Ukuthomba okuyikho

Ukuthomba yisikhathi lapho izici zomuntu zocansi nezomzimba zivuthwa khona. Ukuthomba okuyikho kulapho lezi zinguquko zomzimba zenzeka ngaphambi kwesikhathi esijwayelekile.

Ukuthomba kuvame ukuqala phakathi kweminyaka eyi-8 nengu-14 yamantombazane neminyaka engu-9 nengu-16 kubafana.

Iminyaka yobudala ingane engena ngayo ekuthombekeni incike ezintweni eziningi, kufaka phakathi umlando womndeni, ukondleka, nobulili.

Imvamisa asikho isizathu esicacile sokuthomba ngaphambi kwesikhathi. Ezinye izimo zibangelwa izinguquko ebuchosheni, izinkinga zofuzo, noma izicubu ezithile ezikhipha ama-hormone. Lezi zimo zifaka:

• Ukuphazamiseka kwamasende, amaqanda, noma izindlala ze-adrenal
• Isimila se-hypothalamus (hypothalamic hamartoma)
• Izimila ezikhipha i-hormone ebizwa nge-chorionic gonadotropin (hCG)

Emantombazaneni, ukuthomba ngaphambi kwesikhathi kungesikhathi lapho noma yikuphi kwalokhu okulandelayo kukhula ngaphambi kweminyaka yobudala engu-8:

• Izinwele zekhwapha noma ezasemaphandleni
• Iqala ukukhula ngokushesha okukhulu
• Amabele
• Isikhathi sokuqala (ukuya esikhathini)
• Izitho zangasese ezivuthiwe zangaphandle

Kubafana, ukuthomba okungenangqondo kulapho kwenzeka khona noma ikuphi kokulandelayo ngaphambi kweminyaka yobudala eyi-9:

• Izinwele zekhwapha noma ezasemaphandleni
• Ukukhula kwamasende nomthondo
• Izinwele zobuso, imvamisa kuqala kuqala endebeni engenhla
• Ukukhula kwemisipha
• Ukushintsha kwezwi (ukujula)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba ukuze ahlole izimpawu zokuthomba ngaphambi kwesikhathi.

Izivivinyo ezinga-odwa zifaka:

• Ukuhlolwa kwegazi ukuhlola amazinga ama-hormone.
• Ukuxilongwa kwe-CT noma kwe-MRI kobuchopho noma kwesisu ukukhipha izicubu.

Ngokuya ngesizathu, ukwelashwa kokuthomba ngaphambi kwesikhathi kungafaka:

• Imithi yokumisa ukukhishwa kwamahomoni ocansi, ukuze kubambezele ukukhula okuqhubekayo kokuthomba. Le mithi inikezwa ngomjovo noma ngokudutshulwa. Bazonikezwa kuze kube seminyakeni ejwayelekile yokuthomba.
• Ukuhlinzwa ukukhipha isimila.

Izingane ezinokukhula kokuqala kwezocansi zingaba nezinkinga ezingokwengqondo nezenhlalo. Izingane nentsha zifuna ukufana nontanga yazo. Ukuthuthuka kwezocansi zisencane kungazenza zibonakale zihlukile. Abazali bangayisekela ingane yabo ngokuchaza lesi simo nokuthi udokotela uhlela ukuselapha kanjani. Ukukhuluma nomsebenzi wezempilo yengqondo noma umeluleki nakho kungasiza.

Izingane ezihamba ebusheni zisencane kakhulu zingase zingafinyeleli ukuphakama kwazo okugcwele ngoba ukukhula kuyeka kusenesikhathi.

Bona umhlinzeki wengane yakho uma:

• Ingane yakho ikhombisa izimpawu zokuthomba ngaphambi kwesikhathi
• Noma iyiphi ingane enokukhula kokuqala kwezocansi ibonakala inezinkinga esikoleni noma nontanga

Imithi ethile enqunyiwe kanye nezengezo ezithile ingaqukatha ama-hormone futhi kufanele igwenywe.

Ingane yakho kufanele igcine isisindo esinempilo.

I-Pubertas praecox

• Izindlala ze-Endocrine
• Izinhlelo zokuzala zabesilisa nabesifazane

I-Garibaldi LR, uChemaitilly W. Ukuphazamiseka kokuthuthuka kokuzalwa. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 578.

IHaddad NG, i-Eugster EA. Ukuthomba okuyikho. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 121.