Ingabe ingane yakho ibonakala iphuza ukufika esikhathini sokuthomba? (Ukuthomba Okulibazisekile) Ake sixoxe ngalokhu!

Ucabanga ukuthi ingane yakho ikhula sekwephuzile kancane uma iqhathaniswa nezinye izingane ezineminyaka yayo? Ngezinye izikhathi kungaba njalo. Okusho ukuthi, ingane iqala ukuthomba sekwephuzile kunobudala obuvame ukulindeleka. Lokhu yilokho esikubiza ngokuthi ukuthomba okulibazisekile noma "ukuthomba okulibazisekile". Abanye abantu bakubiza nangokuthi "ukuthuthuka kocansi okulibazisekile". Njengoba nje ezinye izimbali ziqhakaza sekwephuzile kancane, ezinye izingane zingase zibe "iziqhakaza sekwephuzile". Kodwa lokhu akusikho nje ukuqala sekwephuzile. Ngezinye izikhathi ukuthomba kungaqala ngokushesha, bese kuyeka, noma kuhambe kancane kakhulu. Khona-ke ingane ayiqedi zonke izigaba zokuthomba njengoba kulindelekile. Kuvamile ukuzizwa wesaba kancane uma uzwa ngalokhu, kodwa uma sazi kahle ngakho, izinkinga eziningi zingaxazululwa.

Ngakho-ke, ukuthomba kubhekwa njengokwephuzile kunini?

Lokhu empeleni kuyahlukahluka kancane phakathi kwamantombazane nabafana. Nansi indlela odokotela abakuchaza ngayo:

Ukuphuza ukuthomba kwamantombazane kusho ukuthi:

• Uma amabele akho engakaqali ukukhula eneminyaka engu-13.

Noma,

• Uma ungakaqali ukuya esikhathini uneminyaka engu-15, noma uma ungakaqali ukuya esikhathini eminyakeni emithathu ngemva kokuba amabele akho eqale ukukhula.

Ukuphuza isikhathi sokuthomba kubafana kusho ukuthi:

• Uma amasende engakaqali ukukhula eneminyaka engu-14.

Noma,

• Ngisho noma sekuphele okungenani iminyaka emihlanu kusukela amasende aqala ukukhula, ukuthomba akukapheli.

Ungakhathazeki ngale mingcele yobudala. Lezi yiziqondiso ezijwayelekile nje. Uma unenkinga ngengane yakho, kungcono ukukhuluma nodokotela wezingane.

Yiziphi izimpawu zokuthomba okubambezelekile?

Izimpawu eziyinhloko ukukhula kwamabele (kwamantombazane) kanye nokukhula kwamasende (kubafana). Kodwa-ke, kungase kube nezinye izinto:

• Ingane yakho ingase ibe mfushane kunokulindelekile ngokweminyaka yayo. Lokhu kungenxa yokuthi ayikabi nakho "ukukhula okusheshayo" okuvame ukwenzeka ngesikhathi sokuthomba.
• Amathambo engane kungenzeka ukuthi awakhulanga ngendlela obekulindelekile ngokweminyaka yawo. Lokhu kubizwa ngokuthi "ubudala bamathambo obulibazisekile." Udokotela kuphela ongaqinisekisa, futhi kudinga i-X-ray.
• Ukuntuleka kokukhula kwezinwele zesitho sangasese endaweni yangasese yengane.

Kodwa nansi into. Ezinye izingane zingase zibe nezinwele zasesithweni sangasese, kodwa zingase zibhekwe njengeziphuzile ukuthomba. Zingase ziqale nokuba nezinwele zasekhwapheni noma iphunga lomzimba. Lezi zimpawu ziyingxenye yenqubo yemvelo ebizwa ngokuthi i-adrenarche. Yilokhu okwenzeka ngaphambi kokuthomba. Ama-hormone asiza ekuqaliseni i-adrenarche ahlukile kuma-hormone alawula ukuthomba. Ngakho-ke, noma ngabe ingane yakho idlula ku-adrenarche, ingase ingaqali ukuthomba ngesikhathi esilindelekile.

Iyini imbangela eyinhloko yokuthomba okubambezelekile?

Ngokuvamile, isizathu esiyinhloko sokubambezeleka kokuthomba yizakhi zofuzo. Okusho ukuthi, kungase kube yinto abanye abantwana emndenini abaye baba nayo. Abanye abantwana bathola umyalezo ngezakhi zofuzo zabo wokuthi ukuthomba kuzoqala kamuva. Akukho lutho olungalungile ngezitho zomntwana, izindlala, noma ama-hormone. Konke kuyasebenza. Kalula nje, umzimba wengane yakho usebenza ngesheduli ehlukile kunezinye izingane.

Odokotela bakubiza lokhu ngokuthi `(Ukulibaziseka Kokukhula Nokuthomba Komthethosisekelo)` noma `(CDGP)`. Abanye odokotela bakubiza nangokuthi `(ukuthomba okulibazisekayo okuzibekela eceleni)`. Lokhu kungenxa yokuthi, ngisho nangaphandle kokwelashwa, ukuthomba kwenzeka ngesikhathi esihleliwe futhi kuqhubeka ngendlela evamile. Cabanga nje, uma ubaba noma umalume womndeni ekhule sekwephuzile kancane, kunethuba elincane lokuthi ingane nayo izokwenza okufanayo.

Kodwa-ke, ngezinye izikhathi ezinye izimo emzimbeni wengane zingathinta ukuqala kanye nokuqhubekela phambili kokuthomba. Ukubambezeleka okubangelwa yilezi zimbangela kuvame ukudinga ukwelashwa.

Ezinye izimbangela zokuthomba okubambezelekile

Ngaphandle kwezakhi zofuzo, kungaba nezinye izizathu eziningi. Bheka lolu hlu:

• Isifo sika-Addison
• Isifo sezinso esingamahlalakhona
• I-cystic fibrosis
• Izifo zofuzo, njengokukhubazeka kwe-chromosome njenge-Turner syndrome kanye ne-Klinefelter syndrome.
• Ukuvivinya umzimba ngokweqile. Lokhu kungaholela ekunciphiseni okukhulu kwamafutha emzimbeni futhi kuphazamise ukusebenza kwamahomoni. (Lokhu kubaluleke kakhulu ezinganeni ezincane ezidlala imidlalo yokuncintisana.)
• Ukuntuleka kwe-hormone yokukhula
• I-Hypothyroidism (i-thyroid engasebenzi kahle)
• Isifo samathumbu esivuvukalayo (IBD)
• Ukungondleki kahle kungenzeka ngezizathu ezahlukahlukene. Lokhu kungathonywa futhi yizinto ezifana nokuphazamiseka kokudla.
• Imithi ethile noma izindlela zokwelapha, njenge-corticosteroids, i-chemotherapy, noma ukwelashwa ngemisebe.
• Izingozi noma ukulimala kobuchopho noma ama-gonad engane (ama-ovari noma amasende).
• Izimila ezithinta ubuchopho noma umgogodla wengane.
• Isifo sikashukela sohlobo I.

Ungase uzibuze ukuthi zonke lezi zinto ezahlukene zithinta kanjani ukuthomba. Impendulo itholakala kuma-hormone.

Indima yama-hormone ekuthombeni okulibazisekayo

Ama-hormone afana nezithunywa eziyimfihlo zemizimba yethu. Yiwo asebenza ngasese ukuze aqalise futhi aqhubeke nokuthomba. Lawa ma-hormone akhiqizwa yizindlala ze-endocrine. Ingane yakho ingase ibone izinguquko emzimbeni wayo, njengokukhula kwamabele noma ukukhula kwezinwele ngaphansi kwamakhwapha ayo. Kodwa kunezinto ezithile ongeke uzibone:

1. I-hormone ekhulula i-Gonadotropin (i-GnRH) ikhiqizwa futhi ikhishwe engxenyeni yobuchopho bomntwana wakho ebizwa ngokuthi i-hypothalamus.

2. Le hormone `(GnRH)` itshela indlala ye-pituitary ebuchosheni bengane ukuthi ikhiqize futhi ikhulule i-hormone ye-luteinizing `(LH)` kanye ne-hormone evuselela i-follicle `(FSH)`. Ndawonye, ​​lezi ezimbili zibizwa ngokuthi ama-gonadotropin `(gonadotropins).`

3. La ma-hormone e-gonadotropin yiwo atshela ama-gonad engane (ama-ovari emantombazaneni kanye nama-testes kubafana) ukuthi akhiphe ama-hormone ocansi (i-estrogen noma i-testosterone).

4. Ukukhishwa kwala ma-hormone ocansini okubangela izimpawu zomzimba zokuthomba, njengokukhula kwamabele kanye nokukhula kwamasende.

Lokhu kufana neqembu elikhulu elisebenza ndawonye, ​​akunjalo? Uma kwenzeka okuthile kwelinye ilungu leqembu, kuthinta lonke iqembu. Odokotela basebenzisa amagama anjengalawa ukuchaza okwenzekayo ngemuva kwezigcawu:

• I-hypogonadotropic hypogonadism: Lokhu kusho ukuthi i-hypothalamus noma i-pituitary gland yengane ayisebenzi kahle. Ayikhiqizi noma ayikhiphi ama-hormone anele. Lokhu kuvame ukubangelwa yisimo sezokwelapha. Uma odokotela sebesilaphile lesi simo, ukuthomba kuzoqala ukwenzeka ngokujwayelekile. Ukuzivocavoca ngokweqile kanye nokungondleki kahle nakho kuyizimbangela ezivamile.
• I-Hypergonadotropic hypogonadism: Lokhu kwenzeka lapho i-hypothalamus yengane kanye ne-pituitary gland zisebenza kahle. Kodwa-ke, ama-gonad abo (amasende noma ama-ovari) angasebenzi kahle. Lokhu kwenzeka ezinganeni ezine-Turner syndrome kanye ne-Klinefelter syndrome. Lesi simo singaba umphumela omubi wokwelashwa komdlavuza noma ngezinye izizathu.

Nakuba la mazwi engase abonakale eyinkimbinkimbi kancane, ngamazwi alula, lokhu kusho ukuthi inkinga iwukuthi ikuphi ohlelweni lokulawula ama-hormone.

Odokotela bakuthola kanjani lokhu?

Odokotela benza okulandelayo ukuze baxilonge ukuthomba okulibazisekile:

• Ukwenza ukuhlolwa ngokomzimba.
• Sizoxoxa nawe ngomlando wezokwelapha wengane yakho kanye nomlando wezokwelapha womndeni (wabazali begazi).
• Kuyenziwa ezinye izivivinyo.

Into eyodwa odokotela abazoyibheka kakhulu ukuthi ngabe kukhona yini umlando womndeni wokuthomba ophuzile. Uma kunjalo, ingane yakho ingase ibe "sekupheleni kwesikhathi sokukhulelwa," okusho ukuthi kungase kungabi khona imbangela yezokwelapha eyisisekelo yokulibaziseka.

Kodwa-ke, noma odokotela becabanga ukuthi kusebenza emndenini, bavame ukwenza izivivinyo ukuqinisekisa ukuthi azikho ezinye izimbangela. Lokhu kungenxa yokuthi odokotela babiza "i-Constitutional Delay of Growth and Puberty (CDGP)" ngokuthi "ukuxilongwa kokukhishwa ngaphandle." Okusho ukuthi, baphetha ngokuthi "ku-(CDGP)" kuphela ngemva kokuqinisekisa ukuthi zonke ezinye izimbangela azifakiwe.

Lezi zivivinyo zibaluleke kakhulu ngisho nasezimweni lapho kungekho mlando womndeni nalapho odokotela bezama ukuthola imbangela.

Ukuhlolwa kokuthola ukuthomba okulibazisekile

Ungenza izivivinyo ezinjengalezi:

• Ukuhlolwa kwegazi: Hlola amazinga ama-hormone bese ubona ukuthi kukhona yini izimpawu zezifo ezithile.
• Ukuhlolwa kofuzo: Hlola izinguquko zofuzo ezingase zibangele ukubambezeleka kokuthomba.
• Ukuhlolwa kwezithombe: Izinto ezifana ne-MRI scan noma i-ultrasound scan zenziwa ukuqinisekisa noma ukuqeda izimo ezithile.

Udokotela wezingane womndeni wakho angakudlulisela kudokotela we-endocrinologist wezingane noma kwabanye ochwepheshe ukuze akusize ekuxilongeni nasekuphatheni lesi simo.

Kuphathwa kanjani ukuthomba okubambezelekile?

Ukwelashwa kuncike embangeni yokubambezeleka. Ithimba lezokwelapha lengane yakho lingancoma okulandelayo:

• Indlela "yokulinda ubone": Lokhu kuvame ukulandelwa ezinganeni ezincane ezingenazo izimo zezokwelapha noma esinye isizathu esaziwayo sokubambezeleka. Odokotela bazobona ukuthi ukuthomba kungaqala ngokwemvelo yini. Uma kunjalo, ingane yakho cishe ngeke idinge ukwelashwa, futhi ukuthomba kuzokwenzeka njengoba kulindelekile.
• Ukwelapha izimo zezokwelapha: Uma ukubambezeleka kungenxa yesimo esithile, odokotela bazosiphatha leso simo. Lokhu kufanele kusize ukuqala kokuthomba nokuthuthuka njengoba kulindelekile.
• Ukwelashwa kokushintsha ama-hormone:Uma umzimba wengane ungakhiqizi ama-hormone anele (i-testosterone noma i-estrogen) ukuze ifinyelele ekuthombeni, ingadinga imithi yokuhlinzeka lawo ma-hormone. Ithimba lezokwelapha lizokuchazela ukuthi ukwelashwa kwama-hormone kudinga isikhathi esingakanani ngokusekelwe ezidingweni ezithile zengane yakho.

Izingane "ezikhula sekwephuzile" ngaphandle kwesizathu sezokwelapha azidingi ukwelashwa ngama-hormone. Kodwa-ke, uma ukubambezeleka kokuthomba kubangela ukucindezeleka okukhulu enganeni, kungaba yindlela engcono. Ezinye izingane ezincane zithola kunzima ukulinda kuze kube yilapho zithomba, futhi lokhu kubambezeleka kungabangela izinkinga zomphakathi futhi kuthinte ukuzethemba kwazo. Uma ukhathazekile ngokuthi lokhu kwenzeka enganeni yakho, khuluma nethimba lakho lezokwelapha ngakho.

Kufanele ngifune nini iseluleko sezokwelapha sengane yami?

Thatha ingane yakho iyohlolwa njalo, bese wabelana nganoma yiziphi izinkinga onazo nodokotela wezingane. Bazohlola ukukhula nentuthuko yengane yakho futhi bangase bakubuze imibuzo mayelana nomlando womndeni wakho. Udokotela wezingane uzochaza ukuthi yiziphi izivivinyo kanye nokulandelela okudingekayo uma ingane yakho ingakaqali ukuthomba njengoba kulindelekile.

Nakekela impilo yengqondo yengane yakho futhi.

Ukuthomba okulibazisekile kungaba nomthelela omkhulu empilweni yengqondo yengane yakho encane – kodwa futhi yisikhathi lapho isivele ibhekene nemizwa eminingi kanye nezinguquko. Kungaba umqondo omuhle ukuhlela ukuba ingane yakho ikhulume nodokotela wezokwelapha. Ukwelulekwa kungasiza ingane yakho ukuthi ikhulume ngemizwa yayo mayelana nokuthomba nezinye izinto ezicabanga ngazo futhi isebenze ngazo. Bangase bacabange, "Bonke abangani bami sebekhulile futhi ngingedwa engisemncane." Badinga ukwesekwa ngezikhathi ezinjengalezi.

Yimiphi imibuzo okufanele ngiyibuze odokotela bengane yami?

Ukuthomba kuyinto eyingqayizivele kuyo yonke ingane, kungakhathaliseki ukuthi kufika "ngesikhathi" noma sekwephuzile kunokulindelekile. Udokotela wakho wezingane kanye nanoma yibaphi ochwepheshe abanikeza ukwelashwa bangabelana ngolwazi oluqondene nengane yakho. Nansi eminye imibuzo ongayibuza ukuqala ingxoxo:

• Ngingazi kanjani ukuthi ingane yami isiqalile ukuthomba?
• Ngingazi kanjani ukuthi ukuthomba akuthuthuki njengoba kulindelekile?
• Ingabe ingane yami iphuze ukuthomba? Uma kunjalo, yiziphi izimpawu?
• Ingabe ingane yami idinga ukuhlolwa?
• Ingabe uncoma noma yiluphi uhlobo lokwelashwa?
• Ngingayisekela kanjani ingane yami kangcono?

Yini okufanele ngiyilindele uma ingane yami yephuzile ukuthomba?

Ithimba lezokwelapha lengane yakho lizokutshela ukuthi yini ongayilindela, ngokusekelwe esizathwini sokubambezeleka kokuthomba kanye nanoma yikuphi ukwelashwa ingane yakho ekutholayo. Kunzima ukusho ukuthi ukuthomba kuzoqala nini ngempela. Izingane ezincane ezine-"Constitutional delay of growth and puberty (CDGP)" zivame ukuqala ukuthomba zineminyaka engu-18. Kodwa-ke, ingane yakho ingaqala kusenesikhathi kakhulu. Okuhlangenwe nakho kwengane ngayinye kuhlukile.

Khumbula nje, ukuthomba okubambezelekile kungokwesikhashana futhi kungelashwa uma kudingeka.

Ingabe ukuthomba okulibazisekile kwandisa ubude?

Kunzima ukusho ngqo ukuthi ukubambezeleka kokuthomba kuzothinta kanjani ubude bomntwana wakho njengomuntu omdala. Ezinye izingane ezincane zifinyelela ubude obufushane bomuntu omdala kunalokho obekungalindelwa ngokusekelwe ekuphakameni kwabazali bazo begazi. Kodwa-ke, kwezinye izingane ezincane, ukubambezeleka kokuthomba akubonakali kuthinta ubude bazo njengomuntu omdala.

Odokotela ngezinye izikhathi benza ukuhlolwa "kobudala bamathambo" (i-X-ray) ukuze bathole umbono wobude bomntwana njengomuntu omdala. Udokotela wakho wezingane angakutshela okwengeziwe ngalesi sivivinyo nokuthi sibonisani.

Ingabe ukusebenzisa i-melatonin kuyabambezela ukuthomba?

I-Melatonin ingase ilibazise ukuthomba, kodwa kudingeka ucwaningo olwengeziwe ukuze wazi ngokuqinisekile. Abacwaningi basafunda ngemiphumela emibi yokwelashwa kwe-melatonin ezinganeni nakubantu abadala abasebasha. Khuluma nodokotela wezingane ngezinzuzo kanye nokungalungi kokunikeza ingane yakho i-melatonin.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuthomba okulibazisekile kungaba yinto ekucindezelayo kuwe nakumntanakho. Ungase ukhathazeke ngengane yakho, noma ungase uzibuze ukuthi kungani intuthuko yayo ilibazisekile. Khumbula, yonke ingane isendleleni yayo. Ingane yakho ingase ifinyelele ekuthombeni lapho umzimba wayo usukulungele. Noma, umzimba wayo ungase udinge usizo oluncane lokufika lapho. Kodwa-ke, udokotela wakho wezingane angakusiza ukuthi uthole ukuthi kwenzekani futhi ancome indlela engcono kakhulu.

Phakathi nalesi sikhathi, ingane yakho ingase ibe nezinto eziningi ezikhathazayo – kusukela ekwamukeleni ontanga kuya ekuzizweni iqiniseka ngokubukeka kwayo. Buza udokotela wezingane ukuthi ungazisekela kanjani kangcono izidingo zomzwelo zengane yakho. Futhi, gcina umnyango uvulelekile ukuze ingane yakho ikhulume nawe noma nini lapho izizwa idabukile noma iphatheke kabi. Ngisho nokumbamba kancane noma inothi elithi "Ngiyaziqhenya ngawe" kungasiza kakhulu ngalesi sikhathi.

Ukuthomba Okulibazisekile, Ama-hormone, Impilo Yengane, Ubusha, Ukukhula, Intuthuko Yocansi