Yintoni ukuqala sexesheni, iimpawu kunye nezizathu eziphambili

Umxholo

• Iimpawu kunye neempawu zokuqala ukuba sexesheni
• Izinto ezibangela ukuba sexesheni kwangoko
• Iimviwo eziyimfuneko
• Unyango lokuya exesheni kwangoko

Ukuya exesheni kungqinelana nokuba sexesheni kokuqala kwamantombazana, okuhlala kwenzeka kwinqanaba lokufikisa, phakathi kweminyaka eli-9 ukuya kweli-15 ubudala, kodwa ezinokwahluka ngokwendlela yokuphila, iimeko zehomoni, ubukho bokutyeba kunye nembali yokuya exesheni kwabasetyhini bosapho olunye. Ihlelwe njenge:

• Ukuya esikhathini ekuqaleni: xa ibonakala ngaphambi kweminyaka eyi-8,
• Ukuya exesheni emva kwexesha: xa ibonakala emva kweminyaka eyi-14.

Ngaphezulu kwesiqingatha samantombazana aseBrazil anesihlandlo sokuqala de abe neminyaka eli-13 ubudala, kwaye kwiminyaka eli-14 ubudala ngaphezulu kwama-90% amantombazana sele esexesheni.Nangona kunjalo, xa intombazana iya exesheni phambi kweminyaka eyi-8, abazali kufuneka bathathe le ntombazana bayise kugqirha wabantwana baphande ukuba kwenzeka ntoni, kuba kusenokwenzeka ukuba kukho izifo ezichaphazelekayo.

Iimpawu kunye neempawu zokuqala ukuba sexesheni

Iimpawu zokuqala kunye neempawu zokuya exesheni kwangoko yimbonakalo, ngaphambi kweminyaka eyi-8, ye:

• Ukopha kwilungu lobufazi;
• Kancinane ukudumba komzimba;
• Inwele zokukhula;
• Ukwanda kwamabele;
• Inyonga eyandisiweyo;
• Ubuhlungu kummandla wesisu kunye
• Iimpawu zengqondo, ezinje ngokudabuka, ukucaphuka okanye ukonyuka kokuziva uziva.

Intombazana inokuphinda ikhuphe ukukhutshwa kwemfihlo emhlophe okanye emthubi kwilungu lobufazi kwiinyanga ezimbalwa ngaphambi kokuba sexesheni.

Izinto ezibangela ukuba sexesheni kwangoko

Ukuya esikhathini kokuqala kuye kwafika ngaphambili nangaphambili. Ngaphambi kweminyaka yee-1970, ukuya exesheni kokuqala kwakuphakathi kweminyaka eli-16-17 ubudala, kodwa mva nje amantombazana aye exesheni ngaphambili, ukusukela kwiminyaka eli-9 kumazwe aliqela, kwaye oonobangela abasoloko becacile. Ezinye zezinto ezinokubangela ukuba sexesheni lokuqala kwangoko zi:

• Akukho sizathu siqinisekileyo (i-80% yamatyala);
• Ukutyeba ngobuntwana ngokuthobekileyo;
• Kukho urhano lokuvezwa kweplastiki ene-bisphenol A ukusukela ekuzalweni;
• Ukulimala kwenkqubo ephakathi, njenge-meningitis, i-encephalitis, i-cerebral cyst okanye ukukhubazeka, umzekelo;
• Emva radiation kwinkqubo luvo;
• Isifo seMcCune-Albright;
• Izilonda ze-Ovarian ezinjenge-follicular cysts okanye i-neoplasia;
• Izidumba ezivelisa i-estrogen;
• Eyona nto iphambili kwi-hypothyroidism.

Ukongeza, xa intombazana ichanekile kwihomoni ye-estrogen isencinci, amathuba okuba sexesheni kwangoko anganyuswa. Ezinye zeemeko apho intombazana inokuvezwa khona kwi-estrogens kubandakanya ukuthatha ipilisi yolawulo lokuzalwa ngumama ngexesha lokukhulelwa kunye / okanye ukuncancisa, kunye nokusebenzisa ioyile ukwahlula imilebe emincinci, kwimeko ye-phimosis yabasetyhini, umzekelo.

Iimviwo eziyimfuneko

Xa intombazana yokuqala ukuya exesheni phambi kweminyaka eyi-8, ugqirha wabantwana unokukrokrela naluphi na utshintsho kwimpilo yakhe, kwaye ngenxa yesi sizathu uhlala evavanya umzimba wentombazana ngokujonga ukukhula kwamabele, iinwele emakhwapheni nasezimbilinini. Ukongeza, ugqirha unokuyalela iimvavanyo ezinje nge-LH, estrogen, TSH kunye ne-T4, ubudala bethambo, i-pelvic kunye ne-adrenal ultrasound.

Xa ixesha lakho lokuqala lifika ngaphambi kokuba uneminyaka engama-6 ubudala, unoku-odola iimvavanyo ezinje ngemifanekiso yokujonga ngemagneti yenkqubo ye-nervous system ukujonga utshintsho olunzulu olunokubangela ukuba sexesheni kungekudala.

Unyango lokuya exesheni kwangoko

Iziphumo eziphambili zokuya exesheni kukuphazamiseka kwengqondo nokuziphatha; umngcipheko okhulayo wokuxhatshazwa ngokwesondo; ubude obufutshane njengomntu omdala; ukwanda komngcipheko wokutyeba kakhulu, uxinzelelo lwegazi, uhlobo lwesifo seswekile, isifo sentliziyo, ukubetha kunye neentlobo ezithile zomhlaza, njengomhlaza wamabele, ngenxa yokuvezwa kwangoko kwihomoni estrogen.

Yiyo ke loo nto, ugqirha wabantwana unokucebisa ukuba abazali baqhubeke nonyango, belibazisa ukuya kwintombazana ekuqaleni ukuya kwiminyaka eli-12, besebenzisa inaliti yenyanga okanye yekota yencindi yedlala ebangela ukufikisa. Xa kuqala ukuya exesheni kusekutsha kakhulu kwaye kubangelwa sisifo esithile, kufuneka kunyangwe, kwaye ukuba sexesheni kuyanyamalala, kubuye xa unyango luyekisiwe.