Idan kuna bincike ne game da haddasa haddasawa ko kuma ya sha wahala daya ko fiye da farko, kuna iya koyon cewa likitoci ba zasu iya bayyana dalilin da ya sa suke faruwa ba. A gaskiya ma, bisa ga Cibiyar Nazarin Ƙananan Nahiyar Amirka da Gynecology, yawancin miyagun ƙwayoyi suna da hanyar da za a iya ganowa kawai kimanin kashi 25 zuwa 50 cikin lokaci.
Akwai ra'ayoyi da yawa game da abin da ke haifar da rabin rabi na lokuta masu ɓarna, amma kaɗan an tabbatar da su.
Ɗaya daga cikin ka'idar da ta fada cikin rukuni na karshe shine cewa matakan hormone da ake kira prolactin na iya taimakawa wajen hasara mai ciki.
Lokacin da haɗin jini na prolactin ya rikice tare da aikin ovaries a cikin mace mai tsaurin mata, zubar da zane-zane na estradiol, magunguna na tsakiya, raguwa. Kwayoyin cututtuka sun haɗa da rashin biyan kuɗi ko lokutan hasara, rashin haihuwa, menopausal bayyanar cututtuka (walƙiya mai zafi da bushewa) kuma, bayan shekaru da yawa, osteoporosis. Matakan tsirrai masu tsayi suna iya haifar da madara daga madara.
Mene Ne Tsarin Mulki?
Prolactin wani hormone ne da aka samar da farko ta hanyar glandon kwakwalwa ta baya, gland-gizon da ke cikin kwakwalwa. Shirin Prolactin yana da suna saboda yana taka muhimmiyar rawa wajen haifar da samar da madara a cikin lactating mata. Matakan gyaran kafa na kullum sukan karuwa a duk lokacin ciki na mace, ko da yake matakan sun bambanta a cikin mata. Matakan gyaran kafa ya kai matsayi mafi girma a lokacin aikawa sannan kuma komawa al'ada a kusa da makonni shida bayan bayarwa (koda kuwa mace tana nono).
Lokacin da aka haɓaka matakan prolactin, an lakafta yanayin ne hyperprolactinemia, kuma waɗannan ƙananan matakan zasu iya tsangwama ga yadda macewan ovaries ke aiki. Wannan zai iya haifar da rashin daidaituwa, rashin haihuwa, kuma wani lokaci madara daga sutura, ko da yake mace bata yin nono.
Mafi sanadin hanyar hyperprolactinemia ne mai ciwo mai tsinkaye mai ciwo wanda ake kira adenoma, amma yanayin zai iya faruwa a wasu mutane da hypothyroidism.
Har ila yau, za a iya tasowa a cikin maganin matsalolin muhalli, irin su motsa jiki da damuwa, da kuma mutanen da suke shan magunguna da ke shafar sinadarin kwakwalwa, dopamine.
Matsayi a cikin haihuwa
Saboda haila da al'ada na yau da kullum ana shafewa a lokacin lactation, ayyukan maganin ne kamar maganin rigakafi na jiki wanda yake kare lafiyar baya-baya. Da yake an ce, matakan prolactin jikinka ba za a dogara dashi a matsayin sababbin haifuwa. Tabbatar da shawarar tattaunawar haihuwa tare da mai bada sabis na kiwon lafiya.
A cewar wannan ka'idar da aka yarda da cewa matakai masu girma na iya rage tasirin mata na mata, mata da matakan da ke dauke da babba da suke kokarin yin juna biyu na iya samun haɗari da / ko juyayi wanda ba daidai ba ne, yana sa ya fi wuya a yi ciki.
Lokacin da ya zo ga prolactin da kuma ci gaba da ɓarna , duk da haka, shaidun suna har yanzu. Bayanan karatun sun sami matakan girma a cikin mata tare da ɓarna ƙaura. Abin da wannan ma'anar yana nufin, duk da haka, yana da rikici. Wasu mutane suna jin cewa girman haɗari zai iya haifar da rashin kuskure, yayin da wasu sun ji cewa yana da wuri sosai don faɗi haka.
A goyon bayan ka'idar
Bisa ga yin amfani da hanyoyi daban-daban a jikin mutum, yana yiwuwa cewa rashin daidaituwa zai iya haifar da matsaloli masu yawa.
Tun da hyperprolactinemia zai iya taimakawa wajen ɓarna a wasu mata, wasu likitoci na iya duba matakin mace na prolactin kuma bada magani don rage matakin idan an daukaka shi.
A cikin lokuta na ci gaba da ɓarna da ƙwayar cuta, wani binciken tsofaffi ya sami matakan girma a cikin mata waɗanda ke da hasara biyu ko ciki. Lokacin da aka bi da waɗannan mata tare da magani da ake kira bromocriptine (wanda ke aiki don rage matakan prolactin) a cikin ciki na gaba, an sami kashi 85 cikin dari na haifa mai ciki idan aka kwatanta da matan da ba a ba da izini ba, wadanda suke da kashi 52 cikin 100 na haihuwa.
Wadannan binciken ba a tabbatar da su a cikin babban binciken ba.
Amma, saboda an yi tunanin cewa lafiyar lafiya ne, wasu likitoci sun gwada da kuma bi da gagarumar prolactin a lokacin gwada mata saboda dalilai na ɓarna.
A cikin adawa na ka'idar
Ayyukan da suka samo hanyar haɗin kai tsakanin matakan high prolactin da rashin zubar da ciki ba su da cikakkun isa don ƙaddara.
Bugu da ƙari, masu bincike ba su fahimci aiki na prolactin a cikin jiki ba, kuma mutane da dama sun ji cewa yana da wuri da yawa don a ce ko matakan girma a cikin mata masu fama da rashin lafiya suna da mahimmancin asibiti. Wasu dalilai zasu iya lissafin asali game da matakan girma na prolactin a cikin mata tare da rashin kuskure.
Inda Ya Tsaya
Wasu likitoci suna jarraba prolactin akai-akai a cikin ma'aurata tare da ci gaba da ɓoyewa kuma sun tsara magungunan, irin su bromocriptine ko cabergoline, don rage matakan prolactin. Wadannan magungunan sun bayyana sun kasance lafiya don amfani da lokacin ciki kuma ana amfani da ita ne ga mata da rashin haihuwa daga hyperprolactinemia. Wannan an ce, babu wasu shawarwari masu dacewa don gwadawa da kuma magance prolactin a cikin mata tare da ɓata lokaci ba tare da bata lokaci ba.
> Sources:
> Colao, Annamaria, Roger Abs, David Gonzalez-Barcena, Phillipe Chanson, Wolfgang Paulus, da kuma David Kleinberg, "Harkokin ciki na ciki tare da maganin cabergoline: sakamako mai zurfi daga binciken nazarin shekaru 12." Clinical Endocrinology Jan 2008.
> Hirahara F, Andoh N, Sawai K, Hirabuki T, Uemura T, Minaguchi H. Hyperprolactinemic ci gaba da ɓacewa da kuma sakamakon gwajin gwaji na bana. Fertil Steril . 1998 Aug; 70 (2): 246-52.
> Kaunitz, AM. (Janairu 2017). Magunguna ta haihuwa. A cikin: UpToDate, Schreiber CA (Ed), UpToDate, Waltham, MA.
> Kwamitin Kwaskwarima na {ungiyar {asashen Amirka na Harkokin Ciniki. Bincike da kuma kula da asarar ciki na ciki: ra'ayi na kwamitin. Fertil Steril . 2012 Nov, 98 (5): 1103-11.
> Snyder, PJ. (Nuwamba 2016). Dalilin hyperprolactinemia. A cikin: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.