Ngezinye izikhathi, njengomzali, ungase ukhathazeke uma ubona izinguquko emzimbeni wengane yakho kusenesikhathi. Isibonelo, kuyinto evamile ukukhathazeka uma ubona izinto ezifana nezinwele ezisemakhwapheni noma iphunga lomzimba ngaphambi kokuba uneminyaka engu-8. Kodwa lokhu akuyona into okufanele uyesabe ngaso sonke isikhathi. Namuhla, sikhuluma ngenqubo yemvelo ebizwa ngokuthi 'i-Adrenarche', ebangela lesi simo.
Kuyini i-Adrenarche?
Kalula nje, i-adrenarche inqubo yemvelo eyenzeka emzimbeni wengane yakho. Kwenzeka lapho izindlala ze-adrenal zengane ziqala ukukhiqiza i-hormone ebizwa ngokuthi i-DHEA (dehydroepiandrosterone). Lokhu kuvame ukwenzeka phakathi kweminyaka engu-6 no-8. Uma sikhuluma iqiniso, kuqala cishe eminyakeni emibili ngaphambi kokuba ingane iqale ukuthomba.
I-DHEA 'iyi-hormone engaphambi kwesikhathi'. Okusho ukuthi, umzimba wethu uthatha i-DHEA bese uyisebenzisela ukwenza amanye ama-hormone anamandla. Lawa abizwa ngokuthi ama-androgens. Isibonelo, ama-hormone afana ne -testosterone ne-androstenedione . Futhi, i-hormone i-estrogen yenziwa nge-DHEA. Lawa ma-hormone e-androgen asiza ukuqala inqubo yokuthomba.
Cabanga ngakho njengokuzijwayeza kokuthomba. U-Adrenarche ufana nokulungisa isiteji ngaphambi kokuba kuqale umbukiso wangempela.
I-Adrenarche ingatholakala ngokulinganisa izinga le-DHEAS (olunye uhlobo lwe-DHEA hormone) egazini. Kodwa-ke, ngenxa yokuthi lokhu kuyinqubo yemvelo, odokotela abavamisile uku-oda lolu vivinyo ezinganeni.
Kwenzekani emzimbeni ngesikhathi se-adrenarche?
Phakathi nalesi sikhathi, ungqimba olukhethekile engxenyeni engaphandle (i-cortex) yendlala ye-adrenal yengane luyavuthwa. Njengoba ikhula, izindlala zikhiqiza i-hormone i-DHEA. Umzimba ube ususebenzisa leyo DHEA ukwenza ama-hormone e-androgen. Lawa ma-hormone abangela ukuthi kwenzeke izinto ezilandelayo:
| Ithonya lama-hormone | Kalula nje... |
|---|---|
| Izindlala ze-sebaceous ziyaqala ukusebenza | Isikhumba nezinwele kuba namafutha, okuphinde kube nomthelela ephunga lomzimba. |
| Izindlala ze-Apocrine ziyaqala ukusebenza | Izindlala ezikhethekile zokujuluka ezindaweni ezifana namakhwapha kanye nezinqe ziqala ukusebenza. Lezi yizona ezibangela iphunga lomzimba. |
| Izinwele zasesibelethweni nasekhwapheni | Izinwele ezijiyile nezimnyama ziqala ukuvela ezindaweni zangasese (ezizungeze izitho zangasese) nangaphansi kwamakhwapha. |
Kodwa lokhu kuhlukile ekuthombeni kwangempela (i-gonadarche) . Ukuthombeni kwangempela kuhilela ukukhiqizwa kwama-hormone ngama-ovari emantombazaneni kanye nama-testicles kubafana. Yilokhu okubangela ukukhula kwamabele emantombazaneni kanye nokukhula kwezitho zangasese kubafana. I-Adrenarche kanye ne-gonadarche kuyizinqubo ezimbili ezizimele ezingahlobene.
Ziyini izimpawu ze-adrenarche?
Uma i-adrenarche iqala ngaphakathi, azikho izimpawu zangaphandle. Lokhu kusho ukuthi uma i-hormone ye-DHEA iqala ukwanda, umzimba wengane ngeke ubonise noma yiziphi izinguquko.
Nokho, cishe eminyakeni emibili ngemva kokuqala kwe-Adrenarche, kwenzeka isikhathi esibizwa ngokuthi i-Pubarche . I-Pubarche ingukuqala kokukhula kwezinwele ezithweni zangasese. Odokotela babheka lokhu njengomphumela ongokomzimba we-Adrenarche. Lesi yisibonakaliso sokuqala esiphawula ukuqala kokuthomba.
Ezinye izimpawu ezibonakala ngesikhathi sokukhulelwa yilezi:
- Ukukhula kwezinwele ngaphansi kwamakhwapha
- Iphunga lomzimba
- Isikhumba nezinwele ezinamafutha
- Induna
Kuyini i-adrenarche ngaphambi kwesikhathi?
I-adrenarche yangaphambi kwesikhathi yilapho izimpawu esixoxe ngazo ekuqaleni, njengokukhula kwezinwele kanye nephunga lomzimba, zivela ngaphambi kwesikhathi esilindelekile. Ngokuvamile, lezi zimpawu zivela ngaphambi kweminyaka engu-8 emantombazaneni nangaphambi kweminyaka engu-9 kubafana . Lesi simo sivame kakhulu emantombazaneni kunabafana.
Izimpawu ze-Adrenarche Yangaphambi Kwesikhathi
- Ukubonakala kwezinwele zasesithweni sangasese kanye/noma zasekhwapheni ngaphambi kweminyaka engu-8 emantombazaneni noma engu-9 kubafana.
- Iphunga lomzimba libi kakhulu kangangokuthi udinga ukusebenzisa i-deodorant.
- Ngezinye izikhathi laba bantwana bangase babe bade kunabanye abantwana abangontanga yabo.
Nansi into ebaluleke kakhulu. Endabeni ye-Premature Adrenarche , akukho ukukhula kwamabele emantombazaneni, futhi akukho ukwanda kwezitho zangasese kubafana. Uma ingane yakho ibonisa noma yiziphi zalezi zimpawu, kungenzeka kube esinye isimo esibizwa ngokuthi 'Precocious Puberty'. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngakho.
Ukuthola kanjani lokhu, Dokotela?
Uma ingane yakho inalezi zimpawu zokuthomba ngaphambi kwesikhathi, udokotela uzoqala azame ukuthola ukuthi kukhona yini esinye isimo esibi esibangela lezi zimpawu. Lokhu kungase kuhilele ukuhlola umzimba wengane kanye nokwenza ukuhlolwa kwegazi kanye nokuskena. Udokotela uzocela imvume yakho nakanjani ngaphambi kokuhlola izitho zangasese.
Udokotela wakho angakudlulisela kudokotela wezifo zezingane .
| Ezinye izimo zezokwelapha ezinqatshelwe udokotela | |
|---|---|
| Ukuthomba Kwangaphambi Kokukhulelwa | Ukuqala kokuthomba ekuqaleni (ukukhula kwamabele, izitho zangasese). |
| I-Congenital Adrenal Hyperplasia | Inkinga yokuzalwa ngezindlala ze-adrenal. |
| Izimila ezikhipha i-androgen | Izinhlobo zezimila ezikhiqiza ama-hormone e-androgen. |
| Ukuvezwa kwe-Androgen yangaphandle | Ama-hormone e-androgen angena emzimbeni evela ngaphandle (isb., amanye ama-cream). |
Kuphela ngemva kokuqinisekisa ukuthi azikho ezinye izimbangela ezinkulu lapho udokotela ezobiza lokhu ngokuthi 'i-Adrenarche Yangaphambi Kwesikhathi'. Lokhu kuyimbangela yezingane ezingaba ngu-90% ezikhula izinwele ngaphambi kwesikhathi.
Ingabe i-Adrenarche Yangaphambi Kwesikhathi iyisimo esiyingozi?
Kungaba yinto eyesabekayo ukubona ingane yakho ikhula ngaphambi kwesikhathi, kodwa i-adrenarche ngaphambi kwesikhathi ngokuvamile ayiyona ingozi ngokomzimba.
Kodwa-ke, ucwaningo luthole ukuthi laba bantwana bangase babe nengozi eyengeziwe yokukhuluphala ngokweqile, ukumelana ne-insulin, i-polycystic ovary syndrome (PCOS), kanye nezinye izinkinga zempilo yengqondo kamuva ekuphileni .
Ngaphezu nje ngokomzimba, lokhu kungathinta impilo yengqondo yengane. Lapho umzimba wayo ushintsha ngendlela ehlukile kontanga yayo, ingane ingase izizwe inamahloni, ingakhululekile, futhi ihlukanisiwe. Ezinye izingane zingase zihlekise ngayo. Uma ingane yakho izizwa icindezelekile ngalokhu, kuwumqondo omuhle ukufuna usizo kumuntu ofana nodokotela wengqondo yezingane .
Akukho ukwelashwa okuqondile kwalokhu. Uma izinwele seziqalile ukukhula, ayikho indlela yokuzivimba noma yokuzibuyisela emuva. Futhi ngokuvamile akuvimbeki.
Umlayezo Wokuya Nawe Ekhaya
- I-Adrenarche inqubo yemvelo, evamile eyenzeka ngaphambi kokuthomba.
- I-adrenarche yangaphambi kwesikhathi yilapho izimpawu zayo (izinwele zasekhwapheni/zesitho sangasese, iphunga lomzimba) zivela ngaphambi kweminyaka engu-8 emantombazaneni nangaphambi kweminyaka engu-9 kubafana.
- Ukukhula kwamabele noma ukukhulisa izitho zangasese akuveli lapha. Uma kunjalo, kuyisimo esihlukile.
- Nakuba lokhu ngokuvamile kungesiyo ingozi emzimbeni, kungathinta impilo yengqondo yengane.
- Uma ingane yakho inalezi zimpawu, kubaluleke kakhulu ukungesabi futhi ubone udokotela womndeni wakho ukuqinisekisa ukuthi azikho ezinye izimbangela ezinkulu.
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