Ðe nètsi dzi ɖe tɔtrɔ aɖewo siwo ava wò ŋutilã me ŋua? Ðewohĩ nusi gbɔ wòtsoe nye androgen, si nye ŋutsu ƒe lãmetsi ƒomevi aɖe, ƒe agbɔsɔsɔ si le ŋutilãa me ƒe dzidziɖedzi. Woyɔa nɔnɔme sia le atikewɔwɔ me be hyperandrogenism . Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.
Nuka tututue nye hyperandrogenism?
Kpuie ko la, hyperandrogenism fia be androgens, si nye gbɔdɔdɔ ƒe lãmetsi ƒomevi aɖe, sɔ gbɔ akpa le wò ŋutilã me. Androgens le vevie na sɔhɛmenɔɣi, vidzidzi ƒe lãmesẽ, kple ŋutilã ƒe tsitsi.
Azɔ kpɔ ɖa, lãmetsiŋusẽwo nye atike siwo le míaƒe ŋutilã me. Wole abe dɔlawo ene. Wozɔa mɔ to ʋua me hegblɔa nusi wòle be míawɔ kple ɣeyiɣi si míawɔe na míaƒe ŋutinuwo, lãmekawo, kple lãmenugbagbevi bubuwo.
Wowɔa androgens le amesiame ƒe ŋutilã me. Gake ŋutsuwoe wɔa nu geɖe wu. Nyɔnuwo wɔa nusi ade ŋutsu ƒe ŋutilã ƒe akpa wuieve. Testosterone ye nye androgen siawo dometɔ vevitɔ.
Ŋutsuwo ƒe vidzidɔ kple azigolo le nyɔnuwo me ye wɔa androgens. Adrenal gland siwo le míaƒe ayikuwo tame hãe wɔa lãmetsiŋusẽ siawo. Wokpena ɖe ame ŋu hã be woatrɔ androgen siwo gbɔdzɔ woazu esiwo sesẽ wu le teƒewo abe ami ƒe lãkusi kple ŋutigbalẽ ene.
Nɔnɔme sia si woyɔna be hyperandrogenism ƒe dzesiwo ate ŋu ato vovo le ƒe si nèxɔ kple ŋutsu alo nyɔnu nyenye nu. Nu geɖe li siwo ate ŋu ahe esia vɛ, eye atikewo hã li na esia.
Ðe Hyperandrogenism kple PCOS nye nu ɖeka?
Ame geɖe susuna be Hyperandrogenism kple Polycystic Ovary Syndrome (PCOS) nye dɔléle ɖeka. Togbɔ be ƒomedodo kplikplikpli le wo ame evea dome hã la, womesɔ o.
Hyperandrogenism nye PCOS ƒe nɔnɔme vevi aɖe. PCOS nye lãmetsiŋusẽ ƒe masɔmasɔ si tsoa azigolowo ƒe ŋutsu ƒe lãmetsiŋusẽ geɖe wɔwɔ gbɔ. Edzea nyɔnuwo dzi.
Eyata togbɔ be PCOS nye nusi gbɔ hyperandrogenism tsona zi geɖe hã la, nu bubuwo ate ŋu ahe hyperandrogenism vɛ. Nenema ke dzesi bubuwo hã le PCOS ŋu, abe azigolo ƒe ʋuʋudedi ene, tsɔ kpe ɖe hyperandrogenism ƒe dzesiwo ŋu.
Ameka ŋue nɔnɔme sia gblẽa nu le wu? Aleke gbegbe wòbɔe?
Hyperandrogenism ateŋu adze ame sia ame dzi - ɖevi suewo, ame tsitsiwo, amesiame. Gake nyɔnu siwo xɔ ƒe si woate ŋu adzi vi la mee wòbɔ ɖo wu .
Nyɔnu siwo xɔ ƒe si woate ŋu adzi vi la ƒe 5% va ɖo 10%Nɔnɔme sia le ŋusẽ kpɔm ɖe amewo dzi. Ema fia be esia mebɔ abe alesi nàsusui ene o.
Nɔnɔme sia medzea ŋutsuviwo kple ŋutsu tsitsiwo dzi boo o.
Nukae nye esia ƒe dzesiwo?
Hyperandrogenism ƒe dzesiwo toa vovo le wò ŋutsu alo nyɔnu nyenye nu kple nenye be èto sɔhɛmenɔɣi me.
Gake nu vevi aɖe si dzi wòle be míaɖo ŋkui enye si. Ne dzesi siawo le ŋuwò gɔ̃ hã la, androgen ƒe agbɔsɔsɔ le ʋu me ate ŋu anɔ abe alesi wòle ene. Esia le alea elabena dzesi siawo dometɔ ɖesiaɖe ate ŋu atso nu bubuwo gbɔ. Azɔ hã, ne ʋudodokpɔwo ɖee fia be wò androgen ƒe agbɔsɔsɔ sɔ gbɔ hã la, ɖewohĩ dzesi gã aɖeke madze le ŋuwò o.
Nu vevitɔe nye be ne dzesi siawo do kpata eye wòdze kabakaba la, ele be nàyi ɖɔkta gbɔ kaba godoo, elabena le nɔnɔme mawo me la, nusi gbɔ wòtso ate ŋu anye dɔdzẽ si dona le androgen me.
Azɔ na míakpɔ ale si esia kpɔa ŋusẽ ɖe ame vovovowo dzii ɖa.
Le nyɔnuviwo gome (hafi woƒe sɔhɛmenɔɣi) .
- Akɔta ƒe lolome si lolo .
- Aklãdɔ kple ŋutigbalẽ si me ami le.
- Ŋutilã ƒe fu ƒe tsitsi si womedi o (hirsutism) . Esia fia be wotsɔa ɖa ƒuƒu siwo le ƒuƒuie ɖɔlia "taɖa si ƒe amadede nye aŋutiɖiɖi" le teƒewo abe nuyi si le etame, asike, akɔta, ƒodo, kple megbe ene.
Le ŋutsuviwo gome (hafi woƒe sɔhɛmenɔɣi) .
- Ŋutsu ƒe vidzinu si lolo .
- Taɖa ƒe tsitsi kaba alo wògbɔ eme le ame ŋutɔ ƒe teƒe kple akɔta.
- Gbea ƒe goglome.
Le nyɔnu tsitsiwo gome
- Aklãdɔ kple ŋutigbalẽ si me ami le.
- Ŋutilã ƒe taɖa ƒe tsitsi si womedi o ( hirsutism) .
- Ɣleti sia ɣleti ƒe dzinukpɔkpɔ si medzɔna edziedzi o.
- Vidzidzi sesẽ (vidzidzimakpɔmakpɔ) .
- Ŋutsu ƒe ɖa ƒe vuvu ( androgenic alopecia) .
Le ŋutsu tsitsiwo gome
Alesi esia kpɔa ŋusẽ ɖe ŋutsu tsitsiwo dzii nɔ te ɖe nenye be lãmetsiŋusẽ siwo sɔ gbɔ wu la tso adrenal glands me alo tso nane si wodo le gota (abe anabolic steroid injections ene) dzi. Ne androgens siwo tso adrenal glands me dzi ɖe edzi la, ŋutsu tsitsiwo mate ŋu ade dzesi tɔtrɔ gã aɖeke le ŋutilã me o. Gake ate ŋu aɖe vidzidɔ ƒe dɔwɔwɔ dzi akpɔtɔ eye wòana vidzidzi nasesẽ.
Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?
Androgen lãmetsiwo tsoa azigolowo, adrenal glands, kple ami lãmenugbagbeviwo gbɔ le nyɔnuwo me, eye to vidzidɔ kple adrenal glands me le ŋutsuwo me.
Lãmetsiŋusẽ bubu geɖe li siwo kpɔa ŋusẽ ɖe androgen siawo wɔwɔ kple woƒe dodo dzi. Le kpɔɖeŋu me , luteinizing hormone (LH) kple adrenocorticotrophic hormone (ACTH) . Lãmetsiŋusẽ siawo evea siaa dona le lãkusi si woyɔna be pituitary gland me.
Ne ŋutinu siawo dometɔ ɖeka alo esi wu nenema, alo lãmetsi siawo dometɔ ɖeka mewɔa dɔ nyuie o la, hyperandrogenism ate ŋu adzɔ.
Susu vevi geɖewo tae wòle alea ɖo:
- Polycystic ovary syndrome (PCOS) - Esiae nye nusi gbɔ wòtsona wu.
- Adrenal Hyperplasia si Wodzina (CAH) .
- Cushing ƒe dɔlélea .
- Dɔdzẽ siwo ɖea androgen ɖa.
- Atike aɖewo.
Azɔ mina míalé ŋku ɖe susu siawo dometɔ ɖesiaɖe ŋu tsitotsito vie.
Azigolo ƒe dɔléle si woyɔna be polycystic ovary syndrome (PCOS) .
Le ɖetugbuiwo kple nyɔnu tsitsiwo dome la, PCOS ye nye nusi gbɔ ʋumenugbagbeviɣidɔ si nu metsina o tsona wu le sɔhɛmenɔɣi megbe. Nyɔnu siwo ŋu hyperandrogenism le ƒe 80% va ɖo 90% hã ŋu PCOS le .
Le PCOS me la, azigoloawo wɔa androgen geɖe wu le LH kple insulin ƒe agbɔsɔsɔ si nɔa anyi ɖaa (hyperinsulinemia) ta. Tsɔ kpe ɖe eŋu la, insulin ƒe agbɔsɔsɔ si dzi ɖe edzi hã xea mɔ na aklã be wòagawɔ protein si woyɔna be Sex Hormone Binding Globulin (SHBG) . Esia dzia testosterone si le ʋua me femaxee ƒe agbɔsɔsɔ ɖe edzi.
Adrenal hyperplasia si wodzina `(CAH)`
Congenital adrenal hyperplasia (CAH) nye domenyiŋusẽfianu ƒe ƒuƒoƒo aɖe si gblẽa nu le adrenal glands ŋu.
Le CAH me la, domenyiŋusẽfianu ƒe tɔtrɔ nana be enzyme aɖe si woyɔna be 21-hydroxylase , si kpena ɖe ŋutilãa ŋu wòwɔa lãmetsiŋusẽwo la meganɔa anyi o. Le ame geɖe siwo ŋu CAH le gome la, enzyme sia ƒe anyimanɔmanɔ nana be adrenal glands wɔa lãmetsiŋusẽ bubuwo abe testosterone ene geɖe wu.
Nusi gbɔ hyperandrogenism tsona wu le nyɔnu siwo ŋu adrenal hyperplasia le ŋue nye non-classical congenital adrenal hyperplasia . Esia nye nɔnɔme si me enzyme 21-hydroxylase ƒe akpa aɖe mede o. Nɔnɔme sia gblẽa nu le nyɔnu siwo ŋu hyperandrogenism le la dometɔ siwo ade 2% ŋu.
Cushing ƒe dɔlélea
Cushing ƒe dɔlélea nye dɔléle ƒomevi aɖe si woyɔna be Cushing ƒe dɔléle . Cushing syndrome nye dɔléle si mebɔ o si dzɔna ne cortisol (si hã nye lãmetsiŋusẽ) sɔ gbɔ ɖe ŋutilãa me.
Cushing ƒe dɔlélea tsoa dɔdzẽ si menye kansa o si le lãkusi me gbɔ. Dɔdzẽ sia ɖea ACTH (adrenocorticotropic hormone) si sɔ gbɔ ɖe lãme na ame, si naa cortisol ƒe agbɔsɔsɔ dzina ɖe edzi.
ACTH si sɔ gbɔ akpa nana adrenal glands ɖea androgens siwo sɔ gbɔ la dona, si nye nusi hea hyperandrogenism vɛ.
Dzesi bubuwo hã le Cushing ƒe dɔlélea ŋu:
- Dzesi siwo ƒe amadede nye aŋutiɖiɖi le ƒodoa ŋu.
- Kpekpeme ƒe dzidziɖedzi kabakaba le mo, dɔgbo, kple kɔ ƒe akpa si.
- Ʋusɔgbɔdɔ.
Ne dzesi siawo tɔgbe le ŋuwò la, ele vevie ŋutɔ be nàkpɔ ɖɔkta kaba ale si nàte ŋui.
Dɔdzẽ siwo ɖea androgen ɖa
Adrenal gland ƒe dɔdzẽ aɖewo, alo dɔdzẽ siwo le azigolo alo vidzidɔ me ate ŋu awɔ androgens ahaɖe wo ɖa. Esia wɔnɛ be androgen ƒe agbɔsɔsɔ si le ŋutilãa me dzina ɖe edzi wu alesi wòle dzɔdzɔmee. Zi geɖe la , nɔnɔme si nye hyperandrogenism si dɔdzẽ siawo hena vɛ la nu sẽna ŋutɔ eye wòva dona kpata .
Hyperandrogenism, si tsoa azigolo alo adrenal tumors gbɔ la mebɔ o. Ame siwo ade 0.2% koe wòdzena le. Gake ne hyperandrogenism ƒe dzesiwo dze le ŋuwò kasia la, yi ɖɔkta gbɔ enumake.
Atike aɖewo
Atike aɖewo hã ate ŋu ana hyperandrogenism nadze ame dzi. Atike vevi siwo hea esia vɛ enye:
- Anabolic-androgenic steroids (esiawo nye testosterone ƒomevi siwo wowɔ, siwo kamedefefewɔla aɖewo zãna le mɔ gbegblẽ nu tsɔ doa ŋusẽ woƒe dɔwɔwɔ).
- Progestin siwo wowɔ (esiawo nye atike siwo nana tɔtrɔwo vaa vidzidɔa me eye wozãa wo na nu vovovowo).
- Atike siwo tsia asrãdɔ nu ( atike siwo wotsɔ xea mɔ na alɔ̃madɔmadɔ ).
Aleke nèwɔ kpɔ esia? (Dɔléle ƒe dzesi) .
Ne nyɔnue nènye eye nèsusu be hyperandrogenism le ye ŋu la, wò ɖɔkta awɔ ŋutilãmedɔ eye wòadi dzesiwo abe ɖa ƒe tsitsi si mèdi o ene. Woabia nya ʋɛ aɖewo hã wò tso wò atikewɔwɔ ŋutinya ŋu:
- Ƒe si me nowo dzea tsitsi gɔme.
- Ƒe si me taɖa dzea dzedzeme gɔme le ame ŋutɔ ƒe teƒe.
- Ƒe si woxɔ le dzinukpɔkpɔ gbãtɔ me.
- Ðe nèɖea ɖa (lũa ta, ɖe laser tsɔ ɖea ɖa)?
- Ðe nèzã anabolic steroids alo testosterone ɖɔkta ƒe atike manɔmee kpɔa?
- Nuwo abe zi nenie wò dzinukpɔkpɔ va, ŋkeke nenie wòxɔna, kple ʋu agbɔsɔsɔme si nèdona ene.
Ne wò ɖɔkta susui be hyperandrogenism le ŋuwò la, aɖe gbe be woado ʋu kpɔ atsɔ akpɔ lãmetsi aɖewo ƒe agbɔsɔsɔ. Dodokpɔ siawo ate ŋu akpe ɖe ame ŋu wòanya dɔlélea.
Dodokpɔ ka ƒomevie wowɔna?
Ne hyperandrogenism ƒe dzesiwo le ŋuwò la, wò ɖɔkta ate ŋu aɖe gbe be woado ʋu kpɔ abe esiawo ene:
- Testosterone bliboa katã: Esia dzidzea testosterone ƒe agbɔsɔsɔ bliboa le wò ʋu me. Agbɔsɔsɔ sia ate ŋu asɔ gbɔ vie le nyɔnu siwo ŋu PCOS le gome. Ne ekɔ ŋutɔ la, ate ŋu anye dɔdzẽ si le azigolo alo vidzidɔ me.
- Testosterone femaxee : Testosterone sia mebla ɖe protein aɖeke ŋu o. Esia nye testosterone bliboa ƒe agbɔsɔsɔ sue aɖe. Woate ŋu adzi agbɔsɔsɔ sia ɖe edzi le nyɔnu siwo ŋu PCOS le hã gome.
- Androstenedione : Esia nye steroid lãmetsi si mekpɔa ŋusẽ boo aɖeke ɖe ŋutilãa dzi le androgenic me o. Gake ewɔa dɔ abe domedome afɔɖeɖe ene koŋ le testosterone kple estrogen wɔwɔ le ŋutilãa me. Ne eƒe agbɔsɔsɔ sɔ gbɔ la, PCOS ate ŋu anɔ anyi.
- Dehydroepiandrosterone sulfate (DHEAS) : DHEAS nye gbɔdɔdɔ ƒe lãmetsi si adrenal glands wɔna. Eyata enye dzesi nyui aɖe si fia be adrenal androgen dona. Enye nusi sɔ be nyɔnu siwo ŋu PCOS le ƒe DHEAS ƒe agbɔsɔsɔ dzi ɖe edzi vie. Ne ekɔ ŋutɔ la, ate ŋu anye adrenal tumor ƒe dzesi.
- 17-hydroxyprogesterone : 17-hydroxyprogesterone ƒe agbɔsɔsɔ dzidzedze le ʋu me nye dodokpɔ vevi aɖe si woatsɔ akpɔe ɖa be non-classic congenital adrenal hyperplasia, si nye nɔnɔme si nye hyperandrogenism tsona dometɔ ɖeka.
Esi wònye be nu bubuwo ate ŋu ahe hyperandrogenism ƒe dzesiwo vɛ ta la, wò ɖɔkta aɖe gbe be woawɔ ʋudodokpɔ bubuwo atsɔ aɖe nusiwo gbɔ wòtso hã ɖa.
Tsɔ kpe ɖe eŋu la, woate ŋu awɔ nɔnɔmetatawo dodokpɔ abe esiawo ene atsɔ anya nusi gbɔ hyperandrogenism tso:
- Ultrasound si wowɔna le akɔta be woatsɔ akpɔe ɖa be azigolo me ʋuʋudedi (PCOS ƒe dzesi bubu) alo ƒunukpeƒetetedɔ bubuwo hã le eŋu.
- Be woakpɔe ɖa be adrenal gland tumors , wowɔa CT scan (Computed tomography - CT) alo MRI scan (Magnetic resonance imaging - MRI) dodokpɔwo.
Ðɔktawo ƒe taɖodzinue nye be yewoaɖe androgen ƒe wɔwɔ tso azigolo alo adrenal glands me dzi akpɔtɔ, aɖe androgen ƒe agbɔsɔsɔ si le ablɔɖe me dzi akpɔtɔ, eye yewoaxe mɔ na androgen ƒe dɔwɔwɔ.
Gake zi geɖe la, amesiwo ŋu hyperandrogenism le la dia atikewɔlawo ƒe aɖaŋuɖoɖo be woatsɔ ada dzesi veviawo abe ɖa ƒe tsitsi si womedi o, aklãdɔ, kple dzinukpɔkpɔ si mesɔ o ene.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ na hyperandrogenism nɔ te ɖe nusi gbɔ wòtso dzi. Le kpɔɖeŋu me:
- Woate ŋu atsɔ corticosteroid siwo ƒe agbɔsɔsɔme mede o aɖu adrenal hyperandrogenism dzi .
- Ne dɔdzẽ le azigolo, vidzidɔ, alo adrenal glandwo me la, ahiã be woawɔ dɔ na wo. Le nyɔnu siwo ƒe dzinukpɔkpɔ nu tso alo esiwo nu tso dzinukpɔkpɔ ŋu siwo ŋu hyperandrogenism sesẽ le gome la, ate ŋu ahiã be woawɔ oophorectomy (amekoko be woaɖe azigolo ɖeka alo evea siaa ɖa) hã.
- Ne atike aɖe si zãm nèle gbɔe hyperandrogenism tso la, wò ɖɔkta aɖo aɖaŋu be nàdzudzɔ atikeawo zazã alo nàtrɔ ɖe atike bubu ŋu.
Atike siwo wozãna tsɔ tsia ʋumenugbagbeviɣidɔ nu hã nye atike si bɔ na hyperandrogenism. Woxea mɔ na androgens, abe testosterone ene ƒe ŋusẽkpɔɖeamedziwo.
Atike siwo tsia androgen nu ƒomevi vovovowo li:
- Mɔxexeɖefufɔfɔnu/vidzidzitike siwo woano siwo me ethinyl estradiol (estrogen) kple antiandrogenic progesterone le: Kpɔɖeŋu aɖewoe nye atikekui siwo me cyproterone acetate (e.g. Diane®-35), drospirenone (e.g. Yasmin®, Yaz®) alo dienogest (e.g. Valette®) le. Esiawo ate ŋu ada aklãdɔ, ɖa ƒe tsitsi si womedi o kple dzinukpɔkpɔ si mesɔ o.
- Spironolactone (Spironolactone - Aldactone®) : Antiandrogen sia daa aklãdɔ kple ɖa ƒe tsitsi si womedi o si lãmetsiwo hena vɛ.
- Cyproterone : Atike sia kpena ɖe ame ŋu wòdaa PCOS, eɖea testosterone ƒe agbɔsɔsɔ dzi kpɔtɔna, eye wòɖea ami si hea aklãdɔ vɛ ƒe wɔwɔ dzi kpɔtɔna.
Dzesiwo dada
Ame siwo ŋu hyperandrogenism le ate ŋu adi atike na woƒe dzesiwo koŋ:
- Aklã : Aklãdɔdada ƒe atikewo dometɔ aɖewoe nye atike siwo wozãna ɖe ŋutilã ŋu, dɔlékuiwutike siwo woano abe tetracycline , antiandrogens (siwo dometɔ aɖewoe nye lãmetsiŋusẽtike, vidzidzinutsitikewo), kple isotretinoin atikekuiwo.
- Hirsutism (taɖa ƒe tsitsi si womedi o) : Nyɔnu geɖe siwo ŋu ɖa le la zãa mɔnuwo abe waxing, lũlũ, kple laser ɖeɖe ɖa ene. Woate ŋu ano vidzidzitikewo hã.
- Dzinukpɔkpɔ si mewɔa dɔ edziedzi o : Nyɔnuwo ate ŋu azã lãmetsiŋusẽ ƒe vidzidzi mɔxexeɖedɔléle nu ƒe mɔnuwo atsɔ aɖɔ woƒe dzinukpɔkpɔ ɖo.
Ne dzesi siawo mewɔ dɔ ɖe atikewɔmɔnu siwo wozãna ɖaa dzi o le lãmetsiŋusẽ ƒe masɔmasɔ ta la, wò ɖɔkta ate ŋu abu atike siwo ŋu ŋusẽ le wu siwo tsia dɔlékuiwutikewo nu ŋu.
Ðe womate ŋu axe mɔ ɖe esia nu oa?
Nublanuitɔe la, mɔ aɖeke meli si me kɔ si dzi woato axe mɔ ɖe hyperandrogenism nu o.
Mɔ aɖeke meli si ŋu kpeɖodzi le si dzi woato axe mɔ ɖe PCOS, si nye nusi gbɔ hyperandrogenism tsona wu nu o. Gake àte ŋu aɖe afɔ suesuesuewo atsɔ aɖe wò dzesiawo dzi akpɔtɔ. Le kpɔɖeŋu me, nuɖuɖu si me nunyiame le ɖuɖu, .Kamedede edziedzi kple wò kpekpeme dzi ɖuɖu ate ŋu akpe ɖe ŋuwò nàɖe PCOS kple hyperandrogenism ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ.
Nukae etsɔme ahe vɛ? (Nyagblɔɖi) .
Nɔnɔme geɖe siwo hea hyperandrogenism vɛ la hiã be woawɔ atike na wo le woƒe agbemeŋkekewo katã me. Ɣeaɖewoɣi la, nyɔnu siwo ŋu hyperandrogenism le le PCOS ta la ƒe lolo dzi aɖe akpɔtɔ ŋutɔ eye woƒe PCOS nu ayi. Gake ahiã be woawɔ atike na ame akpa gãtɔ le woƒe agbemeŋkekewo katã me be woaɖe hyperandrogenism ƒe dzesiwo dzi akpɔtɔ.
Hyperandrogenism ƒe dzesiwo ate ŋu akpɔ ŋusẽ ɖe bubudede ɖokuiwò ŋu kple susu ƒe lãmesẽ dzi. Ne dzesi siawo le nuteɖeamedzi, dzimaɖitsitsi, kple/alo blanuiléle nam la, ele vevie be nàdi kpekpeɖeŋu tso tagbɔdɔdala alo aɖaŋuɖola gbɔ.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne wokpɔe be hyperandrogenism le ŋuwò eye nèle atike nom ɖe eta la, ahiã be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm nyuie.
Ne hyperandrogenism le ŋusẽ kpɔm ɖe wò susu ƒe lãmesẽ dzi la, ele vevie be nàyi tagbɔdɔdala alo aɖaŋuɖola gbɔ be wòakpe ɖe ŋuwò.
Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:
Hyperandrogenism nye dɔléle si bɔ ɖe nyɔnuwo dome vie. Eƒe dzesiwo ate ŋu ana ŋu nakpe wò eye màvo le ɖokuiwò me o. Gake ɖo ŋku edzi be menye wò ɖeka koe o, eye woate ŋu ada nɔnɔme sia. Ðo dze kple wò ɖɔkta tso atikewɔmɔnu siwo nàte ŋu azã ŋu. Azɔ hã, ne ele ŋusẽ kpɔm ɖe wò susu ƒe lãmesẽ dzi la, kpɔ egbɔ be yeyi tagbɔdɔdala alo aɖaŋuɖola gbɔ. Wò lãmesẽ dzi kpɔkpɔe nye nu vevitɔ kekeake.
` Hyperandrogenism, Androgen, Testosterone, PCOS, Hirsutism, Aklã, Lãmetsiŋusẽ ƒe Masɔmasɔ, Nyɔnuwo ƒe Lãmesẽ, Lãmetsiŋusẽ ƒe Masɔmasɔ

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment