I fa hian puitlin hun sawn a tawk em? (Delayed Puberty) Hemi chungchang hi han sawi ila!

A châng chuan, ‘Aw, ka fa hi naupang tê a la ni a, naupang dang angin a seilian ang em?’ tiin i ngaihtuah mai thei. A nih loh leh nangmah ngei pawh tleirawl i nih chuan, ‘Ka thiante zawng zawng an danglam vek tawh a, ka chungah eng nge pawi?’ tih hi. Hei hi nu leh pa tam tak tan pawh zawhna buaithlak tak a ni thei a, naupang tê tê tân pawh a ni thei bawk. Vawiin hian puitlin hun chu eng nge a nih, engvangin nge a tlai tih leh hetiang hun lai hian eng nge tih tur tih te han sawi ila. Ngaihtuah buai suh, awlsam takin engkim kan sawifiah vek ang.

Puitling thleng tur hian eng nge a awmzia?

A awlsam zawngin, puitlin hun hi i taksa chu naupang taksa atanga puitling taksa a inthlak hun a ni. Hemi chhung hian i taksa hian inthlak danglamna tam tak a paltlang thin. Heng inthlak danglamnate hi i hmu tan ta a ni. A tlangpuiin hmeichhe naupangte hian heng inthlak danglamna hi kum 8 leh 14 inkarah an tan a, mipa naupangte hian kum 9 leh 15 inkarah an tan thin a, tunah chuan he kum zat hi engtiang chiahin nge a zau tih hi han en teh. Chu chu naupang thenkhat chuan puitlin hun an tan hma deuh tihna a ni a, thenkhat chu a tlai deuh tihna a ni. Hei hi thil pangngai tak a ni. Chuvangin i taksa chu i thiante aiin kum engemaw zat hma emaw, a hnu emaw a inthlak tan a nih chuan lungngai suh, a dik em? Mahse, a chang chuan he kum pangngai hnuah pawh i taksa hi a danglam tan ngai lo. Chu chu `(Delayed Puberty)` emaw "delayed puberty" emaw kan tih chu a ni. Mahse ngaihtuah buai a ngai lo, a chhan chu a tam zawkah chuan doctor te hian naupang te te hi he puitlin hun tlai tak hi an pui thei a, midangte nen an inthlau hle.

Puberty-a natna lan chhuah dan tlangpui chu engte nge ni?

Awle, tunah chuan puitlin hun kan thlen chuan taksaah eng inthlak danglamna nge thleng tih i en ang u.

Hmeichhe naupang tan inthlak danglamna:

Hmeichhe naupang i nih chuan hengte hi i hmu mai thei:

• I hnute chu a lo thang tan ta .
• Pubic hair hi mimal hmunah a lo lang tan thin.
• Vawikhatmah i sang chho ta a, chu chu "growth spurt" i nei tihna a ni.
• You are menstruating , i period tan tawh tihna a ni.
• Taksa pianzia a inthlak a, hip area a zau a.

Mipa naupang tan danglamna:

Tlangval a nih chuan heng inthlak danglamna te hi i hmu mai thei:

• Pubic leh hmai vun hi mimal hmunah a lo lang tan thin.
• Tin, i sang nghal bawk (growth spurt).
• I testicles leh penis te chu a lo thang lian tan thin.
• Taksa pianzia a danglam – kekawrte chu a zau a, taksain taksa ruh (muscle mass) a nei a, a hmel pawh mipa lam a ni.

Heng inthlak danglamna zawng zawng hi kan taksaa sex hormone awm vang a ni. Mipa naupangah ``Testosterone`` leh hmeichhiaah ``Estrogen`` tih hormone hi he hun chhung hian a hma aiin a tam zawkin a chhuak tan a ni. Chuvang chuan heng inthlak danglamna zawng zawng hi a thleng thin.

Puitling tlai lai hian eng nge thleng?

Tunah chuan puitlin hun sawn hlat (delayed puberty symptoms) chu eng nge ni tih i lo en ang u. Hengte hi a lan chhuah dan tlangpui chauh a ni a, mahse heng zinga pakhat emaw pahnih emaw i neih chuan hlauthawng suh. A tha ber chu damdawi lam thurawn lak hi a ni.

Mipa naupang puitling tlai lam chhinchhiahna: 1.1.

• Kum 14 tlin meuh chuan penis leh testicles te chu a lo thang tan lo a nih chuan.
• Kum 5 aia rei a ngai a nih chuan genitals thanna a famkim theih nan.
• I thian dangte aiin i tawi zawk a nih chuan he hun chhung hian an thang chak zawk vang a ni.

Hmeichhe naupangte tihkhawtlai chhinchhiahna: 1.1.

• Kum 14 i tlin hmaa i hnute a lo than chhoh tan loh chuan.
• I hnute lo seilian atanga kum 5 chhunga thlasik i neih tan loh chuan, kum 16 i tlin hma pawhin.

Hengte hi chhinchhiahna tlanglawn tak mai a ni tih hre reng ang che. Hemi chungchangah hian nangmah emaw i fain emaw ngaihtuahna i neih chuan doctor pan a tha ber.

Engvangin nge puitlin hun hi a tlai em em? A chhan engte nge ni?

Pangpar hi hun hrang hranga a par ang bawkin mi pawh an par ve bawk. Mahse a chang chuan hetianga tihkhawtlai chhan bik a awm thei.

Chhungkaw chanchin hi a pawimawh em? (Chhungkaw chanchin) .

Vawi tam tak chu hei hi rochun thil a ni. A dik zawk chuan chhungkaw chhunga hmasawnna kalphung (pattern of development) a ni. I nu, i pa, i pa u, i pi, i unaupa, i farnu, i naupang zawk, i unaunu naupang zawk emaw, i chhungte dang emaw chuan puitlin hun an thleng tlai deuh mai thei. Hei hi "constitutional delay" an ti a, a nih loh leh "late bloomer" tih mai mai a ni. Hei hi a tlangpuiin enkawl a ngai lo. Hetiang naupang tê tête hian a hun takah puitlin hun an thleng a, mi dangte aia tlai deuh pawh ni se, mahse a pangngaiin.

Natna thenkhatte pawhin a nghawng thei em? (Damdawi lam harsatna) .

Ni e, natna thenkhat chuan puitlin hun a tikhawtlai thei bawk.

• Damdawi lam natna rei tak ṭhenkhat, zunthlum , cystic fibrosis , kal natna, a nih loh leh asthma te hian puitlin hun a tikhawtlai thei a ni. Heng dinhmunte hian an thanlenna a nghawng thei a ni. Mahse , heng dinhmunte hi uluk taka enkawl leh enkawl a nih chuan, puitlin hun sawn hlat theihna a tihziaawm thei a ni.
• Chutiang bawkin, ei leh in lama harsatna nei – chu chu ei leh in leh ei leh in tha tawk lo tak tak te hian an rualpui ei leh in hrisel, inthlau tak ei thinte aiin puitlin hun an thleng tlai thei a ni. Entîr nân, ei leh in lama harsatna nei ṭhalaite, anorexia nervosa ang chite chu a châng chuan an taksa a ṭhang ṭha lo hle a, an taksa a ṭhang ṭha lo.
• Hmeichhe naupang workout tam tak leh infiamna an khelh chuan an taksa chu a cher hle thei a, chu chuan puitlin hun a tikhawtlai thei a ni. Hmeichhe naupang taksa hian puitlin hun a thlen theih nan leh thlasik a neih tan theih nan thau engemaw zat a mamawh a.
• Thil dang pakhat chu kan thluaka pituitary gland leh kan kawr chhunga thyroid gland-a harsatna awm hian puitlin hun a tikhawtlai thei bawk. Heng gland te hian taksa thanlenna leh thanlenna atana pawimawh hormone an siam chhuak thin.

Chromosome lama harsatna awm thei

A châng chuan, a hun taka puitlin hun thleng lote chuan an chromosome-ah harsatna an nei thei. Chromosomes hi DNA chi hrang hrang ang mai a ni a, chutah chuan kan taksa a lo thanglian dan tur blueprint a awm a. Heng chromosome-te harsatna hian hmasawnna pangngai a nghawng thei a ni.

• Entirnan, natna pakhat `(Turner Syndrome)` tih hi a ni. Hei hi hmeichhe naupang X chromosome pahnih zinga pakhat a dik lo emaw, a hloh emaw vang a ni. Hei hian hmeichhe naupang than chhoh dan te, ovary te thanlen dan te, sex hormone siam chhuah dan te a nghawng a ni. Hmeichhia enkawl loh `(Turner Syndrome)` vei te hi a tlangpui aia tawi zawk an ni a, a pangngaiin puitlin hun an thleng lo thei a, hriselna lama harsatna dang an nei thei bawk.
• Mipa naupangte vei Klinefelter Syndrome an tih dinhmunah chuan X chromosome extra (XY aiah XXY) neiin an piang a ni. Hetiang dinhmun hian mipat hmeichhiatna lama hmasawnna a tikhawtlai thei a ni. Hetiang natna vei mipa naupangte hi an kum aiin an sang zawk tlangpui a, zirlai harsatna an nei thei a, hriselna lama harsatna dang pawh an nei thei bawk.

Hei hi chhan tam tak a awm thei a, chuvang chuan a chhan dik tak hriat tumin doctor pan a pawimawh hle.

Engtin nge delayed puberty hi hriat chhuah a nih?

Thu lawmawm tak chu harsatna a awm chuan doctor-te chuan naupang tê tê, puitlin hun sawn tlai te chu an ṭanpui thei tlangpui a, an ṭhanlenna chu kawng dik zawh leh theih a ni. Hemi chungchangah hian nangmah emaw i fain emaw ngaihtuahna i neih chuan i doctor nen appointment siam ngei ngei tur a ni. Doctor chuan:

• A hmasa berin i enfiah ang (physical exam).
• I chhungkuaah hian hetiang growth pattern (medical history) hi an nei tawh em tih zawt rawh.
• Damdawi ei tur i neih leh neih loh an zawt thin.
• I growth chart an en a, harsatna awm tih hriattirna pattern a awm leh awm loh an enfiah thin.

Chu bakah, doctor chuan test a ti thei bawk a, chungte chu:

• Thyroid, pituitary, chromosome emaw, harsatna dang emaw enfiah turin thisen test tir a ni thei bawk.
• I ruhte chu a lo thang tha em tih hriat nan "Bone Age X-ray" tih tir theih a ni.

Hei hi engtin nge enkawl a nih?

A tam zawkah chuan doctor-te hian taksa lama harsatna hnuaia awm an hmu thei lo. Thalai puitlin hun sawn tlai tam tak chu a tlangpui aia tlai deuhin an lo thanglian chauh a ni. Midangte chu a hun takah an man chhuak thin. Mahse, doctor-te chuan harsatna an hmuh chuan pediatric endocrinologist — naupang leh ṭhalai ṭhanlenna lama harsatna nei enkawltu doctor — emaw, specialist dang emaw hnenah test leh enkawlna dang nei turin an refer thei che a ni. "Late bloomer" thenkhat tan chuan doctor-te chuan hormone therapy an pe thei bawk:

• Mipa naupang tan chuan hun rei lote chhunga hormone ``Testosterone'' (thla 4-6 chhung injection anga pek thin) hmanga enkawlna pek theih a ni a, chu chuan puitlin hun inthlak danglamna a tan tir thei a ni.
• Hmeichhia tan chuan hormone ``(Estrogen)'' hi thla 4-6 vel pek theih a ni a, chu chuan hnute a lo thang tan thei a ni.

He enkawlna hi a zawh hnuah chuan i taksa hormone ngeiin hna a thawk tan tlangpui ang a, puitlin hun chu i zo tawh ang. A nih loh chuan i doctor chuan sex hormone rei tak ei chungchang a sawipui ang che.

Hetiang dinhmun hi engtin nge i nunpui? Engtin nge i rilru i siam?

I ṭhian zawng zawng chu puitling leh danglam vek an nih chuan nangmah chauh i ni lo tih pawm a harsa thei. Mi zawng zawng angin i awm ngai lovang tih i inhriat mai thei. Doctor emaw, i nu leh pate emaw pawhin, "Engkim a tha vek" an ti che a nih pawhin, nangmah nghawng thei thil thleng nghah chu thil awlsam a ni lo.

Lungngaihna, mahni chauha awm, emaw, lungngaihna i neih emaw, i sikul hnathawh emaw, harsatna dang emaw a nghawng a nih chuan , i nu, i pa, doctor emaw, i rintlak puitling dang emaw chu biak ngei ang che. I biak theih tur counselor emaw therapist emaw zawng turin an pui thei che a ni. I rilru put hmang an hrethiam thei a, i hmachhawn dan tur an zirtir thei bawk.

Puitlin hun tlai chu eng ang pawhin pawm mah la, hmachhawn harsa tak a ni thei. Mahse, a tlangpuiin enkawl theih harsatna a ni. I hmasawnna chungchangah ngaihtuahna i neih chuan tanpuina zawng hi a tlai ngai lo.

A tawp berah chuan thil hriat reng tur

Chuvangin, kan sawi tawh atang hian i tan thil pawimawh thenkhat chu hetiang hi a ni:

• Puitling hun sawn hlat chhan hrang hrang a awm thei.
• Vawi tam tak chu hei hi chhungkuaa thil kal tlanglawn tak a ni ("late bloomer").
• A tam zawkah chuan damdawi lam tanpuina a awm thin.
• Hemi chungchangah hian nangmah emaw, i fain emaw rinhlelhna i neih chuan Doctor pan hreh suh.
• Hemi hun chhunga i rilru hahna tihziaawm nan hian i rintlak tak nena inbiakna neih a pawimawh hle.

Nangmah chauh i ni lo, tanpuina a awm reng!

---

puitlin tlai, puitlin tlai, hormone, tleirawl thanlenna, damdawi lam thurawn, ei leh in, constitutional delay