I fate ṭhian dangte an kum rualpui te chu an sang vek a, an aw a danglam vek a, puitling ang maiin an lang a, mahse i fa chu naupang tlem a la ni tih i hre ngai em? Hei hi nu leh pa tam tak tan chuan a buaithlak deuh a, a hlauhawm deuh thei bawk. "Ka fa chungah thil dik lo a awm em?" Mahse, lungngai suh. Vawiin hian ' Delayed Puberty' tih condition kan sawi dawn a ni.
He puitlin hun sawn hi eng nge ni?
A awlsam zawngin sawi ila, puitlin hun (puberty) chu naupang taksa atanga puitling taksaa fa nei thei tura inthlak danglamna a ni. Hei hi zan khat thil thuah a thleng lo. Hetiang kalphung hi kan thluak, thluaka pituitary gland leh naupang reproductive organs ( hmeichhiaah ovary leh mipa testicles ) inkara inzawmna khirh tak hmanga thunun a ni.
Heng taksa peng hrang hrangte hian hormone an siam chhuah te hi puitlin hun chhunga taksa inthlak danglamna dang thlentu an ni. Hmeichhiaah chuan ovary-in estrogen a siam tam tan a, mipaah chuan testicles-in testosterone a siam tam tan bawk.
A tlangpuiin, hmeichhiate hian kum 8 leh 14 inkarah puitlin chhinchhiahna an lantir tan a, mipa naupang kum 9 leh 15 inkarah an lang tan bawk a, hmeichhiain kum 14 a tlin hma emaw, mipa naupang kum 15 a tlin hma emaw chuan heng inthlak danglamna hi a tan lo a nih chuan ‘delayed puberty’ kan ti a ni. Hei hi eng thil nge a thlen tih hriat tumin doctor pan a tha ber. I doctor chuan hormone specialist, endocrinologist tia koh hnenah a refer thei che a ni.
Puitling tlai lutuk hian eng symptoms nge a neih?
Puitlin hun sawn chu chutiang kum lama a tlangpuiin taksa lama inthlak danglamna awm lohna a ni tih kan hre chiang hle. Hmeichhia leh mipa inthlauhna te hi eng nge ni tih han thlir ila.
Hmeichhe naupang puitlin hun
Hmeichhe naupang puitlin chhinchhiahna hi a chang chuan kum 8 a nih atang pawhin a intan thei a, hengte hi a inthlak danglamna ber a ni.
| Puitling chhinchhiahna | Hrilhfiahna |
|---|---|
| Hnute hmasawnna (Thelarche) . | Hei hi a lan chhuah hmasak ber a ni tlangpui. |
| Hmasawn chhoh zel | Naupang san zawng chu rang takin a pung tan ta a ni. |
| Armpit leh private area-a sam sei | Taksa sam a lo lang tan a. |
| Thlasik lo awm tan dan | Hei hi a tlangpuiin symptom dang a intan atanga kum 2-3 hnuah a thleng thin. |
| Taksa pianzia a inthlak danglam | Hrilhfiahna a awm a, chu chu hip area a zau chhoh ang chi hi a ni. |
Khawngaihin hre reng ang che: I fanu hian kum 14 a tlin meuh chuan hnute a nei tan lo a nih chuan, emaw, kum 16 a tlin hma pawhin thla tin a period a tan lo a nih chuan, damdawi lam thurawn la ngei ang che.
Mipa naupang puitlin hun
Mipa naupang puitlin hun hi kum 9 an tlin hnuah a intan tlangpui a, hengte hi a danglamna ber a ni.
| Puitling chhinchhiahna | Hrilhfiahna |
|---|---|
| Testicles leh penis tihzauh | Hei hi mipa naupang puitlin hun chhinchhiahna hmasa ber a ni. |
| Hmai, kutphah leh mimal hmuna sam sei | hmul leh kawrfual ah sam a lo thang lian. |
| Hmasawn chhoh zel | A san zawng a pung chak a, ke ruh a zau bawk. |
| Aw thuk zawk | Aw chu a "break" a, aw thuk zawk a siam ta a ni. |
Khawngaihin hre reng ang che: I fapa hian kum 15 a tlin meuh chuan heng inthlak danglamna te hi a lantir tan lo a nih chuan, chu chu doctor nen inbiakna neih a pawimawh hle.
Engvangin nge puitlin hun hi a tlai em em? A chhan engte nge ni?
Hriatthiam hmasak tur chu puitlin hun hi mi tin a inang lo hle tih hi a ni. I fate ṭhiante chuan puitlin hun an thleng hma pawhin i fa chu a normal range chhungah a la awm thei tho. Mahse, puitlin hun tihkhawtlai theihna chhan chiang tak tak a awm.
- Chhungkaw lam: Nangmah, chu chu i nu emaw, i pa emaw, i naupan lai khan puitlin hun i thleng tlai deuh a nih chuan, i fa pawhin chutiang bawka a tih theihna chance tha tak a awm ang tih han ngaihtuah teh. Hei hi rochun thil a ni.
- Constitutional growth delay: Hei hi mipa naupang puitlin hun sawn hlat chhan ber a ni. A awlsam zawngin, heng tlangvalte hian mi dangte aiin ruh ṭhan chakna, a nih loh leh “ruh kum” an nei hniam zawk a ni. Hei hi natna a ni lo. Naupang taksa lo thanglian dan chauh a ni. Hun kal zelah heng tlangvalte hian puitlin hun an thleng ang a, an san zawng pangngai an thleng ang.
- Functional causes: A chang chuan thluak hian hormone siam chhuahna signal a thawn tlai thin. Hei hi damdawi lamah chuan (Hypogonadotropic hypogonadism) kan ti a ni. He signal hi a bo chuan pituitary gland hian ovary emaw testicles emaw hnenah hormone siam turin thuchah a thawn lo. Chumi rah chhuah chu puitlin hun sawn a ni.
- Natna rei tak: Naupangin hun rei tak chhung damdawi lam harsatna (e.g., diabetes , kidney disease , asthma, celiac disease) a neih chuan taksaah stress nasa tak a siam thei a ni . Hei hian thanlenna leh puitlin hun a tikhawtlai thei a ni.
- Malnutrition: Taksain a mamawh ei tur a hmuh loh chuan thanlenna a tlahniam thin. Hei hi exercise tam lutuk vang te, ei leh in lama harsatna vang te, ei leh in inthlau lutuk vang te pawh a ni thei.
- Genetic disorders: Genetic condition thenkhat, hmeichhiaah Turner syndrome leh mipaah Klinefelter syndrome te hian puitlin hun a tikhawtlai emaw, absent emaw a thlen thei. Hengte hi hriat theih nan laboratory test neih a ngai a ni.
Engtin nge enkawl a nih?
I fa chu doctor hnena i hruai hunah uluk takin naupang chu a enfiah ang a, a tul chuan thisen test leh kut X-ray neih tir turin a ti ang. X-ray hmang hian naupang ruh kum a hriat theih.
- Condition hnuaia awm enkawl: Puitlin hun sawn hlat chhan chu damdawi lam thil dang a nih chuan, chu natna enkawl dan dik chuan puitlin chu a pianphungah a thleng ang.
- Nghah: Vawi tam tak chu, a bik takin chhungkaw history emaw ``Constitutional growth delay'' condition emaw a nih chuan doctor chuan, "Tlem tal nghak ila," a ti ang. A chhan chu heng naupangte hian an pianphungah, tlai deuh mahse, puitlin hun an thleng dawn a ni.
- Hormone therapy: I fa chu a lungngai hle a, a thiante a inhnukdawk a, infiamna a inhnukdawk a, a nih loh leh sikul hna a buaipui a nih chuan i doctor chuan hormone therapy tan a tum mai thei. Hei hian mipa naupang testosterone leh hmeichhia te tan thla engemaw zat chhung estrogen tlemte pek a huam a ni.
He inenkawlna hi a him em em a ni. Taksa pianphung kalphungte chu ‘push’ tlemte chauh a pe a ni. Thla engemaw zat hnuah chuan puitlin tawhna chhinchhiahna a lo awm tan chuan enkawlna chu tihtawp a ni. Tichuan taksa hormone ngeiin a bak chu a buaipui ta a ni.
Hei hian naupang chu rilru lamah a nghawng thei ang em?
Awle. Hei hi kan ngaihven ber tur a ni. Hei hi damdawi lama hlauhawm tak ni lo mah se, naupang rilru tan chuan lungkhamna nasa tak a ni thei. Naupang pakhat chauh chu an ṭhiante zawng zawng an lo puitlin laia naupang tê chauh a nih chu a lungchhiatthlâkzia hi han ngaihtuah teh.
- Mahni inngaihsakna hniam tak an nei thei .
- Naupang dangte’n an hnawhchhuah leh an tihbuai pawh an ni thei.
- Sports team leh social activities-ah te pawh hnawhchhuah i ni thei.
- Naupang thenkhat chuan depression ang chi dinhmun pawh an tawk thei bawk .
Nu leh pa i nih anga i tih theih ropui ber chu i fate rilru chakna pek hi a ni.A tha e. I fa chu hei hi tihkhawtlai mai a ni tih hrilh fo la, hun kal zelah a thiante ang bawkin a lo seilian ang tih hrilh fo ang che. I fa thusawi ngaithla rawh. A rilrua thil awm chu sawi rawh se. A tul chuan i fa biak theih nan counselor tanpuina lak a tha bawk.
Take-Home Thuchah a ni
- Puitling tlai hi thil awm dan tlangpui a ni. Chhungkaw chanchin emaw, naupang taksaa hmasawnna pangngai emaw avanga lo awm a ni fo.
- Hmeichhiain kum 14 a tlin hmaa puitlin chhinchhiahna a lantir loh chuan, mipa naupangin kum 15 a tlin hma chuan damdawi lam thurawn lak a pawimawh.
- Hetiang natna vei naupang tam zawk hi chu an pianphungah emaw, hun rei lote chhunga enkawl emaw pawh ni se, a hun takah puitling san zawng leh taksa pianphung pangngai an nei thei a ni.
- I fa taksa hriselna bakah an rilru hriselna pawh uluk takin enkawl rawh. Hmangaihna leh thlawpna pek hi a pawimawh hle.
- Ringhlelna i neih chuan rinhlelhnaah innghat ngai suh la, doctor thiam tak hnen atangin thurawn la rawh.
Puitlin hun tlai, puitlin hun tlai, naupang thanlenna, hormone lama harsatna, tleirawl, naupang hriselna, constitutional growth tihkhawtlai
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