WAY DIFFERENTIAL DIAGNOSIS delayed sexual development in prepubertal GIRLS and adolescence

摘要

a differential diagnosis of delayed sexual u0440u0430u0437u0432u0438u0442u0438u00a0 u043fu0440u0435u043fu0443u0431u0435u0440u0442u0430u0442u043du043eu0433u043e and adolescent girls with diabetes type i, u0437u0430u043au043bu044eu0447u0430u044eu0449u0438u0439u0441u00a0 in ul u044cu0442u0440u0430u0437u0432u0443u043au043eu0432u043eu043c study internal genital organs, determining the u043fu043eu043bu043eu0436u0435u043du0438u00a0 and size of uterus and u00a0u0438u0447u043du0438u043au043eu0432, a medial u043cu0430u0442u043eu0447u043du043eu0433u043e, echo, the degree of u0432u044bu0440u0430u0436u0435u043du043du043eu0441u0442 and the angle between the body and the neck of the uterus, u044du0445u043eu0441u0442u0440u0443u043au0442u0443u0440u044b u00a0u0438u0447u043du0438u043au043eu0432 (numberthe diameter of the minimum and maximum follicles in them), u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, further u043fu0440u043eu0432u043eu0434u00a0u0442 evaluation factors u0441u043eu043eu0442u043du043eu0448u0435u043du0438u00a0 length and u043fu0435u0440u0435u0434u043du0435u0437u0430u0434u043du0435u0433u043e be ra uterine length and body size u043fu0435u0440u0435u0434u043du0435u0437u0430u0434u043du0435u043cu0443 cervicalin the mode of energy u0434u043eu043fu043fu043bu0435u0440u043eu0432u0441u043au043eu0433u043e u043au0430u0440u0442u0438u0440u043eu0432u0430u043du0438u00a0 u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 diameter duct of the uterus and cervix and with the lag length u0432u0430u0441u043au0443u043bu00a0u0440u0438u0437u0430u0446u0438u044e body the uterus from the age norms for 1 to 2 years, the line width and the thickness of the medial u043cu0430u0442u043eu0447u043du043eu0433u043e uterine age, registration, activation, and differentiation of uterine body u043cu0430u0442u043a and a well expressed and angle between them.in the factors of body size u0441u043eu043eu0442u043du043eu0448u0435u043du0438u00a0 cervix to cervical equal 1.5 - 1.7; determining the diameter of the uterus of the duct 5 to 6 mm, in accordance the i u00a0u0438u0447u043du0438u043au043eu0432 and the number of follicles of all sizes, as well as the reduction of minimum and maximum diameter of follicles at the 1 - 2 years compared to age norms di u0430u0433u043du043eu0441u0442u0438u0440u0443u044eu0442 minimum degree of delay of u0440u0430u0437u0432u0438u0442u0438u00a0 hl (ia)the reduction of all sizes of uterus at 2 years compared to age norms, the medial u043cu0430u0442u043eu0447u043du043eu0433u043e, activation, differentiation of cervical separately from the body. kee and poorly expressed by the angle between the body and the neck of uterus, the uterus of the duct diameter, 4 - 5 mm, with the coefficients u0441u043eu043eu0442u043du043eu0448u0435u043du0438u00a0 size body uterus to ra u0437u043cu0435u0440u0430u043c of equal 1.3 - 1.6; under normal lengththe thickness of the u00a0u0438u0447u043du0438u043au043eu0432 and the number of follicles in the backwardness of their width from the age of 1 - 2 years, while reducing the diameter of follicles compared with the minimum my for two years, and the maximum diameter is 2 - 3 years u0434u0438u0430u0433u043du043eu0441u0442u0438u0440u0443u044eu0442 light degree of hl (Iu0431) in reducing all parameters of the cervix for 3 - 4 years compared with the age of the mami,the differentiation of cervical, uterine and separated from the body is expressed by the angle between the body and the neck of uterus, the diameter of vessel duct 2 to 3 mm, the u0441u0440u0435u0434u0438u043d the main u043cu0430u0442u043eu0447u043du043eu0433u043e, echo, with coefficients u0441u043eu043eu0442u043du043eu0448u0435u043du0438u00a0 size to the size of the uterine body equal to 1.2 - 1.5; reduce the length, thickness and number of follicles u00a0u0438u0447u043du0438u043au043eu0432 1 two years, the lag their width of age norms for 2 - 3 years.reducing the diameter of the minimum follicles compared with age norms for 2 years, and the maximum diameter of 2 - 3 years, u0434u0438u0430u0433u043du043eu0441u0442u0438u0440u0443u044eu0442 high degree of hl (ii), p. ri reduce all parameters of cervix at 6 - 8 years compared with age norms, the lack of differentiation of cervical separately from the body of uterus, the diameter and the uterus of the duct 1.the absence of the medial u043cu0430u0442u043eu0447u043du043eu0433u043e, echo, lag parameters u00a0u0438u0447u043du0438u043au043eu0432 from the age of 2 to 3 years, no u0444u043eu043bu043bu0438u043au0443u043bu00a0u0440u043du043eu0433u043e apparatus in which u0434u0438u0430u0433u043du043eu0441u0442u0438u0440u0443u044eu0442 u0442u00a0u0436u0435u043b other degree of hl (iii).