Ubushushu bunokuba yinto enzima wena nomntwana wakho. Nangona umntwana wakho ekhula ngokwenyama, naye ufumana ukukhula okukhawulezayo kokukhula kwengqondo . Ngokucacileyo, abantwana baqala ngokusuka kwiintsapho zabo baze badibanise neontanga zabo ukuba bazise ukuzimela nokuzimela. Abaninzi baye bathi ukuhoxiswa, ukunyameka kunye nezinye iindlela zokuziphatha ziguquka kule nqanaba eliqhelekileyo lophuhliso, kodwa abaphandi bayaqaphela ukuba - kwezinye iimeko - bangabonisa ukuba ubuntwabuntlalo kubangele ukuba negalelo lokudandatheka.
Ukuphindaphinda koxinzelelo ngexesha loPhulo
Kulinganiselwa ukuba u-2% wabantwana abaneminyaka engaphantsi kwe-10 abanenkathazo yokudakumba, ngokwe-American Academy of Pediatrics. Nangona kunjalo, phakathi kweminyaka eyi-10 ukuya kwe-14, ububanzi bomyinge obudala bokuqala, ukunyanzeliswa kwamazinga kukhula ukuya kuma-5% ukuya ku-8% kubantwana bonke.
Nangona amazinga okudakumba aphezulu kubafana kunamantombazana ngaphambi kobuntwaba, izinga leentombazana liba liphindwe kabini kubafana xa bekhulile.
Kutheni Ubunzima Bokunyuka Kwangakumbi Ngethuba Lokusinda?
Iingcamango ezininzi zokunyuka okubangela ukuxinezeleka ngexesha lokukhulelwa. Nangona kunjalo, akukho mvumelwano encinane phakathi kwabaphandi kunye neekliniki:
- IiHormone: I-Estrogen, i-hormone yesini yesini, isoloko idibaniswe nokudandatheka. Amanqanaba e-Estrogen akhula kakhulu kwiimantombazana ngexesha lokukhulelwa, ezinokubangela ukwanda kwezinga lokucindezeleka phakathi kwabo. Ngakolunye uhlangothi, i-testosterone, i-hormone yesini eyenyukayo kumakhwenkwe ngexesha lokukhulelwa, ayizange idibaniswe nokuxinezeleka.
- Isigaba soPhuhliso loPhuhliso: Uphando lukaDkt. Adrian Angold kunye nabalingane bakhe, olupapashwe kwiNcwadi ye-Infective Diseases ngo-1998, luchaze ukuba uphuhliso lomzimba ngexesha lokutshatyalaliswa kwangaphambili lucacise ukunyuka kwamazinga okudakumba ngaphezu kweyiphi na into abayifunde.
- Ukufika ngexesha lokuSwaya koBugqirha: Ngokutsho kukaDkt Chris Hayward, umbhali wencwadi ethi Iintlukwano zoBugcisa ekuBusheni , ixesha lokuqalisa ubusuku lingaba nefuthe kwiingxaki zokudandatheka: Abantwana abazixelele ukuba "baqala" okanye "abaphuthumi bexesha elide" babonisa iimpawu ezidangalisa ngakumbi kunezo zivakalelwa ukuba zikhula ngexesha elinye.
- Iziganeko zobomi ezixinzelelekileyo: Ngethuba lokuphelelwa komntwana, umsebenzi wezemfundo kunye nolwalamano oluntu luba nzima kakhulu kwaye lufuna, olunokuba lunzima. Abanye abantwana banelungelo lokudandatheka ngenxa yeemeko zobomi ezixinzelelekileyo, kubika uDkt. Avshalom Caspi kunye noogxa ekufundeni kwabo ngendaba epapashwe kwiSayensi ngoJulayi 2003.
Iimpawu zoxinzelelo ngexesha loPhulo
Ukuphelelwa ngumntwana lixesha elikhethekileyo xa utshintsho ekubonakaleni nasekuziphatheni lwenzeka ngokwemvelo. Ngaloo ndlela, abazali, ootitshala kunye nabanakekeli kufuneka baqaphele ngokuphawulekayo iimpawu zokudakumba, okungazinzima ukuhlula kwiinguqu eziqhelekileyo zokuziphatha. Ukunyameka, ukuhlukana kwabazali kunye nokuchonga kunye neontanga zizinto eziqhelekileyo ngexesha lokukhulelwa. Nangona iingcamango zokuzilimaza, ukukhusela isikolo, ukunyuka kwezemfundo, ukuziphatha okubeka ingozi, izikhalazo eziphikisayo ezingapheliyo, ukuvalelwa ngokwemvakalelo, ukukhala okungacacanga, ukuziva ungacatshulwa, ukulahlekelwa ngumdla kwizinto ezinomdla, ukunamathela kumzali okanye ukukhathazeka ukuba umzali usenokufa, ukulala ubunzima, utshintsho obunzima, ukukhathala okungachazeki, kunye nobunzima bokugxila kunye nokugxila kungabonakalisa iimpawu zokudandatheka.
Ukufumana Uncedo
Uphando olungakumbi lufunekayo ukucacisa imbangela yokwanda kwexinzelelo ngexesha lokukhulelwa.
Nangona kunjalo, ungayihoyi iinguqu zokuziphatha kunye nomoya kumntwana wakho, njengoko kubakho ubungqina obucacileyo bokuthi ixabiso lokudakumba landa ngexesha lokukhulelwa.
Phanda nayiphi na into entsha okanye engachazi kakuhle kumntwana wakho kwaye ubazise ngogqirha wengane yakho. Udokotela angakwazi ukulawula ezinye iingxaki zezobugqirha, kwaye uncede unqume ukuba utshintsho lwendlela yokuziphatha luyingxenye eqhelekileyo yobushushu okanye uphawu lokudandatheka . Ukuchongwa kwangaphambili kunye nokunyangwa koxinzelelo kubalulekile, ngakumbi kubantwana.
Imithombo:
A. Angold, uCW Worthman. Ukwahlukana kobungqingili bobulili boLuntu kwiiRhafu zokuPhukisa: i-Perspective Development, Epidemiologic ne-Neuroendocrine. " Umbhalo weengxaki ezichaphazelekayo. Ngo-1993 29: 145-158.
UAvshalom Caspi, uKaren Sugden, uTerrie E. Moffitt, uAlan Taylor, u-Ian W. Craig, uHonaLee Harrington, uJoseph McClay, uJonathan Mill, uJudy Martin, u-Anthony Braithwaite, uRichie Poulton. "Impembelelo yoxinzelelo lobomi ekuxinezelekeni: Ukumodareyitha yi-Polymorphism kwi-5-HTT Gene." Sayensi. 18 Julayi 2003 301: 386-389.
UChris Hayward (uMq.). Ukwahlukana kobulili ngexesha lokusasa . "I- Cambridge: Cudridge University Press 2003.
Abantwana kunye nabantwana abakhulileyo bafumana njani ukuxinezeleka? Isizwe seSizwe kwiMpilo yengqondo.
RD Blondell, uKC Dave. "Ukuphazamiseka koBushushu." WaseMerika ugqirha. 1999 60: 209-224.
Selvi B. Williams, MD, Ph.D., Elizabeth O'Connor, Ph.D., uMichelle Eder, Ph.D. okqhubekayo. "Ukucatshungulwa koxinzelelo lwabantwana kunye neNtsholongwane kwiinkqubo zoNonophelo lweNtloko: Uhlolo lokuQinisekisa koBungqina be-US Preventive Services Task Force." Pediatrics. 04 Matshi 2009 e716-e735.
UStephen M. Stahl, MD, Ph.D. "I-Estrogen yeNdalo njenge-Anti-pressress for Women" I-Journal ye-Clinical Psychiatry. 2001 62
Ziziphi iimpawu kunye neempawu zoxinzelelo? Isizwe seSizwe kwiMpilo yengqondo.