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Nukae Nye Vidzinu Siwo Me Mekɔ O?
Kpuie ko la, nɔnɔme sia nye esi nɔa anyi le vidzidzi me. Le go sia me la, esesẽna be woade dzesi ɖevia ƒe gotagome vidzinuwo nyuie be ŋutsu alo nyɔnue. Ɣeaɖewoɣi la, ŋutinuawo mate ŋu atsi nyuie o, alo ŋutsu kple nyɔnu siaa ƒe nɔnɔme ate ŋu anɔ wo ŋu.Nu vevitɔe nye be, esia menye dɔléle o. Esia nye vovototo si le gbɔdɔdɔ ƒe tsitsi me. Le atikewɔwɔ me la, míeyɔa esia be "Gbɔdɔdɔ ƒe Tsitsi ƒe Vovototowo" ( DSD ).Zi geɖe la, ɖevi ƒe gotagome dzedzeme mesɔna kple woƒe vidzinu ememetɔ (vidzidɔ, azigolo, alo vidzidɔ) alo woƒe domenyiŋusẽfianu ƒe gbɔdɔdɔ o. Esia menye nɔnɔme si bɔ ŋutɔ o. Edzea vidzĩ siwo ade 1 le 1,000 va ɖo 4,500 ɖesiaɖe me dzi.
Dzesi kawoe woate ŋu akpɔ le nɔnɔme sia me?
Nusi koŋ ɖe dzesi enye be gotagome vidzinuwo meɖi ŋutsu ƒe vidzinu alo vidzidɔ si sɔ o. Gake esia ate ŋu ato vovo tso ɖevi ɖesiaɖe gbɔ. Enɔ te ɖe nusi gbɔ wòtso si gblẽ nu le gbɔdɔdɔ ƒe tsitsi ŋu dzi. Mina míakpɔ alesi woate ŋu akpɔ nɔnɔme sia le nyɔnuviwo kple ŋutsuviwo ŋu le domenyiŋusẽfianu me ɖa.| Nɔnɔme siwo woate ŋu akpɔ ne ɖevia nye nyɔnu le domenyiŋusẽfianu me (XX) . | Nɔnɔme siwo woate ŋu akpɔ ne ɖevi nye ŋutsu le domenyiŋusẽfianu me (XY) . |
|---|---|
| Vidzidɔa lolona wu alesi wòle dzɔdzɔmee eye wòdzena abe ŋutsu ƒe vidzinu sue aɖe ene. | Ŋutsu ƒe vidzinu ate ŋu anɔ sue ŋutɔ (ate ŋu adze abe ŋutsu ƒe vidzinu sue ene) alo matsi kura o. |
| Aɖuɖɔtoeawo lé ɖe wo nɔewo ŋu, eye wodzena abe aɖuɖɔtoe ene. | Aɖuɖɔtoea ƒe ʋuƒoa le ŋutsu ƒe vidzinu ƒe gɔme, ke menye le eƒe nugbɔ o. (Woyɔa esia be Hypospadias) . |
| Afisi tsinyegoe ƒe ʋuƒoa le si mesɔ o. | Aɖuɖɔtoea le sue, eʋu, eye wòdze abe akɔtaƒu ene. |
| Teƒe si lãkusi le le lãkusi me si woate ŋu abu vodadatɔe be enye vidzidɔ. | Vidzidɔa meɖiɖi yi ɖe vidzidɔa me o. |
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Check Availability →Aleke wokpɔa dɔléle sia dzea sii? (Dɔléle ƒe dzesi) .
Zi geɖe la, atikewɔlawo ƒe ƒuƒoƒoa dea dzesi dɔlélea le edziɣi. Ɣeaɖewoɣi la, fotoɖeɖe le fufɔɣi ate ŋu ana woakpɔ kpeɖodzi aɖe, gake womeɖoa kpe edzi o vaseɖe esime wodzi vidzĩa vɔ hafi. Wò ɖɔkta kple atikewɔlawo ƒe ƒuƒoƒoa abia wò ƒomea ƒe atikewɔwɔ ŋutinya gbã. Emegbe, ahiã be woawɔ dodokpɔ aɖewo atsɔ anya vidzĩa ƒe vidzinu ŋutɔŋutɔ kple nusi tututu gbɔ dɔlélea tso.- Ʋudodokpɔ : Kpɔ vidzĩa ƒe domenyiŋusẽfianu (XX alo XY) kple lãmetsiŋusẽ ƒe agbɔsɔsɔ ɖa.
- Nɔnɔmetatawo dodokpɔ : Dodokpɔwo abe ultrasound scan , X-ray , alo MRI scan ene doa ŋutinu siwo le vidzĩa ƒe ŋutilã me, abe vidzidɔ , azigolo, alo vidzidɔ ene, kpɔna.
- Dodokpɔ tɔxɛwo: Le go aɖewo me la, woate ŋu aɖe lãkusi sue aɖe tso vidzinuwo me hena dodokpɔ (Biopsy) alo woate ŋu azã fotoɖemɔ̃ sue aɖe atsɔ alé ŋku ɖe ŋutilãa me (Laparoscopy).
Nukae hea esia vɛ?
Nɔnɔme sia dzɔna ne mɔxenu aɖe xe mɔ na vidzinuwo ƒe tsitsi le vidzĩa ƒe tsitsi ƒe gɔmedzedze le vidzidɔa me. Nu vevi geɖewo li siwo gbɔ wòtsona:- Lãmetsiŋusẽ ƒe kuxiwo:Fugboe si ƒe domenyiŋusẽfianu nye ŋutsu (XY) mexɔa ŋutsu ƒe lãmetsiŋusẽ si sɔ be wòatu ŋutsu ƒe vidzinuwo o, alo fugboe si ƒe domenyiŋusẽfianu nye nyɔnu (XX) la doa go ŋutsu ƒe lãmetsiwo.
- Domenyiŋusẽfianu ƒe tɔtrɔ: Domenyiŋusẽfianu aɖewo ƒe tɔtrɔ siwo kpɔa ŋusẽ ɖe gbɔdɔdɔ ƒe tsitsi dzi (mutated genes).
- Dzɔdzɔmeŋusẽ ƒe dɔmawɔmawɔ nyuie: Nusi mesɔ o le vidzĩa ƒe domenyiŋusẽfianu me, abe domenyiŋusẽfianu ƒe bu alo eƒe viɖe ene.
Nusiwo ate ŋu ahe afɔku vɛ
Ƒome ŋutinya hã ate ŋu awɔ akpa aɖe. Ne nɔnɔme siawo nɔ wò ƒomea me tɔ aɖe ŋu la, afɔku si le eme ate ŋu asɔ gbɔ vie:- Vidzĩ siwo kuna le nusi womenya o ta.
- Ate ŋu asesẽ na nyɔnu siwo le ƒomea me be woadzi vi, woƒe dzinukpɔkpɔ nadzudzɔ, alo woƒe mo ƒe fu natsi akpa.
- Ame bubu aɖe hã ƒe vidzinuwo mesɔ o.
- Nusiwo mesɔ o le sɔhɛmenɔɣi.
- Dɔléle siwo tso domenyinyi siwo gblẽa nu le adrenal glands ŋu, abe Congenital Adrenal Hyperplasia (CAH) ene .
Aleke wowɔa atikewɔwɔae eye nukae woawɔ akplɔe ɖo?
Esi nya sia nye nya si me kɔ eye wòsesẽna ta la, menye ɖɔkta ɖeka koe wɔa nyametsotsowo o. Eŋutinunyalawo ƒe ƒuƒoƒo aɖe akpe ɖe mia kple viwòa ŋu. Zi geɖe la, ƒuƒoƒo sia ate ŋu anye:- Vidzĩŋutinunyala: Ðɔkta si bi ɖe vidzĩ siwo wodzi yeyee ŋu.
- Endocrinologist: Ðɔkta si bi ɖe lãmetsiŋusẽwo me.
- Domenyiŋusẽfianu: Domenyiŋusẽfianu kple domenyiŋusẽfianu ŋuti nunyala bibi.
- Aɖuɖɔtoeŋutinunyala: Aɖuɖɔtoe kple vidzidzi ŋuti nunyala bibi aɖe.
- Amekola: Ðɔkta si wɔa dɔ ne ehiã.
- Susuŋutinunyala: Eŋutinunyala bibi aɖe si naa susuŋutinunya ƒe kpekpeɖeŋu mia kple viwòa.
Ðevia ƒe etsɔme
Enye dzɔdzɔme nu be nyabiasewo abe, "Ðe vinye ate ŋu adzi vi le etsɔmea?" kple "Ðe nya aɖewo anɔ anyi ku ɖe eƒe gbɔdɔdɔ ƒe dzedzeme ŋua?"- Vidzidzi:Le nusi gbɔ dɔlélea tso nu la, ame aɖewo ate ŋu adzi vi le etsɔme. Le kpɔɖeŋu me, nyɔnuvi siwo ŋu Congenital Adrenal Hyperplasia le ate ŋu afɔ fu le lãmetsiŋusẽtikewo zazã vɔ megbe.
- Ŋutsu alo nyɔnu ƒe dzedzeme: Dzɔdzɔmenugbagbeviwo ɖeɖe dzaa medea dzesi ame ƒe ŋutsu alo nyɔnu nyenye o. Ahɔhɔ̃ ƒe dɔwɔwɔ kple hadomenuwɔnawo hã wɔa akpa aɖe. Eyata ele vevie be nàdzro nya sia me kple atikewɔlawo ƒe ƒuƒoƒo bibi aɖe eye nàwɔ nyametsotso si ana ɖevia nakpɔ etsɔme nyuitɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Vidzinu siwo me mekɔ o nye nɔnɔme si mebɔ o eye menye dzilawo ƒe vodada gbɔe wòtso o.
- Ne wonya kpɔ dɔléle sia dze sii ko la, ele vevie be woadi atikewɔlawo ƒe ƒuƒoƒo bibi aɖe ƒe kpekpeɖeŋu. Mègawɔ nyametsotsowo ɖeɖeko o.
- Ŋutsu alo nyɔnu nyenye nana ɖevi nye nyametsotso si me kɔ ŋutɔ. Ele be wòabu atikewɔwɔ ŋuti nyatakakawo kple aɖaŋuɖoɖowo katã ŋu.
- Nusi le vevie wu atikewɔwɔe nye seselelãme ƒe kpekpeɖeŋu kple lɔlɔ̃ si wona ɖevia kple ƒome bliboa.
- Ðo dze kple wò ɖɔkta gaglãa tso nyabiase, vɔvɔ̃, alo ɖikeke ɖesiaɖe si anɔ mewò ŋu.
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