Ðe nèle ŋutsu ƒe lãmetsiŋusẽ ƒe agbɔsɔsɔ si le dzidzim ɖe edzi kpɔm le wò ŋutilã mea? Mina míaƒo nu tso ŋutsunyenye le nyɔnuwo me ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ŋutilã le tɔtrɔm le mɔ siwo mesɔ na nyɔnu o nua? Ðewohĩ wò gbe le ɖiɖim vie, alo èle fu si mèdi o dom ɖe mo kple wò ŋutilã ŋu. Nu siawo nana nèsena le ɖokuiwò me be yele kpekpem ŋutɔ, alo? Le nyateƒe me la, le atikewɔwɔ me la, míeyɔa nɔnɔme sia be ``(Virilization)``. Togbɔ be ŋkɔa aɖi vɔvɔ̃ vie ne èsee hã la, egbea míaƒo nu tso nusi tututu esia nye, nusita wòdzɔna, alesi woawɔ ade dzesii, kple nenye be atikewɔwɔ li ŋu pɛpɛpɛ eye míaƒo nu tso eŋu bɔbɔe. Ekema àte ŋu ase esia gɔme nyuie.

Nukae nye `(Virilization)`? Kpuie ko la,...

Kpuie ko la, virilization (si woyɔna be "vee-ra-li-se-tion") nye ŋutsu ƒe nɔnɔmewo ƒe tsitsi le nyɔnu alo vidzĩ si wodzi yeyee si wodo go ŋutsu ƒe lãmetsiwo le edziɣi me. Esia ate ŋu adzɔ ne wò adrenal glands wɔa ŋutsu ƒe lãmetsiŋusẽ geɖe akpa, si woyɔna be androgens, alo ne èzã anabolic steroids tsɔ dzia wò ŋusẽ ɖe edzi.

Ðe vovototo le alesi ŋutsunyenye gblẽa nu le nyɔnuwo kple ŋutsuwo ŋui mea?

Ẽ, nyɔnu ate ŋu axɔ nɔnɔme sia (virilization) le ƒe ɖesiaɖe me. Ne edze nyɔnu tsitsi aɖe dzi la, nusiwo ate ŋu adzɔ dometɔ aɖewoe nye esi:

• No siwo le sue wu.
• Vidzidɔ ƒe ʋuʋu.
• Akɔta ƒe lolome.
• Ɣleti sia ɣleti ƒe dzinukpɔkpɔ madzudzɔmadzudzɔe alo keŋkeŋ .

Le ŋutsuwo gome la, nɔnɔme si woyɔna be `(Virilization)` medzena gaglãa nenema gbegbe o. Ne dzesiawo medzena le vidzidzi me o la, dzesi siawo dzena ɣeaɖewoɣi le `(Puberty)` . Zi geɖe la, ŋutsuvi siwo wɔa ŋutsu ƒe lãmetsi geɖe `(Androgen)` toa sɔhɛmenɔɣi kaba wu ɖevi bubuwo. Le ŋutsu tsitsiwo gome la, `(Androgen)` lãmetsiŋusẽ sia si sɔ gbɔ ate ŋu aɖe vidzidɔ ƒe dɔwɔwɔ dzi akpɔtɔ, aɖe vidzidzi ƒe ŋutete dzi akpɔtɔ, eye `(Vidzidzi)` gɔ̃ hã ate ŋu adzɔ.

Nukae nye `(Virilization)` ƒe dzesiwo?

Dzesi siawo mesɔ na amesiame o eye woate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Mina míalé ŋku ɖe dzesi vevi siwo woate ŋu akpɔ ŋu:

• Taɖa ƒe tsitsi le mo alo ŋutilã me si womedi o: Esiae nye dzesi gbãtɔ si ame geɖe dea dzesii. Bu eŋu kpɔ, kasia nyɔnuvi sue aɖe abe Nimali ene dzea ɖa ɣi, si do viviti wu alesi wònɔna ɖaa le eƒe mo, asike, nuyi si le etame, akɔta, ƒodo, kple akɔta. Ame aɖewo ƒe taɖa le ɣie, si le abe ɖa ene.
• Aklãdɔ alo ŋutigbalẽ si me ami le ƒe dzidziɖedzi: Aklãdɔ ƒe dzidziɖedzi kpata, ne ŋutigbalẽa nyea ami ɣesiaɣi la, ate ŋu anye esia ƒe dzesi hã.
• Dzinukpɔkpɔ edziedzi: Ɣeaɖewoɣi la, dzinukpɔkpɔ mate ŋu anɔ anyi o ɣleti geɖe, alo ate ŋu adzudzɔ keŋkeŋ.
• Ŋutsu ƒe taɖa ƒe ʋuʋu: Taɖa ƒe vuvu le ŋgonu ƒe akpa eveawo, si sɔ kple ŋutsuwo tɔ, si wɔnɛ be taɖa ƒunaTaɖa le dodom.
• No ƒe lolome dzi ɖeɖe kpɔtɔ: Noawo va nɔa sue wu alesi wonɔ tsã.
• Vidzidɔa ƒe lolome: Esia hã nye tɔtrɔ ɖedzesi aɖe.
• Gbea ƒe goglome: Kasia gbea va nɔa ɖiɖim, eye wòtrɔna zua ŋutsu ƒe gbe .
• Gbɔdɔdɔ ƒe dzodzro si dzina ɖe edzi: Ðewohĩ gbɔdɔdɔ ƒe dzodzro hã asɔ gbɔ ɖe dziwò wu alesi wònɔna ɖaa.

Nukatae `(Virilization)` sia dzɔna? Nukawoe gbɔ wòtsona?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, “Nukatae le anyigba dzi nusia le dzɔdzɔm?” Nusi koŋ gbɔ wòtsoe nye ŋutsu ƒe lãmetsiŋusẽ siwo woyɔna be androgens ƒe dzidziɖedzi fũ akpa le ŋutilãa me. Lãmesẽnya geɖe li siwo ate ŋu ana esia nadzɔ:

• Adrenal hyperplasia si wodzina: Esia nye domenyiŋusẽfianu ƒe nɔnɔme. Etsoa lãmetsiŋusẽ siwo adrenal glands, siwo nye lãkusi sue eve siwo le míaƒe ayikuwo tame, ƒe lãmetsiŋusẽwo wɔwɔ me. Esia wɔnɛ be androgen lãmetsi siwo sɔ gbɔ wu la dona.
• Polycystic ovary syndrome (PCOS): Esia nye dɔléle si wole dzedzem le nyɔnuvi kple nyɔnu geɖe ŋu fifia. Nɔnɔme sia si dzɔna le azigolowo me hã ate ŋu ana ŋutsu ƒe lãmetsiŋusẽ nawɔ akpa si gbɔ eme.
• Cushing ƒe dɔléle: Nɔnɔme si tsoa lãmetsi si nye cortisol ƒe agbɔsɔsɔ fũu akpa le ŋutilã me le ɣeyiɣi didi aɖe me. Esia ate ŋu ana androgen ƒe agbɔsɔsɔ hã nadzi ɖe edzi.
• Adrenal gland tumors (e.g., `Adrenal adenoma`): Tukpewo ƒe wɔwɔme le `(Adrenal glands)` si megblɔ va yi me. Zi geɖe la, dɔdzẽ siawo, abe `(Adrenal adenoma) ene, menye kansa o (siwo me dɔlékui aɖeke mele o), gake ɣeaɖewoɣi la, woate ŋu anye kansa (dɔlékui vɔ̃ɖi). Dɔdzẽ siawo ateŋu awɔ `(Androgen).`
• Azigolo me dɔdzẽ: Dɔdzẽ ƒomevi aɖewo siwo dzɔna le azigolo me hã ate ŋu awɔ androgen lãmetsi siwo sɔ gbɔ.

Tsɔ kpe ɖe atikewɔwɔ me susu siawo ŋu la, nɔnɔme sia (virilization) ate ŋu atso anabolic steroids zazã be woadzi ŋutilã ƒe dɔwɔwɔ ɖe edzi eye woatu lãmekawo ɖo hã gbɔ . Esia dzena vevietɔ le amesiwo ƒoa kamedefefewo abe kpekpemefɔfɔ ene dome.

Aleke ɖɔkta awɔ akpɔ esia be ``Virilization''?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ. Ðɔktaa ado wò kpɔ nyuie. Woabia nya tso wò dzesiwo ŋu, nenye be wò ƒomea me tɔ aɖe xɔ nɔnɔme siawo kpɔ, kple atike siwo zãm nèle hã.

Emegbe, be woaɖo kpe edzi nenye be esia nye ``Virilization'' vavã, eye ne ele nenema la, nusi gbɔ wòtso la, wowɔa dodokpɔ aɖewo:

• Ʋudodokpɔ: Esia koŋ léa ŋku ɖe lãmetsi vovovo siwo le wò ŋutilã me ƒe agbɔsɔsɔ ŋu, vevietɔ lãmetsi si nye androgen ƒe agbɔsɔsɔ.
• Nɔnɔmetatawo dodokpɔ bubuwo:
• Ultrasound scan: Esia ate ŋu akpɔe ɖa be dɔdzẽ alo tsitsi aɖeke le azigolowo kple adrenal glands me hã.
• `CT (Computed Tomography) scan` alo `MRI (Magnetic Resonance Imaging)` scan: Esiawo ateŋu ado ememe ŋutinuwo kpɔ nyuie wu, vevietɔ teƒewo abe adrenal glands kple pituitary gland le ahɔhɔ̃a me.

Ðe atike aɖe li na `(Virilization)`?

Ẽ, atikewɔwɔ li godoo. Ke hã, atikewɔwɔmɔnua nɔ te ɖe nusi gbɔ `(Virilization)` tso dzi. Wò ɖɔkta atia atike si sɔ na wò wu. Atikewɔwɔmɔnu vevi aɖewoe nye esi:

• Glucocorticoids: Esia hã nye steroid ƒomevi aɖe. Ne domenyiŋusẽfianu ƒe nɔnɔme aɖe abe vidzidzi ƒe adrenal hyperplasia ene gbɔe ŋutsunyenye tso la, ɖɔktawo aŋlɔ atike siawo be woatsɔ akpɔ ŋutsu ƒe lãmetsiŋusẽ ƒe wɔwɔme dzi to adrenal glands dzi.
• Adrenalectomy: Ne dɔdzẽ aɖe si le adrenal gland me gbɔe nɔnɔme sia tso la, zi geɖe la, amekokoa bia be woaɖe adrenal gland la ɖa . Zi geɖe la, menye kansae dɔdzẽ siawo nyena o. Gake ƒã hafi woate ŋu axɔ kansa, eyata ele vevie be nànya nusi tututu gbɔ dɔlélea tso.
• Oophorectomy: Ne azigolo me dɔdzẽ gbɔe dzesi siawo tso la, ke amekokoe nye atike si wozãna ɖaa. Le ƒe si nèxɔ kple ne èɖoe be yeadzi vi le etsɔme nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dɔ aɖe si woyɔna be unilateral salpingo-oophorectomy (si nye azigolo ɖeka kple eƒe vidzidɔ ɖeɖeɖa). Esia ate ŋu akpɔ wò ŋutete be nàdzi vi to azigolo kemɛa hã ta.

Vevietɔ: Aleke kee atikewɔmɔnu ka kee ɖale o, ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ eye nàtrɔ ava do wò ɖe game dzi.

Ðe woate ŋu atrɔ ``virilization'' ƒe dzesi siawoa?

Zi geɖe la, ne wokpɔ nusi gbɔ wòtso eye wodae nyuie la, woate ŋu atrɔ ŋutsunyenye ƒe dzesiwo. Le kpɔɖeŋu me, taɖa ƒe tsitsi ate ŋu aɖiɖi, ŋutigbalẽ ƒe ami ate ŋu aɖiɖi, eye dzinukpɔkpɔ ate ŋu atrɔ ava nɔ abe tsã ene. Wò ɖɔkta awɔ atikewɔwɔ ƒe ɖoɖo si asɔ na wò.

Gake nu ɖeka aɖe li si ŋu medi be maƒo nu tsoe etɔxɛe. Ne nyɔnu siwo zãa anabolic steroids kpɔ ``virilization'' ƒe dzesi siwo megblɔ va yi la, ɣeaɖewoɣi la, tɔtrɔ gã si vaa gbea me ate ŋu anɔ anyi ɖaa. Eyae nye be ne wodzudzɔ atikeawo zazã vɔ megbe gɔ̃ hã la, gbea magaɖi abe tsã ene o. Ke hã, ame aɖewo te ŋu gaɖo woƒe gbe ƒe ɖiɖime va ɖo afi aɖe to atikewɔwɔ kple hehexɔxɔ le gbe ƒe hehenaƒe tɔxɛ aɖe (`Voice center`) me.

Ðe woate ŋu axe mɔ ɖe Virilization nua?

Ne domenyiŋusẽfianu ƒe nɔnɔme aɖe abe `(Congenital adrenal hyperplasia)` le ŋuwò la, womate ŋu axe mɔ ɖe enu keŋkeŋ o. Elabena enye nane si va kpe ɖe mía ŋu. Gake ne èwɔ atike na wò nyuie eye nèɖo aɖaŋu na wò la, àte ŋu aɖu nɔnɔme sia dzi dzidzedzetɔe ahanɔ agbe si sɔ.

Le go bubu me la, ne èƒo asa na nuwo abe `Anabolic steroids` zazã la, àte ŋu aƒo asa na afɔku si le `(Virilization)` si ate ŋu adzɔ to wo dzi. Ne èle `(Steroids)` nom le atikewɔwɔ ƒe susu aɖe ta la, kpɔ egbɔ be yenoe le agbɔsɔsɔme kple ɣeyiɣi si woɖo ɖi na wò abe alesi wò ɖɔkta gblɔe ene ko. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ be nàɖe dzesi siwo mèdi o ƒe afɔkua dzi akpɔtɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ðo ŋku esia dzi: Ame aɖeke menya wò ŋutilã nyuie wu wò o, alo? Eyata ne ède dzesi nane si mebɔ o le wò ŋutilã ŋu, tɔtrɔ yeye aɖe si menɔ anyi tsã o, alo nane si le fu ɖem na wò la, gblɔe na ɖɔkta kaba.

Vevietɔ, ne èkpɔ ``virilization'' ƒe dzesi ɖeka alo esi wu nenema si ŋu míeƒo nu tsoe le nyati sia me, abe ɖa ƒe tsitsi kpata, gbe ƒe tɔtrɔ, dzinukpɔkpɔ si mebɔ o, alo dzesi bubu ɖesiaɖe si mebɔ o ene la, ele be nàƒo nu kple ɖɔkta tso eŋu godoo. Emegbe ate ŋu anya nusi gbɔ wòtso eye wòaɖo aɖaŋu na wò le nenye be èhiã atike alo mèhiãe o, eye ne ele nenema la, nu si nàwɔ hã.

Vovototo kae le `(Hirsutism)` kple `(Virilization)` dome?

Ðewohĩ èse nya ``Hirsutism'' (hir-su-ti-sam) kpɔ. ``Hirsutism'' fia taɖa ƒe tsitsi fũ akpa le nyɔnu ƒe ŋutilã ŋu, vevietɔ le teƒe siwo ŋutsuwo ƒe fu nɔa zi geɖe (abe mo, akɔta, ƒodo, akɔta, kple ata ememetɔwo ene).

Vovototo kae le wo dome ekema?

Zi geɖe la, amesiwo ŋu `(Hirsutism)` ƒe dzesiwo mesɔ gbɔ ɖo o wu amesiwo ŋu `(Virilization)` le, eye womesẽna nenema o. Le `(Hirsutism)` me la, nu vevitɔ si wokpɔnae nye taɖa ƒe tsitsi.

Ke hã, le ``Virilization'' me la, tsɔ kpe ɖe taɖa ƒe tsitsi ŋu la, woate ŋu akpɔ nɔnɔme bubu siwo dze ƒã be ŋutsuwo abe gbe ƒe goglome, vidzidɔ ƒe lolome, nowo dzi ɖeɖe kpɔtɔ, kple lãmekawo ƒe tsitsi ene.

Abe Virilization ene la, Hirsutism ateŋu atso androgen hormones ƒe wɔwɔ fũu akpa tso wò adrenal glands alo ovaries me gbɔ. Gake Hirsutism ate ŋu anye nɔnɔme bubuwo abe Polycystic ovary syndrome (PCOS) kple Cushing syndrome ene ƒe dzesi hã. Kpuie ko la, Virilization nye nɔnɔme si nu sẽ wu eye ŋutsu ƒe nɔnɔmewo keke ta wu Hirsutism.

Nukae nye `(Undervirilized male)`?

Esia le abe `(Virilization)` ƒe akpa kemɛ ene. Míeyɔa esia be `(Ŋutsu si womeɖe vi na o)`, .Le domenyiŋusẽfianu nu la, ŋutsu ƒe ŋutilã mewɔa ŋutsu ƒe lãmetsiŋusẽ (androgens) si mede esi sɔ nu o alo ŋutilãa mewɔa nu ɖe ​​lãmetsi siawo ŋu nyuie o, si wɔnɛ be nyɔnu ƒe nɔnɔme aɖewo nɔa eŋu. Le kpɔɖeŋu me, sɔhɛmenɔɣi ƒe megbetsitsi, lãmekawo ƒe tsitsi dzi ɖeɖe kpɔtɔ, ŋutilã ƒe fu dzi ɖeɖe kpɔtɔ, kple no ƒe tsitsi ate ŋu adzɔ.

Mlɔeba la, nane si wòle be wòanɔ susu me na wò (Take-Home Message) .

Eyata, mesusu be èse `(Virilization)` gɔme nyuie fifia. Nu vevitɔe nye be ne èse le ɖokuiwò me be yeƒe ŋutilã mevo o, ne èse le ɖokuiwò me be mesɔ kple yeƒe nyɔnunyenye o la, ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ hã dzi. Taflatse mègatsi dzi eye nàbu eŋu be, "Nukatae nusia le dzɔdzɔm ɖe dzinye?", "Nyee ɖeka koe le alea?"

Azɔ hã, lãmesẽkuxi aɖe ate ŋu anɔ megbe na dzesi siawo si wòle be woada. Ne womekpɔe nyuie hedae o la, ate ŋu ahe kuxi bubuwo vɛ.

Eyata, ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò be `(Virilization)` ƒe dzesiwo le ye ŋu la, taflatse mègavɔ̃ alo ŋu kpe wò be yeayi ɖɔkta o, ƒo nu tso eŋu, nakpɔ dɔlélea ne ehiã, eye nàxɔ atike si sɔ. Emae nye nu nyuitɔ kekeake si nàte ŋu awɔ na ɖokuiwò. Menye wò ɖeka koe o, ɖɔkta aɖewo li siwo ate ŋu akpe asi ɖe nu siawo ŋu.

` Virilization, ŋutsu kple nyɔnu ƒe nɔnɔmewo, lãmetsiŋusẽ ƒe masɔmasɔ, androgens, ɖa ƒe tsitsi, aklãdɔ, PCOS, adrenal glands, steroids