Kunonoka kuyaruka muvakomana

Kunonoka kuyaruka muvakomana ndipo apo kukura hakutange nemakore gumi nemana ekuberekwa.

Kana kuyaruka kukanonoka, shanduko idzi dzinogona kuitika kana kusafambira mberi zvakajairika. Kunonoka kuyaruka kunowanzoitika muvakomana kupfuura kuvasikana.

Muzviitiko zvakawanda, kunonoka kuyaruka ingori nyaya yekukura shanduko inotanga mushure mechinguva, dzimwe nguva inonzi kunonoka kubuda. Pakangotanga kuyaruka, inoenderera mberi zvakajairika. Izvi zvinonzi bumbiro remutemo rakanonoka kuyaruka, uye rinomhanya mumhuri. Ichi ndicho chikonzero chakanyanya kukonzera kunonoka kukura.

Kunonoka kuyaruka kunogona kuitika kana iwo ma testes aburitsa akawandisa kana asina mahormone. Izvi zvinonzi hypogonadism.

Izvi zvinogona kuitika kana ma testes akakuvara kana asiri kukura sezvaanofanirwa.

Zvinogona zvakare kuitika kana paine dambudziko muzvikamu zvehuropi zvinobatanidzwa mukuyaruka.

Mamwe marapirwo kana kurapwa kunogona kutungamira ku hypogonadism:

• Celiac sprue
• Chirwere chinoputira chirwere (IBD)
• Isingashande thyroid gland
• Chirwere cheshuga mellitus
• Cystic fibrosis
• Sickle cell chirwere
• Chiropa uye chirwere cheitsvo
• Anorexia (zvisingawanzoitika muvakomana)
• Zvirwere zvekuzvidzivirira, zvakadai seHashimoto thyroiditis kana chirwere cheAdisonison
• Chemotherapy kana kurapwa kwekenza yemwaranzi
• Bundu mune repituitary gland, Klinefelter syndrome, chirwere chemagene
• Kushaikwa kwema testes pakuberekwa (anorchia)
• Kukuvara kana kushungurudzika kumachende nekuda kwe testicular torsion

Vakomana vanotanga kuyaruka pakati pemakore 9 ne14 uye vanozvipedza mumakore matatu kusvika mana.

Kuchinja kwekuyaruka kunoitika kana muviri uchitanga kugadzira mahormone ebonde. Idzi dzinotevera shanduko dzinowanzotanga kuoneka muvakomana vari pakati pemakore 9 kusvika ku14:

• Machende nenhengo yemurume zvinokura
• Bvudzi rinokura kumeso, pachipfuva, makumbo, maoko, dzimwe nhengo dzemuviri, nekutenderedza nhengo dzesikarudzi
• Kureba uye kuyerwa kuwedzera
• Izwi rinowedzera kudzika

• Machende madiki pane 1 inch nezera gumi nemana
• Penis idiki uye haina kukura nezera gumi nematatu
• Kune vhudzi diki kwazvo romuviri kana kuti hapana kana nezera regumi neshanu
• Izwi rinoramba rakakwira-kumusoro
• Muviri unogara mupfupi uye mutete
• Mafuta anoiswa anogona kuitika kutenderedza chiuno, chiuno, dumbu, uye mazamu

Kunonoka kuyaruka kunogona kukonzera kushushikana mumwana.

Mubatsiri wehutano wemwana wako achatora nhoroondo yemhuri kuti azive kana kunonoka kuyaruka kunomhanya mumhuri. Iye mupi achaita bvunzo dzepanyama. Mimwe bvunzo inogona kusanganisira:

• Ropa bvunzo kutarisa huwandu hwemamwe mahormone ekukura, mahormone ebonde, uye mahormone etachiona
• LH kupindura kuGnRH kuongororwa kweropa
• Chromosomal ongororo kana kumwe kuongorora kwemajini
• MRI yemusoro wemamota
• Ultrasound yemapapiro kana machende

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.

Kana kunonoka kuyaruka kuri kukonzerwa nechirwere, senge kusashanda kwetachiona gland, kurapa kunogona kubatsira kuyaruka kukura zvakanaka.

Hormone therapy inogona kubatsira kutanga kuyaruka kana:

• Kuyaruka kunotadza kukura
• Mwana anoshungurudzika zvikuru nekuda kwekunonoka

Iye mupi achapa pfuti (jekiseni) ye testosterone (murume pabonde mahormone) mumhasuru vhiki dzese ina. Kukura kwekuchinja kuchaongororwa. Iye mupi anowedzera dosi zvishoma nezvishoma kusvikira zera rasvika.

Unogona kuwana rutsigiro uye unzwisise zvakawanda nezve kukura kwemwana wako pa:

Iyo MAGIC Foundation - www.magicfoundation.org

Kunonoka kuyaruka kumhanya mumhuri kuchazvigadzirisa pachako.

Kurapa nemahomoni ebonde kunogona kukonzera kuyaruka. Mahormone anogona zvakare kupihwa kana zvichidikanwa kusimudzira kubereka.

Iyo yakaderera mwero webonde mahormone inogona kukonzera:

• Matambudziko ekumisikidza (kushaya simba)
• Kushaya mbereko
• Kuderera kwepfupa uye kutsemuka gare gare muhupenyu (osteoporosis)
• Kushaya simba

Bata mupi wako kana:

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

Kuendeswa kune chiremba endocrinologist kunogona kukurudzirwa kune vakomana vanonoka kuyaruka.

Kunonoka kukura pabonde - vakomana; Kukurumidza kunonoka - vakomana; Hypogonadism

Allan CA, McLachlan RI. Androgen kushomeka kusagadzikana. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 139.

Haddad NG, Eugster EA. Kunonoka kuyaruka. Mune: 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. 21st 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.