Èbu nu nenie dzɔna le wò ŋutilã me evɔ mèkpɔe dze sii gɔ̃ hã oa? Wò gbɔgbɔ, wò nuɖuɖumeŋusẽ, wò dzidzɔ kple blanuiléle ƒe seselelãmewo, esiawo katã tso amedɔdɔ suesuesuewo gbɔ. Míeyɔa dɔla mawo be lãmetsiŋusẽ. Wole abe gbedasi ɣaɣla siwo le míaƒe ŋutilã me ene, siwo tso teƒe ɖeka yi bubu, hele gbɔgblɔm na mí be, ‘Wɔ esia, wɔ esia.’ Eyata ɖe míaƒo nu tso lãmetsiŋusẽ wɔnuku siawo ŋu egbea?
Eyata nukawoe nye lãmetsiŋusẽ siawo?
Kpuie ko la, lãmetsiŋusẽwo nye atikewo ƒe dɔlawo le míaƒe ŋutilã me. Wozɔa mɔ toa míaƒe ŋutilã katã me to míaƒe ʋu me, henɔa gbɔgblɔm na míaƒe ŋutinu vovovowo, ŋutigbalẽ, kple lãmekawo be woawɔ esia kple ema. Bu eŋu kpɔ be ne ɖe míaƒe ŋutilã nye dɔwɔƒe gã aɖe la, anye ne lãmetsiŋusẽwo anɔ abe edzikpɔlawo ene, eye woawɔ ɖoɖo ɖe nusianu ŋu.
Ènya be dzɔdzɔmeŋutinunyalawo ke ɖe lãmetsi ƒomevi siwo wu 50 ŋu le míaƒe ŋutilã me xoxoa! Lãmetsiŋusẽ siawo le vevie na míaƒe agbe kple lãmesẽ. Esiawo kple lãkusi siwo wɔa wo katã ƒo ƒu wɔa míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ . Nuɖoanyi sia kpɔa ŋusẽ ɖe nu vevi geɖe siwo yia edzi le míaƒe ŋutilã me dzi. Kpɔɖeŋu ʋɛ aɖewoe nye esi:
- Nuwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ: Esiae nye alesi míetrɔa nuɖuɖu si míeɖuna wòzua ŋusẽ.
- Homeostasis: Esia fia be dadasɔ le ŋutilãa me (e.g. ʋu ƒe sisi, sukli ƒe agbɔsɔsɔ, ŋutilã ƒe dzoxɔxɔ).
- Tsitsi kple tsitsi: Míetsina tso míaƒe ɖevime ke.
- Gbɔdɔdɔ ƒe dɔwɔwɔ kple vidzidzi.
- Alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam: Míedɔa alɔ̃ le zã me eye míefɔna le ŋdi me.
- Seselelãme: Seselelãmewo abe ne míese le mía ɖokui me be dzi le mía dzɔm alo míelé blanui ene.
Ewɔ nuku ŋutɔ be nàbu alesi gbegbe atike sue siawo ate ŋu awɔ dɔe ŋu! Le lãmetsiŋusẽ gome la, agbɔsɔsɔ sue aɖe gɔ̃ hã ate ŋu akpɔ ŋusẽ gã aɖe ɖe ame dzi. Esia tae tɔtrɔ suesuesue siwo le lãmetsiŋusẽ ƒe agbɔsɔsɔ me gɔ̃ hã ate ŋu ahe tɔtrɔ gãwo vɛ le míaƒe ŋutilã me, eye ɣeaɖewoɣi la, ahe dɔléle siwo hiã atikewɔwɔ gɔ̃ hã vɛ.
Eyata aleke lãmetsi siawo wɔa dɔ le ŋutilãa me?
Enyo, fifia míenya be lãmetsiŋusẽwo nye dɔtsɔlawo. Eyata aleke wowɔna ɖoa gbedasi siawo ɖa? Amekae sea gbedasi siawo?
Enyo, lãmetsiŋusẽwo nye atikewo ƒe dɔlawo . Wokpɔa ŋusẽ ɖe nu alafa geɖe siwo yia edzi le míaƒe ŋutilã me dzi hekpɔa wo dzi. Zi geɖe la, nu ɖeka aɖe si yia edzi le ŋutilãa me bia be lãmetsiŋusẽ geɖe nawɔ akpa aɖe. Abe ka siwo le kɔsɔkɔsɔ me ene la, lãmetsi ɖeka ɖoa gbedasi ɖe bubu, si hã ɖoa gbedasi ɖe bubu, kple bubuawo.
Fifia, hafi lãmetsi aɖe nate ŋu akpɔ ŋusẽ ɖe ŋutilã ƒe akpa ɖeka ko dzi la, ele be wòanye "nu si sɔ pɛpɛpɛ." Eyae nye be ele be "nuxɔla" tɔxɛ siwo ate ŋu axɔ lãmetsiŋusẽa ƒe gbedasi nanɔ lãmenugbagbevi siwo le lãkusi si ŋu lãmetsiŋusẽa tɔ ŋkui (ate ŋu anye ŋutinu, ate ŋu anye ami ƒe lãkusi) la si. Bu eŋu abe lãmetsiŋusẽ nye safui ene, eye lãmenugbagbevi siwo le lãkusi ma si woɖo taɖodzinu na me le abe safui siwo wowɔ be woasɔ ɖe safui ma nu ene.Abe alesi ko safui ate ŋu aʋu ʋɔ ne esɔ ɖe safuia nu ene la, nenema ke ne esɔ ɖe lãmenugbagbevi si xɔe nu ko hafi lãmetsiŋusẽ ate ŋu awɔ dɔ. Ɣemaɣie lãmetsiŋusẽa ɖoa gbedasi si wòhe vɛ la ɖa, hegblɔna na taɖodzinu ma be wòawɔ nane. Èse egɔmea?
Togbɔ be adze nu bɔbɔe ŋutɔ hã la, mɔ̃ wɔnuku aɖee nye esia! "Trɔtrɔ" si wɔa dɔ na lãmetsi ɖesiaɖe la le eƒe teƒe si sɔ la ko. Esia tae lãmetsi ɖeka wɔa nusi wòle be wòawɔ ko, evɔ mekpɔa ŋusẽ ɖe ŋutilã bliboa dzi o.
Míaƒe ŋutilã zãa lãmetsiŋusẽwo le mɔ eve nu tsɔ ɖoa dze.
1. Mɔnu gbãtɔe nye kadodo si le lãmenugbagbeviwo ƒe lãkusi eve dome: Lãmetsi ɖeka ɖea lãmetsi aɖe doa goe, eye emegbe wòyia edzi ʋãa lãkusi bubu be wòatrɔ lãmetsi si wòɖena ɖe go ƒe agbɔsɔsɔ. Kpɔɖeŋu nyui aɖee nye ƒomedodo si le wò lãkusi kple wò lãkusi dome . Pituitary gland la ɖea nane si woyɔna be thyroid-stimulating hormone (TSH) dona . TSH sia yi edzi gblɔna na thyroid gland be "wòaɖe wò lãmetsiwo ɖa."
2. Mɔnu eveliae nye kadodo si le lãmenugbagbeviwo ƒe dɔwɔwɔ kple ŋutinu aɖe si ŋu nèdi be yeazã le dome: Le kpɔɖeŋu me, wò dɔgboa ɖea lãmetsi aɖe si woyɔna be insulin . Insulin sia yia wò lãmekawo kple aklã me, eye wòkpena ɖe wo ŋu wozãa sukli ƒomevi aɖe si woyɔna be sukli .
Aleae lãmetsiŋusẽwo wɔa dɔ le míaƒe ŋutilã me. Ele abe network si me nyawo sesẽ ene, alo?
Amekae wɔa lãmetsi xɔasi siawo? Afikae wowɔa wo le?
Teƒe vevi siwo wɔa lãmetsiŋusẽwo le míaƒe ŋutilã mee nye lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe lãkusiwo . Mina míalé ŋku ɖe wo dometɔ aɖewo kple woƒe dɔ veviwo ŋu kaba:
Hypothalamus ƒe ʋuʋudedi
Esi wònye be lãkusi sia le ahɔhɔ̃a me ta la, ekpɔa ŋusẽ ɖe lãkusi si woyɔna be pituitary gland dzi eye wòwɔa lãmetsiŋusẽwo abe oxytocin (si wogayɔna be lɔlɔ̃ ƒe lãmetsi) ene.
Pituitary Gland ƒe Ʋuka
‘Gbuti gã’ sia si le ahɔhɔ̃a te la wɔa lãmetsi vevi geɖe, abe tsitsi ƒe lãmetsi (GH) ene, eye wòkpɔa lãkusi bubuwo hã dzi.
Pineal Gland (Gland si woyɔna be Pineal Gland).
Lãmetsi sia si le ahɔhɔ̃a me wɔa melatonin eye wòkpɔa míaƒe alɔ̃dɔdɔ kple nyɔnyrɔ̃ ƒe tsatsam dzi.
Thyroid Gland (Ŋutilã ƒe Ʋuka).
Lãmetsi sia si le kɔ me wɔa thyroid hormones (T3, T4) eye wòkpɔa míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi , si fia alesi míezãa ŋusẽe.
Parathyroid Glandwo ƒe Dɔlékuiwo
Lãmetsi siawo siwo le lãkusia megbe la wɔa parathyroid hormone (PTH) be wòana calcium ƒe agbɔsɔsɔ le ʋu me kple ƒuwo ƒe lãmesẽ nanɔ anyi.
Adrenal Glands ƒe Ʋuʋudediwo
Lãmetsiŋusẽ siawo siwo le ayikuwo dzi la wɔa lãmetsiŋusẽwo abe cortisol ( lãmetsi si wɔa nu ɖe nuteɖeamedzi ŋu) kple adrenaline (lãmetsi si wɔa dɔ le nɔnɔme kpatawo me).
Dɔgbo ƒe dɔléle
Lãmetsi sia si le dɔgboa me lae wɔa insulin kple suklidɔ eye wòkpɔa sukli ƒe agbɔsɔsɔ le ʋu me dzi.
Azigolowo
Lãmetsiŋusẽ siawo siwo le nyɔnuwo me wɔa vidzidzi ƒe lãmetsiwo abe estrogen kple progesterone ene .
Vidzidɔ (Testes) .
Esiawo le ŋutsuwo me wɔa ŋutsu ƒe lãmetsi vevitɔ, si nye testosterone .
Tsɔ kpe ɖe lãkusi siawo ŋu la, teƒe bubuwo hã li siwo menye lãmenugbagbeviwo ƒe dɔwɔwɔ me tɔ o, gake wowɔa lãmetsiŋusẽwo:
- Ami: Ami si le ŋutilãa me naa lãmetsiwo abe leptin , si gblẽa nu le nuɖuɖudzroame ŋu.
- Ayikuwo: Ewɔa lãmetsiŋusẽwo abe erythropoietin ene, si kpena ɖe ame ŋu be ʋumenugbagbevi dzĩwo dona. Vitamin D (si nye lãmetsiŋusẽtike ŋutɔŋutɔ) hã wɔa dɔ le afisia.
- Aklã: Ewɔa tsitsinu 1 si le abe insulin ene (IGF-1), si do ƒome kple tsitsi.
- Dɔgbo: Ewɔa lãmetsiŋusẽwo abe ghrelin kple glucagon-like peptide 1 (GLP-1) , siwo kpɔa dɔwuame kple nuɖuɖu ƒe dzodzro dzi.
- Vidzidɔ: Ewɔa lãmetsi siwo alé fufɔfɔa ɖe te le fufɔɣi.
Kpɔ alesi míaƒe ŋutilã ƒe teƒe geɖe wɔa dɔla siawo siwo woyɔna be lãmetsiŋusẽwo heɖea wo ɖa ɖa! Míele lãmesẽ me elabena nusiawo katã wɔa dɔ le ɖekawɔwɔ blibo me.
Nukae dzɔna ne lãmetsiŋusẽ ƒe kuxiwo le ame ŋu?
Ne lãmetsi vevi siawo mesɔ gbɔ o alo wogbɔ eme, si fia be ne ‘lãmetsiŋusẽ ƒe masɔmasɔ’ aɖe li la, dzesi vovovowo ate ŋu adze eye lãmesẽkuxiwo ate ŋu ado mo ɖa. Zi geɖe la, esia bia be woawɔ atike na wo. Lãmetsiŋusẽ ƒe dɔléle siwo bɔ wu dometɔ aɖewoe nye:
- Suklidɔ: Kuxi aɖe si le lãmetsi si nye insulin ƒe dɔwɔwɔ alo ewɔwɔ ŋu koŋue hea esia vɛ. Suklidɔ ƒomevi eve hã li , suklidɔ Ƒomevi 1, kple Fufɔfɔ ƒe suklidɔ .
- Lãmetsidɔ: Esia lɔ lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ si medea ame dzi o ( hypothyroidism ) kple lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ si sɔ gbɔ ( hyperthyroidism ).
- Dzinukpɔkpɔ si medzɔna edziedzi o: Esia ate ŋu atso nɔnɔmewo abe polycystic ovary syndrome (PCOS) , dzinukpɔkpɔ ƒe anyimanɔmanɔ kura ( amenorrhea ), kple azigolo ƒe anyimanɔmanɔ ( anovulation) gbɔ.
- Nyɔnuwo ƒe vidzidzi kple ŋutsuwo ƒe vidzidzi: vevietɔ testosterone ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi le ŋutsuwo me (Hypogonadism (Aɖuɖɔtoedɔléle).
- Lolo akpa: Lãmetsiŋusẽ ƒe masɔmasɔ hã ate ŋu akpɔ ŋusẽ ɖe esia dzi.
Nɔnɔme bubu geɖewo hã li siwo le abe esia ene siwo tsoa lãmetsiŋusẽ ƒe kuxiwo gbɔ. Eyata ele vevie ŋutɔ be nàlé ŋku ɖe nusianu si mebɔ o alo esi to vovo le wò ŋutilã me ŋu.
Nukatae lãmetsiŋusẽ ƒe masɔmasɔ siawo dzɔna?
Nu geɖe ate ŋu ahe lãmetsiŋusẽ ƒe dɔléle ɖesiaɖe vɛ. Gake le goawo katã me la, nu vevi siwo gbɔ lãmetsiŋusẽ ƒe masɔmasɔ tsona dometɔ aɖewoe nye esi:
- Dɔdzẽ, adenomas, alo tsitsi bubuwo: Ɣeaɖewoɣi la, esiawo te ŋu doa mo ɖa le lãmenugbagbeviwo ƒe dɔwɔwɔ me alo ƒoa xlã wo eye wokpɔa ŋusẽ ɖe lãmetsiŋusẽ ƒe dɔwɔwɔ dzi.
- Dɔlékuiwutike aɖe ƒe gbegblẽ alo abixɔxɔ.
- Dɔlélenutsiŋutete ƒe nɔnɔmewo: Esiae nye ne mía ŋutɔwo ƒe dɔlélenutsiŋutete dze mía ŋutɔwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi.
- Domenyiŋusẽfianu ƒe tɔtrɔ: Ɣeaɖewoɣi la, lãmetsiŋusẽ ƒe kuxiwo ate ŋu atso domenyiŋusẽfianu ƒe tɔtrɔ siwo nɔa anyi le vidzidzi me gbɔ.
Tsɔ kpe ɖe esia ŋu la, nuwo abe atike aɖewo, nuteɖeamedzi sesẽ, nunyiame ƒe veve, kple tsitsi hã ate ŋu akpɔ ŋusẽ ɖe lãmetsiŋusẽ ƒe agbɔsɔsɔ dzi.
Amekae daa dɔléle aɖe si do ƒome kple lãmetsiŋusẽ?
Ne èsusu be lãmetsiŋusẽ ƒe kuxi aɖe le ye ŋu la, ele be nàkpɔ wò ƒomea ƒe ɖɔkta (Primary healthcare provider/GP) gbã . Ate ŋu anya lãmetsiŋusẽ ƒe dɔléle geɖe ahada wo eye wòakpe ɖe ŋuwò nàkpɔ wo gbɔ.
Gake ɣeaɖewoɣi la, ate ŋu aɖe vi na wò geɖe wu ne èyi lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ . Dɔlékuiŋutinunyala nye ɖɔkta si bi ɖe dɔléle siwo do ƒome kple lãmetsiŋusẽ (enocrinology) me . Ate ŋu anya dɔléle siawo siwo do ƒome kple lãmetsiŋusẽ, awɔ ɖoɖo ɖe atikewɔwɔ ŋu, eye wòaŋlɔ atikewo nɛ ne ehiã. Eyata ne wò ƒomea ƒe ɖɔkta kpɔe be ehiã la, aɖo wò ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ.
Eyata nukae nye nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe egbea me?
Kpuie ko la, lãmetsiŋusẽwo le vevie na míaƒe agbe. Zi geɖe la, míaƒe ŋutilã dzea agbagba be yeana lãmetsi siawo nada asɔ nyuie. Gake ne le susu aɖe ta la, lãmetsi aɖe va bɔbɔ akpa alo wòsɔ gbɔ akpa la, ate ŋu ahe lãmesẽkuxiwo vɛ .
Eyata ne ède dzesi dzesi alo tɔtrɔ aɖewo siwo mebɔ o le wò ŋutilã me la, mègaŋe aɖaba ƒu edzi o. Kpɔ ɖɔkta godoo eye nàƒo nu tso eŋu. Emegbe ate ŋu awɔ dodokpɔ siwo hiã atsɔ akpɔe ɖa be lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie le ŋuwò ŋutɔŋutɔ hã, alo ne susu bubu aɖe le megbe na dzesi siawo hã. Ne ède dzesii kaba la, woate ŋu akpɔ kuxi geɖe gbɔ bɔbɔe. Ne míedi be míanɔ lãmesẽ me la, ele vevie ŋutɔ be míanɔ ŋudzɔ ɖe dɔla sue siawo ŋu, alo?
`Lãmetsiŋusẽ, Lãmetsiŋusẽ ƒe dɔwɔwɔ, Lãmetsiŋusẽ ƒe masɔmasɔ, Suklidɔ, Thyroid, Lãmesẽ

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