Koj tus menyuam puas zoo li lig dhau los txog hnub nyoog laus? (Qeeb dua hnub nyoog laus) Cia peb tham txog qhov no!

Koj puas xav tias koj tus menyuam loj hlob qeeb me ntsis piv rau lwm tus menyuam uas muaj hnub nyoog li nws? Qee zaum nws yuav loj hlob qeeb. Ntawd yog, ib tug menyuam pib laus dua li lub hnub nyoog uas feem ntau xav tau. Qhov no yog qhov peb hu ua qeeb laus lossis "laus laus". Ib txhia neeg kuj hu nws tias "kev loj hlob qeeb ntawm kev sib deev". Ib yam li qee lub paj tawg qeeb me ntsis, qee tus menyuam yuav "laus dua". Tab sis qhov no tsis yog tsuas yog pib lig xwb. Qee zaum laus tuaj yeem pib tam sim ntawd, tom qab ntawd nres, lossis mus qeeb heev. Tom qab ntawd tus menyuam tsis ua tiav tag nrho cov theem ntawm laus raws li xav tau. Nws yog ib txwm muaj kev ntshai me ntsis thaum koj hnov ​​​​txog qhov no, tab sis thaum peb paub meej txog nws, ntau yam teeb meem tuaj yeem daws tau.

Yog li, thaum muaj hnub nyoog li cas thiaj suav tias yog hnub nyoog laus?

Qhov no yeej txawv me ntsis ntawm cov ntxhais thiab cov tub. Nov yog li cov kws kho mob piav qhia:

Kev laus qeeb ntawm cov ntxhais txhais tau tias:

• Yog tias koj lub mis tseem tsis tau pib loj hlob thaum muaj hnub nyoog 13 xyoos.

Los yog,

• Yog tias koj tseem tsis tau pib muaj hli thaum muaj hnub nyoog 15 xyoos, lossis yog tias koj tseem tsis tau pib muaj hli peb xyoos tom qab koj lub mis pib loj hlob.

Kev laus qeeb hauv cov tub hluas txhais tau tias:

• Yog tias cov noob qes tsis tau pib loj hlob thaum muaj hnub nyoog 14 xyoos.

Los yog,

• Txawm tias nws tau tsawg kawg yog tsib xyoos txij li thaum cov noob qes pib loj hlob, kev laus tseem tsis tau tiav.

Tsis txhob ntshai txog cov kev txwv hnub nyoog no. Cov no tsuas yog cov lus qhia dav dav xwb. Yog tias koj muaj kev txhawj xeeb txog koj tus menyuam, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob menyuam yaus.

Cov tsos mob ntawm kev laus qeeb yog dab tsi?

Cov tsos mob tseem ceeb yog kev loj hlob ntawm lub mis (rau cov ntxhais) thiab kev loj hlob ntawm noob qes (rau cov tub). Txawm li cas los xij, tej zaum yuav muaj lwm yam:

• Tej zaum koj tus menyuam yuav luv dua li qhov lawv xav tau rau nws lub hnub nyoog. Qhov no yog vim lawv tseem tsis tau muaj "kev loj hlob sai" uas feem ntau tshwm sim thaum lub sijhawm hluas.
• Tej zaum tus menyuam pob txha tsis tau loj hlob raws li lawv xav tau rau lawv lub hnub nyoog. Qhov no hu ua "lub hnub nyoog pob txha qeeb." Tsuas yog tus kws kho mob thiaj li paub tseeb, thiab nws yuav tsum tau thaij duab X-ray.
• Tsis muaj cov plaub hau ntawm qhov chaw mos ntawm tus menyuam.

Tiam sis ntawm no yog qhov teeb meem. Tej zaum ib txhia menyuam yaus yuav muaj cov plaub hau ntawm qhov chaw mos, tab sis lawv tseem yuav raug suav hais tias lig rau lub sijhawm laus. Lawv kuj tseem yuav pib tsim cov plaub hau ntawm qhov chaw mos lossis ntxhiab tsw ntawm lub cev. Cov tsos mob no yog ib feem ntawm cov txheej txheem ntuj tsim hu ua adrenarche. Qhov no yog qhov tshwm sim ua ntej lub sijhawm laus. Cov tshuaj hormones uas pab ua rau adrenarche txawv ntawm cov tshuaj hormones uas tswj lub sijhawm laus. Yog li, txawm tias koj tus menyuam dhau los ntawm adrenarche, lawv yuav tsis pib lub sijhawm laus thaum xav tau.

Dab tsi yog qhov laj thawj tseem ceeb rau kev laus qeeb?

Feem ntau, qhov laj thawj tseem ceeb rau kev laus qeeb yog los ntawm noob caj noob ces. Qhov ntawd yog, nws yuav yog ib yam dab tsi uas lwm tus menyuam hauv tsev neeg kuj tau muaj thiab. Ib txhia menyuam tau txais cov lus los ntawm lawv cov noob caj noob ces tias kev laus yuav pib qeeb me ntsis. Tsis muaj dab tsi tsis ncaj ncees lawm nrog tus menyuam lub cev, cov qog, lossis cov tshuaj hormones. Txhua yam ua haujlwm zoo. Hais yooj yim, koj tus menyuam lub cev tsuas yog ua haujlwm rau lub sijhawm sib txawv ntawm lwm tus menyuam.

Cov kws kho mob hu qhov no tias '(Kev Ncua Sij Hawm Loj Hlob thiab Puberty)' lossis '(CDGP)'. Qee cov kws kho mob kuj hu nws tias '(kev txwv tus kheej qeeb puberty)'. Qhov no yog vim tias, txawm tias tsis muaj kev kho mob, kev puberty tshwm sim raws sijhawm teem tseg thiab nce mus li qub. Xav txog, yog tias leej txiv lossis txiv ntxawm ntawm tsev neeg loj hlob lig me ntsis, muaj qhov tshwm sim me me uas tus menyuam kuj yuav ua tib yam.

Txawm li cas los xij, qee zaum lwm yam mob hauv lub cev ntawm tus menyuam tuaj yeem cuam tshuam rau qhov pib thiab kev nce qib ntawm kev laus. Kev ncua sijhawm vim yog cov laj thawj no feem ntau yuav tsum tau kho.

Lwm yam ua rau muaj hnub nyoog laus qeeb

Ntxiv rau cov noob caj noob ces, tej zaum yuav muaj ntau yam ua rau muaj qhov teeb meem no. Mus saib daim ntawv teev npe no:

• Kab mob Addison
• Kab mob raum ntev
• Mob cystic fibrosis
• Cov kab mob caj ces, xws li cov chromosomal abnormalities xws li Turner syndrome thiab Klinefelter syndrome.
• Kev tawm dag zog ntau dhau. Qhov no tuaj yeem ua rau cov rog hauv lub cev txo qis thiab cuam tshuam kev ua haujlwm ntawm cov tshuaj hormones. (Qhov no tseem ceeb heev rau cov menyuam yaus uas ua si kis las sib tw.)
• Kev tsis muaj cov tshuaj hormones loj hlob
• Hypothyroidism (tsis ua haujlwm ntawm cov thyroid)
• Kab mob plab hnyuv (IBD)
• Kev tsis noj zaub mov zoo tuaj yeem tshwm sim los ntawm ntau yam. Qhov no kuj tuaj yeem cuam tshuam los ntawm tej yam xws li kev noj zaub mov tsis zoo.
• Qee cov tshuaj lossis kev kho mob, xws li corticosteroids, chemotherapy, lossis radiation therapy.
• Kev raug mob lossis kev puas tsuaj rau lub hlwb lossis cov gonads (ovaries lossis noob qes) ntawm tus menyuam.
• Cov qog nqaij hlav uas cuam tshuam rau lub hlwb lossis tus txha caj qaum ntawm tus menyuam.
• Ntshav qab zib hom I.

Tej zaum koj yuav xav paub tias tej yam sib txawv no cuam tshuam li cas rau lub hnub nyoog hluas. Cov lus teb yog nyob rau hauv cov tshuaj hormones.

Lub luag haujlwm ntawm cov tshuaj hormones hauv kev laus qeeb

Cov tshuaj hormones zoo li cov neeg xa xov zais cia ntawm peb lub cev. Lawv yog cov uas ua haujlwm tom qab qhov xwm txheej los pib thiab txhawb nqa kev laus. Cov tshuaj hormones no yog tsim los ntawm cov qog endocrine. Koj tus menyuam yuav pom cov kev hloov pauv hauv lawv lub cev, xws li kev loj hlob ntawm lub mis lossis kev loj hlob ntawm cov plaub hau hauv qab lawv txhais tes. Tab sis muaj qee yam uas koj yuav tsis pom:

1. Cov tshuaj hormones uas tso tawm Gonadotropin (GnRH) yog tsim tawm thiab tso tawm los ntawm ib feem ntawm koj tus menyuam lub hlwb hu ua hypothalamus.

2. Cov tshuaj hormones no '(GnRH)' qhia rau lub qog pituitary hauv lub hlwb ntawm tus menyuam kom tsim thiab tso tawm cov tshuaj luteinizing '(LH)' thiab cov tshuaj follicle-stimulating '(FSH)'. Ua ke, ob yam no hu ua gonadotropins '(gonadotropins).'

3. Cov tshuaj hormones gonadotropin no yog cov uas qhia rau tus menyuam lub gonads (zais qe menyuam hauv cov ntxhais thiab noob qes hauv cov tub) kom tso cov tshuaj hormones poj niam txiv neej (estrogen lossis testosterone).

4. Nws yog qhov tso tawm cov tshuaj hormones poj niam txiv neej no uas ua rau muaj cov cim qhia txog lub cev ntawm lub hnub nyoog laus, xws li kev loj hlob ntawm lub mis thiab kev loj hlob ntawm noob qes.

Qhov no zoo li ib pab neeg loj ua haujlwm ua ke, puas yog? Yog tias muaj qee yam tshwm sim rau ib tus tswv cuab ntawm pab neeg, nws cuam tshuam rau tag nrho pab neeg. Cov kws kho mob siv cov lus zoo li no los piav qhia txog yam uas tshwm sim tom qab qhov xwm txheej:

• Hypogonadotropic hypogonadism: Qhov no txhais tau hais tias tus menyuam lub hypothalamus lossis pituitary gland tsis ua haujlwm zoo. Lawv tsis tsim lossis tso tawm cov tshuaj hormones txaus. Qhov no feem ntau yog los ntawm ib qho mob. Thaum cov kws kho mob kho qhov mob, kev laus yuav pib tshwm sim li qub. Kev tawm dag zog ntau dhau thiab kev tsis noj zaub mov zoo kuj yog cov ua rau muaj ntau.
• Hypergonadotropic hypogonadism: Qhov no yog thaum tus menyuam lub hypothalamus thiab pituitary gland ua haujlwm zoo. Txawm li cas los xij, lawv cov gonads (qog lossis zes qe menyuam) tsis ua haujlwm zoo. Qhov no tshwm sim rau cov menyuam yaus uas muaj Turner syndrome thiab Klinefelter syndrome. Qhov mob no tuaj yeem tshwm sim ua ib qho kev phiv ntawm kev kho mob qog noj ntshav lossis rau lwm yam laj thawj.

Txawm hais tias cov lus no yuav zoo li nyuaj me ntsis, hauv cov lus yooj yim, qhov no txhais tau tias qhov teeb meem nyob rau qhov twg hauv lub cev tswj hwm hormonal nws nyob.

Cov kws kho mob kuaj mob li cas?

Cov kws kho mob ua cov hauv qab no los kuaj mob lig dhau:

• Ua kev kuaj lub cev.
• Peb yuav nrog koj tham txog keeb kwm kev kho mob ntawm koj tus menyuam thiab tsev neeg (niam txiv yug) keeb kwm kev kho mob.
• Muaj qee qhov kev sim uas tab tom ua.

Ib qho uas cov kws kho mob yuav saib xyuas yog seb puas muaj keeb kwm tsev neeg uas muaj hnub nyoog qis dua. Yog tias muaj, koj tus menyuam kuj tseem yuav yog "hnub nyoog qis dua," uas txhais tau tias tej zaum yuav tsis muaj teeb meem kho mob ua rau muaj hnub nyoog qis dua.

Txawm li cas los xij, txawm tias cov kws kho mob xav tias nws yog los ntawm tsev neeg los xij, lawv feem ntau ua kev kuaj mob kom paub tseeb tias tsis muaj lwm yam ua rau. Qhov no yog vim cov kws kho mob hu ua "Kev Ncua Sij Hawm Loj Hlob thiab Puberty (CDGP)" ua "kev kuaj mob ntawm kev tsis suav nrog." Ntawd yog, lawv xaus lus tias nws yog "(CDGP)" tsuas yog tom qab lees paub tias txhua yam ua rau raug tsis suav nrog.

Cov kev kuaj no tseem ceeb heev txawm tias yog thaum tsis muaj keeb kwm tsev neeg thiab thaum cov kws kho mob tab tom sim nrhiav qhov ua rau.

Kev ntsuam xyuas kom paub txog kev laus qeeb

Koj tuaj yeem ua cov kev ntsuam xyuas zoo li no:

• Kev kuaj ntshav: Xyuas cov tshuaj hormones thiab saib seb puas muaj cov cim qhia txog qee yam mob.
• Kev kuaj noob caj noob ces: Tshawb xyuas seb puas muaj kev hloov pauv noob caj noob ces uas yuav ua rau lub hnub nyoog laus qeeb.
• Kev kuaj duab: Tej yam xws li MRI scan lossis ultrasound scan yog ua los xyuas kom meej lossis tshem tawm qee yam mob.

Koj tsev neeg kws kho mob menyuam yaus yuav xa koj mus rau tus kws kho mob endocrinologist menyuam yaus lossis lwm tus kws tshwj xeeb kom pab kuaj mob thiab kho qhov mob no.

Yuav kho tus mob lig rau lub sijhawm puberty li cas?

Kev kho mob nyob ntawm seb qhov ua rau muaj kev ncua sijhawm. Pab neeg kho mob ntawm koj tus menyuam yuav pom zoo cov hauv qab no:

• Ib txoj kev "tos thiab saib": Feem ntau qhov no yog ua rau cov menyuam yaus uas tsis muaj mob lossis lwm yam laj thawj uas ua rau lub sijhawm qeeb. Cov kws kho mob yuav saib seb lub hnub nyoog laus puas tuaj yeem pib raws li ntuj. Yog tias yog, koj tus menyuam yuav tsis tas yuav kho dab tsi, thiab lub hnub nyoog laus yuav tshwm sim raws li xav tau.
• Kev Kho Mob: Yog tias qhov kev ncua sij hawm yog vim muaj ib qho mob tshwj xeeb, cov kws kho mob yuav kho qhov mob ntawd. Qhov no yuav tsum pab kom lub hnub nyoog laus zuj zus thiab nce qib raws li qhov xav tau.
• Kev kho mob hloov tshuaj hormones:Yog tias lub cev ntawm ib tug me nyuam tsis tsim cov tshuaj hormones txaus (testosterone lossis estrogen) kom txog thaum lawv loj hlob, lawv yuav xav tau tshuaj los muab cov tshuaj hormones ntawd. Pawg kws kho mob yuav piav qhia rau koj tias yuav tsum tau siv tshuaj hormones ntev npaum li cas raws li koj tus me nyuam xav tau tshwj xeeb.

Cov menyuam yaus uas "pib tawg paj lig" yam tsis muaj laj thawj kho mob tsis tas yuav kho cov tshuaj hormones. Txawm li cas los xij, yog tias qhov qeeb hauv kev laus ua rau tus menyuam ntxhov siab heev, nws yuav yog ib qho kev xaiv. Qee tus menyuam yaus pom tias nws nyuaj rau tos txog thaum laus, thiab qhov kev ncua no tuaj yeem ua rau muaj teeb meem hauv zej zog thiab cuam tshuam rau lawv tus kheej. Yog tias koj txhawj xeeb tias qhov no tshwm sim rau koj tus menyuam, tham nrog koj pab neeg kho mob txog nws.

Thaum twg kuv yuav tsum nrhiav kev pab kho mob rau kuv tus menyuam?

Coj koj tus menyuam mus kuaj mob tsis tu ncua, thiab qhia txhua yam kev txhawj xeeb uas koj muaj rau koj tus kws kho mob menyuam yaus. Lawv yuav kuaj xyuas koj tus menyuam txoj kev loj hlob thiab tej zaum yuav nug koj cov lus nug txog koj keeb kwm tsev neeg. Koj tus kws kho mob menyuam yaus yuav piav qhia seb yuav tsum kuaj thiab saib xyuas dab tsi yog tias koj tus menyuam tsis tau pib laus raws li xav tau.

Saib xyuas koj tus menyuam txoj kev noj qab haus huv ntawm lub hlwb thiab.

Kev laus zuj zus qeeb tuaj yeem muaj kev cuam tshuam loj rau koj tus menyuam txoj kev noj qab haus huv ntawm lub hlwb - tab sis nws kuj yog lub sijhawm uas lawv twb tau ntsib ntau yam kev xav thiab kev hloov pauv lawm. Nws yuav yog ib lub tswv yim zoo los npaj rau koj tus menyuam mus nrog tus kws kho mob tham. Kev sab laj tuaj yeem pab koj tus menyuam tham txog lawv txoj kev xav txog kev laus zuj zus thiab lwm yam uas lawv xav txog thiab ua haujlwm los ntawm lawv. Lawv yuav xav tias, "Kuv cov phooj ywg tag nrho loj hlob lawm thiab kuv yog tib tug neeg uas tseem hluas." Lawv xav tau kev txhawb nqa thaum lub sijhawm zoo li no.

Kuv yuav tsum nug cov kws kho mob ntawm kuv tus menyuam li cas?

Lub hnub nyoog laus yog ib qho kev paub tshwj xeeb rau txhua tus menyuam, txawm tias nws tuaj raws sijhawm lossis lig dua li qhov xav tau. Koj tus kws kho mob menyuam yaus thiab cov kws tshwj xeeb uas muab kev kho mob tuaj yeem qhia cov ntaub ntawv tshwj xeeb rau koj tus menyuam. Nov yog qee cov lus nug uas koj tuaj yeem nug kom pib sib tham:

• Kuv yuav paub li cas yog tias kuv tus menyuam pib loj hlob lawm?
• Kuv yuav paub li cas yog tias lub hnub nyoog hluas tsis nce qib raws li qhov xav tau?
• Puas yog kuv tus menyuam lub hnub nyoog qis dua? Yog tias muaj, cov cim qhia yog dab tsi?
• Puas yog kuv tus menyuam xav tau kev kuaj mob?
• Koj puas pom zoo kom muaj kev kho mob twg?
• Kuv yuav ua li cas thiaj txhawb nqa kuv tus menyuam tau zoo tshaj plaws?

Yog tias kuv tus menyuam muaj hnub nyoog laus zuj zus, kuv yuav tsum xav li cas?

Pab neeg kho mob ntawm koj tus menyuam yuav qhia rau koj paub tias yuav tsum xav li cas, raws li qhov ua rau lub hnub nyoog laus zuj zus qeeb thiab txhua yam kev kho mob uas koj tus menyuam tau txais. Nws nyuaj rau hais meej tias lub hnub nyoog laus zuj zus yuav pib thaum twg. Cov menyuam yaus uas muaj "Kev loj hlob qeeb thiab hnub nyoog laus zuj zus (CDGP)" feem ntau pib hnub nyoog laus zuj zus thaum muaj hnub nyoog 18 xyoo. Txawm li cas los xij, koj tus menyuam yuav pib ntxov dua. Txhua tus menyuam txoj kev paub txawv.

Tsuas yog nco ntsoov, kev laus qeeb yog ib ntus xwb thiab tuaj yeem kho tau yog tias xav tau.

Puas yog kev laus qeeb ua rau qhov siab nce ntxiv?

Nws nyuaj rau hais meej tias kev laus qeeb yuav cuam tshuam li cas rau koj tus menyuam qhov siab thaum lawv loj hlob tuaj. Qee tus menyuam yaus luv dua li qhov siab ntawm lawv niam lawv txiv. Txawm li cas los xij, rau lwm tus menyuam yaus, kev laus qeeb zoo li tsis cuam tshuam rau lawv qhov siab thaum lawv loj hlob tuaj.

Cov kws kho mob qee zaum ua qhov kev xeem "hnub nyoog pob txha" (X-ray) kom tau lub tswv yim ntawm tus menyuam qhov siab laus. Koj tus kws kho mob menyuam yaus tuaj yeem qhia koj ntxiv txog qhov kev xeem no thiab nws qhia dab tsi.

Puas siv melatonin qeeb dua kev laus?

Melatonin tej zaum yuav ncua lub hnub nyoog laus zuj zus, tab sis yuav tsum tau tshawb nrhiav ntxiv kom paub tseeb. Cov kws tshawb fawb tseem tab tom kawm txog cov kev phiv ntawm kev kho mob melatonin rau cov menyuam yaus thiab cov hluas. Tham nrog koj tus kws kho mob menyuam yaus txog qhov zoo thiab qhov tsis zoo ntawm kev muab melatonin rau koj tus menyuam.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kev laus qeeb tuaj yeem ua rau koj thiab koj tus menyuam ntxhov siab. Tej zaum koj yuav txhawj txog koj tus menyuam, lossis koj yuav xav tsis thoob tias vim li cas lawv txoj kev loj hlob qeeb. Nco ntsoov tias, txhua tus menyuam nyob ntawm lawv txoj kev. Koj tus menyuam yuav mus txog hnub nyoog laus thaum lawv lub cev npaj txhij. Lossis, lawv lub cev yuav xav tau kev pab me ntsis kom mus txog qhov ntawd. Txawm li cas los xij, koj tus kws kho mob menyuam yaus tuaj yeem pab koj xam seb muaj dab tsi tshwm sim thiab pom zoo txoj hauv kev zoo tshaj plaws.

Lub sijhawm no, koj tus menyuam yuav muaj ntau yam kev txhawj xeeb ntawm nws tus kheej - los ntawm kev sib haum xeeb nrog cov phooj ywg mus rau kev ntseeg siab txog nws qhov tsos. Nug koj tus kws kho mob menyuam yaus seb koj tuaj yeem txhawb nqa koj tus menyuam qhov kev xav tau zoo tshaj plaws li cas. Tsis tas li ntawd, qhib lub qhov rooj rau koj tus menyuam tham nrog koj txhua lub sijhawm uas lawv tu siab lossis chim siab. Txawm tias me ntsis khawm lossis sau ntawv hais tias "Kuv txaus siab rau koj" tuaj yeem pab tau ntau lub sijhawm no.

Kev Laus Qis, Cov Tshuaj Hormones, Kev Noj Qab Haus Huv ntawm Menyuam, Hluas, Kev Loj Hlob, Kev Loj Hlob ntawm Kev Sib Deev