Ese wigeze ureba umwana wawe ukibwira uti "Ni mugufi kurusha abandi bana bo mu kigero cye, si byo se?" Cyangwa wowe, nk'umuntu mukuru, uhora wumva unaniwe cyane kandi udafite imbaraga? Inyuma y'ibi bintu byinshi biba mu mibiri yacu hari utunyabutabire duto twitwa imisemburo. Uyu munsi rero turimo kuvuga kuri imwe mu misemburo y'ingenzi cyane n'ikizamini cyihariye gikorerwa kugira ngo gipimwe.
Iyi hormone yo gukura ni iki?
Mu magambo make,
imisemburo yo gukura ni yo misemburo nyamukuru idufasha gukura muremure, kubaka amagufwa akomeye, no kubaka imitsi, cyane cyane mu bwana. Iyi
misemburo yo gukura k'umuntu tuyita
(HGH) cyangwa
(GH) mu magambo ahinnye. Ikorwa n'agace gato kangana n'agashaza, kari munsi y'ubwonko bwacu, hagati mu mutwe, kitwa
imisemburo ya pituitary . Tekereza iyi misemburo ya pituitary nk'"imisemburo ikomeye" mu mubiri wacu. Igenzura izindi misemburo nyinshi. Iyi misemburo yose tuyita
sisitemu y'imisemburo . Rero, niba ku mpamvu runaka iyi misemburo yo gukura (GH) ikorerwa mu mubiri mu rugero ruto ugereranyije n'urwo isabwa cyangwa rimwe na rimwe ikarenga urugero, ibibazo bitandukanye by'ubuzima bishobora kubaho.
Ibibazo bishobora guterwa n'urugero rw'imisemburo ikura idahuye (GH)
| Iyo urugero rwa GH ruri hasi (ibura) | |
| Iyo urugero rwa GH ruri hejuru (hyperactivity) | - Gigantism - uburebure budasanzwe bw'amagufwa mu bana
- Acromegaly - Kwaguka kw'amagufwa y'amaboko, ibirenge, no mu maso ku bantu bakuru
- Birashoboka ko umuntu yarwara ikibyimba cy'ubwonko
|
Niba umwana wawe cyangwa ufite ibi bimenyetso, muganga wawe ashobora kukugira inama
yo gupima imisemburo itera gukura .
Ni ryari muganga akwohereza kuri iki gipimo?
Ibi bigira ingaruka ku bana n'abantu bakuru mu buryo butandukanye.
Ku bijyanye n'abana...
Iyo ujyanye umwana wawe gusuzumwa buri gihe, ni ukuvuga kwa
muganga w’abana , umuganga azapima
uburebure bwe, ibiro bye, n’umuzenguruko w’umutwe we . Ibi bipimo bigereranywa n’imbonerahamwe y’imikurire y’abana bazima b’icyo kigero.
Urugero, niba umwana wawe ari mugufi cyane ugereranyije n'abandi bana bo mu kigero cye, cyangwa niba umuvuduko we wo gukura wagabanutse mu buryo butunguranye, muganga ashobora kugira amakenga. Icyo gihe ni bwo azafata icyemezo cyo gusuzuma urugero rw'imisemburo .
Ku bantu bakuru...
Ku muntu mukuru, niba ukomeje kugira kimwe cyangwa byinshi mu bimenyetso bikurikira, ni ngombwa cyane kujya kwa muganga.
- Kubura imbaraga no kunanirwa guhoraho
- Kubura imitsi (kumva imitsi yawe igenda igabanuka nubwo waruzuye)
- Ubwiyongere bw'ibinure mu mubiri (cyane cyane hafi y'inda)
- Ihungabana
- Kugabanuka kw'imbaraga z'amagufwa
Nibyo koko, ibi bimenyetso ni ibisanzwe ku zindi ndwara nyinshi. Ariko kandi, bishobora kuba ikimenyetso cy'ikibazo mu ikorwa ry'imisemburo ya GH. Niyo mpamvu ari ngombwa kwipimisha kugira ngo hamenyekane impamvu nyayo.
Ni gute wakwitegura ikizamini?
Hakwiye kubaho imyiteguro mito mbere y'iki kizamini. Iyi myiteguro iratandukanye gato ku mwana no ku muntu mukuru.
Uburyo bwo gutegura umwana
Kubera ko iki ari ikizamini kimara amasaha menshi, ni ngombwa gutegura umwana mu mutwe.
- Witondere imiti: Mu ijoro ribanziriza ikizamini no ku munsi w'ikizamini, ntugatange imiti iyo ari yo yose nta ruhushya rwa muganga. Cyane cyane niba umwana wawe afata imiti y'indwara nka ADHD , nka methylphenidate (Ritalin) , ugomba kubimenyesha muganga. Iyi miti ishobora kugira ingaruka ku miti nka clonidine itangwa mu gihe cy'ikizamini.
- Kwiyiriza ubusa: Ubusanzwe uzasabwa kwiyiriza ubusa amasaha make mbere yo kwipimisha. Muganga wawe azagusobanurira neza ibisobanuro birambuye.
- Imfasha kwirinda kurambirwa:Kubera ko ikizamini kizamara amasaha menshi, ni byiza kuzana ikintu cyo gutuma umwana wawe ahora ahugiye, nk'igitabo, igikinisho, cyangwa tableti . Nanone, mwambike imyenda imukwiriye.
Uburyo umuntu mukuru yitegura
Ku muntu mukuru, muganga wawe ashobora gutegeka ibindi bipimo byinshi by'imisemburo hamwe n'ikizamini cya GH Stimulation Test. Urugero, bashobora gusuzuma urugero rw'imisemburo ya
IGF-1 na
IGFBP-3 , ndetse n'imisemburo nka
cortisol ,
prolactin, na
testosterone . Ushobora kandi:
- Uzakenera kwiyiriza ubusa . Birashoboka ko mu gihe cy'amasaha 10-12. Baza muganga wawe ibi.
- Hari imiti n'inyongeramusaruro bishobora gukenera guhagarara . Urugero, insuline, ibinini byo kuboneza urubyaro, n'inyongeramusaruro z'ibimera (nk'umuti wa St. John's wort). Bwira muganga wawe imiti yose ufata.
- Irinde gukora imyitozo ngororamubiri amasaha 10 mbere yo kwipimisha, kuko bishobora guhindura urugero rw'imisemburo.
- Niba urwaye diyabete cyangwa umubyibuho ukabije , bwira muganga wawe na byo, kuko izi ndwara zishobora kugira ingaruka ku bisubizo.
Ni iki kibaho mu gihe cy'ikizamini?
Ibi ntibigutere ubwoba, inzira ni yoroshye cyane. 1.
Gushyiramo umurongo wa IV: Ubwa mbere, umuforomo cyangwa umuhanga mu by'ubuvuzi azashyiramo
kanula nto (umurongo wa IV) mu mutsi uri mu kuboko kwawe (cyangwa ku mwana wawe) cyangwa ku kuboko. Ibi bikorwa kugira ngo wirinde gukubita urutoki rwawe n'urushinge buri gihe, kuko amaraso azakurwa inshuro nyinshi mu gihe cy'ikizamini. 2.
Ikizamini cya mbere cy'amaraso: Nyuma yo gushyiramo kanula, hafatwa ikizamini cy'ibanze cy'amaraso. 3.
Gutanga umuti utera imbaraga: Hanyuma, umuti utera imbaraga kanyu ka pituitary kugirango irekure imisemburo ya GH utangwa mu mubiri binyuze muri iyi kanula. Imiti ikoreshwa cyane ni
clonidine, arginine , cyangwa
glucagon . Insulini yakoreshwaga kera, ariko ubu ntikoreshwa cyane kubera impamvu z'umutekano. Ku bantu bakuru, hari igihe hakoreshwa umuti w'amazi witwa
macimorelin . 4.
Gufata amaraso: Nyuma yo gutanga umuti, hafatwa ibizamini byinshi by'amaraso
buri minota 30 mu masaha 2-3. Uyu ni muto cyane, wenda hafi utuyiko tubiri ku munsi. 5.
Ikizamini kirangiye: Nyuma yo gufata amaraso yose, kanula irakurwamo. Hanyuma ushobora kurya no kunywa. Ni byiza kuruhuka umunsi wose. Nta ngorane zikomeye zikomoka kuri iki kizamini. Hari abantu bashobora kumva batameze neza. Hashobora kubaho ibikomere aho kanula yashyizwe.
Ibisubizo bivuga iki?
Ibisubizo akenshi biboneka mu minsi mike. Muganga wawe azasesengura ibi bisubizo hanyuma asobanure uko ikibazo kimeze.
| Ibisubizo | Icyo bishobora gusobanura |
|---|
| Iyo urugero rwa GH ruri hasi ugereranije n'uko byari byitezwe (urugero ruri hasi) | - Hashobora kubaho ikibazo cyo kubura imisemburo ya GH.
- Ibi bishobora kuba ari byo bitera ubuswa bw'ubuswa.
- Bishobora kuba ari hypopituitarisme, indwara aho agahu k'ubwonko kadakora neza.
|
| Iyo urugero rwa GH ruri hejuru kurusha uko byari byitezwe (Urwego rwo hejuru) | - Bishobora kuba indwara yitwa gigantism ( ku bana) cyangwa acromegaly (ku bantu bakuru).
- Hashobora kuba hari ikibyimba mu gasabo k'ubwonko.
|
Kubera ko ibi bibazo bya GH rimwe na rimwe bishobora kujyana n'ibibazo biri ku zindi ngirabuzimafatizo, nka tiroyide, muganga wawe ashobora gusaba ibindi bipimo. Ashobora kandi gusaba ko hakorwa
MRI cyangwa CT scan niba hari ikibyimba gikekwa.
Igikuru ni uko izi ndwara zishobora kuvurwa iyo zigaragaye hakiri kare. Ku bana, rimwe na rimwe zishobora kwikosora uko igihe kigenda gihita. Iyo hari ikibazo cyo kubura GH, hari amahirwe ko gukura neza bishobora kugerwaho hakoreshejwe uburyo bworoshye bwo kuvura, nko guterwa inshinge za GH buri munsi.
Kubwibyo, niba wowe cyangwa umwana wawe mufite ibi bimenyetso, ntimugatinye cyangwa ngo mubigire mu ibanga, ahubwo muhite mureba muganga wujuje ibisabwa kugira ngo abagire inama.
Ubutumwa bwo kujyana mu rugo
- Imisemburo yo gukura (GH) ni imisemburo y'ingenzi ku burebure n'iterambere ry'umubiri w'abana.
- Ibimenyetso nko kuba umwana adakora neza mu burebure, gutinda mu bwangavu, cyangwa umunaniro ukabije no kubura imbaraga ku muntu mukuru bishobora kuba ibimenyetso by'ikibazo cy'imisemburo ya GH.
- Ikizamini cyo Gukangura Imisemburo Ikura ni ikizamini cyizewe gikangura ingirabuzimafatizo ya pituitary kandi kigapima ingano ya GH umubiri ukora.
- Iki kizamini gishobora gusaba kwitegura, nko kwiyiriza ubusa cyangwa guhagarika imiti imwe n'imwe. Baza muganga wawe ibi.
- Niba ukeka ikibazo nk'iki, ntugatinye kujya kwa muganga vuba bishoboka kugira ngo akugire inama. Kugisuzuma hakiri kare bishobora gutuma uvurwa neza.
Imisemburo ikura, Imisemburo ikura, HGH, Uburebure bw'umwana, Kudakura muremure, Indwara y'ubwonko, Ikizamini cyo gukangura imisemburo ikura Sinhala, Ibizamini by'imisemburo, Imikurire y'umwana
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.