Ho lieha ho kena bohlankaneng ho bashanyana

Ho kena bohlankaneng ho lieha ho kena bohlankaneng ke ha bohlankana bo sa qale ka lilemo tse 14.

Ha ho kena bohlankaneng kapa boroetsaneng ho lieha, liphetoho tsena ha li etsahale kapa 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, ho lieha ho kena bohlankaneng ke taba ea kholo ea kholo e qala kamora nako e telele, eo ka linako tse ling e bitsoang bloom ea morao. Hang ha bohlankana kapa boroetsana bo qala, bo tsoela pele ka mokhoa o tloaelehileng. Hona ho bitsoa ho lieha ho kena bohlankaneng ka molao oa motheo, 'me ho etsahala malapeng. Sena ke sesosa se tloaelehileng sa kholo ea morao.

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

Sena se ka etsahala ha li-testes li senyehile kapa li sa hōle kamoo li lokelang.

E ka hlaha hape haeba ho na le bothata likarolong tsa boko tse amehang boroetsaneng.

Maemo a mang a kalafo kapa kalafo a ka lebisa ho hypogonadism:

• Leqhubu la Celiac
• Maloetse a ho ruruha (IBD)
• Tšoelesa ea qoqotho e sa sebetseng
• Lefu la tsoekere
• Cystic fibrosis
• Boloetse ba sele
• Lefu la sebete le liphio
• Anorexia (e sa tloaelehang ho bashanyana)
• Ho itšireletsa mafung, joalo ka Hashimoto thyroiditis kapa lefu la Addison
• Chemotherapy kapa kalafo ea mofetše oa radiation
• Hlahala pong ea tšoelesa ea pituitary, lefu la Klinefelter, lefu la lefutso
• Ho ba sieo ha li-testes nakong ea tsoalo (anorchia)
• Ho lematsa kapa ho sithabela maikutlo ka lebaka la ho hlaseloa hoa testicular

Bashemane ba qala ho kena bohlankaneng kapa boroetsaneng ba pakeng tsa lilemo tse 9 le tse 14 ebe ba bo qeta ka lilemo tse 3.5 ho isa ho tse 4.

Liphetoho tsa bohlankana kapa boroetsaneng li etsahala ha 'mele o qala ho etsa lihormone tsa thobalano. Hangata liphetoho tse latelang li qala ho hlaha ho bashanyana ba pakeng tsa lilemo tse 9 ho isa ho tse 14:

• Makhopho le botona lia hola
• Moriri o hola sefahlehong, sefubeng, maotong, matsohong, likarolong tse ling tsa 'mele, le malikelong
• Bophahamo le boima ba 'mele lia eketseha
• Lentsoe le teba haholoanyane

• Li-testicles li nyane ho feta 1 inch ka lilemo tse 14
• Penis e nyane ebile ha e e-s'o hōle ka lilemo tse 13
• Ho na le moriri oa mmele o monyane haholo kapa ha ho le o mong ha a le lilemo li 15
• Lentsoe le lula le le holimo
• 'Mele o lula o le mokhutšoanyane ebile o le mosesaane
• Mafura a ka 'na a hlaha ho pota letheka, noka, mpa le matsoele

Ho lieha ho kena bohlankaneng le hona ho ka baka khatello ea maikutlo ho ngoana.

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

• Teko ea 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 kapa liteko tse ling tsa lefutso
• MRI ea hlooho bakeng sa lihlahala
• Ultrasound ea noka kapa testicles

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.

Haeba ho lieha ho kena bohlankaneng kapa boroetsaneng ho bakoa ke lefu le itseng, joalo ka ts'oaetso e sa sebetseng ea qoqotho, ho e phekola ho ka thusa bohlankana ho hola ka mokhoa o tloaelehileng.

Phekolo ea Hormone e ka thusa ho qala bohlankana kapa boroetsaneng haeba:

• Ho kena bohlankaneng kapa boroetsaneng ho hloleha ho hola
• Ngoana o tšoenyehile haholo ka lebaka la tieho

Mofani oa thepa o tla fana ka thunya ea testosterone (hormone ea thobalano) ka mesifa libeke tse ling le tse ling tse 4. Liphetoho tsa kholo li tla beoa leihlo. Mofani oa thepa o tla eketsa lethal dose butle ho fihlela nako ea bocha e fihlile.

U ka fumana tšehetso le ho utloisisa haholoanyane ka kholo ea ngoana oa hau ho:

Motheo oa MAGIC - www.magicfoundation.org

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

Kalafo ka lihormone tsa thobalano e ka baka bohlankana. Ho ka fanoa ka lihormone ha ho hlokahala ho ntlafatsa tsoalo.

Boemo bo tlase ba lihormone tsa thobalano bo ka baka:

• Mathata a ho emisa (ho hloka matla)
• Ho hloka thari
• Matšoao a fokolang a masapo le ho robeha hamorao bophelong (osteoporosis)
• Bofokoli

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 14
• 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 buelloa ho bashanyana ba liehang ho kena bohlankaneng.

Kholo ea thobalano e liehang - bashanyana; Ho lieha ho hlaha - bashanyana; Boikaketsi

Allan CA, McLachlan RI. Mathata a khaello ea Androgen. 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 139.

Haddad NG, Eugster EA. Ho lieha ho kena bonneng kapa bosaling. Ho: Jameson JL, De Groot LJ, de Kretser DM, le 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 21 Ed. 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.