolfgang Paulus, noDavid Kleinberg, "Imiphumela yokukhulelwa elandela ukwelashwa kwe-cabergoline: kwandiswe imiphumela yocwaningo lokufunda iminyaka engu-12." I-Endocrinology Clinic Jan 2008.
> Hirahara F, Andoh N, Sawai K, i-Hirabuki T, u-Uemura T, i-Minaguchi H. Ukukhulelwa kwesisu okuphindaphindiwe nokuphefumula kanye nemiphumela yokuhlolwa kokwelashwa okungapheliyo kwe-bromocriptine. I-Fertil Steril . 1998 Aug; 70 (2): 246-52.
> Kaunitz, AM. (Januwari 2017). Ukwelashwa kokubeletha emva kokubeletha. Ku: UpToDate, i-Schreiber CA (Ed), UpToDate, Waltham, MA.
Ikomidi Lokuzikhandla Le-American Society for Medicine Reproductive. Ukuhlolwa nokuphathwa kokulahlekelwa okukhulelwa njalo: umbono wekomiti. I-Fertil Steril . 2012 Nov; 98 (5): 1103-11.
> Snyder, PJ. (Novemba 2016). Izimbangela ze-hyperprolactinemia. Ku: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.