Ukuhlolwa kweProlactin kuyisici esibalulekile ekuqondeni impilo yokuzala. Ukuhlolwa kwegazi okwenziwa ukuze kuhlonzwe noma kuqashwe ukwelashwa kwe-prolactinoma, okungukuthi, isimila esingenamdlavuza sendlala ye-pituitary. 

Iyini I-Prolactin Blood Test (PRL Test)?

I-prolactin, ebizwa nangokuthi i-PRL noma i-hormone ye-lactogenic, ihlanganiswa yi-pituitary gland ebuchosheni. Umsebenzi wawo oyinhloko ukwenza kube lula ukukhiqizwa kobisi kwabesifazane ngemva kokubeletha.

Nakuba i-prolactin ibalulekile empilweni yokuzala yabesifazane, indima ethile ye-prolactin emadodeni isaqondwa kancane. Noma kunjalo, ucwaningo luye lwaxhumanisa amazinga e-prolactin nokwaneliseka ngokocansi kubo bobabili ubulili. Ukuhlolwa kwamazinga e-prolactin ngokuhlolwa okukhethekile akunikezeli nje kuphela imininingwane ngomthelela wayo ongaba khona enhlalakahleni yocansi kodwa futhi kusiza ekuhlonzeni ezinye. ukungahambi kahle kwe-hormonal. Lokhu kuhlolwa kokuxilonga kusebenza njengethuluzi elibalulekile lokuhlola kanye nokubhekana nokukhathazeka okuhlukahlukene kwezempilo okuhlobene nokuphuma kwe-prolactin.

Inhloso yokuhlolwa kwe-PRL

Injongo yokuhlolwa kwe-PRL inwebela ngale kokuhlotshaniswa kwale hormone ibele. Kuyithuluzi lokuxilonga elisetshenziselwa ukuphenya ukungalingani kwamahomoni okungaba khona kubo bobabili abesilisa nabesifazane. Amazinga e-prolactin aphakeme angase abonise izinkinga eziyisisekelo, kusukela ekucindezelekeni kuya ekuziphatheni okungavamile kwe-pituitary gland. Esicini esihluke kakhulu, ucwaningo luye lwahlola ukuhlobana phakathi kwamazinga e-prolactin nokwaneliseka ngokocansi kubantu ngabanye.

Kudingeka nini ukuhlolwa kwegazi kwe-PRL?

Ukuhlolwa kwegazi kwe-PRL kuyadingeka kulezi zimo ezilandelayo-

• Ukukhathazeka Ngenzalo: Uma unenkinga yokukhulelwa, udokotela wakho angase aphakamise ukuhlolwa kwegazi kwe-PRL ukuze ahlole amazinga aphezulu e-prolactin. 
• Izikhathi Ezingavamile: Abesifazane abane imijikelezo yokuya esikhathini engavamile kungase kuphakanyiswe ukuthi kuhlolwe igazi le-PRL ukuze kubonakale ukuthi kukhona yini ukungalingani kwehomoni, ikakhulukazi uma iprolactin iyasebenza.
• Ukukhipha Ingono: Uma kunokuphuma ingono okungavamile (okungahlobene nokukhulelwa noma ukuncelisa), ukuhlolwa kwegazi kwe-PRL kungasiza ukuthola ukuthi i-prolactin ephezulu iyayibangela yini.
• Ukuhlola I-Pituitary: Kulabo abanenkinga yendlala ye-pituitary, njengezimila, odokotela bangase ba-ode ukuhlolwa kwegazi kwe-PRL njengengxenye yenqubo yokuxilonga.
• Uphenyo Lwezinkinga Zocansi: Uma ubhekene nenkinga yocansi, ukuhlolwa kwegazi kwe-PRL kungenziwa ukuze kuhlolwe ukuthi ingabe amazinga e-prolactin angaba yini imbangela. 
• Ukuqapha Ukwelashwa: Uma welashelwa izimo ezihlobene ne-prolactin, ukuhlolwa kwegazi okujwayelekile kwe-PRL kungalandelela ukuthi izinto zihamba kahle kanjani nokuthi ukwelapha kusebenza yini.
• Ukuhlola Amahomoni Okuvamile: Ngezinye izikhathi odokotela bangase baphakamise ukuhlolwa kwegazi kwe-PRL njengengxenye yokuhlolwa kwezempilo okuvamile, ukubheka noma yiziphi izinkinga zamahomoni. 

Kwenzekani Ngesikhathi Sokuhlolwa Kwe-Prolactin?

Inqubo yokuhlolwa kweprolactin ngokuvamile ihlanganisa lezi zinyathelo ezilandelayo:

• Ukulungiselela: Ukuzila ukudla kungase kudingeke amahora ambalwa ngaphambi kokuhlolwa, njengoba imisebenzi ethile nokudla kungathinta amazinga e-prolactin.
• Ukuqoqwa Kwesampula Legazi: Uchwepheshe wezokunakekelwa kwempilo uzoqoqa isampula yegazi, ngokuvamile emthanjeni osengalweni yakho. Bazohlanza indawo nge-antiseptic, babophe i-tourniquet engalweni yakho engenhla ukuze wenze imithambo ibonakale kakhudlwana, bese ufaka inaliti ukuze ukhiphe igazi.
• Induduzo Yesiguli: Ukufakwa kwenaliti kungase kubangele ukungakhululeki okufushane noma ukuzwa okuhlabayo. Kubalulekile ukuxhumana nanoma yikuphi ukukhathazeka noma ukukhathazeka kumhlinzeki wezokunakekelwa kwempilo.
• Inqubo Yangemuva: Ngemva kokudonsa igazi, ingcindezi ifakwa endaweni yokubhoboza ngebhola likakotini noma ibhandishi ukuze kunqandwe ukopha. Ungase welulekwe ukuthi ugcine isayithi limboziwe isikhathi esifushane.
• Ukuhlaziywa Kwelabhorethri: Isampula yegazi libe selithunyelwa elabhorethri ukuze lihlaziywe. Ochwepheshe bakala izinga leprolactin egazini.
• Imiphumela Nokutolikwa: Imiphumela ivamise ukutholakala ezinsukwini ezimbalwa. Abahlinzeki bezempilo bahumusha imiphumela kumongo womlando wezokwelapha wesiguli nezimpawu.

Kubuhlungu Kangakanani Ukuhlolwa Kwe-Prolactin?

Ukuhlolwa kwe-prolactin ngokuvamile kubangela ukungakhululeki okuncane, okufana nokudonsa kwegazi okujwayelekile. Ubuhlungu obuncane noma imihuzuko kungenzeka ngemva kokuhlolwa futhi noma yikuphi ukungakhululeki kungokwesikhashana futhi kungokwesikhashana.

Ungayilungiselela kanjani Ukuhlolwa kweProlactin?

Nawa amanye amathiphu okulungiselela ukuhlolwa kweprolactin:

• Yabelana ngayo yonke imininingwane yanoma yimiphi imithi nezithako zokudla ozithathayo nomhlinzeki wakho wokunakekelwa kwezempilo.
• Akukho ukuzila ukudla noma ukudla okukhethekile okudingekayo ngaphambi kokuhlolwa.
• Yazisa udokotela wakho mayelana nanoma yiziphi izifundo zakamuva zokuqhathanisa izithombe.
• Gqoka ihembe elinemikhono emifushane noma elilingana kahle ukuze uvumele ukufinyelela kwengalo kalula.
• Hlala ukhululekile; asikho isidingo sokucindezeleka mayelana nokuhlolwa.
• Uma unokukhathazeka noma imibuzo, zizwe ukhululekile ukubuza umhlinzeki wakho wezempilo kusengaphambili.

Yiziphi izingozi zokuhlolwa kwegazi kweProlactin?

• Ukopha Kakhulu: Ngemva kokudonsa igazi, kuvamile ukuthi ukopha okuncane kwenzeke endaweni yokubhoboza. Ezimweni eziningi, lokhu kopha kuzimisa ngokwakho noma ngomfutho okhanyayo osetshenziswa endaweni. Kodwa-ke, ezimweni ezingavamile, kungase kwenzeke ukopha kakhulu, ikakhulukazi kubantu abanezinkinga zokopha noma labo abathatha imithi yokunciphisa igazi.
• Ama-Puncture Amaningi Ukuze Uthole Imithambo: Abanye abantu bangase babe nemithambo emincane, ejulile, noma engabonakali kancane, okwenza kube inselele kubahlinzeki bezokunakekelwa kwempilo ukuthola umthambo ofanele wokuqoqwa kwegazi. Ezimweni ezinjalo, ama-puncture amaningi angase adingeke ukuze kutholwe umthambo ofanele, okuholela ekuphatheni kabi nokulimaza okungenzeka.
• Ukuquleka noma Ukuzizwa Unekhanda Elikhanyayo: Akuvamile ukuthi abantu bazizwe bequlekile, benesiyezi, noma bazizwe benekhanda elikhanyayo phakathi noma ngemva kokudonsa igazi, ikakhulukazi uma besaba izinaliti noma behlangabezana nokukhathazeka mayelana nenqubo. Le mpendulo, eyaziwa ngokuthi i-vasovagal reaction, ingabangelwa izici ezinjengobuhlungu, ukucindezeleka, noma ukubona igazi.
• I-Hematoma (Ukwakheka Kwegazi Ngaphansi Kwesikhumba): Ngezinye izikhathi, igazi lingavuza endaweni yokubhoboza futhi liqoqe ngaphansi kwesikhumba, okuholela ku-hematoma. I-hematomas ingase ibangele ukuvuvukala, ukuthamba, nokushintsha umbala endaweni yokubhoboza. Ngenkathi zivame ukuzixazulula ngokwazo ngokuhamba kwesikhathi, ama-hematomas amakhulu angadinga ukunakekelwa kwezokwelapha.
• Ukutheleleka: Nakuba kungavamile, kunengozi encane yokutheleleka noma nini lapho isikhumba siphukile, kuhlanganise naphakathi kokudonsa igazi. Abahlinzeki bezokunakekelwa kwempilo bathatha izinyathelo zokuphepha ukuze banciphise le ngozi ngokusebenzisa okokusebenza okuyinyumba nokubulala amagciwane endaweni yokubhoboza ngaphambi kwenqubo. Kodwa-ke, izifo zisengenzeka, ikakhulukazi uma izinqubo ezifanele zokuhlanzeka zingalandelwa.

Isho ukuthini Imiphumela Yokuhlola I-Prolactin?

• Amazinga aphakeme angase abonise inkinga engaba khona nge-pituitary gland noma i-prolactinoma.
• Amazinga aphansi ngokuvamile ajwayelekile futhi awasona isizathu sokukhathazeka.
• Umongo ubalulekile; imiphumela ihunyushwa ngokusekelwe empilweni yomuntu ngamunye kanye nezimpawu.
• Amazinga aphezulu emadodeni angase abe nomthelela ekungasebenzi kahle kwezocansi kanye nokungatholi abantwana.
• Amazinga aphezulu kwabesifazane angaholela imijikelezo yokuya esikhathini engavamile nezindaba zokuzala.
• Ukuphakama kweprolactin kungabangela i-galactorrhea (ukukhiqizwa kobisi lwebele okungavamile) kokubili amadoda nabesifazane.
• Imithi nokucindezeleka kungathinta okwesikhashana amazinga e-prolactin.
• Ukubonisana nochwepheshe bezokunakekelwa kwempilo kubalulekile ukuze uthole incazelo enembile kanye nokulandelela okufanele.

Isiphetho

Ukuhlolwa kweprolactin kuyithuluzi elibalulekile lokuhlola ukungalingani kwamahomoni okuthinta inzalo, umjikelezo wokuya esikhathini, nokusebenza kwepituitary. Ukutolikwa kochwepheshe ngu-a ochwepheshe bezempilo iqondisa ukunakekelwa nokuphathwa komuntu siqu. Ukubonisana njalo kuqinisekisa ukuxilongwa okunembile kanye nokuphathwa okuphelele. 

Imibuzo Evame Ukubuzwa

1. Ayini amazinga e-prolactin avamile?

Izimpendulo: Amazinga e-prolactin avamile ngokuvamile asukela ku-2 kuya ku-17 ama-nanogram ngemililitha (ng/mL) kwabesifazane abangakhulelwe kanye no-2 kuya ku-15 ng/mL emadodeni.

2. Kwenzekani uma ukuhlolwa kwe-PRL kukhombisa ukuthi unayo?

Izimpendulo: Ukuhlolwa okuhle kwe-PRL kuphakamisa amazinga e-prolactin, okudinga uphenyo olwengeziwe ukuze kutholwe okungenzeka kube yimbangela.

3. Kwenzekani uma ukuhlolwa kwe-PRL kungenayo?

Izimpendulo: Ukuhlolwa kwe-PRL okunegethivu kubonisa amazinga avamile e-prolactin, okusikisela ukuthi akukho okungavamile okubalulekile ekukhiqizweni kwehomoni.

4. Yiziphi ezinye zezinkinga ezingaba khona zokuhlolwa kwe-PRL?

Izimpendulo: Izinkinga ezingenzeka zokuhlolwa kwe-PRL azivamile kodwa zingabandakanya ukungakhululeki noma imihuzuko esizeni, ngokuvamile engalweni, lapho igazi likhishwe khona. 

5. Kuthatha isikhathi esingakanani ukwenza ukuhlolwa kwe-PRL?

Izimpendulo: Ukuhlolwa kwegazi kwe-Prolactin (PRL) ngokuvamile kuthatha imizuzu embalwa ukwenza.

6. Iliphi izinga le-PRL elivamile lokukhulelwa?

Izimpendulo: Izinga elivamile leProlactin (PRL) lokuzala okuphelele ngokuvamile lingaphansi kuka-25 ng/mL.