Ðe viwòa le sɔhɛmenɔɣi si tsi megbe la me toma? (Delayed Puberty) Mina míaƒo nu tso esia ŋu!

Ɣeaɖewoɣi la, àte ŋu asusui be, ‘Oo, vinyea gakpɔtɔ nye ɖevi sue, ɖe matsi abe ɖevi bubuwo ene oa?’ Alo ne wò ŋutɔ wòe nye ƒewuivi la, ‘Xɔ̃nyewo katã trɔ, nukae gblẽ le ŋunye?’ Esia ate ŋu anye nyabiase si ɖea fu na dzila geɖe, kpakple ɖevi suewo hã. Egbea, mina míaƒo nu tso nusi sɔhɛmenɔɣi nye, nusita wòtsi megbe, kple nusi woawɔ le ɣeyiɣi sia tɔgbe me ŋu. Mègatsi dzi o, míaɖe nusianu me bɔbɔe.

Nukae wòfia be ame naɖo ame tsitsi me?

Kpuie ko la, sɔhɛmenɔɣi nye ɣeyiɣi si me wò ŋutilã trɔna tso ɖevi tɔ dzi va zua ame tsitsi tɔ. Le ɣeyiɣi sia me la, wò ŋutilã toa tɔtrɔ geɖe me. Èdzea dzesidede tɔtrɔ siawo gɔme. Zi geɖe la, nyɔnuviwo dzea tɔtrɔ siawo gɔme tso ƒe 8 va ɖo ƒe 14. Ŋutsuviwo dzea egɔme tso ƒe 9 va ɖo ƒe 15. Azɔ, kpɔ alesi ƒexɔxɔ sia keke tae ɖa. Ema fia be ɖevi aɖewo dzea sɔhɛmenɔɣi gɔme kaba vie, eye ɖewo hã dzea egɔme vie. Esia sɔ ŋutɔ. Eyata mègatsi dzi ne wò ŋutilã dze tɔtrɔ gɔme ƒe ʋɛ aɖewo do ŋgɔ alo emegbe wu xɔ̃wòwo o, alo? Gake ɣeaɖewoɣi la, nɔnɔme aɖewo li siwo me wò ŋutilã medzea tɔtrɔ gɔme kura le ƒe sia si nèxɔ nyuie megbe gɔ̃ hã o. Emae nye nusi míeyɔna be `(Delayed Puberty)` alo "delayed puberty". Gake mehiã be nàtsi dzi o, elabena zi geɖe la, ɖɔktawo ate ŋu akpe ɖe ɖevi suewo ŋu le sɔhɛmenɔɣi sia si tsi megbe eye woana woasɔ kple ame bubuwo.

Nukawoe nye sɔhɛmenɔɣi ƒe dzesi siwo bɔ?

Enyo, azɔ na míakpɔ tɔtrɔ siwo dzɔna ɖe ŋutilãa dzi ne míeɖo sɔhɛmenɔɣi.

Tɔtrɔ siwo wowɔ na nyɔnuviwo:

Ne nyɔnuvie nènye la, àte ŋu akpɔ nusiawo:

• Wò nowo le tsitsim .
• Akɔtafu dzea dzedze gɔme le teƒe siwo ame aɖeke mele o.
• Kasia èkɔna ɖe edzi, si fia be èle "tsitsi ƒe ʋuʋu" me tom.
• Èle dzinu kpɔm , si fia be wò dzinukpɔkpɔ le egɔme dzem.
• Ŋutilã ƒe nɔnɔme trɔna, akɔta ƒe akpaa kekena.

Vovototo siwo le ŋutsuviwo gome:

Ne ŋutsuvie la, àte ŋu ade dzesi tɔtrɔ siawo:

• Akɔta kple mo ƒe fu dzea dzedze gɔme le teƒe siwo ame aɖeke mele o.
• Ètsina hã zi ɖeka (tsitsi ƒe ʋuʋu).
• Wò vidzidɔ kple vidzinu dzea tsitsi gɔme.
• Ŋutilã ƒe nɔnɔme trɔna – abɔtawo kekena, lãmekawo va nɔa ŋutilãa ŋu, eye eƒe dzedzeme va zua ŋutsu tɔ.

Tɔtrɔ siawo katã dzɔna le gbɔdɔdɔ ƒe lãmetsi siwo le míaƒe ŋutilã me ta. Lãmetsiŋusẽ si woyɔna be ``Testosterone`` le ŋutsuviwo me kple ``Estrogen`` le nyɔnuviwo me dzea wɔwɔ gɔme le agbɔsɔsɔ gã aɖe me le ɣeyiɣi sia me wu tsã. Esia tae tɔtrɔ siawo katã dzɔna ɖo.

Nukae dzɔna le sɔhɛmenɔɣi si tsi megbe?

Azɔ na míakpɔ nusiwo nye sɔhɛmenɔɣi ƒe megbetsitsi ƒe dzesiwo ɖa. Dzesi siwo bɔ koe esiawo nye, gake mègatsi dzodzodzoe ne esiawo dometɔ ɖeka alo eve le ŋuwò o. Nu nyuitɔ si nàwɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Ŋutsuviwo ƒe sɔhɛmenɔɣi ƒe nuwuwu ƒe dzesiwo:

• Ne ŋutsu ƒe vidzinu kple vidzidɔ medze tsitsi gɔme hafi wòxɔ ƒe 14 o.
• Ne exɔ wu ƒe 5 hafi vidzinuwo ƒe tsitsi wu enu.
• Ne èle kpuie wu xɔ̃wò bubuawo la, ke esi wole tsitsim kabakaba le ɣeyiɣi sia me tae.

Dzesi siwo dzena le nyɔnuviwo ƒe heheɖemegbe ŋu:

• Ne wò nowo medze tsitsi gɔme hafi xɔ ƒe 14 o.
• Ne mèdze dzinukpɔkpɔ gɔme le ƒe 5 me tso esime wò no tsi o, alo hafi nèxɔ ƒe 16.

Ðo ŋku edzi be dzesi siwo bɔ koe esiawo nye. Ne wò ŋutɔ alo viwòa tsi dzi ɖe esia ŋu la, anyo wu be nàyi ɖɔkta gbɔ.

Nukatae sɔhɛmenɔɣi tsi megbe nenema gbegbe ɖo? Nukawoe nye susu siwo tae?

Abe alesi seƒoƒowo sea seƒoƒo le ɣeyiɣi vovovowo me ene la, nenema ke amewo hã sea seƒoƒo. Gake ɣeaɖewoɣi la, susu tɔxɛ aɖewo ate ŋu anɔ anyi si tae wohe ɖe megbe alea ɖo.

Ðe ƒome ŋutinya le veviea? (Ƒomea ƒe Ŋutinya) .

Zi geɖe la, esia nyea domenyiŋusẽfianu. Ne míagblɔe tututu la, enye ŋgɔyiyi ƒe ɖoɖo aɖe si zɔna le ƒomea me. Ðewohĩ dawò, fofowò, tɔɖiwò, nyruiwò, nɔviwòŋutsu, nɔviwònyɔnu, nɔviwò suetɔ, ​​nɔviwònyɔnu suetɔ, ​​alo ƒometɔ bubuwo tsi megbe vie. Woyɔa esia be "dukplɔse ƒe megbetsitsi", alo "late bloomer" ko. Zi geɖe la, esia mehiã be woawɔ atike nɛ o. Ðevi sue siawo tɔgbe ɖoa sɔhɛmenɔɣi ɖe game dzi, ne wotsi megbe vie wu ame bubuwo gɔ̃ hã, gake le mɔ si sɔ nu.

Ðe dɔléle aɖewo hã ate ŋu akpɔ ŋusẽ ɖe edzia? (Atikewɔwɔ ƒe Kuxiwo) .

Ẽ, dɔléle aɖewo hã ate ŋu ahe sɔhɛmenɔɣi ɖe megbe.

• Atikewɔwɔ ƒe nɔnɔme aɖewo siwo nɔa anyi didi, abe suklidɔ , cystic fibrosis , ayikudɔ , alo asrã ene, ate ŋu ahe sɔhɛmenɔɣi ɖe megbe. Nɔnɔme siawo ate ŋu akpɔ ŋusẽ ɖe woƒe tsitsi dzi. Gake ne woda nɔnɔme siawo nyuie hekpɔ wo gbɔ la, woate ŋu akpe ɖe ame ŋu be woaɖe sɔhɛmenɔɣi ƒe megbetsitsi ƒe afɔkua dzi akpɔtɔ .
• Nenema ke ame si mekpɔa nu nyui ɖuna o – si fia be ame si mele nuɖuɖu kple nunyiame si sɔ gbɔ kpɔm o – ate ŋu aɖo sɔhɛmenɔɣi megbe wu wo hati siwo ɖua nuɖuɖu si naa lãmesẽ, si da sɔ. Le kpɔɖeŋu me, sɔhɛ siwo ŋu nuɖuɖukuxiwo abe anorexia nervosa ene le la tsina ɣeaɖewoɣi ale gbegbe be woƒe ŋutilã metsina nyuie o.
• Ne nyɔnuviwo dea kame geɖe hewɔa kamedefefe la, woƒe ŋutilã ate ŋu aɖiɖi ŋutɔ, si ate ŋu ahe woƒe sɔhɛmenɔɣi ɖe megbe. Nyɔnuvi ƒe ŋutilã hiã ami agbɔsɔsɔme aɖe hafi wòaɖo sɔhɛmenɔɣi eye wòadze dzinukpɔkpɔ gɔme.
• Nu bubue nye be kuxi siwo le míaƒe ahɔhɔ̃ me lãkusi kple lãkusi si le míaƒe kɔ me hã ate ŋu ahe sɔhɛmenɔɣi ɖe megbe. Lãmenugbagbevi siawo wɔa lãmetsiŋusẽ siwo le vevie na ŋutilãa ƒe tsitsi kple tsitsi.

Dzɔdzɔmeŋusẽ ƒe Kuxiwo

Ɣeaɖewoɣi la, kuxiwo ate ŋu anɔ ame siwo meɖoa sɔhɛmenɔɣi ɖe game dzi o la ŋu le woƒe domenyiŋusẽfianuwo ŋu. Dzɔdzɔmeŋusẽŋununya le abe DNA kakɛ siwo me alesi míaƒe ŋutilã atsie ƒe nɔnɔmetata le ene. Kuxi siwo le domenyiŋusẽfianu siawo ŋu ate ŋu akpɔ ŋusẽ ɖe tsitsi si sɔ dzi.

• Le kpɔɖeŋu me, nɔnɔme aɖe si woyɔna be `(Turner Syndrome)` . Esia tsoa nyɔnuvi ƒe X domenyiŋusẽfianu eveawo dometɔ ɖeka ƒe dɔmawɔmawɔ nyuie alo eƒe bu gbɔ. Esia gblẽa nu le nyɔnuvi ƒe tsitsi, azigolowo ƒe tsitsi, kple gbɔdɔdɔ ƒe lãmetsiwo wɔwɔ ŋu. Nyɔnu siwo womewɔ atike na o siwo ŋu `(Turner Syndrome)` le la le kpuie wu alesi wòle dzɔdzɔmee, ɖewohĩ womate ŋu aɖo sɔhɛmenɔɣi le mɔ si sɔ nu o, eye lãmesẽkuxi bubuwo ate ŋu anɔ wo ŋu.
• Le nɔnɔme aɖe si woyɔna be Klinefelter Syndrome , si dzea ŋutsuviwo dzi me la, wodzia wo kple X domenyiŋusẽfianu bubu (XXY ɖe XY teƒe). Nɔnɔme sia ate ŋu ana gbɔdɔdɔ ƒe tsitsi nahe ɖe megbe. Zi geɖe la, ŋutsuvi siwo ŋu dɔléle sia le la kɔkɔna wu woƒe ƒexɔxɔ, ate ŋu anye be nusɔsrɔ̃ ƒe kuxiwo le wo ŋu, eye lãmesẽkuxi bubuwo hã ate ŋu anɔ wo ŋu.

Susu geɖewo ate ŋu anɔ esia ta, si tae wòle vevie be nàkpɔ ɖɔkta be nàdi nusi tututu gbɔ wòtso.

Aleke wokpɔa sɔhɛmenɔɣi si tsi megbe?

Nya nyuiae nye be ne kuxi aɖe do mo ɖa la, zi geɖe la, ɖɔktawo ate ŋu akpe ɖe ɖevi sue siwo ƒe sɔhɛmenɔɣi tsi megbe ŋu eye woƒe tsitsi nagaɖo eƒe nɔnɔme nyuitɔ me. Ne wò ŋutɔ alo viwòa tsi dzi ɖe esia ŋu la, kpɔ egbɔ be yewɔ ɖoɖo kple wò ɖɔkta. Ðɔktaa awɔe be:

• Gbã la, woado wò kpɔ (ŋutilã dodokpɔ).
• Bia nenye be tsitsi ƒe nɔnɔme sia ƒomevi nɔ wò ƒomea me kpɔ (atikewɔwɔ ŋutinya).
• Wobiana be atike aɖewo le asiwò nàno hã.
• Woléa ŋku ɖe wò tsitsi ƒe nɔnɔmetata ŋu hekpɔnɛ ɖa be nɔnɔme aɖe li si fia be kuxi aɖe li hã.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu awɔ dodokpɔwo abe:

• Woate ŋu aɖe gbe be woado ʋu kpɔ be thyroid, pituitary, chromosome, alo kuxi bubuwo hã le wo ŋu.
• Woate ŋu adɔ "Bone Age X-ray" be woakpɔe ɖa be wò ƒuwo le tsitsim nyuie hã.

Aleke wowɔa nu ɖe ​​esia ŋui?

Zi geɖe la, ɖɔktawo mete ŋu kpɔa ŋutilã me kuxi aɖeke si le eme o. Ðeko sɔhɛ geɖe siwo ƒe sɔhɛmenɔɣi tsi megbe la le tsitsim megbe vie wu alesi wòle dzɔdzɔmee. Woɖoa ame bubuwo ɖe ɣeyiɣi nyuitɔ dzi. Gake ne ɖɔktawo kpɔ kuxi aɖe la, woate ŋu aɖo wò ɖe ɖeviwo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ — ɖɔkta si bi ɖe ɖeviwo kple sɔhɛ siwo ŋu tsitsimekuxiwo le dada me — alo ɖe eŋutinunyala bubu gbɔ be woagawɔ dodokpɔ alo atike na wò. Le "seƒoƒotsila siwo tsi megbe" dometɔ aɖewo gome la, ɖɔktawo ate ŋu aŋlɔ lãmetsiŋusẽtikewo hã na wo:

• Le ŋutsuviwo gome la, woateŋu ana ɣeyiɣi kpui aɖe ƒe atikewɔwɔ kple lãmetsi si nye ``Testosterone'' (si wodona zi geɖe abe atike si wodona na wo ɣleti sia ɣleti hena ɣleti 4-6) be woatsɔ adze sɔhɛmenɔɣi ƒe tɔtrɔwo gɔme.
• Le nyɔnuviwo gome la, woateŋu ana lãmetsi si nye ``(Estrogen)'' ƒe agbɔsɔsɔ sue aɖe abe ɣleti 4-6 ene be woadze no ƒe tsitsi gɔme.

Ne wowu atikewɔwɔ sia nu la, zi geɖe la, wò ŋutilã ŋutɔ ƒe lãmetsiŋusẽwo adze dɔwɔwɔ gɔme eye àwu sɔhɛmenɔɣi ƒe ɖoɖoa nu. Ne menye nenema o la, wò ɖɔkta aƒo nu tso gbɔdɔdɔ ƒe lãmetsiwo nono ɣeyiɣi didi ŋu na wò.

Aleke nènɔa agbe ɖe nɔnɔme sia nu? Aleke nèwɔna tsoa nya me?

Ate ŋu asesẽ be nàlɔ̃ ɖe edzi be menye wò ɖeka koe ne xɔ̃wòwo katã tsi eye woto vovo o. Ðewohĩ àse le ɖokuiwò me be yemanɔ abe ame bubu ɖesiaɖe ene gbeɖe o. Ne ɖɔkta alo dziwòlawo gblɔ na wò be, "Nusianu nyo" hã la, mele bɔbɔe be nàlala be nane nadzɔ si akpɔ ŋusẽ ɖe dziwò o.

Ne èlé blanui, yetsi akogo, alo dzi ɖe le ƒowò, alo ne ele ŋusẽ kpɔm ɖe wò sukudɔdasiwo alo kuxi bubuwo dzi la, ƒo nu kple dawò, fofowò, ɖɔkta, alo ame tsitsi bubu si dzi nèka ɖo godoo. Woate ŋu akpe ɖe ŋuwò nàkpɔ aɖaŋuɖola alo atikewɔla si nàte ŋu aƒo nu kplii. Woate ŋu ase wò seselelãmewo gɔme eye woafia mɔ siwo dzi nàto akpɔ wo gbɔe wò.

Ƒewuiwo ƒe heheɖemegbe ate ŋu anye nusi gbɔ kpɔkpɔ sesẽ, aleke kee nèlɔ̃ ɖe edzii o. Gake zi geɖe la, enyea kuxi si woate ŋu ada. Ne nane tsi dzi na wò le wò tsitsi ŋu la, metsi megbe gbeɖe be nàdi kpekpeɖeŋu o.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata, nu vevi aɖewo na wò tso nusiwo ŋu míeƒo nu tsoe me enye si:

• Susu geɖe ate ŋu anɔ anyi siwo tae ƒewuiwo tsi megbe ɖo.
• Zi geɖe la, esia nyea nusi bɔ si ƒua du le ƒomea me ("late bloomer").
• Zi geɖe la, atikewɔlawo ƒe kpekpeɖeŋu li.
• Ne ɖikeke aɖe le mia alo viwòa ŋu le esia ŋu la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi me o.
• Be nàɖe nuteɖeamedzi si nèsena le ɖokuiwò me le ɣeyiɣi sia me dzi akpɔtɔ la, ele vevie ŋutɔ be nàƒo nu kple amesi dzi nèka ɖo.

Menye wò ɖeka koe o, kpekpeɖeŋu li ɣesiaɣi!

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ƒewuiwo ƒe heheɖemegbe, sɔhɛmenɔɣi ƒe megbetsitsi, lãmetsiŋusẽ, sɔhɛmenɔɣi ƒe tsitsi, atikewɔwɔ ŋuti aɖaŋuɖoɖo, nunyiame, dukplɔse ƒe megbetsitsi