Ukulibaziseka kokufikisa kubafana

Ukulibaziseka ekufikeni kwamakhwenkwe kuxa ukufikisa kungaqali ngeminyaka eli-14 ubudala.

Xa ukufikisa kulibaziseka, olu tshintsho mhlawumbi alwenzeki okanye alwenzi nkqubela phambili ngokwesiqhelo. Ukulibaziseka kokufikisa kuxhaphake kakhulu kubafana kunakwamantombazana.

Kwiimeko ezininzi, ukulibazisa ukufikisa yinto nje yokutshintsha kokukhula emva kwexesha kunesiqhelo, ngamanye amaxesha kubizwa ngokuba yibloomer esekude. Nje ukuba ukufikisa kuqale, kuyaqhubeka ngokwesiqhelo. Oku kubizwa ngokuba ngumgaqo-siseko ukulibaziseka ukufikisa, kwaye kuyaqhubeka kwiintsapho. Esi sesona sizathu siqhelekileyo sokuvuthwa kade.

Ukulibaziseka kokufikisa nako kunokwenzeka xa iimvavanyo zivelisa incinci kakhulu okanye zingenayo kwaphela iincindi zamadlala. Oku kubizwa ngokuba yi-hypogonadism.

Oku kunokwenzeka xa iimvavanyo zonakalisiwe okanye zingaphuhlisi njengoko kufanelekile.

Inokwenzeka kwakhona ukuba kukho ingxaki kwiindawo zobuchopho ezichaphazelekayo ekufikiseni.

Ezinye iimeko zonyango okanye zonyango zinokukhokelela kwi-hypogonadism:

• Imvelaphi yeCeliac
• Isifo sesibindi sokuvuvukala (IBD)
• Ukungasebenzi kwe-thyroid gland
• Iswekile yemellitus
• Icystic fibrosis
• Isifo seSickle cell
• Isibindi kunye nesifo sezintso
• Anorexia (engaqhelekanga kubafana)
• Izifo ezizimela ngokuzenzekelayo, ezinje ngeHashimoto thyroiditis okanye isifo iAddison
• I-Chemotherapy okanye unyango lomhlaza
• Ithumba kwidlala yebhinqa, isifo sikaKlinefelter, isifo semfuza
• Ukungabikho kovavanyo ekuzalweni (anorchia)
• Ukonzakala okanye ukwenzakala kumatyhalarha ngenxa yokuvavanywa kwamatyhalarha

Amakhwenkwe aqala ukufikisa phakathi kweminyaka eyi-9 ukuya kwe-14 kwaye ayigqibe kwiminyaka emi-3.5 ukuya kwemi-4.

Utshintsho olwenzeka kwinqanaba lokufikisa lwenzeka xa umzimba uqala ukwenza iihomoni zesini. Olu tshintsho lulandelayo luqala ukuvela kubafana abaphakathi kweminyaka eli-9 ukuya kweli-14.

• Amasende kunye nepipi ziyakhula
• Iinwele zikhula ebusweni, esifubeni, emilenzeni, ezingalweni, nakumanye amalungu omzimba, nakungqonge ilungu langasese
• Ukuphakama nobunzima bonyuke
• Ilizwi liya lisiba nzulu

• Amatyhalarha mancinci kune-intshi enye nge-14 yobudala
• Ipenis incinci kwaye ayikakhuli ngeminyaka eyi-13
• Kukho iinwele ezincinci zomzimba okanye phantse akukho namnye ngeminyaka eli-15
• Ilizwi lihlala liphezulu
• Umzimba uhlala umfutshane kwaye ubhityile
• Iidipozithi ezinamafutha zinokwenzeka ezinqeni, isinqe, isisu kunye namabele

Ukulibazisa ukufikisa kunokubangela noxinzelelo emntwaneni.

Umboneleli wezempilo womntwana wakho uya kuthatha imbali yosapho ukuba azi ukuba ukulibaziseka kokufikisa kuqhuba kusapho. Umboneleli uya kwenza uvavanyo lomzimba. Ezinye iimviwo zinokubandakanya:

• Uvavanyo lwegazi ukujonga amanqanaba okukhula kwamahomoni athile, iihomoni zesini, kunye nehomoni yedlala lengqula
• Impendulo ye-LH kuvavanyo lwegazi lwe-GnRH
• Uhlalutyo lweChromosomal okanye olunye uvavanyo lwezofuzo
• I-MRI yentloko yamathumba
• I-Ultrasound yesinqe okanye amasende

IX-reyi yesandla sasekhohlo kunye nesihlahla sokuvavanya ubudala bethambo kunokufunyanwa kutyelelo lokuqala ukubona ukuba amathambo ayakhula na. Inokuphindwa ekuhambeni kwexesha, ukuba iyafuneka.

Unyango luya kuxhomekeka kwisizathu sokulibazisa ukufikisa.

Ukuba kukho imbali yosapho yokufikisa emva kwexesha, akukho lunyango lufunekayo. Ekuhambeni kwexesha, ukufikisa kuya kuqala ngokwakho.

Ukuba ulibaziseko lokufikisa lubangelwa sisifo, esifana nokungasebenzi kwe-thyroid gland, ukunyanga kunokunceda ukufikisa ukuba kukhule ngesiqhelo.

Unyango lwehormone lunokunceda ukuqala ukufikisa ukuba:

• Ukufikisa kuyasilela ukukhula
• Umntwana uxinezeleke kakhulu ngenxa yokulibaziseka

Umboneleli uya kunika ifoto (ngenaliti) ye-testosterone (eyindoda yesini ihomoni) kwimisipha rhoqo kwiiveki ezi-4. Utshintsho lokukhula luya kujongwa. Umboneleli uya kwandisa idosi kancinci de kufikiswe ekufikiseni.

Unokufumana inkxaso kunye nokuqonda ngakumbi malunga nokukhula komntwana wakho apha:

Isiseko seMAGIC- www.magicfoundation.org

Ukufikisa okulibazisekileyo okuqhuba kusapho kuya kuzisombulula.

Unyango ngehomoni yesondo inokubangela ukufikisa. IiHormone zinokunikwa ukuba ziyafuneka ukuphucula ukuchuma.

Inqanaba eliphantsi lamahomoni esini linokubangela:

• Iingxaki zokwakhiwa (ukungabi namandla)
• Ukungachumi
• Ukuxinana kwamathambo kunye nokuqhekeka kamva ebomini (i-osteoporosis)
• Ubuthathaka

Nxibelelana nomboneleli wakho ukuba:

• Umntwana wakho ubonakalisa ukukhula kancinci
• Ukufikisa akuqali ngeminyaka eli-14 ubudala
• Ukufikisa kuyaqala, kodwa akuhambi ngokwesiqhelo

Ukugqithiselwa kugqirha wezonyango endocrinologist kunokucetyiswa kumakhwenkwe anolibaziseko lokufikisa.

Ukulibaziseka kophuhliso lwezesondo-amakhwenkwe; Ukulibaziseka kokubeleka - amakhwenkwe; Hypogonadism

UAllan CA, uMcLachlan RI. Ukuphazamiseka kweAndrogen. 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 139.

IHaddad NG, i-Eugster EA. Ukulibaziseka kokufikisa. Ku: UJameson 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 122.

UKrueger C, Shah H. Amayeza okufikisa. Ku: Isibhedlele saseJohn Hopkins; UKleinman K, McDaniel L, Molloy M, ii-eds. Isibhedlele saseJohns Hopkins: Incwadana yeHarriet Lane. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2021: isahluko 5.

Isyne DM. I-Physiology kunye nokuphazamiseka kokufikisa. KwiMelmed S, iAuchus RJ, iGoldfine AB, iKoenig RJ, iRosen CJ eds. Incwadi kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.