Ho lieha ho kena bohlankaneng ho banana

Ho lieha ho kena bohlankaneng ho banana ho etsahala ha matsoele a sa hōle ka lilemo tse 13 kapa linako tsa ho ilela khoeli li sa qale ka lilemo tse 16.

Liphetoho tsa bohlankana kapa boroetsaneng li etsahala ha 'mele o qala ho etsa lihormone tsa thobalano. Hangata liphetoho tsena li qala ho hlaha ho banana ba pakeng tsa lilemo tse 8 ho isa ho tse 14.

Ka ho lieha ho kena bonneng kapa bosaling, liphetoho tsena ha li etsahale, kapa haeba li etsahala, ha li tsoele pele ka mokhoa o tloaelehileng. Ho lieha ho kena bonneng kapa bosaling ho atile haholo ho bashemane ho feta banana.

Maemong a mangata a ho lieha ho kena bohlankaneng kapa boroetsaneng, liphetoho tsa kholo li qala kamora nako e tloaelehileng, ka linako tse ling li bitsoa bloom ea morao. Hang ha bohlankana kapa boroetsana bo qala, bo tsoela pele ka mokhoa o tloaelehileng. Mokhoa ona o sebetsa malapeng. Sena ke sesosa se tloaelehileng sa kholo ea morao.

Lebaka le leng le tloaelehileng la ho lieha ho kena bohlankaneng ho banana ke khaello ea mafura a 'mele. Ho ba mosesaane haholo ho ka senya ts'ebetso e tloaelehileng ea bohlankana kapa boroetsana. Sena se ka etsahala ho banana ba:

• Ba mahlahahlaha haholo lipapaling, joalo ka batho ba sesang, limathi kapa ba tantšang
• E-ba le bothata ba ho ja, joaloka anorexia kapa bulimia
• Ha ba na phepo e nepahetseng

Ho kena bohlankaneng nakong e tlang ho ka etsahala ha mae a bomme a hlahisa lihormone tse fokolang haholo kapa a sa li hlahise. Sena se bitsoa hypogonadism.

• Sena se ka etsahala ha mae a bomme a senyehile kapa a sa hola ka moo a lokelang.
• E ka hlaha hape haeba ho na le bothata ka likarolo tsa boko tse amehang bohlankaneng.

Maemo a mang a bongaka kapa kalafo a ka lebisa ho hypogonadism, ho kenyelletsa:

• Leqhubu la Celiac
• Maloetse a ho ruruha (IBD)
• Hypothyroidism
• Lefu la tsoekere
• Cystic fibrosis
• Lefu la sebete le liphio
• Ho itšireletsa mafung, joalo ka Hashimoto thyroiditis kapa lefu la Addison
• Chemotherapy kapa kalafo ea mofetše oa radiation e senyang mae a bomme
• Hlahala ho tšoelesa ea pituitary
• Turner syndrome, lefu la lefutso

Banana ba qala ho kena bohlankaneng kapa boroetsaneng ba pakeng tsa lilemo tse 8 le tse 15 Ha ngoana a lieha ho kena bohlankaneng kapa boroetsaneng.

• Mabele ha a hōle ka lilemo tse 13
• Ha ho moriri oa pubic
• Ho ilela khoeli ha ho qale ka lilemo tse 16
• Bolelele bo khuts'oane le sekhahla se liehang sa kholo
• Sebete ha se hōle
• Lilemo tsa masapo li tlase ho lilemo tsa ngoana oa hau

Ho kanna ha ba le matšoao a mang, ho latela hore na ke eng se bakang ho lieha ho kena bohlankaneng.

Mofani oa tlhokomelo ea bophelo ba ngoana oa hau o tla nka nalane ea lelapa ho tseba hore na ho lieha ho kena bohlankaneng ho matha ka lapeng.

Mofani oa thepa le eena a ka botsa ka ngoana oa hau:

• Mekhoa ea ho ja
• Mekhoa ea ho ikoetlisa
• Nalane ea bophelo bo botle

Mofani oa thepa o tla etsa tlhahlobo ea 'mele. Litlhahlobo tse ling li ka kenyelletsa:

• Liteko tsa mali ho lekola maemo a lihormone tse itseng tsa kholo, lihormone tsa thobalano le lihormone tsa qoqotho
• Karabelo ea LH tekong ea mali ea GnRH
• Tlhahlobo ea Chromosomal
• MRI ea hlooho bakeng sa lihlahala
• Ultrasound ea mae a bomme le popelo

X-ray ea letsoho le letšehali le letsoho ho lekola lilemo tsa masapo li ka fumanoa ketelong ea pele ho bona hore na masapo a ntse a hola. E kanna ea phetoa ha nako e ntse e feta, ha ho hlokahala.

Kalafo e tla itšetleha ka sesosa sa ho lieha ho kena bonneng kapa bosaling.

Haeba ho na le nalane ea lelapa ea ho kena bohlankaneng kapa boroetsaneng kamora nako, hangata ha ho hlokahale kalafo. Ha nako e ntse e ea, bohlankana bo tla qala ka bo bona.

Ho banana ba nang le mafura a fokolang haholo 'meleng, ho ba le boima ba' mele ho ka thusa ho qala bohlankana.

Haeba ho lieha ho kena bohlankaneng kapa boroetsaneng ho bakoa ke lefu kapa bothata ba ho ja, ho sebetsana le sesosa ho ka thusa ho kena bohlankaneng kapa boroetsaneng ho hola ka mokhoa o tloaelehileng.

Haeba bokhachane bo hloleha ho hola, kapa ngoana a sithabetse maikutlo haholo ka lebaka la tieho, kalafo ea lihormone e ka thusa ho qala bohlankana. Mofani o tla:

• Fana ka estrogen (hormone ea thobalano) ka litekanyo tse tlase haholo, ebang ke ka molomo kapa ka setsiba
• Lekola liphetoho tsa kholo le ho eketsa lethal dose likhoeling tse ling le tse ling tse 6 ho isa ho tse 12
• Kenya progesterone (hormone ea thobalano) ho qala ho ea khoeling
• Fana ka lipilisi tsa thibelo ea bokhachane ho boloka maemo a tloaelehileng a li-hormone tsa thobalano

Lisebelisoa tsena li ka u thusa ho fumana tšehetso le ho utloisisa haholoanyane ka kholo ea ngoana oa hau:

Motheo oa MAGIC - www.magicfoundation.org

Turner Syndrome Society ea United States - www.turnersyndrome.org

Ho lieha ho kena boroetsaneng ho kenang ka lapeng ho tla rarolla mathata.

Banana ba bang ba nang le maemo a itseng, joalo ka a senyehileng mae a bomme, ba kanna ba hloka ho nka lihormone bophelo bohle ba bona.

Phekolo ea estrogen e ka ba le litla-morao.

Mathata a mang a ka bang teng a kenyelletsa:

• Ho khaotsa ho ilela khoeli
• Ho hloka thari
• Matšoao a fokolang a masapo le ho robeha hamorao bophelong (osteoporosis)

Ikopanye le mofani oa hau haeba:

• Ngoana oa hau o bontša sekhahla se holang butle
• Ho kena bohlankaneng kapa boroetsaneng ha ho qale ka lilemo tse 13
• Ho kena bohlankaneng kapa boroetsaneng ho qala, empa ha ho hōle ka mokhoa o tloaelehileng

Ho fetisetsoa ho ngaka ea bana ea endocrinologist ho ka khothaletsoa ho banana ba nang le nako ea ho kena bohlankaneng.

Nts'etsopele ea thobalano e liehang - banana; Ho lieha ho tsoaloa - banana; Molaotheo o liehisitse bohlankana

Haddad NG, Eugster EA. Ho lieha ho kena bonneng kapa bosaling. 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 122.

Krueger C, Shah H. Meriana ea bacha. Ho: Sepetlele sa Johns Hopkins; Kleinman K, McDaniel L, Molloy M, bahlophisi. Sepetlele sa Johns Hopkins: Harriet Lane Handbook. La 22 Pulungoana. Philadelphia, PA: Elsevier; 2021: khaolo ea 5.

DM ea setaele. Physiology le mathata a ho kena bohlankaneng kapa boroetsaneng. Ho Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, bahlophisi. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 26.