Kutha msinkhu ndi pamene mwana ayamba kusonyeza zizindikiro za kutha msinkhu kusiyana ndi zomwe zimaonedwa kuti ndi zachilendo. Kwa anyamata, zizindikiro za kutha msinkhu usanafike zaka zisanu ndi zisanu ndi zisanu ndi zitatu (9) zimawoneka kuti ndizoperewera. Kwa atsikana, zizindikiro za kutha msinkhu usanafike zaka zisanu ndi ziwiri zimaonedwa ngati zovuta. Komabe, atsikana ena atsikana amakhala ndi zizindikiro za kutha msinkhu kapena kukula kwa tsitsi la pubic.
Kukula kwa ubweya wamasamba kumayambiriro makamaka kwa atsikana akuda. Zizindikiro izi zokha sizimangotengedwa ngati msinkhu wachinyamata.
Ndikoyenera kuzindikira kuti umboni umasonyeza kuti kutha msinkhu kwakhala kukuchitika pa nthawi yaying'ono ndi yaying'ono pakapita nthawi. Pali zifukwa zambiri zomwe zimapangitsa kuti izi zichitike. Kumayambiriro msinkhu ukhoza kugwirizanitsidwa ndi zakudya zabwino mu ubwana. Zingathe kugwirizanitsidwa ndi kuchulukanso kowonjezera kwa ubwana wambiri. Komabe, pali umboni wakuti ungagwirizane ndi kusintha kwa chilengedwe. Asayansi atchulapo chirichonse kuchokera ku nkhawa mpaka kuunika kwa kusintha kwa kusintha kwa mankhwala omwe amachititsa kuti zikhale zovuta Zoonadi, palibe amene akudziwa kwenikweni.
Ndikofunika, komabe, kuzindikira kusiyana pakati pa msinkhu wam'tsogolo ndi chizoloƔezi cha kutha msinkhu kukhala koyambirira pakati pa anthu onse. Kutha msinkhu ndiko kutha msinkhu kumene kumachitika mofulumira kotero kuti kungayambitse vuto labwino kapena lachipatala kwa achinyamata omwe ali nalo.
Kodi Pali Matenda Okhudzana ndi Uthawi Wa Precocious?
Zinthu zambiri zosiyana zakhala zikugwirizana ndi kutha msinkhu. Komabe, umboni wa zina mwazimenezi ndi wamkulu kuposa ena. Mwachitsanzo, pali umboni wolimba wakuti ana omwe amatha msinkhu wokalamba adzakula msanga koma amatha msinkhu wokalamba kwambiri kuposa anzawo.
Nthawi yayitali ndizovuta kwa ana omwe amayamba msinkhu ali aang'ono kwambiri. Zimapezeka chifukwa mafupa awo amakula ndipo amasiya kukula mofulumira. Ichi ndi chikhalidwe chimodzi chimene chingawonongeke bwino ndi okhudzidwa ndi kutha msinkhu.
Umboni wa mavuto ena okhudzana ndi kutha msinkhu umasakanikirana. Kafukufuku wina amasonyeza kuti kutha msinkhu kungapangitse khalidwe lolakwika la kugonana. Kafukufuku apeza kuti kusakayika msinkhu kumakhudzana ndi mavuto a khalidwe komanso kusagwirizana ndi anthu. Palinso umboni wina wakuti kutha msinkhu kumatha kumabweretsa mavuto amtima omwe amatha kukhala akuluakulu. Komabe, zotsatira zina zokhudzana ndi chikhalidwe ndi zamaganizo zokhudzana ndi nkhawa za kutha msinkhu zitha kuchepetsedwa ndi chithandizo chabwino cha makolo ndi maphunziro.
Pali umboni wina wakuti kutha msinkhu kungayambidwe ndi zoopsa zina zaumoyo. Pangakhale ngozi yowonjezera ya shuga, matenda a mtima, kapena kupwetekedwa mtima. Komabe, zoopsazi zimadodometsedwa chifukwa chakuti kunenepa kumagwirizanitsa ndi kutha msinkhu komanso ku matenda atatu onse. Pakhoza kukhala ndi chiopsezo chochepa cha khansa ya m'mawere mwa atsikana omwe ali ndi nthawi yoyamba m'masiku oyambirira.
Kodi N'chiyani Chimayambitsa Usinkhu Wosauka?
Zinthu zingapo zakhala zikugwirizana ndi kutha msinkhu, ngakhale kuti chifukwa chenichenicho sichiri chinsinsi.
Amayi opha msinkhu amagwiritsidwa ntchito pochita zomwe zimatchedwa kuti pakati pa msinkhu wachinyamata . Utha msinkhu wa msinkhu umatha msinkhu pamene ubongo umayamba kutumiza chizindikiro kuti utha msinkhu kuyamba.
Zina mwa zinthu zomwe zimagwirizanitsa ndi msinkhu wachinyamata wam'mbuyomu ndizo:
- zojambula
- Matenda oyambirira omwe amabwera chifukwa cha kunenepa kwambiri
- ubongo ndi pakatikati zamanjenje zavulala
Mwamwayi, nthawi zambiri msinkhu wa msinkhu wa msinkhu wa msinkhu wam'mbuyo umakhala wotopetsa. Izi zikutanthauza kuti madokotala sakudziwa chifukwa chake zimachitika.
Pali gulu lachiwiri la kutha msinkhu wotchuka wotchedwa kutha msinkhu msinkhu msinkhu kapena kutha msinkhu wa GnRH wosasamala . Matendawa amayamba chifukwa cha kutulutsa kwa ma hormone komwe kumayamba kunja kwa ubongo.
Kodi Achinyamata Otha msinkhu Ndi Otani? Kodi Amaletsa Bwanji Kubadwa kwa Precocious?
Achinyamata otha msinkhu amadziwika kuti GnRH analogues kapena Agnist GnRH . Amatchedwanso kuti GnRHa mankhwala . Mankhwalawa amasokoneza zizindikiro zomwe ubongo umatchula kuti thupi liyambe kupanga mahomoni okhudzana ndi kutha msinkhu pakati pa anyamata ndi atsikana. Asanafike msinkhu, ana ali ndi timadzi timene timatchedwa GnRH-gonadotropin kutulutsa hormone. Mahomoni amatulutsidwa mopanda phindu komanso pang'onopang'ono. Pamene umayamba msinkhu, thupi limayamba kupanga GnRH zambiri ndikuzimasula kambirimbiri. Chithandizo cha GnRHa chimasintha chizindikirocho mpaka madokotala ndi odwala ali okonzekera kutha msinkhu kuti ayambe.
Utha msinkhu umayamba mkati mwa miyezi 6 mpaka chaka chitatha chithandizo cha GnRHa. Asayansi akhala akupeza kuti achinyamata omwe amalandira chithandizo cha GnRHa msinkhu wambiri msinkhu amapita kumwambamwamba akuluakulu kuposa omwe sali ochiritsidwa. Izi ndi zowona makamaka kwa iwo omwe amayamba msinkhu kuyambira zaka zisanu ndi chimodzi.
Kafukufuku akusonyeza kuti achinyamata omwe akulandira chithandizo angakhalenso ndi nkhawa yochepetsedwa ndi njira zomwe msinkhu wa msinkhu wokalamba umawapangitsa kukhala osiyana ndi anzawo. Komabe, maphunziro ochuluka amafunikira asayansi asanamvetsetse bwino zotsatira za maganizo a msinkhu wokha msinkhu wotha msinkhu.
Mitundu yonse yaifupi yochitapo kanthu komanso yautali ya kutha msinkhu ikupezeka. Mafomu a nthawi yaitali angakhalepo kwa zaka ziwiri popanda kusowa mankhwala. Izi zimatenga mawonekedwe a jekeseni kapena implants. Mankhwala enaake ndi okhudza histrelin komanso mavitamini a acetate acetate.
Kodi Achinyamata Otha msinkhu Amakhala Otetezeka?
Atha msinkhu akhala akugwiritsidwa ntchito kwa zaka zopitirira makumi atatu kuti athetse msinkhu wokha msinkhu. Kawirikawiri amadziwika kuti ali otetezeka komanso ogwira mtima. Kafukufuku akusonyeza kuti achinyamata omwe akhala akutha msinkhu akutha msinkhu atatha kuwatenga, ngakhale atsikana angakhale ndi chiopsezo chowonjezeka cha PCOS . Deta imanenanso kuti kutha msinkhu sikusokoneza nthawi yayitali pamatenda kapena mavitamini. Komabe, asayansi ena angakonde kuwona kafufuzidwe pa zotsatira za moyo wa mankhwalawa asanawauze kuti ali otetezeka kwenikweni.
Zindikirani, chimodzi mwazofunikira kwambiri kwa achinyamata pa chithandizo cha GnRHa ndikuteteza kulemera. Mankhwalawa akhoza kugwirizanitsidwa ndi kulemera kwa thupi ndi kunenepa kwambiri. Pamene kunenepa kwambiri kumagwirizananso ndi kutha msinkhu, ndikofunika kumvetsera zakudya ndi kuchita masewera olimbitsa thupi ndi zina zomwe zingathandize achinyamata kukhala ndi thanzi labwino. Komabe, uthenga wabwino ndi wakuti kafufuzidwe umasonyeza kuti mu nthawi yayitali, chithandizo cha GnRHa chikugwirizana ndi kukwaniritsa kulemera kwabwino, kwa atsikana. Choncho, sikuyenera kukhala chinthu chachikulu pakuganiza ngati ayi kapena ayi.
Zotsatira:
Fuqua JS. Kuchiza ndi zotsatira za kutha msinkhu wachangu: zosintha. J Clin Endocrinol Metab. 2013 Jun; 98 (6): 2198-207. lembani: 10.1210 / jc.2013-1024.
Kim EY. Zotsatira za nthawi yayitali ya gonadotropin-kutulutsa mahomoni ofanana ndi atsikana omwe ali pakati pa msinkhu wam'tsogolo. Korea J Wachipatala. 2015 Jan; 58 (1): 1-7. do: 10.3345 / kjp.2015.58.1.1.
Pienkowski C, Tauber M. Gonadotropin-Kutulutsa Hormone Agonist Chithandizo mu Kugonana Kwachiwerewere. Endocr Dev. 2016; 29: 214-29. lembani: 10.1159 / 000438893.
Thornton P, Silverman LA, Geffner ME, Neely EK, Gould E, Danoff TM. Kupenda zotsatira za kutha kwa gonadotropin-kutulutsa hormonone agonist mankhwala a atsikana ndi msinkhu wachinyamata. Pediatr Endocrinol Rev. 2014 Mar; 11 (3): 306-17.
Yoo JH. Zotsatira za kutha msinkhu pa mavuto a umoyo ndi aumaganizo pa atsikana achichepere ndi amayi akuluakulu. Korea J Wachipatala. 2016 Sep; 59 (9): 355-361.