Ukukhula kovavanyo lokucinezelwa kwehomoni

Uvavanyo lokukhula kwehommone yokukhula luchaza ukuba ngaba ukukhula kwehomoni (GH) kuyacinezelwa siswekile ephezulu yegazi.

Ubuncinci iisampulu zegazi ezintathu zithathwa.

Uvavanyo lwenziwa ngale ndlela ilandelayo:

• Isampulu yegazi yokuqala iqokelelwa phakathi kwe-6 kusasa kunye ne-8 kusasa ngaphambi kokuba utye okanye usele nantoni na.
• Emva koko usela isisombululo esine-glucose (iswekile). Unokuxelelwa ukuba usele kancinci ukunqanda ukuba ungabekiswa. Kodwa kufuneka usele isisombululo ngaphakathi kwemizuzu emi-5 ukuqinisekisa ukuba iziphumo zovavanyo zichanekile.
• Iisampulu zegazi ezilandelayo zihlala ziqokelelwa iiyure ezi-1 ukuya kwezi-2 emva kokuba ugqibile ukusela isisombululo se-glucose. Ngamanye amaxesha athathwa rhoqo kwimizuzu engama-30 okanye engama-60.
• Isampuli nganye ithunyelwa elebhu kwangoko. Ilebhu ilinganisa amanqanaba eglucose kunye neGH kwisampulu nganye.

SUKUTHI utye nantoni na kwaye unciphise ukusebenza komzimba iiyure ezili-10 ukuya kwezi-12 ngaphambi kovavanyo.

Unokuxelelwa nokuba uyeke ukuthatha amayeza anokuchaphazela iziphumo zovavanyo. La mayeza abandakanya i-glucocorticoids efana ne-prednisone, i-hydrocortisone, okanye i-dexamethasone. Jonga umboneleli wakho wezempilo ngaphambi kokuba uyeke nawaphi na amayeza.

Uya kucelwa ukuba uphumle ubuncinci imizuzu engama-90 ngaphambi kovavanyo. Kungenxa yokuba ukuzilolonga okanye ukwanda komsebenzi kunokutshintsha amanqanaba e-GH.

Ukuba umntwana wakho uza kwenziwa olu vavanyo, kunokuba luncedo ukucacisa ukuba uvavanyo luza kuziva njani kwaye ubonise nonodoli. Okona umntwana wakho eyazi kakuhle into eza kwenzeka kwaye kutheni, uxinzelelo oluncinci umntwana aya kuziva ngalo.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukutyumza kancinci. Oku kuya kuhamba kungekudala.

Olu vavanyo lujonga inqanaba eliphezulu le-GH, imeko ekhokelela kwi-gigantism ebantwaneni nakwi-acromegaly kubantu abadala. Ayisetyenziswanga kuvavanyo lokuhlola rhoqo. Olu vavanyo lwenziwa kuphela xa ubonakalisa iimpawu zokonyuka kweGH.

Iziphumo zovavanyo eziqhelekileyo zibonisa inqanaba le-GH elingaphantsi kwe-1 ng / mL. Kubantwana, inqanaba le-GH linokunyuswa ngenxa yehypoglycemia esebenzayo.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukuba inqanaba le-GH alitshintshwanga kwaye lihlala liphezulu ngexesha lovavanyo lokucinezela, umboneleli uya kurhanela i-gigantism okanye i-acromegaly. Kuya kufuneka uphinde uphinde uphinde uvavanywe ukuze uqinisekise iziphumo zovavanyo.

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Umngcipheko wokutsalwa kwegazi mncinci, kodwa unokubandakanya:

• Ukopha kakhulu
• Ukugqobhoza okuninzi ukufumana imithambo
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Igazi eliqokelela phantsi kolusu (hematoma)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo lokucinezelwa kweGH; Uvavanyo lokulayisha iswekile; IAcromegaly - uvavanyo lwegazi; Gigantism -uvavanyo lwegazi

• Uvavanyo lwegazi

I-Kaiser U, Ho K. Indawo yokuma komzimba kunye novavanyo lokuqonda isifo. 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: isahl 8.

Uvavanyo lukaNakamoto J. Endocrine. 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; 2016: isahluko 154.