Balagagge a cikin samari
Jinkirin balaga a cikin yara maza shine lokacin da balaga bata fara daga shekara 14 ba.
Lokacin da balaga ya jinkirta, waɗannan canje-canjen kodai basa faruwa ko basu ci gaba ba. Balaga da jinkiri ta fi zama ruwan dare a wurin samari fiye da ‘yan mata.
A mafi yawan lokuta, jinkirta balaga matsala ce ta sauye-sauyen farawa daga baya fiye da yadda aka saba, wani lokacin ana kiransa marigayi mai tasowa. Da zarar balaga ta fara, to tana tafiya daidai. Ana kiran wannan balaga da tsarin mulki ya jinkirta, kuma yana gudana ne cikin dangi. Wannan shine mafi yawan dalilin lalacewar marigayi.
Balagowar jinkiri kuma na iya faruwa yayin gwajin ya haifar da abu kaɗan ko babu. Wannan shi ake kira hypogonadism.
Wannan na iya faruwa yayin da gwajin ya lalace ko basa ci gaba kamar yadda ya kamata.
Hakanan zai iya faruwa idan akwai matsala a sassan kwakwalwa da ke cikin balaga.
Wasu yanayi na likita ko jiyya na iya haifar da hypogonadism:
- Celiac sprue
- Ciwon hanji mai kumburi (IBD)
- Underactive thyroid gland shine yake
- Ciwon suga
- Cystic fibrosis
- Cutar sikila
- Ciwon hanta da koda
- Anorexia (wanda ba a sani ba a yara maza)
- Cututtuka na autoimmune, kamar Hashimoto thyroiditis ko cutar Addison
- Chemotherapy ko maganin cutar kansa
- Wani ƙari a cikin gland, pineitary gland, cuta na kwayar cuta
- Rashin gwaji a lokacin haihuwa (anorchia)
- Rauni ko rauni ga ƙwararraji saboda torsion testicular
Samari suna fara balaga tsakanin shekaru 9 zuwa 14 kuma suna gama shi a cikin shekaru 3.5 zuwa 4.
Canjin balaga yana faruwa yayin da jiki ya fara yin jima'i na jima'i. Wadannan canje-canje masu zuwa suna farawa fara bayyana ga yara maza tsakanin shekaru 9 zuwa 14:
- Gwaji da azzakari sun kara girma
- Gashi yana girma akan fuska, kirji, kafafu, hannaye, sauran sassan jiki, da kewaye al'aura
- Girma da nauyi suna ƙaruwa
- Murya na zurfafawa
- Gwaji bai fi inci 1 da shekara 14 ba
- Azzakari karami ne kuma bai balaga da shekaru 13 ba
- Akwai ƙaramin gashin jiki ko kusan babu su da shekaru 15
- Murya tana nan daram-sama
- Jiki yana gajere kuma siriri
- Adadin kitse na iya faruwa a kusa da kwatangwalo, ƙugu, ciki, da ƙirji
Balaga da aka jinkirta na iya haifar da damuwa ga yaro.
Mai ba da kula da lafiyar yaronku zai ɗauki tarihin iyali don sanin idan jinkirin balaga ya gudana a cikin iyali. Mai ba da sabis ɗin zai yi gwajin jiki. Sauran gwaji na iya haɗawa da:
- Gwajin jini don bincika matakan wasu haɓakar haɓakar girma, homonin jima'i, da kuma hormones na thyroid
- Amsar LH ga gwajin jini na GnRH
- Binciken Chromosomal ko wasu gwajin kwayoyin
- MRI na kai don ciwace-ciwacen daji
- Duban dan tayi ko kwandala
Ana iya samun x-ray na hannun hagu da kuma wuyan hannu don kimanta shekarun ƙashi a ziyarar farko don ganin idan ƙasusuwan suna girma. Yana iya maimaitawa a kan lokaci, idan an buƙata.
Maganin zai dogara ne akan dalilin jinkirta balaga.
Idan akwai tarihin iyali na ƙarshen balaga, galibi ba a buƙatar magani. Bayan lokaci, balaga zai fara da kansa.
Idan jinkirta balaga ya faru ne saboda wata cuta, kamar rashin aiki da glandar thyroid, magance ta zai iya taimakawa balaga ta bunkasa.
Maganin Hormone na iya taimakawa fara balaga idan:
- Balaga ta kasa bunkasa
- Yaron yana cikin damuwa sosai saboda jinkiri
Mai bayarwa zai ba da harbi (allura) na testosterone (hormone jima'i na namiji) a cikin tsoka kowane mako 4. Za a sanya idanu kan canje-canjen girma. Mai bayarwa zai kara yawan maganin a hankali har zuwa lokacin balaga.
Kuna iya samun tallafi kuma fahimta game da ci gaban ɗanka a:
Gidauniyar MAGIC - www.magicfoundation.org
Balaga da aka jinkirta wanda ke gudana a cikin iyali zai warware kansa.
Jiyya tare da homonin jima'i na iya haifar da balaga. Hakanan za'a iya bada homon idan ana buƙata don inganta haihuwa.
Levelananan matakan hormones na jima'i na iya haifar da:
- Matsalar haɓaka (rashin ƙarfi)
- Rashin haihuwa
- Bonearancin ƙashi da karaya daga baya a rayuwa (osteoporosis)
- Rashin ƙarfi
Tuntuɓi mai ba da sabis idan:
- Yaron ku yana nuna saurin girma
- Balaga baya farawa da shekara 14
- Balaga tana farawa, amma baya samun cigaba yadda yakamata
Ana iya ba da shawarar zuwa likitan ilimin likitancin yara don yara maza da suka jinkirta balaga.
Ci gaban ci gaban jima'i - yara maza; Jinkirta wallafe-wallafe - yara maza; Hypogonadism
Allan CA, McLachlan RI. Cutar rashin lafiyar androgen. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 139.
Haddad NG, Eugster EA. Balaga da aka jinkirta. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al. eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 122.
Krueger C, Shah H. Magungunan yara. A cikin: Asibitin Johns Hopkins; Kleinman K, McDaniel L, Molloy M, eds. Asibitin Johns Hopkins: Littafin Jagora na Harriet. 21st ed. Philadelphia, PA: Elsevier; 2021: babi na 5.
Styne DM. Ilimin halittar jiki da rikicewar balaga. A cikin Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 26.