Isiqu esifutshane

Umntwana onesiqu esifutshane mfutshane kakhulu kunabantwana abalinganayo ngokwesini.

Umboneleli wakho wezempilo uya kuhamba phezu kwetshathi yokukhula komntwana wakho kunye nawe. Umntwana onesiqu esifutshane ubude:

• Ukuphambuka kumgangatho osezantsi (i-SD) okanye ngaphezulu kokuphakama komndilili wabantwana besini esifanayo kunye nobudala.
• Ngaphantsi kwe-2.3rd percentile kwitshathi yokukhula: Kumakhwenkwe ayi-1 000 (okanye amantombazana) azalwe kwangolo suku lunye, abangama-977 babantwana bade kunonyana okanye intombi yakho.

Umboneleli womntwana wakho ujonga ukuba ukhula njani umntwana wakho ekuhloleni rhoqo. Umboneleli uya:

• Rekhoda ubude bomntwana wakho kunye nobunzima kwitshathi yokukhula.
• Ukujonga ukukhula komntwana wakho ngokuhamba kwexesha. Buza umboneleli ukuba yeyiphi ipesenti yomntwana wakho ukuphakama nobunzima.
• Thelekisa ubude bomzimba womntwana wakho kunye nobunzima bakhe kwabanye abantwana abakwiminyaka efanayo nesini.
• Thetha nawe ukuba unexhala lokuba umntwana wakho umfutshane kunabanye abantwana. Ukuba umntwana wakho unesiqu esifutshane, oku akuthethi ukuba kukho into engalunganga.

Zininzi izizathu zokuba kutheni umntwana wakho enesiqu esifutshane.

Uninzi lwexesha, akukho sizathu sonyango kwisithuba esifutshane.

• Umntwana wakho usenokuba mncinci kubudala bakhe, kodwa uyakhula. Uya kuqala ukufikisa emva kwexesha kunabahlobo bakhe. Umntwana wakho uya kuhlala ekhula emva kokuba uninzi loontanga bakhe luyekile ukukhula, kwaye uya kuba mde njengabazali bakhe. Ababoneleli bakubiza oku "kukulibaziseka kokukhula komgaqo-siseko."
• Ukuba omnye okanye bobabini abazali bafutshane, umntwana wakho uya kuba mfutshane. Umntwana wakho kufuneka abe mde njengomnye wabazali bakhe.

Ngamanye amaxesha, ubude obufutshane bunokuba luphawu lwemeko yonyango.

Ukuphazamiseka kwamathambo okanye amathambo, anje ngala:

• Iirockets
• I-Achondroplasia

Izifo zexesha elide (ezingapheliyo), ezinje:

• Isifo sombefu
• Isifo seCeliac
• Isifo sentliziyo
• Izifo ezinqabileyo
• Seswekile
• IHypothyroidism
• Ukudumba kwesifo
• I-rheumatoid arthritis yentsha
• Isifo sezintso
• Isifo seanemia
• Thalassemia

Iimeko zemfuzo, ezinje:

• Isifo esiphantsi
• Isifo sikaNoonan
• Isifo sikaRussell-Silver
• Isifo sikaTurner
• Isifo sikaWilliams

Ezinye izizathu zibandakanya:

• Ukusilela kwehomoni yokukhula
• Usulelo losana olusakhulayo ngaphambi kokuzalwa
• Ukungondleki
• Ukukhula kakubi komntwana ngelixa esibelekweni (isithintelo sokukhula kwangaphakathi) okanye incinci kubudala bokukhulelwa

Olu luhlu alubandakanyi zonke izizathu ezinokubakho kufutshane.

Shayela umnikezeli wakho ukuba umntwana wakho ubonakala emfutshane kakhulu kuninzi lwabantwana babo, okanye ukuba kubonakala ngathi bayekile ukukhula.

Umboneleli uya kwenza uvavanyo lomzimba. Umboneleli uya kulinganisa ubude bomntwana wakho, ubunzima, nengalo kunye nobude bemilenze.

Ukufumanisa izizathu ezinokubangela ukuba ubude bomntwana bakho bufutshane, umboneleli uya kubuza ngembali yomntwana wakho.

Ukuba ubude obufutshane bomntwana wakho bunokubangelwa yimeko yonyango, umntwana wakho uya kufuna iimvavanyo zelebhu kunye ne-x-reyi.

Ubudala bethambo x-reyi zihlala zithathwa kwisandla sasekhohlo okanye ngesandla. Umboneleli ujonga i-x-ray ukubona ukuba ubungakanani kunye nokumila kwamathambo omntwana wakho akhule ngesiqhelo. Ukuba amathambo akakhange akhule njengoko kulindelwe kubudala bomntwana wakho, umboneleli uya kuthetha ngakumbi malunga nokuba kutheni umntwana wakho engakhuli ngokwesiqhelo.

Umntwana wakho unokufumana olunye uvavanyo ukuba kungabandakanyeka enye imeko yonyango, kubandakanya:

• Gcwalisa ubalo lwegazi
• Ukukhula kwehormone
• Uvavanyo lomsebenzi we-thyroid
• Inqanaba lokukhula kwe-insulin-1 (IGF-1)
• Uvavanyo lwegazi ukukhangela isibindi, izintso, idlala lengqula, amajoni omzimba kunye nezinye iingxaki zonyango

Umboneleli wakho ugcina iirekhodi zokuphakama nobunzima bomntwana wakho. Gcina iirekhodi zakho, nazo. Zisa ezi rekhodi kumboneleli wakho ukuba ukukhula kubonakala ngathi kuhamba kancinci okanye umntwana wakho ubonakala emncinci.

UNYANGO

Ubufutshane bomntwana wakho bunokuchaphazela ukuzithemba kwabo.

• Jonga nomntwana wakho malunga nobudlelwane nabahlobo kunye nabo ufunda nabo. Abantwana bayateketisana ngezinto ezininzi, kubandakanya nokuphakama.
• Nika umntwana wakho inkxaso yemvakalelo.
• Nceda usapho, abahlobo kunye nootitshala bagxininise kwizakhono zomntwana wakho kunye namandla akhe.

UNYANGO NGOKUKHULA KWIHORMONE

Ukuba umntwana wakho akanawo okanye amanqanaba asezantsi okukhula kwehomoni, umboneleli wakho unokuthetha ngonyango ngenaliti yokukhula kwehomoni.

Uninzi lwabantwana banamanqanaba esiqhelo okukhula kwehomoni kwaye abayidingi inaliti yokukhula kwehomoni. Ukuba umntwana wakho uyinkwenkwe enesiqu esifutshane kunye nokulibaziseka ekufikiseni, umboneleli wakho angathetha ngokusebenzisa inaliti ye testosterone ukukhula ngokukhawuleza ukuqala. Kodwa oku akunakunyusa ukuphakama kwabantu abadala.

Isiqu esifutshane se-Idiopathic; Ukungakhuli kwehomoni kuswele isiqu esifutshane

• Ubude / itshathi yobunzima

UCooke DW, uDiVall SA, uRadovick S. Ukukhula kwesiqhelo kunye nokuchasana kwabantwana. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 25.

I-Cuttler L, iMisra M, iKoontz M. Ukukhula kweSomatic kunye nokuvuthwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 22.

U-Escobar O, uViswanathan P, uWitchel SF. I-endocrinology yabantwana. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 9.

UMarcdante KJ, uKliegman RM. Isiqu esifutshane. Ku: UMarcdante KJ, uKliegman RM, ii-eds. UNelson oBalulekileyo kwiPediatrics. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 173.