Kuchedwa kutha msinkhu kwa atsikana

Kuchedwa kutha msinkhu mwa atsikana kumachitika mabere samakula ali ndi zaka 13 kapena msambo samayamba ndi zaka 16.

Kusintha kwa msinkhu kumachitika thupi likayamba kupanga mahomoni ogonana. Zosinthazi zimayamba kuwoneka mwa atsikana azaka zapakati pa 8 mpaka 14.

Ndikuchedwa kutha msinkhu, kusintha kumeneku sikuchitika, kapena ngati kutero, sikupita patsogolo bwinobwino. Kuchedwa msinkhu kumakhala kofala mwa anyamata kuposa atsikana.

Nthawi zambiri kutha msinkhu, kukula kumangoyambira mochedwa kuposa nthawi zonse, nthawi zina kumatchedwa kuti bloomer mochedwa. Unamwali ukayamba, umakula bwino. Izi zimachitika m'mabanja. Ichi ndiye chifukwa chofala kwambiri chakukhwima mochedwa.

Chifukwa china chofulumira cha kutha msinkhu kwa atsikana ndi kusowa kwamafuta amthupi. Kukhala wowonda kwambiri kumatha kusokoneza njira yanthawi yakutha msinkhu. Izi zitha kuchitika kwa atsikana omwe:

• Amagwira nawo masewera, monga osambira, othamanga, kapena ovina
• Khalani ndi vuto la kudya, monga anorexia kapena bulimia
• Akusowa chakudya

Kuchedwa kutha msinkhu kumatha kuchitika pomwe thumba losunga mazira limatulutsa mahomoni ochepa kwambiri kapena osapanga konse. Izi zimatchedwa hypogonadism.

• Izi zimatha kuchitika pomwe thumba losunga mazira lawonongeka kapena silikukula momwe liyenera kukhalira.
• Zitha kukhalanso ngati pali vuto ndi ziwalo zaubongo zomwe zimakhudza msinkhu.

Matenda ena azachipatala amatha kubweretsa hypogonadism, kuphatikiza:

• Celiac sprue
• Matenda otupa (IBD)
• Matenda osokoneza bongo
• Matenda a shuga
• Cystic fibrosis
• Chiwindi ndi matenda a impso
• Matenda osokoneza bongo, monga Hashimoto thyroiditis kapena matenda a Addison
• Chemotherapy kapena mankhwala a khansa ya radiation yomwe imawononga thumba losunga mazira
• Chotupa m'matumbo a pituitary
• Turner syndrome, matenda amtundu

Atsikana amayamba kutha msinkhu azaka zapakati pa 8 ndi 15. Pochedwa kutha msinkhu, mwana wanu akhoza kukhala ndi chimodzi kapena zingapo mwa izi:

• Mabere samakula ali ndi zaka 13
• Palibe tsitsi la pubic
• Kusamba sikuyamba ndi zaka 16
• Kutalika kwakanthawi kochepa komanso kukula kocheperako
• Chiberekero sichimera
• Zaka za mafupa ndizochepa kuposa zaka za mwana wanu

Pakhoza kukhala zizindikilo zina, kutengera zomwe zimayambitsa kutha msinkhu.

Wothandizira zaumoyo wa mwana wanu atenga mbiri ya banja kuti adziwe ngati kuchedwa kutha msinkhu kumayendetsa banja.

Woperekayo amathanso kufunsa za mwana wanu:

• Kudya
• Zizolowezi zolimbitsa thupi
• Mbiri yazaumoyo

Woperekayo ayesa mayeso. Mayeso ena atha kukhala:

• Kuyezetsa magazi kuti muwone kuchuluka kwa mahomoni okula, mahomoni ogonana, komanso mahomoni a chithokomiro
• Kuyankha kwa LH poyesa magazi a GnRH
• Kusanthula kwa Chromosomal
• MRI ya zotupa
• Ultrasound cha mazira ndi chiberekero

X-ray ya dzanja lamanzere ndi dzanja lakuwunika zaka za mafupa zitha kupezeka paulendo woyamba kuti muwone ngati mafupa akukula. Zitha kubwerezedwa pakapita nthawi, ngati zingafunike.

Chithandizocho chimadalira chifukwa chakuchedwa kutha msinkhu.

Ngati pali mbiri yabanja yakutha msinkhu, nthawi zambiri palibe chithandizo chofunikira. M'kupita kwa nthawi, kutha msinkhu kumayamba paokha.

Atsikana omwe ali ndi mafuta ochepa mthupi, kunenepa pang'ono kumathandizira kuyambitsa msinkhu.

Ngati kuchedwa kutha msinkhu kumachitika chifukwa cha matenda kapena vuto la kudya, kuchiza vutoli kungathandize kutha msinkhu kukula bwino.

Ngati kutha msinkhu kukulephera kukula, kapena mwanayo akuvutika kwambiri chifukwa chakuchedwa, mankhwala a mahomoni amatha kuthandizira kuyamba kutha msinkhu. Woperekayo adza:

• Perekani estrogen (hormone yakugonana) motsika kwambiri, mwina pakamwa kapena ngati chigamba
• Onaninso kusintha kwakukula ndikuwonjezera mlingo uliwonse miyezi 6 mpaka 12
• Onjezani progesterone (mahomoni ogonana) kuti muyambe kusamba
• Apatseni mapiritsi akulera kuti mukhale ndi mahomoni ogonana

Izi zingakuthandizeni kupeza chithandizo ndikumvetsetsa zambiri zakukula kwa mwana wanu:

MAGIC Foundation - www.magicfoundation.org

Turner Syndrome Society ku United States - www.turnersyndrome.org

Kuchedwa kutha msinkhu komwe kumachitika m'banja kudzathetsa.

Atsikana ena omwe ali ndi vuto linalake, monga omwe ali ndi vuto m'mimba mwawo, amatha kutenga mahomoni moyo wawo wonse.

Mankhwala obwezeretsa estrogen akhoza kukhala ndi zotsatirapo.

Mavuto ena omwe angakhalepo ndi awa:

• Kusamba koyambirira
• Kusabereka
• Kutsika kwa mafupa ochepa ndikuphwanyika pambuyo pake m'moyo (kufooka kwa mafupa)

Lumikizanani ndi omwe amakupatsani ngati:

• Mwana wanu amawonetsa kukula pang'onopang'ono
• Kutha msinkhu sikuyamba ndi zaka 13
• Kutha msinkhu kumayamba, koma sikukula bwino

Kutumiza kwa mwana wamaphunziro azamaphunziro a ana kumatha kulimbikitsidwa kwa atsikana omwe akuchedwa kutha msinkhu.

Kuchedwa kwakukula kwakugonana - atsikana; Kuchedwa kubereka - atsikana; Constitution idachedwa kutha msinkhu

Haddad NG, Eugster EA. Kuchedwa kutha msinkhu. 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 122.

Krueger C, Shah H. Mankhwala achichepere. Mu: Chipatala cha Johns Hopkins; Kleinman K, McDaniel L, Molloy M, olemba. Chipatala cha Johns Hopkins: Harriet Lane Handbook. 22nd ed. Philadelphia, PA: Elsevier; 2021: chap.

Styne DM. Physiology ndi zovuta zakutha msinkhu. Mu Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 26.