Kutha msanga

Kutha msinkhu ndi nthawi yomwe mikhalidwe yamunthu yogonana komanso yakuthupi imakhwima. Kutha msinkhu ndipamene kusintha kwamthupi kumeneku kumachitika kale kuposa masiku onse.

Kutha msinkhu kumayambira pakati pa zaka 8 ndi 14 kwa atsikana ndi zaka 9 ndi 16 kwa anyamata.

Zaka zenizeni zomwe mwana amalowa msinkhu zimatengera zinthu zingapo, kuphatikiza mbiri ya banja, zakudya, komanso kugonana.

Nthawi zambiri sipakhala chifukwa chomveka chotha msinkhu wotha msinkhu. Nthawi zina zimachitika chifukwa cha kusintha kwaubongo, mavuto amtundu, kapena zotupa zina zomwe zimatulutsa mahomoni. Izi ndi monga:

• Kusokonezeka kwa machende, mazira, kapena adrenal glands
• Chotupa cha hypothalamus (hypothalamic hamartoma)
• Zotupa zomwe zimatulutsa timadzi totchedwa chorionic gonadotropin (hCG)

Atsikana, kutha msinkhu msanga ndi pamene izi zotsatirazi zimachitika asanakwanitse zaka 8:

• Tsitsi lakuthwa kapena labanja
• Kuyambira kukula msanga
• Mabere
• Nthawi yoyamba (kusamba)
• Maliseche okhwima akunja

Kwa anyamata, kutha msinkhu msanga ndi pamene izi zotsatirazi zimachitika asanakwanitse zaka 9:

• Tsitsi lakuthwa kapena labanja
• Kukula kwa machende ndi mbolo
• Tsitsi la nkhope, nthawi zambiri limayamba pakamwa
• Kukula kwa minofu
• Kusintha kwa mawu (kukulitsa)

Wopereka chithandizo chamankhwala ayesa thupi kuti aone ngati ali ndi vuto lotha msinkhu.

Mayeso omwe atha kulamulidwa ndi awa:

• Kuyezetsa magazi kuti muwone kuchuluka kwa mahomoni.
• Kujambula kwa CT kapena MRI kwa ubongo kapena pamimba kuti athetse zotupa.

Kutengera zomwe zimayambitsa, chithandizo cha kutha msinkhu kutha kuphatikizira:

• Mankhwala oletsa kutulutsa mahomoni ogonana, kuti achedwetse kukula kwa unamwali. Mankhwalawa amaperekedwa ndi jakisoni kapena kuwombera. Adzaperekedwa mpaka msinkhu woyenera wa kutha msinkhu.
• Opaleshoni kuchotsa chotupa.

Ana omwe amakula msanga atha kukhala ndi vuto lamaganizidwe ndi chikhalidwe. Ana ndi achinyamata amafuna kukhala ofanana ndi anzawo. Kukula msanga pogonana kumatha kuwapangitsa kuti aziwoneka osiyana. Makolo angathandizire mwana wawo pofotokozera za vutoli komanso momwe dokotala akukonzera kuti amuthandize. Kulankhula ndi wogwira ntchito zaumoyo kapena mlangizi kungathandizenso.

Ana omwe amatha msinkhu msanga msinkhu sangakwanitse kufika msinkhu wawo chifukwa kukula kumayima msanga.

Onani omwe amakupatsani mwana wanu ngati:

• Mwana wanu akuwonetsa zizindikilo zakubadwa msinkhu
• Mwana aliyense amene amakula msanga pogonana amawoneka kuti ali ndi mavuto kusukulu kapena ndi anzawo

Mankhwala ena omwe amaperekedwa komanso zowonjezera zina amatha kukhala ndi mahomoni ndipo ayenera kupewa.

Mwana wanu ayenera kulemera bwino.

Zambiri zaife

• Matenda a Endocrine
• Ziwalo zoberekera za abambo ndi amai

Garibaldi LR, Chemaitilly W. Zovuta zakukula kwaubereki. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 578.

Haddad NG, Eugster EA. Kutha msanga. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 121.