A châng chuan, nu leh pa i nih angin, i fanu tê tê emaw, i fapa emaw chuan an kum nêna inmil lo takin an taksaah inthlâk danglamna a tawk tih i hre tawh mai thei. Armpit hair an nei a, an taksa atanga rimchhia an lo chhuak a ni mai thei. Hetiang thil i hmuh hian tlem a hlauhthawn leh lungkham deuh hi thil pangngai a ni. ‘Aw, ka fa hian hetiang kum hma hian puitlin hun a paltlang dawn em ni?’ tiin i ngaihtuah mai thei. Vawiin hian nu leh pa tam takin an hlauh, mahse chiang taka an hriat loh he dinhmun hi kan sawi dawn a ni. Damdawi lam hawi chuan hei hi Premature Adrenarche kan ti a ni.
A awlsam zawngin, Premature Adrenarche tih hi eng nge ni?
Hei hi hrethiam tur chuan adrenarche tih hi eng nge a nih tih hi han en hmasa ila. A awlsam zawngin kan kal chungah hian gland te tak te, cap ang chi pahnih kan nei vek a. Chungte chu adrenal glands an ti a. Heng glands te hian kan taksa tana pawimawh hormone engemaw zat an siam chhuak thin.
A tlangpuiin kum 5 vel an nih veleh heng adrenal glands te hi an ‘puitling’ deuh a, hormone chi thar (a bik takin DHEA an tih hormone) an siam tan thin. Hetiang kalphung hi Adrenarche an ti a.
Mahse heng hormone inthlak danglamna te hi taksa chhungah thleng mahse, kum 8 emaw kum 9 emaw vel atang hian a lan chhuah tan tlangpui a, chutih lai vel chuan armpit hair leh pubic hair ang chi thil te chu a lo lang tan thin. Chuvangin, hmeichhe naupangin kum 8 a tlin hmaa heng symptoms te hi a lantir tan emaw, mipa naupangin kum 9 a tlin hmaa heng symptoms te hi a lantir tan emaw chuan chu condition chu Premature Adrenarche kan ti a ni. Chumi awmzia chu thil thleng tur chu tlem a hma deuhin a thleng tihna a ni, chu chu a ni mai.
Hetiang natna lan chhuah dan hi engte nge ni?
I fa pawhin heng symptoms te hi a nei em tih en rawh. Mahse, hei hi dinhmun pawi tak a ni lo tih hre reng ang che. I fa taksa hian a schedule-ah hna a thawk mai mai a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Sam lo sei hmasa ber | Hmeichhiaah kum 8 an tlin hma leh mipaah kum 9 an tlin hmaa armpit emaw private area-a sam sei. |
| Taksa rim nam tak | I thawmhnaw hak chuan puitling rim a nam a, i taksa pawh a rim a nam bawk. A chang chuan, deodorant hman a ngai thin. |
| Average aia sang zawk nih | Kum inang naupang dang aiin a sang zawk. Growth chart-a score sang zawk hmuh. |
| Puitling chhinchhiahna awm lo | Hei hi a pawimawh ber a ni. Hmeichhiaah hnute thanna a awm lo va , mipaah pawh serh thanna a awm lo. Chutiang symptoms a awm chuan Premature Adrenarche a ni lo mai thei a, actual puberty a ni zawk. |
Engvangin nge hnute thang ang chi thil hi a thleng loh?
Hei hi zawhna pawimawh tak a ni. Premature Adrenarche ah chuan hormone hi adrenal gland atanga lo chhuak a ni. Heng hormone te hian sam a ti sei a, thawmhnaw a ti rim bawk.
Mahse, hmeichhe naupang hnute a lo thang lian tur chuan a ovary-ah chuan hormone estrogen an tih chu a siam chhuak tur a ni. Chutiang bawkin mipa naupang serh a lo thang lian tur chuan a testicles te hian testosterone a siam chhuak tur a ni. Heng thil thlengte hi thluak in signal a pek hian premature adrenarche ni lovin puberty dik takah a thleng thin.
Chuvangin hmeichhe naupang he natna nei hian a period a tan dawn tih hlau loh tur a ni. Chutiang a nih theih nan chuan kum engemaw zat a la ngai dawn a ni.
Hetiang dinhmun hi a hlauhawm em? Risk a awm em?
A tam zawkah chuan hei hi dinhmun hlauhawm tak a ni lo. Naute a tichhe lovang. Amaherawhchu, thil tenawm tlemte hriat chian a tha.
- Polycystic Ovary Syndrome (PCOS) hlauhawmna): Hmeichhe naupang adrenarche natna vei te hian naupan lai, chu chu kum naupang zawkah Polycystic Ovary Syndrome (PCOS) an tih hi tlem an nei tam zawk tih hmuhchhuah a ni. PCOS hian period mumal lo, hmai sam duh loh, leh taksa rihna a tipung thei a ni.
- Damdawi lam dinhmun dang: Very rarely , I emphasize again, very rarely, heng symptoms te hi enzyme problem emaw adrenal gland-a tumor emaw chhinchhiahna a ni thei.
Chuvangin i fa hian heng symptoms te hi a neih chuan hlau suh la, doctor hnenah thurawn dil ngei ang tih kan sawi fo thin. Chutiang chuan ngaihtuah tur a awm lo tih i chiang thei ang.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hei hi a chhan dik tak erawh hriat a la ni lo. Adrenal glands te hian kum pangngai aia hma (kum 10 hnuah) DHEA ang hormone an siam tan mai mai a ni.
Mahse hetah hian thil tha tak a awm. Chu chu naupang taksain hormone ‘tam lutuk’ a siam lo va, ‘a hma’ deuhin ‘a dik tawk’ a siam chhuak mai a ni. Chuvangin, a symptoms hi a langsar lutuk lo va, a hmaa hmuh theih chauh a ni.
A chang chuan naupang thau lutuk te ah pawh hetiang dinhmun hi a awm thei bawk . Mahse naupang thau lo zawkah pawh a awm thei. Tin, naupang pian tirh atanga thau lo zawkte pawh an hlauhawmna a sang deuh bawk.
Engtin nge doctor hian hei hi a hriat chian?
I fa chu Doctor hnena i hruai dawn chuan a hmasain naupang chu uluk takin a enfiah hmasa ang. Hengte hi i zawm theih tlangpui chu a ni:
- Naupang than chhoh dan enfiah: Naupang san zawng leh a rih zawng tehna leh thanlenna chart hmanga tehkhin a ni. Naupang chu a thang pangngaiin a thang lian em tih hriat a pawimawh.
- Thisen Test: Thisen a hormone level, a bik takin DHEA-S ang chi hormone level te hi enfiah theih a ni.
- Hand X-ray: Hei hian naupang ‘ruh kum’ a teh a ni. Ruh kum hi naupang kum tak tak aiin a sang zawk hle a nih chuan precocious puberty chhinchhiahna a ni thei.
Mahse, i fain sam a sei hma leh taksa rimtui chauh a neih chuan doctor chuan test dang neih belh a ngai tawh lo tih a rel mai thei. Mahse, symptom dang, hnute lo thanglian ang chi a awm chuan, natna dang a awm loh nan test neih a ngai mai thei.
Hei hi enkawl dan tur a awm em? Engtin nge naupang chu ka puih theih ang?
Premature Adrenarche hi enkawlna bik a awm lo. Puberty control tak tak damdawi awm mahse, he natna hi a nghawng lo.
Chuvângin, enkawl dân ngaihtuah ai chuan naupang rilru ṭhatna lam kan ngaihtuah a ngai a ni . Ngaihtuah teh, a ṭhiante aiin a taksa a inthlak hma chuan a mualpho a, a hlim lo mai thei. Sikul-a a ṭhiante pawhin an nuihzat mai thei. Miin, "Aw, i kutphah hnuaiah moles i nei em?"
Chuvangin nu leh pa i nihna anga i tih theih tha ber chu:
1. I fa chu biak rawh: Hmangaihna nen an taksaa thil thleng chu thil pangngai tak a ni tih hrilh la, heng thilte hi a hnuah midangte chungah a thleng thin tih leh, i chungah tlem a hma deuh chauh a ni tih hrilhfiah rawh.
2. Mahni inrintawkna siam: A thiamnate ngaihlu la, mahni inngaihhlutna siam turin tanpui rawh.
3. Faina chungchang zirtir rawh:Taksa rim thunun nan nitin uluk taka inbual turin zirtir la, a tul chuan deodorant nalh tak hmang turin zirtir bawk ang che.
4. Doctor hmu rawh: Doctor i hmuh a, hei hi hlauh tur a ni lo tih i hriat hunah chuan nang leh i fate hian rilru hahdamna nasa tak in nei ang.
Take-Home Thuchah a ni
- Premature adrenarche chu hmeichhe naupangin kum 8 a tlin hmaa puitlin theihna chhinchhiahna engemaw zat (sam sei, taksa rim) a lantir emaw, mipa naupang kum 9 a tlin hma emaw a nih chuan a ni.
- Hei hi a tlangpuiin dinhmun hlauhawm tak a ni lo va, puitlinna dik tak chhinchhiahna a awm lo va, hnute lo thanglian emaw, mipat hmeichhiatna hmun lian emaw a ni.
- I fa hian heng symptoms te hi a neih chuan i doctor pan ngei ngei tur a ni a, natna khirh dang a awm loh nan leh thurawn mumal tak la rawh.
- Hemi atan hian enkawlna bik a awm lo. A pawimawh ber chu naupangin inthlak danglamna an tawn mekte hi thil pangngai a ni tih hrethiam tur leh an rilru hriselna leh mahni inrintawkna nei reng tura tanpui hi a ni.
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