Kodi mwana wanu akuoneka kuti wachedwa kufika msinkhu wokhwima? (Kuchedwa Kutha msinkhu) Tiyeni tikambirane izi!

Kodi mukuganiza kuti mwana wanu akukula mochedwa pang'ono poyerekeza ndi ana ena azaka zake? Nthawi zina zimatha kukhala choncho. Izi zikutanthauza kuti, mwana amayamba kutha msinkhu mochedwa kuposa zaka zomwe nthawi zambiri zimayembekezeredwa. Izi ndi zomwe timatcha kuchedwa kutha msinkhu kapena "kuchedwa kutha msinkhu". Anthu ena amatchanso "kuchedwa kukula kwa kugonana". Monga momwe maluwa ena amaphukira mochedwa pang'ono, ana ena akhoza kukhala "ochedwa kutha msinkhu". Koma izi sizimangoyamba mochedwa. Nthawi zina kutha msinkhu kungayambe nthawi yomweyo, kenako nkusiya, kapena kupita pang'onopang'ono kwambiri. Kenako mwanayo samamaliza magawo onse a kutha msinkhu monga momwe amayembekezera. Ndizachibadwa kumva mantha pang'ono mukamva izi, koma tikadziwa bwino, mavuto ambiri amatha kuthetsedwa.

Ndiye, kodi msinkhu umaonedwa kuti ndi wochedwa pa msinkhu uti?

Izi zimasiyana pang'ono pakati pa atsikana ndi anyamata. Umu ndi momwe madokotala amafotokozera izi:

Kuchedwa kutha msinkhu mwa atsikana kumatanthauza:

• Ngati mabere anu sanayambe kukula ali ndi zaka 13.

Kapena,

• Ngati simunayambe kusamba muli ndi zaka 15, kapena ngati simunayambe kusamba patatha zaka zitatu kuchokera pamene mabere anu anayamba kukula.

Kuchedwa kutha msinkhu mwa anyamata kumatanthauza:

• Ngati machende sanayambe kukula akafika zaka 14.

Kapena,

• Ngakhale kuti machende ayamba kukula, kutha msinkhu sikunachitikebe.

Musachite mantha ndi malire a zaka awa. Izi ndi malangizo wamba. Ngati muli ndi nkhawa iliyonse yokhudza mwana wanu, ndi bwino kulankhula ndi dokotala wa ana.

Kodi zizindikiro za kuchedwa kutha msinkhu ndi ziti?

Zizindikiro zazikulu ndi kukula kwa mawere (mwa atsikana) ndi kukula kwa ma testicular (mwa anyamata). Komabe, pakhoza kukhala zinthu zina:

• Mwana wanu akhoza kukhala wamfupi kuposa momwe amayembekezera poyerekeza ndi zaka zake. Izi zili choncho chifukwa chakuti sanakumanepo ndi "kukula msanga" komwe kumachitika nthawi zambiri akamakula.
• Mafupa a mwana sangakhale okhwima monga momwe amayembekezera pa msinkhu wawo. Izi zimatchedwa "kuchedwa kwa msinkhu wa mafupa." Dokotala yekha ndi amene angadziwe bwino, ndipo zimafunika X-ray.
• Kusakula bwino kwa tsitsi la m'mimba mwa mwana.

Koma nayi nkhani. Ana ena akhoza kukhala ndi tsitsi la kumaliseche, koma angaganizidwebe kuti akuchedwa kutha msinkhu. Angayambenso kukhala ndi tsitsi la m'khwapa kapena fungo la thupi. Zizindikirozi ndi mbali ya njira yachilengedwe yotchedwa adrenarche. Izi ndi zomwe zimachitika asanatha msinkhu. Mahomoni omwe amathandiza kuyambitsa adrenarche ndi osiyana ndi mahomoni omwe amalamulira kutha msinkhu. Chifukwa chake, ngakhale mwana wanu atadutsa mu adrenarche, sangayambe kutha msinkhu nthawi yomwe akuyembekezera.

Kodi chifukwa chachikulu chomwe chimachititsa kuti munthu azitha msinkhu mochedwa n’chiyani?

Kawirikawiri, chifukwa chachikulu chomwe chimachedwetsa kutha msinkhu ndi majini. Izi zikutanthauza kuti, mwina ndi chinthu chomwe ana ena m'banjamo nawonso akhala nacho. Ana ena amalandira uthenga kudzera m'majini awo kuti kutha msinkhu kudzayamba pang'ono. Palibe cholakwika ndi ziwalo za mwana, ma gland, kapena mahomoni. Chilichonse chikugwira ntchito bwino. Mwachidule, thupi la mwana wanu likugwira ntchito mosiyana ndi ana ena.

Madokotala amatcha izi `(Constitutional Delay of Growth and Tender)` kapena `(CDGP)`. Madokotala ena amatchanso `(self-limited delayed lead level)`. Izi zili choncho chifukwa, ngakhale popanda chithandizo chamankhwala, kutha msinkhu kumachitika panthawi yomwe yakonzedwa ndipo kumapita patsogolo bwino. Tangoganizirani, ngati bambo kapena amalume a m'banjamo adakula mochedwa pang'ono, pali mwayi wochepa woti mwanayo angachitenso chimodzimodzi.

Komabe, nthawi zina matenda ena m'thupi la mwana amatha kusokoneza chiyambi ndi kupita patsogolo kwa msinkhu. Kuchedwa chifukwa cha zifukwa izi nthawi zambiri kumafuna chithandizo.

Zina zomwe zimayambitsa kuchedwa kwa msinkhu

Kupatula majini, pakhoza kukhala zifukwa zina zingapo. Onani mndandanda uwu:

• Matenda a Addison
• Matenda a impso osatha
• Matenda a cystic fibrosis
• Matenda a majini, monga kusokonekera kwa ma chromosome monga Turner syndrome ndi Klinefelter syndrome.
• Kuchita masewera olimbitsa thupi mopitirira muyeso. Izi zingayambitse kuchepa kwakukulu kwa mafuta m'thupi ndikusokoneza ntchito ya mahomoni. (Izi ndizofunikira makamaka kwa ana aang'ono omwe amasewera masewera ampikisano.)
• Kusowa kwa mahomoni okula
• Hypothyroidism (chithokomiro chosagwira ntchito mokwanira)
• Matenda a kutupa m'matumbo (IBD)
• Kusowa zakudya m'thupi kungachitike pazifukwa zosiyanasiyana. Izi zingakhudzidwenso ndi zinthu monga matenda okhudzana ndi kudya.
• Mankhwala ena kapena mankhwala, monga corticosteroids, chemotherapy, kapena radiation therapy.
• Ngozi kapena kuwonongeka kwa ubongo kapena ma gonads a mwana (mazira kapena machende).
• Zotupa zomwe zimakhudza ubongo kapena msana wa mwana.
• Matenda a shuga amtundu woyamba.

Mungadabwe kuti zinthu zonsezi zimakhudza bwanji msinkhu. Yankho lake lili mu mahomoni.

Udindo wa mahomoni pakuchedwa kwa msinkhu

Mahomoni ali ngati amithenga achinsinsi a matupi athu. Ndiwo omwe amagwira ntchito mobisa kuti ayambitse ndikusunga kutha msinkhu. Mahomoni awa amapangidwa ndi ma endocrine glands. Mwana wanu angazindikire kusintha m'thupi lake, monga kukula kwa bere kapena kukula kwa tsitsi m'manja mwake. Koma pali zinthu zina zomwe simungazione:

1. Homoni yotulutsa gonadotropin (GnRH) imapangidwa ndikutulutsidwa kuchokera ku gawo la ubongo wa mwana wanu lotchedwa hypothalamus.

2. Homoni iyi `(GnRH)` imauza pituitary gland muubongo wa mwana kuti ipange ndikutulutsa luteinizing hormone `(LH)` ndi follicle-stimulating hormone `(FSH)`. Pamodzi, awiriwa amatchedwa gonadotropins `(gonadotropins).`

3. Mahomoni a gonadotropin awa ndi omwe amauza ma gonad a mwana (mazira obereketsa mwa atsikana ndi ma testes mwa anyamata) kuti atulutse mahomoni ogonana (estrogen kapena testosterone).

4. Kutuluka kwa mahomoni ogonana amenewa ndi komwe kumayambitsa zizindikiro zakuthupi za kutha msinkhu, monga kukula kwa mawere ndi kukula kwa machende.

Izi zili ngati gulu lalikulu logwirira ntchito limodzi, sichoncho? Ngati chinachake chichitika kwa membala m'modzi wa gulu, chimakhudza gulu lonse. Madokotala amagwiritsa ntchito mawu ngati awa pofotokoza zomwe zikuchitika kumbuyo kwa zochitika:

• Hypogonadotropic hypogonadism: Izi zikutanthauza kuti hypothalamus kapena pituitary gland ya mwana sikugwira ntchito bwino. Sapanga kapena kutulutsa mahomoni okwanira. Izi nthawi zambiri zimachitika chifukwa cha matenda. Madokotala akangochiza vutoli, kutha msinkhu kumayamba kuchitika mwachizolowezi. Kuchita masewera olimbitsa thupi mopitirira muyeso komanso kusowa zakudya m'thupi ndizomwe zimayambitsa matenda.
• Hypergonadotropic hypogonadism: Izi zimachitika pamene hypothalamus ndi pituitary gland ya mwana zikugwira ntchito bwino. Komabe, gonads (ma testicles kapena mazira) awo sakugwira ntchito bwino. Izi zimachitika mwa ana omwe ali ndi Turner syndrome ndi Klinefelter syndrome. Matendawa amatha kuchitika ngati zotsatira zoyipa za chithandizo cha khansa kapena pazifukwa zina.

Ngakhale mawu awa angawoneke ovuta pang'ono, mwachidule, tanthauzo lake ndilakuti vuto lili pa momwe dongosolo lolamulira mahomoni lilili.

Kodi madokotala amazindikira bwanji vutoli?

Madokotala amachita izi kuti adziwe ngati munthu watha msinkhu mochedwa:

• Kuchita mayeso a thupi.
• Tidzakambirana nanu za mbiri ya matenda a mwana wanu komanso mbiri ya matenda a banja (makolo enieni).
• Mayeso ena akuchitidwa.

Chinthu chimodzi chomwe madokotala amafunikira kwambiri ndi ngati pali mbiri ya banja yomwe yachedwa kutha msinkhu. Ngati ndi choncho, mwana wanu akhoza kukhala "wochedwa kutha msinkhu," zomwe zikutanthauza kuti sipangakhale chifukwa chachipatala chomwe chimayambitsa kuchedwako.

Komabe, ngakhale madokotala akuganiza kuti zikuyenda m'banja, nthawi zambiri amachita mayeso kuti atsimikizire kuti palibe zifukwa zina. Izi zili choncho chifukwa madokotala amatcha ``Constitutional Delay of Growth and Puberty (CDGP)`` kuti ndi ``kuzindikira kuti munthu wachotsedwa``. Ndiye kuti, amatsimikiza kuti ndi ``(CDGP)`` pokhapokha atatsimikizira kuti zifukwa zina zonse sizichotsedwa.

Mayeso amenewa ndi ofunikira kwambiri ngakhale pamene palibe mbiri ya banja komanso pamene madokotala akuyesera kupeza chomwe chikuyambitsa vutoli.

Mayeso ozindikira kuchedwa kwa msinkhu

Mungathe kuchita mayeso monga awa:

• Kuyezetsa magazi: Yang'anani kuchuluka kwa mahomoni ndikuwona ngati pali zizindikiro zilizonse za matenda enaake.
• Kuyezetsa majini: Yang'anani kusintha kwa majini komwe kungayambitse kuchedwa kwa msinkhu.
• Mayeso ojambulira: Zinthu monga MRI scan kapena ultrasound scan zimachitika kuti zitsimikizire kapena kuletsa matenda ena.

Dokotala wa ana a m'banja mwanu angakutumizireni kwa dokotala wa matenda a endocrinologist kapena akatswiri ena kuti akuthandizeni kuzindikira ndi kuchiza vutoli.

Kodi kuchedwa kutha msinkhu kumachiritsidwa bwanji?

Chithandizo chimadalira chifukwa cha kuchedwa. Gulu lachipatala la mwana wanu lingakulangizeni izi:

• Njira ya "dikirani ndikuona": Izi nthawi zambiri zimatsatiridwa kwa ana aang'ono omwe alibe matenda kapena chifukwa china chodziwika bwino cha kuchedwa. Madokotala adzawona ngati kutha msinkhu kungayambe mwachibadwa. Ngati ndi choncho, mwana wanu sangafunike chithandizo chilichonse, ndipo kutha msinkhu kudzachitika monga momwe akuyembekezeredwa.
• Kuchiza matenda: Ngati kuchedwako kukuchitika chifukwa cha vuto linalake, madokotala adzachiza vutoli. Izi ziyenera kuthandiza kuyamba msinkhu ndikupita patsogolo monga momwe amayembekezera.
• Chithandizo chobwezeretsa mahomoni:Ngati thupi la mwana silikupanga mahomoni okwanira (testosterone kapena estrogen) kuti afike msinkhu wokhwima, angafunike mankhwala oti apereke mahomoni amenewo. Gulu lachipatala lidzakufotokozerani nthawi yomwe chithandizo cha mahomoni chikufunika kutengera zosowa za mwana wanu.

Ana omwe "akutha msinkhu mochedwa" popanda chifukwa chilichonse chamankhwala safunikira chithandizo cha mahomoni. Komabe, ngati kuchedwa msinkhu kumakhala kovuta kwambiri kwa mwana, kungakhale njira ina. Ana ena aang'ono amavutika kudikira mpaka msinkhu, ndipo kuchedwa kumeneku kungayambitse mavuto pagulu ndikukhudza kudzidalira kwawo. Ngati mukuda nkhawa kuti izi zikuchitikira mwana wanu, lankhulani ndi gulu lanu lachipatala za izi.

Kodi ndi liti pamene ndiyenera kufunsa uphungu kwa dokotala wa mwana wanga?

Pitani ndi mwana wanu kuti akaonedwe bwino nthawi zonse, ndipo muuzeni dokotala wa ana anu nkhawa zilizonse zomwe muli nazo. Adzayang'ana kukula ndi chitukuko cha mwana wanu ndipo angakufunseni mafunso okhudza mbiri ya banja lanu. Dokotala wanu wa ana adzakufotokozerani mayeso ndi kutsatira zomwe zikufunika ngati mwana wanu sanayambe kutha msinkhu monga momwe amayembekezera.

Samalani thanzi la maganizo la mwana wanu.

Kuchedwa kutha msinkhu kungakhudze kwambiri thanzi la maganizo la mwana wanu wamng'ono - komanso nthawi yomwe amakhala akukumana ndi malingaliro ndi kusintha kwakukulu. Kungakhale bwino kukonzekera kuti mwana wanu alankhule ndi katswiri wa zamaganizo. Uphungu ungathandize mwana wanu kulankhula za momwe akumvera pa kutha msinkhu ndi zinthu zina zomwe akuganizira ndikuzithetsa. Angaganize kuti, "Anzanga onse akukula ndipo ndine ndekha amene ndili wamng'ono." Amafunika thandizo nthawi ngati izi.

Ndi mafunso ati omwe ndiyenera kufunsa madokotala a mwana wanga?

Kutha msinkhu ndi chinthu chapadera kwa mwana aliyense, kaya chimabwera "panthawi yake" kapena mochedwa kuposa momwe amayembekezera. Dokotala wanu wa ana ndi akatswiri aliwonse omwe amapereka chithandizo akhoza kugawana zambiri za mwana wanu. Nazi mafunso ena omwe mungafunse kuti muyambe kukambirana:

• Ndingadziwe bwanji ngati mwana wanga wayamba kutha msinkhu?
• Ndingadziwe bwanji ngati kutha msinkhu sikukupita patsogolo monga momwe ndimayembekezera?
• Kodi mwana wanga wachedwa kutha msinkhu? Ngati ndi choncho, kodi zizindikiro zake ndi ziti?
• Kodi mwana wanga akufunika mayeso aliwonse?
• Kodi mumalimbikitsa chithandizo chilichonse?
• Kodi ndingamuthandize bwanji mwana wanga bwino?

Kodi ndiyenera kuyembekezera chiyani ngati mwana wanga wachedwa kutha msinkhu?

Gulu lachipatala la mwana wanu lidzakuuzani zomwe mungayembekezere, kutengera chifukwa cha kuchedwa kwa msinkhu komanso chithandizo chilichonse chomwe mwana wanu amalandira. N'zovuta kunena nthawi yeniyeni yomwe msinkhu udzayambe. Ana aang'ono omwe ali ndi "Constitutional delay of growth and improvement (CDGP)" nthawi zambiri amayamba msinkhu ali ndi zaka 18. Komabe, mwana wanu akhoza kuyamba msanga kwambiri. Zomwe mwana aliyense amakumana nazo zimasiyana.

Ingokumbukirani, kuchedwa kutha msinkhu ndi kwakanthawi ndipo kungachiritsidwe ngati pakufunika.

Kodi kuchedwa msinkhu kumawonjezera kutalika?

N'zovuta kunena momwe kuchedwa kwa msinkhu kungakhudzire kutalika kwa mwana wanu wamkulu. Ana ena aang'ono amafika kutalika kochepa kuposa momwe amayembekezeredwa kutengera kutalika kwa makolo awo enieni. Komabe, kwa ana ena aang'ono, kuchedwa kwa msinkhu sikukuwoneka kuti kumakhudza kutalika kwawo kwa akuluakulu.

Nthawi zina madokotala amachita mayeso a "bone age" (X-ray) kuti adziwe kutalika kwa mwana wamkulu. Dokotala wanu wa ana angakuuzeni zambiri za mayesowa ndi zomwe akuwonetsa.

Kodi kugwiritsa ntchito melatonin kumachedwetsa kutha msinkhu?

Melatonin ingachedwetse msinkhu, koma kafukufuku wowonjezereka akufunika kuti adziwe bwino. Ofufuza akuphunzirabe zotsatira zoyipa za mankhwala a melatonin mwa ana ndi achinyamata. Lankhulani ndi dokotala wanu wa ana za ubwino ndi kuipa kopatsa mwana wanu melatonin.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kuchedwa kutha msinkhu kungakhale kovuta kwa inu ndi mwana wanu. Mungakhale ndi nkhawa ndi mwana wanu, kapena mungadabwe chifukwa chake kukula kwake kukuchedwa. Kumbukirani, mwana aliyense ali panjira yakeyake. Mwana wanu akhoza kufika msinkhu pamene thupi lake lakonzeka. Kapena, thupi lake lingafunike thandizo pang'ono kuti lifike pamenepo. Komabe, dokotala wanu wa ana angakuthandizeni kudziwa zomwe zikuchitika ndikukupatsani njira yabwino kwambiri.

Panthawiyi, mwana wanu akhoza kukhala ndi nkhawa zambiri - kuyambira kuyanjana ndi anzake mpaka kudzidalira ndi maonekedwe ake. Funsani dokotala wa ana anu momwe mungathandizire bwino zosowa za mwana wanu zamaganizo. Komanso, khalani otseguka kuti mwana wanu alankhule nanu nthawi iliyonse akakumva chisoni kapena kukhumudwa. Ngakhale kukumbatirana pang'ono kapena kulemba kalata yonena kuti "Ndikunyadira nanu" kungathandize kwambiri panthawiyi.

Kuchedwa Kutha Msinkhu, Mahomoni, Thanzi la Ana, Unyamata, Kukula, Kukula kwa Zogonana