Ukuthomba okulibazisekile emantombazaneni

Ukuthomba okulibazisekile emantombazaneni kwenzeka lapho amabele engakhuli ngeminyaka eyi-13 noma ukuya esikhathini kungaqali ngeminyaka eyi-16.

Izinguquko zokuthomba zenzeka lapho umzimba uqala ukwenza ama-hormone ocansi. Lezi zinguquko zivame ukuvela emantombazaneni aphakathi kweminyaka engu-8 kuya kwengu-14 ubudala.

Ngokubambezeleka kokuthomba, lezi zinguquko kungenzeka azenzeki, noma uma zenzeka, aziqhubeki ngokujwayelekile. Ukuthomba okwephuzile kuvame kakhulu kubafana kunamantombazane.

Ezimweni eziningi zokuthomba okubambezelekile, izinguquko zokukhula ziqala nje emuva kwesikhathi kunokujwayelekile, kwesinye isikhathi zibizwa ngokuthi yi-bloomer sekwephuzile. Lapho ukuthomba sekuqala, kukhula ngokujwayelekile. Leli phethini ligijima emindenini. Lesi yisona sizathu esivame kakhulu sokuvuthwa sekwedlule isikhathi.

Enye imbangela ejwayelekile yokubambezeleka kokuthomba emantombazaneni ukungabi namafutha omzimba. Ukuba mncane kakhulu kungaphazamisa inqubo ejwayelekile yokuthomba. Lokhu kungenzeka emantombazaneni a:

• Basebenza kakhulu kwezemidlalo, njengababhukudi, abagijimi, noma abadansi
• Unenkinga yokudla, njenge-anorexia noma i-bulimia
• Abondlekile

Ukuthomba okulibazisekile nakho kungenzeka lapho ama-ovari akhiqiza ama-hormone amancane kakhulu noma awekho nhlobo. Lokhu kubizwa ngokuthi yi-hypogonadism.

• Lokhu kungenzeka lapho ama-ovari alimele noma engakhuli njengoba kufanele.
• Kungenzeka futhi uma kunenkinga ngezingxenye zobuchopho ezibandakanyeka ebusheni.

Izimo ezithile zezokwelapha noma ukwelashwa kungaholela ku-hypogonadism, kufaka phakathi:

• I-Celiac sprue
• Izifo zamathumbu ezivuthayo (IBD)
• I-Hypothyroidism
• Isifo sikashukela
• ICystic fibrosis
• Isibindi nesifo sezinso
• Izifo ezizimele, ezifana neHashimoto thyroiditis noma isifo se-Addison
• Ukwelashwa ngamakhemikhali noma ukwelashwa komdlavuza wemisebe olimaza ama-ovari
• Isigaxa esisendabeni ye-pituitary
• I-Turner syndrome, ukuphazamiseka kofuzo

Amantombazane aqala ukuthomba phakathi kweminyaka yobudala eyi-8 nengu-15. Ngokubambezeleka kokuthomba, ingane yakho ingaba neyodwa noma ngaphezulu yalezi zimpawu:

• Amabele awakhuli eneminyaka eyi-13
• Azikho izinwele zasesidlangalaleni
• Ukuya esikhathini akuqali ngeminyaka engu-16
• Ukuphakama okufishane nokukhula kancane
• Isibeletho asikhuli
• Ubudala bamathambo bungaphansi kobudala bengane yakho

Kungaba khona ezinye izimpawu, kuya ngokuthi yini ebanga ukubambezeleka kokuthomba.

Umhlinzeki wezokunakekelwa kwezempilo wengane yakho uzothatha umlando womndeni azi ukuthi ukubambezeleka kokuthomba kuyagijima yini emndenini.

Umhlinzeki futhi angabuza mayelana nengane yakho:

• Imikhuba yokudla
• Imikhuba yokuzivocavoca
• Umlando wezempilo

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba. Ezinye izivivinyo zingafaka:

• Ukuhlolwa kwegazi ukuhlola amazinga ama-hormone athile okukhula, ama-hormone ocansi, namahomoni wegilo
• Impendulo ye-LH ekuhlolweni kwegazi kwe-GnRH
• Ukuhlaziywa kwe-Chromosomal
• I-MRI yekhanda yamathumba
• I-Ultrasound yama-ovari nesibeletho

I-x-ray yesandla sobunxele kanye nesihlakala sokuhlola ubudala bamathambo ingatholwa ekuvakasheni kokuqala ukubona ukuthi amathambo ayavuthwa yini. Kungaphindwa ngokuhamba kwesikhathi, uma kudingeka.

Ukwelashwa kuzoya ngesizathu sokubambezeleka kokuthomba.

Uma kunomlando womndeni wokuthomba sekwedlule isikhathi, imvamisa akudingeki ukwelashwa. Ngokuhamba kwesikhathi, ukuthomba kuzoqala kukodwa.

Emantombazaneni anamafutha omzimba amancane kakhulu, ukuthola isisindo esincane kungasiza ukuqala ukuthomba.

Uma ukubambezeleka kokuthomba kubangelwa yisifo noma inkinga yokudla, ukwelapha imbangela kungasiza ukuthomba ukuthi kukhule kahle.

Uma ukuthomba kwehluleka ukukhula, noma ingane icindezeleke kakhulu ngenxa yokulibaziseka, ukwelashwa kwamahomoni kungasiza ukuqala ukuthomba. Umhlinzeki uzo:

• Nikeza i-estrogen (i-hormone yezocansi) ngamanani aphansi kakhulu, ngomlomo noma njengesiqeshana
• Gada izinguquko zokukhula futhi wandise umthamo njalo ezinyangeni eziyisithupha kuya kweziyi-12
• Faka i-progesterone (i-hormone yezocansi) ukuqala ukuya esikhathini
• Nikeza amaphilisi omlomo okomlomo ukuze alondoloze amazinga ajwayelekile amahomoni ezocansi

Lezi zinsizakusebenza zingakusiza ukuthi uthole ukusekelwa futhi uqonde kabanzi ngokukhula kwengane yakho:

Isisekelo seMAGIC - www.magicfoundation.org

I-Turner Syndrome Society yase-United States - www.turnersyndrome.org

Ukuthomba okulibazisekile okugijima emndenini kuzozixazulula.

Amanye amantombazane anezimo ezithile, njengalawo anomonakalo kuma-ovari awo, angadinga ukuthatha ama-hormone impilo yabo yonke.

Ukwelashwa kokushintshwa kwe-estrogen kungaba nemiphumela emibi.

Ezinye izinkinga ezingaba khona zifaka:

• Ukunqamuka kokuqala
• Ukungabi nenzalo
• Ubuningi bamathambo aphansi nokuqhekeka kamuva empilweni (i-osteoporosis)

Xhumana nomhlinzeki wakho uma:

• Ingane yakho ikhombisa ukukhula kancane
• Ukuthomba akuqali ngeminyaka engu-13
• Ukuthomba kuyaqala, kepha akuqhubeki ngokujwayelekile

Ukudluliselwa kudokotela we-endocrinologist kunganconyelwa amantombazane anokubambezeleka kokuthomba.

Ukuthuthuka kwezocansi ukukhula - amantombazane; Ukubambezeleka kokuzalwa - amantombazane; Ukuthomba okulibazisekile ngokomthethosisekelo

IHaddad NG, i-Eugster EA. Ukuthomba okulibazisekile. 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 122.

UKrueger C, Shah H. Umuthi wobusha. Ku: Isibhedlela iJohns Hopkins; UKleinman K, McDaniel L, Molloy M, abahleli. Isibhedlela iJohns Hopkins: IHarriet Lane Handbook. Umhlaka 22. IPhiladelphia, PA: Elsevier; 2021: isahluko 5.

I-Styne DM. I-Physiology nokuphazamiseka kokuthomba. KuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.