So wo ba no nyin ho asɛm haw wo? So eyi betumi ayɛ Onyin Hormone Deficiency (GHD)?

So wo ba ketewa no nyin brɛoo sen mmofra afoforo a wɔne no bɔ tipɛn? Anaasɛ wususuw sɛ ɔte sɛ nea ɔyɛ tiaa sen ne mfe? Ɛyɛ ade a ɛfata sɛ awofo bɛhaw wɔn ho wɔ nneɛma a ɛte sɛɛ ho ɛtɔ mmere bi a. Nanso, ebia ɛnyɛ bere nyinaa na ɛyɛ asɛm a ɛyɛ mmerɛw. Ɛnnɛ yɛbɛka tebea bi a ebetumi aba yɛn adwenem wɔ mmere a ɛte saa mu, nanso ɛnyɛ nea abu so kɛse ho asɛm. Ɛno ne `Growth Hormone Deficiency`, a wɔsan frɛ no `GHD` tiawa.

Dɛn ne saa `Onyin Hormone Deficiency (GHD)` yi? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, GHD yɛ tebea a ɛma ntini ketewaa bi a ɛwɔ yɛn amemene mu, pituitary gland, ntumi nyɛ onyin hormone (GH) dodow a wɔhwehwɛ, a ɛho hia ma nipadua no nyin. Nnipa binom nso frɛ eyi "pituitary dwarfism." Saa tebea yi betumi aka nkokoaa, mmofra, ne mpanyimfo. Mmofra a wɔwɔ GHD taa yɛ tiaa sen wɔn mfe, nanso ebia wɔn nipadua mu nsɛso afoforo no bɛyɛ nea ɛfata.

Wunim, hormone ahorow te sɛ nnuru abɔfo wɔ yɛn nipadua mu. Wɔnam mogya no mu na wɔka nea ɛsɛ sɛ yɛyɛ ne bere a ɛsɛ sɛ yɛyɛ kyerɛ yɛn akwaa, ntini, ne ntini afoforo.

Yɛn `Pituitary Gland` yɛ `Endocrine Gland` ketewaa bi, nanso ɛho hia yiye. Ɛwɔ yɛn amemene no ase, wɔ `Hypothalamus` ase. Ɛwɔ afã atitiriw abien: `Anterior Lobe` ne `Posterior Lobe`. Ɛyɛ `Anterior Lobe` a ɛma `Growth Hormone (GH)` ne bɛyɛ 8 hormone afoforo.

Ɛtɔ mmere bi a, nnipa a wɔwɔ GHD nso betumi anya tebea bi a wɔfrɛ no hypopituitarism, a ɛyɛ hormone afoforo a pituitary gland no yɛ a enni hɔ. Saa hormone ahorow yi bi ne:

• `Nnuru a Ɛko Tia Nsuo (ADH anaa Vasopressin)`
• `Hormone a ɛkanyan follicle`
• `Luteinizing Hormone a ɛma nipadua no yɛ adwuma`
• Hormone a ɛkanyan thyroid (TSH) .
• `Adrenocorticotrophic Nkwammoaa a ɛma nipadua no yɛ adwuma (ACTH)`

Enti dɛn na saa `Growth Hormone` yi yɛ?

Onyin hormone (GH) ho hia yiye ma mmofra nyin. Ɛka nipadua no afã horow pii. Ɛho hia ma onyin sɛnea ɛsɛ, ntini ne nnompe ahoɔden, ne nipadua mu srade kyekyɛ .

Bere a nyin mprɛte (epiphyses) a ɛwɔ yɛn nnompe mu no mu atoto, a ɛkyerɛ sɛ yegyae nyin tenten akyi no, GH mmoa yɛn mma yennyin bio. Nanso, yɛn nipadua da so ara hia GH. Bere a yɛrenyin no, GH boa ma nipadua no yɛ nea ɛfata, ɛma nipadua no mu nneɛma kɔ so yɛ adwuma yiye, na ɛboa ma mogya mu glucose dodow kɔ so tra hɔ .

Enti, wubetumi ahu sɛ sɛ́ woyɛ abofra, ɔbabun, anaa ɔpanyin no, sɛ wunni nyin hormone a ɛdɔɔso wɔ wo nipadua mu a, ebetumi aka wo wɔ akwan horow so a egyina mfe a woadi so. Wɔ mmofra ne mmerante ne mmabaa mu no, GHD betumi ama woantumi annyin sɛnea ɛsɛ. Wɔ mpanyimfo mu no, ebetumi de ɔhaw ahorow te sɛ nipadua mu srade a ɛkɔ soro ne asikre a ɛkɔ soro wɔ mogya mu aba.

So `Growth Hormone Deficiency (GHD)` ahorow ahorow wɔ hɔ?

Yiw, `GHD` ahorow atitiriw abiɛsa na ɛwɔ hɔ:

• GHD a wɔde wo awo: Eyi yɛ tebea a ɛwɔ hɔ bere a wɔawo no. Ebetumi afi awosu mu nsakrae anaa ɔhaw bi a ɛfa sɛnea akokoaa no amemene yɛ ho.
• GHD a wonya: Eyi fi sɛnea pituitary gland no sɛe akyiri yi wɔ nkwa nna mu. Mmofra ne mpanyimfo betumi anya GHD wɔ saa kwan yi so.
• Idiopathic GHD: Wɔ nnuruyɛ mu no, "idiopathic" kyerɛ sɛ wonnim nea ɛde ba . Wɔ GHD nsɛm bi mu no, wontumi nhu nea ɛde ba pɔtee biara.

Wɔsan nso kyekyɛ GHD mu sɛnea mfe a obi adi fi ase, efisɛ ɛsono sɛnkyerɛnne ahorow ne akwan a wɔfa so hu no gyina sɛ ebia efi ase wɔ abofra anaa ɔpanyin mu so.

Saa tebea yi abu so dɛn sɛ `GHD`?

Onyin mu ahoɔdennuru a enni nipadua mu (GHD) yɛ tebea a ɛntaa nsi koraa . Sɛ yɛbɛka no tiawa a, GHD ka mmofra bɛyɛ 4,000 biara mu biako kosi 10,000 biara mu biako. GHD a efi ase wɔ mpanyimfo mu nso yɛ tebea a ɛntaa nsi, na ɛka nnipa bɛyɛ 10,000 biara mu biako.

Dɛn ne `Growth Hormone Deficiency (GHD)` ho sɛnkyerɛnne?

GHD ho sɛnkyerɛnne gu ahorow gyina mfe a woadi so.

GHD ho sɛnkyerɛnne wɔ nkokoaa ne mmofra mu

Sɛ nkokoaa ne mmofra nya GHD a, wɔn nyin yɛ mmerɛw. Nsɛnkyerɛnne titiriw ne sɛ abofra no tenten kɔ soro nkakrankakra afe biara wɔ abofra no awoda a ɛto so abiɛsa akyi . Eyi kyerɛ sɛ wɔtaa nya mfaso a ennu nsateakwaa 1.4 afe biara.

Nneɛma afoforo a ɛwɔ mu ne:

• Anim a ɛte sɛ nea ɛyɛ kumaa sen ne mfe.
• Nwi ne nnadewa a ɛyɛ mmerɛw a enyin.
• Nsõ a ɛkyɛ.
• Mmabunbere a ɛkyɛ .
• Asikre dodow a ɛba fam wɔ mogya mu (`Hypoglycemia`) wɔ nkokoaa ne mmofra nkumaa mu.
• Nkokoaa mmarima a wɔawo wɔn foforo no akyi berɛmo sua koraa (`Micropenis`).

GHD ho sɛnkyerɛnne a efi ase wɔ mpanyin afe so

GHD ho sɛnkyerɛnne a efi ase wɔ mpanyin afe so no betumi ayɛ den kakra sɛ wobehu. Saa sɛnkyerɛnne ahorow yi bi ne:

• Anigye ne yiyedi a onni ho atenka.
• Dadwen ne/anaasɛ adwenemhaw.
• Nipadua mu ahoɔden a ɛso tew.
• Srade a ɛkɔ soro, titiriw wɔ yafunu no ho .
• Ntini mu ahoɔden a ɛso tew.
• Nnompe a ɛso tew no betumi de tebea horow te sɛ nnompe mu yare aba.
• Insulin a wɔko tia no betumi ama obi anya Asikreyare a Ɛto so Abien.
• LDL-cholesterol ne triglycerides dodow a ɛkɔ soro no ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse.

Dɛn ne nneɛma a ɛde saa tebea yi a wɔfrɛ no `GHD` ba?

Nea ɛde GHD ba no betumi ayɛ soronko a egyina mfe a tebea no fi ase so. Ɛtɔ da bi a, nsɛm bi wɔ hɔ a wontumi nhu nea ɛde ba biara (idiopathic).

Nneɛma a Ɛde GHD a Wɔde Awo Wɔn Ba

GHD a wonya fi awo mu no fi awosu mu nsakrae bi . Ɛtɔ da bi a eyi betumi ne ɔhaw ahorow a ɛwɔ amemene no nhyehyɛe mu anaasɛ anim no mfinimfini a ɛnyɛ ne kwan so (e.g., anom a apaapae, mfinimfini ntini biako).

Nyansahufo ahu awosu mu nsakrae pii a ɛde GHD ba. Ebi ne:

• Isolated growth hormone deficiency type IA: Saa awosu mu nsakrae yi ma onyin brɛoo wɔ awotwaa no fã, na akokoaa no sua koraa sen sɛnea wɔhwɛ kwan bere a wɔwoo no no. Mfiase no, saa nkurɔfo yi yɛ wɔn ade yiye wɔ aduru a wɔde yɛ onyin hormone (GH) a wɔde sa yare no ho, nanso akyiri yi wonya nnuru a ɛko tia hormone no. Eyi ma onyin yɛ mmerɛw na mpanyimfo tenten yɛ tiaa koraa.
• Isolated growth hormone deficiency type IB: Eyi te sɛ type IA, nanso saa nkokoaa yi wɔ abɔde mu GH bi wɔ wɔn nipadua mu wɔ awo mu. Wɔsan nso yɛ wɔn ade wɔ GH ayaresa a wɔde nsa ayɛ ho wɔ wɔn nkwa nna nyinaa mu.
• Isolated growth hormone deficiency type II: Saa nkurɔfo yi GH dodow sua koraa, na ebia ɛsono sɛnea wɔn tenten so tew. Mpɛn pii no, onyin a entumi nyɛ yiye no da adi wɔ mmofraase mfiase anaa mfinimfini. Saa nnipa yi mu bɛyɛ fã wɔ pituitary gland (Pituitary Hypoplasia) a ennyaa nkɔso.
• Isolated growth hormone deficiency type III: Te sɛ type II no, saa nkurɔfo yi wɔ GH dodow a ɛba fam koraa na wobetumi anya ahotɔ a ɛsonosonoe. Mpɛn pii no, onyin a entumi nyɛ yiye no da adi wɔ mmofraase mfiase anaa mfinimfini. Ebia wɔn nipadua mu tumi a ɛko tia nyarewa nso ayɛ mmerɛw na wɔtaa nya ɔyare mmoawa.

Ebia ɛsono sɛnea onyin mu ahoɔdennuru a enni hɔ a atew ne ho yi nya agyapade no wɔ awo ntoatoaso biara mu.

Nneɛma a Ɛde GHD a Wonya Ba

GHD a ɛba akyiri yi wɔ asetra mu no fi pituitary gland a ɛsɛe no. Saa ɔsɛe yi ma ntini no hwere tumi a ɛde yɛ onyin hormone na eyi fi mu. Mmofra ne mpanyimfo nyinaa betumi anya GHD wɔ saa kwan yi so.

Tebea anaa nsɛm a esisi te sɛ:

• Pituitary adenoma (akisikuru a ɛnyɛ kokoram).
• Mframa a wɔde sa pituitary gland anaa nea atwa ho ahyia no.
• Ti a opira kɛse anaa `Traumatic Brain Injury (TBI)`.
• Mogya a ɛkɔ pituitary gland no mu a ɛnsɛe.
• Ɔsɛe a ɛba wɔ akwanhyia mu anaasɛ wontumi nkwati bere a wɔreyɛ amemene no oprehyɛn anaa oprehyɛn a wɔde yi pituitary adenoma bi no.
• `Mfinimfini Ntini mu Nyarewa`.
• Nyarewa a ɛtrɛw wɔ nipadua no mu, te sɛ Langerhans cell histiocytosis, sarcoidosis, ne nsamanwaw.
• Akisikuru a ɛwɔ hypothalamus mu no betumi ama nhyɛso aba pituitary gland no so.

Ɔkwan bɛn so na yɛn nnuruyɛfo hu saa `GHD` tebea yi?

Wɔtaa hu GHD wɔ mmofra a wɔadi mfe abien mu. Nea edi kan no yɛ bɛyɛ mfe 5, bere a mmofra fi sukuu ase . Nea enti a ɛte saa ne sɛ ɛnyɛ den sɛ awofo betumi de wɔn ba no tenten atoto mmofra afoforo a wɔwɔ wɔn adesuakuw mu no de ho. Mfe a ɛto so abien no yɛ mfe 10-13 ma mmeawa ne 12-16 ma mmarimaa . Eyinom ne mfe a mpɛn pii no babunbere fi ase. Mmabunbere a ɛkyɛ betumi ama adwenem naayɛ aba wɔ GHD ho.

Ade a ɛho hia sen biara a ɛma wohu GHD wɔ mmofra mu ne nyin a ɛkɔ soro . Eyi ne sɛnea abofra no tenten renyin. Mpɛn pii no, onyin di nhyehyɛe bi akyi. Sɛ wɔhwɛ onyin so asram 6 kosi 12 na ɛwɔ nea ɛfata mu wɔ saa bere no mu a, hokwan kakraa bi na ɛwɔ hɔ sɛ onyin ho haw bɛba.

GHD a efi ase wɔ mpanyin afe so no betumi ayɛ den sɛ wobehu efisɛ ne sɛnkyerɛnne ahorow no mu nna hɔ na ɛte sɛ nea ɛtaa ba. Eyi betumi ama ayɛ den sɛ wobehu yare no.

Sɔhwɛ bɛn na wɔyɛ wɔ mmofra so de hu `GHD'?

Wo ba no duruyɛfo bɛhwɛ n’aduruyɛ ho abakɔsɛm ne n’anyin ho nhyehyɛe ahorow mu yiye ahwehwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ontumi nyin, asiane ahorow a ɛwɔ hɔ ma GHD, ne tebea afoforo a ebetumi aka onyin.

Akwahosan tebea afoforo a ebetumi aka onyin ne:

• Hypothyroidism (thyroid ntini a ɛnyɛ adwuma).
• Mmabunbere a ɛkyɛ.
• Celiac Yare a Ɛyare.
• Aduan pa a wonnya nni.

Esiane sɛ nkwaadɔm a ɛma onyin wɔ yɛn mogya mu no sakra kɛse da mũ no nyinaa nti, mogya mu nhwehwɛmu nkutoo ntumi nhu GH a enni yɛn mogya mu. Enti, wo ba no duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom de si GHD so dua na/anaasɛ ɔpow tebea afoforo a ebetumi aka onyin:

• X-ray: Wobetumi ayɛ nsa no X-ray de ahwɛ sɛnea nnompe nyin (nnompe mfe) ne sɛnea ebetumi anyin.
• Mogya mu nhwehwɛmu ne nhwehwɛmu afoforo a wɔyɛ wɔ aduruyɛdan mu:Mogya mu nhwehwɛmu bi betumi aboa ma wɔayi tebea afoforo a ɛka onyin afi hɔ anaasɛ aboa ma wɔahu GHD. Mogya mu nhwehwɛmu pɔtee ne insulin-te sɛ onyin factor-1 (IGF-1) ne insulin-te sɛ onyin factor binding protein-3 (IGFBP-3).
• Growth Hormone Stimulation Test: Eyi ne sɔhwɛ titiriw a nnuruyɛfo de hu GHD. Wɔ sɔhwɛ yi mu no, wɔma wo ba no aduru bi a ɛkanyan pituitary gland no ma ɛma GH fi adi. Afei oduruyɛfo no fa mogya na ɔsusuw GH dodow. Sɛ mogya mu nhwehwɛmu no nkyerɛ sɛ GH dodow no akɔ soro akodu dodow a wɔhwɛ kwan no a, ɛkyerɛ sɛ pituitary gland no ntumi nyɛ GH a ɛdɔɔso.
• Magnetic Resonance Image (MRI): Ebia wo ba no duruyɛfo bɛkra sɛ wɔnyɛ ne ti MRI. Eyi betumi aboa ma wɔahu nea ɛde GHD ba denam ɔhaw ahorow a wɔbɛhwehwɛ wɔ pituitary gland anaa amemene no mu no so.

Sɔhwɛ bɛn na wɔyɛ wɔ mpanyimfo so de hu `GHD`?

Sɔhwɛ a wɔtaa de hu GHD wɔ mpanyimfo mu ne Insulin Tolerance Test . Insulin yɛ hormone a yɛn dwensɔtwaa no fi awosu mu yɛ.

Wɔ sɔhwɛ yi mu no, oduruyɛfo no bɛma wo insulin a wɔde ayɛ aduru a ɛbɛma asikre dodow a ɛwɔ wo mogya mu no so atew. Afei, wɔbɛfa mogya na wɔasusuw sɛnea onyin hormone dodow a ɛwɔ wo mogya mu no.

Sɛ asikre dodow a ɛwɔ yɛn mogya mu no sua (hypoglycemia) a, mpɛn pii no, onyin hormone no fi adi. Sɛ wo mogya mu nhwehwɛmu kyerɛ sɛ wo nyin mu ahoɔdennuru dodow sua sen sɛnea wɔhwɛɛ kwan wɔ insulin a wotumi gyina ano ho nhwehwɛmu mu a, eyi si tebea GHD no so dua.

Ebia sɔhwɛ afoforo wɔ hɔ:

• `Glucagon nkanyan sɔhwɛ`
• `Macimorelin nkanyan sɔhwɛ`
• `Arginine nkanyan sɔhwɛ`
• `Clonidine nkanyan sɔhwɛ`

Ɔkwan bɛn so na wɔsa `Growth Hormone Deficiency (GHD)`?

GHD ayaresa a wɔde ma mmofra ne mpanyimfo nyinaa ne sɛ wɔde nnuru a ɛma obi nyin (Recombinant Human Growth Hormone) a wɔde twitwiw wɔn mu . Wobetumi de eyinom ama wɔ fie. Mpɛn pii no ɛsɛ sɛ nnipa a wɔwɔ GHD nom nnuru a wɔde twitwiw wɔn da biara da .

Aduru a wɔde yɛ onyin hormone a wɔde yɛ adwuma no yɛ nea ɛtra hɔ kyɛ , ɛtɔ mmere bi a ɛtra hɔ mfe pii. Ɛho hia yiye sɛ wobɛkɔ wo duruyɛfo nkyɛn daa ahwɛ sɛ ebia ayaresa no reyɛ adwuma yiye ne sɛ ebia ɛsɛ sɛ wɔyɛ nsakrae wɔ dodow a wɔde ma no mu anaa.

Sɛ wo anaa wo ba no ho yɛ den wɔ pituitary hormone afoforo mu a, wubehia ayaresa nso de asiesie saa sintɔ ahorow no.

Nneɛma bɔne a efi `GHD` ayaresa mu ba

Nsunsuanso bɔne a emu nyɛ den anaa nea ɛkɔ fam a efi onyin hormone a wɔde twitwiw nipadua mu de sa GHD no mu ba no ntaa mma. Nanso, ebia nea ɛka ho ne:

• Tipaeɛ.
• Ntini mu yaw anaa nkwaa mu yaw.
• Hypothyroidism a ɛnyɛ den.
• Nsa ne anan a ɛho ahonhon.
• Akyi berɛmo a ɛkɔ soro wɔ nnipa a wɔwɔ scoliosis mu.

Nneɛma bɔne a ɛntaa nsi, nanso anibere wom nso betumi aba:

• Tiyɛ a emu yɛ den a aniwa mu haw ka ho.
• Hip Dysplasia (asen dompe a ɛbata asen dompe no ho wɔ ɔkwan a ɛnteɛ so).
• Pancreatitis (dwensɔtwaa mu ɔfe).

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ɛho hia sɛ wo ne wo duruyɛfo kasa ntɛm ara . Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu.

Dɛn ne asiane ahorow a ɛma obi nya `GHD`?

Nea ɛyɛ awerɛhow no, wontumi nsiw GHD dodow no ara ano. Nanso, asiane ahorow bi betumi ama hokwan a ɛwɔ hɔ sɛ wo anaa wo ba benya GHD a wɔanya no ayɛ kɛse. Eyinom bi ne:

• Kokoram ayaresa a wobenya ansa na wɔadu mpanyin afe so.
• Mframa a wɔde sa yare a wɔde ma wɔ ti anaa amemene no mu.
• Nipadua mu Mframa a Wɔde Ma Nyinaa.
• Oprehyɛn a wɔyɛ wɔ amemene no ho, titiriw amemene no mfinimfini fã a pituitary gland no wɔ no.

Sɛ asiane ahorow yi mu biara fa wo anaa wo ba ho a, ɛho hia sɛ wuhu GHD ho sɛnkyerɛnne ahorow na wo ne wo duruyɛfo kasa fa ho.

Dɛn ne GHD ho nkɔmhyɛ?

Wɔ mmofra a wɔwɔ GHD fam no, dodow a wɔsa tebea no ntɛm no, dodow no ara na ɛda adi sɛ abofra no benyin abɛn ne mpanyimfo tenten a ɛfata . Mmofra dodow no ara nya nsateakwaa anan anaa nea ɛboro saa wɔ afe a edi kan a wɔde sa yare no mu. Wɔnya nsateakwaa mmiɛnsa anaa nea ɛboro saa wɔ mfeɛ mmienu a ɛdi hɔ no mu. Ɛno akyi no, nkɔso a ɛba no brɛ ase.

Nnipa a wɔwɔ GHD a efi ase wɔ mpanyimfo mu no, sɛ wɔsa wɔn yare yiye a, mpɛn pii no wonya adwene pa na wotumi tra ase yiye.

Dɛn ne nsɛnnennen a ebetumi afi GHD mu aba?

Sɛ wɔansa GHD a ɛwɔ mmofra mu a, ebetumi ama wɔn tenten ayɛ tiaa na wɔakyɛ wɔ wɔn mpanyin afe so .

Sɛ wɔsa wɔn yare yie mpo a, nnipa a wɔwɔ GHD a ɛfiri mpaninfoɔ mu no wɔ asiane kɛseɛ mu sɛ wɔbɛnya komayareɛ ne akisikuru . Wobetumi atew asiane yi so denam suban pa te sɛ aduan a ɛkari pɛ a wobedi ne apɔw-mu-teɛteɛ daa so.

Nnipa a wɔwɔ GHD a wofi ase wɔ mpanyin afe so nso wɔ asiane kɛse mu sɛ wobenya nnompe mu yare. Eyi kyerɛ sɛ ɛyɛ mmerɛw sɛ wobebubu nnompe esiane apirakuru nketenkete anaa asehwe nti. Nea ɛbɛyɛ na asiane ahorow yi so atew no, ɛho hia sɛ wudi aduan a calcium pii wom na wonom vitamin D a wɔde ma sɛnea wo duruyɛfo kamfo kyerɛ no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn wɔ GHD ho?

Nneɛma pii nti na mmofra betumi anyin nkakrankakra na wɔayɛ tiaa asen sɛnea ɛte daa. Ɛtɔ mmere bi a, onyin a ɛba brɛoo no betumi ayɛ nea ɛfata na ɛyɛ bere tiaa mu de. Sɛ nhwɛso no, bere a mmabunbere rebɛn no. Sɛ wo ba no nyin ntɛmntɛm ho asɛm haw wo a, kɔ mmofra ntini ho oduruyɛfo anaa oduruyɛfo foforo nkyɛn . Wobetumi aboa wo ma woahu sɛ wo ba no nyin yɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho anaa.

Sɛ woyɛ ɔpanyin na wowɔ GHD ho sɛnkyerɛnne a, wo ne wo duruyɛfo nkasa.

Sɛ wohu sɛ wo anaa wo ba no anya GHD a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn daa na ama woahwɛ ahu sɛ ayaresa no reyɛ adwuma yiye .

Sɛ wuhu sɛ wo ba no nyin akyɛ a, ɛho hia sɛ wo ne wo duruyɛfo kasa ntɛm ara sɛnea wubetumi. Ɛwom sɛ ɛnyɛ nea ɛbɛyɛ yiye sɛ GHD na ɛde ba de, nanso ɛfata sɛ wohwɛ nsakrae biara a ɛhaw adwene. Sɛ wohu nnipa a wɔwɔ GHD ntɛm a, wonya adwene pa na mpɛn pii no wobetumi abɔ bra pa. Sɛ wowɔ nsɛmmisa bi fa wo ba no nyin ho a, nsuro sɛ wubebisa wo duruyɛfo. Wɔwɔ ha sɛ wɔrebɛboa.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Enti, ebia wobɛte nea `Growth Hormone Deficiency (GHD)` yɛ ne sɛnea ebetumi aka mmofra ne mpanyimfo nyinaa ase. Ade a ɛho hia sen biara ne sɛ woremmɔ hu wɔ ho, na sɛ wowɔ biribi a ɛhaw wo a, wobɛkɔ oduruyɛfo nkyɛn ntɛm ara . Sɛ wɔhunu yareɛ no ntɛm na wɔsa wɔn yareɛ yie a, nnipa dodoɔ no ara a wɔwɔ `GHD` no bɛtumi atra ase yie, apɔmuden. Sɛ wowɔ wo ba no nkɔso anaa w’ankasa akwahosan ho dadwen bi a, ɛnka akyi dodo da sɛ wo ne oduruyɛfo bɛkasa afa ho.

` Onyin Hormone a Enni Mu, GHD, Onyin Hormone a Enni Hɔ, Pituitary Gland, Mmofra Nnyin, Tiatiaa, Hormone Ho haw, GH