Nthawi zina, monga kholo, mungakhale ndi nkhawa mukaona kusintha kwa thupi la mwana wanu msanga. Mwachitsanzo, ndi zachilendo kukhala ndi nkhawa ngati muwona zinthu monga tsitsi la m'khwapa kapena fungo la thupi musanakwanitse zaka 8. Koma izi sizimakhala nthawi zonse zoopa. Lero, tikulankhula za njira yachilengedwe yotchedwa 'Adrenarche', yomwe imayambitsa vutoli.
Kodi Adrenarche ndi chiyani?
Mwachidule, adrenarche ndi njira yachilengedwe yomwe imachitika m'thupi la mwana wanu. Imachitika pamene ma adrenal glands a mwana ayamba kupanga mahomoni ambiri otchedwa DHEA (dehydroepiandrosterone). Izi nthawi zambiri zimachitika pakati pa zaka 6 ndi 8. Kunena zoona, imayamba pafupifupi zaka ziwiri mwana asanayambe kutha msinkhu.
DHEA ndi 'hormone yoyambirira'. Izi zikutanthauza kuti, thupi lathu limatenga DHEA ndikugwiritsa ntchito popanga mahomoni ena amphamvu. Awa amatchedwa androgens. Mwachitsanzo, mahomoni monga testosterone ndi androstenedione . Komanso, mahomoni a estrogen amapangidwa kuchokera ku DHEA. Mahomoni a androgen awa amathandiza kuyambitsa njira ya kutha msinkhu.
Taganizirani izi ngati masewero olimbitsa thupi a msinkhu wachinyamata. Adrenarche ali ngati kukonza siteji asanayambe chiwonetsero chenicheni.
Adrenarche imatha kuzindikirika poyesa kuchuluka kwa DHEAS (mtundu wina wa DHEA hormone) m'magazi. Komabe, chifukwa ichi ndi njira yachilengedwe, madokotala nthawi zambiri salamula ana kuti ayesedwe.
Kodi chimachitika n'chiyani m'thupi panthawi ya adrenal?
Munthawi imeneyi, gawo lapadera lakunja kwa adrenal gland ya mwana limakula. Pamene likukula, ma gland amapanga mahomoni otchedwa DHEA. Kenako thupi limagwiritsa ntchito DHEA kupanga mahomoni otchedwa androgen. Ma mahomoniwa amachititsa zinthu zotsatirazi kuchitika:
| Mphamvu ya mahomoni | Mwachidule... |
|---|---|
| Matenda a sebaceous amayamba kugwira ntchito | Khungu ndi tsitsi zimakhala ndi mafuta, zomwe zimapangitsanso kuti thupi likhale ndi fungo loipa. |
| Ma apocrine glands amayamba kugwira ntchito | Ma glands apadera a thukuta m'malo monga m'khwapa ndi m'mimba amayamba kugwira ntchito. Izi ndi zomwe zimayambitsa fungo la thupi. |
| Tsitsi la kumaliseche ndi la m'khwapa | Tsitsi lakuda komanso lokhuthala limayamba kuonekera m'malo obisika (mozungulira ziwalo zoberekera) komanso pansi pa makwapa. |
Koma izi n’zosiyana ndi kutha msinkhu kwenikweni (gonadarche) . Kutha msinkhu kwenikweni kumaphatikizapo kupanga mahomoni m’mazira mwa atsikana ndi m’machende mwa anyamata. Izi ndi zomwe zimayambitsa kukula kwa mabere mwa atsikana ndi kukula kwa ziwalo zoberekera mwa anyamata. Adrenarche ndi gonadarche ndi njira ziwiri zodziyimira pawokha zomwe sizigwirizana.
Kodi zizindikiro za adrenarche ndi ziti?
Adrenarche ikayamba mkati, palibe zizindikiro zakunja. Izi zikutanthauza kuti mahomoni a DHEA akayamba kuchuluka, thupi la mwana silidzasintha chilichonse.
Komabe, patatha zaka ziwiri Adrenarche itayamba, nthawi yotchedwa Pubarche imachitika chifukwa cha izi. Pubarche ndi chiyambi cha kukula kwa tsitsi m'ziŵalo zachinsinsi. Madokotala amaona kuti izi ndi zotsatira za Adrenarche. Ichi ndi chizindikiro choyamba chomwe chimasonyeza kuyamba kwa kutha msinkhu.
Zizindikiro zina zomwe zimawonedwa panthawi ya pubarche ndi izi:
- Kukula kwa tsitsi pansi pa makwapa
- Fungo la thupi
- Khungu ndi tsitsi lamafuta
- Ziphuphu
Kodi adrenarche isanafike nthawi yake ndi chiyani?
Adrenarche isanakwane nthawi ndi pamene zizindikiro zomwe takambirana kale, monga kukula kwa tsitsi ndi fungo la thupi, zimawonekera msanga kuposa momwe timayembekezera. Kawirikawiri, zizindikirozi zimawonekera atsikana asanakwanitse zaka 8 komanso anyamata asanakwanitse zaka 9. Matendawa amapezeka kwambiri mwa atsikana kuposa anyamata.
Zizindikiro za Adrenarche Yosakwana Nthawi
- Kuoneka kwa tsitsi la m'mimba ndi/kapena m'khwapa musanakwanitse zaka 8 mwa atsikana kapena 9 mwa anyamata.
- Fungo la thupi ndi loipa kwambiri moti muyenera kugwiritsa ntchito deodorant.
- Nthawi zina ana awa angakhale aatali kuposa ana ena a msinkhu wawo.
Apa pali chinthu chofunikira kwambiri. Pankhani ya Premature Adrenarche , atsikana sakula bwino, komanso anyamata sakula bwino. Ngati mwana wanu akuwonetsa zizindikiro izi, mwina ndi vuto lina lotchedwa 'Precocious Puberty'. Chifukwa chake, ndikofunikira kulankhula ndi dokotala wanu za izi.
Kodi mwapeza bwanji izi, Dokotala?
Ngati mwana wanu ali ndi zizindikiro izi za msinkhu wokhwima, dokotalayo adzayesa kaye kufufuza ngati pali vuto lina lalikulu lomwe limayambitsa zizindikirozi. Izi zingaphatikizepo kufufuza thupi la mwanayo komanso mwina kuchita mayeso a magazi ndi ma scan. Dokotalayo adzakupemphani chilolezo musanayang'ane ziwalo zoberekera.
Dokotala wanu angakutumizireninso kwa dokotala wa matenda a endocrinologist wa ana .
| Matenda ena omwe dokotala sakuvomereza | |
|---|---|
| Kutha msinkhu msanga | Kuyamba msanga kwa msinkhu (kukula kwa mabere, ziwalo zoberekera). |
| Congenital Adrenal Hyperplasia | Vuto lobadwa nalo ndi adrenal glands. |
| Zotupa zomwe zimatulutsa androgen | Mitundu ya zotupa zomwe zimapanga mahomoni a androgen. |
| Kuwonekera kwa Androgen Kuchokera Kunja | Mahomoni a Androgen omwe amalowa m'thupi kuchokera kunja (monga mafuta ena). |
Dokotala akatsimikizira kuti palibe zifukwa zina zazikulu, ndiye kuti adzatcha izi kuti 'Premature Adrenarche'. Ichi ndi chomwe chimayambitsa pafupifupi 90% ya ana omwe amakula tsitsi msanga.
Kodi Adrenarche Yosakwana Nthawi Ndi Yoopsa?
Zingakhale zoopsa kuona mwana wanu akukula msanga, koma adrenarche nthawi zambiri siimakhala yoopsa mwakuthupi.
Komabe, kafukufuku wapeza kuti ana awa akhoza kukhala ndi chiopsezo chowonjezeka pang'ono cha kunenepa kwambiri, kukana insulin, polycystic ovary syndrome (PCOS), komanso mavuto ena azaumoyo mtsogolo .
Kupatula kungokhudza thupi, izi zingakhudze thanzi la maganizo a mwana. Thupi lake likasintha mosiyana ndi la anzawo, mwanayo angamve manyazi, kusamasuka, komanso kudzipatula. Ana ena angamuseke. Ngati mwana wanu akumva kupsinjika maganizo ndi izi, ndi bwino kupempha thandizo kwa munthu wina monga katswiri wa zamaganizo a ana .
Palibe mankhwala enieni a izi. Tsitsi likayamba kukula, palibe njira yoliyimitsa kapena kulisintha. Ndipo nthawi zambiri sizingapeweke.
Uthenga Wopita Nawo Kunyumba
- Adrenarche ndi njira yachibadwa, yachibadwa yomwe imachitika munthu asanakwanitse msinkhu.
- Adrenarche imachitika msanga pamene zizindikiro zake (tsitsi la m'khwapa/m'mimba, fungo la thupi) zimawonekera atsikana asanakwanitse zaka 8 ndipo anyamata asanakwanitse zaka 9.
- Kukula kwa bere kapena kukula kwa ziwalo zoberekera sikuchitika pano. Ngati ndi choncho, ndi vuto lina.
- Ngakhale kuti nthawi zambiri izi sizili zoopsa mwakuthupi, zingakhudze thanzi la maganizo la mwana.
- Ngati mwana wanu ali ndi zizindikiro izi, ndikofunikira kwambiri kuti musachite mantha ndikuonana ndi dokotala wa banja lanu kuti muwonetsetse kuti palibe zifukwa zina zazikulu.
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