Tus Sau: William Ramirez
Hnub Kev Tsim: 15 Lub Cuaj Hli Ntuj 2021
Hloov Hnub: 17 Lub Kaum Ib Hli Ntuj 2024
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Lwm Yaj Cover Tsis pub koj muaj 3 hnub zoo  nkauj tawm tshiab 2019-2020
Daim Duab: Lwm Yaj Cover Tsis pub koj muaj 3 hnub zoo nkauj tawm tshiab 2019-2020

Puberty yog lub sijhawm thaum tus neeg lub cev kev sib deev thiab lub cev cwj pwm paub tab. Txoj kev pub rau lub cev tsis muaj zog yog thaum cov kev hloov lub cev no tshwm sim ntxov dua li ib txwm.

Puberty pib ntawm 8 thiab 14 xyoo rau cov ntxhais thiab hnub nyoog 9 thiab 16 rau cov tub.

Lub hnub nyoog muaj tseeb uas tus me nyuam nkag mus txog kev pub dawb yog nyob ntawm ntau yam, suav nrog tsev neeg keeb kwm, khoom noj khoom haus, thiab kev sib deev.

Feem ntau cov feem ntau tsis muaj ib qho tseeb ua rau muaj kev ncaj ncees pub dawb. Qee qhov xwm txheej yog vim muaj kev hloov hauv lub hlwb, teeb meem caj ces, lossis qee yam qog uas tso cov tshuaj hormones. Cov mob no suav nrog:

  • Kev tsis zoo ntawm cov noob qes, zes qe menyuam, lossis qog adrenal
  • Lub qog ntawm hypothalamus (hypothalamic hamartoma)
  • Cov qog uas tso cov tshuaj hormone hu ua human chorionic gonadotropin (hCG)

Hauv cov menyuam ntxhais, kev ncaj ncees sai sai yog thaum ib qho ntawm cov hauv qab no txhim kho ua ntej hnub nyoog 8:

  • Ntog los yog plaub
  • Pib tawm tuaj kom nrawm dua
  • Lub mis
  • Thawj lub sijhawm (coj khaub ncaws)
  • Cev qaj sab nraud

Hauv cov tub hluas, xwm txheej ceev tau tiav nkauj tiav nraug yog thaum muaj qee yam hauv qab no ua ntej hnub nyoog 9:


  • Ntog los yog plaub
  • Kev loj hlob ntawm cov noob qes thiab noov
  • Cov plaub hau rau lub ntsej muag, feem ntau yog thawj zaug ntawm daim di ncauj sab saud
  • Kev loj hlob nqaij
  • Lub suab pauv (tob zuj zus)

Tus kws saib xyuas kev noj qab haus huv yuav ua ib qho kev kuaj mob lub cev kom kuaj xyuas seb puas muaj kev ua nkauj nraug tsis raws cai.

Kev ntsuam xyuas uas yuav raug txiav txim suav nrog:

  • Kev kuaj ntshav los kuaj cov qib theem.
  • CT lossis MRI scan ntawm lub hlwb lossis lub plab zom mov kom txiav tawm qog.

Raws li qhov tsim nyog, kev kho rau cov laus pub dawb muaj xws li:

  • Cov tshuaj kho mob kom tsis txhob tso tawm cov tshuaj hormones deev, txhawm rau txhawm rau ncua kev loj hlob tiav nkauj nraug. Cov tshuaj no yog muab los ntawm kev txhaj tshuaj lossis txhaj tshuaj. Lawv yuav muab kom txog thaum lub hnub nyoog ib txwm tiav nkauj tiav nraug.
  • Kev phais kom tshem tawm cov qog.

Cov menyuam yaus nrog kev paub txog kev sib deev thaum ntxov yuav muaj teeb meem kev xav thiab kev sib raug zoo. Cov menyuam yaus thiab cov hluas yuav tsum xav ib yam li lawv cov phooj ywg. Kev loj hlob ntawm kev sib deev thaum ntxov yuav ua rau lawv tshwm sim sib txawv. Cov niam txiv tuaj yeem pab txhawb lawv cov menyuam los ntawm kev piav qhia tus mob thiab seb tus kws kho mob npaj kho nws li cas. Tham nrog tus kws kho mob hlwb lossis tus kws pab sab laj tswv yim kuj yuav pab tau.


Cov menyuam yaus uas dhau los ntawm kev pub dhau ntxov dhau lub sijhawm tej zaum yuav tsis ncav cuag lawv qhov siab vim tias kev loj hlob nres ntxov dhau.

Mus ntsib koj tus menyuam qhov chaw zov menyuam yog:

  • Koj tus me nyuam qhia cov kev muaj txiv neej ua txhaum
  • Ib tus menyuam twg uas muaj kev sib deev ntxov yuav muaj teeb meem hauv tsev kawm lossis nrog lwm tus neeg

Qee hom tshuaj uas kws kho mob muab rau siv nrog rau qee yam tshuaj yuav muaj cov tshuaj hormones thiab yuav tsum zam.

Koj tus menyuam yuav tsum yuag yuag.

Pubertas praecox

  • Cov qog endocrine
  • Cov txiv neej thiab poj niam ua tiav txiv neej

Garibaldi LR, Chemaitilly W. Kev ua tsis ncaj ncees ntawm kev nthuav dav pubertal. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 578.


Haddad NG, Eugster EA. Thib tsis kam pub. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 121.

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