Hyperprolaktinemie je stav, kter\u00fd znamen\u00e1, \u017ee m\u00e1te v krvi p\u0159\u00edli\u0161 mnoho prolaktinu. Prolaktin je velmi d\u016fle\u017eit\u00fd hormon pro \u017eensk\u00fd reproduk\u010dn\u00ed syst\u00e9m a je produkov\u00e1n mozkovou hypof\u00fdzou. U \u017een je prolaktin za norm\u00e1ln\u00edch okolnost\u00ed zodpov\u011bdn\u00fd za v\u00fdvoj prs\u016f a produkci ml\u00e9ka b\u011bhem t\u011bhotenstv\u00ed a po n\u011bm. Hraje tak\u00e9 roli p\u0159i regulaci menstruace.\n<\/p>\n
Po porodu vysok\u00e1 hladina prolaktinu v t\u011ble \u010dasto zastav\u00ed menstruaci. Pokud jste je\u0161t\u011b nerodila a m\u00e1te vysokou hladinu prolaktinu, m\u016f\u017ee sni\u017eovat hladinu estrogenu a naru\u0161ovat ovulaci, co\u017e zp\u016fsobuje nepravidelnou menstruaci nebo jej\u00ed absenci, a t\u00edm ovliv\u0148uje plodnost. Vede tak\u00e9 k n\u00edzk\u00e9 hustot\u011b kost\u00ed a u n\u011bkter\u00fdch \u017een, kter\u00e9 nejsou t\u011bhotn\u00e9 nebo nekoj\u00ed, m\u016f\u017ee zp\u016fsobit tvorbu mate\u0159sk\u00e9ho ml\u00e9ka (tzv. galaktorea).\n<\/p>\n
P\u0159\u00ed\u010din hyperprolaktin\u00e9mie je cel\u00e1 \u0159ada, av\u0161ak a\u017e ve 40 % p\u0159\u00edpad\u016f nen\u00ed p\u0159\u00ed\u010dina zn\u00e1ma. K mnoha zn\u00e1m\u00fdm p\u0159\u00ed\u010din\u00e1m pat\u0159\u00ed:\n<\/p>\n
Pokud se ob\u00e1v\u00e1te, \u017ee va\u0161e l\u00e9ky mohou b\u00fdt p\u0159\u00ed\u010dinou nepravideln\u00e9 menstruace a ovula\u010dn\u00edch probl\u00e9m\u016f, pora\u010fte se se sv\u00fdm gynekologem nebo reproduk\u010dn\u00edm endokrinologem, aby v\u00e1m pomohli zjistit, zda je tomu tak.\n<\/p>\n
N\u011bkter\u00e9 \u017eeny nemaj\u00ed \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, ale krevn\u00ed test m\u016f\u017ee uk\u00e1zat, zda je hladina prolaktinu vy\u0161\u0161\u00ed ne\u017e norm\u00e1ln\u00ed. Pokud je hrani\u010dn\u00ed, m\u016f\u017eete b\u00fdt pro jistotu testov\u00e1na dvakr\u00e1t. L\u00e9ka\u0159 v\u00e1m tak\u00e9 m\u016f\u017ee prov\u00e9st fyzik\u00e1ln\u00ed vy\u0161et\u0159en\u00ed a na\u0159\u00eddit magnetickou rezonanci.\n<\/p>\n
Pokud m\u00e1te p\u0159\u00edznaky, mohou b\u00fdt n\u00e1sleduj\u00edc\u00ed:\n<\/p>\n
Nel\u00e9\u010den\u00e1 hyperprolaktinemie m\u016f\u017ee m\u00edt obvykle vliv na plodnost v d\u016fsledku ztr\u00e1ty nebo nepravideln\u00e9 menstruace. Prolaktin m\u016f\u017ee zp\u016fsobit neplodnost n\u011bkolika r\u016fzn\u00fdmi zp\u016fsoby: Za prv\u00e9, prolaktin m\u016f\u017ee zabr\u00e1nit ovulaci - pokud k tomu dojde, zastav\u00ed se v\u00e1\u0161 menstrua\u010dn\u00ed cyklus.\n<\/p>\n
V m\u00e9n\u011b z\u00e1va\u017en\u00fdch p\u0159\u00edpadech m\u016f\u017ee vysok\u00e1 hladina prolaktinu naru\u0161it ovulaci pouze jednou za \u010das. To by m\u011blo za n\u00e1sledek p\u0159eru\u0161ovanou ovulaci nebo ovulaci, kter\u00e1'je pozd\u011bj\u0161\u00ed ne\u017e obvykle. U \u017een v t\u00e9to kategorii se m\u016f\u017ee vyskytnout z\u0159\u00eddkav\u00e1 nebo nepravideln\u00e1 menstruace.\n<\/p>\n
Nebo \u017eeny s m\u00edrnou hyperprolaktin\u00e9mi\u00ed mohou pravideln\u011b ovulovat, ale po ovulaci neprodukuj\u00ed dostate\u010dn\u00e9 mno\u017estv\u00ed hormonu progesteronu. To je zn\u00e1m\u00e9 jako defekt lute\u00e1ln\u00ed f\u00e1ze. Nedostate\u010dn\u00e1 produkce progesteronu po ovulaci m\u016f\u017ee m\u00edt za n\u00e1sledek d\u011blo\u017en\u00ed v\u00fdstelku, kter\u00e1 nem\u016f\u017ee'podporovat uhn\u00edzd\u011bn\u00ed a r\u016fst embrya. U n\u011bkter\u00fdch \u017een s t\u00edmto probl\u00e9mem m\u016f\u017ee menstruace po ovulaci p\u0159ij\u00edt d\u0159\u00edve, ne\u017e se o\u010dek\u00e1valo.\n<\/p>\n
Hyperprolaktinemie je obecn\u011b l\u00e9\u010diteln\u00e1: Hladina prolaktinu se vr\u00e1t\u00ed k norm\u00e1lu asi u 90 % \u017een, kter\u00e9 u\u017e\u00edvaj\u00ed l\u00e9ky bromokriptin nebo kabergolin. Pokud v\u0161ak i p\u0159es n\u00e1vrat k norm\u00e1ln\u00edm hladin\u00e1m prolaktinu st\u00e1le neovulujete, je dobr\u00e9 se poradit se sv\u00fdm l\u00e9ka\u0159em o u\u017e\u00edv\u00e1n\u00ed dal\u0161\u00edch l\u00e9k\u016f na podporu plodnosti.\n<\/p>\n
Pokud m\u00e1te m\u00edrn\u00e9 nebo \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, nemus\u00edte se l\u00e9\u010dit. P\u0159esto je nejlep\u0161\u00ed informovat sv\u00e9ho l\u00e9ka\u0159e o v\u0161ech p\u0159\u00edznac\u00edch, kter\u00e9 m\u016f\u017eete m\u00edt, nebo pokud m\u00e1te probl\u00e9my s ot\u011bhotn\u011bn\u00edm.\n<\/p>\n
Prvn\u00ed lini\u00ed l\u00e9\u010dby hyperprolaktin\u00e9mie je obvykle bromokriptin nebo kabergolin, dva l\u00e9ky zn\u00e1m\u00e9 jako agonist\u00e9 dopaminu, kter\u00e9 sni\u017euj\u00ed hladinu prolaktinu, zmen\u0161uj\u00ed n\u00e1dory hypof\u00fdzy a pom\u00e1haj\u00ed regulovat ovulaci a plodnost.\n<\/p>\n
Pokud v\u00e1m l\u00e9ka\u0159 doporu\u010d\u00ed l\u00e9\u010dbu, nasad\u00ed v\u00e1m n\u00edzkou d\u00e1vku l\u00e9k\u016f a podle pot\u0159eby ji bude postupn\u011b zvy\u0161ovat. Hladina prolaktinu obvykle za\u010dne klesat dva a\u017e t\u0159i t\u00fddny po zah\u00e1jen\u00ed l\u00e9\u010dby. U bromokriptinu u\u017e\u00edv\u00e1te tablety peror\u00e1ln\u011b nebo vagin\u00e1ln\u011b jednou nebo dvakr\u00e1t denn\u011b, dokud neot\u011bhotn\u00edte. Pokud je p\u0159edeps\u00e1n kabergolin, u\u017e\u00edv\u00e1te tablety peror\u00e1ln\u011b jednou nebo dvakr\u00e1t t\u00fddn\u011b, dokud neot\u011bhotn\u00edte.\n<\/p>\n
V p\u0159\u00edpad\u011b pot\u0159eby m\u016f\u017eete oba l\u00e9ky bezpe\u010dn\u011b u\u017e\u00edvat n\u011bkolik let. Jakmile v\u0161ak l\u00e9k p\u0159estanete u\u017e\u00edvat, m\u016f\u017ee se hyperprolaktin\u00e9mie vr\u00e1tit. Ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f lze l\u00e9\u010dbu p\u0159eru\u0161it, jakmile zjist\u00edte, \u017ee jste t\u011bhotn\u00e1.\n<\/p>\n
P\u0159i u\u017e\u00edv\u00e1n\u00ed bromokriptinu nebo kabergolinu se mohou vyskytnout tyto ne\u017e\u00e1douc\u00ed \u00fa\u010dinky:\n<\/p>\n
Ne\u017e\u00e1douc\u00ed \u00fa\u010dinky mohou b\u00fdt z\u00e1va\u017en\u011bj\u0161\u00ed p\u0159i prvn\u00edm zah\u00e1jen\u00ed u\u017e\u00edv\u00e1n\u00ed l\u00e9ku nebo p\u0159i ka\u017ed\u00e9m zv\u00fd\u0161en\u00ed d\u00e1vky, ale obvykle ustupuj\u00ed, jakmile si t\u011blo na l\u00e9k zvykne.\n<\/p>\n
V p\u0159\u00edpad\u011b, \u017ee m\u00e1te n\u00e1dor, v\u0161ak l\u00e9ky nemus\u00ed sta\u010dit. U n\u011bkter\u00fdch \u017een m\u016f\u017ee n\u00e1dor b\u011bhem t\u011bhotenstv\u00ed r\u016fst, a proto \u017eeny s n\u00e1dorem hypof\u00fdzy v\u011bt\u0161\u00edm ne\u017e 10 milimetr\u016f v pr\u016fm\u011bru, kter\u00e9 cht\u011bj\u00ed ot\u011bhotn\u011bt, obvykle u\u017e\u00edvaj\u00ed l\u00e9ky - nap\u0159\u00edklad bromokriptin nebo kabergolin -, aby se n\u00e1dor p\u0159ed ot\u011bhotn\u011bn\u00edm zmen\u0161il. V n\u011bkter\u00fdch vz\u00e1cn\u00fdch p\u0159\u00edpadech se v\u0161ak n\u00e1dor nezmen\u0161\u00ed dostate\u010dn\u011b nebo m\u016f\u017ee zp\u016fsobit jin\u00e9 nebezpe\u010dn\u00e9 p\u0159\u00edznaky, nap\u0159\u00edklad probl\u00e9my se zrakem. V takov\u00e9m p\u0159\u00edpad\u011b v\u00e1m l\u00e9ka\u0159 m\u016f\u017ee doporu\u010dit, abyste p\u0159ed ot\u011bhotn\u011bn\u00edm podstoupila operaci, p\u0159i kter\u00e9 bude n\u00e1dor odstran\u011bn.\n<\/p>\n
Pokud se sna\u017e\u00edte ot\u011bhotn\u011bt a m\u00e1te hyperprolaktin\u00e9mii, je d\u016fle\u017eit\u00e9 v\u011bd\u011bt, \u017ee hyperprolaktin\u00e9mie sice m\u016f\u017ee p\u0159isp\u00edvat k neplodnosti, ale je to velmi dob\u0159e l\u00e9\u010diteln\u00fd stav. Pokud v\u00e1\u0161 l\u00e9ka\u0159 zjist\u00ed, \u017ee va\u0161e hladina prolaktinu je vysok\u00e1, m\u016f\u017ee v\u00e1m p\u0159edepsat \u0159adu l\u00e9\u010debn\u00fdch postup\u016f - v\u010detn\u011b u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f na sn\u00ed\u017een\u00ed hladiny prolaktinu, chirurgick\u00e9ho z\u00e1kroku, oza\u0159ov\u00e1n\u00ed nebo dokonce syntetick\u00e9 hormon\u00e1ln\u00ed n\u00e1hrady. Pokud se ob\u00e1v\u00e1te, \u017ee m\u00e1te vysokou hladinu prolaktinu, kter\u00e1 ovliv\u0148uje va\u0161e \u0161ance na ot\u011bhotn\u011bn\u00ed, m\u016f\u017eete se v\u017edy obr\u00e1tit na sv\u00e9ho poskytovatele, aby pro v\u00e1s vymyslel nejlep\u0161\u00ed l\u00e9\u010debn\u00fd pl\u00e1n.\n<\/p>\n
K l\u00e9\u010db\u011b vysok\u00e9 hladiny prolaktinu je \u00fa\u010dinn\u00e1 kombinace l\u00e9k\u016f, ale je tak\u00e9 mo\u017en\u00e9 sn\u00ed\u017eit hladinu prolaktinu zm\u011bnou \u017eivotn\u00edho stylu. Hladinu prolaktinu mohou zvy\u0161ovat b\u011b\u017en\u00e9 stresov\u00e9 faktory, jako je n\u00edzk\u00e1 hladina cukru v krvi, nam\u00e1hav\u00e9 cvi\u010den\u00ed a n\u011bkter\u00e9 psychiatrick\u00e9 l\u00e9ky a l\u00e9ky proti kysel\u00e9mu refluxu. Zeptejte se sv\u00e9ho l\u00e9ka\u0159e i na tyto faktory, zejm\u00e9na pokud se sna\u017e\u00edte ot\u011bhotn\u011bt.\n<\/p>\n
Pokud trp\u00edte hyperprolaktin\u00e9mi\u00ed a sna\u017e\u00edte se ot\u011bhotn\u011bt, nemus\u00edte se p\u0159\u00edli\u0161 ob\u00e1vat, proto\u017ee mo\u017enosti l\u00e9\u010dby jsou velmi \u00fasp\u011b\u0161n\u00e9. Je v\u0161ak pravd\u011bpodobn\u00e9, \u017ee k va\u0161\u00ed neplodnosti mohou p\u0159isp\u00edvat i jin\u00e9 faktory, a proto bude v\u00e1\u0161 l\u00e9ka\u0159 pravd\u011bpodobn\u011b cht\u00edt prov\u00e9st kompletn\u00ed vy\u0161et\u0159en\u00ed plodnosti. Zji\u0161t\u011bn\u00ed hlavn\u00ed p\u0159\u00ed\u010diny neplodnosti nebo pot\u00ed\u017e\u00ed s ot\u011bhotn\u011bn\u00edm mu pom\u016f\u017ee ur\u010dit pro v\u00e1s nejlep\u0161\u00ed l\u00e9\u010debn\u00fd pl\u00e1n.<\/p>\n","protected":false},"excerpt":{"rendered":"
Co je hyperprolaktin\u00e9mie? Hyperprolaktinemie je stav, kter\u00fd znamen\u00e1, \u017ee m\u00e1te v krvi p\u0159\u00edli\u0161 mnoho prolaktinu. Prolaktin je velmi d\u016fle\u017eit\u00fd hormon pro \u017eensk\u00fd reproduk\u010dn\u00ed syst\u00e9m a je produkov\u00e1n mozkovou hypof\u00fdzou. U \u017een je prolaktin za norm\u00e1ln\u00edch okolnost\u00ed zodpov\u011bdn\u00fd za v\u00fdvoj prs\u016f a produkci ml\u00e9ka b\u011bhem t\u011bhotenstv\u00ed a po n\u011bm. Hraje tak\u00e9 roli p\u0159i regulaci menstruace. Po […]<\/p>\n","protected":false},"author":1,"featured_media":51510,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[91],"tags":[],"class_list":["post-51506","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-getting-pregnant"],"_links":{"self":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts\/51506","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/comments?post=51506"}],"version-history":[{"count":0,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/posts\/51506\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/media\/51510"}],"wp:attachment":[{"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/media?parent=51506"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/categories?post=51506"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forbaby.blog\/cs\/wp-json\/wp\/v2\/tags?post=51506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}