Ho kena bohlankaneng kapa boroetsaneng ka nepo

Ho kena bohlankaneng kapa boroetsaneng ke nako eo ka eona litšobotsi tsa motho tsa thobalano le tsa mmele li holang. Ho kena bohlankaneng pele ho nako ke ha liphetoho tsena tsa 'mele li etsahala pejana ho tloaelehileng.

Ho kena bohlankaneng kapa boroetsaneng hangata ho qala pakeng tsa lilemo tse 8 ho isa ho tse 14 bakeng sa banana le lilemo tse 9 le 16 bakeng sa bashanyana.

Lilemo hantle hore ngoana o kena bohlankaneng kapa boroetsaneng li ipapisitse le lintlha tse 'maloa, ho kenyeletsoa nalane ea lelapa, phepo e nepahetseng le thobalano.

Hangata ha ho na lebaka le hlakileng la ho kena bohlankaneng kapa boroetsaneng pele ho nako. Maemo a mang a bakoa ke liphetoho bokong, mathata a liphatsa tsa lefutso, kapa lihlahala tse itseng tse ntšang lihormone. Maemo ana a kenyelletsa:

• Mathata a li-testicles, mae a bomme kapa litšoelesa tsa adrenal
• Hlahala ea hypothalamus (hypothalamic hamartoma)
• Lihlahala tse hlahisang hormone e bitsoang human chorionic gonadotropin (hCG)

Ho banana, ho kena bohlankaneng kapa boroetsaneng pele ho nako ke ha e 'ngoe ea tse latelang e hlaha pele ho lilemo tse 8:

• Moriri wa sephakeng kapa wa popelong
• Ho qala ho hola kapele
• Mabele
• Nako ea pele (ho ilela khoeli)
• Litho tsa botona le botšehali tse holileng

Ho bashanyana, ho kena bohlankaneng kapa boroetsaneng pele ho nako ke ha e 'ngoe ea tse latelang e hlaha pele ho lilemo tse 9:

• Moriri wa sephakeng kapa wa popelong
• Kholo ea li-testes le botona
• Moriri oa sefahleho, hangata pele molomong o kaholimo
• Khōlo ea mesifa
• Phetoho ea lentsoe (ho teba)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele ho bona matšoao a bohlankana ba pelehi.

Liteko tse ka laeloang li kenyelletsa:

• Liteko tsa mali ho lekola maemo a lihormone.
• Tlhatlhobo ea CT kapa ea MRI ea boko kapa ea mpa ho ntša lihlahala.

Ho ipapisitse le sesosa, kalafo ea bohlankana ba pelehi e ka kenyelletsa:

• Meriana e emisang ho lokolloa ha lihormone tsa thobalano, molemong oa ho liehisa kholo ea kholo ea bocha. Meriana ena e fanoa ka ente kapa ka ho thunngoa. Li tla fuoa ho fihlela lilemo tse tloaelehileng tsa bohlankana.
• Ho buoa ho tlosa hlahala.

Bana ba nang le kholo ea pele ea thobalano ba ka ba le mathata a kelello le sechaba. Bana le bacha ba batla ho tšoana le lithaka tsa bona. Khōlo ea pele ea thobalano e ka etsa hore ba bonahale ba fapane. Batsoali ba ka tšehetsa ngoana oa bona ka ho mo hlalosetsa boemo le ka moo ngaka e rerileng ho mo phekola ka teng. Ho bua le mosebeletsi oa bophelo bo botle ba kelello kapa moeletsi le hona ho ka thusa.

Bana ba fetang bohlankaneng kapa boroetsaneng kapele haholo ba kanna ba se fihle bophahamong bo felletseng hobane kholo e emisa kapele haholo.

Sheba mofani oa ngoana oa hau haeba:

• Ngoana oa hau o bontša matšoao a ho kena bohlankaneng kapa boroetsaneng pele ho nako
• Ngoana e mong le e mong ea nang le kholo ea kholo ea thobalano o bonahala a na le mathata sekolong kapa le lithaka

Meriana e meng e laetsoeng hammoho le litlatsetso tse ling e ka ba le lihormone mme e lokela ho qojoa.

Ngoana oa hau o lokela ho boloka boima ba 'mele bo phetse hantle.

Phatlalatso ea praecox

• Litšoelesa tsa endocrine
• Mekhoa ea ho ikatisa ea banna le basali

Garibaldi LR, Chemaitilly W. Mathata a kholo ea bokhachane. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 578.

Haddad NG, Eugster EA. Ho kena bohlankaneng kapa boroetsaneng ka nepo. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 121.