Wake wazizwa sengathi indodakazi noma indodana yakho ikhula ngokushesha kunezinye izingane ezingontanga yazo? Kujwayelekile ukuthi abanye abazali bazizwe besaba futhi bekhathazekile lapho bebona izinto ezifana nokukhula okusheshayo, ushintsho ezwini labo, mhlawumbe ngisho nephunga lokujuluka elifana nelomuntu omdala. Ingabe lokhu kuyinto okufanele uyesabe ngempela? Namuhla sizoxoxa ngale ndaba abazali abaningi abayicabangayo, lapho ingane ifinyelela ebusheni ngaphambi kweminyaka evamile.
Kalula nje, kuyini ukuthomba ngaphambi kwesikhathi?
Ukuthomba ngaphambi kwesikhathi, okwaziwa ngokwezokwelapha ngokuthi
ukuthomba ngaphambi kwesikhathi , yilapho ingane ibonisa izimpawu zokuthomba ngaphambi kwesikhathi esivamile. Okuvame ukwenzeka yilokhu:
- Intombazane iqala ukuthomba ineminyaka ephakathi kuka-8 no-13.
- Umfana uqala ukuthomba eneminyaka engu-9 kuya kwengu-14.
Ngakho-ke, uma
intombazane ibonisa izimpawu zokuthomba ngaphambi kwale mingcele yobudala, okungukuthi, ngaphambi kweminyaka engu-8 yentombazane kanye nangaphambi kweminyaka engu-9 yomfana , leso simo sisibiza ngokuthi i-Precocious Puberty.
Ake siqonde kancane, le nqubo yokuba umuntu omdala yenzeka kanjani?
Lokhu kufana nohlelo oluzenzakalelayo emzimbeni wethu. Cabanga nje, kukhona isikhungo sokulawula esiyinhloko ebuchosheni bethu esibizwa ngokuthi
i-Hypothalamus . Lapho sifika eminyakeni efanele, lesi sikhungo sokulawula sithumela isignali kwenye indlala encane,
i-Pituitary Gland . Lapho nje leso signali sitholakala, i-Pituitary Gland ikhiqiza ama-hormone abizwa ngokuthi
ama-Gonadotropins bese ewakhipha egazini. Lawa ma-hormone aya ngqo ukuyovuselela ama-gonad engane.
Zonke izinguquko zomzimba ezenzeka ngesikhathi sokuthomba zibangelwa ukusebenza kwala ma-hormone. Okwenzekayo ngesikhathi sokuthomba ngaphambi kwesikhathi ukuthi yonke le nqubo iqala kusenesikhathi.
Kunezinhlobo ezimbili eziyinhloko zalesi simo.
Lokhu kuthomba kwasekuqaleni kungahlukaniswa ngezinhlobo ezimbili eziyinhloko ngokusekelwe endleleni okwenzeka ngayo. Lokhu kuhlukaniswa kubaluleke kakhulu ukuqonda imbangela.
| Uhlobo | Kalula nje... |
|---|
| Ukukhula Okuphakathi Kwangaphambi Kokukhulelwa (Uhlobo Oluphakathi) | Lolu uhlobo oluvame kakhulu. Okwenzekayo lapha ukuthi isikhungo sokulawula ebuchosheni (i-Hypothalamus) sisebenza ngaphambi kwesikhathi. Kufana nokuthi iwashi ebuchosheni liyakhala futhi i-alamu ikhala kusenesikhathi. Bese yonke inqubo yama-hormone esikhulume ngayo ilandelana. |
| Ukuthomba Okuseduze Ngaphambi Kokukhulelwa (uhlobo oluseduze) | Inkinga lapha ayikho ebuchosheni. Izimpawu zokuthomba zibangelwa ukukhiqizwa kwama-hormone (i-estrogen noma i-testosterone) avela kwenye indawo emzimbeni (isib. ama-ovari, amasende, izindlala ze-adrenal) ngaphandle kwesignali evela ebuchosheni. |
Kungani lokhu kwenzeka enganeni? Yiziphi izizathu?
Isizathu siyahlukahluka kuye ngohlobo esikhuluma ngalo.
Izimbangela Zokuthomba Okuphakathi Ngaphambi Kokukhulelwa (Uhlobo Oluphakathi)
Lokhu kuhilela ukufuna imbangela yesikhungo sokulawula sobuchopho esivulwe kusenesikhathi. Kodwa
ngokuvamile, ikakhulukazi emantombazaneni, imbangela ecacile ayitholakali. Kodwa ngezinye izikhathi izinto ezinjengalezi zingaba yimbangela:
- Ukulimala kobuchopho noma ingozi ( Ukulimala kobuchopho)
- Izinhlobo Zezimila Zobuchopho
- Ukutheleleka kobuchopho
- Ukukhubazeka okuthile kobuchopho bokuzalwa
- Kulashwa ngemisebe
Izimbangela Zokuthomba Ngaphambi Kokuqala
Njengoba kungekho ukubandakanyeka kobuchopho lapha, imbangela ikhona kwenye indawo emzimbeni.
- Izimila ezikhula emaqanda, emasendeni , noma ezindlala ze-adrenal.
- Ezinye izimo zofuzo (isib. i-McCune-Albright syndrome).
- I-hypothyroidism enzima.
- Izifo ze-adrenal gland (isb. i-Congenital Adrenal Hyperplasia).
- Ama-hormone angena emzimbeni evela ngaphandle:Lokhu kubaluleke kakhulu. Cabanga uma umuntu omdala esebenzisa ukhilimu noma umuthi oqukethe i-estrogen noma i-testosterone futhi ewusebenzisa njalo enganeni encane, nakho kungabangela lesi simo.
Yiziphi izimpawu esizibonayo?
Lezi zici zivamile kubafana namantombazane, futhi kukhona nezinye eziqondene nomunye nomunye.
Izici ezingabonakala kuzo zombili yilezi:- Induna
- Ukunuka njengomjuluko womuntu omdala
- Ukwanda okungazelelwe kwesilinganiso sokukhula komzimba (i-Growth Spurt)
Ngaphezu kwalezi zici ezivamile, izici zobulili nazo zingabonakala.
| Kwamantombazane | Kwabafana |
|---|
| - Ukuthuthukiswa kwebele | - Ukujula, ukuphuka kwezwi |
| - Ukuqala kokuya esikhathini | - Ukukhula kwezinwele ebusweni nasekhwapheni |
| - Ukukhula kwezinwele emakhwapheni nasezindaweni zangasese | - Ukukhula kwezinwele endaweni yangasese |
| - Ukwanda kwamasende kanye nepenis |
| - Ukukhula kwemisipha |
Ingabe zikhona ezinye izinkinga ezingavela kulokhu?
Yebo, lesi simo singabangela ingane ukuthi ibhekane nezinkinga ezithile zomzimba nezengqondo. 1.
Ekugcineni iba mfushane: Lokhu kuyinto abazali abaningi abangazi. Nakuba izingane ezifika ebusheni zisencane zikhula ngokushesha, ukukhula kwamathambo azo kuyama ngokushesha. Lokhu kusho ukuthi lapho nje ubusha buphela, nobude bazo buye buyeke ukukhula. Ngakho-ke, ekugcineni, cishe ziba mfushane kunezinye izingane ezingontanga yazo. 2.
Izinkinga zengqondo nezenhlalo:Lokhu nakho kubaluleke kakhulu. Cabanga ukuthi ingane ingazizwa kanjani uma umzimba wayo ushintsha phambi kwabo bonke abanye ekilasini, uma izizwa ihlukile kwabanye abantwana?
- Ihlazo namahloni
- Ukugconwa ngabanye abantwana
- Izimo ezinjengokukhathazeka nokucindezeleka
- Ukuthambekela kokuziphatha ngendlela engafanele iminyaka yakho
Ngakho-ke, kudingeka siqaphele kakhulu ngezinguquko emzimbeni wengane kanye nalokho okwenzekayo engqondweni yayo.
Ukuthola kanjani lokhu, Dokotela?
Uma uyisa ingane yakho kudokotela, izokwenza izivivinyo ezimbalwa ukuze
ithole isimo esiqondile. Ungakhathazeki, lezi azibuhlungu enganeni.
- Ukuhlolwa komzimba: Okokuqala, udokotela uzohlola ingane kahle bese ekubuza ngomlando wempilo yengane yakho.
- I-X-ray Yesikhathi Samathambo: Kuthathwa i-X-ray encane yesandla nesandla sengane. Lokhu kwenzelwa ukubona ukuthi amathambo engane avuthiwe kangakanani uma kuqhathaniswa neminyaka yawo yangempela. Izingane ezifika ebusheni zisencane zineminyaka yamathambo ephezulu kuneminyaka yazo yangempela.
- Ukuhlolwa kwegazi: Kuthathwa inani elincane legazi ukuhlola amazinga ama-hormone (ikakhulukazi ama-hormone e-pituitary njenge-LH ne-FSH).
- I-MRI noma i-Ultrasound Scan: Ngezinye izikhathi, uma udokotela efuna ukuqhubeka ehlola imbangela, angase ancome i-MRI yobuchopho noma i-ultrasound yesisu. Lokhu kwenzelwa ukuvimbela noma yiziphi izimila ezingaba khona, njengezimila ebuchosheni, ama-ovari, noma izindlala ze-adrenal. Akuzona zonke izingane ezidinga lezi.
Ngemva kwalezi zivivinyo, uma kudingeka, ungathunyelwa kudokotela
we-endocrinologist wezingane .
Yiziphi izindlela zokwelapha lokhu?
Ngenhlanhla, kunezindlela zokwelapha ezisebenza kahle kakhulu zokulawula lesi simo. Ukwelashwa kuncike ohlotsheni esixoxe ngalo ngaphambili (esiPhakathi noma esiPheripheral) kanye nembangela.
- Kwabantu Abangakhuli Kakhulu: Umgomo oyinhloko lapha ukuvimba okwesikhashana isignali evela ebuchosheni ukuze 'bakhule'. Uhlobo lomuthi olubizwa ngokuthi i-GnRH agonist lusetshenziswa kulokhu. Lona umjovo onikezwa kanye ngenyanga noma njalo ezinyangeni ezintathu. Kufana nokumisa i-alamu ewashini. Uma lokhu kwelashwa kuqala, izimpawu zokuthomba ziyancipha kancane kancane. Lapho ingane ifinyelela eminyakeni efanele (ngokuvamile eneminyaka engu-11-12), lo muthi uyamiswa, bese ukuthomba kuqala futhi njengokujwayelekile. Lokhu kunikeza ingane ithuba lokufinyelela ukuphakama okujwayelekile nokulungiselela ngokwengqondo.
- Kwabaqalayo Ukuthomba:Lapha, ukwelashwa kuncike embangela. Uma kuyisifo esikhiqiza ama-hormone, kuzodingeka sisuswe ngokuhlinzwa. Uma kuyinto efana nokhilimu wangaphandle, inkinga izophela uma uyeka ukuyisebenzisa. Ukwelashwa kuzonqunywa ngokusekelwe embangela.
Kufanele ngiye nini kudokotela?
Lokhu kubaluleke kakhulu. Uma ingane yakho ibhekene nanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi ubona
udokotela, ikakhulukazi udokotela wezingane .
Uma intombazane yakho ibonisa noma yiziphi izimpawu zokuthomba esikhulume ngazo ngaphambi kokuba ifinyelele eminyakeni engu-8 noma umfana wakho ngaphambi kokuba ifinyelele eminyakeni engu-9 , ungakushayi indiva lokho.
Ukufuna iseluleko sezokwelapha kusenesikhathi kungasiza ekutholeni imbangela eqondile, kuqalwe ukwelashwa uma kudingeka, futhi kuncishiswe izinkinga zomzimba nezengqondo ingane engase ibhekane nazo.
Umlayezo Wokuya Nawe Ekhaya
- Ungakhathazeki uma intombazane yakho ibonisa izimpawu zokuthomba ngaphambi kweminyaka engu-8 noma umfana wakho ngaphambi kweminyaka engu-9. Kodwa qiniseka ukuthi ubona udokotela wezingane.
- Lesi simo ngokuvamile asisona isibonakaliso sesifo esingathi sína, kodwa kubaluleke kakhulu ukuhlonza imbangela ngendlela efanele.
- Kunezindlela zokwelapha ezisebenza kahle kakhulu neziphephile zokulawula lesi simo, ezingasiza ekugcineni ukukhula kwengane okuvamile.
- Qaphela kakhulu izinguquko zomzimba zengane yakho, kanye nempilo yayo yengqondo. Uthando lwakho, ukuqonda, kanye nokusekela kubaluleke kakhulu enganeni yakho ngalesi sikhathi.
- Ukulawula isisindo sengane yakho nokuyifundisa ukudla okunempilo kungasiza ekunciphiseni ingozi yalezi zimo.
Ukuthomba ngaphambi kwesikhathi, ukuthomba ngaphambi kwesikhathi, ukuthomba ngaphambi kwesikhathi i-sinhala, ama-hormone ezingane, izifo zobuntwana, ukuthomba, izinkinga zama-hormone
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