Wake wabheka ingane yakho wacabanga, "Mfushane kunezinye izingane ezingontanga yakhe, akunjalo?" Noma ingabe wena, njengomuntu omdala, uhlala uzizwa ukhathele ngendlela engaqondakali futhi untula amandla? Ngemuva kweziningi zalezi zinto ezenzeka emizimbeni yethu kunezithunywa ezincane zamakhemikhali ezibizwa ngokuthi ama-hormone. Ngakho-ke namuhla sikhuluma ngelinye lama-hormone abaluleke kakhulu kanye nokuhlolwa okukhethekile okwenziwa ukuze kulinganiswe.
Iyini le Growth Hormone?
Kalula nje,
i-hormone yokukhula yi-hormone eyinhloko esisiza sikhule sibe bade, sakhe amathambo aqinile, futhi sakhe imisipha, ikakhulukazi ngesikhathi sobuntwana. Siyibiza ngokuthi i
-Human Growth Hormone ,
noma (HGH) noma
(GH) ngamafuphi. Ikhiqizwa yindlala encane elingana nobhontshisi, etholakala ngaphansi kobuchopho bethu, phakathi nekhanda, ebizwa ngokuthi
i-pituitary gland . Cabanga ngayo le ndlala ye-pituitary njenge-"master gland" emizimbeni yethu. Ilawula ezinye izinhlelo eziningi zama-hormone. Sibiza lolu hlelo lonke
ngokuthi uhlelo lwe-endocrine . Ngakho-ke, uma ngesizathu esithile le hormone yokukhula (GH) ikhiqizwa emzimbeni ngenani elingaphansi kwesilinganiso esidingekayo noma ngezinye izikhathi ngokweqile, kungavela izinkinga ezahlukene zempilo.
Izinkinga ezingaba khona ngenxa yamazinga okukhula angalingani (GH)
| Uma amazinga e-GH ephansi (ukuntuleka) | |
| Uma amazinga e-GH ephakanyisiwe (ukusebenza ngokweqile) | - I-Gigantism - ukwanda okungajwayelekile kwamathambo ezinganeni
- I-Acromegaly - Ukwanda kwamathambo ezandla, izinyawo, nobuso kubantu abadala
- Kungenzeka ukuthi ube nesimila se-pituitary
|
Uma ingane yakho noma wena unalezi zimpawu, udokotela wakho angase asikisele
ukuhlolwa kokukhuthazwa kwama-hormone okukhula .
Udokotela ukuthumelela nini ukuze uthole lolu vivinyo?
Lokhu kuthinta izingane kanye nabantu abadala ngendlela ehlukile.
Ngokuphathelene nezingane...
Uma uyisa ingane yakho ekuhlolweni okuvamile, okungukuthi, kudokotela
wezingane , udokotela uzokala
ubude bayo, isisindo, kanye nobubanzi bekhanda . Lezi zilinganiso ziqhathaniswa namashadi okukhula ezingane ezinempilo zaleyo minyaka.
Isibonelo, uma ingane yakho imfushane kakhulu kunezinye izingane ezineminyaka yayo, noma uma izinga lokukhula kwayo lehlile ngokuzumayo, udokotela angase abe nokungabaza. Yilapho-ke ezonquma ukuthi kufanele yini ahlolwe la mazinga ama-hormone .
Ngokuqondene nabantu abadala...
Njengomuntu omdala, uma uqhubeka nokuba nesinye noma ngaphezulu sezimpawu ezingezansi, kubaluleke kakhulu ukubona udokotela.
- Ukuntuleka kwamandla nokukhathala okuqhubekayo
- Ukulahlekelwa yimisipha (ukuzizwa sengathi imisipha yakho iya ngokuya iba mincane, noma usuthi)
- Ukwanda kwamafutha emzimbeni (ikakhulukazi eduze kwesisu)
- Ukucindezeleka
- Ukwehla kwamandla ethambo
Yiqiniso, lezi zimpawu zivamile kwezinye izifo eziningi. Kodwa-ke, zingaba uphawu lwenkinga ngokukhiqizwa kwama-hormone e-GH. Yingakho kubalulekile ukuhlolwa ukuze kutholakale imbangela eqondile.
Ungalungiselela kanjani ukuhlolwa?
Kufanele kube nokulungiselela okuncane ngaphambi kwalolu vivinyo. Lokhu kulungiselela kuhlukile kancane enganeni nakumuntu omdala.
Indlela yokulungiselela ingane
Njengoba lokhu kuyivivinyo elithatha amahora amaningana, kubalulekile ukulungiselela ingane ngokwengqondo.
- Qaphela ngemithi: Ngobusuku bangaphambi kokuhlolwa nangosuku lokuhlolwa, unganikezi noma yimuphi umuthi ngaphandle kwemvume kadokotela. Ikakhulukazi uma ingane yakho ithatha umuthi wesimo esifana ne -ADHD , njenge -methylphenidate (Ritalin) , kufanele nakanjani utshele udokotela ngakho. Lokhu kungasebenzisana nemithi efana ne -clonidine enikezwa ngesikhathi sokuhlolwa.
- Ukuzila Ukudla: Ngokuvamile uzocelwa ukuthi uzile ukudla amahora ambalwa ngaphambi kokuhlolwa. Udokotela wakho uzokuchazela imininingwane eqondile.
- Usizo lokugwema isithukuthezi:Njengoba ukuhlolwa kuzothatha amahora amaningana, kungumqondo omuhle ukuletha okuthile okuzogcina ingane yakho imatasa, njengencwadi , ithoyizi, noma ithebhulethi . Futhi, mgqokise izingubo ezikhululekile.
Indlela umuntu omdala azilungiselela ngayo
Kumuntu omdala, udokotela wakho angase acele ezinye izivivinyo eziningana zama-hormone kanye ne-GH Stimulation Test. Isibonelo, bangahlola amazinga ama-hormone
i-IGF-1 kanye ne
-IGFBP-3 , kanye nama-hormone afana ne
-cortisol ,
i-prolactin, ne
-testosterone . Ungase futhi:
- Kuzodingeka uzile ukudla . Mhlawumbe amahora ayi-10-12. Buza udokotela wakho ngalokhu.
- Eminye imithi kanye nezithako zokudla kungadingeka ukuthi uyekwe . Isibonelo, i-insulin, amaphilisi okuvimbela inzalo, kanye nezithako zokudla ezisetshenziswa ngamakhambi (njenge-St. John's wort). Tshela udokotela wakho ngayo yonke imithi oyithathayo.
- Gwema ukuzivocavoca amahora ayi-10 ngaphambi kokuhlolwa, ngoba kungashintsha amazinga ama-hormone.
- Uma unesifo sikashukela noma ukukhuluphala ngokweqile , tshela udokotela wakho ngakho, njengoba lezi zimo zingathinta imiphumela.
Kwenzekani ngesikhathi sokuhlolwa?
Ungakhathazeki ngalokhu, inqubo ilula kakhulu. 1.
Ukufaka umugqa we-IV: Okokuqala, umhlengikazi oqeqeshiwe noma uchwepheshe uzofaka
i-cannula encane (umugqa we-IV) emthanjeni engalweni noma esandleni sakho (noma sengane yakho). Lokhu kwenziwa ukuze kugwenywe ukuhlaba umunwe wakho ngenaliti isikhathi ngasinye, njengoba igazi lizokhishwa izikhathi eziningana kulo lonke ukuhlolwa. 2.
Isampula yegazi lokuqala: Ngemva kokufakwa kwe-cannula, kuthathwa isampula yegazi eliyisisekelo. 3.
Ukunikeza umuthi ovuselelayo: Ngemuva kwalokho, umuthi ovuselela indlala ye-pituitary ukuthi ikhiphe i-GH hormone unikezwa emzimbeni ngale cannula. Imithi evame ukusetshenziswa kakhulu yi
-clonidine, i-arginine , noma
i-glucagon . I-insulin yayisetshenziswa esikhathini esidlule, kodwa manje ayisasetshenziswa kakhulu ngezizathu zokuphepha. Kwabantu abadala, umuthi owuketshezi obizwa ngokuthi
i-macimorelin nawo ngezinye izikhathi uyasetshenziswa. 4.
Ukudonswa kwegazi: Ngemva kokunikezwa umuthi, kuthathwa amasampula egazi amaningana
njalo ngemizuzu engama-30 amahora ama-2-3. Lokhu kuyinani elincane kakhulu, mhlawumbe cishe amathisipuni amabili ngosuku. 5.
Ukuphela kokuhlolwa: Ngemva kokuba wonke amasampula egazi esethathwe, i-cannula iyasuswa. Ungabe usudla futhi uphuze. Kungcono ukuphumula usuku lonke. Azikho izinkinga ezinkulu ezivela kulokhu kuhlolwa. Abanye abantu bangase bazizwe benesiyezi kancane. Kungase kube nokuklwebheka lapho i-cannula ifakwe khona.
Ithini imiphumela?
Imiphumela ivame ukutholakala zingakapheli izinsuku ezimbalwa. Udokotela wakho uzohlaziya le miphumela bese echaza isimo.
| Umphumela | Kungasho ukuthini |
|---|
| Uma amazinga e-GH ephansi kunokulindelekile (Amazinga Aphansi) | - Kungase kube nokuntuleka kwe-hormone ye-GH.
- Lokhu kungaba yimbangela yobufushane.
- Kungaba yi-hypopituitarism, isimo lapho i-pituitary gland ingasebenzi kahle khona.
|
| Uma amazinga e-GH ephakeme kunalokho obekulindelwe (Amazinga Aphezulu) | - Kungaba yisimo esibizwa ngokuthi i-gigantism ( ezinganeni) noma i-acromegaly (kwabantu abadala).
- Kungase kube nesimila endlaleni ye-pituitary.
|
Ngenxa yokuthi lezi zinkinga ze-GH ngezinye izikhathi zingahlotshaniswa nezinkinga ngezinye izindlala, njengendlala yegilo, udokotela wakho angase acele ukuhlolwa okwengeziwe. Angase futhi acele
ukuhlolwa kwe-MRI noma kwe-CT uma kusolwa ukuthi kukhona isimila.
Into ebalulekile ukuthi lezi zimo zingelashwa uma zitholakala kusenesikhathi. Ezinganeni, lezi zingakwazi ukuzilungisa ngokuhamba kwesikhathi. Uma kukhona ukuntuleka kwe-GH, kunethuba lokuthi ukukhula okuvamile kungafinyelelwa ngokwelashwa okulula, njengokujova i-GH hormone nsuku zonke.
Ngakho-ke, uma wena noma ingane yakho ninalezi zimpawu, ningesabi noma nizigcine ninodwa, kodwa bonana nodokotela ofanelekayo ngokushesha ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Growth Hormone (GH) iyi-hormone ebalulekile ekukhuleni nasekukhuleni komzimba ezinganeni.
- Izimpawu ezifana nokukhula okunganele enganeni, ukubambezeleka kokuthomba, noma ukukhathala ngokweqile kanye nokulahlekelwa amandla kumuntu omdala kungaba izimpawu zenkinga ye-GH hormone.
- Ukuhlolwa Kokukhuthaza Ama-hormone Okukhula kuwukuhlolwa okuphephile okuvuselela i-pituitary gland futhi kulinganise ukuthi umzimba ukhiqiza i-GH engakanani.
- Lokhu kuhlolwa kungadinga ukulungiselela okuthile, njengokuzila ukudla noma ukuyeka imithi ethile. Buza udokotela wakho ngalokhu.
- Uma usola inkinga efana nale, ungesabi ukubona udokotela ngokushesha ngangokunokwenzeka ukuze uthole iseluleko. Ukutholwa kusenesikhathi kungaholela ekwelashweni okuphumelelayo.
I-Growth Hormone, I-Growth Hormone, i-HGH, Ukuphakama Kwengane, Ukungakhuli Kude, I-Pituitary Gland, Ukuhlolwa Kokukhuthaza Ama-Growth Hormone IsiSinhala, Ukuhlolwa Kwama-Hormone, Ukukhula Kwengane
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