Kutha msinkhu msinkhu
Kutha msinkhu kumayang'aniridwa kuti ndi koona pamene kumakhudzana ndi mahomoni awiri oposa omwe amapangidwa ndi pituitary: kutulutsa mpweya (FSH) ndi luteinizing hormone (LH), yotchedwa gonadotropins. Mahomoni amenewa amachititsa kugonana kwapakati (ma testes ndi mazira ouma). FSH ndi LH ndizofunika kuti chitukuko chogonana chikhale chofunikira. Ngati apangidwa mopitirira muyeso, kutha msinkhu kungabwere msanga ndikupita mwamsanga. Kutha msinkhu msinkhu, makamaka kwa anyamata, kungathe kugwirizananso ndi kusintha kwa kayendedwe ka ubongo, mwachitsanzo, chifukwa cha matenda osokoneza bongo monga hydrocephalus (hydrocephalus), komanso kuchepa kwa chithokomiro.
Kutha msinkhu msanga
Ponena za kutha msinkhu kumalankhula pamene sichigwirizana ndi kuwonjezera kwa FSH ndi LH, koma pali zinthu zomwe zimayambitsa kuchulukitsa mahomoni ogonana (testosterone mwa anyamata ndi estrogens mwa atsikana). Kukula msinkhu msinkhu kumakhala kochepa kwambiri kusiyana ndi zoona, ndipo zifukwa zake zingakhale zotupa za mazira, ma testes ndi adrenals, komanso oral steroids. Pofuna kuthana ndi mavuto okhudzana ndi kusintha kwa maganizo ndi khalidwe chifukwa cha kutha msinkhu, mwanayo ndi banja lake amafunikira uphungu ndi kuthandizira maganizo. Kusintha uku kumapereka chidwi chochuluka kwa msinkhu wa msinkhu msinkhu kusiyana ndi mwachizolowezi. Kuzindikira ana aang'ono kuli kocheperapo ndi ana okalamba, okonzeka kuthana ndi mavuto okhudzana ndi kukhwima thupi komanso zotsatira za mahomoni.
• Kupereka uphungu kwa munthu aliyense kumakhala kofunika kwa ana aang'ono amene ali ndi vuto ndi kutha msinkhu.
Zolakwitsa zodziwidwa
Kupeza kolakwika kwa msinkhu msinkhu kumatha kupangidwa m'mabuku otsatirawa:
- Kukula msanga kwa mazira a mammary
Atsikana ena, mapira am'mimba amakula kukula msinkhu ali ndi zaka zisanu ndi chimodzi mpaka zaka ziwiri. Mchitidwewo ukhoza kukhala umodzi kapena umodzi. Pankhaniyi, palibe tsitsi la pubic ndi kulumpha kulumpha. Matendawa si chizindikiro cha matenda ndipo safuna mankhwala.
- Kuzindikira koopsa kwa kutha msinkhu msinkhu
Kwa atsikana osakwanitsa zaka zisanu ndi zitatu ndi anyamata osapitirira zaka zisanu ndi zinayi, kukula kwa pubic kungakhalepo popanda ziwalo zina zachiwerewere. Nthawi zambiri izi zimachitika mwa ana m'mayiko a Asia, Africa ndi Caribbean. Mkhalidwe wotere ukhoza kugwirizanitsidwa ndi kufulumizitsa kwa msanga kwa chiwerengero cha kukula. Kuchiza sikukusowa, komabe, ngati zochitika zoterezi zikuwonekera mwana wamng'ono wosakwanitsa zaka zisanu ndi chimodzi, izi zikhoza kukhala zodetsa nkhawa. Kufika msinkhu msinkhu kwa anyamata kumakhala kochepa kwambiri kuposa atsikana, ndipo kawirikawiri amagwirizanitsidwa ndi matenda aakulu, monga chifuwa cha ubongo. Ngati mnyamatayo ali ndi zizindikiro za kutha msinkhu, makamaka kupitilira kuwonjezereka kwa mafupa, chifukwa chake nthawi zambiri zimakhala kuchuluka kwa ma hormoni (FSH ndi LH) m'magazi. Komabe, ngati atakula msinkhu ali ndi kachilombo kowonjezera kamodzi, wina akhoza kukayikira chotupa chake. Ngati mnyamatayu ali ndi mawonetseredwe onse akutha msinkhu, koma ali ndi mapiritsi ang'onoang'ono (prepubertal) omwe amayamba pang'onopang'ono kusiyana ndi ziwalo zina za thupi, izi zikhoza kutanthauza kuti chifukwa cha msinkhu msinkhu ndikuthamanga.
Kusamalira odwala
Choyamba pa chithandizo cha odwala omwe ali ndi msinkhu msinkhu ndi kudziwika kwa chifukwa chake. Pa nthawi yoyamba, m'pofunikira kuchotsa chotupa cha ubongo. Pamene vutoli likudziwika, mayendedwe akukonzekera kuti athetsedwe.
Kukula kwa mafupa
Kukula msanga, nthawi zonse komanso msanga, kumaphatikizidwa ndi kukula kwa mafupa. Pambuyo popumphuka msinkhu, nthawi yaitali mafupa a mitsempha amatha kukula. Kutha msinkhu kumayambitsidwa ndi msinkhu, monga kukula kwa mafupa mwa ana awa amachepetsanso, ndipo amatha msinkhu wa msinkhu kusiyana ndi wathanzi. Kukula pang'ono kungakhale ndi mphamvu yaikulu pamtima kwa mwanayo, choncho, posachedwa msinkhu, mbali yofunikira ya mankhwala ikuchepetsera kuchuluka kwa mapangidwe a mafupa. Chifukwa cha msinkhu msinkhu wa atsikana ndi chosowa. Kawirikawiri pali mawonetseredwe oyambirira a zizindikiro za kutha msinkhu. Pachifukwa ichi, kutha msinkhu kudzapitirira chimodzimodzi ngati kuti unayambira pa msinkhu woyenera. Mtundu uwu wa msinkhu wa msinkhu usanafike msinkhu ukhoza kukhala wachibadwidwe ndi mlandu umodzi pamene zofanana zofananazi sizinawonedwe mu mbiri ya banja.
Matenda akuyembekezeredwa
Kukayikira kuti mtsikana ali ndi matenda aliwonse ndi ofunikira ngati chiwopsezo cha kugonana sichikugwirizana ndi ndondomeko yoyenera; Mwachitsanzo, nthawi imodzimodzimodzi ndi kukula kwa mapira a mammary pa pubis, tsitsi lokha limapezeka kapena kukula kwa chiwerewere chachiwiri kumachitika mofulumira kuposa momwemo. Imodzi mwa matendawa ndi matenda a Albright-McCun, omwe amadziwika ndi kuwonongeka kwa khungu, mafupa ndi mapuloteni a endocrine, komanso kusamba msanga. Komanso, kupezeka kwa matenda aliwonse othawa ayenera kuganiziridwa ngati pali zizindikiro za kuwonongeka kwa ubongo.
Kufufuza
Ndi msinkhu msinkhu msinkhu, msinkhu wokhala ndi matenda obisika ungayesedwe pogwiritsira ntchito ultrasound ya ziwalo za m'mimba. Pachifukwa ichi, chiberekero ndi mazira oyambirira zimayang'aniridwa. Ngati msinkhu ukayamba msinkhu umakhala wosiyana, osati chifukwa cha matendawa, kufufuza kwa ultrasound kudzatsimikizira kusintha kwa ziwalo zamkati zomwe zimachitika pakatha msinkhu. Makamaka, ultrasound idzawonetsa kuwonjezeka kwa chiberekero ndi mazira ambiri m'mimba mwake. Kusowa kwa zizindikirozi kuyenera kuchenjeza dokotala wa ana. Komabe, nthawi zambiri, palibe chidziwitso - ndipo palibe chifukwa choyendera.