Amekae nye lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala? Ðe wòhiã be nàdo go ɖekaa?

Ðewohĩ èse "dɔlékuiŋutinunyala" aɖe ŋkɔ kpɔ. Gake ameka tututue nye esia? Nukae ɖɔkta siawo wɔna? Ðe wòahiã gbeɖe be nàkpɔ eŋutinunyala bibi aɖe abe esia enea? Esiawo nye nyabiase siwo le ame geɖe si. Eyata egbea, mina míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ. Le mɔ si gɔme nàte ŋu ase nu la, ele abe nuƒoƒo na xɔ̃wò ene.

Amekae nye lãmenugbagbeviwo ŋuti nunyala sia?

Kpuie ko la, lãmenugbagbeviwo ŋuti nunyala nye ɖɔkta si bi ɖe lãmetsiŋusẽ siwo le míaƒe ŋutilã me me. Woawoe dea dzesi dɔléle siwo do ƒome kple lãmetsiŋusẽ , wɔa ɖoɖo ɖe wo dada ŋu, eye woŋlɔa atike siwo hiã la na wo.

Fifia ɖewohĩ èle eŋu bum be, "Nukae nye lãmetsiŋusẽwo?" Mina míalé ŋku ɖe ema hã ŋu.

Eyata nukae nye Endocrinology?

Endocrinology nye lãmetsiŋusẽwo, kpakple lãkusiwo kple ŋutinu siwo wɔa lãmetsiŋusẽwo ŋuti nusɔsrɔ̃. Esiawo katã ƒo ƒu wɔ míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ .

Tsɔe be dɔla suesuesuewo le wò ŋutilã me. Woyɔa dɔla siawo be lãmetsiŋusẽ. Wogblɔna na wò ŋutilã ƒe akpa vovovowo be woawɔ esia, wɔ ema. Lãmetsiŋusẽ ƒomevi vovovo siwo wu 50 ye le míaƒe ŋutilã me. Esiawo kpɔa gome le nu vevi geɖe siwo yia edzi le míaƒe ŋutilã me la me. Le kpɔɖeŋu me:

• Metabolism : Esia nye alesi míetrɔa nuɖuɖu si míeɖuna wòzua ŋusẽ.
• Tsitsi: Míetsina ɖe edzi, míaƒe ŋutilã tsina.
• Gbɔdɔdɔ kple vidzidzi : Nuwo abe vidzidzi ene.
• Alɔ̃dɔdɔ: Míaƒe alɔ̃dɔdɔ dzi ɖuɖu.

Lãmenugbagbevi tɔxɛ siwo le míaƒe ŋutilã me ye wɔa lãmetsiŋusẽ siawo. Le kpɔɖeŋu me, ɖewohĩ èse lãmenugbagbevi si woyɔna be thyroid gland kple pituitary gland ŋkɔ kpɔ . Lãmetsiŋusẽwo hã tsoa ŋutinuwo abe míaƒe dɔgbo kple azigolo me le nyɔnuwo me.

Zi geɖe la, dɔléle siawo siwo do ƒome kple lãmetsiŋusẽ, abe suklidɔ ene, nyea nɔnɔme siwo nɔa anyi didi. Eyata ahiã be amesi ŋu dɔléle sia le nalé ƒomedodo me ɖe asi kple lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala le eƒe agbemeŋkekewo katã me. Wonye dɔ sia ŋuti nunyalawo, eye woate ŋu akpe ɖe ŋuwò nànɔ agbe si me lãmesẽ le.

Nuka tututue lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala wɔna?

Dɔ si lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala wɔna la keke ta ŋutɔ. Nu vevi siwo wowɔna dometɔ aɖewoe nye esi:

• Dodokpɔ siwo hiã be woawɔ le dodokpɔxɔ me be woatsɔ anya dɔlélewo alo alé ŋku ɖe wo ŋu, vevietɔ kafukafu be woawɔ ʋudodokpɔwo kple woƒe emetsonuwo me dzodzro. Aleae wokpɔa tɔtrɔ kple nusiwo mesɔ o le lãmetsiŋusẽ ƒe agbɔsɔsɔ me.
• Kafukafu be woawɔ nɔnɔmetatawo dodokpɔ vovovowo , abe fotoɖeɖe ene, be woatsɔ ado míaƒe lãmenugbagbeviwo kple ŋutinuwo kpɔ.
• Ƒu me mineral density dodokpɔwo wɔwɔ kple woƒe emetsonuwo me toto. Esia le vevie ŋutɔ le dɔléle siwo do ƒome kple ƒuwo abe ƒumeŋuɖui ene me .
• Fine-needle aspiration biopsies le wò lãkusi me . Esia bia be nàɖe lãmenugbagbevi sue aɖe tso wò lãkusi me, abe ƒunukpeƒetetedɔ ene, me atsɔ adoe kpɔ.
• Atikewɔwɔ ƒe ɖoɖo aɖe kafukafu. Esia ate ŋu alɔ atikewo kple amekoko gɔ̃ hã ɖe eme ɣeaɖewoɣi .
• Atike siwo hiã la ŋɔŋlɔ na amewo.
• Ne dɔléle aɖe le ŋuwò ɣeyiɣi didi la, ele vevie be nàlé ŋku ɖe wò atikewɔwɔ ƒe ɖoɖoa ŋu le ɣeyiɣi aɖe megbe eye nàwɔ tɔtrɔ ɖesiaɖe si hiã.

Dɔléle kawoe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala daa dɔ na?

Dɔlékuiŋutinunyala ate ŋu akpɔ dɔléle geɖe siwo do ƒome kple wò lãmetsiŋusẽwo ahada wo . Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Calcium kple ƒumedɔlélewo: Esia lɔ nɔnɔmewo abe hypercalcemia ( calcium si sɔ gbɔ ɖe ʋu me) kple ƒumeŋuɖui (ƒuwo ƒe gbɔdzɔgbɔdzɔ) ɖe eme.
• Suklidɔ: Ðewohĩ èse esia ŋu nya kpɔ. Enye nɔnɔme si tso kuxi aɖe si le lãmetsiŋusẽ si nye insulin ŋu gbɔ .
• Kansa kple lãmenugbagbeviwo ƒe dɔdzẽ: Kpɔɖeŋu aɖewoe nye lãkusi me dɔdzẽ kple ahɔhɔ̃mekawo ƒe dɔdzẽ .
• Lãmetsiŋusẽ ƒe nɔnɔmewo: Esia lɔ nuwo abe lolo akpa kple lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dɔléle ene ɖe eme .
• Dɔléle siwo le lãkusi kple adrenal glandwo ŋu: Le kpɔɖeŋu me , hypopituitarism (pituitary gland si mewɔa dɔ nyuie o) kple Cushing syndrome .
• Dɔléle siwo do ƒome kple gbɔdɔdɔ ƒe tsitsi kple vidzidzi: Kpɔɖeŋu aɖewoe nye hypogonadism (gbɔdɔdɔ ƒe lãmetsi siwo mebɔ o) kple PCOS (Polycystic Ovary Syndrome), si nye nɔnɔme si bɔ ɖe nyɔnuwo dome.
• Lãmetsiŋusẽdɔlélewo: Hypothyroidism (lãmetsiŋusẽ si mebɔ o) kpleNɔnɔmewo abe hyperthyroidism (thyroid hormone ƒe dzidziɖedzi).

Ɣekaɣie wòle be makpɔ lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala?

Zi geɖe la, wò ƒomea ƒe ɖɔkta, si wogayɔna be wò Atikewɔla Gbãtɔ (PCP) alo Atikewɔla Gã (GP) ate ŋu akpɔ lãmenugbagbeviwo ƒe dɔléle akpa gãtɔ ahada wo. Gake le go aɖewo me la, ate ŋu aɖe vi na wò geɖe wu ne èyi lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ.

Bu eŋu ale. Ne ʋuʋudedi sue aɖe le wò ʋua ŋu la, àte ŋu ana woaɖɔe ɖo le ʋudzraɖoƒe si le mia gbɔ. Gake ne kuxi gã aɖe le ʋua ƒe mɔ̃ ŋu la, èyia teƒe aɖe si bi ɖe ʋu ma ƒomevi me eye wònyae nyuie. Nenema kee wòle le esia hã gome. Lãmetsiŋutinunyala nye amesi si lãmetsiŋusẽ ŋuti sidzedze deto le eye wònya atikewɔwɔ, atike, kple mɔ̃ɖaŋununya yeyetɔ kekeake.

Eyata ne wò ɖɔkta gã susui be lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie le ŋuwò la, ate ŋu aɖo wò ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ be wòakpɔ dɔlélea nyuie. Azɔ hã, lãmenugbagbeviwo ŋuti nunyala ate ŋu anɔ atikewɔlawo ƒe ƒuƒoƒoa me ne ele dɔléle aɖewo, abe kansa, alo kuxiwo abe vidzidzi ene, dam.

Nukae wòle be nàkpɔ mɔ na ne èyi lãmenugbagbeviwo ƒe dɔdala gbɔ?

Anɔ eme godoo be àdo go lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala aɖe le woƒe dɔwɔƒe, si nye dɔnɔdzikpɔƒe ƒe sasrãkpɔ. Le afima la, woabia nya geɖe wò tso wò atikewɔwɔ ŋutinya , atike siwo nèzãna fifia , kple dɔlélea ƒe dzesiwo ŋu . Woate ŋu awɔ ŋutilãmedɔdada hã.

Nu vevitɔe nye be nàgblɔ nya sia nya na wò ɖɔkta, aleke kee wòɖale sue o, elabena akpe ɖe eŋu wòase wò nɔnɔmea gɔme nyuie wu.

Nu kawo mee lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyalawo bi ɖe?

Subspecialties geɖe wu gɔ̃ hã le lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunya ƒe akpaa me. Dɔlékuiwutikeŋutinunyala aɖewo bi ɖe nuto aɖewo abe:

• Suklidɔ kple lãmenugbagbeviwo ƒe dɔwɔwɔ: Woléa ŋku ɖe suklidɔ kple lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dɔléle siwo do ƒome kplii ŋu etɔxɛe.
• Endocrinology nuclear medicine: Wozãa nuklia atikewɔwɔ tsɔ dia lãmenugbagbeviwo ƒe dɔléle aɖewo hedaa wo.
• Endocrine oncology: Etɔxɛe le kansa siwo gblẽa nu le lãmenugbagbeviwo ƒe dɔwɔwɔ ŋu.
• Ƒumeŋuɖui ƒe dɔléle kple calcium ƒe dɔlélewo: Eléa fɔ ɖe ƒumedɔlélewo abe ƒumeŋuɖui kple tɔtrɔ le calcium ƒe agbɔsɔsɔ me ŋu.
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ:Míesrɔ̃a nu tso ƒomedodo si le míaƒe lãmekawo kple lãmenugbagbeviwo ƒe dɔwɔwɔ dome ŋu.
• Ðeviwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunya: Ebi ɖe kuxi siwo do ƒome kple lãmetsiŋusẽ ƒe dɔwɔwɔ le ɖeviwo me, abe tsitsi ƒe kuxiwo kple suklidɔ ene me.
• Thyroid dɔléle: Míesrɔ̃a nu tso dɔléle siwo katã do ƒome kple thyroid gland ŋu tsitotsito.

Ðewohĩ èse vidzidzi ƒe lãmenugbagbeviwo ŋuti nunyalawo hã ŋkɔ kpɔ . Le nyateƒe me la, esia nye vidzidzi kple nyɔnuwo ƒe dɔléle ŋuti nunya ƒe dɔ tɔxɛ aɖe. Woƒe susu nɔa nyɔnuwo ƒe vidzidzi ŋu koŋ.

Nu vevitɔ kekeake si dzi wòle be nàɖo ŋkui (Take-Home Message) .

Enye nusi sɔ be nàse le ɖokuiwò me be yegbɔdzɔ ne wokpɔ dɔléle aɖe le ŋuwò yeyee. Ne lãmetsiŋusẽ ƒe dɔléle aɖe le ŋuwò, abe suklidɔ alo lãkusi ƒe kuxiwo ene la, lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala ate ŋu akpe ɖe ŋuwò nàkpɔ wò dɔlélea gbɔ ahanɔ agbe le lãmesẽ me. Wonye woƒe dɔa ŋuti nunyalawo eye wose atikewɔwɔ yeyetɔ kekeake gɔme nyuie.

Ne dɔléle aɖe si nɔa anyi didi le ŋuwò la, ele vevie be nàdi lãmenugbagbeviwo ŋuti nunyala si dzi nèka ɖo eye nàte ŋu aƒo nu kplii. Àhiã woƒe kpekpeɖeŋu ɣeyiɣi didi aɖe. Eyata, mègavɔ̃ be yeabia wò nyawo eye yeatu ƒomedodo nyui ɖo kple wò ɖɔkta o. Anye nu vevi aɖe ŋutɔ na wò nyonyo!

`lãmenugbagbeviwo ŋuti nunyala, lãmetsiŋusẽwo, lãmenugbagbeviwo ƒe dɔwɔwɔ, suklidɔ, lãkusi, PCOS, lãmenugbagbeviwo ƒe dɔwɔwɔ, ɖɔkta bibi, Sinhalatɔwo ƒe atikewɔwɔ ŋuti aɖaŋuɖoɖo, lãmetsiwo, lãmenugbagbeviwo ƒe dɔwɔwɔ, suklidɔ, lãkusi, ɖɔkta bibi, lãmetsiŋusẽ ƒe kuxiwo