Kunonoka kuyaruka muvasikana

Kunonoka kuyaruka muvasikana kunoitika kana mazamu asingakure nezera regumi nematatu kana kumwedzi kusatangira nezera regumi neshanu.

Kuchinja kwekuyaruka kunoitika kana muviri uchitanga kugadzira mahormone ebonde. Idzi shanduko dzinowanzotanga kuoneka muvasikana vari pakati pemakore masere kusvika gumi nemana ekuberekwa.

Nekunonoka kuyaruka, shanduko idzi dzinogona kuitika, kana kana dzikadaro, hadzienderere mberi zvakajairika. Kunonoka kuyaruka kunowanzoitika muvakomana kupfuura kuvasikana.

Muzviitiko zvakawanda zvekunonoka kuyaruka, kukura kwekuchinja kunongotanga mushure menguva dzose, dzimwe nguva kunonzi kunonoka kubuda. Pakangotanga kuyaruka, inoenderera mberi zvakajairika. Iyi nzira inomhanya mumhuri. Ichi ndicho chikonzero chakanyanya kukonzera kunonoka kukura.

Chimwe chikonzero chinowanzoitika chekunonoka kuyaruka muvasikana kushaya mafuta emuviri. Kuonda zvakanyanya kunogona kukanganisa maitiro akajairika ekuyaruka. Izvi zvinogona kuitika muvasikana vano:

• Vanoshingairira mumitambo, sevashambira, vamhanyi, kana vatambi
• Iva nedambudziko rekudya, senge anorexia kana bulimia
• Vanoshaya zvinovaka muviri

Kunonoka kuyaruka kunogona kuitika kana mazai achiburitsa mashoma kana asina mahormone. Izvi zvinonzi hypogonadism.

• Izvi zvinogona kuitika kana mazai akakuvadzwa kana asiri kukura sezvaanofanirwa.
• Zvinogona zvakare kuitika kana paine dambudziko nezvikamu zvehuropi zvinobatanidzwa mukuyaruka.

Mamwe marapirwo kana kurapwa kunogona kutungamira ku hypogonadism, kusanganisira:

• Celiac sprue
• Chirwere chinoputira chirwere (IBD)
• Hypothyroidism
• Chirwere cheshuga mellitus
• Cystic fibrosis
• Chiropa uye chirwere cheitsvo
• Zvirwere zvekuzvidzivirira, zvakadai seHashimoto thyroiditis kana chirwere cheAdisonison
• Chemotherapy kana radiation radiation kurapwa iyo inokuvadza maovari
• Bundu mune repituitary gland
• Turner syndrome, chirwere chemagene

Vasikana vanotanga kuyaruka pakati pemakore gumi nemasere kusvika gumi nemashanu. Nekunonoka kuyaruka, mwana wako anogona kuve nechimwe kana zvimwe zvezviratidzo izvi:

• Mazamu haakure nezera gumi nematatu
• Kwete bvudzi repabhawa
• Kutevera hakutangi nemakore gumi nematanhatu
• Pfupi kukwirira uye inononoka chiyero chekukura
• Chibereko hachikuri
• Zera repfupa rakaderera pane zera remwana wako

Panogona kuve nezvimwe zviratidzo, zvinoenderana nezvinokonzera kunonoka kuyaruka.

Mubatsiri wehutano wemwana wako achatora nhoroondo yemhuri kuti azive kana kunonoka kuyaruka kunomhanya mumhuri.

Iye mupi anogona zvakare kubvunza nezve zvemwana wako:

• Madyiro
• Kuita maekisesaizi
• Nhoroondo yehutano

Iye mupi achaita bvunzo dzepanyama. Mimwe bvunzo inogona kusanganisira:

• Kuongororwa kweropa kuti uone huwandu hwemamwe mahormone ekukura, mahormone ebonde, uye mahormone etachiona
• LH kupindura kuGnRH kuongororwa kweropa
• Chromosomal kuongorora
• MRI yemusoro wemamota
• Ultrasound yemazai uye chibereko

X-ray yeruoko rweruboshwe uye ruoko rwekuyera zera remapfupa zvinogona kuwanikwa pakushanya kwekutanga kuona kana mapfupa ari kukura. Inogona kudzokororwa nekufamba kwenguva, kana zvichidikanwa.

Mushonga unoenderana nechikonzero chekunonoka kuyaruka.

Kana paine nhoroondo yemhuri yekunonoka kuyaruka, kazhinji hapana kurapwa kunodiwa. Nekufamba kwenguva, kuyaruka kuchatanga pachako.

Mune vasikana vane mafuta mashoma emuviri, kuwana huremu hushoma kunogona kubatsira kutanga kuyaruka.

Kana kunonoka kuyaruka kuchikonzerwa nechirwere kana kusagadzikana kwekudya, kurapa chikonzero kunogona kubatsira kuyaruka kukura zvakanaka.

Kana kuyaruka kukatadza kukura, kana mwana achishushikana zvakanyanya nekuda kwekunonoka, kurapwa kwehomoni kunogona kubatsira kutanga kuyaruka. Iye mupi anozo:

• Ipa estrogen (yebonde mahormone) pamadosi akadzika kwazvo, nemuromo kana sechirugu
• Tarisa kukura kweshanduko uye wedzera muyero pamwedzi mitanhatu kusvika gumi nemiviri
• Wedzera progesterone (bonde hormone) kutanga kuenda kumwedzi
• Ipai mapiritsi emuromo ekudzivirira kubata pamuviri kuti uchengetedze zvakajairika mahormone ebonde

Izvi zviwanikwa zvinogona kukubatsira iwe kuwana rutsigiro uye unzwisise zvakawanda nezve kukura kwemwana wako:

Iyo MAGIC Foundation - www.magicfoundation.org

Turner Syndrome Society yeUnited States - www.turnersyndrome.org

Kunonoka kuyaruka kumhanya mumhuri kuchazvigadzirisa pachako.

Vamwe vasikana vane mamwe mamiriro, seaya ane kukuvara kumazai avo, vangangoda kutora mahormone hupenyu hwavo hwese.

Iyo estrogen yekutsiva kurapa kunogona kuve nemhedzisiro.

Zvimwe zvinogona kuitika zvinosanganisira:

• Kutanga kuenda kumwedzi
• Kushaya mbereko
• Kuderera kwepfupa uye kutsemuka gare gare muhupenyu (osteoporosis)

Bata mupi wako kana:

• Mwana wako anoratidza kunonoka kukura mwero
• Kuyaruka hakutangi nemakore gumi nematatu ekuberekwa
• Kuyaruka kunotanga, asi hakuenderere mberi zvakajairika

Kuendeswa kune chiremba endocrinologist kunogona kukurudzirwa kune vasikana vanonoka kuyaruka.

Kunonoka kukura pabonde - vasikana; Kukurumidza kunonoka - vasikana; Bumbiro remitemo rakanonoka kuyaruka

Haddad NG, Eugster EA. Kunonoka kuyaruka. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 122.

Krueger C, Shah H. Mushonga wevachiri kuyaruka. Mune: The Johns Hopkins Hospital; Kleinman K, McDaniel L, Molloy M, eds. Chipatara cheJohn Hopkins: Iyo Harriet Lane Handbook. 22nd ed. Philadelphia, PA: Elsevier; 2021: chits.

Styne DM. Physiology uye kusagadzikana kwekuyaruka. MuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 26.