Èbu eŋu kpɔ be amekae kpɔa ŋusẽ ɖe nu geɖe siwo le wò ŋutilã me, abe wò tsitsi, wò kpekpeme, nuteɖeamedzi, kple vidzidzi ŋutete ene dzia? Nuwɔwɔ sue aɖe si ŋu ŋusẽ le ŋutɔ le nusiawo katã megbe. Emae nye lãkusi si woyɔna be Anterior Pituitary, si le míaƒe ahɔhɔ̃a ƒe gɔme. Egbea, míaƒo nu tso dɔtɔ sue sia ŋu.
Kpuie ko la, nukae nye Anterior Pituitary?
Anterior Pituitary fia wò pituitary gland ƒe ŋgɔgbekpa. Wogayɔnɛ be ``Adenohypophysis`` le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me. Pituitary gland sia le sue ŋutɔ, abe pea ene. Gake eƒe dɔa lolo ŋutɔ. Enɔa wò ahɔhɔ̃ ƒe gɔme, le ``Hypothalamus`` te.
Tsɔe be míaƒe ŋutilã le abe saŋkuƒoha gã aɖe ene. Emegbe Anterior Pituitary gland siae nye saŋkuƒoha ma dzikpɔla. Eyae nye amesi dea dɔ asi na lãkusi bubu geɖe le ŋutilãa me eye wòkpɔa egbɔ be wowɔe nyuie. Ne míagblɔe bubui la, ewɔa dɔ gã aɖe le lãmetsiŋusẽ ƒe ɖoɖo si le míaƒe ŋutilã me ƒe dadasɔ me.
Akpa vevi eve le pituitary gland la ŋu:
1. Anterior Lobe: Esiae nye Anterior Pituitary si ŋu míele nu ƒom tsoe egbea.
2. Posterior Lobe: Esia wɔa dɔ ʋɛ bubu aɖewo.
Anterior Pituitary wɔa lãmetsi vevi ade (6) siwo hiã na míaƒe ŋutilã eye wòɖea wo ɖe ʋukawo me. Lãmetsiŋusẽ siawo kpɔa ŋusẽ ɖe nu geɖe dzi le míaƒe ŋutilã me.
- Tsitsi
- Nuwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ
- Vidzidzi
- Nuteɖeamedzi ƒe ŋuɖoɖo
- Notsi wɔwɔ (Notsi nana) .
Lãmetsiŋusẽ kawoe Anterior Pituitary gland wɔ?
Enyo, azɔ mina míalé ŋku ɖe lãmetsi vevi 6 siwo dɔtɔ sue sia ɖena ɖe míaƒe ŋutilã me ŋu, kple nusi dzɔna ɖe wo dzi. Be esia dzi nanɔ bɔbɔe na mí la, na míalé ŋku ɖe kplɔ̃ aɖe ŋu.
| Lãmetsiŋusẽ | Nusi woawɔ bɔbɔe |
|---|---|
| Lãmetsiŋusẽ si naa adrenocorticotropic (ACTH) . | Eʋãa adrenal glands, siwo le míaƒe ayikuwo tame, be woawɔ lãmetsi si nye cortisol , si kpena ɖe mía ŋu míenɔa te ɖe nuteɖeamedzi nu. |
| Lãmetsiŋusẽ si doa ŋusẽ lãkusi (FSH) . | Eʋãa nyɔnuwo ƒe azigolowo be wòakpe ɖe wo ŋu woatsi ahawɔ lãmetsi si nye estrogen . Eʋãa ŋutsuwo ƒe vidzidɔ be wòakpe ɖe wo ŋu woawɔ tsinyenye. |
| Lãmetsiŋusẽ si naa Luteinizing (LH) . | Ekpena ɖe nyɔnuwo ƒe azigolowo ŋu be woawɔ lãmetsi si nye progesterone . Ekpena ɖe ŋutsuwo ŋu wowɔa lãmetsi si nye testosterone . |
| Amegbetɔ ƒe Tsitsi Ŋuti Lãmetsiŋusẽ (HGH) . | Ele vevie na ɖeviwo ƒe ŋutilã ƒe tsitsi. Ekpena ɖe ame tsitsiwo ƒe lãmekawo kple ƒuwo ŋu be woanɔ lãmesẽ me eye wòkpɔa ŋutilã me ami ƒe mama dzi. |
| Prolactin si wotsɔ wɔa dɔe | Edoa ŋusẽ no ƒe notsi wɔwɔ le vidzidzi megbe. Ekpɔa ŋusẽ ɖe dzinukpɔkpɔ, vidzidzi, kple gbɔdɔdɔ ƒe dɔwɔwɔ hã dzi. |
| Lãmetsiŋusẽ si doa ŋusẽ lãkusi (TSH) . | Eʋãa lãkusi si le kɔ me, si wɔnɛ be wòwɔa lãkusi me lãmetsiwo. Lãmetsiŋusẽ siawo le vevie ŋutɔ be míate ŋu akpɔ míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi. |
Dɔléle kawoe do ƒome kple Anterior Pituitary Gland?
Esi wònye be lãkusi sia kpɔa ŋusẽ ɖe lãmetsiŋusẽ geɖe dzi ta la, kuxi suetɔ kekeake si le eŋu gɔ̃ hã ate ŋu ahe lãmesẽkuxi gbogbo aɖewo vɛ. Zi geɖe la, woate ŋu ama kuxi siawo ɖe hatsotso vevi eve me.
1. Hypopituitarism: Esia fia be pituitary gland la mewɔa dɔ nyuie o, si fia be mewɔa lãmetsi siwo hiã la wòsɔa gbɔ o.
2. Hyperpituitarism: Esia fia be pituitary gland la wɔa dɔ akpa, eye wòwɔa lãmetsiŋusẽ geɖe wu alesi wòhiã.
Susu vevi geɖewo li siwo tae nɔnɔme siawo dzɔna ɖo:
- Tumor siwo dona le pituitary gland me - woyɔa esiawo be ``pituitary adenomas``.
- Nusiwo gblẽ le Anterior Pituitary, Hypothalamus, alo ducts siwo do ƒome kpli wo ŋu le abixɔxɔ, dɔlékuiwo, alo ʋu ƒe dodo ta (`(pituitary apoplexy)`).
- Domenyiŋusẽfianu aɖewo, le kpɔɖeŋu me `multiple endocrine neoplasia (MEN)`.
Dɔléle siwo lãmetsiŋusẽ ƒe agbɔsɔsɔ si mede ame dzi o hena vɛ (Hypopituitarism) .
Nɔnɔme siawo ate ŋu ado mo ɖa le lãmetsiŋusẽ ɖeka alo esi wu nenema si pituitary gland wɔna dzi ɖeɖe kpɔtɔ ta.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe |
|---|---|
| Adrenal ƒe dɔmawɔmawɔ nyuie evelia | Adrenal glands ƒe dɔwɔwɔ dzi ɖena kpɔtɔna le ACTH lãmetsiŋusẽ ƒe wɔwɔme dzi ɖeɖe kpɔtɔ ta. |
| Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ (GHD) . | Womewɔa tsitsi ƒe lãmetsi (HGH) le agbɔsɔsɔ si sɔ me o. Esia nye susu siwo ta ɖeviwo tsina kpuie la dometɔ ɖeka. |
| Titina ƒe hypogonadism | FSH kple LH lãmetsiwo dzi ɖeɖe kpɔtɔ nana gbɔdɔdɔ ƒe lãmetsiwo wɔwɔ tso azigolo alo vidzidɔ me dzi ɖena kpɔtɔna. |
| Titina ƒe ʋumenugbagbeviɣidɔ | TSH lãmetsi si dzi ɖe kpɔtɔ nana be lãkusi ƒe dɔwɔwɔ dzi ɖena kpɔtɔna. |
Dɔléle siwo lãmetsiŋusẽ ƒe agbɔsɔsɔ si dzi ɖe edzi hena vɛ (Hyperpituitarism) .
Nɔnɔme siawo tsoa pituitary lãmetsi ɖeka alo esi wu nenema ƒe dzidziɖedzi fũ gbɔ.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe |
|---|---|
| Acromegaly ƒe dɔléle | Ame tsitsiwo ƒe tsitsi ƒe lãmetsi (HGH) ƒe wɔwɔ fũ akpa, si nana ƒuwo kple lãkusiwo tsina le mɔ si mesɔ o nu (e.g., asiwo, afɔwo, kple mo ƒe lolome). |
| Gãwo ƒe nɔnɔme | Tsitsi ƒe lãmetsi ƒe wɔwɔ fũ akpa le ɖevime alo ƒewuiwo me, si wɔnɛ be ame ƒe kɔkɔme mekɔna le mɔ si mesɔ o nu. |
| Cushing ƒe dɔlélea | Lãmetsiŋusẽ si nye ACTH ƒe wɔwɔ fũ akpa nana ŋutilãa wɔa cortisol si sɔ gbɔ akpa. Esia nye nɔnɔme ƒomevi aɖe si woyɔna be `Cushing ƒe dɔléle.' |
| Prolactinemia si gbɔ eme | Wowɔa lãmetsi si nye prolactin wògbɔa eme. |
| Titina ƒe ʋumenugbagbeviɣidɔ si gbɔ eme | Lãmetsiŋusẽ si nye TSH (esia nye nɔnɔme si mebɔ kura o) ƒe wɔwɔ fũ akpa ta. |
Nu vevitɔe nye be zi geɖe la, dzesi siawo ate ŋu asɔ kple dɔléle bubuwo tɔ. Eyata ne èsusu be kuxi aɖe le ye ŋu abe esia ene la, yi ɖɔkta gbɔ enumake hena aɖaŋuɖoɖo.
Aleke ɖɔkta wɔna léa ŋku ɖe lãkusi sia ƒe lãmesẽ ŋu?
Ne ƒunukpeƒetetedɔ ƒe dzesiwo le ŋuwò la, wò ɖɔkta akpɔ wò lãmetsiŋusẽ ƒe agbɔsɔsɔ gbã. Zi geɖe la, woate ŋu awɔ esiawo to ʋudodokpɔ me .
Ne nanewo mesɔ le dodokpɔ mawo me o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò abe MRI-dɔdamɔnu ene be woatsɔ alé ŋku ɖe lãkusi si me ʋu sina tona ŋu nyuie.
Aleke mawɔ ana nye Anterior Pituitary gland nanɔ lãmesẽ me?
Le nyateƒe me la, womate ŋu axe mɔ ɖe dɔlékui sia ƒe kuxiwo nu ɣesiaɣi o. Gake nu vevi ɖeka aɖe li míate ŋu awɔ. Eye emae nye be míakpɔ míaƒe ta ta.
Ta ƒe abixɔxɔ kple ahɔhɔ̃ ƒe abi si nu sẽ (TBI) ate ŋu agblẽ nu le lãkusi si me ʋu sina tona ŋu, si ate ŋu ana lãmetsiŋusẽ ƒe dɔwɔwɔ dzi naɖe akpɔtɔ alo adzi ɖe edzi.
Eyata, nu aɖewo siwo nàte ŋu awɔ atsɔ akpɔ wò ta tae nye esi:
- Do zikpuimeka ɣesiaɣi si nèle ʋu me.
- Ʋua ʋu dedie.
- Do gakuku ne èle gasɔ dom, dzokeke, alo kamedefefewo (vevietɔ kamedefefe siwo ate ŋu alɔ ʋu ƒe gododo ɖe eme) ƒom.
- Ðe afɔ aɖewo be màgadze anyi o. Esia le vevie ŋutɔ na ame tsitsiwo. Ðe nusiwo le glidzaglidza kple nusiwo ate ŋu ana wòadze anyi ɖa.
- Ne ɖevi suewo le asiwò la, kpɔ egbɔ be teƒe siwo wofea fefe le ahanɔ dedie le.
Anterior Pituitary nye lãkusi sue aɖe gake ŋusẽ le eŋu si kpɔa ŋusẽ ɖe míaƒe lãmesẽ ƒe akpa geɖe dzi. Eyata ne dzesi yeye alo dzimaɖitsitsi aɖewo le ŋuwò la, mègatsɔe be nu bubu aɖee o, ke boŋ ƒo nu kple ɖɔkta ɣesiaɣi. Woate ŋu akpɔ wò lãmesẽ ƒe nɔnɔmetata si sɔ to dodokpɔ bɔbɔe ʋɛ aɖewo me.
Gbedasi si Wotsɔ Yi Aƒeme
- Anterior Pituitary nye lãkusi si lolo abe pea ene, gake wòle vevie ŋutɔ, si le wò ahɔhɔ̃ ƒe gɔme.
- Ewɔa lãmetsiŋusẽ 6 siwo kpɔa ŋutilã ƒe dɔwɔwɔ veviwo abe tsitsi, lãmenugbagbeviwo ƒe dɔwɔwɔ, kple vidzidzi dzi.
- Atikewɔwɔ me nɔnɔme vovovowo ate ŋu ado mo ɖa le lãmetsi siawo ƒe agbɔsɔsɔ fũ (hyperpituitarism) alo woƒe anyimanɔmanɔ (hypopituitarism) ta.
- Ele vevie ŋutɔ be woakpɔ ta ta, elabena ta ƒe abi ate ŋu agblẽ nu le lãkusi sia ŋu.
- Ne dzesi siwo do ƒome kple lãmetsiŋusẽ ƒe kuxi aɖe le ŋuwò la, mègahe ɖe megbe le wò ɖɔkta gbɔ yiyi enumake hena aɖaŋuɖoɖo xɔxɔ o.
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