Ngaba ubona utshintsho emzimbeni womntwana wakho kwangethuba? Masithethe nge-Adrenarche!

Ngaba uqalile ukuqaphela utshintsho oluthile emzimbeni womntwana wakho, mhlawumbi kwangaphambi kwexesha obucinga ngalo? Ngaba ngamanye amaxesha kuvakala ngathi kukho uboya obuncinci obukhula emakhwapheni okanye kwiindawo zangasese, okanye kuvakala ngathi kukho ivumba elibi? Kuqhelekile ukuba umama okanye utata azive esoyika kwaye ekhathazekile xa ebona ezi zinto. Ngoko ke namhlanje, masithethe ngenkqubo yendalo ebizwa ngokuba yi-adrenarche, enokuba yimbangela yoku.

Uyazi ukuba yintoni iAdrenarche?

Ngamafutshane, i-Adrenarche yinkqubo yendalo apho amadlala e-adrenal omntwana wakho aqala ukuvelisa i-hormone ebizwa ngokuba yi-DHEA (Dehydroepiandrosterone). Oku kudla ngokuqala phakathi kweminyaka emi-6 ne-8 ubudala. Ngokuchanekileyo, oku kwenzeka malunga neminyaka emibini ngaphambi kokuba umntwana aqale ukubonisa iimpawu zokufikisa (pubarche).

Cinga ngale hormone i-DHEA njengezinto ezisetyenzisiweyo. Umzimba wethu uyisebenzisela ukwenza ezinye iihomoni ezibalulekileyo. Umzekelo, iihomoni ezikwiqela le-androgen (ezifana ne-testosterone kunye ne-androstenedione) kunye nehomoni i-estrogen nazo zenziwe kule DHEA. Ezi homoni ze-androgen zinceda ekuqaliseni ukufikisa, kwaye zibalulekile nakwimpilo yokuzala kunye nokukhula komzimba.

Olunye uhlobo lwe-DHEA lubizwa ngokuba yi-DHEAS (Dehydroepiandrosterone-sulfate). Olu luhlobo lwe-DHEA olujikeleza egazini lethu. Uvavanyo lwegazi lunokulinganisa inqanaba le-DHEAS ukuze kuqinisekiswe ukuba umsebenzi we-adrenal uyenzeka na. Nangona kunjalo, kuba le yinkqubo yendalo, olu vavanyo lwegazi alwenziwa rhoqo ebantwaneni.

Kwenzeka ntoni ngokwenene ngexesha le-adrenarche?

Ngexesha le-adrenarche, inxalenye engaphandle yee-adrenal glands zomntwana wakho, i-adrenal cortex, iqala ukukhula nokuvuthwa.

Kukho iileya ezintathu zale cortex ye-adrenal:

• I-Zona glomerulosa (umaleko ongaphandle)
• I-Zona fasciculata (umaleko ophakathi)
• I-Zona reticularis (umaleko ongaphakathi). Le nxalenye, ebizwa ngokuba yi-zona reticularis, yeyona iphuhlileyo kumhlaza we-adrenal.

Njengoko oku kuqhubeka, amadlala e-adrenal avelisa i-DHEA, ethi umzimba uyiguqule ibe yi-androgen hormones. Le DHEA kunye nee-hormones ezivelisayo zezona ziqala okanye zonyusa oku kulandelayo:

• Ii-sebaceous glands: Ezi zii-glands eluswini lwethu ezivelisa ukukhupha amafutha (i-sebum). Olu kukhupha lunceda ulusu ukuba lugcine umswakama kwaye lubonelele ngengubo ekhuselayo. Umsebenzi wazo uchaphazela nevumba lomzimba.
• Ii-Apocrine glands: Ezi zii-glands ezikhethekileyo ezifumaneka kwiindawo ezifana namakhwapha kunye ne-groin. Azihlali zingasebenzi de zivuselelwe zii-hormone ze-adrenal ngexesha lomjikelo we-adrenal.
• Iinwele zasesibelekweni nasekhwapheni:Iinwele zasesibelekweni luhlobo lweenwele ezimnyama kancinci nezityebileyo. Kungenxa yehomoni ye-androgen apho iinwele ze-axillary ziqala ukukhula kwindawo yasesibelekweni nasemakhwapheni.

Okubalulekileyo kukuba, ezi hormone ze-adrenal zahlukile kwiihomoni ezibangela ukwanda kwamabele kunye ne-genitalia yamadoda (ebizwa ngokuba yi-gonadarche) ngexesha lokufikisa. I-Gonadarche kukwanda kwemveliso yeehomoni eziphambili zesini (i-estrogen okanye i-testosterone) ngama-ovari kunye nama-testicles. La malungu kunye neehomoni ziyafuneka ekuzaleni ngokwesondo. Iihomoni ze-adrenal azibandakanyeki ngokuthe ngqo.

I-Adrenarche kunye ne-gonadarche ziinkqubo ezimbini ezahlukeneyo, ezizimeleyo. Abaphandi abakayazi kakuhle into ebangela i-adrenarche.

I-Adrenarche ihlala ixesha elingakanani?

I-Adrenarche idla ngokuhlala malunga neminyaka emibini, de kube sekuqaleni kwe-pubarche, uphawu lokuqala lokufikisa. Nangona kunjalo, ii-adrenal glands zomntwana wakho ziyaqhubeka nokuvelisa i-DHEA de abe ngumntu omdala. Amanqanaba e-DHEA aphezulu kubantu abadala abancinci (malunga neminyaka engama-20-24 ubudala), aze anciphe kancinci kancinci njengoko ukhula.

Ziziphi iimpawu ze-Adrenarche?

Enyanisweni, akukho zimpawu ezibonakalayo zomzimba ze-adrenarche. Oko kukuthi, xa amanqanaba e-DHEA enyuka okokuqala, akukho tshintsho lubonakalayo emzimbeni womntwana olunxulumene ngqo nalo.

Nangona kunjalo, malunga neminyaka emibini emva kokuqala kokungasebenzi kakuhle kwe-adrenal, iinwele ze-pubarche , okanye ze-pubic, ziqala ukubonakala. Oogqirha bacinga ukuba oku kubangelwa kukungasebenzi kakuhle kwe-adrenal. I-Pubarche iphawula ukuqala kokufikisa.

Ezinye iimpawu zeenwele zasesibelekweni zezi:

• Inkangeleko yeenwele ezisemagxeni.
• Ivumba lokubila (ivumba lomzimba / ivumba le-apocrine).
• Ukwanda kweoyile kulusu neenwele zomntwana.
• I-acne.

Uboya beenwele zesitho sangasese buqala ukubonakala xa buneminyaka emingaphi?

Oku kuyahluka kancinci kumntwana ngamnye, kuxhomekeke ekubeni uyindoda okanye ungumfazi, kwaye kuxhomekeke kuhlanga nobuhlanga. Umzekelo, nantsi imida yobudala ngokwezifundo ezenziwe eMelika:

• Kumantombazana amnyama angengowaseHispanic, aneminyaka emalunga ne-9.5 ubudala.
• Kumantombazana aseMexico-aseMelika, imalunga neminyaka eli-10.3 ubudala.
• Kumantombazana amhlophe angengowaseHispanic, aneminyaka emalunga ne-10.5 ubudala.
• Kumakhwenkwe amnyama angengowaseHispanic, imalunga neminyaka eli-11.1 ubudala.
• Kubafana baseMexico-Amerika, abaneminyaka emalunga ne-12.3 ubudala.
• Kubafana abamhlophe abangengabo amaHispanic, abaneminyaka emalunga ne-12 ubudala.

Into ebalulekileyo kukuba ayingabo bonke abantwana abafanayo, umzimba womntu wonke ukhula ngendlela yawo eyahlukileyo. Ezi zigaba zeminyaka zinokuba zifana phantse kubantwana baseSri Lanka, kodwa kukho umahluko phakathi komntwana nomntwana.Ukuba unemibuzo okanye iinkxalabo malunga nokukhula komntwana wakho, eyona nto ingcono onokuyenza kukuthetha nogqirha wezingane.

Yintoni i-Adrenarche yangaphambi kwexesha?

I-adrenarche yangaphambi kwexesha kuxa izinto ezifana neenwele zasesinqeni nasekhwapheni kunye nokuphefumla okubi ziqala ngaphambi kwexesha elilindelweyo. Ngokwesiqhelo, ezi mpawu zibonakala ngaphambi kweminyaka esi-8 kumantombazana nangaphambi kweminyaka esi-9 kumakhwenkwe. Oku kusenokuba yi-adrenarche yangaphambi kwexesha.

Oku kuthiwa yi-premature pubarche, kuba asinandlela yokwazi ukuba inkqubo yangaphakathi ebizwa ngokuba yi-adrenarche iqalile kwangethuba na, de kuvele uphawu lwayo olubonakalayo, i-pubarche.

Uphando lubonisa ukuba amantombazana anamathuba aphindwe kasithoba okuba nale meko kunamakhwenkwe. Isizathu esichanekileyo soku asikaziwa okwangoku.

Ziziphi iimpawu ze-adrenarche yangaphambi kwexesha?

Iimpawu eziphambili zokungakwazi ukusebenza kakuhle kwe-adrenal zezi:

• Iinwele zivela kwindawo ye-pubic kunye/okanye emakhwapheni ngaphambi kweminyaka esi-8 kwintombazana, okanye ngaphambi kweminyaka esi-9 kwinkwenkwe.
• Ivumba lomzimba elivela emakhwapheni linokubangela isidingo sokusebenzisa into efana ne-deodorant.

Abantwana abanolu hlobo lokungakwazi ukusebenza kakuhle kwe-adrenal badla ngokuba bade kunabanye abaneminyaka yabo, ngamanye amaxesha bade babe ngaphezulu kwe-90th percentile kwiitshati zobude ngokweminyaka yabo kunye nesini sabo.

Kodwa nantsi into ekufuneka uyikhumbule: Ukufikisa ngaphambi kwexesha akubangeli ukukhula kwamabele ngaphambi kwexesha okanye ukukhula kwangoko ngokwesondo kumakhwenkwe (oko kukuthi, i-gonadarche). Ukuba umntwana wakho ubonisa ezi nguqu zebele okanye zesondo kwangethuba, kunye nokukhula kweenwele kunye nevumba lomzimba, mhlawumbi asikuko ukufikisa ngaphambi kwexesha, kodwa yimeko ebizwa ngokuba kukufikisa ngaphambi kwexesha . Yinto eyahlukileyo leyo.

Ifunyanwa Njani i-Adrenarche yangaphambi kwexesha?

Ukuba umntwana wakho urhanelwa ukuba uneempawu zokungakwazi ukusebenza kakuhle kwe-adrenal, ugqirha wakho wezingane uza kuqala ajonge ukuba kukho na esinye isizathu esibangela ezi mpawu. Ezinye zezi meko zingabandakanya:

• Ukufikisa ngaphambi kwexesha
• I-Congenital adrenal hyperplasia - Le yingxaki yokuzalwa kunye nokuveliswa kweehomoni ezithile kwi-adrenal glands.
• Ukuvezwa kwe-androgen yangaphandle - umzekelo, kwiintlobo ezithile zezithambiso.
• Iithumba ezikhupha i-androgen.

Umntwana wakho uza kuhlolwa umzimba. Ngeli xesha, ugqirha usenokufuna ukuhlola indawo yangasese yomntwana. Ukuba baya kwenza njalo, ngokuqinisekileyo baya kufumana imvume kuwe nakumntwana wakho (kuxhomekeke kwiminyaka yakhe). Banokucebisa nezinto ezifana novavanyo lwegazi kunye novavanyo lwemifanekiso.

Ngamanye amaxesha, ugqirha wakho wezingane unokukuthumela kwi-endocrinologist yabantwana, ingcali kwiihomoni. Kuphela emva kokuba zonke ezi mvavanyo zenziwe kwaye akukho nanye kwezi meko zinzima zikhankanyiweyo apha ngasentla engakhange ikhutshwe apho umntwana wakho aza kufunyaniswa ukuba une-adrenal insufficiency.

Kubalulekile ukwazi ukuba malunga ne-90% yeemeko zeenwele ze-pubic ngaphambi kwexesha ebantwaneni zibangelwa yile meko ibizwa ngokuba yi-adrenal insufficiency. Ezinye i-10% zibangelwa zezinye iimeko zonyango ezikhankanyiweyo apha ngasentla.

Ngaba i-Adrenarche yangaphambi kwexesha iyingozi?

Njengomzali, kuyinto eqhelekileyo ukuziva unexhala kwaye usoyika xa iinwele zomntwana wakho zibonakala ngaphambi kwexesha elilindelweyo, okanye xa ziqala ukunuka njengokubila. Nangona kunjalo, ukungakwazi ukusebenza kakuhle kwe-adrenal cortex akusoloko kuyinto eyingozi emzimbeni.

Nangona kunjalo, uphando lubonise ukuba le meko inokunyusa kancinci umngcipheko wokuba neengxaki ezithile zempilo kwixesha elizayo. Ezinye zezi ngxaki ziquka:

• Ukutyeba kakhulu
• Ukuxhathisa i-insulin - Oku kuthetha ukuba iiseli zomzimba aziphenduli kakuhle kwi-insulin, nto leyo enokubangela ukuba umntu abe nesifo seswekile.
• I-Polycystic ovary syndrome (PCOS) - Le yimeko yehomoni kumantombazana ebangela ukuba kubekho ii-cysts ezincinci kuma-ovari.
• Iingxaki zeemvakalelo - oko kukuthi, utshintsho kwiemvakalelo, ezifana nokudakumba, ixhala, njl.

Ukongeza kwezi ngozi zomzimba, ukufikisa ngaphambi kwexesha kunokuchaphazela impilo yengqondo yomntwana. Khawuthelekelele, xa umntwana efumana utshintsho olusemtsha emzimbeni wakhe, ngokungafaniyo nabanye abantwana abaneminyaka yakhe, unokuziva eneentloni, engonwabanga, kwaye azive eyahlukileyo kwaye engaqhelekanga. Banokugculelwa ngabanye abantwana (ukuxhaphazwa) kwaye bafumane ingqalelo engafunekiyo kwabanye. Ukuba ubona ukuba umntwana wakho uziva edakumbile okanye exhalabile ngento efana nale, ngumbono olungileyo ukufuna ingcebiso kumntu ofanelekileyo, njengogqirha wengqondo yabantwana.

Ngaba kukho unyango lwe-adrenarche yangaphambi kwexesha?

Hayi. Xa iinwele ziqala ukukhula kwindawo ye-pubic okanye emakhwapheni, okwangoku akukho nyango lunokuzimisa okanye luzikhule kwakhona.

Nangona kukho amayeza athile anokunceda ukulawula inkqubo yeehomoni kwimeko ebizwa ngokuba yi-precocious puberty, la mayeza awachaphazeli iihomoni ezinxulumene neendlala ze-adrenal.

Ngaba i-Adrenarche yangaphambi kwexesha inokuthintelwa?

Oku akuqhelekanga ukuba yinto enokuthintelwa. Nangona kunjalo, uphando lufumanise ukuba izinto ezithile zinokunyusa umngcipheko womntwana wokuba nokungasebenzi kakuhle kwe-adrenal. Ezinye zezi zinto ziquka:

• Ukuzalwa unobunzima obuphantsi kakhulu (ubunzima obungaphantsi kweekhilogram eziyi-2.5, okanye iikhilogram ezi-5 kunye nee-ounces ezi-8, ekuzalweni).
• Ukuzalwa ngaphambi kwexesha (ukuzalwa ngaphambi kweeveki ezingama-37 zokukhulelwa).
• Ukuba kukho imbali yokwenzakala kwengqondo, olu hlobo lokwenzakala kwengqondo lukwanyusa umngcipheko wokufikisa ngaphambi kwexesha.

Okokugqibela, izinto ekufuneka uzazi

Njengabazali, kuyinto eqhelekileyo ukuziva uxhalabile kwaye uxinezelekile xa ubona umntwana wakho ekhula kancinci aze afikelele kwinqanaba lokufikisa, ingakumbi xa ubona olo tshintsho lomzimba ngaphambi kwexesha elilindelweyo.

Nangona kunjalo, eyona nto ibalulekileyo ekufuneka uyazi kukuba i-adrenarche kunye ne-pubarche ehamba nayo ziinkqubo zendalo, eziqhelekileyo ezenzeka kubomi bomntwana ngamnye.

I-adrenarche yangaphambi kwexesha inokubangela uloyiko, kodwa khumbula, ayisoloko ibangela ingozi enkulu emzimbeni womntwana.

Ukuba unemibuzo okanye amathandabuzo malunga nokukhula komntwana wakho okanye utshintsho emzimbeni wakhe, nceda ungathandabuzi ukubonana nogqirha wezingane. Ugqirha uya kukwazi ukumhlola umntwana wakho aze akuchazele ukuba ukhula kakuhle na kwaye njengoko kulindelekile.

I - Adrenarche, i-Adrenarche, i-DHEA, ukufikisa, i-Pubarche, ukufikisa kwangaphambi kwexesha, i-Adrenarche yangaphambi kwexesha, Impilo yoMntwana, iiHormones, uPhuhliso loMntwana