Ngamanye amaxesha, njengomzali, usenokuba nexhala xa ubona utshintsho emzimbeni womntwana wakho kwangethuba. Umzekelo, kuyinto eqhelekileyo ukuba nexhala xa ubona izinto ezifana neenwele ezisemakhwapheni okanye ivumba lomzimba ngaphambi kokuba ufikelele kwiminyaka esi-8. Kodwa oku akusoloko kuyinto yokoyika. Namhlanje, sithetha ngenkqubo yendalo ebizwa ngokuba yi-'Adrenarche', ebangela le meko.
Yintoni iAdrenarche?
Ngamafutshane, i-adrenarche yinkqubo yendalo eyenzeka emzimbeni womntwana wakho. Yenzeka xa amadlala e-adrenal omntwana eqala ukuvelisa i-hormone ebizwa ngokuba yi-DHEA (dehydroepiandrosterone). Oku kwenzeka phakathi kweminyaka emi-6 ne-8 ubudala. Ngokuchanekileyo, iqala malunga neminyaka emibini ngaphambi kokuba umntwana aqale ukufikisa.
I-DHEA 'yi-hormone yangaphambi kwexesha'. Oko kukuthi, umzimba wethu uthatha i-DHEA kwaye uyisebenzisele ukwenza ezinye iihomoni ezinamandla. Ezi zibizwa ngokuba zii-androgens. Umzekelo, iihomoni ezifana ne-testosterone kunye ne-androstenedione . Kwakhona, ihomoni ye-estrogen yenziwa kwi-DHEA. Ezi homoni ze-androgen zinceda ekuqaliseni inkqubo yokufikisa.
Cinga ngayo njengokuziqhelanisa nokufikisa. UAdrenarche ufana nokulungisa iqonga ngaphambi kokuba kuqale umboniso wokwenyani.
I-Adrenarche inokubonwa ngokulinganisa inqanaba le-DHEAS (olunye uhlobo lwe-DHEA hormone) egazini. Nangona kunjalo, kuba le yinkqubo yendalo, oogqirha abadli ngokuyalela olu vavanyo kubantwana.
Kwenzeka ntoni emzimbeni ngexesha le-adrenal?
Ngeli xesha, umaleko okhethekileyo kwinxalenye engaphandle (i-cortex) ye-adrenal gland yomntwana uyavuthwa. Njengoko ikhula, amadlala avelisa i-hormone i-DHEA. Emva koko umzimba usebenzisa loo DHEA ukwenza ii-hormone ze-androgen. Ezi hormone zibangela ukuba kwenzeke ezi zinto zilandelayo:
| Impembelelo yamahomoni | Kalula nje... |
|---|---|
| Iindlala ze-sebaceous ziyasebenza | Ulusu neenwele ziba namafutha, nto leyo ekwanegalelo kwivumba lomzimba. |
| Ii-Apocrine glands ziyaqala ukusebenza | Iigland zokubila ezikhethekileyo kwiindawo ezifana namakhwapha kunye nezinqe ziqala ukusebenza. Ezi zezona zinto zibangela ivumba lomzimba. |
| Iinwele zasesibelekweni nasekhwapheni | Iinwele ezingqindilili nezimnyama ziqala ukubonakala kwiindawo zangasese (ezijikeleze amalungu esini) nangaphantsi kwamakhwapha. |
Kodwa oku kwahlukile ekufikiseni ngokoqobo (i-gonadarche) . Ukufikisa ngokoqobo kubandakanya ukuveliswa kweehomoni ngamaqanda kumantombazana kunye namasende kumakhwenkwe. Oku kubangelwa kukukhula kwamabele kumantombazana kunye nokukhula kwezitho zangasese kumakhwenkwe. I-Adrenarche kunye ne-gonadarche ziinkqubo ezimbini ezizimeleyo ezingadibaniyo.
Ziziphi iimpawu ze-adrenarche?
Xa i-adrenarche iqala ngaphakathi, akukho zimpawu zangaphandle. Oku kuthetha ukuba xa i-DHEA hormone iqala ukwanda, umzimba womntwana awuyi kubonisa naluphi na utshintsho.
Nangona kunjalo, malunga neminyaka emibini emva kokuqala kwe-Adrenarche, ixesha elibizwa ngokuba yiPubarche livela ngenxa yoko. I-Pubarche kukuqala kokukhula kweenwele kwiindawo zangasese. Oogqirha bacinga ukuba oku kubangelwa yi-Adrenarche. Olu luphawu lokuqala oluphawula ukuqala kokufikisa.
Ezinye iimpawu ezibonakala ngexesha le-pubarche zezi:
- Ukukhula kweenwele phantsi kwamakhwapha
- Ivumba lomzimba
- Ulusu olunamafutha kunye neenwele
- I-acne
Yintoni i-adrenarche yangaphambi kwexesha?
I-adrenarche yangaphambi kwexesha kuxa iimpawu esizixubushe ngaphambili, ezinje ngokukhula kweenwele kunye nevumba lomzimba, zibonakala ngaphambi kwexesha elilindelweyo. Ngokwesiqhelo, ezi mpawu zibonakala ngaphambi kweminyaka esi-8 kumantombazana nangaphambi kweminyaka esi-9 kumakhwenkwe . Le meko ixhaphake kakhulu kumantombazana kunamakhwenkwe.
Iimpawu ze-Adrenarche yangaphambi kwexesha
- Inkangeleko yeenwele zasesinqeni kunye/okanye zasekhwapheni ngaphambi kweminyaka esi-8 kumantombazana okanye kwiminyaka eli-9 kubafana.
- Ivumba lomzimba libi kakhulu kangangokuba kufuneka usebenzise i-deodorant.
- Ngamanye amaxesha aba bantwana banokuba bade kunabanye abantwana abaneminyaka yabo.
Nantsi into ebaluleke kakhulu. Kwimeko ye-Premature Adrenarche , akukho kukhula kwamabele kumantombazana, kwaye akukho kukhula kwamalungu esini kumakhwenkwe. Ukuba umntwana wakho ubonisa nayiphi na kwezi mpawu, kusenokwenzeka ukuba yenye imeko ebizwa ngokuba yi-'Precocious Puberty'. Ke ngoko, kubalulekile ukuthetha nogqirha wakho ngayo.
Uyifumana njani le nto, Gqirha?
Ukuba umntwana wakho unezi mpawu zokufikisa ngaphambi kwexesha, ugqirha uya kuqala azame ukufumanisa ukuba kukho na enye imeko enzulu ebangela ezi mpawu. Oku kunokubandakanya ukuhlola umzimba womntwana mhlawumbi nokwenza uvavanyo lwegazi kunye neeskeni. Ugqirha uya kucela imvume yakho ngaphambi kokuba ahlole amalungu esini.
Ugqirha wakho angakuthumela kwi -endocrinologist yabantwana .
| Ezinye iimeko zonyango ezithintelwe ngugqirha | |
|---|---|
| Ukufikisa Kwangaphambi Kokufikisa | Ukuqala kwangethuba kokufikisa (uphuhliso lwamabele, amalungu esini). |
| I-Congenital Adrenal Hyperplasia | Ingxaki yokuzalwa kunye neendlala ze-adrenal. |
| Iithumba ezikhupha i-androgen | Iintlobo zeethumba ezivelisa iihomoni ze-androgen. |
| Ukuvezwa kwe-Androgen yangaphandle | Iihomoni ze-androgen ezingena emzimbeni zivela ngaphandle (umz., ezinye iikhrimu). |
Kuphela emva kokuqinisekisa ukuba azikho ezinye izizathu ezinzulu apho ugqirha anokuthi oku 'yi-Premature Adrenarche'. Le yimbangela yabantwana abamalunga nama-90% abakhula iinwele ngaphambi kwexesha.
Ngaba i-Adrenarche yangaphambi kwexesha iyingozi?
Kunokuba yinto eyoyikisayo ukubona umntwana wakho ekhula iinwele ngaphambi kwexesha, kodwa i-adrenarche ngaphambi kwexesha ayisoloko iyingozi emzimbeni.
Nangona kunjalo, uphando lufumanise ukuba aba bantwana banokuba nomngcipheko okhulayo wokutyeba kakhulu , ukuxhathisa i-insulin, i-polycystic ovary syndrome (PCOS), kunye nezinye iingxaki zempilo yengqondo kamva ebomini .
Oku kunokuchaphazela impilo yengqondo yomntwana ngaphezu nje komzimba. Xa umzimba wakhe utshintsha ngendlela eyahlukileyo kontanga yakhe, umntwana unokuziva eneentloni, engonwabanga, kwaye eyedwa. Abanye abantwana banokubahlekisa ngaye. Ukuba umntwana wakho uziva exinezelekile ngale nto, licebo elihle ukufuna uncedo kumntu ofana nengcali yezengqondo yabantwana .
Akukho nyango luthile loku. Xa sele kuqalile ukukhula kweenwele, akukho ndlela yokuzimisa okanye yokuzibuyisela umva. Kwaye akusoloko kuthintelwa.
Umyalezo Wokuya Ekhaya
- I-Adrenarche yinkqubo yendalo, eqhelekileyo eyenzeka ngaphambi kokuba umntu afikelele ebusheni.
- I-adrenarche yangaphambi kwexesha iyenzeka xa iimpawu zayo (iinwele zasekhwapheni/zesitho sangasese, ivumba lomzimba) zibonakala ngaphambi kweminyaka esi-8 kumantombazana nangaphambi kweminyaka esi-9 kumakhwenkwe.
- Ukukhula kwamabele okanye ukwanda kwamalungu esini akwenzeki apha. Ukuba kunjalo, yimeko eyahlukileyo.
- Nangona oku kudla ngokungaba yingozi emzimbeni, kunokuchaphazela impilo yengqondo yomntwana.
- Ukuba umntwana wakho unezi mpawu, kubaluleke kakhulu ukuba ungoyiki kwaye ubone ugqirha wosapho ukuqinisekisa ukuba akukho zizathu zimbi.
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