Ukuthomba okulibazisekile kubafana

Ukuthomba okulibazisekile kubafana kulapho ukuthomba kungaqali ngeminyaka eyi-14 ubudala.

Lapho ukuthomba kubambezeleka, lezi zinguquko kungenzeka azenzeki noma aziqhubeki ngokujwayelekile. Ukuthomba okwephuzile kuvame kakhulu kubafana kunamantombazane.

Ezimweni eziningi, ukuthomba okulibazisekile kumane kuyindaba yokushintsha kokukhula kuqala ngemuva kwesikhathi kunokujwayelekile, kwesinye isikhathi okubizwa ngokuthi yi-bloomer sekwedlule isikhathi. Lapho ukuthomba sekuqala, kukhula ngokujwayelekile. Lokhu kubizwa ngokuthomba okulibazisekile ngokomthethosisekelo, futhi kusebenza emindenini. Lesi yisona sizathu esivame kakhulu sokuvuthwa sekwedlule isikhathi.

Ukuthomba okulibazisekile nakho kungenzeka lapho ama-testes ekhiqiza ama-hormone amancane kakhulu noma engekho nhlobo. Lokhu kubizwa ngokuthi yi-hypogonadism.

Lokhu kungenzeka lapho ama-testes alimele noma engakhuli njengoba kufanele.

Kungenzeka futhi uma kunenkinga ezingxenyeni zobuchopho ezibandakanyeka ebusheni.

Izimo ezithile zezokwelapha noma ukwelashwa kungaholela ku-hypogonadism:

• I-Celiac sprue
• Izifo zamathumbu ezivuthayo (IBD)
• Indlala yegilo engasebenzi
• Isifo sikashukela
• ICystic fibrosis
• Isifo se-Sickle cell
• Isibindi nesifo sezinso
• I-anorexia (engajwayelekile kubafana)
• Izifo ezizimele, ezifana neHashimoto thyroiditis noma isifo se-Addison
• I-Chemotherapy noma ukwelashwa komdlavuza wemisebe
• Isigaxa esisendabeni ye-pituitary, iKlinefelter syndrome, isifo sofuzo
• Ukungabikho kwama-testes ngesikhathi sokuzalwa (i-anorchia)
• Ukulimala noma ukuhlukumezeka emasendeni ngenxa yokuqothuka kwamasende

Abafana baqala ukuthomba abaneminyaka ephakathi kwengu-9 kuya kwengu-14 bese bekuqeda eminyakeni engu-3.5 kuye kwengu-4.

Izinguquko zokuthomba zenzeka lapho umzimba uqala ukwenza ama-hormone ocansi. Izinguquko ezilandelayo zivame ukuvela kubafana abaphakathi kweminyaka engu-9 kuya kwengu-14:

• Amasende nomthondo kukhula
• Izinwele zikhula ebusweni, esifubeni, emilenzeni, ezingalweni, kwezinye izitho zomzimba, naseduze kwesitho sangasese
• Ukuphakama nokukhuphuka kwesisindo
• Izwi liyajula

• Amasende mancane kuno-1 intshi ngeminyaka engu-14
• Umthondo mncane futhi awuvuthi ngeminyaka engu-13
• Kukhona izinwele zomzimba ezincane kakhulu noma cishe akekho noyedwa oneminyaka engu-15
• Izwi lihlala lisho phezulu
• Umzimba uhlala mfushane futhi uzacile
• Ukufakwa kwamafutha kungahle kwenzeke okhalweni, okhalweni, esiswini nasemabeleni

Ukuthomba okwephuzile kungadala nengcindezi enganeni.

Umhlinzeki wezokunakekelwa kwezempilo wengane yakho uzothatha umlando womndeni azi ukuthi ukubambezeleka kokuthomba kuyagijima yini emndenini. Umhlinzeki uzokwenza ukuhlolwa ngokomzimba. Ezinye izivivinyo zingafaka:

• Ukuhlolwa kwegazi ukuhlola amazinga ama-hormone athile okukhula, ama-hormone ocansi, namahomoni wegilo
• Impendulo ye-LH ekuhlolweni kwegazi kwe-GnRH
• Ukuhlaziywa kwe-Chromosomal noma okunye ukuhlolwa kofuzo
• I-MRI yekhanda yamathumba
• I-Ultrasound yamathambo noma amasende

I-x-ray yesandla sobunxele kanye nesihlakala sokuhlola ubudala bamathambo ingatholwa ekuvakasheni kokuqala ukubona ukuthi amathambo ayavuthwa yini. Kungaphindwa ngokuhamba kwesikhathi, uma kudingeka.

Ukwelashwa kuzoya ngesizathu sokubambezeleka kokuthomba.

Uma kunomlando womndeni wokuthomba sekwedlule isikhathi, imvamisa akudingeki ukwelashwa. Ngokuhamba kwesikhathi, ukuthomba kuzoqala kukodwa.

Uma ukubambezeleka kokubambezeleka kungenxa yesifo, njengendlala yegilo engasebenzi, ukuyelapha kungasiza ukuthomba ukukhula ngendlela ejwayelekile.

Ukwelashwa kweHormone kungasiza ukuqala ukuthomba uma:

• Ukuthomba kwehluleka ukukhula
• Ingane ikhathazeke kakhulu ngenxa yokubambezeleka

Umhlinzeki uzonikeza isibhamu (umjovo) we-testosterone (i-hormone yocansi yowesilisa) emisipheni njalo emavikini amane. Izinguquko zokukhula zizobhekwa. Umhlinzeki uzokhuphula umthamo kancane kancane kuze kufike ukuthomba.

Ungathola ukusekelwa futhi uqonde kabanzi ngokukhula kwengane yakho ku:

Isisekelo seMAGIC - www.magicfoundation.org

Ukuthomba okulibazisekile okugijima emndenini kuzozixazulula.

Ukwelashwa ngamahomoni ezocansi kungadala ukuthomba. AmaHormone anganikezwa futhi uma kudingeka ukuze kuthuthukiswe ukuzala.

Izinga eliphansi lamahomoni ezocansi lingadala:

• Izinkinga zokwakhiwa (ukungabi namandla)
• Ukungabi nenzalo
• Ubuningi bamathambo aphansi nokuqhekeka kamuva empilweni (i-osteoporosis)
• Ubuthakathaka

Xhumana nomhlinzeki wakho uma:

• Ingane yakho ikhombisa ukukhula kancane
• Ukuthomba akuqali ngeminyaka eyi-14
• Ukuthomba kuyaqala, kepha akuqhubeki ngokujwayelekile

Ukudluliselwa kudokotela we-endocrinologist kunganconywa kubafana abanesikhathi sokuthomba esibambezelekile.

Ukuthuthuka kwezocansi - abafana; Ukubambezeleka kokuzalwa - abafana; I-Hypogonadism

U-Allan CA, McLachlan RI. Izinkinga zokushoda kwe-Androgen. 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 139.

IHaddad NG, i-Eugster EA. Ukuthomba okulibazisekile. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al. ama-eds. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 122.

UKrueger C, Shah H. Umuthi wobusha. Ku: Isibhedlela iJohns Hopkins; UKleinman K, McDaniel L, Molloy M, abahleli. Isibhedlela iJohns Hopkins: IHarriet Lane Handbook. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2021: isahluko 5.

I-Styne DM. I-Physiology nokuphazamiseka kokuthomba. KuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.