Mwana wako anoita seanonoka kusvika pakuyaruka here? (Kunonoka Kuyaruka) Ngatikurukurei nezvazvo!

Unofunga kuti mwana wako ari kukura zvishoma kana tichienzanisa nevamwe vana vezera rake here? Dzimwe nguva zvinogona kudaro. Kureva kuti, mwana anotanga kuyaruka kunonoka kupfuura zera rinotarisirwa. Izvi ndizvo zvatinodaidza kuti kunonoka kuyaruka kana kuti "kunonoka kuyaruka". Vamwe vanhu vanotiwo "kunonoka kukura pabonde". Kungofanana nemamwe maruva anotumbuka kunonoka, vamwe vana vanogona kunge "vanonoka kuyaruka". Asi uku hakusi kungotanga kunonoka. Dzimwe nguva kuyaruka kunogona kutanga ipapo ipapo, kwozomira, kana kuti kunonoka. Ipapo mwana haapedzi matanho ese ekuyaruka sezvaanotarisirwa. Zvakajairika kunzwa kutya zvishoma paunonzwa nezvazvo, asi patinonyatsoziva nezvazvo, matambudziko mazhinji anogona kugadziriswa.

Saka, kuyaruka kunoonekwa sekunonoka pazera ripi?

Izvi zvinosiyana zvishoma pakati pevasikana nevakomana. Heano matsananguriro anoita vanachiremba:

Kunonoka kuyaruka muvasikana zvinoreva:

• Kana mazamu ako asati atanga kukura pazera remakore gumi nematatu.

Kana kuti,

• Kana usati watanga kuenda kumwedzi pazera remakore gumi nemashanu, kana kuti usati watanga kuenda kumwedzi makore matatu mushure mekunge mazamu ako atanga kukura.

Kunonoka kuyaruka kwevakomana zvinoreva:

• Kana machende asati atanga kukura pazera remakore gumi nemana.

Kana kuti,

• Kunyangwe zvave nemakore mashanu kubva pakatanga kukura machende, kubereka hakusati kwapera.

Usavhunduke nezera iri. Aya ndiwo mazano akajairika. Kana uine zvinokunetsa nezvemwana wako, zvakanaka kutaura nachiremba wevana.

Ndezvipi zviratidzo zvekunonoka kuyaruka?

Zviratidzo zvikuru kukura kwemazamu (muvasikana) uye kukura kwemachende (muvakomana). Zvisinei, panogona kunge paine zvimwe zvinhu:

• Mwana wako anogona kunge ari mupfupi pane zvaitarisirwa kana tichienzanisa nezera rake. Izvi zvinokonzerwa nekuti haasati aona "kukura kwemwana" kunowanzoitika panguva yekuyaruka.
• Mapfupa emwana anogona kunge asina kukura sezvaitarisirwa pazera rake. Izvi zvinonzi "kunonoka kwezera remapfupa." Chiremba chete ndiye anogona kuziva chokwadi, uye zvinoda X-ray.
• Kusakura kwebvudzi repanhengo yemwana panzvimbo yake yega.

Asi hechino chinhu. Vamwe vana vanogona kunge vaine vhudzi repanhengo dzavo dzepabonde, asi vanogona kunzi vachiri kunonoka kusvika pazera rekuyaruka. Vanogonawo kutanga kuva nebvudzi remuhapwa kana hwema hwemuviri. Zviratidzo izvi chikamu chemaitiro echisikigo anonzi adrenarche. Izvi ndizvo zvinoitika vasati vayaruka. Mahormone anobatsira kutanga adrenarche akasiyana nemahormone anodzora kuyaruka. Saka, kunyangwe mwana wako akapfuura nepazera rekuyaruka, anogona kusatanga kuyaruka panguva yaanotarisirwa.

Chii chinonyanya kukonzera kunonoka kuyaruka?

Kazhinji, chikonzero chikuru chekunonoka kuyaruka inyaya yemajini. Kureva kuti, chingave chimwe chinhu chakaitikawo kune vamwe vana mumhuri. Vamwe vana vanowana meseji kuburikidza nemajini avo ekuti kuyaruka kuchatanga gare gare. Hapana chakaipa nenhengo dzemwana, glands, kana mahormone. Zvese zviri kushanda zvakanaka. Muchidimbu, muviri wemwana wako uri kungoshanda pane imwe nguva yakasiyana neyevamwe vana.

Vanachiremba vanodana izvi kuti `(Constitutional Delay of Growth and Puberty)` kana `(CDGP)`. Vamwe vanachiremba vanozvitiwo `(self-limited limited delayed teeth)`. Izvi zvinodaro nekuti, kunyangwe pasina kurapwa, kuyaruka kunoitika panguva yakatarwa uye kunofambira mberi zvakanaka. Fungidzira, kana baba kana babamukuru vemhuri vakakura zvishoma, pane mukana mudiki wekuti mwana achaitawo zvimwe chetezvo.

Zvisinei, dzimwe nguva mamwe matambudziko mumuviri wemwana anogona kukanganisa kutanga uye kufambira mberi kwekukura. Kunonoka nekuda kwezvikonzero izvi kunowanzoda kurapwa.

Zvimwe zvinokonzera kunonoka kuyaruka

Kunze kwemajini, panogona kunge paine zvimwe zvikonzero zvakawanda. Tarisa runyorwa urwu:

• Chirwere cheAddison
• Chirwere cheitsvo chisingaperi
• Cystic fibrosis
• Zvirwere zvemajini, zvakaita sekusagadzikana kwemakromosomu zvakaita seTurner syndrome neKlinefelter syndrome.
• Kurovedza muviri zvakanyanya. Izvi zvinogona kukonzera kudzikira kukuru kwemafuta mumuviri uye kukanganisa mashandiro emahormone. (Izvi zvakakosha zvikuru kuvana vadiki vanotamba mitambo yemakwikwi.)
• Kushomeka kwehomoni yekukura
• Hypothyroidism (thyroid isingashande zvakanaka)
• Chirwere chemudumbu chinozvimba (IBD)
• Kushaya chikafu kunovaka muviri kunogona kuitika nekuda kwezvikonzero zvakasiyana-siyana. Izvi zvinogonawo kukanganiswa nezvinhu zvakaita sematambudziko ekudya.
• Mimwe mishonga kana marapirwo, akadai se corticosteroids, chemotherapy, kana radiation therapy.
• Njodzi kana kukuvara kweuropi hwemwana kana magonadhi (mazai kana machende).
• Mamota anokanganisa uropi hwemwana kana musana.
• Chirwere cheshuga cherudzi rwekutanga.

Ungashamisika kuti zvinhu izvi zvakasiyana-siyana zvinokanganisa sei kuyaruka. Mhinduro yacho iri mumahormone.

Basa remahormone mukunonoka kuyaruka

Mahormone akafanana nevatumwa vemuviri wedu. Ndiwo anoshanda seri kwezviitiko kuti atange uye arambe ari kuyaruka. Mahormone aya anogadzirwa nemasero emudumbu. Mwana wako anogona kuona shanduko mumuviri wake, senge kukura kwemazamu kana kukura kwebvudzi pasi pemaoko ake. Asi pane zvimwe zvinhu zvausingazooni:

1. Homoni inoburitsa gonadotropin (GnRH) inogadzirwa uye inoburitswa kubva muchikamu cheuropi hwemwana wako chinonzi hypothalamus.

2. Homoni iyi `(GnRH)` inoudza pituitary gland iri muuropi hwemwana kuti igadzire nekuburitsa luteinizing hormone `(LH)` uye follicle-stimulating hormone `(FSH)`. Pamwe chete, izvi zviviri zvinonzi gonadotropins `(gonadotropins).`

3. Mahormone aya egonadotropin ndiwo anoudza magonad emwana (mazai muvasikana uye matestes muvakomana) kuti aburitse mahormone epabonde (estrogen kana testosterone).

4. Kuburitswa kwemahormone aya epabonde ndiko kunokonzera zviratidzo zvekuyaruka, zvakaita sekukura kwemazamu uye kukura kwemachende.

Izvi zvakafanana nechikwata chikuru chichishanda pamwe chete, handiti? Kana chimwe chinhu chikaitika kune mumwe wechikwata, chinokanganisa timu yese. Vanachiremba vanoshandisa mazwi akadai seaya kutsanangura zviri kuitika kuseri kwezviitiko:

• Hypogonadotropic hypogonadism: Izvi zvinoreva kuti hypothalamus yemwana kana pituitary gland haisi kushanda zvakanaka. Havagadzire kana kuburitsa mahormone akakwana. Izvi zvinowanzokonzerwa nechirwere. Kana vanachiremba vangorapa chirwere ichi, kuyaruka kunotanga kuitika zvakajairika. Kurovedza muviri zvakanyanya uye kushaya chikafu zvinovaka muviri ndizvo zvimwe zvinowanzo kukonzera.
• Hypergonadotropic hypogonadism: Apa ndipo apo hypothalamus yemwana nepituitary gland zviri kushanda nemazvo. Zvisinei, gonads dzavo (machende kana maovari) hadzisi kushanda nemazvo. Izvi zvinoitika kuvana vane Turner syndrome neKlinefelter syndrome. Dambudziko iri rinogona kuitika semhedzisiro yekurapwa kwegomarara kana zvimwe zvikonzero.

Kunyange zvazvo mashoko aya angaita seakaoma zvishoma, muchidimbu, zvinorehwa neizvi ndezvokuti dambudziko riri pakuti riri kupi muhurongwa hwekudzora mahormone.

Vanachiremba vanoongorora sei chirwere ichi?

Vanachiremba vanoita zvinotevera kuti vaongorore kana munhu anonoka kuyaruka:

• Kuita ongororo yemuviri.
• Tichakurukura nemi nezvenhoroondo yehutano hwemwana wenyu uye nhoroondo yehutano hwemhuri (yevabereki vake chaivo).
• Mimwe miedzo iri kuitwa.

Chimwe chinhu chinonyanya kutariswa navanachiremba ndechekuti kana paine nhoroondo yemhuri yekunonoka kuyaruka. Kana zvakadaro, mwana wako anogona kunge ari "kunonoka kuzvara," zvichireva kuti panogona kunge pasina chikonzero chekurapa chekunonoka.

Zvisinei, kunyangwe vanachiremba vachifunga kuti zvinoitika mumhuri, vanowanzoita bvunzo kuti vave nechokwadi chekuti hapana zvimwe zvikonzero. Izvi zvinodaro nekuti vanachiremba vanoti ``Constitutional Delay of Growth and Puberty (CDGP)``` ndiko "kuongororwa kwekubviswa muvana." Kureva kuti, vanogumisa kuti ``(CDGP)``` mushure mekusimbisa kuti zvimwe zvikonzero zvese hazvina kubviswa.

Kuongororwa uku kwakakosha zvikuru kunyangwe kana pasina nhoroondo yemhuri uye kana vanachiremba vari kuedza kutsvaga chikonzero chacho.

Miedzo yekuona kunonoka kwekuyaruka

Unogona kuita bvunzo dzakadai:

• Kuongororwa kweropa: Tarisa huwandu hwemahormone uye ona kana paine zviratidzo zvemamwe matambudziko ehutano.
• Kuongororwa kwemajini: Tarisa shanduko dzemajini dzinogona kukonzera kunonoka kwekuyaruka.
• Kuongororwa kwemifananidzo: Zvinhu zvakaita seMRI scan kana ultrasound scan zvinoitwa kusimbisa kana kubvisa zvimwe zvirwere.

Vana vemhuri yenyu vanogona kukutumirai kuna chiremba we endocrinologist wevana kana vamwe nyanzvi kuti vakubatsirei kuongorora nekurapa chirwere ichi.

Kunonoka kuyaruka kunorapwa sei?

Kurapwa kunoenderana nechikonzero chekunonoka. Chikwata chevanachiremba chemwana wenyu chinogona kukurudzira zvinotevera:

• Nzira yekuti "mira uone": Izvi zvinowanzo teverwa nevana vadiki vasina zvirwere kana chimwe chikonzero chinozivikanwa chekunonoka. Vanachiremba vachaona kana kuyaruka kuchigona kutanga zviri zvega. Kana zvakadaro, mwana wenyu angasazoda kurapwa, uye kuyaruka kuchaitika sezvaitarisirwa.
• Kurapa zvirwere: Kana kunonoka kuri nekuda kwechimwe chirwere, vanachiremba vacharapa chirwere ichocho. Izvi zvinofanira kubatsira kutanga kuyaruka uye kufambira mberi sezvaitarisirwa.
• Kurapa kwekutsiva mahormone:Kana muviri wemwana usingagadzi mahormone akakwana (testosterone kana estrogen) kuti asvike pazera rekuyaruka, angangoda mishonga yekupa mahormone iwayo. Chikwata chekurapa chichakutsanangurirai kuti kurapwa nemahormone kunofanira kuitwa kwenguva yakareba sei zvichienderana nezvinodiwa nemwana wenyu.

Vana "vanonoka kubereka" pasina chikonzero chekurapa havadi kurapwa nemahormone. Zvisinei, kana kunonoka kubereka kuchinetsa mwana zvakanyanya, ingava sarudzo. Vamwe vana vadiki vanoona zvichivaomera kumirira kusvika vakura, uye kunonoka uku kunogona kukonzera matambudziko munharaunda uye kukanganisa kuzviremekedza kwavo. Kana uchinetseka kuti izvi zviri kuitika kumwana wako, taura nechikwata chako chekurapa nezvazvo.

Ndirini pandinofanira kutsvaga mazano ekurapwa kwemwana wangu?

Enda nemwana wako kunoongororwa murwere nguva nenguva, uye taura chero zvinokunetsa iwe nachiremba wevana vako. Vachaongorora kukura nekukura kwemwana wako uye vanogona kukubvunza mibvunzo nezvenhoroondo yemhuri yako. Vana vako vachakutsanangurira kuti ndezvipi bvunzo nekutevera zvinodiwa kana mwana wako asati atanga kuyaruka sezvaitarisirwa.

Chengetedzawo hutano hwepfungwa dzemwana wako.

Kunonoka kuyaruka kunogona kukanganisa zvikuru hutano hwepfungwa dzemwana wako mudiki - asi inguva yaanenge atove nematambudziko akawanda emanzwiro nekuchinja. Zvingava zvakanaka kuronga kuti mwana wako ataure nachiremba wepfungwa. Kupa mazano kunogona kubatsira mwana wako kutaura nezvemanzwiro ake nezvekuyaruka nezvimwe zvinhu zvaanofunga nezvazvo uye kushanda nazvo. Vanogona kufunga kuti, "Shamwari dzangu dzese dzakura uye ndini ndega ndichiri mudiki." Vanoda rutsigiro panguva dzakadai.

Mibvunzo ipi yandinofanira kubvunza vanachiremba vemwana wangu?

Kuyaruka chiitiko chakasiyana kune mwana wese, kungave kuchiuya "nenguva" kana kunonoka kupfuura zvaitarisirwa. Chiremba wevana vako uye chero nyanzvi dzinopa kurapwa vanogona kugovera ruzivo rwakanangana nemwana wako. Heano mimwe mibvunzo yaunogona kubvunza kuti utange hurukuro:

• Ndingaziva sei kana mwana wangu atanga kuyaruka?
• Ndingaziva sei kana kuyaruka kusiri kufambira mberi sezvaitarisirwa?
• Mwana wangu anonoka kuyaruka here? Kana zvakadaro, zviratidzo zvacho ndezvipi?
• Mwana wangu anoda bvunzo here?
• Munokurudzira chero kurapwa kupi zvako here?
• Ndingabatsira sei mwana wangu zvakanyanya?

Chii chandinofanira kutarisira kana mwana wangu anonoka kuyaruka?

Chikwata chevanachiremba vemwana wenyu chichakuudzai zvamunofanira kutarisira, zvichibva pane chikonzero chekunonoka kwekuyaruka uye chero kurapwa kupi zvako kunoitwa nemwana wenyu. Zvakaoma kutaura kuti kuyaruka kuchatanga riini. Vana vadiki vane ``Constitutional delay of growth and puberty (CDGP)'' vanowanzotanga kuyaruka pazera remakore gumi nemasere. Zvisinei, mwana wenyu anogona kutanga kare kare. Chiitiko chemwana wese chakasiyana.

Ingoyeukai, kunonoka kuyaruka kunongoitika kwenguva pfupi uye kunogona kurapwa kana zvichidikanwa.

Kunonoka kuyaruka kunowedzera kukwirira here?

Zvakaoma kutaura kuti kunonoka kuyaruka kunokanganisa sei kureba kwemwana wako. Vamwe vana vadiki vanosvika pakureba kupfupi kupfuura zvingatarisirwa zvichienderana nekureba kwevabereki vavo chaivo. Zvisinei, kune vamwe vana vadiki, kunonoka kuyaruka hakuratidzike sekunokanganisa kureba kwavo kwevakuru.

Dzimwe nguva vanachiremba vanoita bvunzo ye "bone age" (X-ray) kuti vanzwisise kureba kwemwana. Chiremba wevana vanogona kukuudza zvakawanda nezvebvunzo iyi uye zvainoratidza.

Kushandisa melatonin kunononotsa kuyaruka here?

Melatonin inogona kunonoka kuyaruka, asi pane zvakawanda zvinodiwa kuti uzive chokwadi. Vaongorori vachiri kudzidza nezvemigumisiro yekurapwa kwemelatonin muvana nevechidiki. Taura nachiremba wevana nezvezvakanaka nezvakaipa zvekupa mwana wako melatonin.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kunonoka kuyaruka kunogona kukushungurudza iwe nemwana wako. Ungave uchinetseka nezvemwana wako, kana kuti ungashamisika kuti sei kukura kwake kuchinonoka. Yeuka, mwana wese ari munzira yake ega. Mwana wako anogona kusvika pakuyaruka muviri wake wagadzirira. Kana kuti, muviri wake ungangoda rubatsiro kuti usvike ipapo. Zvisinei, chiremba wevana vako anogona kukubatsira kuona zviri kuitika uye kukurudzira nzira yakanakisisa.

Munguva iyi, mwana wako anogona kunge aine zvinhu zvakawanda zvaanonetseka nazvo - kubva pakuwirirana nevamwe vake kusvika pakuva nechivimbo nezvechitarisiko chake. Bvunza chiremba wevana kuti ungabatsira sei mwana wako zvakanyanya pamanzwiro ake. Uyewo, ramba wakavhurika mukana wekuti mwana wako ataure newe chero nguva yaanenge akasuruvara kana kuti akagumbuka. Kunyangwe kumbundirana kana kunyora tsamba inoti "Ndinodada newe" zvinogona kubatsira zvikuru panguva ino.

Kunonoka Kuyaruka, Mahormone, Hutano hweVana, Kuyaruka, Kukura, Kukura Kwepabonde