Wakambonzwa here sekuti mwanasikana wako kana mwanakomana wako ari kuita semwana mudiki nguva yake isati yakwana, kana kuti ari kuratidza shanduko mumuviri? Vamwe vana vanogona kuratidza zviratidzo zvekuyaruka nguva yavo isati yakwana. Nhasi tichataura nezvechirwere ichi chinonzi 'precocious puberty' kana sekudanwa kwazvinoitwa navanachiremba, '(Precocious Puberty)'. Usazvidya moyo, tichataura nezvazvo zviri nyore.
Saka chii chinonzi kuyaruka uku kwekutanga?
Kuyaruka inguva iyo muviri wemwana unochinja zvikuru uye zvishoma nezvishoma anotanga kukura hunhu hwemunhu mukuru. Izvi zvinhu zvakasikwa. Kazhinji, pane chikamu chidiki cheuropi hwemwana wako chinonzi hypothalamus. Apa ndipo panotanga hypothalamus. Inoburitsa mamwe makemikari anonzi mahormone. Mahormone aya anobva atumira chiratidzo kune rimwe gland diki riri muuropi rinonzi pituitary gland. Gland repituitary rinoburitsa rumwe rudzi rwehormone inonzi gonadotropins. Magonadotropins aya anoenda zvakananga kumagland ebonde emwana, anonzi gonads. Muvakomana, aya ndiwo "matesticles." Aya anogadzira hormone "testosterone." Muvasikana, aya ndiwo "maovari." Aya anogadzira hormone "estrogen."
Kazhinji, musikana anotanga kuyaruka ari pakati pemakore masere negumi nematatu. Mukomana anotanga kuyaruka ari pakati pemakore mapfumbamwe negumi nemana. Zvisinei, munyaya iyi, "Precocious Puberty", maitiro aya anotanga kare kare. Kureva kuti, musikana anotanga kuratidza zviratidzo izvi asati asvitsa makore masere, uye mukomana anotanga kuratidza zviratidzo izvi asati asvitsa makore mapfumbamwe .
Pane mhando huru dzekuyaruka kwevana vasati vasvika panguva yekuyaruka here?
Ehe, kune mhando mbiri huru. Ngationei kuti ndedzipi.
1. Kuyaruka Kwepakati Pasati Pakura
Iyi ndiyo mhando inonyanya kuwanikwa . Chinoitika pano ndechekuti uropi hwemwana hunotanga kuburitsa hormone inonzi 'Gonadotropin-releasing hormone (GnRH)' nguva isati yakwana. Izvi zvinoita kuti machende nemaovari aburitse mahormone epabonde, akadai se'androgens', nguva isati yakwana.
2. Kuyaruka Kwepanze Pamberi Penguva Yekuyaruka
Rudzi urwu runokonzerwa nedambudziko renhengo dzekubereka dzemwana, dzakadai semazai, machende, kana adrenal glands. Dzimwe nguva, dambudziko iri rinogonawo kukonzerwa nemahormone anopinda mumuviri achibva kunze. Izvi zvinonziwo gonadotropin-independent precocious puberty.
Ndiani anonyanya kubatwa nechirwere ichi? Chinowanzoitika sei?
Kutaura zvazviri, chero mwana anogona kusangana nedambudziko iri rekuyaruka achiri mudiki. Zvisinei, rinowanzoitika kuvasikana kupfuura vakomana.
Panyaya yekupararira kwechirwere ichi, chirwere ichi chinobata vasikana vanosvika makumi maviri pa10,000, asi vakomana vari pasi pevashanu pa10,000.
Sei vanhu vachikurumidza kusvika pazera rekuyaruka? Ndezvipi zvikonzero?
Zvikonzero zvinosiyana zvichienderana nerudzi rwambotaurwa.
Zvinokonzera Kukura Kwepakati Pasati Pakura
Sezvambotaurwa, izvi zvinokonzerwa nekuburitswa kwehomoni `(GnRH)` kubva muuropi nekukurumidza. Kazhinji, kunyanya kuvasikana, zvakaoma kuwana chikonzero chakajeka cheizvi. Zvisinei, dzimwe nguva zvinhu zvakaita seizvi zvinogona kukonzera:
- Kukuvara kwehuropi
- Matumbu europi
- Utachiona hwehuropi
- Kusagadzikana kwehuropi
- Ndiri kurapwa nemwaranzi
Zvinokonzera Kukura Kwenguva Isati Yasvika Pakukwegura
Rudzi urwu runokonzerwa nematambudziko enhengo dzekubereka dzemwana kana adrenal glands. Semuenzaniso:
- Matumbu emudumbu, matestes kana adrenal gland
- Mamota anogadzira hormone inonzi ``Human Chorionic Gonadotropin (HCG)``
- Zvimwe zvirwere zvemajini, semuenzaniso, McCune-Albright syndrome.
- Hypothyroidism yakanyanya
- Zvirwere zveadrenal glands, semuenzaniso, ``Congenital adrenal hyperplasia``.
Dzimwe nguva, kusangana nemahormone anobva kunze kwemuviri wemwana kunogonawo kuva chikonzero. Funga nezvezvinhu zvakaita sekirimu, mishonga, kana zvekudya zvine estrogen, testosterone, kana androgens.
Ndezvipi zviratidzo zvekuyaruka usati wasvika panguva yekuzvitakura? Unozviziva sei?
Zviratidzo zvinowanzoonekwa muvarume nevakadzi zvinosanganisira mapundu, kunhuwa kwemuviri kwakawedzera, uye kuwedzera kureba kamwe kamwe . Pamusoro pezvo, hunhu hwepabonde hunotangawo kuoneka nekukurumidza.
Fungidzira, mwanasikana wako ane makore manomwe okuberekwa anoona mazamu ake achikura, kana kuti inzwi remwanakomana wako ane makore masere okuberekwa rinochinja uye anotanga kukura ndebvu. Izvi ndizvo zvatinodaidza kuti zviratidzo.
Zviratidzo zvinoonekwa muvasikana:
- Kukura kwemazamu
- Kuenda kumwedzi kunotanga
- Kukura kwebvudzi muhapwa nenzvimbo dzakavanzika
Zviratidzo zvinoonekwa muvakomana:
- Kushoshoma kwezwi
- Kukura kwebvudzi pachiso, muhapwa, uye munzvimbo dzakavanzika
- Kukura kwenhengo yemurume nemukadzi
- Kukura kwetsandanyama
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Mamwe mapoka ari panjodzi yakakura zvishoma yekuyaruka uku. Ndeaya:
- Vasikana
- Vana vakafuta kana kuti vakafuta
- Vana vemamwe marudzi (Tsvakurudzo yakaratidza kuti izvi zvakajairika pakati pevana vatema vari kune dzimwe nyika. Izvi zvinoda kudzidzwa zvakanyanya munyika medu.)
Ndezvipi zvinetso zvinogona kuitika nekuda kwekuyaruka kwekutanga?
Kunyange zvazvo mwana achingoerekana awedzera kureba paanotanga kuyaruka, kukura kwacho kunomira kana nguva yekuyaruka yapera. Saka, vanogona kunge vapfupi pane vamwe vana vezera rimwe chete. Izvi zvinogona kukanganisa mwana mupfungwa.
Chimwe chinhu ndechekuti vana vanogona kunyara uye kusanzwa zvakanaka kana miviri yavo ikachinja nekukurumidza kupfuura vamwe vana. Fungidzira kuti zvakaoma sei kumwana kuona miviri yake ichichinja zvikuru uku vaanodzidza navo vachiri vadiki.
Matambudziko aya anogona kukonzera matambudziko ehunhu, emanzwiro, uye emagariro evanhu muvana. Vanogona kunetseka uye kuora mwoyo. Vanogonawo kuva panjodzi huru yekushandisa zvinodhaka zvisina kunaka uye kuita zvinhu zvine njodzi.
Vanachiremba vanoongorora sei chirwere ichi?
Kana mukaenda nemwana wenyu kuna chiremba, iye achatanga amuongorora zvakanaka. Achakubvunzaiwo nezvenhoroondo yemwana wenyu yezveutano uye kana paine mumwe munhu mumhuri menyu akambova nematambudziko akafanana.
Zvadaro zvinokwanisika kuita bvunzo dzakadai:
- X-ray yeruoko neruoko: Izvi zvinoongorora zera remapfupa emwana. Kana muviri ukagadzira mahormone epabonde akawandisa, mapfupa anokura nekukurumidza kupfuura zvakajairika. Ichi chiratidzo chekukura kwemwana asati asvika pazera rekuyaruka.
- Kuongororwa kweropa: Izvi zvinoongorora huwandu hwemahormone emwana. Zvikuru sei, zvinoongorora huwandu hwemahormone ekuti ``Luteinizing Hormone (LH)`` uye ``Follicle-Stimulating Hormone (FSH)``, anogadzirwa nepituitary gland. Aya ndiwo mahormone anodzora kuyaruka. Zvinoongororawo huwandu hwemahormone epabonde.
- Kuongororwa kweMRI yeuropi: Kuongororwa uku kunobatsira kubvisa matambudziko akadai semabundu emuuropi.
- Kuongororwa kwepelvic ultrasound: Kuongororwa uku kunogona kuitwa kana muchifunga kuti mwana wenyu ane peripheral precocious beginning. Kuongororwa uku kunoongorora bundu riri mumaovari kana adrenal glands muvasikana, sezvo izvi dzimwe nguva zvichigona kukonzera kutanga kwekuyaruka.
Zvichienderana nemhedzisiro yebvunzo idzi, chiremba wako anogona kukutumira kuna chiremba we endocrinologist wevana, chiremba anonyanya kubata zvirwere zvine chekuita nemahormone muvana.
Ndezvipi zvinorapwa izvi?
Nzira dzekurapa dzinoenderana nerudzi rwekuyaruka usati watanga.
Kurapa Kwepakati Pekuyaruka Kwevana Vasati Vasvika Pazera Rekutanga
Chinangwa chikuru cherudzi urwu ndechekumisa kugadzirwa kwemahormone `LH` ne`FSH` negland repituitary. Izvi zvinononotsa zviratidzo zvekuyaruka uye zvinogona kutononoka kuenda kumwedzi. Izvi zvinowanzoitwa nemushonga unonzi `GnRH agonist`. Izvi zvinonziwo `Puberty Blocker`. Uyu mushonga wekugadzira unogadzirwa nevarume. Izvi zvinoitirwa kumisa kugadzirwa kwemahormone ekubereka kana mahormone ekukura. Chiremba achapa mushonga uyu kumwana sejekiseni panguva dzakatarwa. Kurapa uku kunofanira kuenderera mberi kusvika panguva chaiyo yekuti kuyaruka kutange.
Kurapa Kwevanhu Vasati Vasvika Pazera Rekuyaruka
Rudzi urwu rwechirwere runorapwa nekubvisa mahormone epabonde. Vamwe vana vangada kuvhiyiwa kubvisa bundu kana chimwe chinhu chiri kukonzera kuyaruka. Vamwe vangada mishonga yesteroid, yakaita seglucocorticoids. Dzimwe nguva, chirwere ichi chinogona kudzorwa nekubvisa mahormone ekunze, akadai seestrogen creams.
Kusvika pazera rekutanga kuyaruka kunogona kudzivirirwa here?
Dambudziko iri rinowanzova rakaoma kudzivirira. Zvisinei, rinogona kudzivirirwa kusvika pamwero wakati nekuderedza mukana wemwana wekuwana mahormone epabonde kubva kune dzimwe nzvimbo. Semuenzaniso, zvakakosha kuchengetedza makirimu, mafuta ekuchenesa, kana mimwe mishonga ine estrogen kana testosterone kure nevana.
Ramangwana revana vane chirwere ichi richave rakaita sei?
Ramangwana remwana rinoenderana nezvinhu zvakawanda:
- Zera remapfupa
- Zera remwana apo zviratidzo zvakatanga
- Mamiriro ezvinhu aya akakurumidza sei kukura
- Chirongwa chekurapa mwana
Asi hapana chekutya. Kana zvikaonekwa nekukurumidza uye zvikarapwa nemishonga kana, kana zvichidikanwa, kuvhiyiwa, chirwere ichi chinogona kudzorwa. Mwana anogona kukura nekukurumidza uye kusvika pakuva munhu mukuru.
Ndinofanira kutaura nachiremba rini nezveizvi?
Kana mwana wako akaratidza zviratidzo zvekuyaruka asati asvika pazera rekutanga, kunyanya kana mwana ari pasi pemakore masere (kana ari musikana) kana mapfumbamwe (kana ari mukomana), enda kuna chiremba nekukasika.
Mibvunzo ipi yandinofanira kubvunza chiremba?
Unogona kubvunza mibvunzo yakaita seiyi:
- Mwana wangu ari kutanga kuyaruka zvechokwadi here?
- Sei izvi zvakaitika kumwana wangu?
- Munokurudzira mwana wangu kurapwa kupi?
- Mwana wangu anoda mishonga yekudzivirira chirwere ichi here?
- Pane mapoka ekutsigirana anobatsira vana vanosvika pazera rekuyaruka here?
- Tinofanira kuona chiremba we endocrinologist wevana here?
Sei vasikana vachiita sevari kutanga kuyaruka mazuva ano?
Munyika dzakadai seUnited States, zvinonzi kune katsika kekuti vasikana vanotanga kuyaruka vasati vasvika zera rekutanga. Chimwe chikonzero cheizvi chinogona kukonzerwa nekuwedzera kwehuwandu hwekufutisa munyika idzodzo. Sekureva kwevaongorori, pane hukama pakati pekuva neBody Mass Index (BMI) yakakwira uye kukura kwemazamu achiri mudiki. Kunewo fungidziro yekuti kudya chikafu chakawanda chakagadziriswa uye chine mafuta akawanda kunogona kukonzerawo kuyaruka ari mudiki.
Uyewo, dzinza rinonzi rine zvarinokanganisa pane izvi. Semuenzaniso, vasikana vatema nevaHispanic muUnited States vanonzi vanosvika pazera rekutanga kupfuura mamwe mapoka emadzinza. Sezvo kufuta kwakawanda pakati pemapoka aya, izvozvo zvinogonawo kuva chikonzero chekuwedzera uku kwekukura kwevana vasati vasvika pazera rekutanga.
Zvisinei, izvi zvinowanzoitwa mune dzimwe nyika. Mamiriro ezvinhu munyika medu anogona kunge akasiyana. Saka , kana muine kusava nechokwadi nezvemwana wenyu, chinhu chakanakisa chekuita kutsvaga mazano echiremba.
Saka, ndezvipi zvinhu zvakakosha zvatinofanira kurangarira kubva munyaya iyi?
Kuyaruka kwemwana nevabereki panguva yekukura kunogona kuva mutoro unorema. Asi zvakakosha kuziva izvi.
- Kana ukaona zviratidzo zvekuyaruka usati wasvika makore masere (vasikana vasati vasvika makore mapfumbamwe uye vakomana vasati vasvika makore mapfumbamwe), usazvitore sezvisina basa. Enda kuna chiremba nekukasika.
- Panogona kuva nezvikonzero zvakawanda zveizvi. Dzimwe nguva, chikonzero chakajeka chingasawanikwa. Zvisinei, bvunzo dzechiremba dzinogona kubatsira kuziva.
- Kune mishonga inoshanda. Kana ikaonekwa nekukurumidza uye ikarapwa, kukura kwemwana kunogona kuramba kuripo zvakanaka.
- Chenjererawo hutano hwepfungwa dzemwana wako. Vangaomerwa nekugamuchira shanduko iyi. Vape rudo nerutsigiro. Vatumire kunyanzvi dzemazano kana zvichidikanwa.
Chinhu chinonyanya kukosha kuziva kuti hausi wega. Vanachiremba varipo kuti vakubatsire iwe nemwana wako. Saka usatya, uye gara uchitsvaka mazano echiremba kana usina chokwadi.
Kuyaruka kwepanguva yekuzvitakura, mahormone, kukura kwemwana, kuyaruka, vasikana, vakomana
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