Uri kuona shanduko mumuviri wemwana wako nekukurumidza here? Ngatitaurei nezveAdrenarche!

Watanga kuona shanduko mumuviri wemwana wako here, pamwe kutotanga kare kupfuura zvawaifunga? Dzimwe nguva unonzwa sekunge bvudzi diki riri kukura muhapwa kana nhengo dzakavanzika here, kana kuti unonzwa sekunhuhwirira kwedikita here? Zvakajairika kuti amai kana baba vanzwe kutya uye kunetseka zvishoma pavanoona zvinhu izvi. Saka nhasi, ngatitaurei nezvemaitiro echisikigo anonzi adrenarche, ayo angave ari iwo anokonzera izvi.

Unoziva here kuti Adrenarche chii?

Zvichitaurwa zviri nyore, Adrenarche inzira yechisikigo umo ma adrenal glands emwana wako anotanga kugadzira hormone inonzi DHEA (Dehydroepiandrosterone). Izvi zvinowanzotanga pakati pemakore matanhatu nemasere. Kutaura chokwadi, izvi zvinoitika makore maviri mwana asati atanga kuratidza zviratidzo zvekuyaruka (pubarche).

Funga nezvehomoni iyi inonzi DHEA sechinhu chisina kugadzirwa. Muviri wedu unoishandisa kugadzira mamwe mahormone akakosha. Semuenzaniso, mahormone ari muboka re androgen (akadai se testosterone ne androstenedione) uye homoni inonzi estrogen anogadzirwawo kubva kuDHEA iyi. Mahormone aya e androgen anobatsira kutanga kuyaruka, uye akakoshawo pahutano hwekubereka nekukura kwemuviri.

Imwe mhando yeDHEA inonzi DHEAS (Dehydroepiandrosterone-sulfate). Iyi ndiyo mhando yeDHEA inotenderera muropa redu. Kuongororwa kweropa kunogona kuyera huwandu hweDHEAS kuti uone kana kushanda kweadrenal kuri kuitika. Zvisinei, nekuti iyi inzira yechisikigo, kuongororwa kweropa uku hakuitwe nguva dzose pavana.

Chii chinoitika panguva ye adrenarche?

Munguva ye adrenarche, chikamu chekunze cheadrenal glands yemwana wako, adrenal cortex, chinotanga kukura nekukura.

Kune zvikamu zvitatu zve adrenal cortex iyi:

• Zona glomerulosa (chikamu chekunze)
• Zona fasciculata (yepakati layer)
• Zona reticularis (chikamu chemukati medumbu). Chikamu ichi, chinonzi zona reticularis, ndicho chinonyanya kukura mukenza yeadrenal.

Sezvo izvi zvichikura, ma adrenal glands anogadzira DHEA, iyo muviri unozoshandura kuita ma androgen hormones. Iyi DHEA nema hormones ainoburitsa ndizvo zvinotanga kana kuwedzera zvinotevera:

• Matumbu emafuta: Aya matumbu ari muganda redu anogadzira mafuta anobuda (sebum). Kubuda uku kunobatsira ganda kuchengetedza hunyoro uye kunopa chifukidziro chinodzivirira. Basa rawo rinokanganisawo hwema hwemuviri.
• Maganda eApocrine: Aya maganda chaiwo anowanikwa munzvimbo dzakadai semuhapwa nemuzvidya. Anoramba asina simba kusvika akurudzirwa nemahormone eadrenal panguva yekushanda kweadrenal.
• Vhudzi repahuro nerekwanza:Bvudzi repanhengo yemurume kana mukadzi ibvudzi rakasviba zvishoma uye rakakora. Imhaka yehormone inonzi androgen iyo inotanga kukura munhengo yemurume kana mukadzi nepamahapwa nekuda kwebvudzi repanhengo yemurume kana mukadzi.

Zvakakosha kuti mahormone aya eadrenal akasiyana nemahormone anokonzera kukura kwemazamu uye nhengo dzepabonde dzevarume (dzinonzi gonadarche) panguva yekuyaruka. Gonadarche kuwedzera kwekugadzirwa kwemahormone makuru epabonde (estrogen kana testosterone) nemaovari nematesticles. Nhengo idzi nemahormone zvinodiwa pakubereka pabonde. Mahormone eadrenal haabatanidzwi zvakananga.

Adrenarche negonadarche maitiro maviri akasiyana, akazvimirira. Vaongorori havasati vaziva chaizvo chinokonzera adrenarche.

Adrenarche inogara kwenguva yakareba sei?

Adrenarche inowanzogara kwemakore maviri, kusvika pakatanga pubarche, chiratidzo chekutanga chekuyaruka. Zvisinei, adrenal glands yemwana wako inoramba ichiburitsa DHEA kusvika yakura. Mazinga eDHEA akanyanya kuwanda muvanhu vakura (anenge makore 20-24), uye anozodzikira zvishoma nezvishoma sezvaunokura.

Ndezvipi zviratidzo zveAdrenarche?

Kutaura zvazviri, hapana zviratidzo zviri pachena zve adrenarche. Kureva kuti, kana huwandu hweDHEA hukatanga kuwedzera, hapana shanduko inooneka mumuviri wemwana ine chekuita nazvo zvakananga.

Zvisinei, makore maviri mushure mekunge adrenal insufficiency yatanga, pubarche , kana kuti pubic hair, inotanga kuoneka. Vanachiremba vanoona izvi semhedzisiro yemuviri yekusakwana kweadrenal. Pubarche ndiyo inotanga kuyaruka.

Zvimwe zvinhu zvebvudzi repachivande ndeizvi:

• Kuonekwa kwebvudzi remuhudyu.
• Kunhuhwirira kwedikita (kunhuhwirira kwemuviri / kunhuhwirira kweapocrine).
• Kuwedzera mafuta eganda nebvudzi remwana.
• Mapundu.

Vhudzi repanhengo yemurume rinowanzotanga kuoneka pazera ripi?

Izvi zvinosiyana zvishoma kubva pamwana kuenda kumwana, zvichienderana nekuti murume kana mukadzi here, uye zvakare nerudzi nerudzi. Semuenzaniso, heano avhareji yezera zvichienderana neongororo dzakaitwa muUnited States:

• Kune vasikana vatema vasiri vekuHispanic, vane makore angangoita 9.5 ekuberekwa.
• Kune vasikana vekuMexico-America, vasikana ava vane makore angangoita 10.3 ekuberekwa.
• Kune vasikana vachena vasiri vekuHispanic, vane makore angangoita gumi nehafu.
• Kune vakomana vatema vasiri vekuHispanic, ine makore angangoita 11.1.
• Kune vakomana vekuMexico-America, vane makore angangoita 12.3 ekuberekwa.
• Kune vakomana vachena vasiri vekuHispanic, vane makore angangoita gumi nemaviri.

Chinhu chakakosha ndechekuti havasi vana vese vakafanana, muviri wemunhu wese unokura nenzira yake yakasiyana. Zera iri rinogona kunge rakafanana kuvana muSri Lanka, asi pane musiyano kubva pamwana nemwana.Kana muine mibvunzo kana zvinokunetsai nezvekukura kwemwana wenyu, chinhu chakanakisisa chekuita ndechekutaura nachiremba wevana venyu.

Chii chinonzi Premature Adrenarche?

Adrenarche isati yakwana inguva apo zvinhu zvakaita sebvudzi repahuro nerahapwa nekufema kunorwadza zvinotanga nekukurumidza kupfuura zvaitarisirwa. Kazhinji, zviratidzo izvi zvinoonekwa vasati vasvitsa makore masere muvasikana uye vasati vasvitsa makore mapfumbamwe muvakomana. Izvi zvinogona kunge zviri adrenarche isati yakwana.

Izvi zvinonzi premature pubarche, nekuti hatina nzira yekuziva kana maitiro emukati anonzi adrenarche akatanga nekukurumidza, kusvika chiratidzo chaicho, pubarche, chaonekwa.

Ongororo inoratidza kuti vasikana vane mukana wekuwana chirwere ichi kanenge kapfumbamwe kupfuura vakomana. Chikonzero chaicho cheizvi hachisati chazivikanwa.

Ndezvipi zviratidzo zve adrenarche isati yakwana?

Zviratidzo zvikuru zvekushaya simba kweadrenal cortex ndeizvi:

• Vhudzi rinoonekwa munzvimbo yemukati memusikana uye/kana muhapwa vasati vasvitsa makore masere, kana kuti vasati vasvitsa makore mapfumbamwe kumukomana.
• Kunhuhwirira kwemuviri kunobva muhapwa kunogona kukonzera kuda kushandisa chimwe chinhu chakadai se deodorant.

Vana vane rudzi urwu rwekushaya simba kweadrenal vanowanzo kureba kupfuura vamwe vezera ravo, dzimwe nguva kutopfuura 90th percentile pamachati ehurefu hwezera ravo uye bonde.

Asi hechino chimwe chinhu chekurangarira: Kusvika pazera rekuyaruka hakukonzeri kukura kwemazamu nguva isati yakwana kana kukura kwepabonde kuvakomana (kureva, gonadarche). Kana mwana wako ari kuratidza shanduko idzi dzezamu kana dzepabonde nguva isati yakwana, pamwe nekukura kwebvudzi uye hwema hwemuviri, pamwe haisi kuyaruka nguva isati yakwana, asi chirwere chinonzi kuibva nguva isati yakwana . Inyaya yakasiyana.

Adrenarche Yenguva Isati Yasvika Inowanikwa Sei?

Kana mwana wako achifungidzirwa kuti ane zviratidzo zvekusashanda zvakanaka kwetsvo, chiremba wevana achatanga atarisa kana paine chimwe chikonzero chezviratidzo izvi. Zvimwe zvezvirwere izvi zvinogona kusanganisira:

• Kuyaruka kwepakutanga
• Kukura kweAdrenal Hyperplasia - Iri idambudziko rekuzvarwa naro rine chekuita nekugadzirwa kwemahormone muadrenal glands.
• Kuonekwa kwe androgen kubva kunze - semuenzaniso, kubva kune mamwe marudzi ezvizoro.
• Matumbu anoburitsa androgen.

Mwana wako achaongororwa muviri. Panguva ino, chiremba angangoda kuongorora nhengo dzesikarudzi dzemwana. Kana vakadaro, vachawana mvumo kubva kwauri nemwana wako (zvichienderana nezera rake). Vanogonawo kukurudzira zvinhu zvakaita sekuongororwa ropa uye kuongororwa kwemifananidzo.

Dzimwe nguva, chiremba wevana vako anogona kukutumira kuna chiremba we endocrinologist wevana, nyanzvi ye mahormone. Mwana wako achaonekwa kuti ane adrenal insufficiency mushure mekunge bvunzo idzi dzese dzaitwa uye hapana chimwe chezvirwere zvakakomba zvataurwa pamusoro apa chabviswa.

Zvakakosha kuziva kuti inenge 90% yenyaya dzebvudzi repanhengo yemwana risati rasvika nguva yekuzvitakura muvana dzinokonzerwa nechirwere ichi chinonzi adrenal insufficiency. Imwe 10% inokonzerwa nedzimwe nyaya dzehutano dzataurwa pamusoro apa.

Adrenarche Yenguva Isina Kukura Ine Ngozi Here?

Semubereki, zvakajairika kunzwa kutya uye kutya kana bvudzi remwana wako riri muhapwa nepanhengo yake yekubereka rikaonekwa nekukurumidza kupfuura zvanga zvichitarisirwa, kana kuti paanotanga kunhuwa ziya. Zvisinei, kusagadzikana kwe adrenocortical nguva isati yakwana kazhinji haisi dambudziko rine njodzi mumuviri.

Zvisinei, tsvakiridzo yakaratidza kuti chirwere ichi chinogona kuwedzera zvishoma njodzi yekuve nematambudziko ehutano mune ramangwana. Mamwe ematambudziko aya anosanganisira:

• Kufuta
• Kusakwanisa kuita insulin - Izvi zvinoreva kuti masero emuviri haapindure zvakanaka ku insulin, izvo zvinogona kukonzera chirwere cheshuga.
• Polycystic ovary syndrome (PCOS) - Ichi chirwere chemahormone muvasikana chinoita kuti ma cysts madiki aumbe pama ovaries.
• Matambudziko epfungwa - ndiko kuti, kuchinja kwemanzwiro, sekusuruvara, kuzvidya mwoyo, nezvimwewo.

Kuwedzera kune njodzi idzi dzemuviri, kuyaruka kwemwana asati akura kunogonawo kukanganisa hutano hwepfungwa dzemwana. Fungidzira, kana mwana akasangana neshanduko dzemuviri wake, kusiyana nevamwe vana vezera rake, anogona kunzwa kunyara, kusagadzikana, uye kunzwa zvakasiyana uye zvisina kujairika. Anogonawo kusekwa nevamwe vana (kushungurudzwa) uye kugamuchira kutariswa kusingadiwe nevamwe. Kana ukaona kuti mwana wako ari kunzwa kusuruvara kana kunetseka nezvechimwe chinhu chakadai, zvakanaka kutsvaga mazano kubva kune munhu ane hunyanzvi, akadai senyanzvi yepfungwa dzevana.

Pane mushonga we adrenarche isati yakwana here?

Kwete. Kana bvudzi ratanga kukura munzvimbo yemukati memunhu kana muhapwa, pari zvino hapana mushonga unogona kurimisa kana kurikurazve.

Kunyangwe paine mimwe mishonga inogona kubatsira kudzora maitiro emahormone mumamiriro ezvinhu anonzi precocious puberty, mishonga iyi haikanganisi mahormone ane chekuita nema adrenal glands.

Adrenarche isati yasvika inogona kudzivirirwa here?

Izvi hazviwanzo kudzivirirwa. Zvisinei, tsvakurudzo yakawana kuti zvimwe zvinhu zvinogona kuwedzera njodzi yemwana yekusakwana kweadrenal cortex. Zvimwe zvezvinhu izvi zvinosanganisira:

• Kuzvarwa uine huremu hushoma kwazvo (hune huremu husingasviki 2.5 kg, kana mapaundi mashanu ne 8 ounces, pakuzvarwa).
• Kuzvara mwana asati asvika nguva yakatarwa (kuberekwa kwemwana asati asvika mavhiki makumi matatu nemanomwe epamuviri).
• Kana paine nhoroondo yekukuvara kweuropi, rudzi urwu rwekukuvara kweuropi runowedzerawo njodzi yekuyaruka usati wasvika panguva yekuyaruka.

Chekupedzisira, zvinhu zvekuziva

Sevabereki, zvakajairika kuti unzwe kunetseka uye kuremerwa kana ukaona mwana wako achikura zvishoma nezvishoma uye achisvika pakuyaruka, kunyanya kana ukaona shanduko idzodzo mumuviri wako nekukurumidza kupfuura zvawaitarisira.

Zvisinei, chinhu chinonyanya kukosha chaunofanira kuziva ndechekuti adrenarche nepubarche inoperekedza zvinhu zvechisikigo, zvakajairika zvinoitika muhupenyu hwemwana wese.

Adrenarche isati yasvika inogona kutyisa, asi yeuka, kazhinji haikonzeri kukuvara kwakanyanya mumuviri wemwana.

Kana muine kusava nechokwadi kana mibvunzo nezvekukura kwemwana wenyu kana shanduko mumuviri wake, ndapota musazeza kubvunza chiremba wevana venyu. Chiremba achakwanisa kuongorora mwana wenyu uye kukutsanangurirai kana ari kukura zvakanaka uye sezvaanotarisirwa.

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