Ðe nètsi dzi ɖe viwòa ƒe tsitsi ŋua? Ðe esia ate ŋu anye Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ (GHD)a?

Ðe viwò suea le tsitsim blewu wu ɖevi bubu siwo nye eƒe ƒemetɔwoa? Alo ɖe nèsusu be eƒe dzedzeme le kpuie wu ƒe si wòxɔa? Enye nusi sɔ be dzilawo natsi dzi ɖe nu siawo tɔgbe ŋu ɣeaɖewoɣi. Ke hã, ɖewohĩ manye nya tsɛ ɣesiaɣi o. Egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu ava susu me na mí le ɣeyiɣi mawo tɔgbe me, gake mebɔ boo o ŋu. Emae nye `Tsitsi ƒe Lãmetsiŋusẽ ƒe Gbɔdzɔgbɔdzɔ`, si woyɔna hã be `GHD` kpuie.

Nukae nye `Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ (GHD)` sia? Mina míase egɔme bɔbɔe!

Kpuie ko la, GHD nye nɔnɔme si me lãkusi sue aɖe si le míaƒe ahɔhɔ̃ me, si nye lãkusi si woyɔna be pituitary gland, mewɔa tsitsi ƒe lãmetsi (GH) si hiã, si le vevie na ŋutilã ƒe tsitsi o. Ame aɖewo hã yɔa esia be "pituitary dwarfism." Nɔnɔme sia ate ŋu adze vidzĩwo, ɖeviwo, kple ame tsitsiwo dzi. Zi geɖe la, ɖevi siwo ŋu GHD le nɔa kpuie wu ƒe si woxɔ, gake woƒe ŋutilã ƒe lolome bubuwo ate ŋu asɔ.

Ènyaa, lãmetsiŋusẽwo le abe atikewo ƒe dɔlawo ene le míaƒe ŋutilã me. Wozɔa mɔ to ʋua me hegblɔa nusi wòle be míawɔ kple ɣeyiɣi si míawɔe na míaƒe ŋutinuwo, lãmekawo, kple lãmenugbagbevi bubuwo.

Míaƒe `Pituitary Gland` nye `Endocrine Gland` sue aɖe, gake wòle vevie ŋutɔ. Enɔ míaƒe ahɔhɔ̃ ƒe gɔme, le `Hypothalamus` te. Akpa vevi eve le esi: `Ŋgɔgbe Lobe` kple `Megbe Lobe`. Enye `Anterior Lobe` si wɔa `Growth Hormone (GH)` kple lãmetsi bubu siwo ade 8.

Ɣeaɖewoɣi la, dɔléle aɖe si woyɔna be hypopituitarism hã ate ŋu anɔ amesiwo ŋu GHD le ŋu, si nye lãmetsiŋusẽ bubu siwo ƒunukpeƒetetedɔ wɔna ƒe anyimanɔmanɔ. Lãmetsiŋusẽ siawo dometɔ aɖewoe nye:

• `Lãmetsiŋusẽ si tsia tsinyegoe me (ADH alo Vasopressin)`
• `Lãmetsi si doa ŋusẽ lãkusi`
• `Luteinizing Lãmetsiŋusẽ`
• Lãmetsiŋusẽ si doa ŋusẽ lãkusi (TSH) .
• `Adrenocorticotrophic Lãmetsiŋusẽ (ACTH)`

Eyata nukae `Tsitsi ƒe Lãmetsiŋusẽ` sia wɔna?

Tsitsi ƒe lãmetsi (GH) le vevie ŋutɔ na ɖeviwo ƒe tsitsi. Edzea ametia ƒe akpa geɖe dzi. Ele vevie na tsitsi nyuie, lãmekawo kple ƒuwo ƒe ŋusẽ, kple ŋutilã me ami ƒe mama .

Ne tsitsi ƒe agbalẽvi (epiphyses) siwo le míaƒe ƒuwo me tu, si fia be míedzudzɔa tsitsi vɔ la, GH megakpena ɖe mía ŋu míetsina o. Gake míaƒe ŋutilã hiã GH kokoko. Ne míele tsitsim la, GH kpena ɖe mía ŋu míeléa ŋutilã ƒe wɔwɔme si sɔ, enaa lãmenugbagbeviwo ƒe dɔwɔwɔ nɔa dɔ wɔm nyuie, eye wòkpena ɖe mía ŋu be sukli ƒe agbɔsɔsɔ le ʋu me nanɔ anyi .

Eyata, àte ŋu akpɔe be eɖanye ɖevi, ƒewuivi, alo ame tsitsi o, ne tsitsiŋusẽ mele wò ŋutilã me o la, ate ŋu akpɔ ŋusẽ ɖe dziwò le mɔ vovovowo nu le wò ƒexɔxɔ nu. Le ɖeviwo kple sɔhɛwo gome la, GHD ate ŋu ana màte ŋu atsi nyuie o. Le ame tsitsiwo gome la, ate ŋu ahe kuxiwo abe ami ƒe dzidziɖedzi kple sukli ƒe agbɔsɔsɔ le ʋu me ene vɛ.

Ðe `Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ (GHD)` ƒomevi vovovowo lia?

Ẽ, `GHD` ƒomevi vevi etɔ̃e li:

• GHD si wodzina: Esia nye nɔnɔme si nɔa anyi le vidzidzi me. Ate ŋu atso domenyiŋusẽfianu ƒe tɔtrɔ alo kuxi aɖe si le vidzĩa ƒe ahɔhɔ̃ ƒe wɔwɔme ŋu gbɔ.
• GHD si woxɔ: Esia tsoa nusiwo gblẽ le pituitary gland ŋu le eƒe tsitsime gbɔ. Ðeviwo kple ame tsitsiwo ate ŋu axɔ GHD to mɔ sia dzi.
• Idiopathic GHD: Le atikewɔwɔ me la, "idiopathic" fia be womenya nusi gbɔ wòtso o . Le GHD ƒe nɔnɔme aɖewo me la, womate ŋu ake ɖe nusi koŋ gbɔ wòtso ŋu o.

Woda GHD ɖe hatsotsowo me le ƒe si wòxɔ hã nu, elabena dzesiawo kple dɔlélewo didi ƒe mɔnuwo toa vovo le ɖevi alo ame tsitsi aɖe gbɔe wòdze egɔme tsoe nu.

Aleke gbegbee woyɔa nɔnɔme sia be `GHD`?

Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ (GHD) nye dɔléle si mebɔ kura o . Ne míagblɔe teti la, GHD gblẽa nu le ɖevi siwo ade ɖeka le 4,000 ɖesiaɖe me va ɖo ɖeka le 10,000 ɖesiaɖe me ŋu. GHD si dzea egɔme tso ame tsitsiwo me hã nye dɔléle si mebɔ o, eye wòdzea ame abe ɖeka le 10,000 ɖesiaɖe me dzi.

Nukae nye `Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ (GHD)` ƒe dzesiwo?

GHD ƒe dzesiwo toa vovo le ƒe si nèxɔ nu.

GHD ƒe dzesiwo le vidzĩwo kple ɖeviwo me

Ne GHD le vidzĩwo kple ɖeviwo ŋu la, woƒe tsitsi metsina o. Dzesi vevitɔe nye be eƒe kɔkɔme dzina ɖe edzi vivivi ƒe sia ƒe le ɖevia ƒe dzigbezã etɔ̃lia megbe . Esia fia be zi geɖe la, woƒe dzidziɖedzi medea sentimeta 1.4 o ƒe sia ƒe.

Nu bubu siwo le emee nye:

• Mo si dze abe ɖe wòle sue wu ƒe si wòxɔ ene.
• Taɖa kple ɖa ƒe tsitsi si gbɔdzɔ.
• Aɖuɖɔtoe si tsi megbe.
• Ƒewuiwo ƒe heheɖemegbe .
• Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (`Hypoglycemia`) le vidzĩwo kple ɖevi suewo me.
• Vidzĩ ŋutsu siwo wodzi yeyee ƒe vidzinu le sue ŋutɔ (`Micropenis`).

GHD ƒe dzesi siwo dzea egɔme tso ame tsitsi me

GHD ƒe dzesi siwo dzea egɔme tso tsitsime ate ŋu asesẽ vie be woakpɔ. Dzesi siawo dometɔ aɖewoe nye:

• Dzidzɔkpɔkpɔ kple agbe nyui nɔnɔ ƒe seselelãme.
• Dzimaɖitsitsi kple/alo blanuiléle.
• Ŋutilã ƒe ŋusẽ dzi ɖe kpɔtɔ.
• Ami ƒe dzidziɖedzi, vevietɔ le ƒodo ŋu .
• Lãmetsiwo ƒe dɔwɔwɔ dzi ɖe kpɔtɔ.
• Ƒu ƒe kpekpeme dzi ɖeɖe kpɔtɔ ate ŋu ahe nɔnɔmewo abe ƒumeŋuɖui ene vɛ.
• Insulin ƒe dɔlélenutsiŋutete ate ŋu ana ame naxɔ Suklidɔ Ƒomevi 2 lia.
• LDL-cholesterol kple triglycerides ƒe agbɔsɔsɔ si dzi ɖe edzi dzia dzidɔ ƒe afɔkua ɖe edzi.

Nukae nye nusiwo hea nɔnɔme sia si woyɔna be `GHD` vɛ?

Nusiwo hea GHD vɛ ate ŋu ato vovo le ƒe si me dɔlélea dze egɔme tsoe nu. Ɣeaɖewoɣi la, nɔnɔme aɖewo li siwo me womate ŋu akpɔ nusi gbɔ wòtso o (idiopathic).

Nusiwo Hea GHD si Wodzina vɛ

Domenyiŋusẽfianu ƒe tɔtrɔ aɖe gbɔe GHD si wodzina tsona . Ɣeaɖewoɣi la, esia ate ŋu ado ƒome kple kuxi siwo le ahɔhɔ̃a ƒe wɔwɔme alo mo ƒe titina ƒe nɔnɔme siwo mesɔ o (e.g., aɖu si me ʋuʋu, titina ƒe lãkusi ɖeka).

Dzɔdzɔmeŋutinunyalawo de dzesi domenyiŋusẽfianu ƒe tɔtrɔ geɖe siwo hea GHD vɛ. Wo dometɔ aɖewoe nye:

• Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ si ɖe eɖokui ɖe aga ƒomevi IA: Domenyiŋusẽfianu ƒe tɔtrɔ sia nana tsitsi nɔa blewu le fugboea ƒe afɔɖeɖe me, eye vidzĩa nɔa sue wu alesi wokpɔ mɔe le edziɣi. Le gɔmedzedzea me la, ame siawo wɔa nu nyuie ne wotsɔ tsitsimeŋusẽ si wowɔ (GH) da dɔe, gake emegbe wova tsia dɔlékuiwutike siwo tsi tre ɖe lãmetsiŋusẽa ŋu. Esia wɔnɛ be tsitsi metsina o eye ame tsitsi ƒe kɔkɔme nɔa kpuie ŋutɔ.
• Isolated growth hormone deficiency type IB: Esia sɔ kple ƒomevi IA, gake dzɔdzɔme GH aɖewo le vidzĩ siawo ƒe ŋutilã me le wo dzidzi me. Wowɔa nu ɖe ​​GH ƒe atikewɔwɔ si wowɔ kple asi hã ŋu le woƒe agbemeŋkekewo katã me.
• Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ si ɖe eɖokui ɖe aga ƒomevi II: GH ƒe agbɔsɔsɔ si le ame siawo me le sue ŋutɔ, eye ate ŋu anye be woƒe kɔkɔme dzi ɖena kpɔtɔna le mɔ vovovowo nu. Zi geɖe la, tsitsi ƒe kpododonu dzena le ɖevimenɔɣi ƒe gɔmedzedze alo titina. Ame siawo ƒe afã lɔƒo ƒe lãkusi si metsi tututu o (Pituitary Hypoplasia) le wo ŋu.
• Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ si ɖe eɖokui ɖe aga ƒomevi III: Abe ƒomevi II ene la, GH ƒe agbɔsɔsɔ si le ame siawo me medea ame dzi kura o eye woate ŋu akpɔ lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie le mɔ vovovowo nu. Zi geɖe la, tsitsi ƒe kpododonu dzena le ɖevimenɔɣi ƒe gɔmedzedze alo titina. Ate ŋu adzɔ hã be woƒe dɔlélenutsiŋutete gbɔdzɔ eye dɔlékuiwo xɔa wo enuenu.

Domenyinu ƒe ɖoɖo siwo le tsitsi ƒe lãmetsiŋusẽ ƒe vevesese ƒomevi sia si ɖe eɖokui ɖe aga me ate ŋu ato vovo tso dzidzime yi dzidzime.

Nusiwo Hea GHD si Woxɔ vɛ

GHD, si dzɔna le eƒe tsitsime la tsoa nusiwo gblẽ le lãkusi si me ʋu sina tona ŋu gbɔ. Nusi gblẽ le eŋu sia nana be ŋutete meganɔa lãkusia ŋu be wòawɔ tsitsime lãmetsi aɖe ahaɖee ɖa o. Ðeviwo kple ame tsitsiwo siaa ate ŋu axɔ GHD le mɔ sia nu.

Nɔnɔme alo nudzɔdzɔwo abe:

• Pituitary adenoma (dɔdzẽ si menye kansa o).
• Kekeli ƒe atikewɔwɔ na pituitary gland alo eƒe nuto siwo ƒo xlãe.
• Ta ƒe abixɔxɔ sesẽ alo `Ahɔhɔ̃ ƒe Nuveviwɔame si me Nuveviwɔame Le (TBI)`.
• Ʋu ƒe sisi yi pituitary gland me ƒe gbegblẽ.
• Nusiwo gblẽ le vo me alo esiwo womate ŋu aƒo asa na o le ahɔhɔ̃a ƒe dɔwɔwɔ alo amekoko be woaɖe pituitary adenoma ɖa me.
• `Titina Lãmetsiŋusẽ ƒe Dɔléle`.
• Dɔléle siwo kaka ɖe ŋutilãa me, abe Langerhans cell histiocytosis, sarcoidosis, kple yɔmekpe ene.
• Dɔdzẽ siwo le hypothalamus me ate ŋu ahe nyaƒoɖeamenu vɛ na pituitary gland.

Aleke míaƒe ɖɔktawo wɔa dea dzesi `GHD` nɔnɔme sia?

Zi geɖe la, wokpɔa GHD le ɖeviwo ŋu le ƒe eve xɔxɔ me. Gbãtɔ nye esime ɖeviwo xɔ ƒe 5 lɔƒo, esime ɖeviwo dze suku gɔme . Esia le alea elabena dzilawo ate ŋu atsɔ wo vi ƒe kɔkɔme asɔ kple ɖevi bubu siwo le woƒe klass la tɔ bɔbɔe. Ƒe evelia nye ƒe 10-13 na nyɔnuviwo kple 12-16 na ŋutsuviwo . Ƒe siawoe nye ƒe siwo me sɔhɛmenɔɣi dzea egɔme zi geɖe. Ƒewuiwo ƒe heheɖemegbe ate ŋu ana woake ɖi le GHD ŋu.

Nu vevitɔ kekeake si wotsɔ dea dzesi GHD le ɖeviwo ŋue nye tsitsi ƒe dzidziɖedzi . Aleae ɖevia ƒe kɔkɔme le tsitsim. Zi geɖe la, tsitsi zɔna ɖe ɖoɖo aɖe dzi. Ne wolé ŋku ɖe tsitsi ŋu ɣleti 6 va ɖo 12 eye wòle afisi wòle be wòanɔ le ɣeyiɣi ma me la, ke mɔnukpɔkpɔ boo aɖeke meli be tsitsi ƒe kuxi aɖe nado mo ɖa o.

GHD, si dzea egɔme tso tsitsime, ate ŋu asesẽ be woakpɔ dɔlélea elabena eƒe dzesiwo me mekɔ o eye wòdzena abe nusiwo bɔ ene. Esia ate ŋu ana dɔlélea didi nasesẽ.

Dodokpɔ kawoe wowɔna ɖe ɖeviwo ŋu be woatsɔ ade dzesi `GHD'?

Viwòa ƒe ɖɔkta alé ŋku ɖe eƒe atikewɔwɔ ŋutinya kple tsitsi ŋuti nuŋlɔɖiwo ŋu nyuie be yeadi dzesi siwo fia be yeƒe tsitsi megale dɔ wɔm o, afɔku siwo le GHD xɔxɔ me, kple nɔnɔme bubu siwo ate ŋu akpɔ ŋusẽ ɖe tsitsi dzi.

Lãmesẽnya bubu siwo ate ŋu akpɔ ŋusẽ ɖe tsitsi dzie nye:

• Hypothyroidism (ʋumenugbagbeviɣidɔ si mewɔa dɔ nyuie o).
• Ƒewuiwo ƒe heheɖemegbe.
• Celiac Dɔléle.
• Nunyuimakpɔɖui.

Esi wònye be tsitsiŋusẽ ƒe agbɔsɔsɔ si le míaƒe ʋu me trɔna ŋutɔ le ŋkekea me ta la, ʋudodokpɔ ɖeɖe mate ŋu anya GH ƒe anyimanɔmanɔ o. Eyata viwòa ƒe ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene atsɔ aɖo kpe GHD dzi eye/alo agbe nɔnɔme bubu siwo ate ŋu akpɔ ŋusẽ ɖe tsitsi dzi:

• X-ray: Woate ŋu awɔ asi ƒe X-ray atsɔ akpɔ ƒu ƒe tsitsi (ƒu ƒe ƒexɔxɔ) kple tsitsi ƒe ŋutete.
• Ʋudodokpɔ kple dodokpɔ bubu siwo wowɔna le nudokpɔƒe:Ʋudodokpɔ aɖewo ate ŋu akpe ɖe ame ŋu be woagbe nɔnɔme bubu siwo gblẽa nu le tsitsi ŋu alo akpe ɖe ame ŋu wòanya GHD. Ʋudodokpɔ tɔxɛwoe nye insulin-like growth factor-1 (IGF-1) kple insulin-like growth factor binding protein-3 (IGFBP-3).
• Tsitsi ƒe Lãmetsiŋusẽ Dodokpɔ: Esiae nye dodokpɔ vevitɔ si ɖɔktawo zãna tsɔ dea dzesi GHD. Le dodokpɔ sia me la, wonaa atike aɖe viwòa si doa ŋusẽ lãkusi si le lãkusia me be wòaɖe GH ɖa. Emegbe ɖɔktaa xɔa ʋu eye wòdzidzea GH ƒe agbɔsɔsɔ. Ne ʋudodokpɔ me tsonu meɖee fia be GH ƒe agbɔsɔsɔ dzi ɖe edzi va ɖo agbɔsɔsɔ si wokpɔ mɔ na o la, efia be pituitary gland mele GH si sɔ wɔm o.
• Magnetic Resonance Image (MRI): Viwòa ƒe ɖɔkta ate ŋu abia be woawɔ MRI na ta. Esia ate ŋu akpe ɖe ame ŋu woanya nusi gbɔ GHD tso to kuxi siwo le pituitary gland alo ahɔhɔ̃a ŋu didi me.

Dodokpɔ kawoe wowɔna ɖe ame tsitsiwo ŋu be woatsɔ ade dzesi `GHD`?

Dodokpɔ si wozãna wu tsɔ dea dzesi GHD le ame tsitsiwo ŋue nye Insulin Tolerance Test . Insulin nye lãmetsi si míaƒe dɔgbo wɔna le dzɔdzɔme nu.

Le dodokpɔ sia me la, ɖɔktaa ado insulin si wowɔ kple asi na wò be wòaɖe wò ʋumesukli ƒe agbɔsɔsɔ dzi akpɔtɔ. Emegbe, woaɖe ʋu eye woadzidze tsitsimeŋusẽ si le wò ʋu me.

Ne sukli ƒe agbɔsɔsɔ le míaƒe ʋu me ɖiɖi (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) la, zi geɖe la, tsitsi ƒe lãmetsiŋusẽ dona. Ne wò ʋudodokpɔwo ɖee fia be wò tsitsimeŋusẽ ƒe agbɔsɔsɔ le ʋɛ wu alesi wokpɔ mɔe le insulin ƒe mɔɖeɖe ɖe nu ŋu dodokpɔ me la, esia ɖo kpe nɔnɔme si nye GHD dzi.

Dodokpɔ bubuwo ate ŋu anɔ anyi:

• `Glucagon ƒe dzodzo dodokpɔ`
• `Macimorelin ƒe dzodzo dodokpɔ`
• `Arginine ƒe dzodzo dodokpɔ`
• `Clonidine ƒe dzodzo dodokpɔ`

Aleke wokpɔa `Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ (GHD)` gbɔe?

GHD dada le ɖeviwo kple ame tsitsiwo siaa ŋue nye tsitsi ƒe lãmetsi si wowɔ (Recombinant Human Growth Hormone) dodo . Woate ŋu ana esiawo le aƒeme. Zi geɖe la , ele be amesiwo ŋu GHD le nado atike gbesiagbe .

Atikewɔwɔ na tsitsimeŋusẽ si wowɔ ɣeyiɣi didi , eye ɣeaɖewoɣi la, exɔa ƒe geɖe. Ele vevie ŋutɔ be nàyi wò ɖɔkta gbɔ edziedzi akpɔe ɖa be atikewɔwɔa le dɔ wɔm nyuie hã eye ne ehiã be woatrɔ asi le agbɔsɔsɔme si woazã ŋu hã.

Ne lãmetsiŋusẽ bubuwo ƒe gbɔdzɔgbɔdzɔ le mia alo viwòa ŋu la, ahiã be woawɔ atike na wò hã atsɔ aɖɔ gbɔdzɔgbɔdzɔ mawo ɖo.

`GHD` dɔdamɔnu ƒe nugbegblẽ le ame ŋu

Dɔlékuiwutike siwo wodona na ame hena GHD dada ƒe nugbegblẽ le ame ŋu fafɛ alo esi sɔ gbɔ mebɔ o. Gake wo dometɔ aɖewo ate ŋu anye:

• Taɖuame.
• Lãmetsiwo ƒe vevesese alo ƒunukpeƒeveame.
• Lãmetsiŋusẽ ƒe dɔléle si nu mesẽ o.
• Asiwo kple afɔwo ƒe vuvu.
• Akɔta ƒe ƒoƒo ƒe dzidziɖedzi le amesiwo ŋu scoliosis le me.

Nusiwo mebɔ o, gake woƒe nugbegblẽ le ame ŋu vevie hã ate ŋu ado mo ɖa:

• Taɖuame sesẽ si kpe ɖe ŋku ƒe kuxiwo ŋu.
• Hip Dysplasia (akɔtaƒu ƒe ƒoƒo ɖe akɔtaƒu ŋu si mesɔ o).
• Dɔdzẽ (dɔdzẽ si le dɔgboa me).

Ne dzesi siawo dometɔ aɖe le ŋuwò la, ele vevie be nàƒo nu kple wò ɖɔkta enumake . Ðewohĩ ahiã be woatrɔ asi le wò atike ƒe agbɔsɔsɔme ŋu.

Nukae nye afɔku siwo ate ŋu ana `GHD` nadze ame dzi?

Nublanuitɔe la, womate ŋu axe mɔ ɖe GHD ƒe dɔléle akpa gãtɔ nu o. Gake afɔku aɖewo ate ŋu ana mɔnukpɔkpɔ si li be wò ŋutɔ alo viwòa naxɔ GHD si woxɔ la nadzi ɖe edzi. Esiawo dometɔ aɖewoe nye:

• Kansa ƒe atike xɔxɔ hafi aɖo ame tsitsi ƒe kɔkɔme gbɔ.
• Kekeli ƒe atikewɔwɔ na ta alo ahɔhɔ̃.
• Ŋutilã ƒe Kekeli Katã.
• Amekoko na ahɔhɔ̃a, vevietɔ ahɔhɔ̃a ƒe titina si me lãkusi si woyɔna be pituitary gland le.

Ne afɔku siawo dometɔ aɖe ku ɖe wò alo viwò ŋu la, ele vevie be nànya GHD ƒe dzesiwo eye nàƒo nu tso eŋu na wò ɖɔkta.

Nukae nye GHD ƒe ŋgɔdonya?

Le ɖevi siwo ŋu GHD le gome la, zi alesi woda dɔlélea kaba la, zi nenemae ɖevia ate ɖe ame tsitsi ƒe kɔkɔme si sɔ ŋu . Ðevi akpa gãtɔ ƒe kpekpeme dzina ɖe edzi sentimeta ene alo esi wu nenema le ƒe gbãtɔ si wowɔ dɔ na wo me. Wodzina ɖe edzi sentimeta etɔ̃ alo esi wu nenema le ƒe eve siwo gbɔna me. Le ema megbe la, dzidziɖedzia dzi ɖena kpɔtɔna.

Zi geɖe la, amesiwo ŋu GHD si dzea egɔme tso ame tsitsiwo dzi le, ne wodae nyuie la, woƒe nukpɔsusu nyo eye woate ŋu anɔ agbe le lãmesẽ me.

Nukawoe nye kuxi siwo ate ŋu ado tso GHD me?

Ne womeda GHD le ɖeviwo ŋu o la, ate ŋu ana woatsi kpuie eye woahe woƒe sɔhɛmenɔɣi ɖe megbe .

Ne woda dɔ nyuie na amesiwo ŋu GHD si dzea egɔme tso ame tsitsiwo dzi gɔ̃ hã la, dzidɔ kple ʋusɔgbɔdɔ ƒe afɔku dzina ɖe edzi . Woate ŋu aɖe afɔku sia dzi akpɔtɔ to numame siwo naa lãmesẽ abe nuɖuɖu si da sɔ ɖuɖu kple kamedede edziedzi ene me.

Ame siwo ŋu GHD le siwo dzea egɔme tso tsitsime hã le afɔku me be woaxɔ ƒumeŋuɖui. Esia fia be woate ŋu agbã ƒuwo le abi suewo alo anyidzedze ta. Be woaɖe afɔku siawo dzi akpɔtɔ la, ele vevie be nàɖu nuɖuɖu si me calcium sɔ gbɔ ɖo eye nàno vitamin D kpeɖeŋutɔ abe alesi wò ɖɔkta kafui ene.

Ɣekaɣie wòle be makpɔ ɖɔkta tso GHD ŋu?

Susu geɖewo li siwo tae ɖeviwo ate ŋu atsi blewu eye woanɔ kpuie wu alesi wòle dzɔdzɔmee. Ɣeaɖewoɣi la, tsitsi blewu ate ŋu anye nusi sɔ eye wòanɔ anyi ɣeyiɣi kpui aɖe. Le kpɔɖeŋu me, ne sɔhɛmenɔɣi le aƒe tum. Ne ètsi dzi ɖe viwò ƒe tsitsi ƒe agbɔsɔsɔme ŋu la, yi ɖeviwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala alo ɖɔkta bubu gbɔ . Woate ŋu akpe ɖe ŋuwò nànya ne viwò ƒe tsitsi nye nusi ŋu wòle be nàtsi dzi ɖo.

Ne ame tsitsie nènye eye GHD ƒe dzesiwo le ŋuwò la, ƒo nu kple wò ɖɔkta.

Ne wokpɔe be GHD le ŋuwò alo viwòa ŋu la, ele be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be atikewɔwɔa le dɔ wɔm nyuie .

Ne ède dzesii be viwòa ƒe tsitsi tsi megbe la, ele vevie be nàƒo nu kple wò ɖɔkta kaba ale si nàte ŋui. Togbɔ be anɔ eme be GHD ye gbɔe wòtso o hã la, enyo be nàlé ŋku ɖe tɔtrɔ ɖesiaɖe si ɖea fu na ame ŋu. Ne wokpɔ amesiwo ŋu GHD le kaba la, woƒe nukpɔsusu nyo wu eye zi geɖe la, woate ŋu anɔ agbe le lãmesẽ me. Ne nya aɖe le asiwò ku ɖe viwòa ƒe tsitsi ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o. Wole afisia be yewoana kpekpeɖeŋu.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Eyata, ɖewohĩ èse nusi `Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ (GHD)` nye kple alesi wòate ŋu akpɔ ŋusẽ ɖe ɖeviwo kple ame tsitsiwo siaa dzii gɔme. Nu vevitɔe nye be màgatsi dzodzodzoe le eŋu o, eye nàyi ɖɔkta kaba ale si nàte ŋui ne nane tsi dzi na wò . Ne wokpɔ dɔlélea kaba eye wodae nyuie la, amesiwo ŋu `GHD` le ƒe akpa gãtɔ ateŋu anɔ agbe dzidzedzetɔe, le lãmesẽ me. Ne ètsi dzi ɖe viwòa ƒe tsitsi alo wò ŋutɔ wò lãmesẽ ŋu la, metsi megbe gbeɖe be nàƒo nu tso eŋu na ɖɔkta o.

` Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ, GHD, Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ, Pituitary Gland, Ðeviwo ƒe Tsitsi, Kpuienyenye, Lãmetsiŋusẽ ƒe Kuxiwo, GH