Yu dɔn ɛva fil lɛk se yu gyal pikin ɔ yu bɔy pikin de gro kwik kwik wan pas ɔda pikin dɛn we dɛn ej? I nɔmal fɔ mek sɔm mama ɛn papa dɛn fred ɛn wɔri smɔl we dɛn si tin dɛn lɛk we dɛn de gro, we dɛn vɔys de chenj, ɛn sɔntɛm ivin we dɛn de swɛt lɛk big pɔsin. Yu tink se dis rili na sɔntin we wi fɔ fred? Tide wi go tɔk bɔt dis tin we bɔku mama ɛn papa dɛn kin tink bɔt, we na we pikin kin rich di tɛm we i fɔ bɔn bifo di nɔmal ej.
Fɔ tɔk am simpul wan, wetin na precocious puberty?
Precocious puberty, we di dɔktɔ kɔl
precocious puberty , na we pikin sho sayn dɛn fɔ puberty kwik kwik wan pas di nɔmal ej. Wetin kin apin ɔltɛm na:
- gyal pikin kin bigin fɔ bɔn pikin bitwin 8 ɛn 13 ia.
- Bɔy pikin kin bigin fɔ pas 9 ɛn 14 ia.
So, if
gyal pikin sho sayn dεm fכ bכn bifo dεn ej limit ya, dat na, bifo i rich 8 ia fכ gyal pikin εn bifo i rich 9 ia fכ bכy pikin , wi kin kכl da kכndishכn de Precocious Puberty.
Lɛ wi ɔndastand smɔl, aw dis prɔses fɔ bi big pɔsin kin apin?
Dis tan lɛk wan ɔtomɛtik sistɛm na wi bɔdi. Imajin, wan men kɔntrol sɛnta de na wi bren we dɛn kɔl
di Hypothalamus . We dɛn rich di rayt ej, dis kɔntrol sɛnta kin sɛn signal to ɔda smɔl gland we
na di Pituitary Gland . As dɛn gɛt da signal de so, di Pituitary Gland kin mek ɔmon dɛn we dɛn kɔl
Gonadotropins ɛn pul dɛn insay di blɔd. Dɛn ɔmon ya de go dairekt fɔ mek di pikin in gonads wok.
כl di chenj dεm we kin apin na di bכdi we kin apin we uman de bכn, na bikɔs dεn כmon dεm ya de wok. Wetin kin apin we pɔsin de bɔn kwik kwik wan na dat dis ɔl di tin we kin apin kin bigin kwik kwik wan.
Tu men kayn dis sik de.
Dis fכs puberty kin sheb to tu men tכp dεm bay aw i de apin. Dis klasification na impɔtant tin fɔ ɔndastand di kɔz.
| Kayn | Fɔ tɔk am simpul wan... |
|---|
| Sɛntral Prɛkosiɔs Puberty (Sɛntral Tayp) . | Dis na di kayn we we pipul dɛn kin gɛt mɔ. wetin de apin ya na di kכntrol sεnta na di bren (di Hypothalamus) de aktibכt bifo tεm. I tan lɛk se di klok na di bren de ɔf ɛn di alam de ɔf ali. Dɔn di wan ol ɔmon prɔses we wi bin tɔk bɔt kin apin insay ɔda. |
| Pɛriferal Prɛkosiɔs Puberty (pɛriferal tayp) . | Di prɔblɛm we de ya nɔ de na di bren. di sayn dεm fכ di bכdi de kכz bay we dεn de prodyuz כmon dεm (εstrojen כ tεstostεron) frכm כda say na di bכdi (e.g. ovaria, tεstikul, adrenal gland dεm) we nכ gεt signal frכm di bren. |
Wetin mek dis kin apin to pikin? Wetin na di rizin dɛn?
Di rizin kin difrɛn difrɛn wan bay di kayn we aw wi de tɔk bɔt.
Di tin dɛn we kin mek pɔsin gɛt Sɛntral Prɛkosiɔs Pubɛti (Sɛntral Tayp) .
Dis involv fɔ luk fɔ wetin mek di bren in kɔntrol sɛnta dɔn aktiv bifo tɛm. Bɔt
bɔku tɛm, mɔ pan gyal pikin dɛn, dɛn nɔ kin ebul fɔ fɛn klia rizin. Bɔt sɔntɛnde, tin dɛn lɛk dis kin bi di rizin:
- Bren injuri ɔ aksidɛnt (Brain Trauma ) .
- Tayp dɛn fɔ di Bren Tumɔs
- Infεkshכn dεm na di bren
- Sɔm tin dɛn we kin apin we pɔsin bɔn wit in bren
- We dɛn de du tritmɛnt wit redyushɔn
Di tin dɛn we kin mek pɔsin gɛt periferal Precocious Puberty
Bikɔs no bren nɔ de involv ya, di kɔz de ɔdasay na di bɔdi.
- Tכmכro dεm we de divεlכp na di ovaria, tεstikul , כ adrenal gland dεm.
- sכm jεnεtik kכndishכn dεm (e.g. McCune-Albright syndrome).
- Siriɔs haypotayroydizm.
- Adrenal gland sik dεm (e.g. Congenital Adrenal Hyperplasia).
- di כmon dεm we de kam insay di bכdi frכm do:Dis rili impɔtant. Imajin if big pɔsin yuz krim ɔ mɛrɛsin we gɛt ɛstrojen ɔ tɛstostɛron ɛn put am ɔltɛm pan smɔl pikin, i kin mek i gɛt dis sik bak.
Wetin na di sayn dɛn we wi de si?
Dɛn kwaliti ya kin apin to bɔy pikin ɛn gyal pikin, ɛn sɔm de bak we kin apin to ɛni wan pan dɛn.
Di kwaliti dɛn we wi kin si pan dɛn tu tin ya na:- Akni we gɛt akni
- I de smɛl lɛk big pɔsin in swet
- Sɔdan inkris na di bɔdi growth rit (Growth Spurt) .
Apat frɔm dɛn kɔmɔn kwaliti ya, dɛn kin si bak di kayn we aw pɔsin de du mami ɛn dadi biznɛs.
| Fɔ Girls | Fɔ Bɔy pikin dɛn |
|---|
| - divεlכpmεnt fכ di brεst | - Dip, brok di vɔys |
| - Di biginin fɔ di menstrueshɔn | - Fes ɛn armpit ia de gro |
| - di ia we de gro na di armpit dεm εn di jεnital εria | - di ia we de gro na di jεnital εria |
| - di tεstikul dεm εn di penis de big |
| - Di mɔsul dɛn we de gro |
Ɛni ɔda prɔblɛm dɛn de we kin apin bikɔs ɔf dis?
Yɛs, dis sik kin mek di pikin gɛt sɔm prɔblɛm dɛn na in bɔdi ɛn in maynd. 1.
Afta sɔm tɛm, i kin shɔt: Dis na sɔntin we bɔku mama ɛn papa dɛn nɔ no. Pan ɔl we di pikin dɛn we kin rich di tɛm we dɛn fɔ bɔn kwik kin gɛt ayt fɔs, dɛn bon dɛn kin stɔp kwik kwik wan. Dis min se as soon as puberty don, dem ayt tu de stop fo gro. So, as tɛm de go, dɛn kin shɔt pas ɔda pikin dɛn we dɛn ej. 2.
Prɔblɛm dɛn we gɛt fɔ du wit maynd ɛn soshal biznɛs:Dis na tin bak we rili impɔtant. Imajin aw pikin go fil if in bɔdi chenj bifo ɔlman na di klas, if dɛn fil difrɛn frɔm di ɔda pikin dɛn?
- Shem ɛn shem
- Fɔ mek ɔda pikin dɛn de provok yu
- Kɔndishɔn lɛk fɔ wɔri ɛn pwɛl hat
- Di we aw pɔsin kin biev di kayn we we nɔ fit in ej
So, wi nid fɔ rili tek tɛm wit di chenj dɛn we de apin na di pikin in bɔdi ɛn bak wetin de apin na in maynd.
Aw yu go fɛn dis, Dɔktɔ?
We yu kɛr yu pikin go to dɔktɔ, i go du sɔm tɛst dɛn fɔ
no di rayt sik. Nɔ wɔri, dɛn tin ya nɔ de mek di pikin fil pen.
- Fɔ ɛgzamin in bɔdi: Fɔs, di dɔktɔ go chɛk di pikin gud gud wan ɛn aks yu bɔt yu pikin in wɛlbɔdi istri.
- Bone Age X-ray: Dɛn kin tek smɔl X-ray fɔ di pikin in an ɛn in an. Dis na fɔ si aw di pikin in bon dɛn dɔn machɔ we yu kɔmpia am to di ej we dɛn rili ol. Pikin dɛn we kin rich dɛn yɔŋ pipul dɛn kwik kwik wan kin gɛt bon ej pas di ej we dɛn rili ol.
- Blɔd tɛst: Dɛn kin tek smɔl blɔd fɔ chɛk di ɔmon lɛvɛl (espɛshali di pituitary ɔmon dɛn lɛk LH ɛn FSH).
- MRI ɔ Ultrasound Scan: Sɔntɛnde, if di dɔktɔ want fɔ no mɔ bɔt di tin we mek i apin, i kin se dɛn fɔ du MRI na di bren ɔ fɔ mek dɛn du ɔltra saund na di bɛlɛ. Dɛn kin du dɛn tin ya fɔ mek dɛn nɔ gɛt ɛni tɔŋ we kin apin, lɛk di tumbu dɛn we de na di bren, ovaria, ɔ di adrenal gland dɛn. Nɔto ɔl pikin dɛn nid dɛn tin ya.
Afta dɛn tɛst ya, if nid de, dɛn kin sɛn yu to
dɔktɔ we de mɛn pikin dɛn we de mɛn di sik .
Wetin na di tritmɛnt dɛm fɔ dis?
Laki, tritmɛnt dɛn de we rili fayn fɔ kɔntrol dis sik. Di tritmɛnt dipen pan di kayn we we wi bin dɔn tɔk bɔt (Sɛntral ɔ Pɛrifyu) ɛn di tin we kin mek i apin.
- fכ Sεntri Prεkoshכn Puberty: di men gol ya na fכ stכp di signal frכm di bren fכ sכm tεm fכ ‘grow up’. Dɛn kin yuz wan kayn mɛrɛsin we dɛn kɔl GnRH agonist fɔ dis. Dis na injɛkshɔn we dɛn kin gi wan tɛm insay di mɔnt ɔ ɛvri tri mɔnt. I tan lɛk se yu de slip di alam pan klok. We dis tritmɛnt dɔn bigin, di sayn dɛn we de sho se pɔsin dɔn yɔŋ kin go dɔŋ smɔl smɔl. We di pikin rich di rayt ej (bɔku tɛm 11-12 ia), dɛn kin stɔp dis mɛrɛsin, ɛn afta dat i kin bigin fɔ bɔn pikin bak lɛk aw i nɔmal. Dis kin gi di pikin di chans fɔ rich in nɔmal ayt ɛn rɛdi in maynd.
- Fɔ Pɛriferal Prɛkoshiɔs Puberty:Na ya, di tritmɛnt dipen pan di tin we mek i apin. If na tumbu we de mek ɔmon, dɛn go gɛt ɔpreshɔn fɔ pul am. If na sɔntin lɛk krim we de na do, di prɔblɛm go dɔn wans yu dɔn stɔp fɔ yuz am. Dɛn go disayd di tritmɛnt bay di tin we mek dɛn du am.
Ustɛm a fɔ go to dɔktɔ?
Dis rili impɔtant. If yu pikin de gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu go to
dɔktɔ, mɔ to dɔktɔ we de mɛn pikin dɛn .
If yu gyal pikin sho ɛni wan pan di sayn dɛn we wi bin tɔk bɔt bifo i rich 8 ia ɔ yu bɔy pikin bifo i rich 9 ia , nɔ ignore am.
If yu go to dɔktɔ kwik kwik wan, dat go ɛp fɔ no di rayt tin we mek yu gɛt am, bigin fɔ trit am if nid de, ɛn i nɔ go gɛt bɔku prɔblɛm dɛn we di pikin gɛt na in bɔdi ɛn maynd.
Mɛsej we dɛn kin kɛr go na os
- Nɔ wɔri if yu gyal pikin sho sayn dɛn fɔ se i dɔn rich 8 ia ɔ yu bɔy pikin bifo i ol 9. Bɔt fɔ tru, go to dɔktɔ we de mɛn pikin dɛn.
- Bɔrku tɛm dis kayn sik nɔr kin bi sayn fɔ siriɔs sik, bɔt i rili impɔtant fɔ no di kɔrɛkt wan wae de kɔz am.
- Tritmεnt dεm de we rili fayn εn we sef fכ kכntrכl dis kכndyushכn, we kin εp fכ mεnten di pikin in nכmal divεlכpmεnt.
- Tek tɛm bad bad wan bɔt aw yu pikin de chenj in bɔdi, ɛn bak fɔ tek tɛm wit in maynd. Di lɔv, ɔndastandin, ɛn sɔpɔt we yu gɛt rili impɔtant to yu pikin dis tɛm.
- If yu kɔntrol yu pikin in wet ɛn mek dɛn it fayn fayn it dɛn, dat kin ɛp fɔ mek dɛn nɔ gɛt dɛn kayn sik ya.
Precocious puberty, premature puberty, precocious puberty sinhala, pikin dɛn ɔmon, sik dɛn we pikin kin gɛt, we pɔsin kin bɔn, prɔblɛm wit ɔmon
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt