Isisindo
Ingane akufanele ibe kahle kakhulu-isondliwe noma impela kakhulu. Ngokubukeka kwamapulangwe ezinhlangothini, isisu, amathunga azungezile nokuzuza kwesisindo (ikakhulukazi emasontweni ambalwa, izinyanga), udinga ukubuyekezwa kokudla komntwana futhi umvumele ukuba athuthe ngaphezulu. Uma isimo singashintshi, xhumana nochwepheshe. Ukulahlekelwa isisindo ngaphandle kwesizathu esizwakalayo (ingane idla kahle, ayizange igule, kwakungekho ukuhlinzwa), ikakhulukazi okusheshayo, kuzodinga ukubonisana nodokotela okuphoqelekile.
Ukuphakama
Izindinganiso zokugcina zokukhula kwengane zenziwe izinkomba zabazali, nakuba ingane ingabafica. Buza udokotela ukuthi ukuphakama kwengane kuyinto evamile, uma egxuma ngemuva kontanga noma ephuma kubo. Umehluko ekukhuleni kwezingane zonyaka ofanayo kungaba okuphawulekayo. Ngakho-ke, isimiso somntwana oneminyaka engama-3 sibonakaliso samasentimitha angu-88-102. Futhi omdala ingane, ukulungiswa okungaphezulu kwenziwa phansi: isibonelo, amantombazane aqala ukwelula ngaphambi kwabafana. Uma kubonakala ukuthi inkinga ibangelwa ukuphulwa kokukhululwa kwe-hormone yokukhula, ingane izobe yabekwa ukwelashwa, futhi ngokushesha lapho kwenzeka, ukuphakama kuyoba esikhathini esizayo. Ngaphezu kwalokho, i-hormone yokukhula ibalulekile ekubunjweni okujwayelekile kwezitho eziningi. Kodwa i-lag ekukhuleni ayihlali ihlotshaniswa nohlobo oluthile lokugula, ngokuvamile kaningi ngokuphathelene nomndeni futhi ayidingi ukwelashwa.
Isikhumba
Ngokuyinhloko, unombala ofanayo. Umbala omnyama uthola isikhumba sezitho zangasese, isifunda se-paranasal, kodwa hhayi ngaphambi kwesikhathi sokuqala kocansi. Ukulindela le migomo kuyimfuneko yokuvakashela udokotela. I-endocrinologist nayo iyoba nesithakazelo ekubukeni kwezingulube emagqabeni, emagqabeni entamo, ekuguleni, ngisho nalapho izingubo zivumelane ngokuqinile emzimbeni nasemagqeni nasemadolweni. Ngokuvamile, isikhumba kulezi zindawo siba mnyama ngokuphulwa kwamafutha ne-carbohydrate metabolism. Ukubukeka kwe-striae esikhumbeni (imibala emhlophe, obomvu noma bluish) kungahlanganiswa nezifo ezihlukahlukene, kufaka phakathi i-endocrine, futhi futhi - ukukhula okusheshayo, ukuzuza noma ukuncipha kwesisindo. Ukuze ubonise ingane ku-endocrinologist kuyadingeka, uma kuningi lwe-striae noma inombolo yabo ikhula.
Izitho zangasese
Izibonakaliso zokuqala zokuthuthukiswa kocansi zibonakala emantombazaneni aneminyaka engaphezu kwengu-8, futhi kubafana abangaphezu kuka-9. Ukubonakala kwezinwele ezithombeni zobulili, umugqa omhlophe wesisu, izigxobo ze-axillary, ebusweni babafana, nokukhulelwa kwamantombazane emantombazaneni, ukukhuliswa kwesisu nokukhulelwa izinsipho ezinganeni zobulili zombili ngaphambi kwalesi sizukulwane zizodinga ukubonisana nomsopotolologist. Ngokushesha, udokotela kufanele aboniswe ingane uma umfana e-scrotum engekho eyodwa noma zombili izicathulo, ukuvulwa kwe-urethra akukatholakali phezulu kwekhanda le-penis, isibonelo, ezingeni lomthambo. Futhi amantombazane anesibonakaliso esibuhlungu esingaba yi-clitoris enkulu noma ekhulayo.
Futhi manje - ucwaningo
Esimweni sokwamukela i-endocrinologist ihlolisisa ingane, ilinganisa ukuphakama okuqondile, isisindo, ububanzi besifuba, ikhanda nezinye izinkomba. Udokotela udinga ukwazi ukuphakama nesisindo somntwana lapho ezalwa futhi kamuva, bese uthatha ikhadi lakhe emtholampilo kanye nokukhishwa kwilasethi yokufundela. Tshela udokotela ngokuningiliziwe ngezifo zezingxenye ze-endocrine zazo zonke izihlobo. Futhi uma ingane ingakaze ihlolwe ku-endocrinologist, nayo ingumphumela wokuhlaziya. Khona-ke, kuye ngokuthi uhlolwe yini, udokotela uzobe ebeka uhlolo: ukuhlolwa kwegazi kanye nomchamo, i-ultrasound, i-x-ray ibhulashi (ukucacisa isikhathi sethanga esibonisa izinga lokuvuthwa kwe-skeleton, ngoba lingase lihluke epasipoti futhi liyadingeka ekukhuleni kokugcina nokukhethwa kokwelashwa), i-X-ray skull, uma udokotela esho izinkinga emsebenzini kanye / noma isakhiwo se-pituitary ne-hypothalamus, tomography.