So wo ba no reyɛ n’ade te sɛ abofra kɛse ansa na wadi mfe? Momma yensua Precocious Puberty ho ade.

So woate nka pɛn sɛ wo babea anaa wo babarima reyɛ n’ade te sɛ abofra ketewa ansa na wɔn bere reba, anaasɛ ɔreda nipadua mu nsakrae adi? Mmofra binom tumi da wɔn mmabunbere ho sɛnkyerɛnne adi ankasa ansa na wɔn bere adu. Ɛnnɛ yɛrebɛka saa tebea yi a wɔfrɛ no ‘precocious puberty’ anaa sɛnea nnuruyɛfo frɛ no no, `(Precocious Puberty)` ho asɛm. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa.

Enti dɛn ne mmerantebere ne mmabaabere a ɛba ntɛm yi?

Mmabunbere yɛ bere a abofra nipadua mu nsakrae akɛse na ɛde nkakrankakra fi ase nya ɔpanyin su. Eyi yɛ adebɔ mu ade ankasa. Mpɛn pii no, wo ba amemene no fã ketewaa bi wɔ hɔ a wɔfrɛ no hypothalamus. Ɛha na hypothalamus no fi ase. Ɛma nnuru bi a wɔfrɛ no hormone fi mu ba. Afei saa nkwaadɔm yi de sɛnkyerɛnne bi kɔ amemene no mu ntini ketewaa foforo a wɔfrɛ no pituitary gland no so. Afei pituitary gland no ma hormone foforo bi a wɔfrɛ no gonadotropins fi adi. Saa gonadotropins yi kɔ abofra no nna mu ntini a wɔfrɛ no gonads no mu tẽẽ. Wɔ mmarimaa mu no, eyinom ne ``testicles.'' Eyinom ma hormone ``testosterone.'' Wɔ mmeawa mu no, eyinom ne ``ovaries.'' Eyinom yɛ hormone ``estrogen.''

Mpɛn pii no, abeawa fi mmerantebere ne mmabaabere ase bere a wadi mfe 8 kosi 13. Abarimaa fi ase ba mmerantebere ne mmabaabere mu wɔ mfe 9 kosi 14. Nanso, wɔ eyi mu no, ``Precocious Puberty``, saa adeyɛ yi fi ase ntɛm koraa. Ɛne sɛ, abeawa fi ase da saa nsɛnkyerɛnne yi adi ansa na wadi mfe 8, na abarimaa bi fi ase da saa nsɛnkyerɛnne yi adi ansa na wadi mfe 9 .

So mmerantebere ne mmabaabere a ɛba ntɛm no ahorow atitiriw bi wɔ hɔ?

Yiw, ahorow atitiriw abien na ɛwɔ hɔ. Ma yɛnhwɛ nea wɔyɛ.

1. Mfinimfini Mmabun Ntɛmntɛm

Eyi ne ɔkwan a ɛtaa ba . Nea ɛkɔ so wɔ ha ne sɛ abofra no amemene no fi ase yi hormone bi a wɔfrɛ no ‘Gonadotropin-releasing hormone (GnRH)’ fi adi ansa na bere a wɔhwɛ kwan no adu. Eyi ma mmadwoa ne mmadwoa no gyae nna mu nkwaadɔm te sɛ ‘androgens’ ntɛm.

2. Peripheral Precocious Puberty a ɛba ntɛmntɛm

Saa ɔkwan yi fi ɔhaw bi a ɛwɔ abofra no awo akwaa te sɛ awotwaa, mmadwoa, anaa adrenal glands mu. Ɛtɔ da bi a, saa tebea yi nso betumi afi hormone ahorow a efi abɔnten kɔ nipadua no mu. Wɔsan frɛ eyi sɛ gonadotropin-independent precocious puberty.

Henanom na tebea yi ka no kɛse? Ɛtaa ba dɛn?

Nokwarem no, abofra biara betumi anya saa tebea yi a ɛne ne mmabunbere ntɛm. Nanso, ɛtaa ba mmeawa so sen mmarimaa.

Sɛ yɛhwɛ sɛnea ɔyare yi abu so a, ɛka mmeawa 10,000 biara mu bɛyɛ 20, nanso ennu mmarimaa 10,000 biara mu 5.

Dɛn nti na nkurɔfo du mmerantebere ne mmabaabere ntɛm saa? Dɛn ne nea enti a ɛte saa?

Ɛsono nea enti a ɛte saa no gyina nea yɛadi kan aka ho asɛm no so.

Nneɛma a ɛde Central Precocious Puberty Ba

Sɛnea yɛadi kan aka no, eyi fi hormone `(GnRH)` a efi amemene no mu ntɛm no. Mpɛn pii no, titiriw wɔ mmeawa fam no, ɛyɛ den sɛ wobehu nea enti a ɛte saa pefee. Nanso, ɛtɔ mmere bi a nneɛma te sɛ eyinom betumi de aba:

• Amemene mu ahodwiriw
• Amemene mu akisikuru
• Amemene mu nyarewa
• Amemene mu nneɛma a ɛnteɛ
• Wɔreyɛ radiation ayaresa

Nneɛma a ɛde Peripheral Precocious Puberty Ba

Saa ɔkwan yi fi ɔhaw ahorow a ɛwɔ abofra no awo akwaa anaa adrenal glands mu. Nhwɛsoɔ:

• Ovary, testes anaa adrenal gland akisikuru
• Tumors a ɛma hormone bi a wɔfrɛ no ``Human Chorionic Gonadotropin (HCG)``
• Awosu mu tebea horow bi, sɛ nhwɛso no, McCune-Albright yare.
• Hypothyroidism a emu yɛ den
• Nyarewa a ɛwɔ adrenal ntini mu, sɛ nhwɛso no, ``Congenital adrenal hyperplasia``.

Ɛtɔ mmere bi a, hormone ahorow a efi abofra no nipadua akyi no nso betumi ayɛ nea ɛde ba. Susuw nneɛma te sɛ nnuru a wɔde yɛ nnuru, nnuru, anaa nnuru a wɔde ka aduan ho a estrogen, testosterone, anaa androgens wom ho hwɛ.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anyin ntɛm? Woyɛ dɛn hu no?

Nsɛnkyerɛnne a ɛtaa ba a wotumi hu wɔ mmarima ne mmea nyinaa mu ne akisikuru, nipadua hua a ɛkɔ soro, ne ne tenten a ɛkɔ soro mpofirim . Nea ɛka ho no, nna ho su nso fi ase da adi ntɛm.

Fa no sɛ, wo babea a wadi mfe ason no hu mpofirim sɛ ne nufu reyɛ kɛse, anaasɛ wo babarima a wadi mfe awotwe no nne sesa na ofi ase nyin abɔgyesɛ. Eyinom ne nneɛma a yɛfrɛ no nsɛnkyerɛnne.

Nsɛnkyerɛnne a wohu wɔ mmeawa mu:

• Nufu mu nkɔso
• Brayɛ fi ase
• Nwi a enyin wɔ abasa ne mmeae a kokoam

Nsɛnkyerɛnne a wohu wɔ mmarimaa mu:

• Ɛnne a ɛyɛ den
• Nwi a enyin wɔ anim, abasa, ne kokoam mmeae
• Ɔbarima no akyi berɛmo ne akyi berɛmo a ɛtrɛw
• Ntini a enyin

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Akuw binom wɔ asiane mu kakra sɛ wobenya saa mmerantebere ne mmabaabere ntɛm yi. Wɔne:

• Mmabaa
• Mmofra a wɔayɛ kɛse mmoroso anaa wɔayɛ kɛse dodo
• Mmofra a wofi mmusuakuw bi mu (Nhwehwɛmu ada no adi sɛ eyi abu so kɛse wɔ abibifo mmofra a wɔwɔ amannɔne aman mu. Ɛsɛ sɛ wosua eyi ho ade kɔ akyiri wɔ yɛn man yi mu.)

Dɛn ne nsɛnnennen a ebetumi aba esiane mmerantebere ne mmabaabere ntɛm nti?

Ɛwom sɛ abofra tenten yɛ kɛse mpofirim bere a wodu mmerantebere ne mmabaabere mu ntɛm de, nanso sɛ wowie mmabunbere a, onyin no gyae. Enti, ebia wɔbɛyɛ tiaa asen mmofra afoforo a wɔn mfe yɛ pɛ. Eyi betumi aka abofra no wɔ adwene mu.

Ade foforo nso ne sɛ mmofra tumi te aniwu nka na wɔn ho nyɛ wɔn dɛ bere a wɔn nipadua sesa ntɛmntɛm sen mmofra afoforo no. Susuw sɛnea ɛbɛyɛ den ama abofra sɛ obehu sɛ nsakrae akɛse rekɔ wɔn ankasa nipadua mu bere a wɔn mfɛfo sukuufo da so ara yɛ mmofra a wɔretu mmirika ara kwa no ho hwɛ.

Saa nsɛm yi betumi de suban, nkate, ne asetra mu nsɛnnennen aba mmofra mu. Ebia wobenya dadwen ne adwenemhaw. Ebia wɔbɛkɔ asiane kɛse nso mu sɛ wɔbɛnom nnuru a wɔde di dwuma ɔkwammɔne so na wɔde wɔn ho ahyɛ nneyɛe a asiane wom mu.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?

Sɛ wode wo ba kɔ oduruyɛfo nkyɛn a, obedi kan ahwehwɛ abofra no mu yiye. Obebisa wo wo ba no aduruyɛ ho abakɔsɛm nso ne sɛ ebia obi wɔ w’abusua mu anya tebea a ɛte saa ara anaa.

Afei wobetumi ayɛ sɔhwɛ ahorow te sɛ eyi:

• Nsa ne nsateaa ho X-ray: Eyi hwɛ abofra no nnompe mfe. Sɛ nipadua no yɛ nna mu nkwaadɔm pii dodo a, nnompe no nyin ntɛm sen sɛnea ɛte daa. Eyi yɛ mmerantebere ne mmabaabere a ɛba ntɛm ho sɛnkyerɛnne biako.
• Mogya mu nhwehwɛmu: Eyi hwɛ sɛnea abofra no hormone dodow te. Titiriw no, ɛhwɛ sɛnea hormone ``Luteinizing Hormone (LH)`` ne ``Follicle-Stimulating Hormone (FSH)``, a pituitary gland na ɛyɛ no dodow. Eyinom ne nkwaadɔm a ɛhwɛ mmabunbere so. Ɛsan nso hwɛ sɛnea ɔbarima ne ɔbea nna mu ahoɔdennuru dodow te.
• Amemene mu MRI mfonini: Saa nhwehwɛmu yi boa ma woyi ɔhaw biara te sɛ amemene mu akisikuru fi hɔ.
• Pelvic ultrasound: Wobetumi ayɛ nhwehwɛmu yi sɛ wususuw sɛ wo ba no anya peripheral precocious puberty a. Saa sɔhwɛ yi hwɛ sɛ ebia akisikuru wɔ mmeawa awotwaa mu anaa adrenal ntini mu, efisɛ ɛtɔ mmere bi a eyinom betumi ama wɔadi mmerantebere ne mmabaabere ntɛm.

Ɛdenam nea ebefi nhwehwɛmu ahorow yi mu aba so no, wo duruyɛfo betumi de wo akɔma mmofra ntini mu yare ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ nyarewa a ɛfa hormone ho wɔ mmofra mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Akwan a wɔfa so sa yare no gyina mmerantebere ne mmabaabere a ɛba ntɛm so.

Ayaresa a Wɔde Ma Central Precocious Puberty

Botae titiriw a ɛwɔ saa ɔkwan yi so ne sɛ ebegyae hormone `LH` ne `FSH` a pituitary gland no yɛ no. Eyi ma mmerantebere ne mmabaabere ho sɛnkyerɛnne brɛ ase na ebetumi mpo atwe brayɛ akyɛ. Wɔtaa de aduru bi a wɔfrɛ no `GnRH agonist` na ɛyɛ eyi. Wɔsan frɛ eyi `Puberty Blocker`. Eyi yɛ hormone a wɔde yɛ nneɛma a onipa yɛ. Wɔyɛ eyi de gyae awo mu nkwaadɔm anaa onyin hormone a wɔyɛ no. Oduruyɛfo no de saa aduru yi bɛma abofra no sɛ aduru a wɔde twitwiw no wɔ bere pɔtee bi mu. Ɛsɛ sɛ wɔtoa saa ayaresa yi so kosi bere a ɛfata ansa na wɔafi ase ababunbere.

Ayaresa a Wɔde Ma Peripheral Precocious Puberty

Wɔsa tebea a ɛte sɛɛ denam baabi a ɔbarima ne ɔbea nna mu nkwaadɔm fibea no fi hɔ a woyi fi hɔ no so. Ebia ɛho behia sɛ wɔyɛ mmofra binom oprehyɛn de yi akisikuru anaa ade foforo bi a ɛde wɔn mmabunbere ntɛm no fi hɔ. Ebia afoforo behia nnuru a wɔde yɛ steroid te sɛ glucocorticoids. Ɛtɔ mmere bi a, wobetumi adi tebea no so denam nea efi akyi hormone te sɛ estrogen cream ahorow no fibea a wobeyi afi hɔ no so.

So wobetumi asiw mmerantebere ne mmabaabere ntɛm ano?

Mpɛn pii no, ɛyɛ den sɛ wobesiw tebea yi ano. Nanso, wobetumi asiw ano akodu baabi denam abofra no a wɔbɛma wanya nna mu nkwaadɔm a efi abɔnten so no so. Sɛ nhwɛso no, ɛho hia sɛ wode nnuru a wɔde yɛ aduru, aduru a wɔde hyɛ nipadua mu, anaa nnuru afoforo a estrogen anaa testosterone wom sie baabi a mmofra ntumi nkɔ.

Mmofra a wɔwɔ saa tebea yi daakye bɛyɛ dɛn?

Abofra daakye gyina nneɛma pii so:

• Nnompe mfe a obi adi
• Mfe a abofra no adi bere a yare no ho sɛnkyerɛnne fii ase no
• Hwɛ sɛnea tebea yi nyaa nkɔso ntɛmntɛm
• Abofra no ayaresa nhyehyɛe

Nanso biribiara nni hɔ a ɛsɛ sɛ yesuro. Sɛ wohu ntɛm na wɔde nnuru anaa sɛ ɛho hia a, wɔyɛ no oprehyɛn sa a, mpɛn pii no wobetumi adi tebea no so. Afei abofra no betumi anyin ntɛmntɛm sɛnea ɛsɛ na wadu mpanyin afe so.

Bere bɛn na ɛsɛ sɛ me ne oduruyɛfo kasa fa eyi ho?

Sɛ wo ba no da sɛnkyerɛnne biara adi sɛ wanyin ntɛm, titiriw sɛ abofra no nni mfe 8 (sɛ ɔyɛ abeawa a) anaa mfe 9 (sɛ ɔyɛ abarimaa a) a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Wubetumi abisa nsɛm te sɛ eyinom:

• So me ba no refa mmerantebere ne mmabaabere mu ntɛm ankasa?
• Dɛn nti na eyi ato me ba no?
• Ayaresa bɛn na wokamfo kyerɛ ma me ba no?
• So me ba hia nnuru na ama watumi adi tebea yi so?
• So mmoa akuw bi wɔ hɔ a wɔboa mmofra a wodu wɔn mpanyin afe so ntɛm?
• So ɛsɛ sɛ yɛkɔ oduruyɛfo a ɔhwɛ mmofra a ɔhwɛ nipadua no mu?

Dɛn nti na ɛte sɛ nea mmeawa refa mmerantebere ne mmabaabere mu ntɛm nnansa yi?

Wɔ aman te sɛ United States mu no, wɔka sɛ su bi wɔ hɔ a ɛkyerɛ sɛ mmeawa bɛhyɛn mmerantebere ne mmabaabere mu ntɛm. Yebetumi aka sɛ ade biako nti a ɛte saa ne kɛseyɛ mmoroso a ɛrekɔ soro wɔ saa aman no mu no. Sɛnea nhwehwɛmufo kyerɛ no, abusuabɔ bi wɔ Body Mass Index (BMI) a ɛkɔ soro ne nufu a enyin ntɛm ntam. Gyidi bi nso wɔ hɔ sɛ nnuan a wɔayɛ no foforo a srade pii wom a wodi dodo nso betumi ama obi ababunbere ntɛm.

Afei nso, wɔkyerɛ sɛ mmusuakuw a wofi mu nya eyi so nkɛntɛnso. Sɛ nhwɛso no, wɔbɔ amanneɛ sɛ mmeawa a wɔyɛ abibifo ne Hispanicfo a wɔwɔ United States no du wɔn mpanyin afe so ntɛm sen mmusuakuw afoforo. Esiane sɛ kɛseyɛ mmoroso abu so kɛse wɔ akuw yi mu nti, ɛno nso betumi ayɛ nea enti a mmabunbere a ɛba ntɛm no kɔ soro yi.

Nanso, eyinom taa yɛ nhwehwɛmu a wɔyɛ wɔ amannɔne aman mu. Ebia tebea a ɛwɔ yɛn man yi mu no bɛyɛ soronko. Enti , sɛ w’adwene mu yɛ wo naa wɔ wo ba no ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhwehwɛ aduruyɛfo afotu.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Mmabunbere betumi ayɛ adesoa kakra ama abofra no ne awofo no nyinaa. Nanso ɛho hia sɛ wohu eyi.

• Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woadu mpanyin afe so ntɛm (ansa na mmeawa bedi mfe 8 ne mmarimaa ansa na wɔadi mfe 9) a, mfa nyɛ hwee. Kɔ oduruyɛfo nkyɛn ntɛm ara.
• Nneɛma ahorow bi betumi ama eyi aba. Ɛtɔ mmere bi a, ebia wɔrenhu nea ɛde ba pefee. Nanso, aduruyɛ mu nhwehwɛmu betumi aboa ma woahu.
• Ayaresa ahorow a etu mpɔn wɔ hɔ. Sɛ wohu abofra no ntɛm na wɔsa no yare a, wobetumi akura abofra no nkɔso mu sɛnea ɛsɛ.
• Ma w’adwene nsi wo ba no adwenemyare nso so. Ebia ɛbɛyɛ den ama wɔn sɛ wobegye nsakrae yi atom. Ma wɔn ɔdɔ ne mmoa. Fa wɔn kɔ afotuo nkyɛn sɛ ɛho hia a.

Nea ehia paa ne sɛ wubehu sɛ ɛnyɛ wo nkutoo na wowɔ hɔ. Nnuruyɛfo wɔ hɔ sɛ wɔbɛboa wo ne wo ba no. Enti nsuro, na bere nyinaa hwehwɛ aduruyɛ mu afotu bere a w’adwene mu yɛ wo naa no.

` Precocious Puberty, hormones, mmofra nkɔso, mmabunbere, mmeawa, mmarimaa