I-Precocious puberty igama elisetshenziswayo ukuthomba okuqala ngaphambi kwesikhathi kakhulu kunokujwayelekile. Ukuthomba kuyinqubo lapho ingane ikhula ngesivinini futhi ithuthukise izici zobulili zomuntu omdala. Izingane ezithintekile ngenxa yokuthomba ngaphambi kwesikhathi zinezinguquko ngaphambi kweminyaka eyi-9. Amantombazane ahlakulela izici zobulili zesibili, njengamabele, ngaphambi kokuba abe neminyaka eyi-8.
Ebuchosheni, i-hypothalamus ikhipha amakhemikhali, noma amahomoni, abangela ukuthi indlala ye-pituitary ikhiphe amahomoni okuthiwa ama-gonadotropin. I-Gonadotropins ikhuthaza ukukhula kwezindlala zocansi noma i-gonads. Lawa ma-gonads angamasende kubafana kanye nama-ovari emantombazaneni. Ngokulandelayo, amasende akhulula i-testosterone kubafana, futhi ama-ovari akhiphe i-estrogen emantombazaneni. Ukuthomba ngokuvamile kuqala phakathi kweminyaka eyi-8 ne-13 emantombazaneni naphakathi kweminyaka engu-9 nengu-14 kubafana..
Kuyini ukuthomba ngaphambi kwesikhathi?
I-Precocious puberty, eyaziwa nangokuthi ukuthomba, yilapho umzimba womfana noma wentombazane uqala ukushintsha umzimba womuntu omdala kusesekuseni kakhulu. Ukuthomba Iqala ngokwesilinganiso phakathi kweminyaka eyi-8 neyi-13 emantombazaneni naphakathi kweminyaka eyi-9 neyi-14 emantombazaneni. Odokotela baxilonga lesi simo lapho ukuthomba kuqala ngaphambi kweminyaka eyi-8 neyi-9, ngokulandelana, futhi kuqhubeka ngokukhula okusheshayo nokuvuthwa kwamathambo. Akwaziwa ngempela ukuthi kungani lesi simo senzeka, esenzeka cishe kumntwana oyedwa kweziyizi-1.
Kunezinhlobo ezimbili zokuthomba ngaphambi kwesikhathi:
- i-central precocious puberty. Yiyona evame kakhulu. Kufana nokuthomba okuvamile, kodwa kwenzeka kusenesikhathi. I-pituitary gland iqala ukukhiqiza amahomoni abizwa ngokuthi ama-gonadotropin. Lawa mahomoni enza ukuthi amasende namaqanda akhe amahomoni: i-testosterone ne-estrogen. Lawa ma-hormone ocansi adala izinguquko zokuthomba, njengokukhula kwamabele emantombazaneni.
- i-peripheral precocious puberty noma i-pseudoprecocious puberty. Lesi yisimo esihlukile, futhi asivamile kangako. Amahomoni e-estrogen ne-testosterone aqala izimpawu. Kodwa ubuchopho kanye nendlala ye-pituitary akubandakanyi kule nqubo. Lokhu kuvame ukuba yinkinga ethile ngama-ovari, amasende, indlala ye-adrenal, noma indlala yegilo engasebenzi kahle.
Izimo ezingase kudidaniswe nokuthomba ngaphambi kwesikhathi
Kunezimo ezithile ezingadidaniswa nokuthomba ngaphambi kwesikhathi ngenxa yoshintsho olubonakalayo kubafana namantombazane, kodwa uma bebonakala bebodwa akusho ukuthi umfana noma intombazane ihlushwa ukuthomba ngaphambi kwesikhathi. Leyo mibandela imi kanje:
- i-therchy ngaphambi kwesikhathi. Yilapho amabele entombazane eqala ukukhula esemncane.
- i-pubarche yangaphambi kwesikhathi. Kunini izinwele i-pubic noma i-axillary gland iqala ukukhula isencane. Lesi simo singaba umphumela we-adrenarche ngaphambi kwesikhathi, okungukuthi, lapho izindlala ze-adrenal ziqala ukukhulula amahomoni ocansi ngaphambi kwesikhathi. Ngokuvamile akuyona inkinga, futhi ngokuvamile akulona uphawu lokuqala lokuthomba. Ngenxa yokuthi kungase kube uphawu lokuqala lokukhululwa okungajwayelekile nokuchichimayo kwamahomoni e-adrenal, kungcono ukubonana nodokotela.
Izimpawu zokuthomba ngaphambi kwesikhathi
Izimpawu zokuthomba ngaphambi kwesikhathi kanye nokuthomba okuvamile kuvame ukufana, ziyehluka kuphela ngesikhathi ezenzeka ngaso. Izimpawu zimi kanje:
Izimpawu ezijwayelekile kubo bobabili ubulili
- ukukhula ngokushesha ekuphakameni
- induna
- Ukubukeka kwe iphunga lomzimba umuntu omdala
- Ukubukeka kwezinwele zomzimba omdala, eziphusheni, emilenzeni nasemakhwapheni
izinguquko emantombazaneni
- Amabele aqala ukukhula.
- Ukuya esikhathini, eminyakeni emi-2 noma emi-3 ngemva kokuqala kwezimpawu zokuqala
izinguquko ezinganeni
- Amasende, umthondo, nescrotum kuyaqala ukukhula
- Ukujula kwezwi, njengophawu lokuthomba sekwephuzile
Izimbangela zokuthomba ngaphambi kwesikhathi
Ezimweni eziningi, ochwepheshe abazi ukuthi yini ebangela ukuthomba okuphakathi, ikakhulukazi emantombazaneni. Inani elincane lezimo zokuthomba okuphakathi ngaphambi kwesikhathi libangelwa inkinga yezempilo ewumsuka, ukungajwayelekile emantombazaneni. Kodwa-ke, uma imbangela yile nkinga yezokwelapha, ithinta abafana namantombazane angaphansi kweminyaka engu-6 ngokulinganayo, ikakhulukazi uma ukuthomba kuqhubeka ngokushesha. Lezi zinkinga kungaba:
- Amathumba nokunye ukukhula, ngokuvamile eziyingozi
- Ukulimala kwengqondo, okuthinta ibhalansi ye-hormonal, kungakhathaliseki ukuthi lokhu kulimala kungenxa yokuhlinzwa noma ukushaya ekhanda
- ukuvuvukala kobuchopho, ngokuvamile ngenxa yokutheleleka