Mina míasrɔ̃ nu tso Amegbetɔ ƒe Tsitsi ƒe Lãmetsiŋusẽ (HGH) ŋu le nya bɔbɔewo me.

Ðe nèsena le ɖokuiwò me be viwòa mele tsitsim abe alesi wòle be woanɔ tsitsim ene oa? Alo ɖe nèsena le ɖokuiwò me ɣesiaɣi be ɖeɖi te ye ŋu eye yeƒe lãme gbɔdzɔa? Ðewohĩ nusi gbɔ esia tsoe nye atike sue aɖe si tsɔa dɔla si le wò ŋutilã me. Woyɔa lãmetsiŋusẽ mawo dometɔ ɖeka si le vevie na míaƒe ŋutilã ƒe tsitsi kple nu bubu geɖewo be amegbetɔ ƒe tsitsi ƒe lãmetsi . Míeyɔa esia kpuie be HGH (Amegbetɔ ƒe Tsitsi ƒe Lãmetsiŋusẽ) . Ame aɖewo hã yɔnɛ be somatotropin . Eyata egbea, mina míaƒo nu tso HGH sia ŋu tsitotsito, bɔbɔe ŋutɔ.

Nukae nye HGH? Aleke wòwɔna le míaƒe ŋutilã me?

Kpuie ko la, HGH nye dzɔdzɔme lãmetsi si míaƒe ŋutilã wɔna. Gluvi sue aɖe si le míaƒe ahɔhɔ̃ te tututu, si lolo abe ƒu sue aɖe ene, ye wɔae. Míeyɔa esia be pituitary gland . HGH lãmetsi sia gblẽa nu le míaƒe ŋutilã ƒe akpa geɖe ŋu. Ele vevie ŋutɔ na ɖeviwo ƒe tsitsi . HGH kpena ɖe ame ŋu ŋutɔ le nuwo abe viwòa ƒe kɔkɔme kple woƒe ƒuwo ƒe ŋusẽdodo ene me.

Gake ne míenya tsi ko, si fia be ne tsitsi ƒe agbalẽvi siwo le míaƒe ƒuwo (epiphyses) me tu vɔ la, HGH megana míekɔna o. Gake menye ema koe HGH wɔna o. Ne míetsi vɔ gɔ̃ hã la, HGH kpena ɖe míaƒe ŋutilã ƒe wɔwɔme si sɔ ŋu eye wònana míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ nyuie. Lãmetsiŋusẽ siae trɔa nuɖuɖu si míeɖuna wòzua ŋusẽ. HGH kpena ɖe mía ŋu hã be míaƒe ʋumesukli (glucose) ƒe agbɔsɔsɔ nanɔ agbɔsɔsɔ aɖe me.

Lãmetsiŋusẽwo nye atike siwo le míaƒe ŋutilã me. Wowɔa nu abe amedɔdɔwo ene. Wozɔa mɔ to ʋua me hegblɔa nusi wòle be míawɔ kple ɣeyiɣi si míawɔe na míaƒe ŋutinuwo, lãmekawo, kple lãmenugbagbevi bubuwo. Lãmetsiŋusẽ siawo dometɔ siwo wu 50 ye le míaƒe ŋutilã me!

Pituitary gland si megblɔ va yi la le ahɔhɔ̃a ƒe gɔme, le hypothalamus te . Hypothalamus sia kpɔa nu geɖe abe míaƒe ʋu ƒe sisi, dzi ƒe tsotso, ŋutilã ƒe dzoxɔxɔ, kple nuɖuɖumeŋusẽ dzi. Eyata, hypothalamus siae gblɔna na pituitary gland be wòaɖe asi le HGH ŋu. Woyɔa lãmetsi aɖe si kpena ɖe ema ŋu be GHRH (lãmetsi si ɖea lãmetsi si nana ame tsina) . Azɔ hã, lãmetsi bubu (somatostatin) dona tso hypothalamus me be wòatɔ te HGH ƒe dodo. Aleae wokpɔa HGH dzii.

Ɣeaɖewoɣi la, ɖɔktawo zãa HGH si wowɔ tsɔ daa dɔléle aɖewo. Gake ɖo ŋku edzi be mègazã HGH si wowɔ kple asi ɖɔkta ƒe atike manɔmee gbeɖe o.

Nu kawoe kpɔa ŋusẽ ɖe HGH ƒe dodo dzi?

Zi geɖe la, míaƒe lãkusi ɖea HGH ɖe go le agbɔsɔsɔ sue aɖe me le ŋkekea me katã, si woyɔna be pulses . Lãmetsi eve siwo tso hypothalamus me siwo woyɔna be GHRH kple somatostatin koŋue kpɔa esia dzi.

Menye ema ɖeɖeko o, ke boŋ lãmetsiŋusẽ bubuwo hã le eme. Le kpɔɖeŋu me,Insulin-like growth factor 1 (IGF-1) ɖea HGH ƒe wɔwɔ dzi kpɔtɔna, gake lãmetsiwo abe thyroxine , glucocorticoids , kple ghrelin ya dzia HGH ƒe dodo ɖe edzi.

IGF-1, si míaƒe aklã ɖena ɖe go la nye HGH ƒe dɔwɔwɔ ƒe akpa vevi aɖe. IGF-1 siae kpɔa HGH ƒe dzidziɖedzi fũu akpa dzi. Eyae nye be HGH nana wowɔa IGF-1, eye IGF-1 si wowɔ la gaɖea HGH ƒe wɔwɔ dzi kpɔtɔna. Ele abe tsatsam ene.

Le ame si le lãmesẽ me gome la, sukli ƒe agbɔsɔsɔ si le ʋu me (suklidɔ ƒe agbɔsɔsɔ si sɔ gbɔ) xea mɔ na HGH ƒe dodo . Tsɔ kpe ɖe eŋu la, nusiwo le abe alɔ̃dɔdɔ, nuteɖeamedzi, kamedede, sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) , kple amino acidwo ʋãa HGH ƒe dodo.

Dɔ vevi kawoe HGH lãmetsiŋusẽa wɔna?

Dɔ vevi eve le HGH si:

1. Tsitsi ƒe ʋuʋu (vevietɔ le ɖeviwo gome) .

2. Ŋusẽkpɔɖeamedzi ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋu (alesi míetrɔa nuɖuɖu si míeɖuna wòzua ŋusẽ) .

HGH kple tsitsi

HGH kpena ɖe míaƒe ŋutilã ƒe lãkusi kple ŋutinu ɖesiaɖe ŋu wòtsina. Gake exɔ ŋkɔ wu le esi wòkpena ɖe ƒunukpeƒewo kple ƒu ŋu be woatsi ta. Esia le vevie ŋutɔ le ƒewuiwo me. Lãmenugbagbevi siwo woyɔna be chondrocytes le ƒunukpeƒewo kple ƒumeŋuɖui siwo le ƒuwo me xɔa dzesiwo tso HGH gbɔ be woama eye woalolo.

Gake abe alesi megblɔe va yi ene la, HGH medzia eƒe kɔkɔme ɖe edzi ne tsitsi ƒe agbalẽvi (epiphyses) siwo le ɖevi ƒe ƒuwo me tu vɔ o. Ke boŋ HGH kpena ɖe ame ŋu wòléa ŋutilã ƒe wɔwɔme si sɔ me ɖe asi le eƒe agbemeŋkekewo katã me.

HGH kple lãmenugbagbeviwo ƒe dɔwɔwɔ

Metabolism nye atike siwo trɔa nuɖuɖu si míeɖuna wòzua ŋusẽ. Lãmenugbagbevi ɖesiaɖe si le míaƒe ŋutilã me hiã ŋusẽ hafi wòate ŋu awɔ dɔ nyuie.

HGH kpɔa ŋusẽ ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi koŋ to IGF-1 ƒe wɔwɔ dzi ɖeɖe kpɔtɔ me, si trɔa alesi wòkpɔa ŋusẽ ɖe míaƒe ŋutilã ƒe lãmenugbagbeviwo dzii. IGF-1 nye lãmetsi aɖe si ƒe wɔwɔme sɔ kple insulin tɔ . Insulin nye lãmetsi vevi aɖe si míaƒe dɔgbo wɔna si ɖea sukli (glucose) ƒe agbɔsɔsɔ le ʋu me dzi kpɔtɔna. Ŋutete le IGF-1 hã ŋu be wòaɖe sukli si le ʋu me dzi akpɔtɔ.

Zi geɖe la, míaƒe ŋutilã kpɔa sukli ƒe agbɔsɔsɔ si le míaƒe ʋu me dzi nyuie. Sukli si le ʋu me, alo sukli, ye nye sukli ƒomevi vevitɔ si le míaƒe ʋu me. Míekpɔnɛ tso nuɖuɖu siwo me carbohydrate le siwo míeɖuna me. Sukli siae naa ŋusẽ míaƒe ŋutinuwo, lãmekawo, kple lãmekawo.

Insulin ye nye lãmetsi vevitɔ si ɖea sukli si le ʋu me dzi kpɔtɔna ne esɔ gbɔ. Eye lãmetsi si nye glucagon dzia sukli si le ʋu me ɖe edzi ne eɖiɖi. Gake zi geɖe la, HGH dzia sukli si le ʋu me ɖe edzi ne eɖiɖi. Gake la,Ne HGH ƒe agbɔsɔsɔ si le wò ŋutilã me dzi ɖe edzi akpa la, ate ŋu ado kplamatse insulin ƒe dɔwɔwɔ eye wòana sukli nadzi ɖe edzi le ʋu me.

Ðe HGH nana nèkɔa ame kɔkɔ wu nyateƒea?

Ẽ, HGH ate ŋu ana ɖeviwo ƒe kɔkɔme nadzi ɖe edzi. Gake hafi tsitsi ƒe agbalẽvi siwo le woƒe ƒuwo me la va kpe ɖe wo nɔewo ŋu hafi. HGH mate ŋu ana nàkɔ wu ne tsitsi ƒe agbalẽviawo va kpe ɖe wo nɔewo ŋu vɔ o. Ke boŋ ne èɖo wò kɔkɔme si sɔ gbɔ wu gbɔ vɔ la, HGH kpena ɖe ŋuwò nèléa wò ŋutilã ƒe wɔwɔme kple eƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ɖe te.

Nukae nye HGH ƒe agbɔsɔsɔ si sɔ?

Abe alesi megblɔe va yi ene la, lãkusia ɖea HGH ɖe go le gbagbãƒewo le ŋkekea me katã. Agbɔsɔsɔ siawo toa vovo le ŋkekea ƒe ɣeyiɣi, ƒe si woxɔ, kple ŋutsu alo nyɔnu nyenye nu. Eyata ʋudodokpɔ zi ɖeka be woatsɔ adzidze HGH meɖea vi boo aɖeke le dɔléle aɖe didi me o. Ke boŋ ɖɔktawo léa ŋku ɖe HGH ƒe agbɔsɔsɔ ŋu to dodokpɔ tɔxɛwo (dodokpɔ siwo doa ŋusẽ ame alo esiwo xea mɔ na ame) me.

HGH ƒe agbɔsɔsɔ si sɔ la le ale:

• Ŋutsu tsitsiwo: Nanogram 0.4 va ɖo 10 le mililita ɖeka me (ng/mL) .
• Nyɔnu tsitsiwo: Nanogram 1 va ɖo 14 le mililita ɖeka me (ng/mL) .
• Ðeviwo: Nanogram 10 va ɖo 50 le mililita ɖeka me (ng/mL) .

Gake ɖo ŋku edzi be dzidzenu siawo ate ŋu ato vovo vie tso dodokpɔxɔ ɖesiaɖe me. Eyata tsɔ wo sɔ kple agbɔsɔsɔ si sɔ le wò dodokpɔxɔ ƒe nyatakaka me. Ne nane si ŋu nètsi dzi ɖo la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta.

Nukae adzɔ ne HGH ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ? (Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ) .

Ne HGH ƒe agbɔsɔsɔ ɖiɖi wu alesi wòle be wòanɔ la, míeyɔnae be Tsitsi ƒe Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ . Zi geɖe la, kuxi aɖe alo nusiwo gblẽ le pituitary gland ŋu gbɔe esia tsona. Esia ate ŋu ahe nɔnɔme aɖe si woyɔna be hypopituitarism vɛ . Esia fia be lãmetsiŋusẽ ɖeka alo esi wu nenema siwo ƒunukpeƒetetedɔ wɔna dzi ɖena kpɔtɔna. HGH hã nye lãmetsiŋusẽ si ŋu woate ŋu akpɔ ŋusẽ ɖo alea.

HGH ƒe anyimanɔmanɔ sia gblẽa nu le ame tsitsiwo kple ɖeviwo ŋu le mɔ vovovowo nu.

Ne HGH ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ le ame tsitsiwo me la:

Ne ame tsitsi aɖe ƒe HGH ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, kuxi siwo gbɔna ate ŋu ado mo ɖa:

• Dzidzɔkpɔkpɔ kple dzidzemekpɔkpɔ le agbe me dzi ɖe kpɔtɔ.
• Ami si le ŋutilã me ƒe dzidziɖedzi.
• Dzidɔ ƒe afɔku si dzina ɖe edzi.
• Dzi, lãmekawo kple ƒuwo ƒe gbɔdzɔgbɔdzɔ.

Le ame tsitsiwo gome la, nɔnɔme sia ate ŋu atso pituitary adenoma (esia menye kansa o, ke boŋ tumor) alo pituitary gland/hypothalamus ƒe gbegblẽ gbɔ.

Ne ɖeviwo ƒe HGH le sue la:

Ne ɖevi ƒe HGH ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, tsitsi atɔ te. Dzesi vevitɔe nye be eƒe kɔkɔme dzina ɖe edzi vivivi le ɖevia ƒe dzigbezã etɔ̃lia megbe. Eyae nye be mede sentimeta 1.4 ƒe sia ƒe o. Le kpɔɖeŋu me, ne edze abe viwòa le kpuie sã wu ɖevi bubu siwo le klass la, ele be nàtsi dzi.

Tsɔ kpe ɖe eŋu la, dzesiwo abe:

• Mo si dze abe ɖe wòtsi wu ƒe si wòxɔ sã ene.
• Taɖa ƒe tsitsi ƒe gbegblẽ.
• Ƒewuiwo ƒe heheɖemegbe.

Woate ŋu adzi ɖeviwo kple nɔnɔme sia. Ɣeaɖewoɣi la, womenya nusi gbɔ wòtso o (idiopathic), ate ŋu atso domenyiŋusẽfianu gbɔ, alo ate ŋu atso nusiwo gblẽ le pituitary gland ŋu le fufɔɣi alo le vidzidzi me gbɔ. Ɣeaɖewoɣi la, ate ŋu atso nusiwo gblẽ le pituitary gland alo hypothalamus ŋu le eƒe tsitsime hã gbɔ.

Nukae adzɔ ne HGH ƒe agbɔsɔsɔ dzi ɖe edzi?

Nɔnɔme vevitɔ si do ƒome kple HGH ƒe agbɔsɔsɔ si sɔ gbɔ wu esi sɔ enye acromegaly . Esia gblẽa nu le ame tsitsiwo kple ɖeviwo hã ŋu le mɔ vovovowo nu. Enye nɔnɔme si mebɔ kura o.

Acromegaly le ame tsitsiwo me

Zi geɖe la , ame tsitsi siwo ŋu acromegaly le ƒe asi kple afɔwo lolona alo vuvuna eye woƒe mo ƒe dzedzeme trɔna .

Ate ŋu adzɔ hã be ƒu siwo le kpekpem wu eye woƒe ememe ŋutinuwo lolo wu. Anɔ eme be nɔnɔmewo abe ʋusɔgbɔdɔ , suklidɔ ƒomevi evelia, kple dzidɔ ene ate ŋu adze wo dzi. Acromegaly ƒe dɔléle siwo wu 99% tsoa dɔdzẽ siwo menye kansa o siwo le lãkusi si woyɔna be pituitary adenomas me gbɔ. Dɔdzẽ siawo ate ŋu ana HGH sɔ gbɔ akpa. Acromegaly bɔ wu le ƒe titina megbe, ne tsitsi wu enu. Eyata ame tsitsi siwo ŋu acromegaly le la mekɔna wu o. Ke boŋ woƒe ƒuwo ate ŋu aƒo.

Acromegaly (Gigantism) le ɖeviwo ŋu

Ƒã ŋutɔ la, ɖeviwo ate ŋu akpɔ HGH ƒe agbɔsɔsɔ si sɔ gbɔ hafi woaɖo woƒe kɔkɔme bliboa gbɔ. Esia ate ŋu ana ƒu legbeawo natsi akpa, si ana ɖevi siwo ƒe kɔkɔme mesɔ o nadze. Woyɔa nɔnɔme sia be ɖeviwo ƒe acromegaly . Woyɔa esia ɣeaɖewoɣi be gigantism . Ne womewɔ atike na ɖevi siawo o la, woate ŋu atsi afɔ adre alo anɔ kɔkɔm wu. Woate ŋu akpɔ dzesiwo abe kuviawɔwɔ, sɔhɛmenɔɣi ƒe megbetsitsi, kple taɖuame hã.

Zi geɖe la, pituitary adenoma hã gbɔe esia tsona.

Aleke wodzidzea HGH ƒe agbɔsɔsɔe?

Ne dzesi aɖewo le ŋuwò alo viwòa ŋu si fia be kuxi siwo do ƒome kple HGH le wo ŋu la, wò ɖɔkta ate ŋu aɖe gbe be woado ʋu kpɔ zi geɖe atsɔ akpɔ wò HGH ƒe agbɔsɔsɔ.

Abe alesi megblɔe va yi ene la, lãkusia ɖea HGH ɖea ʋua me le ŋkekea me katã eye ɣeaɖewoɣi le zã me. Eyata esesẽna be woase nɔnɔmea gɔme nyuie ne wodo ʋu eye wodo HGH kpɔ zi ɖeka ko.

Eyata zi geɖe la, ɖɔktawo zãa mɔnu siwo woyɔna be tsitsi ƒe lãmetsiŋusẽ ƒe ʋuʋu kple eƒe nutete dodokpɔ tsɔ dea dzesi nɔnɔme siwo HGH ƒe anyimanɔmanɔ alo eƒe agbɔsɔsɔ fũ hena vɛ.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ ʋudodokpɔ atsɔ akpɔ IGF-1 (insulin-like growth factor 1) ƒe agbɔsɔsɔ.

Aleke wozãa HGH abe atike ene?

United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖe HGH si wowɔ dzi be woatsɔ ada dɔléle aɖewo. Ðɔkta ƒe atikewɔmɔnu koe woate ŋu akpɔ HGH sia si wowɔ, eye wodoe abe atike ene.

Woŋlɔa HGH na ɖeviwo ɖe nɔnɔme siwo gbɔna ta:

• Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ.
• Nɔnɔme siwo nana ame ƒe kɔkɔme nɔa kpuie, abe ayikudɔ si nɔa anyi didi , Turner ƒe dɔléle , kple Prader-Willi ƒe dɔléle ene.

Woŋlɔa HGH na ame tsitsiwo ɖe nɔnɔme siwo gbɔna ta:

• Tsitsi ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ.
• Lãmetsiŋusẽ ƒe bu le HIV dɔlékuia ta .
• Dɔgbo kpui ƒe dɔléle .

Vevietɔ ŋutɔ: Mègazã HGH si wowɔ gbeɖe o negbe ɖe wò ɖɔkta ŋlɔe na wò hafi.

Nukae nye HGH si wowɔ ƒe nugbegblẽ le ame ŋu?

Nusiwo dona tso eme dometɔ aɖewo ate ŋu ado mo ɖa ne wozã HGH si wowɔ abe atike ene. Esiawoe nye:

• Carpal tunnel syndrome (lãmeka si ƒona le asibidɛ me).
• Insulin ƒe dɔlélenutsiŋutete ƒe dzidziɖedzi kple/alo suklidɔ ƒomevi evelia.
• Asiwo kple afɔwo ƒe vuvu (edema) .
• Ƒunukpeƒewo kple lãmekawo ƒe vevesese.
• No me lãkusiwo ƒe lolome le ŋutsuwo me (nyɔnuwo ƒe dɔlélenutsiŋutete) .
• Kansa ƒomevi aɖewo xɔxɔ ƒe afɔku si dzina ɖe edzi.

Nyatakaka si sɔ mele numekulawo si haɖe ku ɖe nusiwo HGH-dɔdamɔnu si wotsɔ lãgbalẽ wɔe gblẽna le wo ŋu ɣeyiɣi didi ŋu o.

Ɣekaɣie wòle be makpɔ ɖɔkta le HGH ƒe agbɔsɔsɔ ŋu?

Ne dzesi siwo do ƒome kple HGH ƒe anyimanɔmanɔ alo eƒe agbɔsɔsɔ fũ (e.g., tsitsi blewu, abɔ kple afɔ siwo lolo) le ŋuwò alo viwòa ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Ne wole atike wɔm na wò xoxo le HGH ƒe agbɔsɔsɔ si mesɔ o ta la, ele vevie ŋutɔ be nàkpɔ wò ɖɔkta edziedzi be nàkpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm nyuie.

HGH nye lãmetsiŋusẽ sesẽ aɖe si le vevie na dɔ vevi geɖe siwo yia edzi le míaƒe ŋutilã me. Ɣeaɖewoɣi la, míaƒe pituitary gland ate ŋu awɔe wòasɔ gbɔ akpa alo awɔe wòasɔ gbɔ akpa. Ne dzesi siawo dometɔ aɖe le ŋuwò alo viwòa ŋu la, anyo wu be nàƒo nu kple ɖɔkta. Wole afima be yewoakpe ɖe ŋuwò.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Enyo, eyata míeƒo nu geɖe tso HGH ŋu egbea, alo? Mina míagbugbɔ aƒo nu tso eŋu kpuie be:

• HGH nye lãmetsiŋusẽ si le vevie ŋutɔ na míaƒe tsitsi, vevietɔ le ɖevime, kple na míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ.
• Pituitary gland si le míaƒe ahɔhɔ̃ me ye wɔa esia.
• Ne HGH ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, ɖeviwo ƒe tsitsi ate ŋu agbɔdzɔ, eye ame tsitsiwo hã ate ŋu akpɔ lãmesẽkuxi vovovowo.
• Ne HGH ƒe agbɔsɔsɔ dzi ɖe edzi la, nɔnɔmewo abe acromegaly ene ate ŋu ado mo ɖa.Le ɖeviwo gome la, esia ate ŋu adze abe gãnyenye ene, si fia be woatsi kɔkɔ le mɔ si mebɔ o nu.
• Ne èsusu be HGH ƒe kuxi aɖe ate ŋu anɔ ye alo viwò ŋu la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o.
• Mègazã HGH si wowɔ gbeɖe ɖɔkta ƒe atikewɔmɔnu manɔmee o.

Ðo ŋku edzi be woɖo nusiawo katã be woatsɔ afia nu wò. Ne lãmesẽkuxi aɖewo le ŋuwò la, wò ɖɔkta koe ate ŋu ana egbɔkpɔnu nyuitɔ kekeake. Nɔ lãmesẽ me!

` Amegbetɔ ƒe Tsitsi ƒe Lãmetsiŋusẽ, HGH, Pituitary Gland, Ðeviwo ƒe Tsitsi, Kɔkɔme ƒe Dzidziɖedzi, Lãmetsiŋusẽ ƒe Tɔtrɔ, Lãmetsiŋusẽ ƒe Masɔmasɔ