A châng chuan nu leh pa i nih angin i fate taksaa inthlâk danglamna i hmuh hma deuhin i lungngai mai thei. Entirnan, kum 8 i tlin hmaa armpit sam emaw taksa rim emaw ang chi thil i hmuh chuan lungkham hi thil pangngai a ni a, mahse hei hi hlauh tur a ni ngai lo. Vawiin hian natural process ‘Adrenarche’ tih kan sawi dawn a, chu chuan hetiang dinhmun hi a thlen a ni.
Adrenarche chu eng nge ni?
A awlsam zawngin sawi ila, adrenarche hi i fa taksaa thil awm dan pangngai a ni. Naupang adrenal glands-in DHEA (dehydroepiandrosterone) tih hormone a siam tam tan chuan a thleng thin. Hei hi kum 6 leh 8 inkarah a thleng tlangpui a, a dik tak chuan naupangin puitlin hun a paltlang tan hma kum hnih vel atanga tan a ni.
DHEA hi ‘precursor hormone’ a ni. Chu chu kan taksain DHEA a la a, hormone chak dang siam nan a hmang tihna a ni. Chungte chu androgens an ti a. Entirnan, hormone testosterone leh androstenedione . Tin, hormone estrogen hi DHEA atanga siam a ni bawk. Heng androgen hormone te hian puitlin hun a tan tir thin.
Puberty atana rehearsal ang maiin han ngaihtuah teh. Adrenarche hi show tak tak tan hmaa stage siam ang mai a ni.
Adrenarche hi thisen a DHEAS (DHEA hormone chi dang) level tehna atanga hriat theih a ni. Mahse, hei hi thil awmdan pangngai a nih avangin doctor-te chuan naupang tan he test hi an order tlangpui lo.
Adrenarche lai hian taksa chhungah eng nge thleng?
Hetih lai hian naupang adrenal gland pawn lam (cortex)-a layer bik chu puitlin a ni. A puitlin chuan glands te hian hormone DHEA an siam chhuak thin. Chumi hnuah taksa chuan chu DHEA chu hmangin androgen hormone a siam ta a ni. Heng hormone te hian a hnuaia thilte hi a thlen thin:
| Hormone te nghawng dan | A awlsam zawngin... |
|---|---|
| Sebaceous glands te chu a thawk chhuak ta a ni | Vun leh sam hi a thau a, chu chuan taksa rim a tizual bawk. |
| Apocrine glands te chu a thawk chhuak ta a ni | Armpit leh groin ang hmuna special sweat glands te hian hna an thawk tan thin. Hengte hi taksa rimtui thlentu ber an ni. |
| Pubic leh axillary sam a awm | Sam sei tak, dum chu private area (genitals vel) leh armpits hnuaiah a lo lang tan thin. |
Mahse hei hi puitlin hun dik tak (gonadarche) nen a danglam a ni . Puberty dik tak chu hmeichhe naupang ovary leh mipa testicles hmanga hormone siam chhuah a ni. Hei hi hmeichhe naupang hnute thanna leh mipa naupangte serh thang lian tham tak siamtu a ni. Adrenarche leh gonadarche hi independent process pahnih, inzawm lo tak tak an ni.
Adrenarche natna lan chhuah dan chu engte nge ni?
Adrenarche hi chhungril atanga a intan chuan pawn lam atanga chhinchhiahna a awm lo. Chumi awmzia chu DHEA hormone a lo pung tan chuan naupang taksaah danglamna a lang lo tihna a ni.
Mahse, Adrenarche a lo chhuah atanga kum hnih vel hnuah chuan Pubarche an tih period a lo awm ta a ni. Pubarche hi mimal taksa peng hrang hranga sam sei tanna a ni. Hei hi Doctor-te chuan Adrenarche taksa atanga lo chhuak niin an ngai. Hei hi puitlin tanna chhinchhiahna hmasa ber a ni.
Pubarche laiin symptom dang hmuh tur awmte chu:
- Armpit hnuaiah sam a lo thang lian
- Taksa rimchhia
- Vun leh sam thau tak
- Acne a awm
Premature adrenarche tih hi eng nge ni?
Premature adrenarche chu a hmaa kan sawi tawh ang chi, sam sei leh taksa rimchhia te chu beisei aia hmaa a lan chhuah hian a ni. A tlangpuiin, heng chhinchhiahnate hi hmeichhiaah kum 8 an tlin hmain a lang a, mipaah kum 9 an tlin hmain a lang bawk . Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk.
Premature Adrenarche natna lan chhuah dan
- Hmeichhiaah kum 8 emaw, mipaah kum 9 emaw an tlin hmaa pubic leh/ emaw armpit hair lo lang.
- Taksa rim a nasat em avangin deodorant hman a ngai a ni.
- A châng chuan heng naupangte hi an kum rualpui naupang dangte aiin an sang zawk thei.
Hetah hian thil pawimawh tak a awm. Premature Adrenarche -ah chuan hmeichhiaah hnute a lo thang lian lo va, mipaah pawh serh a lian lo. I fa hian heng chhinchhiahna te hi a lantir a nih chuan ‘Precocious Puberty’ tih hming pu natna dang a nih a rinawm. Chuvang chuan Doctor nen inbiak pawh a pawimawh hle.
Engtin nge hei hi i hmuh theih, Doctor?
I fa hian heng precocious puberty chhinchhiahnate hi a neih chuan doctor chuan heng natna thlentu natna khirh tak dang a awm leh awm loh hriat a tum hmasa ang. Hei hian naupang taksa enfiah a, thisen test leh scan te pawh a huam thei bawk. Doctor chuan mipat hmeichhiatna a enfiah hmain i phalna a dil ngei ang.
I doctor chuan naupang endocrinologist hnenah pawh a refer thei che a ni .
| Damdawi lam thil dang doctor-in a hnawl | |
|---|---|
| Precocious Puberty a ni | Puberty tan tirh (hnute, serh leh taksa peng hrang hrang lo thanglian). |
| Pianpui Adrenal Hyperplasia a awm thin | Adrenal glands-a pianpui harsatna a ni. |
| Androgen chhuak thei tumor te | Androgen hormone siamtu tumor chi hrang hrang. |
| Exogenous Androgen atanga lo chhuak a ni | Pawn atanga taksa chhunga lut androgen hormone (e.g., cream thenkhat). |
A chhan lian dang a awm loh thu a finfiah hnuah chauh doctor chuan hei hi ‘Premature Adrenarche’ a ti ang. Hei hi naupang 90% velin a hun hmaa sam an neih chhan a ni.
Premature Adrenarche hi natna hlauhawm tak a ni em?
I fain sam a sei hma lutuk hmuh chu thil hlauhawm tak a ni thei a, mahse adrenarche hmaa a lo awm hi taksa lamah a hlauhawm lo tlangpui.
Mahse, zirchianna chuan heng naupangte hian an naupan laiin thau lutuk , insulin resistance, polycystic ovary syndrome (PCOS), leh rilru lam harsatna thenkhat an nei thei tih hmuhchhuah a ni
Taksa lam chauh ni lovin, hei hian naupang rilru hriselna a nghawng thei a ni . An taksa chu an rualpuite nêna inang lo taka a inthlâk chuan naupang chu a mualpho thei a, a nuam lo a, a inhlat hle bawk. Naupang dangte pawhin an nuihzat mai thei. I fain he thil chungchangah hian a rilru a hah a nih chuan, naupang rilru lam doctor ang mi hnen atangin tanpuina dil a tha ang .
Hemi atan hian enkawlna bik a awm lo. Sam sei tan tawh chuan tihtawp emaw, tihdanglam emaw theih a ni tawh lo. Tin, a tlangpuiin ven theih a ni lo.
Take-Home Thuchah a ni
- Adrenarche hi a pianphung, thil pangngai, puitlin hmaa lo awm thin a ni.
- Premature adrenarche chu a symptoms (armpit/pubic hair, body odor) te chu hmeichhe naupang kum 8 an tlin hmaa a lan chhuah leh mipa zingah kum 9 an tlin hmaa a lan chhuah hian a ni.
- Hetah hian hnute lian emaw, serh lian emaw a awm lo. Chutiang a nih chuan condition danglam tak a ni.
- Hei hi taksa lamah a hlauhawm lo tlangpui a, mahse naupang rilru hriselna a nghawng thei a ni.
- I fa hian heng symptoms te hi a nei a nih chuan hlauthawng lo tur leh a chhan lian dang a awm loh nan chhungkaw doctor pan a pawimawh hle.
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