I fa chu a kum hmain naupang lian tak angin a che em? Precocious Puberty chungchang hi i zir dawn nia.

I fanu emaw, i fapa emaw chu an hun hmaa naupang tê ang maia che emaw, taksa lama inthlak danglamna lantir emaw angin i inhriat ngai em? Naupang thenkhat chuan an hun hmain puitlin tawhna chhinchhiahna an lantir thei tak zet a ni. Vawiin hian he dinhmun ‘precocious puberty’ emaw, doctor-te’n `(Precocious Puberty)` an tih ang chi hi kan sawi dawn a ni. Ngaihtuah buai suh, he thu hi awlsam takin kan sawi dawn a ni.

Chuti a nih chuan he puitlin hma hi eng nge ni?

Puberty hi naupang taksaah inthlak danglamna lian tham tak a tawk a, zawi zawiin puitling mizia an lo nei tan hun a ni. Hei hi thil pianpui tak a ni. A tlangpuiin i fa thluaka hmun tlemte, hypothalamus an tih hi a awm a. Hetah hian hypothalamus hi a intan a ni. Chemical thenkhat hormone an tih te a tichhuak thin. Chumi hnuah chuan heng hormone te hian thluaka gland te tak te dang pituitary gland an tih hnenah signal an thawn leh thin. Chumi hnuah chuan pituitary gland chuan hormone chi dang gonadotropins tih chu a tichhuak leh a. Heng gonadotropins te hi naupang sex glands-ah direct-in an kal a, chu chu gonads an ti a ni. Mipaah ​​chuan hengte hi ``testicles'' an ni.Hengte hian hormone ``testosterone'' an siam a, hmeichhiaah chuan hengte hi ``ovaries'' an ni.Hengte hian hormone ``estrogen'' an siam chhuak a ni.

A tlangpuiin hmeichhe naupang chuan kum 8 leh 13 inkar a puitlin tan a, mipa naupang chuan kum 9 leh 14 inkar a puitlin tan a, mahse, hetiang a nih chuan ``Precocious Puberty`` ah hian he thil hi a hma zawk hle. Chu chu hmeichhe naupang chuan kum 8 a tlin hmain heng chhinchhiahnate hi a lantir tan a, mipa naupang chuan kum 9 a tlin hmain heng chhinchhiahnate hi a lantir tan tihna a ni .

Precocious puberty chi hrang hrang lian ber ber a awm em?

Ni e, chi hnih a awm a. Eng nge an nih i en ang u.

1. Central Precocious Puberty (a puitlin hma) a ni

Hei hi a tam ber chi a ni . Heta thil thleng chu naupang thluak hian beisei hun hmain hormone ‘Gonadotropin-releasing hormone (GnRH)’ tih chu a tichhuak tan a ni. Hei hian testicles leh ovary te hian sex hormone, ‘androgens’ te chu a hun hmain a tichhuak thin.

2. Peripheral Precocious Puberty (a puitlin hma) a ni

Hetiang chi hi naupang chi thlahtu, ovary, testicles, adrenal glands-a harsatna awm vang a ni. A chang chuan he dinhmun hi pawn lam atanga taksa chhunga hormone lut vang pawh a ni thei. Hei hi gonadotropin-independent precocious puberty an ti bawk.

He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?

Dik tak chuan naupang tu pawhin hetiang dinhmun hi puitlin hma hian an tawng thei a ni. Mahse, mipa aiin hmeichhiaah a tam zawk.

A hluar danah chuan he natna hian hmeichhe naupang 10,000 zinga 20 vel a nghawng a, mahse mipa 10,000 zinga 5 aia tlem lo a ni.

Engvangin nge miten puitlin hun an thlen hma em em? A chhan engte nge ni?

A chhan chu a hmaa kan sawi tawh chi hrang hrang a zirin a inang lo.

Central Precocious Puberty awm chhan te

Sawi tawh angin hei hi thluak atanga hormone `(GnRH)` a chhuah hma vang a ni. Thil tam takah, a bik takin hmeichhe naupangteah chuan hei hi a chhan chiang tak hmuh a harsa hle. Mahse, a chang chuan heng ang thilte hian a thlen thei a ni:

• Brain trauma a ni
• Thluak natna (brain tumor) a awm
• Thluak natna a awm
• Thluak lama thil dik lo awm
• Radiation hmanga enkawl mek a ni

Peripheral Precocious Puberty awm chhan te

Hetiang chi hi naupang reproductive organs emaw adrenal glands-a harsatna awm vang a ni. Entir nan:

• Ovary, testes emaw adrenal gland emaw tumor a awm thei
• ``Human Chorionic Gonadotropin (HCG)`` tih hormone siamtu tumor te
• Genetic condition thenkhat, entirnan, McCune-Albright syndrome.
• Hypothyroidism na tak a awm
• Adrenal glands natna, entirnan, ``Congenital adrenal hyperplasia`` tih te hi a ni.

A châng chuan, naupang taksa pâwn lam aṭanga hormone inhriat tawnna pawh hi a chhan a ni thei bawk. Cream, damdawi, emaw, estrogen, testosterone, androgens awmna supplement ang chi thilte hi han ngaihtuah teh.

Precocious puberty chhinchhiahnate chu engte nge ni? Engtin nge i hriat chian?

Hmeichhia leh mipaah ​​pawh hmuh theih natna lan chhuah dan tlangpui chu hmai vun, taksa rimtui zual, leh taksa sang zual nghal te hi a ni . Chu bâkah, mipat hmeichhiatna lam mizia pawh a hma deuhin a lo lang ṭan bawk.

Ngaihtuah teh, i fanu kum sarih mi chuan a hnute a lo thang lian tih a hmu thut mai a, a nih loh leh i fapa kum riat mi aw chu a inthlak a, hmul a sei tan ta a ni. Hengte hi chhinchhiahna kan tihte chu a ni.

Hmeichhiaah hian natna lan chhuah dan: 1.1.

• Hnute hmasawnna
• Menstruation a intan thin
• Armpit leh private area-a sam sei

Mipa naupangah symptom hmuh tur: 1.1.

• Aw ri bengchheng tak
• Hmai, kutphah leh mimal hmuna sam sei
• Penis leh testicles tihzauh
• Muscle a lo thang lian

He natna hi tute nge vei theihna chance sang zawk?

Pawl thenkhatah chuan he puitlin hma hian an hlauhawmna a sang deuh hlek a ni. Anni chu:

• Hmeichhia te
• Naupang thau lutuk emaw, thau lutuk emaw
• Hnam thenkhat naupang (Research atanga a lan dan chuan hei hi ram danga naupang dum zingah a tam zawk a ni. Hei hi kan ramah hian zirchian belh a ngai a ni.)

Puitling hma avanga harsatna awm thei te chu engte nge ni?

Naupang chu a puitlin hma chuan a sang chho nghal vat a, mahse, a puitlin hun a zawh veleh a thanna chu a tawp ta a ni. Chuvangin, kum inang naupang dang aiin an tawi zawk mai thei. Hei hian naupang chu rilru lamah a nghawng thei a ni.

Thil dang pakhat chu naupang dangte aiin an taksa a inthlak rang zawk hian mualpho leh nuam lo takin an awm thei a ni. Naupang pakhat tan chuan an classmate-te chu naupang tê tê chauh an la nih laiin anmahni taksain inthlâk danglamna lian tak a tawk tih hmuh a harsatzia hi han ngaihtuah teh.

Heng thilte hian naupangte nungchang, rilru leh khawtlang nun lama harsatna a thlen thei a ni. Lungkhamna leh lungngaihna an nei thei. Tin, ruihhlo hmansual leh thil hlauhawm tak takah pawh an tel thei bawk.

Engtin nge doctor-te hian he natna hi an hriat theih?

I fa chu Doctor hnena i hruai dawn chuan a hmasain naupang chu uluk takin a enfiah hmasa ang. I fa damdawi lam chanchin leh i chhungte zingah hetiang dinhmun hi an lo nei tawh em tih te pawh a zawt ang che.

Tichuan hetiang test hi tih theih a ni ang:

• Kut leh kut zungtang X-ray: Hei hian naupang ruh kum a enfiah thin. Taksain sex hormone a siam tam lutuk chuan ruh chu a pangngai aia hmain a puitling thin. Hei hi precocious puberty chhinchhiahna pakhat a ni.
• Thisen test: Hei hian naupang hormone level a enfiah thin. A bik takin, pituitary gland atanga siam hormone ``Luteinizing Hormone (LH)`` leh ``Follicle-Stimulating Hormone (FSH)`` te level a enfiah thin. Heng hormone te hi puitlin hun control tu te an ni. Sex hormone level a check bawk.
• Brain MRI scan: He test hian thluaka tumor ang chi harsatna awm thei chu a paih chhuak thei a ni.
• Pelvic ultrasound: He test hi i fain peripheral precocious puberty a nei nia i rinhlelh chuan tih theih a ni. He test hian hmeichhe naupang ovary emaw adrenal glands-a tumor awm leh awm loh a enfiah a, hengte hian a chang chuan puitlin hma a thlen thei a ni.

Heng test result a zirin i doctor hian pediatric endocrinologist, naupangte hormone nena inzawm natna chungchanga specialist doctor hnenah a refer thei che a ni.

Hei hi eng enkawlna nge ni?

Enkawl dan chu precocious puberty chi hrang hrangah a innghat a ni.

Central Precocious Puberty enkawl dan tur

Hetiang chi hian a tum ber chu pituitary gland atanga hormone `LH` leh `FSH` siam chhuah tihtawp a ni. Hei hian puitlin hun chhinchhiahna a ti hniam a, thlasik hun pawh a tikhawtlai thei bawk. Hei hi damdawi `GnRH agonist` tih hmanga tih a ni tlangpui. Hei hi `Puberty Blocker` an ti bawk. Hei hi mihring siam chhuah synthetic hormone a ni. Hei hi reproductive hormone emaw growth hormone siam chhuah tihtawp nan tih a ni. Doctor chuan he damdawi hi naupang hnenah hian hun bituk chhungin injection angin a pe ang. He enkawlna hi puitlin tan hun dik tak thlenga chhunzawm a ngai a ni.

Peripheral Precocious Puberty enkawl dan tur

Hetiang dinhmun hi sex hormone awmna hmun paih chhuah hmanga enkawl a ni. Naupang thenkhat chu puitlin hmaa an puitlin theihna tur tumor emaw, mass dang emaw lakchhuah nan operation an mamawh mai thei. Mi dangte chuan steroid damdawi, glucocorticoids ang chi an mamawh thei bawk. A châng chuan, pawn lam hormone lo chhuahna hmun, estrogen cream ang chite chu paih chhuakin, he natna hi control theih a ni.

Puitling hma hi ven theih a ni em?

Hetiang dinhmun hi ven a harsa fo thin. Mahse, naupangin pawn lam atanga sex hormone a hmuh theihna tur tihtlem hmangin eng emaw chen chu ven theih a ni. Entirnan, cream, lotion emaw damdawi dang estrogen emaw testosterone emaw awmna chu naupangte hmuh theih lohna hmunah dah a pawimawh.

Hetiang dinhmun nei naupangte hmalam hun chu eng ang nge ni ang?

Naupang hmalam hun chu thil engemaw zatah a innghat a:

• Ruh kum upa lam
• Naupang kum a symptoms a lo lan tan tirh khan
• He dinhmun hi a lo thang chak em em a ni
• Naupang enkawl dan tur ruahmanna

Mahse hlauh tur a awm lo. A hmaa hmuhchhuah a nih a, damdawi hmanga enkawl emaw, a tul chuan operation emaw hmanga enkawl a nih chuan, a tlangpuiin a natna chu control theih a ni. Chumi hnuah chuan naupang chu a chakna pangngaiin a thang lian thei a, puitling a ni thei bawk.

Hemi chungchangah hian engtikah nge doctor ka biak ang?

I fain precocious puberty chhinchhiahna a neih chuan, a bik takin naupang chu kum 8 hnuai lam (hmeichhia a nih chuan) emaw kum 9 (mipa a nih chuan) emaw a nih chuan doctor pan nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• Ka fa hian puitlin hun a paltlang hma tak tak em?
• Engvangin nge ka fa chungah hetiang hian a lo thlen?
• Ka fa tan hian eng enkawlna nge i rawt?
• Ka fa hian he natna hi control turin damdawi a mamawh em?
• Naupang puitlin hmaa puitu support group an awm em?
• Naupang endocrinologist kan hmu tur em ni?

Engvangin nge tunlai hian hmeichhe naupangte hian puitlin hun an paltlang hma deuh niin a lang?

United States ang ramah chuan hmeichhe naupangte puitlin hmaa luh tumna a awm niin an sawi. Chutianga a awm chhan pakhat chu chu ramtea thau lutuk an pun chhoh zel vang a ni thei. Zirchiangtute sawi dan chuan Body Mass Index (BMI) sang tak neih leh hnute hmasawn hi inzawmna a awm a ni. Processed, thau tamna ei tam lutuk hian puitlin hma a thlen thei bawk tih rinna a awm bawk.

Tin, hnam hian hemi kawngah hian nghawng a nei niin an sawi bawk. Entirnan, United States-a hmeichhe naupang dum leh Hispanic te hian hnam dang aiin an puitlin hma zawk niin an sawi. Heng pawl zingah hian thau lutuk hi a tam zawk avangin, chu pawh chu puitlin hmaa he punna chhan pawh a ni thei.

Mahse, hengte hi ram danga zirchianna an neih fo thin. Kan ram dinhmun hi a danglam mai thei. Chuvangin , i fa chungchangah rinhlelhna i neih chuan a tha ber chu damdawi lam thurawn lak hi a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Puitling hma hi naupang leh nu leh pa tan pawh phurrit tlem a ni thei. Mahse hei hi hriat chian a pawimawh.

• Precocious puberty chhinchhiahna (hmeichhia tan kum 8 hma leh mipa tan kum 9 hma) i hmuh chuan ngaihthah suh. Doctor pan nghal rawh.
• Hei hi chhan hrang hrang a awm thei. A châng chuan, a chhan chiang tak hmuh a ni lo thei bawk. Mahse, medical test hian a hriat theih nan a pui thei a ni.
• Enkawlna tha tak tak a awm. A hmaa hriatchhuah a, enkawl a nih chuan naupang thanlenna chu a pangngaiin a vawng reng thei a ni.
• I fa rilru hriselna pawh ngaihtuah reng ang che. He inthlak danglamna hi pawm harsa an ti mai thei. Hmangaihna leh thlawpna pe rawh. A tul chuan counseling-ah refer rawh.

A pawimawh ber chu nangmah chauh i ni lo tih hriat hi a ni. Doctor te chu nang leh i naute tanpui turin an awm reng a ni. Chuvangin hlau suh la, rinhlelhna i neih hunah doctor thurawn zawng fo ang che.

` Precocious Puberty, hormone, naupang thanlenna, puitlin, hmeichhia, mipa