Kungenzeka ukuthi uke wazithola uzibuza, 'Kungani ingane yami ibonakala incane kangaka kunontanga yayo?' noma uma nawe usemusha, ungase ucabange, 'Wonke umuntu uyashintsha, kungani ngingedwa ongashintshanga?' Lokhu kuyinto evamile kubazali abaningi kanye nentsha ngokufanayo. Namuhla eNirogi Lanka , sizoxoxa ngokuthi kuyini ukuthomba, ukuthi kungani ngezinye izikhathi kwenzeka sekwephuzile kunokulindelekile, nokuthi yini okufanele uyenze ngakho. Ungakhathazeki; silapha ukuze sikuchazele konke kalula.
Kuyini ngempela ukuthomba?
Kalula nje, ukuthomba yisikhathi lapho umzimba wakho ushintsha usuka ekubeni ngowomntwana uye ekubeni ngowomuntu omdala. Phakathi nalesi sigaba, umzimba wakho ubhekana nezinguquko ezibalulekile ozoqala ukuzibona mathupha.
Ngokuvamile, kumantombazane, lezi zinguquko ziqala phakathi kweminyaka engu-8 nengu-14, kanti kubafana, ziqala phakathi kweminyaka engu-9 nengu-15. Njengoba ubona, lokhu kubanzi kakhulu. Lokhu kusho ukuthi ezinye izingane zikhula ngokushesha, kanti ezinye zithatha isikhathi esithe xaxa. Lokhu kujwayelekile ngokuphelele. Sicela ungakhathazeki uma lezi zinguquko ziqala eminyakeni embalwa ngaphambi noma kamuva kunabangani bakho.
Kodwa-ke, kunezikhathi lapho lezi zinguquko zomzimba zingaqali ngisho nangemva kokuba iminyaka ejwayelekile isidlulile. Yilokhu esikubiza ngokuthi (Delayed Toberty) . Akukho sizathu sokwesaba, njengoba odokotela bevame ukunikeza ukwesekwa kanye nesiqondiso sezokwelapha ukusiza intsha ephuze ukuthomba ifinyelele kontanga bayo.
Yiziphi izimpawu ezivamile zokuthomba?
Ake sibheke izinguquko zomzimba ezivame ukwenzeka ngesikhathi sokuthomba.
Izinguquko emantombazaneni:
Uma uyintombazane, ungase uqaphele okulandelayo:
- Ukukhula kwebele kuqala.
- Ukukhula kwezinwele zesitho sangasese.
- Ukukhula okusheshayo.
- Ukuqala kokuya esikhathini kwakho kokuqala, okwaziwa ngokuthi ukuya esikhathini ( ukuya esikhathini ).
- Izinguquko esimweni somzimba, njengokwanda kwezinqe.
Izinguquko kubafana:
Uma ungumfana, ungase uqaphele lezi zinguquko:
- Ukukhula kwezinwele zasesithweni sangasese kanye nasebusweni.
- Ukukhula okusheshayo.
- Ukukhula kwamasende akho kanye nepenisi .
- Izinguquko esimweni somzimba, okuhlanganisa amahlombe abanzi kanye nokwanda kwemisipha ukuze kuthuthukiswe umzimba wesilisa.
Zonke lezi zinguquko ziqhutshwa ama-hormone ocansi emizimbeni yethu. Kwabafana, i-hormone (i-Testosterone) , kanye namantombazane, i-hormone (i-Estrogen) , iqala ukukhiqizwa ngobuningi obukhulu kakhulu kunangaphambili. Yingakho lokhu kuguqulwa ngokomzimba kwenzeka.
Kwenzekani uma ukuthomba kwephuza?
Manje, ake sibheke izimpawu zokuthi ukuthomba kungase kubambezeleke. Sicela ukhumbule ukuthi lezi ziyiziqondiso ezijwayelekile, futhi ukuba nesibonakaliso esisodwa noma ezimbili akusho ukuthi kunenkinga. Isinyathelo esingcono kakhulu ukubonisana nodokotela.
Izimpawu zokulibala kubafana:
- Uma ipenisi namasende kungakaqali ukukhula lapho umuntu eneminyaka engu-14.
- Uma kuthatha iminyaka engaphezu kwemi-5 ukuze kukhule ngokuphelele izitho zobulili.
- Uma umfushane kakhulu kunontanga yakho, okwamanje abakhula ngokushesha.
Izimpawu zokulibala kwamantombazane:
- Uma ukukhula kwebele kungakaqali lapho umuntu eneminyaka engu-14.
- Uma kungekho sibonakaliso sesikhathi (ukuya esikhathini) eminyakeni emi-5 ngemuva kokuqala kokukhula kwebele, noma uma kungakaqali lapho umuntu eneminyaka eyi-16.
Khumbula, lezi yizimpawu ezijwayelekile nje. Uma wena noma ingane yakho ninokukhathazeka okuncane, kungcono ngaso sonke isikhathi ukuvakashela udokotela ukuze ahlolwe ngochwepheshe.
Kungani kwenzeka ukubambezeleka kokuthomba?
Njengoba nje izimbali ezahlukene ziqhakaza ngezikhathi ezahlukene, wonke umuntu ukhula ngesivinini sakhe. Kodwa-ke, ngezinye izikhathi kunezizathu ezithile zalokhu kubambezeleka.
Ingabe umlando womndeni udlala indima? (Umlando Womndeni)
Ngokuvamile, lokhu kuyifa. Kumane kuyiphethini yokukhula komndeni. Umama wakho, ubaba, izingane zakini, noma izihlobo zakho eziseduze kungenzeka ukuthi sezifinyelele ebusheni sekwephuzile kunabanye. Lokhu kubizwa ngokuthi “ukubambezeleka komthethosisekelo” noma ukuba “umuntu okhula sekwephuzile.” Ngokuvamile, akukho ukwelashwa okudingekayo kulokhu. Laba bantu abasha bavame ukudlula ebusheni ngesikhathi sabo, sekwephuzile kancane kunontanga yabo.
Ingabe izimo zezokwelapha zingadlala indima? (Izinkinga Zezokwelapha)
Yebo, ezinye izimo zempilo ezingamahlalakhona zingabambezela ukuthomba:
- Izimo zesikhathi eside ezifana nesifo sikashukela (i-Diabetes Mellitus) , ( i-Cystic Fibrosis ) , isifo sezinso , noma ngisho ne-asthma zingathinta ukukhula kwakho. Kodwa-ke, ngokwelashwa nokuphathwa okufanele kwalezi zimo, ukubambezeleka kokuthomba kungancishiswa.
- Ukuntuleka kokudla okunempilo nakho kungaba nendima. Uma umzimba ungatholi izakhamzimba ezanele ezibalulekile, ungase ubambezele ukuthomba uma kuqhathaniswa nontanga abagcina ukudla okunempilo nokulinganiselayo. Izimo ezifana ne- (Anorexia Nervosa) zingathinta kakhulu ukukhula komzimba ngenxa yokungadli kahle.
- Amantombazane ahileleke emisebenzini yomzimba enzima kakhulu noma kwezemidlalo angase abhekane nokuthomba okulibazisekile uma enephesenti eliphansi kakhulu lamafutha emzimbeni, okudingekayo ekuqaleni kokuya esikhathini.
- Izinkinga nge-pituitary gland (i-Pituitary Gland) noma i-thyroid gland (i-Thyroid Gland) , ekhiqiza ama-hormone adingekayo ekukhuleni, nazo zingabangela ukubambezeleka.
Izinkinga ze-Chromosome (Izinkinga ze-Chromosome)
Ngezinye izikhathi, izici zofuzo ezihilela ama-chromosome zingathinta isikhathi sokuthomba.
- Isibonelo, (i-Turner Syndrome) yenzeka emantombazaneni lapho enye yama-chromosome amabili e-X ingajwayelekile noma ingekho. Lokhu kuthinta intuthuko kanye nokukhiqizwa kwama-hormone. Ngokunakekelwa kwezokwelapha, eziningi zalezi zinselele zingaphathwa ngempumelelo.
- Kwabafana, (i-Klinefelter Syndrome) yenzeka uma kune-chromosome X eyengeziwe (XXY esikhundleni se-XY). Lokhu kungabambezela intuthuko yocansi. Laba bantu bangase babhekane nezinselele zokufunda noma ezinye izinkinga ezihlobene nempilo ezidinga usizo lwezokwelapha.
Kunezizathu eziningi zalokhu kushintshashintsha. Yingakho ukubonisana nodokotela kuyisinyathelo esibaluleke kakhulu sokuthola ukuxilongwa okunembile.
Kuhlonzwa kanjani ukuthi ukuthomba okubambezelekile kuyatholakala?
Izindaba ezinhle ukuthi uma kunenkinga eyisisekelo, odokotela bangasiza intsha ebhekene nokuthomba okubambezelekile ukuthi ikhule kahle. Uma wena noma ingane yakho ninokukhathazeka okuncane ngalokhu, qiniseka ukuthi nikhuluma nabazali bakho futhi nihlele i-aphoyintimenti nodokotela.
Udokotela wakho cishe uzokwenza okulandelayo:
- Yenza ukuhlolwa okujulile komzimba.
- Buza ngomlando womndeni wakho ukuze ubone ukuthi abanye babenendlela efanayo yokukhula (umlando wezokwelapha).
- Buza nganoma yimiphi imithi oyiphuzayo njengamanje.
- Buyekeza ishadi lakho lokukhula ukuze uthole noma yiziphi izitayela eziphathelene nalokhu.
Ngaphezu kwalokho, udokotela wakho angase ancome ukuhlolwa okwengeziwe, okufana nalokhu:
- Ukuhlolwa kwegazi ukuhlola izinkinga nge-thyroid, i-pituitary gland, amaphethini e-chromosome, noma ezinye izinkinga zempilo.
- "I-X-ray Yesikhathi Samathambo" ukuze kutholakale ukuthi amathambo akho avuthwa ngesivinini esijwayelekile.
Kuphathwa kanjani lokhu?
Ezimweni eziningi, odokotela abatholi nkinga engokomzimba eyisisekelo. Intsha eningi ephuza ukuthomba imane nje “ikhula sekwephuzile” ekhula ngesivinini esincane kodwa ekugcineni ifinyelele kontanga bayo.
Kodwa-ke, uma kutholakala inkinga ethile, udokotela wakho angakudlulisela ku-Pediatric Endocrinologist—uchwepheshe ogxile ezinkingeni zokukhula kanye nama-hormone ezinganeni nasebancane—noma komunye uchwepheshe ukuze aphenywe futhi aphathwe.
Kwabanye “abakhula sekwephuzile,” odokotela bangase basikisele ukwelashwa ngama-hormone okwesikhashana:
- Kwabafana, inkambo emfushane ye-testosterone (ngokuvamile ngomjovo wanyanga zonke izinyanga ezingu-4-6) ingasiza ekuqaliseni izinguquko ezihambisana nokuthomba.
- Kwamantombazane, i-estrogen ephansi inganikezwa izinyanga ezingu-4-6 ukusiza ekuqaliseni ukukhula kwamabele.
Ngemva kokuphela kwalokhu kwelashwa, ama-hormone omzimba wakho avame ukuthatha izintambo ukuze kuqedwe inqubo. Uma kungenjalo, udokotela wakho uzoxoxa nawe ngamathuba okwelashwa kokufaka esikhundleni sama-hormone isikhathi eside.
Ukubhekana nesimo kanye nenhlalakahle yengqondo
Kujwayelekile ukuzizwa ukhungathekile noma ushiywe ngemuva uma kubonakala sengathi bonke abangani bakho bayakhula futhi bayashintsha ngenkathi wena ungashintshi. Ungase uzizwe sengathi awusoze wakhula njengabanye. Ngisho noma abazali noma odokotela bekuqinisekisa ukuthi “konke kuzolunga,” ukulinda imiphumela kungaba nzima ngokomzwelo.
Uma uzizwa udangele, unesizungu, ukhungathekile, noma uma lokhu kuthinta umsebenzi wakho wesikole noma impilo yakho yansuku zonke, sicela uxhumane nabazali bakho, udokotela, noma umuntu omdala omethembayo. Bangakusiza ukuthola umeluleki noma uchwepheshe wezokwelapha ongakusiza ukubhekana nale mizwa futhi akunikeze amasu okubhekana nesimo esinempilo.
Ukuphuza isikhathi sokuthomba kungaba yinselele ukukubhekana nakho, kodwa kuyisimo esivame ukulawuleka. Ungalokothi unqikaze ukucela usizo uma ukhathazekile ngokukhula kwakho.
Izinto zokugcina okufanele uzithathe
Nanka amaphuzu ayisihluthulelo okufanele uwakhumbule engxoxweni yethu:
- Ukuphuza isikhathi sokuthomba kungabangelwa yizici ezahlukene.
- Ngokuvamile, kumane kuyisici semvelo, esizuzwa njengefa (“i-late bloomer”).
- Ezimweni eziningi, usizo lwezokwelapha olusebenzayo luyatholakala.
- Ungangabazi ukubonana nodokotela uma wena noma ingane yakho ninezinkinga.
- Ukukhuluma nomuntu omethembayo kubalulekile ekulawuleni ingcindezi engokomzwelo phakathi nalesi sikhathi.
Awuwedwa; usizo luhlala lutholakala eNirogi Lanka!
ukubambezeleka kokuthomba, ukubambezeleka kokukhula, ama-hormone, intuthuko yobusha, iseluleko sezokwelapha, ukudla okunomsoco, ukubambezeleka komthethosisekelo
