Ðe ɖeɖi te ŋuwò, ɖeɖi te ŋuwò, alo dzi medzɔ wò kpɔ oa? Ðewohĩ wò kpekpeme dzi ɖe edzi alo ɖiɖi le mɔ si womate ŋu aɖe o nu, alo nèto tɔtrɔ bubu siwo mebɔ o me. Esiawo katã ate ŋu atso ‘dɔlékui gã’ sue aɖe si le wò ahɔhɔ̃ me gbɔ, gake ŋusẽ le eŋu ŋutɔ. Emae nye nusi ŋu míele nu ƒom tsoe egbea. Woyɔa nɔnɔme sia le atikewɔwɔ me be hypopituitarism .
Nukae nye ƒunukpeƒetetedɔ kple hypopituitarism?
Kpuie ko la, lãkusi nye lãkusi si lolo abe pea ene si le míaƒe ahɔhɔ̃ ƒe gɔme, le míaƒe ŋɔti megbe. Togbɔ be eƒe lolome le sue hã la, ewɔa dɔ abe míaƒe ŋutilã ƒe lãmetsiŋusẽ ƒe dɔwɔwɔ ƒe ‘dɔlékui gã’ ene. Eyae nye esi gblɔna na thyroid gland, adrenal glands, kple gland bubu geɖewo be, "Enyo, fifia èwɔ lãmetsi sia."
Hypopituitarism nye ne pituitary gland, si nye ɖoɖowɔla gãtɔ, mewɔa lãmetsiŋusẽ ɖeka alo esi wu nenema wòde edeƒe o. Ɣeaɖewoɣi la, woate ŋu aɖe lãmetsiŋusẽ siwo katã ƒumeŋuɖui wɔna dzi akpɔtɔ. Míeyɔa esia be Panhypopituitarism . Nɔnɔme sia ate ŋu adze ɖeviwo kple ame tsitsiwo hã dzi. Ate ŋu atso dɔléle aɖe si nye hypothalamus, si nye ahɔhɔ̃a ƒe akpa si kpɔa dzesi siwo vaa ʋuka si me ʋu sina tona me dzi.
Lãmetsiŋusẽ siawo kpɔa míaƒe ŋutilã ƒe dɔ veviwo abe tsitsi, vidzidzi, ʋu ƒe sisi, kple lãmenugbagbeviwo ƒe dɔwɔwɔ dzi . Eyata ne nusiawo dometɔ aɖeke meli o la, ate ŋu agblẽ ŋutilã ƒe dɔwɔwɔ siwo do ƒome kplii la me.
Lãmetsiŋusẽ vevi kawoe ƒumelã si woyɔna be pituitary gland wɔna?
Pituitary gland la wɔa lãmetsiŋusẽ ƒomevi vovovowo. Na míalé ŋku ɖe vevitɔwo kple nu siwo wowɔna ŋu. Anye nu vevi aɖe ŋutɔ be nànya esia.
| Lãmetsiŋusẽ | Dɔwɔwɔ le Ŋutilã me |
|---|---|
| Lãmetsiŋusẽ si nye adrenocorticotropic (ACTH) . | Eʋãa adrenal glands (gland siwo le ayikuwo tame) eye wòkpena ɖe ame ŋu be woawɔ lãmetsi si nye cortisol, si kpɔa ʋu ƒe sisi kple lãmenugbagbeviwo ƒe dɔwɔwɔ dzi. |
| Lãmetsiŋusẽ si doa ŋusẽ lãkusi (TSH) . | Edoa ŋusẽ lãkusi si le kɔ me eye wòkpena ɖe ame ŋu wòwɔa lãkusi me lãmetsi siwo le vevie na ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ, tsitsi, kple tsitsi. |
| Lãmetsi si doa ŋusẽ lãkusi (FSH) kple lãmetsi si doa ŋusẽ lãkusi (LH) . | Esiawo kpɔa gbɔdɔdɔ ƒe dɔwɔwɔ kple vidzidzi dzi le nyɔnuwo kple ŋutsuwo siaa me, si fia be estrogen dona tso azigolowo me le nyɔnuwo me eye testosterone dona tso vidzidɔ me le ŋutsuwo me. |
| Tsitsi ƒe lãmetsi (GH) . | Abe alesi ŋkɔa ɖee fia ene la, ele vevie na ƒuwo kple lãkusiwo ƒe tsitsi nyuie, vevietɔ le ɖevime. |
| Prolactin si wotsɔ wɔa dɔe | Edoa ŋusẽ no ƒe tsitsi le nyɔnuwo me eye wòdoa notsi nana hena no nana. |
| Lãmetsiŋusẽ si tsia tsinyenye nu (ADH) . | Ayikuwo kpɔa tsi si dona le ŋutilãa me dzi. Ne esia dzi ɖe kpɔtɔ la, aɖuɖɔɖɔɖɔ fũ ate ŋu adzɔ. |
| Oxytocin ƒe atike | Ekpena ɖe vidzidɔa ŋu wòtsina le vidzidzi me eye wòkpena ɖe notsi ŋu wòsina le no nana me. Lãmetsiŋusẽ sia le vevie na kadodo si le vidada kple vi dome hã. |
Nukawoe hea hypopituitarism vɛ?
Nɔnɔme sia tsoa nusiwo gblẽ le pituitary gland alo hypothalamus ŋu gbɔ. Ɣeaɖewoɣi la, womate ŋu ake ɖe nusi gbɔ wòtso ŋu o. Nu vevi siwo gbɔ wòtsona dometɔ aɖewoe nye esi:
- Dɔdzẽ siwo le pituitary gland alo eƒe golɔgoewo me
- Kekeli ƒe atikewɔwɔ na kansa
- Amekoko na ahɔhɔ̃ alo pituitary gland
- Dɔlékuiwo abe taɖuame ene
- Nuveviwɔame sesẽwo le ta
- Ʋusɔgbɔdɔ alo ʋu si le dodom le ahɔhɔ̃a me
- Atike aɖewo
- Dzoxɔxɔ si tso kuxi siwo le dɔlélenutsiŋutete ŋu gbɔ
- Ʋu si dona fũu akpa le vidzidzi me (Sheehan ƒe dɔléle) .
- Domenyiŋusẽfianu aɖewo ( domenyiŋusẽfianu ƒe tɔtrɔ ) .
- Atikewɔwɔ ƒe nɔnɔme bubuwo abe sarcoidosis kple yɔmekpe ene
Aleke dzesiawo le?
Dzesiawo nɔ te ɖe lãmetsiŋusẽ si mebɔ o kple alesi dɔlélea doa mo ɖa kabakabae dzi . Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o, alo dzesiawo ate ŋu adze blewu ŋutɔ. Ame bubuwo hã ate ŋu adze dzesi sesẽwo gɔme zi ɖeka.
Kpɔ kplɔ̃ si le ete hena dzesi siwo do ƒome kple lãmetsiŋusẽ ƒe vevesese ɖesiaɖe.
| Lãmetsiŋusẽ ƒe Dɔmawɔmawɔ nyuie | Dzesi Siwo Ate Ŋu Akpɔ |
|---|---|
| ACTH ƒe anyimanɔmanɔ | Ðeɖiteameŋu enuenu, kuviawɔwɔ, ʋu ƒe sisi, lolo dzi ɖeɖe kpɔtɔ, ʋuʋudedi, ʋuʋudedi, blanuiléle. |
| TSH ƒe anyimanɔmanɔ | Dɔmeɖui, lolo, vuvɔ mete ŋu doa dzi o, ŋusẽ ƒe vɔvɔ, lãmekawo ƒe vevesese alo gbɔdzɔgbɔdzɔ. |
| FSH kple LH ƒe anyimanɔmanɔ | Le nyɔnuwo gome la: dzinukpɔkpɔ si medzɔna edziedzi o alo esi wòdzudzɔ, vidzidzi sesẽ (vidzidzimakpɔmakpɔ). Le ŋutsuwo gome la: mo kple ŋutilã ƒe fu ƒe bu, gbɔdzɔgbɔdzɔ, gbɔdɔdɔ ƒe ɖekematsɔleme, tsitretsitsi ƒe dɔmawɔmawɔ nyuie, fufɔfɔ sesẽ. |
| GH ƒe anyimanɔmanɔ | Le ɖeviwo gome la: tsitsi ƒe kuxi, ami ƒe ƒoƒo ɖe akɔta kple mo, kple tsitsi nyuie le goawo katã me. Le ame tsitsiwo gome la: ŋusẽ dzi ɖe kpɔtɔ, kamedede sesẽ, lolo, lãmekawo ƒe lolome dzi ɖe kpɔtɔ, dzimaɖitsitsi alo blanuiléle. |
| Prolactin ƒe anyimanɔmanɔ | Le nyɔnuwo gome: No ƒe notsi dodo le vidzidzi megbe ƒe kpododonu. |
| ADH ƒe anyimanɔmanɔ | Tsikɔwuame fũ kple aɖuɖɔtoe enuenu, fũu akpa (Diabetes Insipidus). |
| Oxytocin ƒe anyimanɔmanɔ | Le nyɔnuwo gome la: notsi ƒe dziɖeleameƒo ƒe sesẽ. |
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, taflatse mègaŋe aɖaba ƒu wo dzi o. Kpɔ egbɔ be yeyi ɖɔkta gbɔ eye yeaƒo nu tso eŋu.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta gbɔ la, aɖo to wò dzesiwo nyuie eye wòaɖo wò ɖe dodokpɔ siwo hiã.
- Ʋudodokpɔ: Esiae nye vevitɔ kekeake. Wodzidzea lãmetsi vovovowo ƒe agbɔsɔsɔ le wò ʋu me. Ɣeaɖewoɣi la, wonaa lãmetsi aɖe eye emegbe wowɔa dodokpɔ tɔxɛwo (dodokpɔ alo nutete ƒe dodokpɔwo) tsɔ léa ŋku ɖe tɔtrɔ siwo va le ʋua me le gaƒoƒo ʋɛ aɖewo me ŋu. Kpɔɖeŋuwo: `ACTH (Cortrosyn) dzideƒoname dodokpɔ`, `GH dzideƒoname dodokpɔ`.
- Nɔnɔmetatawo ɖeɖe: Woate ŋu awɔ MRI alo CT scan atsɔ akpɔe ɖa be dɔdzẽ le ʋuka me hã.
- Nukpɔkpɔ Dodokpɔwo: Esi wònye be lãmeka siwo do ƒome kple ŋkuwo toa nukpɔkpɔ ƒe lãkusi gbɔ tututu ta la, wodoa nukpɔkpɔ kpɔna be nane abe dɔdzẽ ene le tetem ɖe lãmeka mawo ŋu hã.
- X-ray na ɖeviwo: Wowɔa ɖeviwo ƒe asiwo ƒe X-ray tsɔ kpɔae ɖa be ƒuawo le tsitsim nyuie hã.
Aleke wowɔa atike nɛ?
Taɖodzinu vevi eve le nɔnɔme sia dada me. Ðekae nye be...Atikewɔwɔ na nusi gbɔ wòtso (le kpɔɖeŋu me, dɔdzẽ aɖe ɖeɖeɖa). Nu evelia si le vevie wue nye be woaɖɔli lãmetsiŋusẽ siwo bu le ŋutilãa me . Woyɔa esia be Lãmetsiŋusẽ ƒe Atikewɔwɔ .
Atikewo
Ðɔktaa aŋlɔ atike siwo sɔ na wò le lãmetsiŋusẽ ƒe agbɔsɔsɔ si mehiã wò o nu.
- Le ACTH ƒe anyimanɔmanɔ gome: Wona glucocorticoids (e.g. hydrocortisone) be woatsɔ aɖɔ cortisol ƒe agbɔsɔsɔ ɖo.
- Le TSH ƒe anyimanɔmanɔ ta: Wona atikewo abe `Levothyroxine` be woatsɔ aɖɔ thyroid hormone ƒe agbɔsɔsɔ ɖo.
- Le gbɔdɔdɔ ƒe lãmetsiŋusẽ ƒe anyimanɔmanɔ gome: Wotsɔa testosterone naa ŋutsuwo eye wonaa estrogen (ɖewohĩ kple progesterone) nyɔnuwo.
- Le GH ƒe anyimanɔmanɔ gome: Wodoa Tsitsi ƒe Lãmetsiŋusẽ (GH) be wòakpe ɖe ame ŋu le tsitsi me, vevietɔ le ɖeviwo me. Wonaa atike sia ame tsitsiwo hã ɣeaɖewoɣi be wòakpe ɖe ŋusẽ kple lãmekawo ƒe tsitsi ŋu.
- Le vidzidzi gome: Lãmetsiŋusẽtike tɔxɛ aɖewo li abe Gonadotropin ene be woatsɔ ado azi ƒe tsitsi alo tsinyenye ƒe wɔwɔme ɖe ŋgɔ.
Amekoko
Ne dɔdzẽ aɖe gbɔe nɔnɔme sia tso la, ahiã be woawɔ dɔ nɛ be woaɖee ɖa, le alesi dɔdzẽa le kple afisi wòle nu.
Nukae wòle be míabu tso etsɔme ŋu? (Nukpɔsusu) .
Nya nyuiae nye be ne wokpɔ dɔlélea nyuie eye wozã lãmetsiŋusẽtikea nyuie la, anya wɔ be woanɔ agbe nyui ŋutɔ kple lãmesẽ . Atikewɔwɔ ate ŋu axɔ eƒe agbemeŋkekewo katã.
Nu vevitɔe nye be nàkplɔ wò ɖɔkta ɖo ɖe game dzi . Esi wònye be wò ŋutilã ƒe lãmetsiŋusẽ ƒe hiahiã ate ŋu atrɔ le ɣeyiɣi aɖe megbe ta la, ele vevie be nànɔ kadodo me kple wò ɖɔkta edziedzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Hypopituitarism nye ne pituitary gland, si nye míaƒe ŋutilã ƒe ‘dɔlékui gã’ la mewɔa lãmetsiŋusẽ siwo hiã la wòsɔ gbɔ o.
- Dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, le lãmetsiŋusẽ si mehiã o nu. Dzesiawo ate ŋu anye ɖeɖiteameŋu, lolo, kple gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie.
- Ne dzesi siwo womenya o abe esiawo ene le ŋuwò la, yi ɖɔkta gbɔ enumake .
- Woate ŋu akpɔ nɔnɔme sia nyuie to ʋudodokpɔ kple fotoɖeɖe me.
- Atikewɔwɔae nye be woana lãmetsi siwo mehiã o la le gota. Dɔdamɔnu sia wɔa dɔ ŋutɔ.
- Ne èdze atikewɔwɔ gɔme vɔ la, do go ɖɔktaa le ɣeyiɣi si nèɖo ɖi la dzi.Asitɔtrɔ le atikeawo ƒe agbɔsɔsɔme ŋu le vevie ŋutɔ.
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