Kuchedwa kutha msinkhu mwa anyamata

Kuchedwa kutha msinkhu mwa anyamata ndi nthawi yomwe kutha msinkhu sikuyamba ndi zaka 14.

Kutha msinkhu kumachedwa, kusintha kumeneku sikuchitika kapena sikukula bwino. Kuchedwa msinkhu kumakhala kofala mwa anyamata kuposa atsikana.

Nthaŵi zambiri, kutha msinkhu kumakhala nkhani yoti kukula kumayamba mochedwa kuposa nthawi zonse, nthawi zina kumatchedwa kuti bloomer mochedwa. Unamwali ukayamba, umakula bwino. Izi zimatchedwa kutha msinkhu kutha msinkhu, ndipo zimayenda m'mabanja. Ichi ndiye chifukwa chofala kwambiri chakukhwima mochedwa.

Kuchedwa kutha msinkhu kumatha kuchitika pomwe ma testes amatulutsa mahomoni ochepa kwambiri kapena osakhala nawo. Izi zimatchedwa hypogonadism.

Izi zimatha kuchitika pomwe ma testes awonongeka kapena sakukula momwe akuyenera kukhalira.

Zikhozanso kuchitika ngati pali vuto mbali zina zaubongo zomwe zimakhudza msinkhu.

Matenda ena azachipatala atha kubweretsa hypogonadism:

• Celiac sprue
• Matenda otupa (IBD)
• Chithokomiro chosagwira ntchito
• Matenda a shuga
• Cystic fibrosis
• Matenda a khungu
• Chiwindi ndi matenda a impso
• Anorexia (zachilendo mwa anyamata)
• Matenda osokoneza bongo, monga Hashimoto thyroiditis kapena matenda a Addison
• Chemotherapy kapena chithandizo cha khansa ya radiation
• Chotupa pamatenda am'mimba, matenda a Klinefelter, matenda amtundu
• Kupezeka kwa mayeso atabadwa (anorchia)
• Kuvulala kapena kupwetekedwa ndi machende chifukwa cha testicular torsion

Anyamata amayamba kutha msinkhu azaka zapakati pa 9 ndi 14 ndikumaliza zaka 3.5 mpaka 4.

Kusintha kwa msinkhu kumachitika thupi likayamba kupanga mahomoni ogonana. Zosintha izi zimayamba kuwoneka mwa anyamata azaka zapakati pa 9 mpaka 14:

• Machende ndi mbolo zimakula
• Tsitsi limamera pankhope, pachifuwa, miyendo, mikono, ziwalo zina za thupi, komanso mozungulira maliseche
• Kutalika ndi kulemera kumawonjezeka
• Liwu limafika pozama

• Machende ndi ochepa kuposa inchi imodzi pofika zaka 14
• Mbolo ndi yaying'ono komanso yosakhwima ndi zaka 13
• Pali tsitsi laling'ono kwambiri kapena osakhalapo ali ndi zaka 15
• Mawu amakhalabe okwera kwambiri
• Thupi limakhala lalifupi komanso lowonda
• Mafuta amathanso kupezeka m'chiuno, m'chiuno, pamimba, ndi m'mawere

Kuchedwa kutha msinkhu kumathandizanso kuti mwana akhale ndi nkhawa.

Wothandizira zaumoyo wa mwana wanu atenga mbiri ya banja kuti adziwe ngati kuchedwa kutha msinkhu kumayendetsa banja. 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 kapena kuyesa kwina kwa majini
• MRI ya zotupa
• Ultrasound m'chiuno kapena machende

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.

Ngati kuchedwa kutha msinkhu kumachitika chifukwa cha matenda, monga chithokomiro chosagwira ntchito, kuchiza kumatha kuthandizira kutha msinkhu kukula.

Thandizo la mahomoni lingathandize kutha msinkhu ngati:

• Kutha msinkhu kumalephera kukula
• Mwanayu akuvutika kwambiri chifukwa chakuchedwa

Wothandizirayo amaponya testosterone jekeseni (mahomoni ogonana amuna kapena akazi okhaokha) mumisempha milungu inayi iliyonse. Kusintha kwakukula kudzawunikidwa. Woperekayo adzawonjezera mlingo pang'onopang'ono mpaka kutha msinkhu.

Mutha kupeza chithandizo ndikumvetsetsa zambiri zakukula kwa mwana wanu pa:

MAGIC Foundation - www.magicfoundation.org

Kuchedwa kutha msinkhu komwe kumachitika m'banja kudzathetsa.

Chithandizo cha mahomoni ogonana chimatha kutha msinkhu. Mahomoni amathanso kuperekedwanso ngati pakufunika kukonza chonde.

Kuchuluka kwama mahomoni ogonana kumatha kuyambitsa:

• Mavuto okonzekera (kusowa mphamvu)
• Kusabereka
• Kutsika kwa mafupa ochepa ndikuphwanyika pambuyo pake m'moyo (kufooka kwa mafupa)
• Kufooka

Lumikizanani ndi omwe amakupatsani ngati:

• Mwana wanu amawonetsa kukula pang'onopang'ono
• Kutha msinkhu sikuyamba ndi zaka 14
• Kutha msinkhu kumayamba, koma sikukula bwino

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

Kukula kwakuchedwa kwakugonana - anyamata; Kuchedwa kwa chiberekero - anyamata; Hypogonadism

Allan CA, McLachlan RI. Matenda a Androgen akusowa. 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 139.

Haddad NG, Eugster EA. Kuchedwa kutha msinkhu. Mu: Jameson JL, De Groot LJ, de Kretser DM, ndi al. okonza. 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. Wolemba 21. 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.