Ichokwadi nguva isati yapera
Kutanga kufambidzana kunotanga kuonekwa sechokwadi kana kuchibatanidzwa nepamusoro-soro kwemahomoni maviri anokonzerwa nepituitary: follicle stimulating (FSH) uye luteinizing hormone (LH), inonzi gonadotropins. Aya mahomoni anokurudzira zvipembenene zvepabonde (testes uye mavari). FSH neHH zvakakosha pakukurudzira zvepabonde zvakajairika. Kana ivo vachibudiswa muhuwandu, hupomberi hunogona kuuya nguva isati yasvika uye huchienderera mberi nokukurumidza. Ichokwadi kuti nguva isati yakura, kunyanya kune varume vaduku, inogonawo kuwirirana nehutano hwehutano muuropi, somuenzaniso, nemhaka yekuberekwa kwepenital kama yakaita hydrocephalus (hydrocephalus), uyewo nekuderera kwebasa retachiona.
Kusarura kusati kwava kuyaruka
Pamusoro pehutano hunotanga kupera hunotaura kana husingabatanidzwi nehuwandu hweFSH neHH, asi kune mamiriro ezvinhu anotungamirira kuwedzera kwehuwandu hwemashure evanhukadzi (testosterone muvanakomana uye estrogen muvanasikana). Kumera kusati kwasvika nguva isati yasvika kudarika zvokwadi, uye zvinokonzera zvinogona kuva zvipembenene zve mavha mavari, testes uye adrenals, pamwe nemuromo steroid. Kuti akunde matambudziko anoshandiswa nekuchinja mune zvepfungwa uye mufambiro nekuda kwekuyaruka kusati kwapera, wechidiki nemhuri yake vanoda mazano ekufunga uye kutsigirwa. Iko kushandura kunopa humwe huno hanya nekupererwa kwemazuva mashoma kupfuura kwemazuva ose. Kuziva kwevana vaduku kunopfuura kwevana vakwegura, yakagadzirira kukunda matambudziko anokonzerwa nekukura mumuviri uye kukanganiswa kwehomoni.
• Kupa mazano kune mumwe nomumwe kunowanzobatsira kuvana vaduku vane matambudziko ekutanga ekuyaruka.
Zvikanganiso zviri kuongororwa
Kuongororwa kusina kururama kwekuyaruka kusati kwasvika kunogona kuitwa munyaya dzinotevera:
- Kutanga kufambira mberi kwemafupa emakumbo
Mune vamwe vasikana, zvipembenene zvinyoro zvinogona kukura muhukuru pazera remwedzi mitanhatu kusvika kumakore maviri. Iyo nzira inogona kunge isina kubatanidza kana kuwirirana. Muchiitiko ichi, hapana hunobudisi huripo uye kukura kunowedzera. Izvi hazvizi chiratidzo chechirwere uye hachidi kurapwa.
- Kunetseka kuongororwa kwekumera kusati kwapera
Muvasikana vasati vava nemakore masere uye nevakomana vari pasi pemakore mapfumbamwe, kuparidzika kwemashoko kunogona kuitika musipo kwehumwe unhu hwepabonde hwechipiri. Kazhinji kacho chiitiko ichi chinoonekwa kune vana vari munyika dzeAsia, Africa neCaribbean. Hurumende yakadaro inogona kusanganiswa nekukurumidza kwekuwedzera kwekuwedzera kwemari. Kurapa hakuwanzodiwi, zvisinei, kana zviitiko zvakadaro zvichionekwa mumwana pasi pemakore matanhatu, iyi inogona kuva chikonzero chekufunganya. Kutanga kufambidzana kwevakomana mudiki kunowanikwa kudarika kuvasikana, uye kunowanzobatanidzwa nechirwere chakakomba, chakadai sechirwere chepfungwa. Kana mukomana ane zviratidzo zvekupera kwekuyaruka, zvikurukuru pamwe chete nekuwedzera kuwedzera mumakumbo, mhaka yacho inowanzowedzera huwandu hwehutachiona (FSH uye LH) muropa. Zvisinei, kana muhucheche mumwe achiri kuyaruka ane rutivi rumwe rutivi rwakawedzerwa chekinyorwa, munhu anogona kukanganisa bundu rake. Kana mukomana ane zviratidzo zvose zvekunze, asi ane zvinyorwa zvishoma (prepubertal) zvinokambaira zvishoma nezvishoma kune dzimwe nhengo dzomuviri, izvi zvinogona kureva kuti chikonzero chekuyaruka kusati kwasvika kushaya simba.
Kutarisira varwere
Nhanho yokutanga mukurapa kwevarwere vane nguva yekuyaruka isati yasvika chiratidzo chechikonzero chacho. Pakutanga danho rekutanga, zvakakosha kubvisa chirwere chepfungwa. Kana chikonzero chacho chichizivikanwa, zviyero zvinorongwa kuti zvigadziriswe.
Kukura kwemasaga
Kuita zvekuita zvepabonde, zvose zvakajairika uye nguva isati yasvika, inofambidzana nekubudirira kwemasaga. Mushure mokunge uchinge uchinge uchinge uchikura muhuwandu hwemakore, mapfupa mazhinji emapfupa emigumo anoramba achikura. Kutanga kupera kunobatanidzwa nehupfupi, sezvo kukura kwemapfupa muvana ava kunonoka, uye zvino kunopera pazera rekare kupinda mune utano hwakanaka. Kudukuka kuduku kunogona kuva nehutano hwakasimba pamwana, naizvozvo, munguva yekuyaruka isati yasvika, chikamu chakakosha chekurapa kunonoka kuwandisa kwekugadzirwa kwemapfupa. Chikonzero chekuyaruka musati wasvika musikana hachiwanzoitiki. Kazhinji kazhinji pane kuonekwa kwokutanga kwezviratidzo zvehutano hwekuyaruka. Muchiitiko ichi, kuberekwa kuchaenderera mberi nenzira imwechete sekuti kana yakatanga panguva yakakodzera kune yakasara. Urwu urwu hwekuyaruka nguva isati yasvika inogona kuva yomunhu wese uye nhaka imwechete apo imwechete yekutenda haina kuonekwa mumhuri yezvakaitika.
Anotarisira chirwere
Kunyunyuta kuti musikana wehupi zvirwere zvinotarisirwa kana chiitiko chekutsvaga zvepabonde chichiitika kwete maererano nehuwandu hwechirongwa; somuenzaniso, panguva imwe chete pamwe nekukura kwezvinyama zvinyuchi pamapisis, ndega bvudzi rimwe chete rinowanikwa kana kukura kwevanhu vanoita zvepabonde zvechipiri kunoitika nokukurumidza kudarika zvinowanzoitika. Chimwe chezvirwere izvi chirwere cheAlright-McCun, chinoratidzirwa nekuparara kweganda, bone uye endocrine glands, pamwe nekuenda kumwedzi kusati kwasvika. Uyewo, kuvapo kwechipi nechipi chinokonzerwa nechirwere chinofanira kufungidzirwa kana pane zviratidzo zvekuora kwehuropi.
Kuongorora
Nekuyaruka musati wasvika musikana, mukana wokuva nechirwere chakavanzika unogona kuongororwa uchishandiswa ultrasound ye nhengo dzepachivi. Muchiitiko ichi, chibereko uye mavhai maitiro anonyanya kuongororwa. Kana uchangoberekwa muhutano ichinyatsosiyana chechimiro, uye kwete chikonzero chechirwere, ultrasound kuongororwa kuchasimbisa kutarisirwa kunotarisirwa kune nhengo dzomukati dzinoitika panguva yekuyaruka. Kunyanya, ultrasound icharatidza kuwedzera mukati mechiberekero uye yakawanda ma cyst mavari mavari. Kusavapo kwezvinhu izvi kunofanirwa kuchenjerera vanachiremba. Zvisinei, mumatambudziko mazhinji, hapana hunoita-uye hapana chikonzero chekuongorora zvakare.