Yu pikin de biev lɛk big pikin bifo i ol? Lɛ wi lan bɔt Precocious Puberty.

Yu dɔn ɛva fil lɛk se yu gyal pikin ɔ yu bɔy pikin de biev lɛk smɔl pikin bifo dɛn tɛm, ɔ i de sho se yu bɔdi de chenj? Sɔm pikin dɛn kin rili sho sayn dɛn we de sho se dɛn dɔn yɔŋ bifo dɛn tɛm. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ‘precocious puberty’ ɔ lɛk aw dɔktɔ dɛn kin kɔl am, `(Precocious Puberty)`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan.

So wetin na dis ali puberty?

Puberty na di tɛm we pikin in bɔdi kin gɛt big chenj ɛn smɔl smɔl dɛn kin bigin fɔ gɛt di kwaliti dɛn we big pɔsin gɛt. Dis na tin we rili nɔmal. Nɔmal wan, wan smɔl pat de na yu pikin in bren we dɛn kɔl di haypothalamus. Dis na di say we di haypothalamus de stat. I de pul sɔm kemikal dɛn we dɛn kɔl ɔmon. Dɔn dɛn ɔmon ya kin sɛn signal to ɔda smɔl gland na di bren we dɛn kɔl di pituitary gland. Dɔn di pituitary gland de pul ɔda kayn ɔmon we dɛn kɔl gonadotropins. dis gonadotropin dεm de go dayrekt to di pikin in sεks gland dεm we dεn kכl di gonads. pan bכy pikin dεm, dεn ya na di ``tεstikul dεm.'' dεn ya de mek di כmon ``testosterone.'' insay gyal pikin dεm, dεn ya na di ``ovaries.'' dεn ya de mek di כmon ``estrogen.''

כltu, gyal pikin kin stat fכ bכn bitwin 8 εn 13. bכy pikin kin stat fכ bכn bitwin 9 εn 14. כltu, insay dis kes, ``Precocious Puberty``, dis prכsεs kin stat bכku bכku tεm. Dat min se, gyal pikin kin bigin fɔ sho dɛn sayn ya bifo i ol 8 ia, ɛn bɔy pikin kin bigin fɔ sho dɛn sayn ya bifo i ol 9 ia .

Yu tink se men kayn tin dɛn de we kin mek pɔsin bɔn kwik kwik wan?

Yɛs, tu men kayn dɛn de. Lɛ wi si wetin dɛn bi.

1. Sɛntral Prɛkosiɔs Pubɛti

Dis na di kayn we we dɛn kin yuz mɔ . wetin de apin ya na di pikin in bren de stat fכ rilis wan כmon we dεn kכl ‘Gonadotropin-releasing hormone (GnRH)’ bifo di tεm we i de εkspεkt. dis de mek di tεstikul dεm εn di ovaria dεm de rilis sεks כmon dεm lεk ‘androgens’ bifo tεm.

2. Pɛriferal Prɛkosiɔs Pubɛti

Dis kayn tin kin kam bikɔs prɔblɛm de wit di pikin in riprodaktiv ɔgan dɛm lɛk di ovaria, di tɛstikul, ɔ di adrenal gland dɛm. Sɔntɛnde, dis sik kin kam bak bikɔs ɔf di ɔmon dɛn we de kam insay di bɔdi frɔm di say we de na do. dεn kכl dis bak gonadotropin-indipεndεnt prεkoshכn puberty.

Udat dɛn kin afɛkt mɔ pan dis sik? Aw i kɔmɔn?

Fɔ tru, ɛni pikin kin gɛt dis sik we i kin bigin fɔ bɔn. Bɔt i kin apin mɔ pan gyal pikin dɛn pas bɔy pikin dɛn.

We wi tink bɔt aw i bɔku, dis sik kin afɛkt lɛk 20 pan 10,000 gyal pikin dɛn, bɔt i nɔ kin afɛkt 5 pan 10,000 bɔy pikin dɛn.

Wetin mek pipul dɛn kin rich dɛn yɔŋ pipul dɛn kwik kwik wan? Wetin na di rizin dɛn?

Di rizin dɛn kin difrɛn difrɛn wan bay di kayn we we wi bin dɔn tɔk bɔt.

Di tin dɛn we kin mek pɔsin gɛt Sɛntral Prɛkosiɔs Pubɛti

as wi bin dכn tכk, dis de kכz fכ di כmon `(GnRH)` we de kכmכt kwik kwik wan frכm di bren. Bɔku tɛm, mɔ pan gyal pikin dɛn, i nɔ kin izi fɔ fɛn klia rizin fɔ dis. Bɔt sɔntɛnde, tin dɛn lɛk dis kin mek i apin:

• Trauma na di bren
• Tumɔs dɛn na di bren
• Infεkshכn dεm na di bren
• Di tin dɛn we nɔ fayn na di bren
• We dɛn de du tritmɛnt wit redyushɔn

Di tin dɛn we kin mek pɔsin gɛt periferal Precocious Puberty

Dis kayn kin kam bikɔs i gɛt prɔblɛm wit di pikin in riprodaktiv ɔgan ɔ adrenal gland dɛn. Fɔ ɛgzampul:

• ovary, testes ɔ adrenal gland tumor
• di tכmכro dεm we de mek wan כmon we dεn kכl ``Human Chorionic Gonadotropin (HCG)``
• Sɔm jenɛtik kɔndishɔn, fɔ ɛgzampul, McCune-Albright syndrome.
• Siriɔs haypotayroydizm
• sik dεm na di adrenal gland dεm, fכ egzampl, ``Kכnjital adrenal haypaplasia``.

Sɔntɛnde, we di pikin gɛt ɔmon dɛn we de na do na in bɔdi kin bi bak wan rizin. Tink bɔt tin dɛn lɛk krim, mɛrɛsin, ɔ sɔpɔtmɛnt we gɛt ɛstrojen ɔ tɛstostɛron, ɔ andrɔjen.

Wetin na di sayn dɛn we de sho se pɔsin de bɔn pikin kwik kwik wan? Aw yu no am?

Di kɔmɔn sayn dɛm we pɔsin kin si pan man ɛn uman na akni, bɔdi we kin smɛl mɔ ɛn mɔ, ɛn we pɔsin kin ayt wantɛm wantɛm . Apat frɔm dat, mami ɛn dadi biznɛs kin bigin fɔ apia bak bifo tɛm.

Imajin, yu gyal pikin we ol sɛvin ia notis wantɛm wantɛm se in bɔdi de gro, ɔ yu bɔy pikin we ol et ia in vɔys chenj ɛn i bigin fɔ gro biad. Na dɛn tin ya wi kin kɔl sayn.

Di sayn dɛm we dɛn kin si pan gyal pikin dɛm:

• divεlכpmεnt fכ di brεst
• Menstrueshɔn kin bigin
• di ia we de gro na di armpit dεm εn di prayvet εria dεm

Di sayn dɛm we dɛn kin si pan bɔy pikin dɛm:

• Di vɔys we de ala lawd wan
• Di ia we de gro na di fes, di armpit, ɛn di say dɛn we pɔsin kin si in prayvet pat
• di penis εn di tεstikul dεm de big
• Di mɔsul dɛn we de gro

Udat de pan big risk fɔ gɛt dis sik?

Sɔm grup dɛn kin gɛt dis ali puberty smɔl. Dɛn na:

• Girls dɛn
• Pikin dɛn we fat ɔ we fat pasmak
• Pikin dɛm we kɔmɔt na sɔm etnik grup dɛm (Risach dɔn sho se dis kin apin mɔ pan blak pikin dɛm na ɔda kɔntri. Dɛn nid fɔ stɔdi dis mɔ na wi kɔntri.)

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf di fɔs tɛm we pɔsin kin bɔn?

Pan ɔl we pikin kin ayt wantɛm wantɛm we dɛn rich di tɛm we dɛn de bɔn kwik, di gro kin stɔp we di pikin dɔn fɔ bɔn. So, dɛn kin shɔt pas ɔda pikin dɛn we gɛt di sem ej. Dis kin afɛkt di pikin in maynd.

Wan ɔda tin na dat pikin dɛn kin shem ɛn nɔ kin fil fayn we dɛn bɔdi chenj kwik pas ɔda pikin dɛn. Imajin aw i go tranga fɔ mek pikin si in yon bɔdi de chenj big big chenj dɛn we dɛn kɔmpin dɛn na klas stil na smɔl smɔl pikin dɛn.

Dɛn tin ya kin mek pikin dɛn gɛt prɔblɛm wit dɛn we aw dɛn de biev, aw dɛn de fil, ɛn aw dɛn de wit ɔda pipul dɛn. Dɛn kin gɛt wɔri ɛn pwɛl at. Dɛn kin gɛt mɔ risk bak fɔ yuz sɔm kayn mɛrɛsin ɛn fɔ du tin dɛn we de mek dɛn gɛt prɔblɛm.

Aw dɔktɔ dɛn kin no bɔt dis sik?

We yu kɛr yu pikin go to dɔktɔ, i go fɔs chɛk di pikin gud gud wan. I go aks yu bak bɔt yu pikin in mɛdikal istri ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn sik.

Dɔn i pɔsibul fɔ du tɛst dɛn lɛk dis:

• X-ray fɔ di an ɛn di an: Dis de chɛk di pikin in bon ej. If di bɔdi de mek bɔku ɔmon dɛn we de mek pɔsin du mami ɛn dadi biznɛs, di bon dɛn kin machɔ kwik pas aw i kin machɔ. Dis na wan sayn we de sho se pɔsin kin bɔn pikin kwik kwik wan.
• Blɔd tɛst: Dis kin chɛk di pikin in ɔmon lɛvɛl. spεshal wan, i de chεk di lεvεl dεm fכ di כmon dεm ``Luteinizing Hormone (LH)`` εn ``Follicle-Stimulating Hormone (FSH)``, we di pituitary gland de mek. Dis na di ɔmon dɛn we de kɔntrol di tɛm we pɔsin de bɔn. I de chɛk bak di lɛvɛl dɛn we di ɔmon dɛn we de na di mami ɛn dadi biznɛs gɛt.
• Bren MRI skan: Dis tɛst de ɛp fɔ pul ɛni prɔblɛm lɛk bren tumor.
• Pɛlvik ɔltrasɔund: Dɛn kin du dis tɛst if yu sɔprayz se yu pikin gɛt peripheral precocious puberty. dis tεst de chεk fכ tכmכro dεm na di ovaria כ adrenal gland dεm na gyal pikin dεm, biכs sכmtεm dεn kin mek dεn bכn kwik.

Dipen pan di rizulyt fɔ dɛn tɛst ya, yu dɔktɔ kin rifer yu to pikin dɛn ɛndokrinɔlɔjis, dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit ɔmon pan pikin dɛn.

Wetin na di tritmɛnt dɛm fɔ dis?

Di we aw dɛn kin trit am kin dipen pan di kayn we aw pɔsin kin bɔn kwik kwik wan.

Tritmɛnt fɔ Sɛntral Prɛkoshiɔs Puberty

di men gol fכ dis kayn na fכ stכp di prodyushכn fכ di כmon dεm `LH` εn `FSH` bay di pituitary gland. Dis kin mek di sayn dɛn we de sho se pɔsin dɔn mared nɔ go ebul fɔ du natin ɛn i kin ivin mek i nɔ gɛt mɔnt. dis kin bi wit wan dכg we dεn kכl `GnRH agonist`. Dɛn kin kɔl dis bak `Puberty Blocker`. Dis na ɔmon we mɔtalman mek. dεn kin du dis fכ stכp fכ mek di כmon dεm we de fכ bכn pikin כ di כmon dεm we de mek di pikin gro. Di dɔktɔ go gi dis mɛrɛsin to di pikin as injɛkshɔn pan patikyula tɛm dɛn. Dis tritmɛnt gɛt fɔ kɔntinyu te di rayt tɛm fɔ mek di pikin bigin fɔ bɔn.

Tritmɛnt fɔ Pɛriferal Prɛkosiɔs Pubɛti

Dɛn kin trit dis kayn sik bay we dɛn kin pul di say we di ɔmon dɛn we de na di mami ɛn dadi biznɛs kɔmɔt. Sɔm pikin dɛn kin nid ɔpreshɔn fɔ pul wan tumbu ɔ ɔda tin we de mek dɛn bigin fɔ bɔn pikin kwik kwik wan. Ɔda pipul dɛn kin nid mɛrɛsin dɛn we gɛt stɛroyd, lɛk glukokɔtikoyd. Sɔntɛnde, dɛn kin kɔntrol di sik bay we dɛn pul di say we di ɔmon we de na do kɔmɔt, lɛk di krim we dɛn kɔl ɛstrojen.

Yu tink se dɛn go ebul fɔ mek pɔsin nɔ bɔn kwik?

Bɔku tɛm, i nɔ kin izi fɔ mek dɛn nɔ gɛt dis sik. Bɔt dɛn kin avɔyd am te to sɔm mak bay we dɛn nɔ de yuz di pikin fɔ gɛt ɔmon dɛn we de kɔmɔt na do. Fɔ ɛgzampul, i impɔtant fɔ kip krim, loshan, ɔ ɔda mɛrɛsin dɛn we gɛt ɛstrojen ɔ tɛstostɛron usay pikin dɛn nɔ go ebul fɔ rich.

Aw di pikin dɛn we gɛt dis sik go tan lɛk tumara bambay?

Di fiuja fɔ pikin kin dipen pan bɔku tin dɛn:

• Bone ej
• Di pikin in ej we di sik bigin
• Aw dis tin bin de apin kwik kwik wan
• Di pikin in tritmɛnt plan

Bɔt natin nɔ de fɔ fred. If dɛn no am kwik ɛn trit am wit mɛrɛsin ɔ if nid de, dɛn du am ɔpreshɔn, bɔku tɛm dɛn kin kɔntrol di sik. Dɔn di pikin kin gro wit nɔmal pawa ɛn rich big pɔsin.

Ustɛm a fɔ tɔk to dɔktɔ bɔt dis?

If yu pikin sho ɛni sayn fɔ se i nɔ rich 8 ia yet (if na gyal pikin) ɔ 9 ia (if na bɔy pikin), go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Yu tink se mi pikin rili de go tru di tɛm we i de bɔn kwik kwik wan?
• Wetin mek dis dɔn apin to mi pikin?
• Us tritmɛnt yu kin advays fɔ mi pikin?
• Mi pikin nid mɛrɛsin fɔ kɔntrol dis sik?
• Sɔpɔt grup dɛn de we de ɛp pikin dɛn we kin rich dɛn yɔŋ pipul dɛn kwik kwik wan?
• Yu tink se wi fɔ go to dɔktɔ we de mɛn pikin dɛn we de mɛn pikin dɛn?

Wetin mek i tan lɛk se gyal pikin dɛn de go tru di tɛm we dɛn de bɔn fɔs dɛn tɛm ya?

Insay kɔntri dɛn lɛk Amɛrika, dɛn kin se wan tin de we kin mek gyal pikin dɛn bigin fɔ bɔn pikin bifo tɛm. Wan rizin fɔ dis kin bi bikɔs di pipul dɛn we fat pasmak de bɔku na dɛn kɔntri dɛn de. Di wan dɛn we de stɔdi bɔt dis tɔk se sɔntin gɛt sɔntin fɔ du wit we pɔsin gɛt ay Bɔdi Mas Indeks (BMI) ɛn we i de gro kwik kwik wan. Dɛn biliv bak se if yu it bɔku tin dɛn we dɛn dɔn prosɛs ɛn we gɛt bɔku fat, dat kin mek bak yu bɔn kwik kwik wan.

Dɔn bak, dɛn se etnik grup kin afɛkt dis. Fɔ ɛgzampul, dɛn ripɔt se blak ɛn Hispanik gyal pikin dɛn na Amɛrika kin rich dɛn yɔŋ pipul dɛn bifo tɛm pas ɔda pipul dɛn we gɛt difrɛn kɔlɔ. Bikɔs fɔ fat pasmak kin bɔku pan dɛn grup ya, dat kin bi bak di rizin fɔ dis inkris we dɛn kin gɛt we dɛn bigin fɔ bɔn pikin.

Bɔt bɔku tɛm, dɛn tin ya na stɔdi dɛn we dɛn kin du na ɔda kɔntri dɛn. Di tin we de apin na wi kɔntri kin difrɛn. So , if yu gɛt ɛni dawt bɔt yu pikin, di bɛst tin fɔ du na fɔ go to dɔktɔ.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

We di pikin ɛn in mama ɛn papa smɔl, i kin tranga smɔl fɔ di pikin ɛn in mama ɛn papa. Bɔt i impɔtant fɔ no bɔt dis.

• If yu notis sayn dɛm fɔ mek yu bɔn pikin kwik kwik wan (bifo yu ol 8 ia fɔ gyal pikin ɛn bifo yu ol 9 ia fɔ bɔy pikin), nɔ tek am layt. Go to dɔktɔ wantɛm wantɛm.
• Bɔku rizin dɛn kin de fɔ dis. Sɔntɛnde, dɛn nɔ kin fɛn klia rizin. Bɔt, di tɛst we dɛn kin du wit dɔktɔ kin ɛp fɔ no.
• Tritmɛnt dɛn de we go wok fayn. If dεn no am kwik εn trit am, dεn kin mεnten di pikin in divεlכpmεnt nכmal wan.
• Yu fɔ mɛmba yu pikin in maynd wɛl bɔdi bak. Sɔntɛm i nɔ kin izi fɔ dɛn fɔ gri wit dis chenj. Gi dɛn lɔv ɛn sɔpɔt. Rifer dɛn to advays if nid de.

Di tin we impɔtant pas ɔl na fɔ no se nɔto yu wangren de. Dɔktɔ dɛn de fɔ ɛp yu ɛn yu pikin. So nɔ fred, ɛn go to dɔktɔ ɔltɛm we yu gɛt dawt.

` Precocious Puberty, ɔmon, pikin divɛlɔpmɛnt, puberty, gyal pikin, bɔy pikin