Ukuthuthukiswa kocansi okuphoqelekile akuvamile. Ezokwelapha, kusasaziwa ngokuthi ukuphazamiseka kokukhulelwa kwentsha. Lezi zifo zithinta abafana namantombazane. Uma inkinga ingatholakali ngesikhathi futhi ukwelashwa okufika ngesikhathi kuqalisiwe, imiphumela engathintekiyo ayinakugwenywa.
Ukuhlolwa kokuthuthukiswa ngokobulili kwabaselula
I-Pubertat yinkqubo ende, lapho umzimba wengane uphenduka waba ngumzimba omdala. I-Perestroika, eyenzeka emzimbeni womusha osemusha, ayithinteki kuphela izici zayo zomzimba, kodwa nezengqondo. Zonke lezi zinguquko zibizwa ngokuthi i-hormone, ekhishwa yizinhlayiya ze- hypothalamus . "Usayine" ukuthi umzimba uzimisele ukuthuthukisa uhlelo lokuzala ngokwengeziwe.
Ephendula ukukhiqizwa kwaleli hormone, i-pituitary gland ikhiqiza i-gonadotropin. Zenza ukwanda kwezinhlayiya zobulili, okuba abafana bakhipha u-testosterone, futhi kumantombazane - estrogen. La mahomoni nawo athinte ukuthuthukiswa ngokocansi kwentsha. Zakhiwa ngobuningi. Ukuvuthwa ngokocansi kumantombazane kwenzeka eminyakeni engu-7-13, futhi kubafana abaphakathi kweminyaka engu-9 no-15. Kwamanye amantombazane, inqubo enjalo ibonakala ngaphambili, nakwabanye, kamuva.
Ukuthuthukiswa kwezitho zangasese
Esikhathini sokusakaza, uhlelo lokuzala olusha lufinyelela ekuvuthweni. Ukulibaziseka ekuthuthukiseni ngokocansi kubonakala ukungasebenzi kahle "ekukhuleni". Izinguquko ezilandelayo zibonakala emantombazaneni:
- Ngenxa yokukhula kwezicubu ze-adipose kukhona ukwanda kwama-labia amakhulu.
- Izingqungquthela zikaBartolin ziqala ukusebenza ngokugcwele.
- Ubude besifazane buyanda. Ekupheleni kokukhulelwa, kufinyelela ku-8-10 cm.
- Isibeletho sikhula ngesayizi. I-mucous yayo iyancipha. Lapha, i-glycogen yakhiwa, ephenduka i-lactic acid futhi inikeza ukusabela kwe-asidi.
- Kukhona ukwanda kwama-ovari ngobude nesisindo.
- Ama-follicles amaningi aqala ukuvuthwa.
- Kufika ukuya esikhathini .
Ukuthuthukiswa kwesistimu yokuzala kwabafana abasha kuyabonakala kanje:
- Kukhona ukwanda kwezivivinyo.
- I-penis iqala ukukhula ngobude. Ngesikhathi esifanayo kukhona ukwanda kobubanzi.
- Isikhumba se-scrotum siyahlunga. Lapha futhi phezu kwepenisi kuvela ukujula.
- Ubude be-vas deferens buyanda (bungaba no-2-2.5 cm). Ukwakhiwa kwama-vesicles omzimba kwenzeka.
- Ukungcola ebusuku kuqhubeka njalo.
- Kufika i- spermatogenesis evuthiwe.
Ukuthuthukiswa kwezici zobunikazi zesimanje
Amantombazane angagwetshwa ngokuvuthwa yizimpawu ezilandelayo:
- Ukukhula okusebenzayo kubonakala. Insizwa encane ingakhula ngo-10 cm ngonyaka. Ngesikhathi esifanayo, ukwanda okusheshayo kwesisindo kwenzeka. Le nsizwa encane ingahlakulela "ukudla okunonya," okuyinto evamile, ngoba ngokukhula okukhulayo, kuzodingeka izakhi.
- Kukhona ukwakheka kwezigulane ze-mammary. Banda ngesayizi, futhi isimo sabo sishintsha.
- Lesi sibalo siyaba yisifazane. Izindebe zanda, okwenza isikhumba sibe ngcono.
- Kukhona izinwele ezikhwameni kanye nesifunda se-perineal.
Ukuthuthukiswa ngokocansi kwabafana abasha kuyabonakaliswa yizibonakaliso ezilandelayo:
- izinwele ezigumbini, ezandleni nasemilenzeni, ku-pubis;
- ukuphula amazwi;
- ukukhula kwamathambo kanye nezicubu zomzimba - ukwakheka komuntu wesilisa.
Ukudambisa ekuthuthukiseni ucansi - izizathu
Kamuva ukuvuthwa kuvame kakhulu kubafana. Amantombazane angenakubalwa amathuba okubhekana nokukhubazeka okunjalo. Ukuhlukunyezwa kwentuthuko yezocansi kwabaselula kuyisikhathi esiyinzalo. Ngamanye amazwi, ukuqala kokuqala kokuvuthwa komzimba kudluliselwa kusuka kubazali kuya ezinganeni (kusukela esizukulwaneni kuya esizukulwaneni). Kulesi simo, ukubambezeleka kokuthuthukiswa ngokocansi akusibi kakhulu. Ukukhula komzimba kuzofika, emva kwesikhashana nje kunontanga.
Ngaphezu kwalokho, ukubambezeleka kokuthuthukiswa ngokobulili nangokwenyama kubafana namantombazane kungacasulwa yizimbangela:
- ukungondleki;
- ukuzama ngokweqile ngokomzimba (lokhu kuyiqiniso ikakhulukazi kubagijimi abasha);
- uketshezi ngokuholela noma ezinye izinto ezinobuthi;
- i-irradiation;
- izinkinga emva kokungenwa kwamagciwane okwakamuva noma amagciwane.
Ukuthuthukiswa kocansi okudambisiwe kubafana
Ngaphandle kwesici esidala, ukuvuthwa kamuva kubangelwa ezinye izimbangela. Ukuthuthukiswa kocansi kwabafana kuthonywa yizifo:
- I-Klinefelter's syndrome yinkinga lapho i-chromosome eyengeziwe ye-X ikhona khona;
- isisu esithinta ingxenye yobuchopho lapho kutholakala khona i-pituitary ne-hypothalamus;
- isifo sikashukela mellitus;
- i-cystic fibrosis;
- ukukhubazeka emsebenzini wezinso;
- izifo zofuzo, lapho kukhiqizwa khona ama-hormone.
Ukuthuthukiswa kocansi okudambisiwe emantombazaneni
Kamuva ukuvuthwa kudinga ukungenelela kwezokwelapha okuphuthumayo. Isifo sokubambezeleka ekuthuthukiseni ucansi kungabangelwa amantombazane ngezizathu ezilandelayo:
- ukungabikho kwesibindi, ukungatholakali kwesisu, ukungasebenzi komzimba;
- "isifundo somfundi" esihle kakhulu (ukucindezeleka okukhulu kwengqondo);
- imisebenzi e-ovarian ekhubazekile;
- I-Turner syndrome;
- ukudla okunzima.
Ukwelashwa kokuthuthukiswa kocansi okubambezelekile
Ngaphambi kokuba kutholakale ukuthi kutholakala yini, ukuvumela ukukhomba ngokunembile "umgqugquzeli" walesi sifo. Kuhlanganisa izifundo ezinjalo:
- ukuhlolwa kwegazi ngenxa yokungavamile kwe-chromosomal nesifo sikashukela mellitus;
- I-CT yobuchopho;
- ukuhlolwa okujwayelekile;
- Ukuhlolwa kwe-X, okuveza ukuvuthwa kwamathambo;
- ukuhlolwa kwegazi;
- i-biopsy;
- I-Laparoscopy.
Ukulibaziseka ekuthuthukiseni ngokocansi ezinganeni kuthathwa ngendlela eyinkimbinkimbi. Zonke ukuqokwa kanye nokuphathwa okumele kwenziwe kufanele kuhambisane nodokotela. Ukuzivocavoca akuvunyelwe! Ngokuvamile ukubambezeleka ekuthuthukiseni ngokocansi kubantfwana abasha kuyaphathwa kanje:
- I-Dietotherapy - ihloswe ngokujwayelekile ukwenza isisindo somzimba nokuthuthukisa umzimba ngezinto eziwusizo.
- Ukwamukelwa kwezidakamizwa.
- I-Vitaminotherapy - luchaza i-folic acid, i-vitamin E.
- Ukwelashwa ngezidakamizwa ze-hormone.
- Ukwamukelwa kwe-calcium - ngokubunjwa okuvamile kwamathambo.
- Ukungenelela kokuhlinzwa - ukukhipha izicubu noma ukuqedwa kwamaphutha okushisa.