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Kutha msinkhu koyambirira: zosintha pazochitika izi
Ali ndi matupi aunyamata akadali atsikana. Kutha msinkhu usanakwane ndi vuto lomwe nthawi zambiri limachititsa kuti makolo ndi ana azikhala osowa. ” Mwana wanga wamkazi wamng'ono wazaka 8 ali kale ndi mabere, inayamba miyezi ingapo yapitayo. Anzake ena pasukulupo alinso chimodzimodzi », Confides amayi awa pa Facebook page yathu. “ Dokotala wanga wa ana anandiuza kuti mwana wanga wamkazi anali wonenepa kwambiri ndipo zingalimbikitse kuyamba kwa mavuto a mahomoni monga kutha msinkhu, popeza tikuyesera kusintha moyo wa banja. Mayi wina akutero. Malinga ndi akatswiri, kutha msinkhu kumatanthauzidwa ndi kukula kwa mabere asanakwanitse zaka 8 mwa atsikana ndi kuwonjezeka kwa testicular voliyumu asanakwanitse zaka 9 mwa anyamata.. Nthawi zambiri zimawonekera mwa atsikana kuposa anyamata. Chodabwitsa ichi chimayendera limodzi ndi kukalamba kwa nthawi yoyamba zomwe timaziwona m'maiko onse otukuka. Masiku ano, atsikana achichepere ali pafupifupi zaka 12 ndi theka, poyerekeza ndi zaka 15 zapitazo zaka mazana awiri zapitazo.
Kutha msinkhu msanga: zifukwa zachipatala ...
Kodi mungafotokoze bwanji chodabwitsa ichi? Choyambitsa chachikulu chachipatala chimapezeka pafupifupi 5% mwa atsikana komanso nthawi zambiri mwa anyamata (30 mpaka 40%). Zitha kukhalachotupa, wamalformation wa thumba losunga mazira, zomwe zimayambitsa kutha msinkhu msanga. Zowopsa kwambiri, a chotupa cerebral (yoyipa kapena yoyipa) nthawi zina imayamba chifukwa cha matendawa. Kutha msinkhu kumayambika ndi kutulutsidwa kwa mahomoni ndi tiziwalo timene timatulutsa timadzi ta mu ubongo: hypothalamus ndi pituitary gland. Chotupa (osati chowopsa) pamlingo uwu chikhoza kusokoneza ndondomekoyi. Zomwe zimayambitsa matendawa ndizofunikira kukaonana ndi endocrinologist wa ana.. Ndipamene munthu anganene kuti ” idiopathic central precocious kutha msinkhu », Ndiko kunena popanda chifukwa chodziwika.
Kutha msinkhu msanga: zotsatira za zosokoneza za endocrine
Nthawi zambiri kutha msinkhu kumayenderana ndi kukhudzika kwa zinthu zachilengedwe, monga kunenepa kwambiri kapena zosokoneza za endocrine (EEP).
Pang'onopang'ono kuwonda kuyambira ali aang'ono ndi rebound mu thupi pamapindikira mozungulira zaka 3-4 nthawi zambiri ndi udindo wa precocious kutha msinkhu kwa atsikana. Kumayambiriro kwambiri, kunenepa kumayambitsa kusintha kwa metabolic ndi mahomoni m'thupi komwe kumatha kusokoneza magwiridwe antchito a ziwalo zambiri.
Ponena za zosokoneza za endocrine, zotsatira zake zimakayikiridwa kwambiri : zinthu izi zotulutsidwa m'chilengedwe zimasokoneza dongosolo la mahomoni potengera zochita za mahomoni ena. Pali mitundu yosiyanasiyana ya PEE: ina ndi yachilengedwe monga ma phytoestrogens omwe amapezeka mu soya, koma ambiri amachokera kumakampani opanga mankhwala. Mankhwala ophera tizilombo komanso zowononga mafakitale zomwe bisphenol A ndi yake, yomwe tsopano yoletsedwa ku France (koma m'malo mwa azisuweni ake BPS kapena BPB sali bwino), ndi gawo lake. Mankhwalawa amatha kuchitapo kanthu potengera timadzi tating'onoting'ono komanso kuyambitsa cholandirira chake, monga estrogen, yomwe imayambitsa kukula kwa mawere a mammary, kapena kutsekereza zochita za timadzi tachilengedwe. Maphunziro ambiri apeza mgwirizano pakati pa kutha msinkhu kwa atsikana komanso kukhudzana ndi ma PEE, makamaka phthalates ndi mankhwala ophera tizilombo. DDT/DDE. Amakhalanso ndi vuto la kuwonjezereka kwa maliseche kwa anyamata (kusachokera kwa machende, etc.).
Zoyenera kuchita ngati mukukayikira kutha msinkhu?
Ngati mwana wanu akuwonetsa zizindikiro zakutha msinkhu pa msinkhu wachilendo, ndikofunika kuti muwone dokotala wa ana kapena dokotala mwamsanga. dokotala wa ana endocrinologist. Wotsirizirayo adzasanthula kapindika kakulidwe kotchulidwa mu mbiri yaumoyo, kukhala ndi X-ray ya dzanja ndi dzanja kuti adziwe zaka za mafupa ndipo, kuwonjezera pa mtsikanayo, pemphani ultrasound ya m'chiuno kuti ayese chiberekero ndi mazira. . Katswiriyo athanso kuyitanitsa kuyezetsa magazi ndi MRI yaubongo kuti atsimikizire za matendawa ndikufotokozera chifukwa chake. Mayesowa apangitsa kuti zitheke kuwunika kuopsa kwa kusakhazikika komanso kusankha pakuwongolera. Chimodzi mwa zotsatira za kutha msinkhu ndi msinkhu waufupi mu uchikulire, nsonga ya kukula imachitika nthawi isanakwane. Panopa, chithandizo chothandiza kwambiri chimagwira ntchito mwachindunji paulamuliro wapakati wa kutha msinkhu (pituitary gland) mwa kutsekereza ntchito yake ndipo motero zimapangitsa kuti zitheke kuletsa kutha msinkhu. Komabe, ndikofunikira kukumbukira kuti kasamalidwe ka kutha msinkhu koyambirira kumachitika mlandu ndi mlandu. Chifukwa, kupitirira mbali ya thupi, palinso gawo lamalingaliro. Njira yomwe mwanayo amachitira kusinthika kwake kwa thupi ndi zochitika za m'banja ziyenera kuganiziridwa. Thandizo lamalingaliro nthawi zina limakhala lofunikira kuthana ndi zovuta zam'thupi komanso zamaganizo.