Kei te kite wawe koe i ngā panonitanga o te tinana o tāu pēpi? Me kōrero tātou mō Adrenarche!

Kua tīmata koe ki te kite i ētahi panonitanga i roto i te tinana o tāu tamaiti, i mua atu pea i tō whakaaro? I ētahi wā, he rite ki te tupu o te huruhuru i roto i ngā kēkē, i ngā wāhanga tūmataiti rānei, he rite rānei ki te haunga werawera? He mea noa ki te whaea, ki te pāpā rānei te mataku me te manukanuka ina kite i ēnei mea. Nō reira, i tēnei rā, me kōrero tātou mō tētahi tukanga taiao e kiia nei ko te adrenarche, koinei pea te take o tēnei.

E mōhio ana koe he aha te Adrenarche?

He whakarāpopototanga noa iho, he tukanga taiao a Adrenarche e tīmata ai ngā repe adrenal o tāu tamaiti ki te whakaputa i te homoni e kiia nei ko te DHEA (Dehydroepiandrosterone). I te nuinga o te wā ka tīmata tēnei i waenga i te 6 me te 8 tau te pakeke. Hei whakamārama ake, ka puta tēnei i te rua tau i mua i te tīmatanga o te tamaiti ki te whakaatu i ngā tohu o te pakeketanga (pubarche).

Whakaarohia tēnei homoni DHEA hei rauemi mata. Ka whakamahia e tō tātou tinana hei hanga i ētahi atu homoni nui. Hei tauira, ko ngā homoni o te rōpū androgen (pērā i te testosterone me te androstenedione) me te homoni estrogen ka hangaia mai i tēnei DHEA. Ka āwhina ēnei homoni androgen ki te tīmatanga o te pakeketanga, ā, he mea nui hoki mō te hauora uri me te tipu o te tinana.

Ko tētahi atu momo o te DHEA e kiia ana ko te DHEAS (Dehydroepiandrosterone-sulfate). Koinei te momo o te DHEA e rere ana i roto i ō tātou toto. Ka taea e te whakamātautau toto te ine i te taumata o te DHEAS hei whakatau mēnā kei te mahi te mahi a te adrenal. Heoi, nā te mea he tukanga tūturu tēnei, kāore tēnei whakamātautau toto e mahia noa ana ki ngā tamariki.

He aha te mea e tupu ana i te wā o te adrenarche?

I te wā o te adrenarche, ka tīmata te whanake me te pakeke o te wāhanga o waho o ngā repe adrenal o tō pēpi, te adrenal cortex.

E toru ngā paparanga o tēnei cortex adrenal:

• Zona glomerulosa (paparanga o waho)
• Zona fasciculata (apa waenganui)
• Zona reticularis (paparanga o roto rawa). Ko tēnei wāhanga, e kiia nei ko te zona reticularis, te mea tino whanake i roto i te matepukupuku repeure.

I te whanaketanga o tēnei, ka whakaputahia e ngā repe adrenal te DHEA, ka hurihia e te tinana hei homoni androgen. Ko tēnei DHEA me ngā homoni e whakaputaina ana e ia ngā mea e tīmata ana, e whakanui ana rānei i ēnei e whai ake nei:

• Ngā repe hinu: Ko ēnei ngā repe i roto i tō tātou kiri e whakaputa ana i te hinu whakapūngao (sebum). Ka āwhina tēnei hinu whakapūngao i te kiri kia mau te makuku, ā, ka whakarato hoki i te paninga tiaki. Ka pā hoki tā rātou mahi ki te haunga tinana.
• Ngā repe apocrine: He repe motuhake ēnei e kitea ana i ngā wāhi pēnei i ngā kēkē me te hope. Ka noho kore mahi rātou tae noa ki te whakaohokia e ngā homoni adrenal i te huringa adrenal.
• Ngā makawe o te tūpāpaku me te tuara:Ko te huruhuru tūpāpaku he momo huruhuru he paku pouri ake, he matotoru ake. Nā te homoni androgen ka tīmata te tupu o ngā huruhuru o te tuara ki te wāhi tūpāpaku me ngā kēkē.

He mea nui, he rerekē ēnei homoni adrenal i ngā homoni e whakanui ana i te ū me te ira tāne (e kiia nei ko te gonadarche) i te wā pakeketanga. Ko te Gonadarche te whakanui ake i te whakaputanga o ngā homoni ira matua (estrogen, testosterone rānei) e ngā ovaries me ngā testicles. E hiahiatia ana ēnei whekau me ngā homoni mō te whakaputa uri ā-ira. Kāore ngā homoni adrenal e whai wāhi tika ana.

He tukanga motuhake, motuhake hoki te Adrenarche me te gonadarche. Kāore anō kia mōhiotia e ngā kairangahau he aha te mea e whakaoho ana i te adrenarche.

Kia pēhea te roa o te Adrenarche?

E rua tau te roa o te Adrenarche, tae noa ki te tīmatanga o te pubarche, te tohu tuatahi o te pakeketanga. Heoi, ka haere tonu te whakaputa DHEA e ngā repe adrenal o tāu tamaiti tae noa ki te pakeketanga. Ko ngā taumata DHEA te mea teitei rawa atu i te wā taitamarikitanga (tata ki te 20-24 tau te pakeke), kātahi ka heke haere i a koe e pakeke haere ana.

He aha ngā tohu o te Adrenarche?

Ina hoki, kāore he tohu ā-tinana e kitea ana o te adrenarche. Arā, ina piki ake ngā taumata DHEA i te tuatahi, kāore he huringa e kitea ana i roto i te tinana o te tamaiti e pā tika ana ki taua huringa.

Heoi, tata ki te rua tau i muri i te tīmatanga o te ngoikore o te adrenal, ka tīmata te puta o te pubarche , te huruhuru tūpāpaku rānei. E whakaaro ana ngā tākuta koinei te hua ā-tinana o te ngoikore o te adrenal. Ko te Pubarche te tīmatanga o te pakeketanga.

Ko ētahi atu āhuatanga o te makawe tūpāpaku ko:

• Te āhua o te huruhuru o te tuaka.
• Te haunga werawera (te haunga tinana / te haunga apocrine).
• Te nui haere o te hinuhinu o te kiri me te makawe o te tamaiti.
• Pūngāwerewere.

I tehea tau ka tīmata te puta o ngā huruhuru tūpāpaku?

He rerekē noa iho tēnei i waenga i ngā tamariki, i runga i te mea he tāne, he wahine rānei, tae atu ki te iwi me te iwi taketake. Hei tauira, anei ngā tau toharite e ai ki ngā rangahau i mahia i te Hononga o Amerika:

• Mō ngā kōtiro mangu ehara i te hunga Pāniora, tata ki te 9.5 tau te pakeke.
• Mō ngā kōtiro Mekihana-Amerika, e 10.3 tau te pakeke.
• Mō ngā kōtiro mā ehara i te hunga Pāniora, tata ki te 10.5 tau te pakeke.
• Mō ngā tama mangu ehara i te hunga Pāniora, e 11.1 tau te pakeke.
• Mō ngā tama Mekihana-Amerika, tata ki te 12.3 tau te pakeke.
• Mō ngā tama tāne mā ehara i te hunga Pāniora, tata ki te 12 tau te pakeke.

Ko te mea nui, ehara i te mea he rite katoa ngā tamariki, he rerekē te whanaketanga o te tinana o ia tangata, o ia tangata. Tērā pea he rite tonu ēnei tau mō ngā tamariki o Sri Lanka, engari he rerekētanga i waenga i te tamaiti me te tamaiti.Mena he pātai, he āwangawanga rānei āu mō te whanaketanga o tāu tamaiti, ko te mea pai ko te kōrero ki tō tākuta tamariki.

He aha te Adrenarche o mua?

Ko te adrenarche wawe ko te tīmatanga o ngā āhuatanga pēnei i te huruhuru o te kiri me te ringa me te manawa kino i mua i te wā e whakaarohia ana. I te nuinga o te wā, ka puta ēnei tohu i mua i te 8 tau te pakeke mō ngā kōtiro, ā, i mua i te 9 tau te pakeke mō ngā tama. Tērā pea he adrenarche wawe tēnei.

Ka kiia tēnei ko te pubarche wawe, nā te mea kāore e taea e tātou te mōhio mēnā kua tīmata wawe te tukanga o roto e kiia nei ko te adrenarche, kia puta rā anō te tohu ā-tinana, arā, te pubarche.

E whakaatu ana ngā rangahau e iwa ngā wā ka nui ake te tūponotanga o te pāngia o ngā kōtiro e tēnei mate i ngā tama. Kāore anō kia mōhiotia te take tuturu mō tēnei.

He aha ngā tohu o te adrenarche wawe?

Ko ngā tohu matua o te ngoikore o te adrenal ko:

• Te puta o ngā huruhuru ki te wāhi tūpāpaku me/ranei ki ngā kēkē i mua i te 8 tau te pakeke mō te kōtiro, i mua rānei i te 9 tau te pakeke mō te tama.
• Ka hiahia pea koe ki te whakamahi i tētahi mea pēnei i te deodorant i te haunga tinana mai i ngā kēkē.

He roa ake ngā tamariki e pāngia ana e tēnei momo ngoikore o te repe adrenal i ētahi atu o ō rātou tau, ā, i ētahi wā kei runga ake i te 90 ōrau o te roa i runga i ngā tūtohi teitei mō ō rātou tau me te ira tangata.

Engari anei tētahi mea hei maumahara: Kāore te pakeketanga o mua i te wā e puta ai te whanaketanga o ngā ū o mua i te wā, te whanaketanga rānei o te ira tangata i roto i ngā tama tāne (arā, te gonadarche). Mena kei te whakaatu wawe tāu tamaiti i ēnei huringa o te ū, o te ira tangata rānei, me te tipu o te huruhuru me te haunga tinana, ehara pea i te pakeketanga o mua i te wā, engari he āhuatanga e kiia nei ko te pakeketanga o mua i te wā . He rerekē te take.

Me pēhea te tautuhi i te Adrenarche o mua?

Mena kei te whakapaehia tāu tamaiti kei te pāngia e ngā tohu o te ngoikore o te adrenal, ka tirohia tuatahitia e tō tākuta tamariki mēnā he take kē atu mō ngā tohu. Ko ētahi o ēnei āhuatanga ko:

• Te pakeketanga wawe
• Te hyperplasia adrenal whānau - He raruraru whānau tēnei e pā ana ki te whakaputanga o ētahi homoni i roto i ngā repe adrenal.
• Te pānga o waho ki ngā androgens - hei tauira, mai i ētahi momo whakapaipai.
• Ngā pukupuku e huna ana i te androgen.

Ka tirotirohia tō tamaiti e te tākuta. I tēnei wā, ka hiahia pea ia ki te tirotiro i te wāhi ira tangata o te tamaiti. Ki te pērā, ka tino whiwhi ia i te whakaaetanga mai i a kōrua ko tō tamaiti (i runga i tōna tau). Ka tūtohu pea ia i ngā mea pēnei i ngā whakamātautau toto me ngā whakamātautau whakaahua.

I ētahi wā, ka tukuna pea koe e tō tākuta tamariki ki tētahi tākuta endocrinologist tamariki, he tohunga ki ngā homoni. Kia oti rā anō ēnei whakamātautau katoa, ā, kia kore ai e whakakorehia tētahi o ngā mate kino kua whakahuatia i runga ake nei, ka kitea ai he ngoikore te adrenal o tō tamaiti.

He mea nui kia mōhio koe ko te 90% o ngā makawe tūpāpaku o ngā tamariki i puta wawe mai i tēnei āhuatanga e kiia nei ko te koretake o te adrenal. Ko te toenga 10% i puta mai i ngā āhuatanga hauora kē atu kua whakahuatia i runga ake nei.

He Morearea te Adrenarche o Mua?

Hei mātua, he mea noa te mataku me te mataku ina puta wawe mai ngā huruhuru o te kēkē me te pubic o tāu tamaiti i te wā e tika ana, ina tīmata rānei te hongi i te werawera. Heoi, ko te koretake o te adrenocortical i te wā o mua ehara i te mea he mate kino tinana.

Heoi anō, kua whakaatuhia e ngā rangahau ka piki ake pea te mōrearea o ētahi raruraru hauora ā muri ake nei nā tēnei āhuatanga. Ko ētahi o ēnei raruraru ko:

• Momonatanga
• Te ātete ki te insulin - Ko te tikanga tēnei kāore ngā pūtau o te tinana e aro tika ki te insulin, ā, ka taea e tēnei te arahi ki te mate huka.
• Te mate ovary polycystic (PCOS) - He mate homoni tēnei i roto i ngā kōtiro e puta ai ngā pūwero iti ki runga i ngā ovaries.
• Ngā mate kare ā-roto - arā, ngā panonitanga o te kare ā-roto, pērā i te pouri, te manukanuka, me ētahi atu.

Haunga ēnei mōrearea tinana, ka pā anō hoki te pakeketanga wawe ki te hauora hinengaro o te tamaiti. Whakaarohia, ina pāngia te tamaiti e ngā huringa tōmua o tōna tinana, he rerekē ki ētahi atu tamariki o tōna tau, ka whakama pea rātou, ka kore e pai te noho, ka rerekē, ka rerekē hoki te āhua. Ka tawaihia pea rātou e ētahi atu tamariki (te tukino) ka whiwhi hoki i te aro kāore e hiahiatia mai i ētahi atu. Ki te kite koe kei te pouri, kei te manukanuka rānei tō tamaiti mō tētahi mea pēnei, he mea pai kia rapu tohutohu mai i tētahi tangata whai tohu, pērā i tētahi tohunga hinengaro tamariki.

He rongoā kei te wātea mō te adrenarche wawe?

Kāo. Kia tīmata te tupu o te huruhuru ki te wāhi tūpāpaku, ki ngā kēkē rānei, kāore he maimoatanga hei aukati, hei whakatupu anō rānei i taua huruhuru.

Ahakoa kei reira ētahi rongoā hei āwhina i te whakahaere i te tukanga homoni i roto i te āhuatanga e kiia nei ko te pakeketanga wawe, kāore ēnei rongoā e pā ki ngā homoni e pā ana ki ngā repe adrenal.

Ka taea te ārai i te Adrenarche o mua?

Kāore tēnei i te mea ka taea te ārai. Heoi, kua kitea e ngā rangahau ka piki ake te tūponotanga o te tamaiti ki te pāngia e te ngoikore o te repe adrenal. Ko ētahi o ēnei āhuatanga ko:

• Te whānautanga mai me te taumaha tino iti i te whānautanga (kei raro iho i te 2.5 kirokaramu, ara 5 pauna 8 aune, te taumaha i te whānautanga).
• Whānautanga wawe (whānau i mua i te 37 wiki o te hapūtanga).
• Mena kua pāngia koe e te whara o te roro, ka nui ake te mōrearea o te pakeketanga o te pakeketanga i tēnei momo whara o te roro.

Hei whakamutunga, ngā mea hei mōhio

Hei mātua, he mea noa te māharahara me te pōuri ina kite koe i tāu tamaiti e tipu haere ana, e pakeke haere ana, ina koa ka kite koe i aua huringa tinana i mua atu i te wā i whakaarohia.

Heoi, ko te mea nui me mōhio koe, he tukanga tūturu, he tukanga noa te adrenarche me te pubarche e haere tahi ana me ia, e puta ana i roto i te oranga o ia tamaiti.

Ka taea e te adrenarche o mua te whakamataku, engari kia maumahara, kāore e tino whara te tamaiti.

Mena he ruarua, he pātai rānei āu mō te whanaketanga o tāu tamaiti, mō ngā huringa rānei o tōna tinana, kaua e mangere ki te kōrero ki tō tākuta tamariki. Ka taea e te tākuta te tirotiro i tāu tamaiti, me te whakamārama atu ki a koe mēnā kei te whanake hauora ia, ā, e ai ki te tumanako.

` Adrenarche, Adrenarche, DHEA, Puberty, Pubarche, Puberty o mua o te wā, Adrenarche o mua o te wā, Hauora o te Tamaiti, Ngā Homoni, Te Whanaketanga o te Tamaiti