Wali otunuulidde omwana wo n'olowooza nti, "Mumpi okusinga abaana abalala ab'emyaka gye, si bwe kiri?" Oba ggwe ng’omuntu omukulu, bulijjo owulira ng’okooye mu ngeri etategeerekeka era nga tolina maanyi? Emabega w’ebintu bino bingi ebibeerawo mu mibiri gyaffe waliwo obubaka obutono obw’eddagala obuyitibwa obusimu. Kale leero twogera ku bumu ku busimu obukulu n'okukebera okw'enjawulo okukoleddwa okubupima.
Obusimu buno obw’okukula kye ki?
Mu ngeri ennyangu,
obusimu bw’okukula bwe busimu obukulu obutuyamba okukula obuwanvu, okuzimba amagumba amanywevu n’okuzimba ebinywa naddala mu buto. Kino tukiyita
Human Growth Hormone ,
oba (HGH) oba
(GH) mu bufunze. Kikolebwa akawuka akatono akalinga entangawuuzi, akasangibwa wansi w’obwongo bwaffe, wakati mu mutwe, akayitibwa
akawuka ka pituitary gland . Kilowoozeeko enseke eno eya pituitary nga "master gland" mu mubiri gwaffe. Kifuga enkola z’obusimu endala nnyingi. Enkola eno yonna tugiyita
endocrine system . Kale, singa olw’ensonga ezimu obusimu buno obw’okukula (GH) bukolebwa mu mubiri mu bungi obutono okusinga obwetaagisa oba oluusi nga buyitiridde, ebizibu by’obulamu eby’enjawulo bisobola okubaawo.
Ebizibu ebiyinza okubaawo olw’obusimu bw’okukula obutakwatagana (GH).
| Emiwendo gya GH bwe giba wansi (obutabaawo) . | |
| Emiwendo gya GH bwe girinnya (okukola ennyo) . | - Gigantism - okuwanvuwa kw’amagumba mu ngeri etaali ya bulijjo mu baana
- Acromegaly - Okugaziwa kw’amagumba g’emikono, ebigere, ne ffeesi mu bantu abakulu
- Okusobola okufuna ekizimba mu pituitary
|
Singa omwana wo oba ggwe olina obubonero buno, omusawo ayinza okukuwa amagezi
okukebera obusimu bw’okukula .
Mu kiseera ki omusawo w’akusindika okukeberebwa kuno?
Kino kikosa abaana n’abantu abakulu mu ngeri ya njawulo.
Ate ku baana...
Bw’otwala omwana wo okwekebejjebwa bulijjo, kwe kugamba, ew’omusawo we
ow’abaana , omusawo ajja kupima
obuwanvu bwe, obuzito bwe, n’okwetooloola omutwe gwe . Ebipimo bino bigeraageranyizibwa ku bipande by’okukula kw’abaana abalamu ab’emyaka egyo.
Okugeza, singa omwana wo aba mumpi nnyo okusinga abaana abalala ab’emyaka gye, oba singa okukula kwe kukendedde mu bwangu, omusawo ayinza okwekengera. Wano w’anaasalawo oba okukeberebwa obusimu buno.
Ate ku bantu abakulu...
Ng’omuntu omukulu, bw’osigala ng’olina obubonero bumu oba obusingawo ku bubonero obuli wansi, kikulu nnyo okulaba omusawo.
- Obutabeera na maanyi n’okukoowa buli kiseera
- Okufiirwa ebinywa (okuwulira ng’ebinywa byo bigenda bikendeera, wadde ng’ojjudde) .
- Okwongera amasavu mu mubiri (naddala okwetooloola olubuto) .
- Ennaku
- Okukendeera kw’amaanyi g’amagumba
Kyo kituufu nti obubonero buno butera mu ndwadde endala nnyingi. Wabula era ziyinza okuba akabonero k’ekizibu mu kukola obusimu bwa GH. Eno y’ensonga lwaki kikulu okwekebejjebwa okuzuula ekituufu ekivaako.
Okwetegekera otya okugezesebwa?
Wabeewo okwetegeka okutono nga tebannaba kugezesebwa kuno. Enteekateeka eno ya njawulo katono ku mwana n’omuntu omukulu.
Engeri y'okuteekateeka omwana
Okuva bwe kiri nti kino kigezo kitwala essaawa eziwera, kikulu okuteekateeka omwana mu birowoozo.
- Weegendereze ku ddagala: Ekiro nga tonnakeberebwa n’olunaku lw’okukeberebwa, towa ddagala lyonna nga tofunye lukusa lwa musawo. Naddala omwana wo bw’aba amira eddagala ly’embeera nga ADHD , nga methylphenidate (Ritalin) , olina okutegeeza omusawo ku nsonga eno. Bino bisobola okukwatagana n’eddagala nga clonidine eriweebwa nga bakeberebwa.
- Okusiiba: Ebiseera ebisinga ojja kusabibwa okusiiba okumala essaawa ntono nga tebannaba kukeberebwa. Omusawo wo ajja kukunnyonnyola ebikwata ku nsonga entuufu.
- Yamba okwewala okuboola:Okuva bwe kiri nti okukebera kuno kujja kutwala essaawa eziwerako, kiba kirungi okuleeta ekintu ekiyinza okukuuma omwana wo ng’akola, gamba ng’ekitabo, eky’okuzannyisa, oba tabuleti . Ate era, bayambale mu ngoye ezinyuma.
Engeri omuntu omukulu gy’ateekateekamu
Ku muntu omukulu, omusawo ayinza okulagira okukeberebwa obusimu obulala obuwerako wamu n’okukebera GH Stimulation Test. Ng’ekyokulabirako, bayinza okukebera emiwendo gy’obusimu
IGF-1 ne
IGFBP-3 , awamu n’obusimu nga
cortisol ,
prolactin, ne
testosterone . Oyinza n’oku:
- Ojja kwetaaga okusiiba . Mpozzi okumala essaawa 10-12. Buuza omusawo wo ku nsonga eno.
- Eddagala erimu n'eddagala eriweweeza ku bulwadde buno biyinza okwetaaga okuyimirizibwa . Okugeza, insulini, empeke eziziyiza okuzaala, n’ebirungo ebiyamba ku muddo (nga St. John’s wort). Buulira omusawo wo ku ddagala lyonna ly’omira.
- Weewale okukola dduyiro ng’ebula essaawa 10 okukeberebwa, kuba kiyinza okukyusa obusimu.
- Bw’oba olina obulwadde bwa sukaali oba omugejjo , bubuulire n’omusawo wo, kubanga embeera zino ziyinza okukosa ebivaamu.
Kiki ekibaawo mu kiseera ky’okugezesebwa?
Kino tokitya, enkola nnyangu nnyo. 1.
Okuyingiza layini ya IV: Okusooka, nnansi oba omukugu omutendeke ajja kuyingiza
akapiira akatono (layini ya IV) mu musuwa mu mukono gwo (oba omwana wo) mu mukono oba mu ngalo. Kino kikolebwa okwewala okufumita engalo yo n’empiso buli mulundi, kuba omusaayi gujja kuggyibwako emirundi egiwerako mu kukebera kwonna. 2.
Omusaayi ogusooka: Oluvannyuma lw’okuyingiza kanyula, omusaayi ogusookerwako guggyibwa. 3.
Okuwa eddagala erisitula: Olwo, eddagala erisitula enseke okufulumya obusimu bwa GH liweebwa mu mubiri nga liyita mu kanyula eno. Eddagala erisinga okukozesebwa ye
clonidine, arginine , oba
glucagon . Edda insulini yakozesebwanga, naye kati tatera kukozesebwa olw’obukuumi. Ku bantu abakulu, eddagala ery’amazzi eriyitibwa
macimorelin nalyo oluusi likozesebwa. 4.
Okuggya omusaayi: Oluvannyuma lw’okuweebwa eddagala,
buli luvannyuma lwa ddakiika 30 bakwatibwa omusaayi oguwerako okumala essaawa 2-3. Kino kibeera kitono nnyo, mpozzi n’ebijiiko nga bibiri byokka buli lunaku. 5.
Okumaliriza okukebera: Oluvannyuma lw’okuggyibwako omusaayi gwonna, kannyula eggyibwamu. Olwo osobola okulya n’okunywa. Kirungi n’owummula olunaku lwonna. Tewali buzibu bunene buva mu kukeberebwa kuno. Abantu abamu bayinza okuwulira nga baziyira katono. Wayinza okubaawo ebiwundu ebimu we baateeka kanyula.
Ebyavaamu byogera ki?
Ebivaamu bitera okufunibwa mu nnaku ntono. Omusawo wo ajja kwekenneenya ebivuddemu bino era annyonnyole embeera.
| Alizaati | Kye kiyinza okutegeeza |
|---|
| Singa emiwendo gya GH giba wansi okusinga bwe kisuubirwa (Low Levels) . | - Wayinza okubaawo obutaba na busimu bwa GH.
- Kino kiyinza okuba nga kye kivaako obulwadde bwa dwarfism.
- Kiyinza okuba obulwadde bwa hypopituitarism, embeera ng’endwadde z’omubiri (pituitary gland) tekola bulungi.
|
| Singa emiwendo gya GH giba waggulu okusinga bwe kisuubirwa (High Levels) . | - Kiyinza okuba embeera eyitibwa gigantism ( mu baana) oba acromegaly (mu bantu abakulu).
- Wayinza okubaawo ekizimba mu nseke z’omubiri (pituitary gland).
|
Olw’okuba ebizibu bino ebya GH oluusi bisobola okukwatagana n’obuzibu bw’endwadde endala, gamba ng’endwadde ya thyroid, omusawo ayinza okulagira okukeberebwa ebirala. Ayinza n’okulagira okukeberebwa
MRI oba CT scan singa wabaawo ekizimba.
Ekikulu embeera zino zisobola okujjanjabibwa singa zizuulibwa nga bukyali. Mu baana, bino oluusi bisobola okwetereeza ekiseera bwe kigenda kiyitawo. Singa wabaawo obutaba na GH, waliwo omukisa nti okukula okwa bulijjo kuyinza okutuukibwako n’obujjanjabi obwangu, gamba ng’okukuba empiso y’obusimu bwa GH buli lunaku.
N’olwekyo, ggwe oba omwana wo bw’oba olina obubonero buno, tosattira wadde okubukuuma, wabula genda mangu omusawo alina ebisaanyizo akuwe amagezi.
Obubaka Obutwala Awaka
- Growth Hormone (GH) busimu bwetaagisa nnyo mu buwanvu n’okukula kw’omubiri mu baana.
- Obubonero ng’obuwanvu obumala mu mwana, okulwawo okutuuka mu myaka gy’obuvubuka, oba okukoowa ennyo n’okufiirwa amaanyi mu muntu omukulu biyinza okuba obubonero bw’ekizibu ky’obusimu bwa GH.
- Ekigezo kya Growth Hormone Stimulation Test kigezo ekitali kya bulabe ekisitula enseke z’omubiri (pituitary gland) n’okupima obungi bwa GH omubiri bwe gukola.
- Okukebera kuno kuyinza okwetaagisa okwetegeka okutonotono, gamba ng’okusiiba oba okuyimiriza eddagala erimu. Buuza omusawo wo ku nsonga eno.
- Bw’oteebereza ekizibu nga kino, totya kulaba musawo mu bwangu akuwe amagezi. Okuzuula amangu kiyinza okuvaako obujjanjabi obulungi.
Growth Hormone, Growth Hormone, HGH, Obuwanvu bw'omwana, Obutakula muwanvu, Pituitary Gland, Growth Hormone Stimulation Test Sinhala, Okukebera obusimu, Okukula kw'omwana
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