Na míasrɔ̃ nu tso kuxi aɖewo siwo le wò ŋutilã ƒe lãkusiwo ŋua? - Dɔléle si nye Endocrine Neoplasia (ŊUTSUWO) .

Míaƒe ŋutilã le abe mɔ̃ wɔnuku aɖe ene, alo? Be mɔ̃ sia nate ŋu awɔ dɔ nyuie la, ele be akpa ɖesiaɖe nawɔ dɔ ɖekae ahawɔ ɖeka nyuie. Nuɖoanyi vevi aɖe ŋutɔ le míaƒe ŋutilã me, si woyɔna be lãmenugbagbeviwo ƒe dɔwɔwɔ . Lãmenugbagbevi siwo le nuɖoanyi sia me wɔa lãmetsi siwo kpɔa míaƒe ŋutilã ƒe dɔwɔna geɖe dzi. Gake ɣeaɖewoɣi la, nuɖoanyi sia ate ŋu agblẽ. Egbea míele nu ƒom tso nɔnɔme aɖe si mebɔ o gake wòle vevie ŋutɔ si ŋu wòle be míanya nu tsoe ŋu. Emae nye Multiple Endocrine Neoplasia , si woyɔna hã be `(MEN)` kpuie.

Eyata nukae nye lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe ɖoɖo sia?

Kpuie ko la, míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ nye lãkusiwo kple ŋutinu siwo le míaƒe ŋutilã me ƒe kadodo. Esiawoe wɔa atike siwo woyɔna be lãmetsiŋusẽwo eye woɖea wo ɖe go yia ʋukawo me. Bu lãmetsi siawo be wonye dɔla sue siwo tsɔa gbedasiwo yia míaƒe ŋutilã me. Gbedasi siawo gblɔa nusi wòle be míawɔ kple ɣeyiɣi si míawɔe na míaƒe ŋutinuwo, ŋutigbalẽ, kple lãmekawo.

Lãmetsiŋusẽ kple ŋutinu vevi geɖewo li siwo le míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ me:

• Hypothalamus: Esia le míaƒe ahɔhɔ̃ ƒe gɔme. Ekpɔa ŋusẽ ɖe nu geɖe dzi le lãmenugbagbeviwo ƒe dɔwɔwɔ me.
• Pituitary gland: Lãmetsi sue sia si do ƒome kple hypothalamus la wɔa lãmetsi siwo kpɔa lãkusi bubu geɖe dzi, siwo dometɔ aɖewoe nye thyroid gland, adrenal glands, azigolowo, kple vidzidɔ.
• Thyroid: Glu sia si le abe kpakpaluʋui ene si le kɔ ƒe ŋgɔgbe la kpɔa míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi, si nye alesi míezãa ŋusẽ si tso nuɖuɖu si míeɖuna me.
• Parathyroid glands: Gland sue ene siawo siwo te ɖe thyroid gland ŋu zi geɖe lae kpɔa calcium kple phosphorus ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzi.
• Adrenal glands: Gland eve siawo siwo le ayikuwo tame la kpɔa lãmenugbagbeviwo ƒe dɔwɔwɔ, ʋu ƒe sisi, gbɔdɔdɔ ƒe tsitsi, kple nuteɖeamedzi ƒe ŋuɖoɖo dzi.
• Pineal gland: Gland sia wɔa lãmetsi si nye melatonin eye wòkpɔa míaƒe alɔ̃dɔdɔ ƒe tsatsam dzi.
• Dɔgbo: Afi siae wowɔa insulin le. Ele vevie ŋutɔ na lãmenugbagbeviwo ƒe dɔwɔwɔ kple sukli si le ʋu me dzi ɖuɖu. Enye míaƒe nuɖuɖumeŋusẽ ƒe akpa aɖe hã.
• Azigolowo: Afi siae wowɔa nyɔnuwo ƒe gbɔdɔdɔ ƒe lãmetsi siwo nye estrogen, progesterone, kple testosterone le.
• Vidzidɔ: Togbɔ be ŋutsuwo wɔa tsinyenye hã la, wowɔa lãmetsi si nye testosterone hã le afisia.

Eyata nukae nye Multiple Endocrine Neoplasia (ŊUTSUWO)?

Multiple Endocrine Neoplasia (MEN) nye domenyiŋusẽfianu ƒe nɔnɔme si mebɔ o si me dɔdzẽwo dona le lãmenugbagbeviwo ƒe lãkusi kple lãkusi siwo wu ɖeka me, si ŋu míeƒo nu tsoe va yi. Ɣeaɖewoɣi la, dɔdzẽ siawo ate ŋu azu kansa.

`(MEN)` nɔnɔme sia ƒomevi vevi eve li:

1. Multiple endocrine neoplasia type 1 (MEN type 1): Esia nye nɔnɔme si me dɔdzẽ geɖe dona le lãmenugbagbeviwo ƒe lãkusi vovovowo me. Wogayɔa esia be MEN-1 kple Wermer ƒe dɔléle.

2. Multiple endocrine neoplasia type 2 (MEN type 2): Esia nye domenyiŋusẽfianu ƒe kansadɔ si gblẽa nu le lãkusi geɖe ŋu. Amesiwo ŋu MEN2 le la xɔa lãkusi me dɔdzẽ ƒomevi aɖe si woyɔna be medullary thyroid cancer (MTC) . Afɔku le wo me hã be dɔdzẽwo nadze wo dzi le lãmenugbagbeviwo ƒe lãkusi bubuwo me. Wogayɔa esia be MEN-2 kple Sipple ƒe dɔléle.

Nukatae `(ŊUTSUWO)` nɔnɔme sia dzɔna?

`(MEN)` ƒomevi siawo evea siaa tso tɔtrɔ siwo va le míaƒe domenyiŋusẽfianuwo me gbɔ , si nye tɔtrɔwo . Tsɔe be nane le míaƒe ŋutilã me abe mɔfiamegbalẽ ene, si nye domenyiŋusẽfianu. Ne ŋɔŋlɔdzesi ɖeka si le mɔfiamegbalẽ sia me gɔ̃ hã mesɔ o, si fia be ne wotrɔ domenyiŋusẽfianu aɖe la, ŋutilãa ƒe dɔwɔwɔ aɖewo ate ŋu agblẽ.

• (MEN ƒomevi 1) tsoa domenyiŋusẽfianu si nye `MEN1` ƒe tɔtrɔ gbɔ . Domenyiŋusẽfianu sia si nye `MEN1` nye domenyiŋusẽfianu si tea dɔdzẽ nu . Eyae nye domenyiŋusẽfianu si kpena ɖe ame ŋu wòɖua lãmenugbagbeviwo ƒe mama dzi eye wòxea mɔ na dɔdzẽwo ƒe dzɔdzɔ. Ne domenyiŋusẽfianu sia mewɔa dɔ nyuie o la, lãmenugbagbevi aɖewo ate ŋu atsi le mɔ si dzi womate ŋu aɖu o nu eye woawɔ dɔdzẽ.
• (MEN type 2) tso domenyiŋusẽfianu ƒe tɔtrɔ si va le `RET` domenyiŋusẽfianu me gbɔ . `RET` domenyiŋusẽfianu sia nye domenyiŋusẽfianu si do ƒome kple kansa ƒe dzɔdzɔ. Ne wotrɔ domenyiŋusẽfianu sia la, lãmenugbagbevi siwo le ŋutinu kple lãkusi aɖewo me tsina le mɔ si dzi womate ŋu aɖu o nu eye wowɔa dɔdzẽ.

Woate ŋu anyi domenyiŋusẽfianu ƒe tɔtrɔ siawo ƒe dome tso dzilawo gbɔ alo ate ŋu adzɔ le vome le fugboea ƒe tsitsime. Ne ŊUTSUWO le dzila ɖeka si la, mɔnukpɔkpɔ anɔ abe 50% ene be ɖevi naxɔe.

Mina míasrɔ̃ nu geɖe tso `(MEN)` ƒomevi 1 (`MEN type 1`) ŋu vie.

Ame siwo ŋu MEN ƒomevi 1 le la xɔa dɔdzẽ le lãmenugbagbeviwo ƒe lãkusi geɖe me. Nuto siwo ŋu wògblẽa nu le wue nye:

• Parathyroid glands: Esiae nye esi bɔ wu.
• Gastroenteropancreatic tract: Esia fia be dɔdzẽ ate ŋu adzɔ ɖe dɔgboa, dɔgbo, kple nuɖuɖumeŋusẽ ƒe akpa bubuwo abe duodenum ene me.
• Pituitary gland ƒe lãkusi.

Zi geɖe la, ƒunukpeƒetetedɔ siwo dona kple MEN ƒomevi 1 la menye kansa o (siwo me dɔlékui aɖeke mele o) . Gake ƒunukpeƒetetedɔ aɖewo ate ŋu anye kansa (nu vɔ̃ɖi).Ate ŋu akaka (metastasize) ɖe ŋutilã ƒe akpa bubuwo hã. Zi geɖe la, lãkusi siwo me dɔdzẽ le la ɖea lãmetsiŋusẽ geɖe ɖe ʋukawo me. Esiae hea dzesi vovovowo kple lãmesẽkuxi vovovowo vɛ.

Ðɔktawo de dzesi dɔdzẽ ƒomevi siwo wu 20 siwo le lãmenugbagbeviwo me kple esiwo menye lãmenugbagbeviwo o le amesiwo ŋu MEN ƒomevi 1. Dɔdzẽ ƒomevi bubuwo li siwo mebɔ boo o, abe:

• Ahɔhɔ̃mekawo ƒe dɔdzẽ siwo dona le thymus (si nye ʋuka si le akɔta) kple bronchi (yaƒoƒomɔ̃ siwo le lãkusi me).
• Adrenocortical tumors dzɔna le adrenal glands ƒe gota gome.
• Ami ƒe ƒuƒoƒo (Lipomas) siwo dzɔna le ŋutigbalẽa te.
• No me dɔdzẽ.
• Dɔdzẽ abe meningiomas kple ependymomas siwo ate ŋu adzɔ le ahɔhɔ̃ alo aklã me.

Nukae nye `(MEN type 1)` ƒe dzesiwo?

MEN ƒomevi 1 ƒe dzesiwo ate ŋu ato vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe lãkusi siwo ŋu wògblẽ nu le kple lãmetsi agbɔsɔsɔme si wowɔna dzi. Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o, dzesi siwo nu mesẽ o anɔ ame aɖewo ŋu, eye dzesi siwo nu sẽ, siwo ate ŋu ade woƒe agbe afɔku me gɔ̃ hã ate ŋu anɔ ame aɖewo ŋu. Dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, le ƒome ɖeka me gɔ̃ hã, le venɔviwo dome gɔ̃ hã.

Mina míalé ŋku ɖe ƒunukpeƒetetedɔ ƒomevi vevi aɖewo kple woƒe dzesi siwo do ƒome kplii ŋu:

• Le kuxi siwo le parathyroid glands (hyperparathyroidism) ŋu ta:

Ame siwo ŋu `(MEN type 1)` le ƒe 90% xɔa nɔnɔme sia ne woxɔ ƒe 50. Le esia me la, parathyroid glands va wɔa dɔ akpa.

• Dzesi fafɛwo: ƒunukpeƒeveame, lãmekawo ƒe gbɔdzɔgbɔdzɔ, ɖeɖiteameŋu, blanuiléle, susu ƒe dɔwɔwɔ sesẽ, nuɖuɖu ƒe dzodzro.
• Dzesi sesẽwo: ʋuʋudedi, ʋuʋudedi, tɔtɔ, ŋkuɖoɖonudzi, tsikɔwuame fũ kple aɖuɖɔtoe enuenu, dɔmeɖui, ƒu ƒe vevesese.

• Le dɔdzẽ siwo le dɔgboa kple dɔgbo suea ƒe akpa gbãtɔ (Gastrinomas) ta:

Ame tsitsi siwo ŋu MEN ƒomevi 1 le ƒe 40% lɔƒo xɔa dɔdzẽ siwo woyɔna be gastrinomas. Esiawo wɔa lãmetsi aɖe si woyɔna be gastrin, si wɔnɛ be dɔgboa wɔa acid fũ akpa.

• Dzesiwo: Dɔgbo ƒe vevesese, aɖuɖɔtoe, dzimeve (acid reflux), dɔgbo ƒe abi (peptic ulcers).
• Dɔdzẽ bubu si wokpɔ le hatsotso sia mee nye insulinoma . Esia naa insulin dona, si ate ŋu ana sukli naɖiɖi le ʋu me (suklidɔ ƒe agbɔsɔsɔ fũ).
• Dzesiwo: tɔtɔ, ʋuʋu, fifia, dɔwuame fũ, dzimaɖitsitsi, dzi ƒe tsotso kabakaba, nukpɔkpɔ ƒe tɔtrɔ hena ɣeyiɣi aɖe.

• Le ƒunukpeƒetetedɔ (prolactinomas) ta:

Ame siwo ŋu MEN ƒomevi 1 le la dometɔ siwo ade 25% xɔa pituitary tumors. Wo dometɔ siwo bɔ wue nye prolactinomas, siwo wɔa lãmetsi si nye prolactin .

• Dzesi siwo dzena le nyɔnuwo ŋu: dzinukpɔkpɔ ƒe masɔmasɔ alo dzinukpɔkpɔ ƒe dzudzɔ (amenorrhea), fufɔfɔ sesẽ, notsi si dona le no me ne womefɔ fu alo le no nam o (galactorrhea), gbɔdɔdɔ ƒe dzodzro dzi ɖe kpɔtɔ.
• Dzesi siwo dzena le ŋutsuwo ŋu: Gbɔdɔdɔ ƒe dzodzro dzi ɖe kpɔtɔ le testosterone ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ, tsitretsitsi ƒe dɔmawɔmawɔ nyuie (ED), kple fufɔfɔ sesẽ ta.
• Ne ƒunukpeƒea lolo: taɖuame, ʋuʋudedi/ʋuʋudedi, nukpɔkpɔ ƒe tɔtrɔ (nukpɔkpɔ zi eve, axadzinukpɔkpɔ dzi ɖeɖe kpɔtɔ).

Vevietɔ: Menye amesiamee akpɔ dzesi ɖeka ma ke o. Nuŋlɔɖi sia meyɔ fũ o. Ƒuƒoƒo ƒomevi bubu geɖewo li siwo ate ŋu ado mo ɖa le MEN type 1 me.

Mina míasrɔ̃ nu tso `(MEN)` ƒomevi 2 (`MEN ƒomevi 2`) hã ŋu.

Amesiame si ŋu MEN ƒomevi 2 le la xɔa lãkusi me dɔdzẽ ƒomevi aɖe si woyɔna be medullary thyroid cancer (MTC) . Kansa sia ƒomevi dzɔna le lãmenugbagbevi tɔxɛ aɖe si le lãkusi me si woyɔna be C cells me. Lãmenugbagbevi siawo wɔa lãmetsi aɖe si woyɔna be calcitonin. MTC ate ŋu akaka ɖe ʋukawo kple ŋutinu bubuwo me. Dɔdamɔnu vevitɔe nye amekoko be woaɖe lãkusia ɖa (thyroidectomy).

Azɔ hã, amesiwo ŋu `(MEN type 2)` le ate ŋu ato nɔnɔme siwo gbɔna la dometɔ ɖeka alo evea siaa me:

• Pheochromocytoma: Esia nye dɔdzẽ si mebɔ o si dona le adrenal gland ɖeka alo evea siaa ƒe titina (adrenal medulla). Zi geɖe la, esiawo menye kansa o. Ame siwo ade 10%-15% ate ŋu azu kansa eye woakaka.
• Hyperparathyroidism: Calcium ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi le parathyroid hormone (PTH) si parathyroid ƒe lãkusiwo wɔna fũu akpa ta.

Nukae nye `(MEN type 2)` ƒe dzesiwo?

Dzesi siwo le afisia hã to vovo. Zi geɖe la, lãmetsi siwo kansa (MTC) kple dɔdzẽ aɖewo wɔna ƒe agbɔsɔsɔ fũ gbɔe dzesiawo tsona.

• Medullary thyroid cancer (MTC) ƒe dzesiwo:
• Kpe si le kɔ ƒe ŋgɔgbe, kɔ ƒe vevesese, gbe ƒe tɔtrɔ (ɣlidodo), kɔdzi, nu mimi sesẽ, gbɔgbɔ sesẽ.

• Dzesi siwo Pheochromocytoma hena vɛ: (edzɔna le ame siwo ade 50% me) .
• Ne dɔdzẽ siawo wɔ lãmetsiŋusẽ siwo sɔ gbɔ akpa, abe adrenaline ene, ko hafi dzesiawo dzena. Dɔdzẽ aɖewo mewɔa lãmetsiŋusẽ o eye ɖewohĩ womaɖe dzesi aɖeke afia o.
• Dzesi siwo bɔ (zi geɖe la, wovana hedzona le afakaka me): ʋusɔgbɔdɔ (ʋusɔgbɔdɔ), taɖuame, fifia fũu akpa le susu aɖeke manɔmee, dzi ƒe tsotso kabakaba alo esi mesɔ o, ʋuʋudedi.

• Dzesi siwo tso hyperparathyroidism gbɔ:
• Abe alesi wòle le `(MEN type 1)` me ene la, dzesiwo abe ƒunukpeƒeveame, lãmekawo ƒe gbɔdzɔgbɔdzɔ, ɖeɖiteameŋu, blanuiléle, susu ƒe dɔwɔwɔ sesẽ, nuɖuɖu ƒe dzodzro, ʋuʋudedi, ʋuʋudedi, tsikɔwuame fũ kple aɖuɖɔtoe enuenu, dɔmeɖui, kple ƒu ƒe vevesese ate ŋu ado mo ɖa.

Amekae ate ŋu atu `(ŊUTSUWO)` nɔnɔme sia ɖo? Aleke gbegbe wòbɔe?

Nɔnɔme `(ŊUTSUWO)` ateŋu akpɔ ŋusẽ ɖe ŋutsuwo kple nyɔnuwo siaa dzi sɔsɔe. Ƒe si nɔnɔme `(MEN type 1)` dzena le la to vovo ŋutɔ. Wokpɔe le ɖevi siwo xɔ ƒe 8 kple ame tsitsi siwo xɔ ƒe 80 pɛ ŋu.

`(ŊUTSUWO)` nye nɔnɔme si mebɔ o .

• `(MEN type 1)` gblẽa nu le ame siwo ade ame ɖeka le 30,000 ɖesiaɖe me ŋu.
• `(MEN type 2)` gblẽa nu le ame siwo ade ame ɖeka le 35,000 ɖesiaɖe me ŋu.

Numekula aɖewo xɔe se be amesiwo ŋu dɔléle siawo le ƒe xexlẽme ŋutɔŋutɔ ate ŋu asɔ gbɔ wu le esi womekpɔ dɔléle sia nyuie o alo womekpɔe nyuie o ta.

Aleke ɖɔktawo wɔa dea dzesi nɔnɔme si nye `(ŊUTSUWO)`? (Dɔléle ƒe dzesi) .

Nɔnɔme `(MEN)` didi ateŋu asesẽ vie, elabena egblẽa nu le lãkusi vovovowo ŋu.

• Dzesidede `(MEN ƒomevi 1)`:

Zi geɖe la, wokpɔa MEN ƒomevi 1 le ame ŋu ne lãmenugbagbeviwo ƒe dɔdzẽ gã etɔ̃ siwo míeyɔ ɖe etame la dometɔ eve ya teti le eŋu (parathyroid tumors, pituitary tumors, kple/alo gastrointestinal tract ƒe dɔdzẽ), alo ne dɔdzẽ mawo dometɔ ɖeka le eŋu eye MEN ƒomevi 1 le ƒomea me tɔ aɖe ŋu.

• Dodokpɔwo:
• Ʋudodokpɔ: Kpɔe ɖa be lãmetsi aɖewo sɔ gbɔ hã (e.g. parathyroid hormone (PTH), calcium).
• Nɔnɔmetatawo dodokpɔ: Esiawo ate ŋu akpe ɖe ame ŋu wòake ɖe teƒe siwo ƒuwo le, abe CT scan (computed tomography scan) alo MRI (magnetic resonance imaging scan) ene.
• Domenyiŋusẽfianu dodokpɔ: Eléa ŋku ɖe tɔtrɔ aɖe si le `MEN1` domenyiŋusẽfianu me ŋu.

• `(MEN ƒomevi 2)` ƒe dzesidede:

Wokpɔa MEN ƒomevi 2 le ame ŋu nenye be medullary thyroid cancer (MTC) le eŋu kpe ɖe pheochromocytoma kple/alo hyperplasia alo adenoma of the parathyroid glands ŋu.

• Dodokpɔwo:
• Ʋudodokpɔ: Kpɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ abe calcitonin (na MTC), parathyroid hormone (PTH), kple catecholamines (na pheochromocytoma) ene.
• Nɔnɔmetata dodokpɔwo: Wozãa `CT scan` alo `MRI scan`.
• Domenyiŋusẽfianu dodokpɔ: Eléa ŋku ɖe domenyiŋusẽfianu ƒe tɔtrɔ le `RET` me ŋu.

Nukae nye atikewɔwɔ na `(ŊUTSUWO)`?

MEN dada nɔ te ɖe lãmenugbagbeviwo kple ŋutinu siwo ŋu wògblẽ nu le dzi bliboe. Zi geɖe la, elɔa ɖɔktawo ƒe ƒuƒoƒo si me tɔwo wɔa dɔ vovovowo, siwo dometɔ aɖewoe nye lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyalawo , amekolawo , kple kansadɔdalawo .

Atikewɔwɔmɔnu vovovowo ate ŋu anɔ anyi:

• Atikewɔwɔ: Kpɔ dzesiwo dzi eye nàɖe lãmetsiŋusẽ si sɔ gbɔ wu ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ.
• Amekoko: Ðe ƒunukpeƒetetedɔa alo lãkusi bliboa si ŋu dɔlélea le (e.g., lãkusi).
• Lãmetsiŋusẽ ɖɔliɖɔli ƒe atikewɔwɔ: Ne amekoko ɖe lãmenugbagbeviwo ƒe lãkusi aɖe ɖa la, wodoa lãmetsi siwo dona tso eme la ɖe gota.
• Kansa dada: Ne kansa la kaka ɖe teƒe bubuwo (ekaka ɖe teƒe bubuwo) la, atikewɔwɔ abe atikewɔmɔnu kple keklẽŋusẽdɔdamɔnu ene .

Esi wònye be `(ŊUTSUWO)` dɔnɔ ɖesiaɖe le etɔxɛ ta la, atikewɔwɔ ƒe ɖoɖo si wɔa dɔ na amesiame la to vovo. Mègavɔ̃ be yeaƒo nu kple wò ɖɔkta tso atikewɔmɔnu siwo nyo na wò ŋu o.

Ðe woate ŋu ada `(ŊUTSUWO)` keŋkeŋa? Ðe woate ŋu axe mɔ ɖe enua?

Nublanuitɔe la, fifia la, atike aɖeke meli na nɔnɔme si nye `(MEN)` o. Gake woate ŋu akpɔ edzi . Ðɔktawo tsɔa amekoko alo atikewo daa dɔ na lãmenugbagbevi ɖesiaɖe ƒe tɔtrɔwo abe alesi wòsɔe ɣemaɣi ene.

Manya wɔ be woaxe mɔ ɖe `(MEN)` ƒe tsitsi nu o, elabena domenyiŋusẽfianu ƒe tɔtrɔ gbɔe wòtso. Woate ŋu anyi domenyiŋusẽfianu ƒe tɔtrɔ siawo ƒe dome tso dzilawo gbɔ alo adzɔ le vome le fugboe ƒe ɣeyiɣia me.

Gake ne wokpɔe be MEN le ƒometɔ kplikplikpli aɖe (dzila, nɔviŋutsu) ŋu la, ele vevie be nàƒo nu kple wò ɖɔkta tso domenyiŋusẽfianu dodokpɔ na MEN ŋu. Esia wɔwɔ ate ŋu akpe ɖe ŋuwò nàde dzesi dɔdzẽ kaba ne dɔlélea le ŋuwò.

Nukae dzɔna ne èle agbe kple `(ŊUTSUWO)`? (Nyagblɔɖi) .

Nusiwo wogblɔ ɖi na MEN nɔ te ɖe nu geɖe dzi:

• Alesi wode dzesi `(ŊUTSUWO)` kabae.
• Dɔlékuiwutike kawoe wògblẽa nu le?
• Eɖanye kansa le ƒunukpeƒea alo menyee o.
• Atikewɔwɔ ƒomevi si wozãna.
• Woyɔa nenye be kansa ƒe dɔdzẽ kaka ɖe ŋutilã ƒe akpa bubuwo (si kaka ɖe teƒe bubuwo).

Ne wokpɔe be MEN le ŋuwò la, wò ɖɔkta ate ŋu ana susu nyuitɔ kekeake wò tso wò atikewɔwɔ kple mɔ si dzi nàto ayi ŋgɔe ŋu.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ kple nya vevi siwo wòle be nàbia

Ne wokpɔe be MEN le ŋuwò la, ahiã be nàyi ɖɔkta gbɔ edziedzi be nàlé ŋku ɖe wò nɔnɔmea ŋu ahakpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm nyuie.

Azɔ hã, ne `(ŊUTSUWO)` le ƒometɔ kplikplikpli aɖe si le wò ƒomea me la, ƒo nu kple wò ɖɔkta tso domenyiŋusẽfianu dodokpɔ ŋu, abe alesi míegblɔe va yi ene.

Ne `(ŊUTSUWO)` le asiwò la, ate ŋu aɖe vi be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• `(ŊUTSUWO)` ƒomevi ka ƒomevie le asinye?
• Aleke (ŊUTSUWO) kpɔa ŋusẽ ɖe nye ŋutilã dzii?
• Dzesi kawoe wòle be malé ŋku ɖo?
• Atikewɔwɔmɔnu kawoe le asinye?
• Viɖe kple kuxi kawoe le atikewɔwɔmɔnu vovovowo ŋu?
• Ɣeyiɣi didi kae wòxɔna hafi atikewɔwɔ nadze edzi?
• Ðe wòle be woado nye ƒomea me tɔ mamlɛawo kpɔ be (ŊUTSUWO) hã?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Multiple endocrine neoplasia (MEN) nye dɔléle si mebɔ o. Azɔ hã, esi wònye be ŊUTSUWO ate ŋu ahe dzesi vovovowo vɛ eye menye amesiame ƒe nɔnɔmea sɔ o ta la, ate ŋu asesẽ ɣeaɖewoɣi be nànya ne exɔe.

Ne dzesi yeye aɖewo dze le ŋuwò si ɖe fu na wò, alo nède dzesi tɔtrɔ aɖewo le wò ŋutilã me la, nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ.

Togbɔ be `(MEN)` ƒe nɔnɔme aɖewo dzɔna le vome hã la, ateŋu aƒu du le ƒomewo hã me. Ne `(ŊUTSUWO)` le wò ƒometɔ kplikplikpli ɖeka si la, ele vevie ŋutɔ be woado domenyiŋusẽfianu kpɔ be nànya nenye be èle afɔku me. Ƒo nu kple wò ɖɔkta tso nyabiase ɖesiaɖe si le asiwò ku ɖe afɔku si le ŋuwò be nàxɔ `(ŊUTSUWO)` ŋu. Wole afima be yewoakpe ɖe ŋuwò. Mègavɔ̃ o, mègavɔ̃ o, eye mègavɔ̃ be yeabia nya o.

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