Ukuthomba kom: Izimbangela, Izimpawu, Ukwelashwa

Nanso is nothing hle ezimweni lapho ingane kakhulu emuva ekuthuthukisweni. Kodwa nokuvuthwa ngaphambi kwesikhathi kungathathwa njengesigwebo into yemvelo futhi ejwayelekile, njengoba kungase kubangele inani elikhulu nemiphumela ebuhlungu.

Ake sihlole lesi sihloko kabanzi futhi uthole ukuthi kungani zokugula kungenzeka, Nokho kuhambisana izimpawu njengoba ukuhlolelwa lesi sifo futhi ukuthi kukhona izindlela eziphumelelayo ukuqeda le nkinga. ukunakekelwa okukhethekile izokhokhwa aspect ngokwengqondo: emizweni yengane, okuyinto eba ontanga ngokushesha.

Ukuthomba kanye nemithetho yayo

Kufanele uqale neqiniso lokuthi ukuthomba ubhekwa iqoqo izinqubo bokuphila namangqamuzana sishintsha umzimba, ngenxa okuyinto umuntu eba esekulungele ukuzalela (ifinyelela ekuthombeni).

Ngo abafana, kwenzeka esikhathini kusuka eminyakeni 10 kuya ku-20. Amantombazane nawo zikhula kancane ngaphambili - ukuthomba zabo ewela isikhathi kusuka eminyakeni 8 kuya ku-17. It is lezi zibalo ubhekwa kuyinsakavukela.

Kodwa kunezimo ngesikhathi ezoqala kom ukuthomba umntwana. Futhi kulesi simo kubalulekile ngesikhathi ezinhle ukuba banake inkinga futhi ukuthatha amanyathelo wonke afaneleyo.

Yini ubhekwa ukuthomba ngaphambi kwesikhathi

ukuthomba kom - inqubo lapho ingane iqala zikhula eneminyaka eyisishiyagalombili e amantombazane noma eyishumi - kubafana. Sici Its main Akukhona ukubukeka ekuseni ngezici ngokobulili yesibili, nakuba izimpawu jikelele zihlanganisa izenzakalo okuningi. The main wabo cabanga ngemva kwesikhashana.

Ukwahlukaniswa anomalies

Yiziphi izinhlobo zingahlukaniswa zibe ukuthomba kom? Ukwahlukaniswa ingase ixhomeke ezicini eziningi.

Ngokusekelwe izimbangela, kungaba:

• kweqiniso (ngenxa ukubukeka ukusebenza kwanoma hypothalamus noma pituitary);
• zamanga (ukubukeka elihlobene ne uketshezi ngokweqile kwama-hormone ocansini ngu ezikhiqiza amaqanda noma nezindlala adrenal, nezinye izinto).

Ngaphezu kwalokho, kukhona izoseksualnoe futhi kwabobulili ukuthomba zivuthiwe.

Izoseksualnomu uhlobo libhekene:

• retardation sengqondo;
• ahlukahlukene ikhaliphe sokugembula ;
• Ukungazinzi ngokomzwelo;
• nomfutho wegazi ophezulu palsy.

uhlobo Straight ka anomaly kungenziwa senziwa ukungasebenzi kwekhono nezindlala adrenal.

zokugula Izimbangela

Kuwufanele sokulokhu uzibuza yokuthi kungani ekuqaleni kokuqala kokuthomba. Izizathu kuvame ngamaqembu amabili: emaphakathi kanye neuropathy.

Ngu ukukhathalela emaphakathi:

• baphathe-phambili izifo ngaphambilini ezithathelwanayo elihlobene ne-ubuchopho (meningitis, encephalitis);
• ngemisebe, ukuhlukumezeka noma isimila emgogodleni noma ubuchopho;
• ukukhiqizwa okungafanele hormone by the nezindlala adrenal (Hyperplasia azalwa naso);
• isifo kuphakamisa thuthuva hormone, futhi sithinta amathambo ibala lesikhumba (McCune-Albright syndrome) ;
• ischemia;
• ukukhiqizwa enganele kwama-hormone egilo (i-hypothyroidism);
• khona azalwa naso kwezinso ingqondo.

izimbangela neuropathy imihlola ezifana ukuthomba ngaphambi kwesikhathi ngo amantombazane noma abafana, abahlangene ukukhululwa ngokweqile kwe-testosterone futhi estrogen igazi. Lokhu kwenzeka ngenxa iziyaluyalu nezindlala adrenal, amaqanda noma pituitary.

Nakuba izici okubangela ukuthomba ngaphambi kwesikhathi, angabi nokuncane kakhulu, ngokuvamile odokotela akakwazi ukunquma ngokuthe Imbangela ukubukeka kwakhe. Enye into nakanjani - the anomaly ukuphazamiseka kwama-hormone, ngakho kufanele ngokushesha nokufuna usizo lochwepheshe.

izimpawu ezivamile

Izimpawu zokuthomba ngaphambi kwesikhathi ngo-abafana namantombazane zihlukile. izimpawu ezivamile ezinganeni yomuntu wesilisa noma wesifazane;

• ukusheshisa ukukhula;
• ukuphathwa ikhanda;
• bulimia (ukudla);
• kwesisindo;
• ukushintsha iphunga lomzimba;
• ukukhula izinwele pubic futhi axillary;
• ukukhathala.

Ngaphandle, it is hhayi ngaphandle awokuthi nesenzakalo induna e ingane.

Symptomatology lesi sifo amantombazane

ukuthomba Ekuqaleni amantombazane kuhambisana:

• ukuthuthuka komqondo ngezici ngokobulili yesibili;
• ukusungulwa kokuya esikhathini.

Ngakho, i-amantombazane kuze kube iminyaka engu-10 ekuqaleni kokuya esikhathini okokuqala, kukhuphuke umdlavuza webele, kukhona izinwele ngaphansi emakhwapheni futhi izinwele pubic. Lokhu kungase kube njengoba zonke izimpawu ngesikhathi esifanayo, futhi ingxenye yazo.

Symptomatology lesi sifo abafana

Ngaphambi kwesikhathi bathombe abafana kuhambisana:

• ukuthuthuka komqondo ngezici ngokobulili yesibili;
• kwamangqamuzana yashesha lamathambo;
• ekuqaleni kokuma inqubo yokukhula, futhi ngenxa yalokho, ukwakheka onesiqu esifushane.

Kaningi kuyenzeka ukuthi ngaphambi kwesikhathi abafana kwandisa usayizi emasendeni futhi umthondo, ngakho ebuntwaneni kokuba afinyelele "omdala" ngosayizi.

Njalo umfana wesithathu iqala ukukhula ekuqaleni izinwele ngenhla udebe.

Iyini ingozi zesifo?

ukuthomba kom syndrome - into eyingozi umzimba, esizolokhu okwesikhathi nomkhwezeli.

Endaweni yokuqala ingase dysplasia kuphawulwe. Lapho isikhulile ekuseni izingane zikhule ngokushesha futhi oseye waphakama kakhulu ukwedlula ontanga yayo. Kodwa maduze nje, le nqubo uyama futhi ekugcineni zingase libe lincane uma kuqhathaniswa iminyaka yabo efanayo.

Emantombazaneni ingozi zokugula we amaqanda polycystic neziyaluyalu hormone esikhathini esizayo. It kusondele kokuya esikhathini okungajwayelekile, amazinga androgen yanda, ukubukeka izinhlumba futhi ukungabi nakwenzeka kwento ukukhululwa abushelelezi iqanda.

sitholakele isifo

Ukuze lapho udokotela ucele uma usola ukuthi ingane ingase ibe khona sisuke sicabanga ekuthuthukiseni a zokugula? nezindaba ezinjalo zidingidwa endocrinology zezingane. Ngesikhathi uphethwe, wafundiswa umlando lesi sifo, ngeke bayaqondisa kwamanye ukuhlolwa, futhi esekelwe imiphumela yabo, bakwazi ukubona inkinga.

Kuphoqelekile ayeba luhlolo bokuphila ingane. Inhloso yayo ukuthola izimpawu zokuqala ezibonisa nokuvuthwa: induna, webele ukukhulisa emantombazaneni ne umthondo futhi amasende kubafana, ukubukeka izinwele pubic kanye emakhwapheni, ukukhula okusheshayo, ukutholakala zokwehlukaniswa lokuqala, nokunye.

Ngaphezu kwalokho, zama-X ray luhlolo Kwenziwa futhi izihlakala lesiguli zezandla. Le nqubo kuzovumela udokotela ukucacisa yobudala amathambo bese impendulo umbuzo obalulekile: ziba ku uhla evamile noma ngesivinini esasizosheshisa?

Kulezi zindlela ezingenhla, akuvumela ukusetha kwangaphambilini (kuqala) uphethwe. Okulandelayo, udinga ukucacisa sifo ukuhlonza imbangela ivela khona. Ukuze wenze lokhu, umntwana umjovo we-hormone kanye kwegazi gonadotropin-ukukhulula athathwe. Lapho uhlobo neuropathy amazinga angahlangani of follicle-Ugqozi luteinizing i-hormone kuzoba ibanga lobudala ka kuyinsakavukela. Uma ukuthomba kom uhlobo emaphakathi, inani hormone eziphawulwe ngenhla okunzima luyanda. Kulokhu, kukhona isidingo omunye luhlolo - MRI zobuchopho. Kuyoba ukuhlonza anomalies kungenzeka. Futhi kudingeka yegilo luhlolo ukubekela eceleni kungenzeka gipotireza. Kwezinye izimo, kungase kudingeke ultrasound ngaphezulu nezitho okhalo, injongo okuyinto ukuthola izimila noma izinhlumba wesibeletho.

Ukwelashwa zokuthomba kom

Ukukhetha indlela yokwelapha kuncike ngokuyinhloko imbangela yalesi sifo.

Uma inkinga yakho kwaba senziwa khona isimila, imishanguzo siqondiswe isuswe. Kulokhu, lanikeza ukuhlinzwa ukusiza balahle "Yini eyayibangele lokho" ukuhluleka hormone.

Ezimweni lapho Imbangela inkinga engakaze wathola, ingane ingakha angabelwa amavesi athile ukuba yokwamukela izidakamizwa. Lokhu kungaba gonadotropinosvobozhdayuschego i-hormone omelene, isibonelo, leuprolide, esiza ukumisa gonadotropin-eksisi ukukhula gipofiarnogo (hCG) bese wehlisa ijubane ukuthuthukiswa okwalandela. Kusho nyangazonke zifakwa emzimbeni ngomjovo, futhi ukwelashwa kwaqhubeka waze esejwayelekile nezingokomzwelo zokuthomba. Ekupheleni ukwelashwa kwengane okuphuma ngokuvumelana kwezinkambiso aqine.

ukunakekelwa okukhethekile okwamanje kufanele inikwe nokudla. Ngesikhathi zokuthomba kom ezinganeni ngokuvamile baphawula ukwanda okukhulu esesuthi, noma yini ukunemba kakhudlwana - cishe umuzwa njalo indlala. Ngakho-ke kubalulekile ukuba ngilinganisele ukudla futhi ugweme ukudla. Kungenjalo, inkinga Kuvezwe ungeze eyodwa ngaphezulu - ukukhuluphala. Ngaphezu kwalokho, kufanele ugweme imikhiqizo equkethe ukubunjwa yayo testosterone futhi estrogen (hormone), njengoba emzimbeni amazinga abo, futhi ngaphandle kakhulu anda.

Elinye iphuzu elibalulekile ukuthi udinga ukwazi abazali - iyona ukhona nokuvuthwa ekuseni, oqala futhi kwenzeka ngokwengxenye kuphela. Ngokwesibonelo, intombazane ingase ikhukhumale esifubeni nomfana - emasendeni, kodwa ngokushesha, le nqubo iyama noma ngeke ephelezelwa ezinye izimpawu ezikhungathekisayo zalesi sifo. Kulokhu, akukho izinyathelo ezikhethekile zithathwa kudingekile ngoba ukuthomba okuphelele kuzoqala ngesikhathi.

Lithathelwe inqubo ingane ukuthomba kom

Kufanele uqaphele kakhulu hhayi nje izimpawu kanye nezindlela ekwelapheni lesi sifo, kodwa futhi emizweni yengane ngesikhathi ukuqala ukuthomba ekuseni. I-iqiniso lokuthi wayengumuntu usesimweni esinjalo, uyaqaphela ukuthi sihluke kakhulu ontanga yabo. Lena ngokuyinhloko ngenxa ukubukeka ekuseni ngezici ngokobulili yesibili.

Lesi simo kungabangela ekucindezelekeni ngokomzwelo ukuzenyeza ngisho zokucindezeleka. Lapha kuxhomeke kakhulu ezinyathelweni sabazali. Kubalulekile ukukhumbula ukuthi uma ingane akakwazi ukubhekana nemizwa yabo, udinga Care professional (owelapha).