Njengomama noma ubaba, wake wazibuza le mibuzo? "Ingane yami imfushane kakhulu kunezinye izingane, akunjalo?", "Kungani indodakazi yami ibonisa izimpawu zokuthomba isencane kangaka?", "Indodana yami ikhuluphele kakhulu kunezinye izingane ezingontanga yayo, ingabe lokho kuyinto evamile?". Kuvamile ukucabanga ngalezi zinto. Ngakho-ke, uma udokotela wakho womndeni ekudlulisela kudokotela wezifo zabantwana ngesikhathi esinjengalesi, ungase uzizwe wesaba kancane uma uzwa lelo gama. Kodwa ungakhathazeki. Namuhla, ake sixoxe ngokuthi ungubani lochwepheshe nokuthi yiziphi izinto asiza ngazo.
Kalula nje, ubani lo dokotela wezifo zezingane osebenza nge-endocrinologist?
Kulula kakhulu. Lona udokotela othole ukuqeqeshwa okukhethekile ezinkingeni ezihlobene nama-hormone ezinganeni nakubantu abasebasha . Ukukhula kwemizimba yethu, ukuthomba kwethu, nezinye izinto eziningi, njengesifo sikashukela, kulawulwa yilaba basebenzi bamakhemikhali ababizwa ngama-hormone. Ngakho-ke, uma kunenkinga ngesistimu yama-hormone yengane, laba ochwepheshe bakhona ukuze bayithole futhi bayiphathe kahle .
Khumbula, izingane ezincane azifani nabantu abadala. Imizimba yazo, ikakhulukazi izinhlelo zazo zamahomoni, ihluke kakhulu. Yingakho zidinga udokotela okhethekile kuzo.
Iyini le nqubo ye-endocrine?
Lokhu kuzwakala kungokwesayensi kancane, kodwa kulula kakhulu ukukuqonda. Cabanga ukuthi umzimba wethu uyinkampani enkulu. Le nkampani idinga uhlelo oluthumela imiyalezo engxenyeni ngayinye (izitho zethu) olubatshela ukuthi benzeni nokuthi basebenze kanjani. Yilokho uhlelo lwe-endocrine emzimbeni wethu oluyikho. Kunezingxenye ezintathu eziyinhloko kulolu hlelo.
1. Izindlala Ze-Endocrine: Lezi zifana nezimboni ezincane ezenza imiyalezo yamakhemikhali ebizwa ngokuthi ama-hormone. Izibonelo zifaka phakathi indlala ye-pituitary , indlala ye-thyroid, kanye nezindlala ze-adrenal.
2. Izitho Ze-Endocrine: Ezinye izitho zinekhono lokukhiqiza ama-hormone, yize zineminye imisebenzi eyinhloko. Ama-pancreas, ama-ovari, nama-testes kuyizibonelo ezinhle zalokhu.
3. Ama-hormone: Lawa yizithunywa. Akhiqizwa ezindlala futhi ahamba emzimbeni wonke ngegazi, ethumela imiyalezo ezithweni ezifanele njengokuthi "Kulungile, manje udinga ukukhula ube mude", "Manje lawula amazinga kashukela egazini lakho", "Manje sekuyisikhathi sokulala".
Izinto ezingenakucatshangwa njengokukhula kwemizimba yethu , ukusebenza kwe-metabolism, ukulala, kanye nokuzala ngokocansi kulawulwa umsebenzi walezi zithunywa ezincane.
Yiziphi izinhlobo zezimo eziphathwa yilaba odokotela?
Uchwepheshe wama-hormone ezingane uxilonga futhi elapha izifo eziningi ezihlobene nesimiso sama-hormone engane. Ake sibheke ukuthi ziyini ngokuyinhloko.
Isifo Sikashukela Nezimo Zokusebenza Kwe-Metabolic
Nakuba igama elithi "isifo sikashukela" livame ukufika engqondweni uma silizwa, lesi simo singase senzeke nasezinganeni.
| Isimo sezokwelapha | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| Isifo Sikashukela Sohlobo 1 | Ngenxa yephutha ohlelweni lokuzivikela lomzimba, amaseli e-pancreas akhiqiza i-hormone i-insulin ayabhujiswa. Ngenxa yalokho, ukukhiqizwa kwe-insulin kulahleka ngokuphelele. |
| Isifo Sikashukela Sohlobo 2 | Ngisho noma umzimba ukhiqiza i-insulin, amangqamuzana omzimba awakwazi ukuyiphendula ngendlela efanele. Lesi simo sivame ukuhlotshaniswa nokukhuluphala ngokweqile. |
| Ukukhuluphala ngokweqile | Ukuqongelela kwamafutha ngokweqile emzimbeni. Lokhu ngezinye izikhathi kungabangelwa ezinye izinkinga zamahomoni noma kube imbangela yezinye izinkinga zamahomoni. |
Izinkinga Zokukhula Nokuthomba
Lesi ngesinye sezihloko ezisikhathaza kakhulu njengabazali .
| Inkinga | Lokhu kusho |
|---|---|
| Ubude obufushane | Ukuphakama kwengane kungaphansi kwabantwana abangu-95 kwabayi-100 abanempilo abaneminyaka efanayo nobulili obufanayo. Lokhu kungase kube ngenxa yokuntuleka kwe-hormone yokukhula noma esinye isimo. |
| Ukuthomba Kwangaphambi Kokukhulelwa | Ukubonisa izimpawu zokuthomba (isib., ukukhula kwamabele, izinwele zesitho sangasese) ngaphambi kweminyaka evamile (iminyaka engu-8 kumantombazane, iminyaka engu-9 kubafana). |
| Ukuthomba Okulibazisekile | Ukwehluleka ukukhombisa izimpawu zokuthomba kuze kube yilapho umuntu esekhulile (iminyaka eyi-13 yamantombazane, iminyaka eyi-14 yabafana). |
Izimo ze-thyroid
Indlala yegilo iyindlala encane, emise okwebhabhathane etholakala ngaphambili entanyeni yethu. Kodwa umsebenzi wayo awumncane. Ilawula ukusebenza komzimba, okuwukukhiqizwa nokusetshenziswa kwamandla.
| Isimo sezokwelapha | Kalula nje, |
|---|---|
| I-Hypothyroidism | Indlala yegilo ayikhiqizi amahomoni egilo anele. Lokhu kungabangela izimpawu ezifana nokukhula okungapheli, ukudinwa, kanye nokukhuluphala enganeni. |
| I-Hyperthyroidism | Indlala yegilo ikhiqiza i-hormone yegilo eningi kakhulu, engabangela izimpawu ezifana nokwehla kwesisindo, ukushaya kwenhliziyo okusheshayo, kanye nokujuluka ngokweqile. |
| I-Goiter | Ukwanda okungavamile kwendlala yegilo. Lokhu kungase kubonakale njengokuvuvukala ngaphambili kwentamo. |
Izimo Zamathambo Ne-Calcium
I-calcium ne-vitamin D kubalulekile ukuze amathambo engane akhule aqine. Laba ochwepheshe babheka nezinkinga ngama-hormone alawula lokhu.
- Ama-Ricket: Ubuthakathaka kanye nokukhubazeka kwamathambo ngenxa yokuntuleka kwevithamini D.
- I-Hypercalcemia : Izinga eliphezulu kakhulu le-calcium egazini.
- I-Hypocalcemia: Amazinga aphansi e-calcium egazini.
Izinkinga Zezindlala Ze-Adrenal
Lezi zindlala ezimbili ezincane, ezibukeka njengezivalo ezimbili phezu kwezinso zethu, zikhiqiza ama-hormone abalulekile ekulinganiseni usawoti namanzi emzimbeni wethu, umfutho wegazi , kanye nokusabela ekucindezelekeni.
- Isifo sika-Addison: Ukungakhiqizwa ngokwanele kwama-hormone i-cortisol ne-aldosterone.
- I-Cushing's syndrome : Ukukhiqizwa ngokweqile kwe-hormone i-cortisol emzimbeni.
- I-Congenital Adrenal Hyperplasia: Isimo sofuzo esenzeka lapho kuzalwa futhi siphazamise inqubo yokukhiqizwa kwamahomoni e-adrenal gland.
Ngaphezu kwalokho, laba ochwepheshe baphinde baphathe izimo zofuzo ezifana nokuphazamiseka kwe-pituitary gland , ukuphazamiseka kokukhula kocansi, kanye ne-Turner syndrome .
Yini okufanele uyilindele uma uya kobona lo dokotela okokuqala?
Kuvamile ukuzizwa ukhathazekile kancane uma uyisa ingane yakho kudokotela wezingane okokuqala ngqa. Kodwa ukwazi lezi zinto kuzokwenza uhambo lube lula kuwe.
1. Ukubuza imibuzo eningiliziwe: Udokotela uzokubuza wena nomntanakho (uma ingane yakho isikhulile ngokwanele ukukhuluma) ngezimpawu, ukuthi zaqala nini, nokuthi zaqala kanjani. Bangase futhi bakubuze ukuthi kukhona yini emndenini wakho oke waba nezimo ezifanayo.
2. Amarekhodi ezokwelapha amadala: Kubaluleke kakhulu ukuletha izinto ezifana namashadi okukhula kwengane kusukela ekuzalweni kuze kube manje, kanye nemibiko yokuhlolwa kwegazi yangaphambilini.
3. Ukuhlolwa komzimba:Udokotela ulinganisa ubude nesisindo sengane bese ehlola umzimba wayo ngokucophelela.
4. Ukudluliselwa kokuhlolwa: Uma kudingeka, ungathunyelwa ukuhlolwa kwegazi, ukuhlolwa komchamo, noma mhlawumbe ukuskena okufana nama-X-ray ukuze kutholakale ngokunembile isimo.
Into ebaluleke kakhulu ukubuza udokotela yonke imibuzo nokungabaza onakho. Ungacabangi ukuthi, "Angazi ukuthi kuwubuwula yini ukubuza lokhu." Lokho ozizwayo ngengane yakho kubaluleke kakhulu.
Uchwepheshe wama-hormone ezingane unguchwepheshe onobungane ongakusiza ukuthola izimpendulo zezinkinga zama-hormone zengane yakho futhi akusekele ohambweni lwakho. Ngakho-ke uma udokotela womndeni wakho ethumela lesi sidakamizwa, sibheke njengesinyathelo esibaluleke kakhulu nesifanele empilweni yengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- Isazi se-endocrinologist yezingane udokotela onokuqeqeshwa okukhethekile ekwelapheni izifo zesimiso samahomoni ezinganeni.
- Zelapha izimo ezinjengokukhula kwengane yakho (ubude obufushane noma ukuphakama ngokweqile), ukuthomba (kusenesikhathi noma ukubambezeleka), isifo sikashukela, kanye nezinkinga ze-thyroid.
- Lolu lwazi lubalulekile ezinganeni ngoba imizimba yazo kanye nezinhlelo zamahomoni zihlukile kakhulu kubantu abadala.
- Uma udokotela womndeni wakho edlulisela ingane yakho kuchwepheshe onjalo, ungesabi. Kuyisinyathelo esibalulekile ukuqinisekisa ukuthi ingane yakho ithola ukwelashwa okufanele.
- Ungalokothi unqikaze ukuxoxa nodokotela wakho nganoma yiziphi izinkinga noma ukungabaza onakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 👨⚕️ Ngubani 'udokotela we-Endocrinologist'?
Kalula nje, isazi se-endocrinologist ngudokotela ogxile kuma-hormone emizimbeni yethu kanye nezifo ezibangelwa yiwo. La ma-hormone alawula izinto eziningi emizimbeni yethu, njengokukhula, amandla, kanye namazinga kashukela egazini.
💬 👶 Ngakho-ke ubani 'udokotela we-endocrinologist wezingane'?
Leli igama elinikezwa uchwepheshe ophatha izinkinga zama-hormone ezinganeni nasebancane. Ngenxa yokuthi ukukhula kwezingane kanye nokusebenza kwama-hormone kuhlukile kubantu abadala, kunochwepheshe abahlukene abafana nalaba abazobanakekela.
💬 🤔 Yini okufanele ngiyenze uma ngisola ukuthi ingane yami inenkinga yama-hormone?
Uma ingane yakho ingakhuli, ikhombisa izimpawu zokuthomba kwasekuqaleni, noma ikhuluphele kakhulu, kungcono ukubonana nodokotela we-endocrinologist wezingane. Lokhu kuzosiza ingane yakho ukuthi ibone inkinga eqondile futhi inikeze ukwelashwa okusheshayo.
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