U bunzima
Umntwana akufanele abe kakuhle-anondle okanye anqabile. Ngokubonakala kwimiqolo emacaleni, isisu, izihlathi ezijikelezileyo kunye nokufumana ubunzima (ikakhulukazi kwiiveki ezimbalwa, iinyanga), kufuneka uhlaziywe ngokutya komntwana kwaye umvumele ukuba ahambe ngaphezulu. Ukuba imeko ayitshintshi, qhagamshelana neengcali. Ukulahlekelwa isisindo ngaphandle kwesizathu esicacileyo (umntwana usidla kakuhle, akazange agule, akukho misebenzi yokuhlinzwa), ngokukhawuleza ngokukhawuleza, iya kufuna ukubonisana nodokotela.
Ukuphakama
Iimpawu zokugqibela zokukhula komntwana zenziwe zizikhokelo zabazali, nangona umntwana angazifumana. Buza ugqirha ukuba ukuphakama komntwana kuyinto eqhelekileyo, ukuba ulahla emva koontanga okanye aphume. Ukwahlukana ekukhuleni kwabantwana abaneminyaka efanayo kuya kubaluleka. Ngoko-ke, imimiselo yomntwana weminyaka engama-3 yinkomba ye-88-102 cm. Yaye umntwana omdala, ukulungiswa ngakumbi kwenziwa phantsi: umzekelo, amantombazana aqala ukululaza phambi kwamakhwenkwe. Ukuba kuvela ukuba ingxaki ibangelwa ukuphulwa kokukhutshwa kwehomoni yokukhula, umntwana uya kutyunjelwa unyango, kwaye kungekudala kwenzeke, phezulu kuya kuba ngekamva. Ukongezelela, i-hormone yokukhula ibalulekile ekwakheni ngokuqhelekileyo amalungu amaninzi. Kodwa i-lag ekukhuleni ayisoloko idityaniswa naluhlobo oluthile lwezifo, ngokuqhelekileyo ngokuphathelele kwintsapho kwaye ayifuni unyango.
Isikhumba
Eyona nto, inombala ofanayo. Umbala omnyama ufumana isikhumba sezitho zangasese, ummandla we-paranasal, kodwa kungekudala kunokuba kuqalwe ukuphuhliswa ngokwesondo. Ukukulindela le migaqo kukufuneka ukuba utyelele ugqirha. I-endocrinologist iya kuba nomdla kwindlela yokubonakala kwimibala ye-pigmentation kwiintambo, intamo yentamo, ukubola, kwaye nokuba apho iingubo zihambelana ngokuqinile emzimbeni nasemacaleni nasemadolweni. Ngokuqhelekileyo, isikhumba kule mimandla siba mnyama ngokuphulwa kweoli kunye ne-carbohydrates metabolism. Ukubonakala kwe-striae elukhumbeni (amanqaku omhlophe, ombala obomvu okanye obomvu) unokudibana nezifo ezahlukahlukeneyo, kuquka i-endocrine, kunye nokukhula okukhawulezayo, ukufumana okanye ukunciphisa umzimba. Ukubonisa umntwana kwi-endocrinologist kuyimfuneko, ukuba kuninzi lwe striae okanye inani labo likhula.
Izitho zomzimba
Impawu zokuqala zokuphuhliswa ngokwesondo zibonwa kumantombazana aneminyaka engaphezu kwe-8, kunye namakhwenkwe angaphezu kwe-9. Ukubonakala kweenwele kwizitho zangasese, umgca omhlophe wesisu, iindawo ezixhamlayo, ebusweni beebhokhwe, kunye nokukhulelwa kwamanzi kumantombazana, ukukhuliswa kwebele kunye nokukhutshwa iincinci kubantwana babesini zesibini ngaphambi kokuba le minyaka ifuna ukubonisana ne-endocrinologist. Ngokukhawuleza kunokwenzeka, ugqirha kufuneka uboniswe umntwana ukuba inkwenkwe e-scrotum ayinayo enye yamathambo okanye zombini, ukuvulwa kwe-urethra akukho phezulu kwintloko yentente, umzekelo, kwinqanaba lomda. Kwaye amantombazana aya kuba ngumqondiso ophazamisayo we-clitoris enkulu okanye eyandayo.
Kwaye ngoku - uphando
Kwamkeleko i-endocrinologist ihlolisisa umntwana, inokulinganisa ukuphakama okuthe ngqo, ubunzima, umda wesifuba, intloko kunye nezinye izikhombisi. Ugqirha kufuneka aqonde ukuphakama nokulingana komntwana ekuzalweni kwaye kamva, ngoko uthabathe ikhadi lakhe kwiklinikhi kunye nekhredithi kwi-kindergarten yokubonisana. Tshela ugqirha ngokubanzi malunga nezifo zee-endocrine zonke izihlobo. Kwaye ukuba umntwana wayephenywe kwi-endocrinologist, kwakhona kukho iziphumo zokuhlalutya. Emva koko, ngokuxhomekeke ekuxilongweni okulindelekileyo, ugqirha uya kunika uvavanyo: igazi kunye neemvavanyo zomchamo, i-ultrasound, i-x-ray ibhontshisi (ukucacisa ixesha lesithambo elibonisa umlinganiselo wokukhula komzimba, ngenxa yokuba kunokungafani nepaspoti kwaye kuyadingeka ukukhula kokugqibela nokukhethwa kwonyango), i-X-ray Intloko, ukuba ugqirha ugxeka iingxaki emsebenzini kunye / okanye isakhiwo se-pituitary kunye ne-hypothalamus, tomography.