Èlé ŋku ɖe viwòa ŋu kpɔ hesusu be, "Ele kpuie wu ɖevi bubu siwo nye eƒe ƒemetɔwo, alo?" Alo ɖe wò, esi nènye ame tsitsi ta la, ɖeɖi tea ŋuwò ɣesiaɣi si womate ŋu aɖe o eye ŋusẽ meganɔa ŋuwò oa? Nu siawo dometɔ geɖe siwo dzɔna le míaƒe ŋutilã me megbe la, atike suesuesue siwo woyɔna be lãmetsiŋusẽwoe le megbe na wo. Eyata egbea míele nu ƒom tso lãmetsiŋusẽ vevitɔwo dometɔ ɖeka kple dodokpɔ tɔxɛ aɖe si wowɔ tsɔ dzidzee ŋu.
Nukae nye Tsitsi ƒe Lãmetsiŋusẽ sia?
Kpuie ko la,
tsitsimeŋusẽe nye lãmetsi vevitɔ si kpena ɖe mía ŋu míetsina, ƒuwo sẽna wu, eye lãmekawo tua mí ɖo, vevietɔ le ɖevime. Míeyɔa esia be
Amegbetɔ ƒe Tsitsi ƒe Lãmetsiŋusẽ ,
alo (HGH) alo
(GH) kpuie. Lãmetsi sue aɖe si lolo abe pea ene, si le míaƒe ahɔhɔ̃ te, le ta titina, si woyɔna be
pituitary gland . Bu eŋu be pituitary gland sia nye "master gland" le míaƒe ŋutilã me. Ekpɔa ŋusẽ ɖe lãmetsiŋusẽ ƒe ɖoɖo bubu geɖe dzi. Míeyɔa ɖoɖo sia katã be
lãmenugbagbeviwo ƒe dɔwɔwɔ . Eyata ne le susu aɖe ta wowɔ tsitsiŋusẽ (GH) sia le ŋutilãa me le agbɔsɔsɔ si mede esi wobia nu o alo ɣeaɖewoɣi wògbɔ eme la, lãmesẽkuxi vovovowo ate ŋu ado mo ɖa.
Kuxi siwo ate ŋu ado mo ɖa le tsitsime lãmetsiŋusẽ (GH) ƒe agbɔsɔsɔ si mesɔ o ta
| Ne GH ƒe agbɔsɔsɔ le sue (eƒe anyimanɔmanɔ) . | |
| Ne GH ƒe agbɔsɔsɔ dzi ɖe edzi (dɔwɔwɔ fũu akpa) . | - Gigantism - ƒuwo ƒe didime si mesɔ o le ɖeviwo me
- Acromegaly - Asiwo, afɔwo, kple mo ƒe ƒuwo ƒe lolome le ame tsitsiwo me
- Ate ŋu adzɔ be dɔdzẽ si le ʋuka me nadze ame dzi
|
Ne dzesi siawo le viwò alo wò ŋu la, wò ɖɔkta ate ŋu ado susu ɖa
be woado tsitsimeŋusẽ ƒe dɔwɔwɔ kpɔ .
Ɣekaɣie ɖɔkta aɖe ɖoa wò ɖe dodokpɔ sia wɔwɔ me?
Esia gblẽa nu le ɖeviwo kple ame tsitsiwo ŋu le mɔ vovovowo nu.
Le ɖeviwo gome la...
Ne èkplɔ viwòa yi ɖadoe kpɔ edziedzi, si fia be woayi woƒe
ɖeviwo ƒe dɔdala gbɔ la, ɖɔktaa adzidze eƒe
kɔkɔme, kpekpeme, kple ta ƒe gotagome . Wotsɔa dzidzenu siawo sɔna kple tsitsi ƒe nɔnɔmetata siwo wowɔ na ɖevi siwo le lãmesẽ me le ƒe ma me.
Le kpɔɖeŋu me, ne viwòa le kpuie ŋutɔ wu ɖevi bubu siwo xɔ ƒe si wòxɔ, alo ne eƒe tsitsi dzi ɖe kpɔtɔ zi ɖeka la, ke ɖɔkta ate ŋu ake ɖi. Ɣemaɣie wòatso nya me nenye be woado lãmetsi siawo ƒe agbɔsɔsɔ kpɔ.
Le ame tsitsiwo gome la...
Esi nèzu ame tsitsi la, ne èyi edzi le dzesi siwo le ete la dometɔ ɖeka alo esi wu nenema kpɔm la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ.
- Ŋusẽ ƒe anyimanɔmanɔ kple ɖeɖiteameŋu ɣesiaɣi
- Lãmetsiŋusẽ ƒe vɔvɔ (sese le ɖokuiwò me abe wò lãmekawo le sue ɖe edzi ene, togbɔ be èɖi ƒo hã) .
- Ami si le ŋutilã me ƒe dzidziɖedzi (vevietɔ ƒodo ŋu) .
- Teteɖeanyi
- Ƒu ƒe ŋusẽ dzi ɖe kpɔtɔ
Nyateƒee, dzesi siawo bɔ ɖe dɔléle bubu geɖewo me. Gake woate ŋu anye kuxi aɖe si le GH lãmetsiŋusẽ ƒe wɔwɔme ƒe dzesi hã. Esia tae wòle vevie be woado wo kpɔ be woakpɔ nusi tututu gbɔ wòtso.
Aleke woawɔ adzra ɖo ɖe dodokpɔa ŋu?
Ele be dzadzraɖo vi aɖe nanɔ anyi hafi dodokpɔ sia nawɔ. Dzadzraɖo sia to vovo vie na ɖevi kple ame tsitsi.
Ale si woadzra ɖevi ɖo
Esi wònye dodokpɔ sia nye esi xɔa gaƒoƒo geɖe ta la, ele vevie be woadzra ɖevia ɖo le susu me.
- Kpɔ nyuie le atikewo zazã ŋu: Le zã si do ŋgɔ na dodokpɔa kple ŋkeke si dzi woawɔ dodokpɔa la, mègana atike aɖeke ɖɔkta ƒe mɔɖeɖe manɔmee o. Vevietɔ ne viwòa le atikewo zãm na dɔléle aɖe abe ADHD , abe methylphenidate (Ritalin) ene la, ele be nàgblɔe na ɖɔktaa godoo. Esiawo ate ŋu awɔ dɔ kple atikewo abe clonidine ene siwo wonana le dodokpɔa wɔɣi.
- Nutsitsidɔ: Zi geɖe la, woabia tso asiwò be nàtsi nu adɔ gaƒoƒo ʋɛ aɖewo hafi dodokpɔa nadze egɔme. Wò ɖɔkta aɖe nya siwo tututu le eme la me na wò.
- Kpe ɖe ŋuwò nàƒo asa na kuviawɔwɔ:Esi wònye be dodokpɔa axɔ gaƒoƒo geɖe ta la, anyo be nàtsɔ nane si ana viwòa nagakpɔ dɔ o, abe agbalẽ, fefenu, alo tablɛt ene, ɖe asi . Azɔ hã, do awu nyuiwo na wo.
Alesi ame tsitsi dzrana ɖoe
Le ame tsitsi gome la, wò ɖɔkta ate ŋu adɔ be woawɔ lãmetsiŋusẽ dodokpɔ bubu geɖe kpe ɖe GH Stimulation Test ŋu. Le kpɔɖeŋu me, woate ŋu alé ŋku ɖe lãmetsi siwo
nye IGF-1 kple
IGFBP-3 , kpakple lãmetsi siwo le abe
cortisol ,
prolactin, kple
testosterone ene ƒe agbɔsɔsɔ ŋu. Àte ŋu awɔ:
- Ahiã be nàtsi nu adɔ . Ðewohĩ gaƒoƒo 10-12 sɔŋ. Bia wò ɖɔkta tso esia ŋu.
- Ðewohĩ ahiã be woadzudzɔ atike kple kpeɖeŋutɔ aɖewo nono . Le kpɔɖeŋu me, insulin, vidzidzinutsitikewo, kple gbetikewo (abe St. John’s wort ene). Gblɔ atike siwo katã zãm nèle la na wò ɖɔkta.
- Ƒo asa na kamedede gaƒoƒo 10 do ŋgɔ na dodokpɔa, elabena ate ŋu atrɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ.
- Ne suklidɔ alo lolo akpa le ŋuwò la, gblɔe na wò ɖɔkta hã, elabena nɔnɔme siawo ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzi.
Nukae dzɔna le dodokpɔa wɔɣi?
Mègavɔ̃ na esia o, alesi wowɔa dɔe le bɔbɔe ŋutɔ. 1.
IV-ka Dede: Gbã la, dɔnɔdzikpɔla alo mɔ̃ɖaŋudɔwɔla si xɔ hehe ade
ʋuka sue aɖe (IV ka) ʋuka aɖe si le wò (alo viwò) ƒe alɔnu alo asi me. Wowɔa esia be woagatsɔ aŋe aƒo wò asibidɛ ɣesiaɣi o, elabena woaɖe ʋu zi geɖe le dodokpɔa katã me. 2.
Ʋu gbãtɔ: Ne wotsɔ ʋukaa de eme vɔ la, woɖea ʋu si woɖe tso gɔmedzedzea me. 3.
Atike si doa ŋusẽ ame ƒe lãme nana: Emegbe wotsɔa atike si ʋãa lãkusi si le lãkusia me be wòaɖe GH lãmetsiŋusẽ ɖe go la naa ŋutilãa to mɔ̃ sia dzi. Atike siwo wozãna wue nye
clonidine, arginine , alo
glucagon . Tsã la, wozãa insulin, gake fifia womegazãnɛ le dedienɔnɔ ta o. Le ame tsitsiwo gome la, wozãa atike si nye tsi si woyɔna be
macimorelin hã ɣeaɖewoɣi. 4.
Ʋuɖeɖe: Ne wodo atikea vɔ la, woɖea ʋu geɖe
le miniti 30 ɖesiaɖe me hena gaƒoƒo 2-3. Esia nye agbɔsɔsɔ sue aɖe ŋutɔ, ɖewohĩ anɔ abe teaspoon eve ko ene gbesiagbe. 5.
Dodokpɔa ƒe nuwuwu: Ne woɖe ʋuawo katã vɔ la, woɖea ʋukaa. Emegbe àte ŋu aɖu nu ahano nu. Anyo wu be nàɖi ɖe eme ŋkekea ƒe akpa mamlɛa. Kuxi gã aɖeke mele dodokpɔ sia me o. Ame aɖewo ate ŋu ase le wo ɖokui me be yewole ta ɖum vie. Ate ŋu anye be abi aɖewo anɔ afisi wotsɔ atikekui la de eme.
Nukae emetsonuwo gblɔ?
Zi geɖe la, wokpɔa emetsonuwo le ŋkeke ʋɛ aɖewo ko me. Wò ɖɔkta adzro emetsonu siawo me eye wòaɖe nɔnɔmea me.
| Metsonu | Nusi wòate ŋu afia |
|---|
| Ne GH ƒe agbɔsɔsɔme le ʋɛ wu alesi wokpɔ mɔe (Low Levels) . | - Ðewohĩ GH lãmetsiŋusẽ ƒe anyimanɔmanɔ anɔ anyi.
- Esia ate ŋu anye nusi gbɔ dwarfism tsona.
- Ate ŋu anye hypopituitarism, si nye nɔnɔme si me pituitary gland mele dɔ wɔm nyuie o.
|
| Ne GH ƒe agbɔsɔsɔme sɔ gbɔ wu alesi wokpɔ mɔe (High Levels) . | - Ate ŋu anye nɔnɔme si woyɔna be gigantism ( le ɖeviwo me) alo acromegaly (le ame tsitsiwo me).
- Ðewohĩ dɔdzẽ aɖe anɔ lãkusi si me ʋu sina tona me.
|
Esi wònye be GH ƒe kuxi siawo ate ŋu ado ƒome kple kuxi siwo le lãkusi bubuwo abe lãkusi ene ŋu ɣeaɖewoɣi ta la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo. Ate ŋu adɔ hã be woawɔ
MRI alo CT scan ne wosusu be dɔdzẽ aɖe le eŋu.
Nu vevitɔe nye be woate ŋu ada nɔnɔme siawo ne wokpɔ wo kaba. Le ɖeviwo gome la, amesiawo te ŋu ɖɔa wo ɖokui ɖo ɣeaɖewoɣi le ɣeyiɣi aɖe megbe. Ne GH ƒe anyimanɔmanɔ li la, mɔnukpɔkpɔ li be woate ŋu atsi nyuie to atikewɔwɔ bɔbɔe aɖe abe GH lãmetsiŋusẽ dodo gbesiagbe ene me.
Eyata ne dzesi siawo le ŋuwò alo viwòa ŋu la, mègatsi dzodzodzoe alo adzra wo ɖo ɖe ɖokuiwò dzi o, ke boŋ yi ɖɔkta bibi gbɔ enumake hena aɖaŋuɖoɖo.
Gbedasi si Wotsɔ Yi Aƒeme
- Tsitsi ƒe Lãmetsiŋusẽ (GH) nye lãmetsi si hiã vevie na ɖeviwo ƒe kɔkɔme kple ŋutilã ƒe tsitsi.
- Dzesiwo abe ɖevi ƒe kɔkɔme si mesɔ gbɔ o, sɔhɛmenɔɣi ƒe megbetsitsi, alo ɖeɖiteameŋu fũ kple ŋusẽ ƒe vɔvɔ le ame tsitsi me ate ŋu anye GH lãmetsiŋusẽ ƒe kuxi ƒe dzesiwo.
- Growth Hormone Stimulation Test nye dodokpɔ si le dedie si doa ŋusẽ pituitary gland eye wòdzidzea GH agbɔsɔsɔme si ŋutilãa wɔna.
- Dodokpɔ sia ate ŋu abia be woadzra ɖo vie, abe nutsitsidɔ alo atike aɖewo dzudzɔ ene. Bia wò ɖɔkta tso esia ŋu.
- Ne èsusu be kuxi aɖe le abe esia ene la, mègavɔ̃ be yeayi ɖɔkta kaba ale si nàte ŋui be yeaɖo aɖaŋu na wò o. Ne wokpɔe kaba la, ate ŋu ana woada dɔa dzidzedzetɔe.
Tsitsi ƒe Lãmetsiŋusẽ, Tsitsi ƒe Lãmetsiŋusẽ, HGH, Ðevi ƒe Kɔkɔme, Mele Kɔkɔe o, Pituitary Gland, Tsitsi ƒe Lãmetsiŋusẽ Dodokpɔ Sinhala, Lãmetsi Dodokpɔwo, Ðevi ƒe Tsitsi
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