Ðe ɖeɖi tea ŋuwò ɣesiaɣia? Ðe esia ate ŋu anye kuxi na wò lãkusi si le lãkusia mea? (Hypopituitarism ƒe dɔléle) .

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ŋutilã gbɔdzɔ, abe ɖe nane bu enea? Ðewohĩ nusi gbɔ esia tsoe nye kuxi sue aɖe si le lãkusi suetɔ kekeake, gake le vevie ŋutɔ le wò ŋutilã me la dometɔ ɖeka me. Egbea míele nu ƒom tso hypopituitarism , si nye dɔléle si mebɔ o si dzɔna le pituitary gland me ŋu . Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye hypopituitarism?

Kpuie ko la, hypopituitarism nye ne wò pituitary gland mewɔa lãmetsiŋusẽ si sɔ o. Fifia ɖewohĩ èle eŋu bum be nukae nye lãmetsiŋusẽ siawo hã. Lãmetsiŋusẽwo le abe atikewo ƒe dɔla siwo tsɔa gbedasiwo ɖe asi be míaƒe ŋutilã nawɔ dɔ nyuie ene. Pituitary hormones kpɔa ŋusẽ ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ , ŋutilã ƒe tsitsi, gbɔdɔdɔ ƒe tsitsi, kple vidzidzi.

Bu eŋu abe sedede ƒe teƒe sue aɖe si le míaƒe ŋutilã me, si nye pituitary gland ene. Gake menye eya ɖeka koe wɔa dɔ o. Ahɔhɔ̃a ƒe akpa vevi bubu si woyɔna be hypothalamus kpena ɖe eŋu . Hypothalamus gblɔna na pituitary gland be, "Enyo, ɖe asi le lãmetsiŋusẽa ŋu fifia." Hypothalamus kpɔa nuwo abe ʋu ƒe sisi, dzi ƒe tsotso, ŋutilã ƒe dzoxɔxɔ, kple nuɖuɖumeŋusẽ hã dzi. Eyata ne nu gblẽ le lãkusi alo hypothalamus ŋu alo dɔléle aɖe gblẽ la, àte ŋu axɔ hypopituitarism.

Nɔnɔme sia ate ŋu ado mo ɖa kpata, le afɔku aɖe megbe gɔ̃ hã. Alo ate ŋu ava do vivivi le ɣleti alo ƒe geɖe megbe. Zi geɖe la, ahiã be amesiawo nano atike le woƒe agbemeŋkekewo katã me be woatsɔ aɖu woƒe dzesiwo dzi. Gake mègatsi dzi o, wò ɖɔkta alé ŋku ɖe ŋuwò nyuie eye wòana atike si hiã wò.

Ðe hypopituitarism ƒomevi vovovowo lia?

Ẽ, woate ŋu amae ɖe ƒomevi vevi eve me. Wotu ɖeka ɖe lãmetsiŋusẽ ƒe agbɔsɔsɔ si mehiã o dzi .

• Pituitary deficiency si ɖe eɖokui ɖe aga: Le esia me la, pituitary hormone ɖeka koe mehiã o.
• Pituitary hormone geɖe ƒe anyimanɔmanɔ: Esia nyea pituitary hormone eve alo esi wu nenema ƒe anyimanɔmanɔ.
• Panhypopituitarism: Esia nye nɔnɔme si mesẽ boo o si me lãmetsiŋusẽ siwo katã ƒumeŋuɖui wɔna dzi ɖena kpɔtɔna.

Eyome, woda wo ɖe hatsotsowo me le nusi gbɔ wòtso kple alesi wògblẽa nu le pituitary gland ŋui nu :

• Primary hypopituitarism: Esia tsoa nusiwo gblẽ alo dɔléle si gblẽa nu le pituitary gland ŋu tẽ gbɔ.
• Secondary hypopituitarism: Esia tsoa nusiwo gblẽ le hypothalamus ŋu alo dɔléle gbɔ. Ðo ŋku edzi be hypothalamus ye naa mɔfiame pituitary gland.
• Idiopathic hypopituitarism: Ɣeaɖewoɣi la, womate ŋu ake ɖe nusi gbɔ wòtso ŋu o.

Nukawoe nye Hypopituitarism ƒe dzesiwo?

Dzesiawo toa vovo le lãmetsi si mebɔ o nu . Nu siwo gbɔna hã wɔa akpa aɖe:

• Wò ŋutsu alo nyɔnu nyenye .
• Ƒe si nèxɔ esime nɔnɔme sia dze egɔme .
• Nusi gbɔ hypopituitarism tsona.
• Alesi lãmetsiŋusẽawo dzi ɖe kpɔtɔ kabakabae .

Azɔ na míakpɔ dzesi siwo dzena ne lãmetsi ɖesiaɖe mesɔ gbɔ o.

Tsitsi ƒe Lãmetsiŋusẽ (GH) ƒe Dɔmawɔmawɔ ƒe Dzesiwo

Le vidzĩ siwo wodzi yeyee gome la:

• Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (Hypoglycemia) .
• Ŋutsu ƒe vidzinu si le sue le mɔ si mesɔ o nu (Micropenis) ƒe amesinɔnɔ .

Le ɖevi suewo gome la:

• Tsitsi nɔa blewu ŋutɔ alo menɔa blewu kura o. Le kpɔɖeŋu me, ne edze abe viwòa mele kɔkɔm o ne wotsɔe sɔ kple ɖevi bubu siwo nye woƒe ƒemetɔwo la, esia ate ŋu anye esia ƒe dzesi.
• Kɔkɔme kpui aɖe .
• Gbɔdɔdɔ ƒe tsitsi si tsi megbe alo esi menɔa anyi o le sɔhɛmenɔɣi.

Le ame tsitsiwo gome la:

• Ðeɖiteameŋu si gbɔ eme ɣesiaɣi . Sese le eɖokui me be batri la ku.
• Dzidzɔkpɔkpɔ kple dzidzeme si mesɔ gbɔ le agbe me o.
• Gbɔdɔdɔ ƒe nuwɔna kple dzodzro dzi ɖe kpɔtɔ .
• Ami ƒe dzidziɖedzi, vevietɔ le akɔta .
• Vuvɔ kple dzoxɔxɔ dzi ɖeɖe kpɔtɔ .
• Lãmetsiwo ƒe lolome dzi ɖe kpɔtɔ .
• Ŋusẽ kple dzidodo dzi ɖe kpɔtɔ ne wole kame dem.

Thyroid-Stimulating Hormone (TSH) ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo

Le vidzĩ siwo wodzi yeyee gome la:

• Lãmetsiwo ƒe dɔwɔwɔ dzi ɖe kpɔtɔ (afɔ kple afɔwo sena le wo ɖokui me be agbe mele wo ŋu o).
• Ŋutilã ƒe dzoxɔxɔ si bɔbɔ (Hypothermia) .
• Sese le eɖokui me be yeƒe lãme ʋuʋu .
• Avifafa kple gbe sesẽ si me kɔ o .

Le ɖevi suewo kple ame tsitsiwo gome la:

Esia ƒe dzesiwo sɔ kple ʋumenugbagbeviɣidɔ , elabena TSH lãmetsiŋusẽa ʋãa lãkusia be wòawɔ eya ŋutɔ ƒe lãmetsiwo.

• Ðeɖiteameŋu si gbɔ eme .
• Ŋutilã ƒuƒu kple ɖa ƒe ƒuƒu/bu .
• Miléle .
• Kpekpeme ƒe dzidziɖedzi .
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ .
• Ŋutete si le esi be wòado dzi le vuvɔ me dzi ɖe kpɔtɔ .
• Susu me nɔnɔmewo abe blanuiléle ene .
• Nyɔnuwo ate ŋu akpɔ dzinukpɔkpɔ si mesɔ o alo ʋu ado le wo me fũ wu alesi wòle dzɔdzɔmee .

Follicle-Stimulating Hormone (FSH) kple/alo Luteinizing Hormone (LH) ƒe anyimanɔmanɔ ƒe dzesiwo

FSH kple LH nye lãmetsi siwo woyɔna be gonadotropins . Esiawo kpɔa ŋusẽ ɖe míaƒe vidzidziŋusẽ dzi tẽ .

Le ŋutsuvi vidzĩ siwo wodzi yeyee gome la:

• Ŋutsu ƒe vidzinu si le sue le mɔ si mesɔ o nu (Micropenis) ƒe amesinɔnɔ .
• Vidzidɔ siwo meɖiɖi o .

Le ɖevi suewo gome la:

• No ƒe tsitsi ƒe anyimanɔmanɔ le nyɔnuviwo me.
• Ŋutsuviwo ƒe vidzidɔ mekekena o .
• Ŋutilãa mekpɔa eƒe kɔkɔme ƒe dzidziɖedzi kpata (tsitsi ƒe ʋuʋu) le sɔhɛmenɔɣi o .

Le ŋutsuwo gome la:

• Gbɔdɔdɔ ƒe dzodzro dzi ɖe kpɔtɔ .
• Ðeɖiteameŋu si gbɔ eme .
• Vidzidzimakpɔmakpɔ .
• Tsitretsitsi ƒe dɔmawɔmawɔ nyuie .
• Mo alo ŋutilã ƒe fu ƒe bu .

Le nyɔnuwo gome la:

• Gbɔdɔdɔ ƒe dzodzro si bɔbɔ ɖe anyi .
• Ðeɖiteameŋu si gbɔ eme .
• Vidzidzimakpɔmakpɔ .
• Hot flashes - Dzoxɔxɔ ƒe seselelãme kpata le ŋutilã me.
• Dzinukpɔkpɔ madzɔmadzɔ alo dzinukpɔkpɔ ƒe dzudzɔ keŋkeŋ (Amenorrhea) .
• Taɖa ƒe vuvu le ƒodo ƒe akpa si le ete .
• No ƒe notsi dodo le vidzidzi megbe ƒe kpododonu .

Adrenocorticotropic Hormone (ACTH alo Corticotropin) ƒe Dɔmawɔmawɔ nyuie ƒe dzesiwo

Le vidzĩ siwo wodzi yeyee gome la:

• Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (Hypoglycemia) .
• Kpekpeme dzi ɖeɖe kpɔtɔ blewu ŋutɔ (Dɔ kpo nu le dzidzedzekpɔkpɔ me) . Ðeko wòle abe ɖe vidzĩa mele latching on togbɔ be ele notsi nom wòsɔ gbɔ ene o.
• Alɔ̃madɔmadɔ .
• Ŋutilã ƒe ɣie (Jaundice) .

Le ɖevi suewo kple ame tsitsiwo gome la:

• Ðeɖiteameŋu si gbɔ eme .
• Lolo dzi ɖeɖe kpɔtɔ susu aɖeke manɔmee .
• Ʋusɔgbɔdɔ (Hypotension) .
• Aɖuɖɔtoe kple ʋuʋudedi .
• Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (Hypoglycemia) .
• Tɔtɔ, susu ƒe dɔmawɔmawɔ nyuie .

Prolactin ƒe anyimanɔmanɔ ƒe dzesiwo

Nusi koŋ ɖe dzesi le esia ŋue nye no me notsi ƒe anyimanɔmanɔ le vidzidzi megbe .

Oxytocin ƒe Agbɔsɔsɔme ƒe Dzesiwo

• No nana ƒe kuxiwo le vidzĩa dzidzi vɔ megbe.
• Kadodo sesẽ kple ɖevia le edzidzi megbe.
• Veveseseɖeamenu ƒe anyimanɔmanɔ ɖe ame bubuwo ƒe fukpekpewo ŋu.
• Nuwɔwɔ kple ame bubuwo ƒe sesẽ.

Lãmetsiŋusẽ si tsia tsinyegoe me (ADH alo Vasopressin alo Arginine Vasopressin) ƒe anyimanɔmanɔ ƒe dzesiwo

Le vidzĩ siwo wodzi yeyee gome la:

• Ʋuʋudedi .
• Asrã siwo womenya nusi gbɔ wòtso o .
• Avifafa si gbɔ eme .
• Kpekpeme dzi ɖeɖe kpɔtɔ .
• Miléle .
• Diaper tsidzadza enuenu (Very wet diapers) .

Le ɖevi suewo gome la:

• Nugododeƒe ƒe hehexɔxɔ sesẽ .
• Mlɔƒe ƒe tsilele .
• Ðeɖiteameŋu kabakaba .

Le ame tsitsiwo gome la:

• Aɖuɖɔɖɔɖɔ enuenu .
• Tsikɔwuame si gbɔ eme .
• Elektrikŋusẽ ƒe masɔmasɔ .

Vevietɔ: Mègatsi dzi ne dzesi siawo dometɔ ɖeka alo eve le ŋuwò o, gake ne woyi edzi la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukawoe hea hypopituitarism vɛ?

Susu geɖewo ate ŋu anɔ nɔnɔme sia ŋu. Ɣeaɖewoɣi la, ɖɔktawo gɔ̃ hã mete ŋu dea dzesi nusi tututu gbɔ wòtso o. Le goawo katã me la, nu vevi etɔ̃ ate ŋu atsoe:

1. Pituitary gland alo hypothalamus ƒe nutete.

2. Nusiwo gblẽ le pituitary gland alo hypothalamus ŋu.

3. Atikewɔwɔ me nɔnɔme aɖe si mebɔ o alo dɔléle bubu aɖe si nana ʋumenugbagbeviɣidɔ nana ame ƒe lãme nasẽ.

Nɔnɔme siwo gblẽa nu le lãkusi alo hypothalamus ŋu

Nɔnɔme siwo ate ŋu aƒoe ɖe ahɔhɔ̃a ƒe akpa siawo nu eye wòana ahɔhɔ̃mekawo natsi dzimaɖi dometɔ aɖewoe nye:

• Pituitary adenomas: Esiawo nye dɔdzẽ siwo me dɔlékui aɖeke mele o siwo dzɔna le pituitary gland me. Woate ŋu atrɔ alesi wowɔa lãmetsiŋusẽwoe.
• Ahɔhɔ̃ me dɔdzẽ: Dɔdzẽ siwo dona le hypothalamus alo pituitary gland gbɔ ate ŋu agblẽ lãmetsiŋusẽ ƒe dɔwɔwɔ me.
• Lymphocytic hypophysitis (LH): Esia nye dɔléle si mebɔ o. Le afisia la, lãmenugbagbevi siwo woyɔna be lymphocytes gena ɖe pituitary gland la me. (Mele be woatɔtɔ LH sia kple Luteinizing Hormone si míeyɔ va yi o, alo?!)
• Pituitary alo hypothalamus sarcoidosis: Sarcoidosis nye dɔléle si naa abi.

Nudzɔdzɔ siwo gblẽa nu le pituitary gland alo hypothalamus ŋu

• Amekoko: Kuxi siwo dona tso ahɔhɔ̃a ƒe dɔwɔwɔ me (vevietɔ amekoko be woaɖe pituitary adenomas ɖa).
• Kekeli ƒe atikewɔwɔ: Kekeli si wozãna tsɔ daa kansa alo pituitary adenomas siwo wowɔ va yi.
• Ta ƒe abi vevie (Ahɔhɔ̃ ƒe abi si nu sẽ - TBI):Nuwo abe ʋufɔkuwo, anyidzedze, kple abixɔxɔ le kamedefefewo me ene.
• Pituitary apoplexy: Pituitary gland ƒe lãkusi ƒe tsɔtsrɔ̃ kpata.

Atikewɔwɔ me nɔnɔme siwo mebɔ o

• Domenyiŋusẽ ƒe ʋumenugbagbeviɣidɔ: Esia nye domenyiŋusẽfianu ƒe nɔnɔme. Enaa iron si sɔ gbɔ la ƒoa ƒu ɖe ʋua me. Esia ate ŋu agblẽ nu le lãkusi si woyɔna be pituitary gland ŋu.
• Dɔlékuiwo ƒe taɖuame: Togbɔ be ƒã hã la, ʋumenugbagbeviɣidɔ ate ŋu adzɔ abe dɔlékuiwo ƒe taɖuame ƒe kuxi ene.
• Domenyiŋusẽfianu ƒe tɔtrɔ: Domenyiŋusẽ ƒe nɔnɔme aɖewo siwo mebɔ o ate ŋu ana lãmetsi siwo le lãkusi me nagbɔdzɔ.

Nukawoe nye afɔku siwo le eme?

Nɔnɔme alo nudzɔdzɔ siwo gbɔna ate ŋu anye afɔku na hypopituitarism:

• Esi wowɔ kansa kple keklẽŋusẽdɔdamɔnu na wo va yi ta la .
• Ta alo ahɔhɔ̃ ƒe abi: Ame siwo xɔ ta ƒe abi si nu sẽ (TBI) la dometɔ 27% va ɖo 32% xɔa hypopituitarism.
• Sickle cell anemia: Dɔléle sia ate ŋu ana lãmetsi siwo le lãkusi me nagbɔdzɔ.
• Suklidɔ ƒomevi 1: Suklidɔ ƒomevi 1 si dzi womeɖu o ƒe nugbegblẽ le lãmekawo kple ʋukawo ŋu ate ŋu ahe nɔnɔme sia vɛ.
• Fufɔfɔ kple vidzidzi: Ʋu si dona fũu akpa le vidzidzi megbe ate ŋu agblẽ nu le lãkusi si woyɔna be pituitary gland ŋu. Woyɔa nɔnɔme sia be Sheehan ƒe dɔléle .

Kuxi siwo ate ŋu ado mo ɖa

Lãmetsiŋusẽ ƒe anyimanɔmanɔ si kpena ɖe ʋumenugbagbeviɣidɔ ŋu ate ŋu ana nɔnɔme bubuwo nadze ame dzi. Nusiwo dona tso eme siawo toa vovo le lãmetsiŋusẽ si mehiã o nu. Kpɔɖeŋu aɖewoe nye esi:

• GH (tsitsi ƒe lãmetsi) ƒe anyimanɔmanɔ ate ŋu ahe lolo akpa , ʋumemi ƒe agbɔsɔsɔ fũ , kple lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dɔléle vɛ .
• Estrogen lãmetsiwo ƒe anyimanɔmanɔ (le FSH ƒe anyimanɔmanɔ ta) ate ŋu ahe ƒumeŋuɖui ( ƒuwo ƒe ƒuƒu) vɛ na nyɔnuwo.
• ACTH ƒe anyimanɔmanɔ ate ŋu ahe adrenal crisis , si nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me vɛ.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ siawo dometɔ ɖesiaɖe atsɔ anya hypopituitarism:

• Ʋudodokpɔ hena lãmetsiŋusẽ ƒe agbɔsɔsɔ: Le wò dzesiwo nu la, wò ɖɔkta ate ŋu abia be woawɔ ʋudodokpɔ siwo adzidze lãmetsi vovovowo ƒe agbɔsɔsɔ.
• Lãmetsiŋusẽ ƒe dɔwɔwɔ ƒe dodokpɔwo: Le dodokpɔ sia me la, wò ɖɔkta ana atike aɖe wò be wòaʋã wò lãkusi si me ʋu sina tona be wòaɖe lãmetsi si wodo kpɔ la ɖa. Emegbe, woɖea ʋu aɖe heɖonɛ ɖe dodokpɔxɔ aɖe be woadoe kpɔ.
• Insulin ƒe mɔɖeɖe ɖe nu ŋu dodokpɔ: Esia ate ŋu ade dzesi tsitsi ƒe lãmetsi (GH) kple ACTH ƒe anyimanɔmanɔ.
• Osmolality dodokpɔwo hena ʋu kple aɖuɖɔ: Esia doa lãmetsi si tsia tsinyegoe me (ADH) ƒe anyimanɔmanɔ kpɔna.
• MRI (Magnetic Resonance Imaging) Scan: MRI scanwo ɖea wò ŋutilã ƒe akpa si le eme ƒe foto tsitotsito. Wobua ahɔhɔ̃a ƒe MRI-dɔdamɔnu be enye mɔ nyuitɔ si dzi woato ake ɖe dɔdzẽ siwo le ʋuka me siwo hea ʋuka me dɔdzẽ vɛ ŋu.
• Brain CT (Computed Tomography) scan: Woate ŋu azã dodokpɔ sia atsɔ akpɔe ɖa be ahɔhɔ̃ me dɔdzẽ alo pituitary adenoma aɖe li si hea nɔnɔme sia vɛ hã.

Aleke wodaa hypopituitarism ƒe dɔléleae?

Togbɔ be atike aɖeke meli o hã la, woate ŋu adae . Atikewɔwɔ nɔ te ɖe lãmetsiŋusẽ siwo mehiã o kple nusi gbɔ wò dɔlélea tso dzi . Wò atikewɔlawo ƒe ƒuƒoƒoa akpe ɖe ŋuwò nàwɔ atikewɔwɔ ƒe ɖoɖo si anyo na wò. Atikewɔwɔmɔnu siwo bɔ dometɔ aɖewoe nye:

• Lãmetsiŋusẽ ɖɔliɖɔli ƒe atikewɔwɔ: Esia ƒe taɖodzinue nye be woagbugbɔ lãmetsiŋusẽ siwo dzi ɖe kpɔtɔ le lãkusi me la aɖo woƒe agbɔsɔsɔ si sɔ. Zi geɖe la, ele be nàno atike le wò agbemeŋkekewo katã me.
• Amekoko: Ðewohĩ ahiã be woawɔ dɔ na amesiwo ŋu pituitary adenomas le be woaɖe wo ɖa.
• Kekeli ƒe atikewɔwɔ: Kekeli ƒe atikewɔwɔ ate ŋu akpe ɖe ame ŋu wòaɖe pituitary adenomas dzi akpɔtɔ.

Wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàtsɔ atikewɔgbalẽvi alo asigɛ ɖe asi ɣesiaɣi, ne nɔnɔme kpata aɖe do mo ɖa.

Nukae nye ŋgɔdonya na hypopituitarism?

Nukpɔsusua to vovo, le nu siawo nu:

• Ƒe si nèxɔ esime wò dzesiwo dze egɔme .
• Susu si tae nèle nɔnɔmea me ɖo .
• Alesi lãmetsiŋusẽwo dzi ɖena kpɔtɔnae .
• Alesi wò ŋutilã wɔa nu ɖe ​​atikewɔwɔ ŋui .

Ame geɖe siwo ŋu hypopituitarism le la nɔa agbe le lãmesẽ me. Gake ne pituitary ƒe nugbegblẽ le ame ŋu ɣeyiɣi didi aɖe la, eƒe agbenɔƒe ate ŋu anɔ kpuie vie wu amesi xɔ ƒe ma ke si me dɔlélea mele o. Gake zi geɖe la, womeɖea agbenɔƒe dzi kpɔtɔna na amesiwo wɔna ɖe atikewɔwɔ ƒe ɖoɖo nyuitɔ dzi o .

Ke ne nudzɔdzɔ kpata aɖe dzɔ ɖe? Ne hypopituitarism va do mo ɖa kpata, esẽ ŋutɔ, eye womewɔ atike nɛ o la, ate ŋu anye atikewɔwɔ kpata eye wòana ame naku gɔ̃ hã. Eyata ne ède dzesi dɔlélea ƒe dzesiwo la, yi ɖɔkta gbɔ enumake.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Zi geɖe la, ʋumenugbagbeviɣidɔ bia be woalé ŋku ɖe lãmetsi siwo ŋu wògblẽ nu le ŋu nyuie le woƒe agbemeŋkekewo katã me . Kpɔ wò ɖɔkta edziedzi be nàkpɔ egbɔ be yeƒe atikewɔwɔ ƒe ɖoɖoa le dɔ wɔm.Ne dzesi yeyewo alo esiwo ɖea fu na wò le ŋuwò la, te ɖe wò ɖɔkta ŋu kaba ale si nàte ŋui.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne wokpɔe be ʋumenugbagbeviɣidɔ le ŋuwò la, àte ŋu abia nya siawo wò ɖɔkta:

• Hypopituitarism ka ƒomevie le ŋunye?
• Lãmetsiŋusẽ kawoe mesɔ gbɔ ɖe menye o?
• Nuka tae wòle alea ɖo?
• Atikewɔwɔmɔnu kawoe le asinye?
• Ðe nugbegblẽ aɖewo le nye atikewɔwɔa mea?
• Ɣeyiɣi didi kae wòhiã be mano atike la?
• Ðe esia akpɔ ŋusẽ ɖe nye vidzidzi dzia?
• Ðe esia akpɔ ŋusẽ ɖe nye fufɔfɔ dzia?
• Ðe esia ate ŋu adzɔ ɖe vinyewo hã dzia?

Mlɔeba la, ɖo ŋku (Take-Home Message) dzi .

Dɔléle yeye si wokpɔ ate ŋu ado vɔvɔ̃ na ame, gake mègavɔ̃ be yeabia nya wò ɖɔkta tso ʋumenugbagbeviɣidɔ ŋu o. Le go geɖe me la, ehiã be woawɔ atike na ame le eƒe agbemeŋkekewo katã me eye woalé ŋku ɖe lãmetsiŋusẽ ŋu. Esia tae wòle vevie be nàyi ɖɔkta gbɔ edziedzi ɖo. Ne dzesi yeye alo dzimaɖitsitsi aɖewo le ŋuwò la, te ɖe wò ɖɔkta ŋu. Wole afima be yewoakpe ɖe ŋuwò. Ne èkpɔ egbɔ nyuie la, àte ŋu anɔ agbe si me lãmesẽ le, si me dzo le.

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