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

Ðe nèse le ɖokuiwò me kpɔ be viwòa xɔlɔ̃ bubu siwo nye woƒe ƒemetɔwo katã le kɔkɔm ɖe edzi, woƒe gbe le tɔtrɔm, eye wole abe ame tsitsiwo ene, gake viwòa gakpɔtɔ nye ɖevi sue aɖea? Esia nye nusi ŋu dzila geɖe tsi dzi ɖo vie, eye ate ŋu ado vɔvɔ̃ na wo vie. Enye nusi sɔ be nàbia ɖokuiwò be, "Ðe nane gblẽ le vinyea ŋua?" Gake mègatsi dzi o. Egbea, míaƒo nu tso nɔnɔme aɖe si woyɔna be ‘ Ƒewuivi ƒe Heheɖemegbe ’ ŋu.

Nukae nye sɔhɛmenɔɣi sia si tsi megbe?

Kpuie ko la, sɔhɛmenɔɣi nye ale si wòtrɔna tso ɖevi ƒe ŋutilã me va zua ame tsitsi ƒe ŋutilã si te ŋu dzia vi. Esia medzɔna le zã ɖeka me o. Kadodo sesẽ aɖe si le míaƒe ahɔhɔ̃, ahɔhɔ̃meka si le ahɔhɔ̃a me, kple ɖevia ƒe vidzidziŋutetewo ( nyɔnuviwo ƒe azigolowo kple ŋutsuviwo ƒe vidzidɔ ) domee kpɔa ŋusẽ ɖe nuwɔna sia dzi.

Lãmetsiŋusẽ siwo ŋutinu siawo wɔnae nye nusiwo hea ŋutilã me tɔtrɔ bubuwo vɛ le sɔhɛmenɔɣi. Le nyɔnuviwo gome la, azigolowo tea estrogen geɖe wɔwɔ , eye le ŋutsuviwo gome la, vidzidɔa tea testosterone geɖe wɔwɔ .

Zi geɖe la, nyɔnuviwo dzea sɔhɛmenɔɣi ƒe dzesiwo ɖeɖefia gɔme tso ƒe 8 va ɖo ƒe 14, eye ŋutsuvi siwo xɔ tso ƒe 9 va ɖo ƒe 15. Ne nyɔnuvi medze tɔtrɔ siawo gɔme hafi wòxɔ ƒe 14 alo ŋutsuvi medze tɔtrɔ siawo gɔme hafi xɔ ƒe 15 o la , míeyɔnae be ‘ƒewumevinyenye si tsi megbe.’ Anyo wu be nàkpɔ wò ɖɔkta be yeanya nusi gbɔ esia tso. Wò ɖɔkta ate ŋu aɖo wò ɖe lãmetsiŋusẽŋutinunyala bibi aɖe, si woyɔna be lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala .

Nukawoe nye sɔhɛmenɔɣi ƒe megbetsitsi ƒe dzesiwo?

Míekpɔa sɔhɛmenɔɣi si tsi megbe be enye ŋutilã me tɔtrɔ siwo adzɔ zi geɖe le ƒe ma me ƒe anyimanɔmanɔ. Mina míalé ŋku ɖe nusiwo vovototo siawo nye le nyɔnuviwo kple ŋutsuviwo dome ŋu.

Nyɔnuviwo ƒe sɔhɛmenɔɣi

nyɔnuvi ƒe sɔhɛmenɔɣi ƒe dzesiwo ate ŋu adze egɔme ɣeaɖewoɣi tso esime wòxɔ ƒe 8. Esiawoe nye tɔtrɔ vevitɔwo.

Ŋutsuviwo ƒe sɔhɛmenɔɣi

Zi geɖe la, ŋutsuviwo ƒe sɔhɛmenɔɣi dzea egɔme tso ƒe 9 xɔxɔ vɔ megbe. Esiawoe nye tɔtrɔ vevitɔwo.

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

Nu gbãtɔ si gɔme wòle be míase enye be sɔhɛmenɔɣi toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Ne viwò xɔlɔ̃wo ɖo sɔhɛmenɔɣi do ŋgɔ gɔ̃ hã la, ate ŋu adzɔ be viwòa nanɔ afisi wòle be wòanɔ kokoko. Gake susu aɖewo koŋ li siwo tae sɔhɛmenɔɣi ate ŋu ahe ɖe megbe ɖo.

• Ƒomea me tɔ: Tsɔe be ne wò, si fia be dawò alo fofowò, tsi megbe vie esime nènye ɖevi la, mɔnukpɔkpɔ nyui aɖe li be viwò hã nawɔ nenema ke. Esia nye nusi ƒe dome wonyi.

• Dukplɔse ƒe tsitsi ƒe megbetsitsi: Esiae nye nusi gbɔ ŋutsuviwo ƒe sɔhɛmenɔɣi tsi megbe wu. Kpuie ko la, ŋutsuvi siawo ƒe ƒu ƒe tsitsi, alo “ƒu ƒe tsitsi” nɔa blewu wu ame bubuwo. Esia menye dɔléle o. Alesi ɖevia ƒe ŋutilã tsinae ko. Le ɣeyiɣi aɖe megbe la, ŋutsuvi siawo aɖo woƒe ƒewuiwo me eye woaɖo woƒe kɔkɔme si sɔ.

• Nusiwo gbɔ wòtsona be wowɔa dɔ: Ɣeaɖewoɣi la, ahɔhɔ̃a tsia megbe le dzesi si woatsɔ awɔ lãmetsiŋusẽwo la ɖoɖo ɖa me. Míeyɔa esia le atikewɔwɔ me be (Hypogonadotropic hypogonadism) . Ne dzesi sia bu la, lãkusia meɖoa gbedasia ɖe azigolowo alo vidzidɔwo be woawɔ lãmetsiŋusẽwo o. Nusi dona tso emee nye sɔhɛmenɔɣi ƒe megbetsitsi.

• Dɔléle si nɔa anyi didi: Ne atikewɔwɔ ƒe nɔnɔme aɖe le ɖevi ŋu ɣeyiɣi didi aɖe (e.g., suklidɔ , ayikudɔ , asrã, celiac dɔléle), ate ŋu ade nuteɖeamedzi geɖe ŋutilãa dzi. Esia ate ŋu ahe tsitsi kple sɔhɛmenɔɣi ahe ɖe megbe.

• Nunyuimakpɔɖui: Ne ŋutilãa mekpɔ nunyiame siwo wòhiã o la, tsitsi metsina o. Esia ate ŋu atso kamedede fũ, nuɖuɖukuxiwo, alo nuɖuɖu si mesɔ o gbɔ.

• Domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie: Domenyiŋusẽfianu aɖewo, abe Turner ƒe dɔléle le nyɔnuviwo ŋu kple Klinefelter ƒe dɔléle le ŋutsuviwo gome ene, ate ŋu ana sɔhɛmenɔɣi nahe ɖe megbe alo manɔ anyi o. Esiawo bia be woawɔ dodokpɔ le nudokpɔƒe hafi anya dɔlélea.

Aleke wowɔa atike nɛ?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, ado ɖevia kpɔ nyuie eye ne ehiã la, abia be woado ʋu kpɔ eye woawɔ asi ƒe X-ray. X-ray la ate ŋu anya ƒe si ɖevia xɔ le ƒuwo me.

• Nɔnɔme aɖe si gbɔ wòtso dada: Ne nusi gbɔ sɔhɛmenɔɣi tsi megbe nye atikewɔwɔ me nɔnɔme bubu la, nɔnɔme ma dada nyuie ana sɔhɛmenɔɣi nadzɔ le dzɔdzɔme nu.
• Lala: Zi geɖe, vevietɔ ne enye ƒome ŋutinya alo ``Dukplɔse ƒe tsitsi ƒe megbetsitsi'' ƒe nɔnɔme la, ɖɔkta agblɔ be, "Mina míalala vie." Elabena le dzɔdzɔme nu la, ɖevi siawo aɖo sɔhɛmenɔɣi, togbɔ be etsi megbe vie hã.
• Lãmetsiŋusẽdɔdamɔnu: Ne viwòa lé blanui vevie, eɖe eɖokui ɖa le xɔlɔ̃wo ŋu, edzudzɔ kamedefefewo, alo sukudɔdasiwo le fu ɖem nɛ la, wò ɖɔkta ate ŋu atso nya me be yeadze lãmetsiŋusẽtikewo zazã gɔme. Esia bia be woana ŋutsuviwo kple nyɔnuviwo estrogen le agbɔsɔsɔ sue aɖe me hena ɣleti ʋɛ aɖewo.

Ðe esia ate ŋu akpɔ ŋusẽ ɖe ɖevia dzi le susu mea?

Ɛ̃. Esiae nye nusi ŋu wòle be míalé ŋku ɖo wu. Togbɔ be esia menye dɔléle si me afɔku le le atikewɔwɔ me o hã la, ate ŋu anye nuteɖeamedzi gã aɖe na ɖevia ƒe susu. Bu ale si gbegbe wòtena ɖe ɖevi aɖe dzi be eya ɖeka koe le sue esime wo xɔlɔ̃wo katã le tsitsim la ŋu kpɔ.

• Woate ŋu atu bubumademade wo ɖokui ŋu .
• Ðevi bubuwo ate ŋu aɖe wo ɖa ahawɔ anyra le wo ŋu .
• Woate ŋu aɖe wò le kamedefefewɔhawo kple hadomenuwɔnawo me.
• Ðevi aɖewo ate ŋu adze ŋgɔ nɔnɔmewo abe blanuiléle ene gɔ̃ hã .

Nu gãtɔ kekeake si nàte ŋu awɔ abe dzila enee nye be nàna viwòa nakpɔ ŋusẽ ɖe susu me.Enyo. Gblɔ na viwòa ɣesiaɣi be heheɖemegbe koe esia nye, be le ɣeyiɣi aɖe megbe la, atsi abe exɔlɔ̃wo ene. Ðo to viwòa ƒe nyawo. Na wòaƒo nu tso nusi le susu me nɛ ŋu. Ne ehiã la, anyo hã be nàxɔ aɖaŋuɖola aɖe ƒe kpekpeɖeŋu be wòaƒo nu kple viwòa.

Ƒewuiwo ƒe heheɖemegbe, sɔhɛmenɔɣi ƒe megbetsitsi, ɖeviwo ƒe tsitsi, lãmetsiŋusẽ ƒe kuxiwo, ƒewuimenɔɣi, ɖeviwo ƒe lãmesẽ, dukplɔse ƒe tsitsi ƒe megbetsitsi