I tan lɛk se yu pikin dɔn let fɔ rich di tɛm we i fɔ bɔn? (Delayed Puberty) Lɛ wi tɔk bɔt dis!

Yu tink se yu pikin de gro let smɔl we yu kɔmpia am to ɔda pikin dɛn we in ej? Sɔntɛnde, i kin bi. Dat min se, pikin kin bigin fɔ bɔn leta pas di ej we dɛn kin tink se i go bi. Dis na wetin wi kin kɔl dilayed puberty ɔ "delayed puberty". Sɔm pipul dɛn kin kɔl am bak "delayed sexual development". Jɔs lɛk aw sɔm flawa dɛn kin blo smɔl let, sɔm pikin dɛn kin bi smɔl "let bloomer". Bɔt dis nɔto jɔs fɔ bigin let. Sɔntɛnde, di yɔŋ pɔsin kin bigin wantɛm wantɛm, dɔn i kin stɔp, ɔ i kin go sloslo. Dɔn di pikin nɔ kin dɔn ɔl di stej dɛn we i kin dɔn fɔ bɔn lɛk aw dɛn bin de tink. Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri bɔt dis, bɔt we wi no gud gud wan bɔt am, bɔku prɔblɛm dɛn kin sɔlv.

So, us ej dɛn kin tek am se i dɔn let?

Dis kin rili difrɛn smɔl bitwin gyal pikin ɛn bɔy pikin. Na dis na aw dɔktɔ dɛn kin ɛksplen am:

We gyal pikin dɛn kin delay fɔ bɔn pikin, dat min se:

• If yu brεst dεn nכ bigin fכ divεlכp we yu rich 13 ia.

Ɔ,

• If yu nɔ bigin fɔ gɛt mɔnt we yu ol 15 ia, ɔ if yu nɔ bigin fɔ gɛt mɔnt tri ia afta yu bɔdi bigin fɔ gro.

We bɔy pikin dɛn kin delay fɔ bɔn pikin, dat min se:

• If di tεstikul dεm nכ bigin fכ big we i rich 14 ia.

Ɔ,

• Ivin if i dɔn pas lɛk fayv ia so frɔm we di tɛstikul dɛn bigin fɔ big, dɛn nɔ dɔn dɔn fɔ bɔn pikin yet.

Nɔ fred fɔ dɛn ej limit ya. Dis na jɔs jɔnaral gaydlayn dɛn. If yu gɛt ɛnitin fɔ wɔri bɔt yu pikin, i go fayn fɔ mek yu tɔk to dɔktɔ we de mɛn pikin dɛn.

Wetin na di sayn dɛm we de sho se pɔsin de delay fɔ bɔn pikin?

di men sayn dεm na di brεst divεlכpmεnt (insay gyal pikin dεm) εn di tεstikul divεlכpmεnt (insay bכy pikin dεm). Bɔt, ɔda tin dɛn kin de:

• Yu pikin kin shɔt pas aw dɛn bin de tink fɔ in ej. dis na biכs dεn nכ dכn εkspiriεns yet di "growth spurt" we kin apin we dεn de bכn.
• Pikin in bon dɛn nɔ kin machɔ lɛk aw dɛn bin de tink fɔ dɛn ej. dis dεn kכl am "dilayed bon age." Na dɔktɔ nɔmɔ go ebul fɔ no fɔ tru, ɛn i nid fɔ tek ɛkstrem rayt.
• di pikin in prayvet εria we i nכ de gro na di bכdi.

Bɔt na di tin ya. Sɔm pikin dɛn kin gɛt ia na dɛn bɛlɛ, bɔt dɛn kin stil tek dɛn se dɛn dɔn let fɔ bɔn pikin. Dɛn kin bigin bak fɔ gɛt ia na dɛn an ɔ dɛn bɔdi de smɛl. Dɛn sayn ya na pat pan wan natura l prɔses we dɛn kɔl adrenarche. Dis na wetin kin apin bifo yu bɔn pikin. Di ɔmon dɛn we de ɛp fɔ mek di adrenarche, difrɛn frɔm di ɔmon dɛn we de kɔntrol di tɛm we pɔsin de bɔn. So, ivin if yu pikin go tru adrenarche, i nɔ kin bigin fɔ bi puberty we dɛn bin de ɛkspɛkt am.

Wetin na di men rizin we kin mek pɔsin de te fɔ bɔn pikin?

Bɔku tɛm, di men rizin we mek di pikin kin delay fɔ bɔn na bikɔs ɔf in jɛnɛtiks. Dat min se, i kin bi sɔntin we ɔda pikin dɛn na di famili dɔn gɛt bak. Sɔm pikin dɛn kin gɛt di mɛsej tru dɛn jin se fɔ bɔn pikin go bigin smɔl leta. Natin nɔ bad wit di pikin in ɔgan, gland, ɔ ɔmon. Ɔltin de wok fayn fayn wan. Fɔ tɔk am simpul wan, yu pikin in bɔdi jɔs de wok pan difrɛn schedule pas ɔda pikin dɛn.

Dɔktɔ dɛn kin kɔl dis `(Kɔnstityushɔnal Dilay fɔ Grɔw ɛn Pubat)` ɔ `(CDGP)`. Sɔm dɔktɔ dɛn kin kɔl am bak `(self-limited delayed puberty)`. Dis na bikɔs, ivin if dɛn nɔ gɛt ɛni mɛrɛsin, di tɛm we dɛn dɔn sɛtul fɔ bɔn pikin kin apin ɛn i kin go bifo nɔmal wan. Imajin, if di papa ɔ ɔnkul na di famili gro ɔp smɔl let, chans de fɔ mek di pikin sɛf du di sem tin.

Bɔt sɔntɛnde ɔda tin dɛn we kin apin na pikin in bɔdi kin afɛkt di we aw i kin bigin fɔ bɔn ɛn aw i kin go bifo. Dilay bikɔs ɔf dɛn tin ya kin nid tritmɛnt.

Ɔda tin dɛn we kin mek pɔsin nɔ ebul fɔ bɔn pikin

Apat frɔm di jenɛtiks, bɔku ɔda rizin dɛn kin de. Luk dis list:

• Di sik we Addison bin gɛt
• Kidni sik we nɔ de mɛn
• Sistik fibrosis we de mek pɔsin gɛt sik
• jεnεtik sik dεm, lεk di kromozom abnכmaliti lεk Turner syndrome εn Klinefelter syndrome.
• Fɔ ɛksesaiz pasmak. Dis kin mek di bɔdi fat go dɔŋ bad bad wan ɛn i kin mek di ɔmon dɛn nɔ wok fayn. (Dis impɔtant mɔ fɔ yɔŋ pikin dɛn we de ple kɔmpitishɔn spɔt.)
• Di ɔmon we de mek pɔsin gro
• Hypothyroidism (tayroyd we nɔ de wok fayn) .
• Inflammatory bowel disease (IBD) we de mek pɔsin in bɔdi wam.
• Malnutrishɔn kin apin fɔ difrɛn rizin dɛn. Dis kin afɛkt bak wit tin dɛm lɛk wae pɔrsin nɔr de it fayn.
• Sɔm mɛrɛsin ɔ tritmɛnt dɛn, lɛk kɔtikosterɔyd, kemotɛrapi, ɔ redyushɔn tɛrapi.
• Aksidɛnt ɔ damej pan di pikin in bren ɔ gonads (ovaries ɔ testiles).
• Tכmכro dεm we de afekt di pikin in bren כ spεnal kכd.
• Tayp I dayabitis.

Yu go de wɔnda aw ɔl dɛn difrɛn tin ya kin afɛkt di tɛm we pɔsin de bɔn. Di ansa de pan ɔmon dɛn.

Di wok we ɔmon dɛn de du fɔ mek pɔsin delay fɔ mek i yɔŋ

Ɔmon dɛn tan lɛk sikrit mɛsenja dɛn na wi bɔdi. Na dɛn de wok biɛn di scene fɔ initiate ɛn sustain puberty. na di εndokrin gland dεm de mek dεn כmon dεm ya. Yu pikin kin notis chenj na in bɔdi, lɛk we in bɔdi de gro ɔ di ia we de gro ɔnda in an. Bɔt sɔm tin dɛn de we yu nɔ go si:

1. di כmon we de rilis di gonadotropin (GnRH) de kכmכt εn kכmכt frכm wan pat pan yu pikin in bren we dεn kכl di haypothalamus.

2. dis כmon `(GnRH)` de tεl di pituitary gland na di pikin in bren fכ prodyuz εn rilis luteinizing כmon `(LH)` εn fכlikul-stimulating כmon `(FSH)`. tכgeda, dεn kכl dεn tu ya gonadotropin `(gonadotropins).`

3. dis gonadotropin כmon dεm na dεn de tεl di pikin in gonad dεm (ovaries in gyal pikin dεm εn testes na bכy pikin dεm) fכ rilis sεks כmon dεm (estrogen כ tεstosterone).

4. Na di rilis fכ dεn sεks כmon dεm ya we de mek di fyzikal sayn dεm fכ puberty, lεk di brεst divεlכpmεnt εn di tεstikul divεlכpmεnt.

Dis tan lɛk big tim we de wok togɛda, nɔto so? If sɔntin apin to wan tim mɛmba, i kin afɛkt di wan ol tim. Dɔktɔ dɛn kin yuz wɔd dɛn lɛk dɛn wan ya fɔ ɛksplen wetin de apin biɛn di sik:

• Hypogonadotropic hypogonadism: Dis min se di pikin in haypothalamus ɔ pituitary gland nɔ de wok fayn. Dɛn nɔ de mek ɔ pul inof ɔmon dɛn. Bɔku tɛm, dis kin apin bikɔs ɔf wan sik we pɔsin kin gɛt. Wae dɔktɔ dɛn dɔn trit di sik, di puberty go bigin fɔ apin nɔmal wan. Fɔ ɛksesaiz pasmak ɛn nɔ it fayn na tin dɛn bak we kin mek pɔsin du bad.
• Hypergonadotropic hypogonadism: Dis na we pikin in haypothalamus ɛn pituitary gland de wok fayn fayn wan. כltu, dεn gonad dεm (tεstikul כ ovari) nכ de wok fayn. Dis kin apin pan pikin dɛm wae gɛt Turner syndrome ɛn Klinefelter syndrome. Dis sik kin apin as sayd ɛfɛkt fɔ kansa tritmɛnt ɔ fɔ ɔda rizin.

Pan ɔl we dɛn wɔd ya kin tan lɛk se dɛn kɔmplikt smɔl, fɔ tɔk am simpul wan, wetin dis min na dat di prɔblɛm de usay i de na di ɔmon kɔntrol sistɛm.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ dɛn kin du dɛn tin ya fɔ no if pɔsin dɔn delay fɔ bɔn pikin:

• Fɔ du wan ɛgzam fɔ yu bɔdi.
• Wi go tɔk to yu bɔt yu pikin in mɛdikal istri ɛn di famili (bayolojikal mama ɛn papa) mɛdikal istri.
• Dɛn de du sɔm tɛst dɛn.

Wan tin we dɔktɔ dɛn go luk fɔ mɔ na if famili histri de we de sho se di pikin kin delay fɔ bɔn pikin. If na so, yu pikin kin bi "let bloomer" bak, we min se no ɔndalayn mɛdikal kɔz nɔ go de fɔ di delay.

Bɔt ivin if dɔktɔ dɛn tink se i kin rɔn na di famili, bɔku tɛm dɛn kin du tɛst fɔ mek shɔ se no ɔda tin nɔ de we kin mek i apin. Dis na bikɔs dɔktɔ dɛn kin kɔl ``Constitutional Delay of Growth and Puberty (CDGP)`` ``diagnosis of exclusion.`` Dat min se, dɛn kin dɔn se na ``(CDGP)`` ɔl afta dɛn dɔn kɔnfyus se dɛn nɔ put ɔl di ɔda tin dɛn we kin mek pɔsin nɔ gɛt di sik.

Dɛn tɛst ya rili impɔtant ivin pan kes dɛm we nɔr gɛt famili histri ɛn we dɔktɔ dɛn de tray fɔ fɛn di kɔz.

Test fɔ no di delay puberty

Yu kin du tɛst dɛn lɛk dis:

• Blɔd tɛst: Chɛk di ɔmon lɛvɛl ɛn si if ɛni sayn de fɔ sɔm kayn mɛrɛsin.
• Jεnεtik tεst: Chεk fכ jεnεtik chenj dεm we kin mek i delay fכ bכn.
• Imej tɛst: Dɛn kin du tin dɛn lɛk MRI skan ɔ ɔltra saund skan fɔ kɔnfɔm ɔ pul sɔm kɔndishɔn dɛn.

Yu famili dɔktɔ we de mɛn pikin dɛn kin sɛn yu to dɔktɔ we de mɛn pikin dɛn ɛn ɔda spɛshal pipul dɛn fɔ ɛp fɔ no ɛn trit dis sik.

Aw dɛn kin trit di tɛm we pɔsin de delay fɔ bɔn pikin?

Di tritmɛnt dipen pan wetin mek di delay de te. Yu pikin in mɛdikal tim kin tɛl yu fɔ du dɛn tin ya:

• Wan "wet ɛn si we fɔ du tin": Dɛn kin fala dis fɔ yɔŋ pikin dɛn we nɔ gɛt ɛni mɛdikal kɔndishɔn ɔ ɔda rizin we dɛn no fɔ mek dɛn delay. Dɔktɔ dɛn go si if pɔsin kin bigin fɔ bɔn pikin bay insɛf. If na so i bi, i go mɔs bi se yu pikin nɔ go nid ɛni tritmɛnt, ɛn i go bigin fɔ bɔn lɛk aw i bin de tink.
• Fɔ trit di mɛdikal kɔndishɔn: If di delay na bikɔs ɔf wan patikyula kɔndishɔn, dɔktɔ dɛn go trit da sik de. Dis fɔ ɛp fɔ bigin fɔ bɔn pikin ɛn fɔ go bifo lɛk aw dɛn bin de tink.
• Tɛrapi fɔ riples ɔmon:If pikin in bɔdi nɔ de mek inof ɔmon dɛn (tɛstosterɔn ɔ ɛstrojen) fɔ mek i rich di tɛm we i fɔ bɔn, dɛn kin nid mɛrɛsin fɔ gi dɛn ɔmon dɛn de. Di mɛdikal tim go ɛksplen to yu aw lɔng yu nid fɔ gɛt ɔmon tritmɛnt bay di patikyula tin dɛn we yu pikin nid.

Pikin dεm we "let bloomers" we nכ gεt εni mεdikal rizin nכ nid כmon tεrapi. Bɔt if di delay we di pikin de te fɔ bɔn pikin kin rili strɛs di pikin, i kin bi wan opshɔn. Sɔm yɔŋ pikin dɛn kin si am se i nɔ kin izi fɔ wet te dɛn bigin fɔ bɔn, ɛn dis we aw dɛn kin de te kin mek dɛn gɛt prɔblɛm wit ɔda pipul dɛn ɛn afɛkt di we aw dɛn de tink bɔt dɛnsɛf. If yu de wɔri se dis de apin to yu pikin, tɔk to yu mɛdikal tim bɔt am.

Ustɛm a fɔ go to dɔktɔ fɔ advays mi pikin?

Tek yu pikin fɔ go chɛk yu wɛl ɔltɛm, ɛn tɛl yu dɔktɔ we de mɛn pikin dɛn ɛnitin we de mɔna yu. Dɛn go chɛk aw yu pikin de gro ɛn aw i de gro ɛn dɛn kin aks yu kwɛstyɔn bɔt yu famili istri. Yu dɔktɔ we de mɛn pikin dɛn go ɛksplen us tɛst ɛn fɔ fala yu pikin if yu pikin nɔ bigin fɔ bɔn pikin lɛk aw dɛn bin de tink.

Tek kia ɔf yu pikin in maynd wɛl bɔdi bak.

Di delay puberty kin gɛt big impak pan yu yɔŋ pikin in maynd wɛlbɔdi – bɔt na tɛm bak we dɛn dɔn ɔlrɛdi de dil wit bɔku filin ɛn chenj. I go fayn fɔ mek yu arenj fɔ mek yu pikin tɔk to dɔktɔ we de mɛn yu pikin. Kɔnsul kin ɛp yu pikin fɔ tɔk bɔt aw i de fil bɔt aw i dɔn yɔŋ ɛn ɔda tin dɛn we i de tink bɔt ɛn woke tru am. Dɛn kin tink se, "Ɔl mi padi dɛn dɔn big ɛn na mi nɔmɔ stil yɔŋ." Dɛn nid sɔpɔt di tɛm dɛn lɛk dis.

Us kwɛstyɔn dɛn a fɔ aks mi pikin in dɔktɔ dɛn?

Puberty na wan spɛshal ɛkspiriɛns fɔ ɛvri pikin, ilɛksɛf i kam "on time" ɔ leta pas aw dɛn bin de ɛkspɛkt. Yu dɔktɔ we de mɛn pikin dɛn ɛn ɛni spɛshal dɔktɔ we de gi yu tritmɛnt kin sheb infɔmeshɔn we spɛshal to yu pikin. Na sɔm kwɛstyɔn dɛn ya yu kin aks fɔ bigin di tɔk:

• Aw a go no if mi pikin dɔn bigin fɔ bɔn pikin?
• Aw a go no if di tɛm we a de bɔn pikin nɔ de go bifo lɛk aw a bin de tink?
• Mi pikin dɔn delay fɔ bɔn pikin? If na so i bi, wetin na di sayn dɛn?
• Mi pikin nid ɛni tɛst?
• Yu kin advays yu fɔ gɛt ɛni tritmɛnt?
• Aw a go ebul fɔ sɔpɔt mi pikin di bɛst we?

Wetin a fɔ ɛkspɛkt if mi pikin dɔn delay fɔ bɔn?

Yu pikin in mɛdikal tim go tɛl yu wetin fɔ ɛkspɛkt, bay wetin mek i de delay fɔ bɔn pikin ɛn ɛni tritmɛnt we yu pikin de gɛt. I at fɔ tɔk ustɛm di tɛm we pɔsin de bɔn pikin go bigin. Yכŋ pikin dεm we gεt ``Constitutional delay of growth and puberty (CDGP)'' kin bigin fכ bכn we dεn ol 18. כltu, yu pikin kin stat bכku bכku tεm. Ɛni pikin in ɛkspiriɛns difrɛn.

Jɔs mɛmba se fɔ delay fɔ bɔn pikin na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin trit am if nid de.

Yu tink se we pɔsin de te fɔ bɔn pikin, dat kin mek i ay pasmak?

I at fɔ tɔk klia wan aw we yu pikin de delay fɔ bɔn pikin go afɛkt di ayt we yu pikin big. Sɔm yɔŋ pikin dɛn kin gɛt shɔt ayt we dɛn big pas aw dɛn kin tink bay we dɛn mama ɛn papa we bɔn dɛn ayt. Bɔt fɔ ɔda yɔŋ pikin dɛn, i tan lɛk se we dɛn de te fɔ bɔn pikin nɔ kin afɛkt dɛn ayt we dɛn big.

Sɔntɛnde, dɔktɔ dɛn kin du "bon ej" tɛst (X-ray) fɔ gɛt aydia bɔt di pikin in big ayt. Yu dɔktɔ we de mɛn pikin dɛn kin tɛl yu mɔ bɔt dis tɛst ɛn wetin i de sho.

Yu tink se we yu yuz mɛlatonin, dat kin mek yu nɔ ebul fɔ bɔn pikin?

Melatonin kin delay fɔ mek pɔsin nɔ rich 18 ia yet, bɔt dɛn nid fɔ du mɔ risach fɔ no fɔ tru. Risach pipul dɛm stil de stɔdi di sayd ɛfɛkt dɛm we melatonin tritmɛnt kin gɛt pan pikin ɛn yɔŋ pipul dɛm. Tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt di gud ɛn bad tin dɛn we kin apin we yu gi yu pikin melatonin.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

We yu delay fɔ bɔn pikin, dat kin mek yu ɛn yu pikin strɛs. Yu kin wɔri bɔt yu pikin, ɔ yu kin wɔnda wetin mek dɛn kin delay fɔ gro. Mɛmba se ɔl pikin de na in yon rod. Yu pikin kin rich di tɛm we dɛn bɔdi dɔn rɛdi. Ɔ, dɛn bɔdi kin nid smɔl ɛp fɔ rich de. Bɔt yu dɔktɔ we de mɛn pikin dɛn kin ɛp yu fɔ no wetin de apin ɛn tɛl yu di bɛst we fɔ du am.

Insay dis tɛm, yu pikin kin gɛt bɔku tin dɛn we i kin wɔri bɔt – frɔm we i fit wit in kɔmpin dɛn to we i kin fil se i gɛt kɔnfidɛns bɔt aw i luk. Aks yu dɔktɔ we de mɛn pikin dɛn aw yu go ebul fɔ sɔpɔt yu pikin in filin nid dɛn di bɛst we. Dɔn bak, kip di domɔt opin fɔ mek yu pikin tɔk to yu ɛnitɛm we i fil bad ɔ vɛks. Ivin likl cuddle or wan not we se "I'm proud of you" kin go fa dis taim.

` Dilayed Puberty, Ɔmon, Pikin Wɛlbɔdi, Adolesɛns, Grɔw, Sɛkshɔnal Divɛlɔpmɛnt