Okuqukethwe
I-Precocious Puberty: isibuyekezo ngalesi simo
Banemizimba yobusha lapho besengamantombazane amancane. Ukuthomba okungakabi isikhathi eside kuyinto eyandayo eshiya abazali nezingane beswela. ” Indodakazi yami encane eneminyaka engu-8 isivele inamabele, iqale ezinyangeni ezimbalwa ezedlule. Namanye amaqabane esikoleni asesimweni esifanayo », Kuvuma lomama ekhasini lethu likaFacebook. “ Udokotela wami wezingane wangitshela ukuthi indodakazi yami yayikhuluphele futhi kungase kukhuthaze ukuqala kwezinkinga zama-hormone njengokuthomba ngaphambi kwesikhathi, njengoba sizama ukushintsha indlela yokuphila yomkhaya. Kubika omunye umama. Ngokusho kochwepheshe, ukuthomba ngaphambi kwesikhathi kuchazwa ukuthuthukiswa kwamabele ngaphambi kweminyaka engu-8 emantombazaneni kanye nokwanda kwevolumu yamasende ngaphambi kweminyaka engu-9 kubafana.. Kuvame ukubonakala emantombazaneni kunabafana abancane. Lesi simo sihambisana naso ukuguga kwesigaba sokuqala esikubona kuwo wonke amazwe anezimboni. Namuhla, amantombazane asemasha ngokwesilinganiso cishe aneminyaka engu-12 nengxenye ubudala, uma kuqhathaniswa neminyaka engu-15 edlule emakhulwini amabili eminyaka edlule.
Ukuthomba ngaphambi kwesikhathi: izimbangela zezokwelapha ...
Ungasichaza kanjani lesi simo? Isizathu esibucayi sezokwelapha sitholakala cishe ku-5% ezimweni zamantombazane futhi kaningi kubafana (30 kuya ku-40%). Kungaba njaloi-cyst, ofukungasebenzi kahle kwama-ovari, okubangela ukuthomba kusenesikhathi. Okubaluleke nakakhulu, a isisu i-cerebral (i-benign noma i-malignant) ngezinye izikhathi isuka ekuguleni kwalesi sifo. Ukuthomba kubangelwa ukukhishwa kwamahomoni yizindlala ezimbili ezisebuchosheni: i-hypothalamus kanye ne-pituitary gland. Isilonda (hhayi ngempela esibi) kuleli zinga singaphazamisa inqubo. Zonke lezi zinkinga zezokwelapha zifanelekile ukubonisana ne-endocrinologist yezingane.. Kungemva kokuqeda lezi zinkinga ezingase zibe khona lapho umuntu angaphetha ngokuthi ” idiopathic central precocious puberty », Okusho ukuthi ngaphandle kwesizathu esibonakalayo.
Ukuthomba ngaphambi kwesikhathi: umthelela wabaphazamisi be-endocrine
Ukuthomba ngaphambi kwesikhathi esikhathini esiningi kuxhunyaniswa nomthelela wezici zemvelo, njengokukhuluphala noma iziphazamisi ze-endocrine (EEP).
Ukuzuza kancane kancane kwesisindo kusukela esemncane nokuphindaphindeka ejikeni lomzimba cishe iminyaka emi-3-4 kuvame ukubangela ukuthomba okungakafiki emantombazaneni. Ekuqaleni, ukukhuluphala kubangela izinguquko ze-metabolic kanye nama-hormone emzimbeni ezingaphazamisa ukusebenza kwezitho eziningi.
Ngokuqondene nabaphazamisi be-endocrine, umthelela wabo uya ngokusolakala : lezi zinto ezikhishelwa endaweni ezungezile ziphazamisa uhlelo lwamahomoni ngokulingisa isenzo samahomoni athile. Kunezinhlobo ezahlukene ze-PEE: ezinye ziyimvelo yemvelo njengama-phytoestrogens atholakala kubhontshisi wesoya, kodwa iningi livela embonini yamakhemikhali. Izibulala-zinambuzane nokungcola kwezimboni okuyingxenye yayo i-bisphenol A, manje eseyavinjelwa eFrance (kodwa indawo yayo ithathwe abazala bayo i-BPS noma i-BPB engengcono neze), iyingxenye yayo. Le mikhiqizo ingenza noma ngokulingisa i-hormone futhi ivuse isamukeli sayo, njenge-estrogen, eyenza kusebenze ukukhula kwendlala yebele, noma ngokuvimbela ukusebenza kwehomoni yemvelo. Izifundo eziningi zithole ubudlelwane phakathi kokuthomba emantombazaneni kanye nokuchayeka kuma-PEE athile, ikakhulukazi ama-phthalates nezibulala-zinambuzane DDT/DDE. Baphinde babandakanyeke ekwandeni kokukhubazeka kwezitho zangasese kubafana (ukungabikho kokwehla kwamasende, njll.).
Yini okufanele uyenze uma usola ukuthomba ngaphambi kwesikhathi?
Uma ingane yakho ibonisa izimpawu zokuthomba eminyakeni engavamile, kubalulekile ukubonana nodokotela wezingane noma udokotela ngokushesha. udokotela wezingane endocrinologist. Owakamuva uzohlaziya ijika lokukhula eliphawulwe kurekhodi lezempilo, enze i-X-reyi yesandla nesihlakala ukuze kunqunywe ubudala bamathambo futhi, ngaphezu kwalokho entombazaneni, acele i-pelvic ultrasound yokukala isibeletho namaqanda. . Uchwepheshe angase futhi acele ukuhlolwa kwegazi kanye ne-MRI yobuchopho ukuze kuqinisekiswe ukuxilongwa nokucacisa imbangela. Lezi zivivinyo zizokwenza kube nokwenzeka ukuhlola ubungozi besikhathi esifushane futhi kuthathwe isinqumo ngabaphathi. Omunye wemiphumela yokuthomba ngaphambi kwesikhathi yisimo esifushane ebudaleni, izinga lokukhula lenzeke ngaphambi kwesikhathi. Okwamanje, Ukwelashwa okuphumelelayo kakhulu kusebenza ngokuqondile ekulawuleni okuphakathi kokuthomba (i-pituitary gland) ngokuvimbela umsebenzi wayo futhi ngaleyo ndlela kwenza kube nokwenzeka ukumisa ukuqhubeka kokuthomba. Kodwa-ke, kuyasiza ukukhumbula ukuthi ukuphathwa kokuthomba ngaphambi kwesikhathi kwenziwa ngempela icala ngecala. Ngoba, ngale kwesici sokuphila, kukhona nobukhulu bengqondo. Indlela ingane ebhekana ngayo nokuguqulwa kwayo ngokomzimba kanye nolwazi lomndeni kufanele kucatshangelwe. Ukwesekwa kwengqondo ngezinye izikhathi kuyadingeka ukuze kunqobe lezi zinxushunxushu ezingokomzimba nezingokwengqondo.