Precocious msinkhu: Zoyambitsa, Zizindikiro, Chithandizo

Palibe ngakhale zinthu mmene mwanayo kwambiri zomwe zikutsalirazi kumbuyo chitukuko. Koma kusasitsa msanga sangathe amatengedwa kuti ndi chinthu chachibadwidwe ndi wabwinobwino, chifukwa angayambitse ambiri ndithu zotsatira zoipa.

Tiyeni tione nkhani mwatsatanetsatane ndi kupeza chifukwa kudwala kumachitika Koma iwo limodzi ndi zizindikiro monga matenda ndiponso ngati pali njira kuchotsa vuto. mwapadera ilipiridwa mbali maganizo: mmene mwanayo, amene akufotokozera mofulumira anzawo.

Unamwali ndi malamulo ake

Muyenera tiyambe ndi choona kuti kutha msinkhu akuti ndi mndandanda wa ndondomeko ya thupi ndi mahomoni amasintha thupi, chifukwa chimene munthu amakhala wokonzeka kawetedwe (ukufika msinkhu).

Anyamata, kumachitika mu nthawi mu zaka 10 mpaka 20. Atsikana komanso kukula pang'ono kale - msinkhu wawo imagwera pa nthawi kuchokera zaka 8 mpaka 17. Iwo Chiwerengerochi akuti ndi ponseponse.

Koma pali zochitika pa anayamba precocious msinkhu mwana. Ndipo mu nkhani iyi m'pofunika mu nthawi yabwino kulabadira vuto ndi kukhwimitsa zonse zofunikira.

Kodi ankaona kuti msanga msinkhu

Precocious msinkhu - njira imene mwana wayamba kukula kwa zaka zisanu ndi zitatu atsikana kapena khumi - anyamata. Mbali yake yaikulu ili maonekedwe oyambirira a makhalidwe sekondale kugonana, ngakhale zizindikiro ambiri zochitika zambiri. Waukulu wa iwo tikambirane pang'ono.

gulu la anomalies

Kodi ndi mitundu iti akhoza kugawidwa mu msinkhu precocious? Gawo The amadalira zifukwa zambiri.

Kuchokera pa vutoli, zingakhale:

• choona (chifukwa maonekedwe a kutsegula msanga ya ubongo imene imalamulira kutentha kapena pituitary);
• onyenga (maonekedwe kugwirizana ndi katulutsidwe kwambiri mahomoni kugonana ndi thumba losunga mazira kapena zopangitsa adrenal, ndi zinthu zina).

Komanso pali izoseksualnoe ndi mwamuna ndi mkazi precocious msinkhu.

Izoseksualnomu mtundu yodziwika ndi:

• retardation maganizo
• zosiyanasiyana pathological bongo ;
• maganizo Kusakhazikika;
• oopsa ubongo.

Molunjika mtundu wa anomaly akhoza zidzayambike ndi kukanika kwa zopangitsa kwa adrenal.

kudwala Zoyambitsa

M'pofunikanso kukhala pa funso la chifukwa oyambirira unamwali. Pali zifukwa zambiri m'magulu awiri: chapakati ndi zotumphukira.

Ndi nkhawa chapakati:

• kunyamula-patsogolo matenda kale matenda kugwirizana ndi ubongo (kakhosi, encephalitis);
• walitsa, zoopsa kapena chotupa msana kapena ubongo;
• zosayenera kupanga mahomoni ndi zopangitsa adrenal (kobadwa nako hyperplasia);
• matenda amene amakwiya chisokonezo m'thupi, ndipo nawonso amakhudza mafupa ndi mtundu (McCune-Albright syndrome) ;
• ischemia;
• osakwanira ulimi wa mahomoni chithokomiro (hypothyroidism);
• pamaso pa kuvutika kobadwa nako ubongo.

zimayambitsa zotumphukira zodabwitsa monga kutha msinkhu msanga atsikana kapena anyamata, imakhudzana ndi kumwetsa amasulidwe testosterone ndi timafunika kuti magazi. Izi zimachitika chifukwa cha matenda a zopangitsa adrenal, thumba losunga mazira kapena pituitary.

Ngakhale zinthu kuchititsa kutha msinkhu msanga, osati pang'ono kwambiri, nthawi zambiri madokotala sangathe kudziwa chifukwa chenicheni cha maonekedwe ake. Chinthu chimodzi motsimikiza - ndi anomaly ndi matenda m'thupi, kotero muyenera yomweyo kupempha thandizo la dokotala.

zizindikiro Common

Zizindikiro za kutha msinkhu msanga anyamata ndi atsikana ali osiyana. Zizindikiro Common ana amuna kapena akazi;

• kukula mathamangitsidwe;
• mutu;
• bulimia (kudya);
• kunenepa;
• kusintha fungo thupi;
• kukula kwa obisika ndipo axillary tsitsi;
• kutopa.

Ndiponso, si lilibe mwina mkulu wa zosayembekezereka ya ziphuphu zakumaso mwana.

Symptomatology wa matenda atsikana

msinkhu oyambirira atsikana limodzi ndi:

• woyambirira wa makhalidwe sekondale kugonana;
• kukhazikitsidwa kwa ntchito ya msambo.

Choncho, atsikana zaka 10 kuyambira kusamba choyamba, kuchuluka khansa, pali tsitsi pansi m'khwapa ndi tsitsi obisika. Zimenezi zingakhale zizindikiro zonse pa nthawi yomweyo, ndi gawo la iwo.

Symptomatology wa matenda anyamata

Msanga msinkhu anyamata limodzi ndi:

• woyambirira wa makhalidwe sekondale kugonana;
• inapita zosiyanasiyana mafupa;
• oyambirira kukatseka kakulidwe, ndi chifukwa, mapangidwe aafupi.

Nthawi zambiri zimachitika kuti anyamata pasadakhale kumawonjezera kukula kwa machende ndi mbolo, kotero ana akamafika "wamkulu" kukula.

Mnyamata aliyense lachitatu limayamba kukula mwa tsitsi pamwamba mlomo wa.

ngozi ya matenda chiyani?

precocious msinkhu syndrome - chodabwitsa zoopsa thupi, amene amanyamula kwa mwana kumabweretsa a.

Mu malo oyamba mwina kudziŵika dysplasia. Mu akakula ana kukula mofulumira ndi kukhala apamwamba kuposa anzawo ake. Koma posakhalitsa, mnjira mabasi ndipo pamapeto akhale wotsika kuposa msinkhu wawo womwewo.

Kwa atsikana ndi kudwala ngozi mazira polycystic ndi matenda m'thupi m'tsogolo. Iwo likuoneka kuti kusamba osasamba, kuchuluka misinkhu androgen, maonekedwe a cysts ndi chosatheka yosalala kumasulidwa dzira.

matenda a matenda

Amene dokotala kufunsa ngati mukuganiza kuti mwana akhoza kukhala pano tiganizire chitukuko cha kudwala ndi? nkhani zimenezi sizitchulidwa ndi m'thupi yemwenso ana. Pa nthawi ya matenda, anaphunzira mbiri ya matenda, adzakupatsani malangizo mayeso ena ndipo zimenezi zotsatira zawo, kukhala kudziwa vuto.

Ndi kuvomerezedwa unachitikira thupi Kupenda mwanayo. cholinga chake ndi kudziwa zizindikiro oyambirira kusasitsa: ziphuphu zakumaso, kukulitsa chifuwa atsikana ndi mbolo komanso machende anyamata, maonekedwe a tsitsi obisika ndipo m'khwapa, kukula mofulumira, kupezeka kusamba woyamba, ndi zina zotero.

Komanso, X-ray Kupenda ikuchitika ndi woimbayo wodwalayo manja. Zimenezi adzalola dokotala kudziwa zaka za mafupa ndi kupeza yankho la funso lofunika kwambiri: kukhala mu osiyanasiyana yachibadwa kapena mofulumira mofulumira?

The njira pamwamba amakulolani anapereka kuyambirira (choyamba) matenda. Kenako, muyenera mwachindunji matenda ndi kupeza chifukwa cha pakuwonekera kwake. Kuti tichite zimenezi, mwanayo jekeseni wa timadzi ndi magazi mayesero gonadotropin-kumasuka atengedwa. Pamene mtundu zotumphukira wa milingo chosayenerera wa follicle-popatsana ndi luteinizing timadzi adzakhala mu m'badwo osiyanasiyana mwakale. Ngati precocious msinkhu mtundu chapakati, chiwerengero cha timadzi zatchulidwazi ndi kuchuluka. Pankhaniyi, pali kufunika kufufuza wina - Kujambula ubongo. Zidzakhala kudziwa anomalies zotheka. Kunatanthauzanso chithokomiro muone kukusalani zotheka gipotireza. Nthawi zina, mungafunike ndi ultrasound cha ziwalo m'chiuno, cholinga chimene ndi kudziwa zotupa kapena cysts yamchiberekero.

Chithandizo cha unamwali precocious

Posankha njira yoperekera chithandizo kumatengera makamaka chifukwa cha matenda.

Ngati nkhani yanu anali amayamba ndi kukhalapo kwa chotupa, chithandizocho walangizidwa kuchotsa ake. Pankhaniyi, unafotokoza opaleshoni kuthandiza tichotse "ponena" Kulephera m'thupi.

Mu zochitika kumene chifukwa chenicheni cha vutoli sanapezeke, mwana awerenge phwando mankhwala. Izi zikhoza kukhala gonadotropinosvobozhdayuschego timadzi antagonist Mwachitsanzo, leuprolide, amene amathandiza kuletsa kukula olamulira gipofiarnogo gonadotropin (HCG) ndipo m'mbuyo chitukuko wotsatira. Zikutanthauza mwezi jekeseni thupi jekeseni, ndi chithandizocho mpaka zaka yachibadwa akutha msinkhu. Kumapeto kwa mankhwala chitukuko mwana atuluka malinga ndi malamulo anakhazikitsa.

mwapadera pa mfundo iyi ayenera kuperekedwa ndi zakudya. Panthawi yakutha msinkhu precocious ana kawirikawiri anati kuwonjezeka kwambiri kudya, kapena kukhala enieni kwambiri - pafupifupi zonse kumverera njala. Choncho m'pofunika kuchepetsa kuchuluka kwa madyedwe chakudya ndi kupewa kudya. Apo ayi, vuto zayamba anawonjezera wina zambiri - kunenepa. Komanso, muyenera kupewa mankhwala okhala mu zikuchokera testosterone ake ndi esitirojeni (timadzi), monga milingo yawo mu thupi, ndipo popanda kwambiri kuchuluka.

Mfundo ina yofunika imene ayenera kudziwa makolo - ndi kukhalapo kwa kusasitsa oyambirira, limene limayamba ndi amapezeka mwina okha. Mwachitsanzo, mtsikana mwina pathupi chifuwa ndi mnyamata - ndi machende, koma posachedwapa, mnjira mabasi kapena sati limodzi ndi zizindikiro zina za matendawa. Pankhaniyi, palibe miyeso wapadera atengedwa zofunika chifukwa msinkhu wathunthu adzayamba pa nthawi.

Anatengera kwa ndondomeko mwana precocious msinkhu

Kodi kupereka ulemu wapadera kwa zizindikiro osati ndi njira amachitira matenda, komanso mmene mwanayo pa nthawi ya isanayambike kutha msinkhu msanga. chakuti iye anali mu chikhalidwe choterocho, amazindikira kuti ndi osiyana kwambiri ndi anzawo. Izi makamaka chifukwa maonekedwe oyambirira a makhalidwe sekondale kugonana.

Zimenezi zingachititse kuvutika maganizo kudziyang'anira ndi ngakhale maganizo. Apa zimadalira chisamaliro cha makolo. Nkofunika kukumbukira kuti ngati mwana sangathe kuchita ndi malingaliro awo, afunikira dokotala (dokotala).