Isiqu esifushane

Ingane enomzimba omfishane mfushane kakhulu kunezingane ezingontanga nobulili obufanayo.

Umhlinzeki wakho wokunakekelwa kwezempilo uzohamba nawe eshadini lokukhula kwengane yakho. Ingane enokuphakama kwesiqu esifushane yile:

• Ukuphambuka okujwayelekile (i-SD) noma ngaphezulu ngaphansi kobude obumaphakathi bezingane zobulili obufanayo nobudala obufanayo.
• Ngaphansi kwe-2.3rd percentile eshadini lokukhula: Kubafana (noma amantombazane) abayi-1 000 abazalwe ngosuku olufanayo, abangama-977 ezingane bade kunendodana noma indodakazi yakho.

Umhlinzeki wengane yakho uhlola ukuthi ingane yakho ikhula kanjani ngokuhlolwa njalo. Umhlinzeki uzo:

• Qopha ubude nesisindo sengane yakho eshadini lokukhula.
• Qapha izinga lokukhula kwengane yakho ngokuhamba kwesikhathi. Buza umhlinzeki ukuthi iphesenti elingakanani ingane yakho ukuphakama nesisindo.
• Qhathanisa ubude nesisindo sengane yakho nezinye izingane ezineminyaka efanayo nobulili.
• Khuluma nawe uma ukhathazekile ngokuthi ingane yakho imfushane kunezinye izingane. Uma ingane yakho inesiqu esifushane, lokhu akusho ukuthi kukhona okungahambi kahle.

Kunezizathu eziningi zokuthi kungani ingane yakho inesiqu esifushane.

Isikhathi esiningi, asikho isizathu sezokwelapha esifushane.

• Ingane yakho ingahle ibe ncane ngeminyaka yayo, kodwa ikhula KULUNGILE. Mhlawumbe uzoqala ukuthomba kamuva kunabangane bakhe. Ingane yakho kungenzeka iqhubeke ikhule ngemuva kokuthi iningi lontanga yayo iyekile ukukhula, futhi mhlawumbe iyoba yinde njengabazali bayo. Abahlinzeki babiza lokhu "ukubambezeleka kokukhula komthethosisekelo."
• Uma oyedwa noma bobabili abazali befishane, ingane yakho kungenzeka nayo ibe mfushane. Ingane yakho kufanele ibe yinde njengomunye wabazali bayo.

Kwesinye isikhathi, ukuma okufushane kungaba uphawu lwesimo sezokwelapha.

Ukuphazamiseka kwamathambo noma kwamathambo, njenge:

• Ama-Rickets
• I-Achondroplasia

Izifo zesikhathi eside (ezingapheli), njenge:

• Isifuba Somoya
• Isifo seCeliac
• Isifo senhliziyo esizalwa naso
• Isifo se-Cushing
• Isifo sikashukela
• I-Hypothyroidism
• Isifo samathumbu esivuthayo
• Isifo samathambo sentsha
• Isifo sezinso
• I-sickle cell anemia
• Thalassemia

Izimo zofuzo, njenge:

• I-Down syndrome
• I-Noonan syndrome
• I-Russell-Silver syndrome
• I-Turner syndrome
• I-Williams syndrome

Ezinye izizathu zifaka:

• Ukukhula kwe-hormone yokukhula
• Ukutheleleka kwengane ekhulayo ngaphambi kokuzalwa
• Ukungondleki
• Ukukhula kabi komntwana ngenkathi esesibelethweni (umkhawulo wokukhula kwe-intrauterine) noma omncane ngeminyaka yokukhulelwa

Lolu hlu alufaki zonke izimbangela zesimo esifushane.

Shayela umhlinzeki wakho uma ingane yakho ibonakala imfushane kakhulu kunezingane eziningi ezingontanga yazo, noma uma kubonakala sengathi seziyekile ukukhula.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba. Umhlinzeki uzolinganisa ubude bengane yakho, isisindo sayo, nobude bengalo nemilenze yakho.

Ukuthola izimbangela ezingaba khona zesikhashana esifushane sengane yakho, umhlinzeki uzobuza ngomlando wengane yakho.

Uma ubude obufushane bengane yakho bungahle bube ngenxa yesimo sempilo, ingane yakho izodinga ukuhlolwa kwelebhu nama-x-ray.

Amathambo ama-x-ray avame ukuthathwa esihlakaleni sesandla noma ngakwesokunxele. Umhlinzeki ubheka i-x-ray ukubona ukuthi usayizi nokuma kwamathambo engane yakho kukhule ngokujwayelekile. Uma amathambo engakakhulumi njengoba kulindelwe iminyaka yobudala yengane yakho, umhlinzeki uzokhuluma kabanzi ngokuthi kungani ingane yakho ingahle ingakhuli ngokujwayelekile.

Ingane yakho ingaba nezinye izivivinyo uma kungabandakanyeka esinye isimo sezokwelapha, kufaka phakathi:

• Qedela ukubalwa kwegazi
• Ukukhula kwe-hormone yokukhula
• Ukuhlolwa komsebenzi we-thyroid
• Izinga le-insulin factor-1 (IGF-1) level
• Ukuhlolwa kwegazi ukubheka isibindi, izinso, i-thyroid, amasosha omzimba, nezinye izinkinga zezokwelapha

Umhlinzeki wakho ugcina amarekhodi okuphakama nesisindo sengane yakho. Gcina amarekhodi akho, futhi. Letha lawa marekhodi kumhlinzeki wakho uma ukukhula kubonakala kuhamba kancane noma ingane yakho ibonakala incane.

UKWELASHWA

Isiqu esifushane sengane yakho singathinta ukuzethemba kwazo.

• Ngena nengane yakho mayelana nobudlelwano nabangane nabantu ofunda nabo. Izingane ziyahlekisana ngezinto eziningi, kufaka phakathi ukuphakama.
• Nikeza ingane yakho ukusekelwa ngokomzwelo.
• Siza umndeni, abangane, nothisha bagcizelele amakhono namandla engane yakho.

UKWELASHWA NGOKUHLULEKA KWAMAHHOMONI AMAHORONE

Uma ingane yakho ingenawo noma amazinga aphansi we-hormone yokukhula, umhlinzeki wakho angakhuluma ngokwelashwa ngemijovo ye-hormone yokukhula.

Iningi lezingane linamazinga ajwayelekile okukhula kwe-hormone futhi ngeke lidinge imijovo ye-hormone yokukhula. Uma ingane yakho ingumfana onesimo esifushane futhi ibambezele ukuthomba, umhlinzeki wakho angakhuluma ngokusebenzisa imijovo ye-testosterone ukugxuma ekuqaleni kokukhula. Kepha lokhu akunakwenzeka ukuthi kwandise ukuphakama kwabantu abadala.

Isiqu esifushane se-Idiopathic; I-hormone engakhuli incane isiqu esifushane

• Ukuphakama / ishadi lesisindo

UCooke DW, uDiVall SA, uRadovick S. Ukukhula okujwayelekile nokungajwayelekile ezinganeni. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 25.

UCuttler L, uMisra M, uKoontz M. Ukukhula kweSomatic nokuvuthwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 22.

U-Escobar O, Viswanathan P, Witchel SF. I-endocrinology yezingane. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 9.

UMarcdante KJ, uKliegman RM. Isiqu esifushane. Ku: UMarcdante KJ, uKliegman RM, ama-eds. UNelson Essentials Pediatrics. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 173.