Ukufikisa zivuthiwe: Oonobangela, Iimpawu, Treatment

Kukho nto elungileyo kwiimeko apho umntwana isalele kakhulu emva kuphuhliso. Kodwa ekukhuleni aguge asikwazi kuthathwe njengento zendalo eziqhelekileyo, njengoko oko kunokubangela inani elininzi imiphumo ebuhlungu.

Makhe sihlolisise le sihloko ngokweenkcukacha uze ufumanise ukuba kutheni ngezifo Inokwenzeka, nangona oko kukhatshwa iimpawu njengoko ngoxilongo kwaye ingaba zikhona iindlela ezisebenzayo ukuphelisa le ngxaki. Ingqalelo eyodwa iza kuhlawulwa nomba ngokwasengqondweni: avakalelwa ngayo umntwana, leyo iphuhlisa noontanga ngokukhawuleza.

Kweva nemithetho yayo

Kufuneka uqale nesibakala sokuba lokufikisa ithathwa iseti neenkqubo komzimba kunye kwamadlala litshintsha umzimba, ngenxa yokuba umntu uba ekulungele ukuzala (ifikelela ukufikisa).

Xa amakhwenkwe, oko kwenzeka kwixesha ukususela kwiminyaka eli-10 ukuya kuma-20. Amantombazana akhule kancinane ngaphambili - ukufikisa sazo kwixesha ixesha leminyaka esi-8 ukuya ku-17. Oku la manani ithathwa ngekhomyutha.

Kodwa ke kukho iimeko apho iqala kom ukufikisa baby. Kwaye kule meko kuyimfuneko kwangethuba ukuze sinikele ingqalelo kwingxaki kwaye athathe onke amanyathelo kuyimfuneko.

Yintoni ithathwa ufikisa phambi kwexesha

ukufikisa kom - inkqubo apho umntwana uqala zikhula ukuya kwiminyaka esibhozo amantombazana okanye elishumi - emakhwenkweni. osemqoka yalo esentloko kukuba imbonakalo yokuqala neempawu zesini zasesekondari, nangona iimpawu ngokubanzi ziquka iziganeko okuninzi. Eyona kubo cinga kancinane emva koko.

ngezigaba mgceni

Ziziphi iintlobo lungahlulwa-hlulwa ibe eshumini kom? Ulwahlulo ixhomekeke kwizinto ezininzi.

Ngokusekelwe ezibangela, kungaba:

• okwenyaniso (ngenxa ukubonakala ukusebenza ngaphambi le ngxenye okanye yebhinqa);
• lobuxoki (imbonakalo ezinxulumene secretion ngokugqithisileyo hormone ocansini zamaqanda okanye adrenal, kunye nezinye izinto).

Ukongeza, izoseksualnoe apho ukufikisa esingafaniyo zivuthiwe.

Izoseksualnomu uhlobo ebonakala:

• ukukhubazeka engqondweni;
• ezahlukeneyo ikhaliphe yezifo ;
• ukungazinzi ngokweemvakalelo;
• BP lobuchopho.

uhlobo tye anomaly nga kuxhokonxwa kwekhono kwamadlala adrenal.

Kubanga zokugula

Iyafuna bemiyo phezu umbuzo kutheni ekuqaleni uqalile. Izizathu zidla yahlulwe ngamaqela amabini: engundoqo kunye neuropathy.

Nokukhathalela central:

• athwale-phambili izifo ngaphambili ezosulelayo ezinxulumene yobuchopho (meningitis, kobuchopho);
• zokukhanya, ukuphatheka okanye ithumba umnqonqo okanye kwengqondo;
• Imveliso engafanelekanga hormone yi adrenal (hyperplasia naso);
• sisifo Uxhokonxwa ukuphazamiseka hormone ikwachaphazela amathambo nesikhumba nombala (McCune-Albright syndrome) ;
• ischemia;
• Imveliso elingonelanga hormone (hypothyroidism);
• ubukho ezingaqhelekanga zobuchopho naso.

ezibangela engabalulekanga iziganeko ezifana ukufikisa mveku emantombazaneni okanye namakhwenkwe, zinxulunyaniswa ukukhululwa ngokugqithisileyo testosterone kunye estrogen egazini. Oku kwenzeka ngenxa yokuba ukuphazamiseka kwamadlala adrenal, amaqanda okanye yebhinqa.

Nangona izinto ezibangela ukufikisa ngaphambi kwexesha, kancinane, ngokufuthi oogqirha ngeke sikwazi ukubona ukuba ubulawe imbonakalo yakhe. Enye into kukuba Qiniseka - le anomaly kukho ukuphazamiseka kwamadlala, ngoko umele khawuleza ufune uncedo lobungcali.

iimpawu Common

Iimpawu ukufikisa ngaphambi yamakhwenkwe namantombazana ezahlukileyo. Iimpawu eziqhelekileyo abantwana nokuba sex:

• ukukhawulezisa ukukhula;
• intloko;
• ukudla (ubuyisa);
• umzimba;
• ukutshintsha iphunga lomzimba;
• kukhule uboya zikawonke wonke kunye axillary;
• ukudinwa.

Ngapha koko, oku akuzange amathuba aphezulu isahlakalo induna emntwaneni.

Symptomatology zesi sifo amantombazana

ukufikisa Ekuqaleni mantombazana kunye:

• uphuhliso zokuqala lweempawu ngokwesondo eziziisekondari;
• nokusekwa umsebenzi sexesheni.

Ngoko ke, ukuba amantombazana ukuya kwiminyaka-10 ekuqaleni kokuba sexesheni yokuqala, ukwanda umhlaza webele, kukho unwele phantsi kwamakhwapha kunye iinwele zikawonke wonke. Oku asondeze yonke imiqondiso ngaxeshanye, yaye inxalenye yabo.

Symptomatology zesi sifo kubafana

Ngaphambi ukufikisa kubafana sihambisana:

• uphuhliso zokuqala lweempawu ngokwesondo eziziisekondari;
• kuphakanyiswa olukhawulezisiweyo amathambo;
• ekuqaleni ukuyeka inkqubo yokukhula, yaye ngenxa yoko, ukubunjwa yayimfutshane ngesithomo.

Kudla ngokuthi amakhwenkwe ngaphambi kwexesha kwandisa ubungakanani amasende kunye lobudoda, ngoko ebuntwaneni bafikelele "abadala" ubukhulu.

Yonke inkwenkwe wesithathu iqala kukhule uboya ngaphezu lip ekuqaleni.

Yintoni ingozi sifo?

ukufikisa zivuthiwe syndrome - into eyingozi omzimba ethwala ukuba sibuye nomkhwezeli.

Kwindawo yokuqala ukuze kuphawulwe dysplasia. Xa abantu abadala abantwana bakhule ngokukhawuleza kwaye zibe ngaphezulu kakhulu kunokuba noontanga bayo. Kodwa kungekudala, le nkqubo zokumisa kwaye ekugqibeleni babe ngaphantsi kwe nobudala babo.

Kumantombazana a ngezifo ingozi yokuba amaqanda polycystic kunye nokuphazamiseka hormone kwixesha elizayo. Oku kufuna esexesheni engavumelekanga, amanqanaba androgen anda, imbonakalo cysts kunye nakwenzeka ukukhululwa kakuhle eqandeni.

lokufunyaniswa kwesifo

Apho ugqirha ucele ukuba ukrokrela ukuba umntwana abe khona siya kuqwalaselwa uphuhliso zokugula? Imiba efana aphathwa endocrinologist zabantwana. Ngelo xesha loxilongo, wafundela imbali sifo, uya kwenza eminye mvavanyo, kwaye zisekelwe phezu iziphumo zabo, kuba ukwazile ukufanisa umntu ngxaki.

Kunyanzelekile kubanjwe iimviwo komzimba womntwana. injongo yawo kukuvumela ukubona iimpawu ezisaqalayo nokwanda: amaqhakuva, ukukhula esifubeni emantombazaneni kunye lobudoda kunye namasende emakhwenkweni, imbonakalo kweenwele zikawonke wonke kunye amakhwapha, ukukhula ngokukhawuleza, ukufumaneka sexesheni yokuqala, njalo-njalo.

Ukongeza, zoviwo X-ray lwenziwa nezihlahla yesigulana amasundu. Le nkqubo iza kuvumela ugqirha ukufumanisa ubudala amathambo ufumane impendulo kulo mbuzo ubalulekileyo: babe kuluhlu eqhelekileyo okanye ngesantya olukhawulezisiweyo?

Le ndlela ingentla kukuvumela ukuba ubeke preliminary (lokuqala) kokuxilongwa. Okulandelayo, kufuneka ukhankanye isifo kwaye achonge unobangela ukwenzeka kwayo. Ukuze benze oku, umntwana kongezwa incindi yedlala kunye negazi iimvavanyo gonadotropin-lokukhululwa athathwe. Xa uhlobo peripheral amanqanaba engeyoyesiqhelo follicle-oluvuselela kunye luteinizing ihomoni iya kuba kuluhlu ubudala eqhelekileyo. Ukuba ukufikisa zivuthiwe engundoqo udidi, inani hormone ngasentla inyuswe. Kulo mzekelo, kukho imfuneko enye iimviwo - MRI ebuchotsheni. Iza ukuchonga okungahambi kunokwenzeka. Kwakhona kufuneka iimviwo lengqula ukwahlula gipotireza kunokwenzeka. Kwezinye iimeko, kusenokufuneka ultrasound ngakumbi amalungu zangasese, injongo yazo kukuba ukubona yamathumba okanye cysts ovarian.

Unyango ezidalwa kom

Ukukhetha le ndlela unyango ixhomekeke ubukhulu becala unobangela sifo.

Ukuba umba wakho kuxhokonxwa kukho ithumba, uthomalaliso mayibhekiswe isuswe. Kulo mzekelo, enikelweyo utyando ukunceda kukuphelisa i "ngumtyholwa" ukusilela hormone.

Kwiimeko apho ityala ngqo ingxaki abuyi kufunyanwa, umntwana eyabelwe ulwamkelo iziyobisi. Oku kunokuba gonadotropinosvobozhdayuschego hormone ochasene, umzekelo, leuprolide, nto leyo inceda ukunqanda gonadotropin axis ukukhula gipofiarnogo (HCG) wehlise uphuhliso olulandelayo. Kuthethwa ngenyanga zifakwa emzimbeni ngenaliti, nokunyanga abantu baqhubeka de yobudala eqhelekileyo ukufikisa. Ekupheleni unyango ekukhuleni komntwana uyemka ngokungqinelana nemigangatho emiselweyo.

ingqalelo eyodwa kule ngongoma kufuneka anikwe kunye nokudla. Ngexesha lokufikisa kom ebantwaneni lidla waphawula ukwanda okubonakalayo umphefumlo, okanye ukuba ngqo ngakumbi - phantse imvakalelo rhoqo yindlala. Ngoko kuyimfuneko ukunciphisa ubungakanani ekudleni uphephe ukudla. Kungenjalo, ingxaki kuye kwavela kongezwa enye ngaphezulu - ukutyeba. Ukongeza, kufuneka uphephe iimveliso eziqulathe kwi testosterone yayo ngoobani kunye estrogen (iihomoni), njengoko amanqanaba zabo emzimbeni, kwaye ngaphandle linyuke kakhulu.

Enye ingongoma ebalulekileyo ekufuneka azi abazali - ibikukubakho nokwanda yokuqala, eqala kwaye kwenzeka inxenye kuphela. Umzekelo, intombazane aludumbanga, isifuba nenkwenkwe - amasende, kodwa kungekudala, le nkqubo zokumisa okanye iya ezingahambi neminye imiqondiso zesi sifo. Kulo mzekelo, akukho manyathelo ezizodwa zithathwa kuyimfuneko kuba ukufikisa epheleleyo iza kuqalisa ngexesha.

Apha naphaya ukuze inkqubo yomntwana ukufikisa kom

Kufuneka sinikele ingqalelo eyodwa kuphela iimpawu kunye neendlela zokunyanga esi sifo, kodwa avakalelwa ngayo umntwana ngexesha lokufikisa kwangoko. Isibakala ukuba kwimeko enjalo, uyaqonda ukuba wahlukile kakhulu oontanga babo. Oku kubangelwa ikakhulu ukubonakala ekuqaleni lweempawu zesini eziziisekondari.

Le meko kunokubangela udandatheko, phantsi ukuzithemba kunye nokuba ukudandatheka. Apha kakhulu kuxhomekeke kukunyamekela abazali. Kubalulekile ukukhumbula ukuba, ukuba umntwana lowo akanako ukujongana iimvakalelo zabo, akasayi kunyamekela umsebenzi (therapist).