Premature puberty: diagnosis and treatment

Content

  • What are the signs and symptoms of early puberty
  • What are the reasons for early puberty
  • How to diagnose premature puberty
  • What are the complications of premature puberty
  • How to treat premature puberty
  • How is the adaptation for premature sexual maturation

  • Publity (from lat. Rubertas
    - sexual maturity) - a period in the development of a person during which by
    deep internal rearrangements he reaches puberty (ability to
    reproduction). In the process of puberty in the body of the child occur
    Physical, hormonal and sexual changes. Poland is considered to be
    Early or premature, if it starts earlier eight years in girls and
    Nine years in boys.

    Research is convincing
    Prove that early puberty is observed worldwide.
    Picture is as follows:
    Each sixth girl in the USA, Australia and Great Britain
    Maturation begins
    at the age of eight years. Studies also showed that first
    Maturation is more common among Africans and Americans,
    But the reasons for this phenomenon are still unknown. In addition, the probability
    Premature
    The beginning of the pubertal period is higher in children with overweight.



    What are the signs and symptoms of early puberty

    Signs of premature
    puberty appear at an earlier age than usual.Here
    The most common features:.


    Girls:

    • Growth and breast augmentation
    • Hair growth in the axillary depressions and on the pubis
    • The rapid growth of the body
    • First menstruation (Menarche)
    • Acne
    • Changing the smell of the body


    Boys:

    • Increase the size of the testicles
    • Hair growth on face (as
      Rule begins with hair growth over the upper lip), on the pubis and armpits
    • The rapid growth of the body
    • Breaking and rooting
    • Acne
    • Changing the smell of the body

    Some children have «Partial»
    Early puberty. W
    girls rapidly increase breasts, but soon growth is stopped, or
    same not accompanied by the emergence of other physical signs of sexual
    Maturation. In this case, the child should show a doctor to identify in a timely manner
    Possible diseases or violations. As a rule, partial early puberty
    does not require medical intervention, and all other signs of sexual
    maturation appear at appropriate age.



    What are the reasons for early puberty

    Premature beginning of the puberty can contribute
    Anomalies of the organs of the sexual system (ovaries in girls and testicles
    boys). Diseases of ovarian and thyroid
    glands can also cause premature puberty.

    Sometimes premature puberty
    Is a consequence of structural brain disorders, such as tumors, brain injury
    As a result of injury of the head, or transferred infectious disease (meningitis).
    Most girls have sex ripening early not because of the problems with
    health, and for unknown medicine reason. Perhaps for premature
    The beginning of the puberty period is influenced by external factors, for example,
    environmental pollution.

    What are the reasons for the central premature puberty

    • Premature puberty: diagnosis and treatmentTumor head or
      spinal cord
    • Transferred infectious
      Diseases, for example, Encephalitis or meningitis
    • Congenital brain pathology,
      For example, brain water and a gamartoma (tumor)
    • Head irradiation or
      spinal cord
    • Head injury or
      spinal cord
    • Ischemia
    • McKune-Albright syndrome - a genetic disease affecting
      bones affecting skin pigmentation and causing hormonal disorders
    • A group of hereditary diseases known as congenital
      Adrenal Hyperplasia - Abnormal Hormone Development
      adrenal glands
    • Hypothyroidism -
      the disease in which the thyroid gland does not produce sufficient
      Number of hormones.

    Peripheral premature puberty

    This type of puberty
    less common than central premature puberty. He
    caused by emissions of estrogen and testosterone in blood due to violation of work
    ovarian, eggs, adrenal glands or pituitary.



    How to diagnose premature puberty

    Doctor specializing in hormonal disorders in children,
    called children's endocrinologist. In case of suspiciously early
    puberty should appeal to this doctor. At the beginning of the doctor
    Studies history
    diseases, then examine the child and will write down the direction to various
    Analyzes that
    will confirm or refute the estimated diagnosis.

    Physical examination of the child allows
    Detect changes and signs of early puberty (breast increase, rapid
    Growth, menstruation, acne rash, increasing eggs or penis and hair growth
    pubis). Also performed x-ray examination of palms and wrists
    - This is a very important aspect of the diagnosis of premature sex
    Maturation. X-ray examination helps determine the age of bones
    child and find out whether they grow quickly, or normally.

    After the formulation of the initial
    The diagnosis is determined by the type of premature puberty. To kid
    make the injection of the gonadotropin-release hormone, after which
    take a blood sample for analysis. In children with central premature
    Semi-ripen
    There is an increase in the levels of luteinizing and
    FollicularityMulisory hormones,
    And in children with peripheral premature sex ripening levels
    luteinizing
    and follicle-sufficient hormones quite
    Normal for their age.

    For the examination of children with central premature sex
    Maturation perform magnetic resonance imaging (MRT) brain,
    Revealing possible abnormal brain. Also perform surveys
    thyroid gland to eliminate the possibility of hypothic. In some
    Cases The doctor appoints an ultrasound of the pelvis authorities in order to identify cysts
    ovarian or
    tumors.



    What are the complications

    Premature Family Maturation

    Growth Violations: Premature
    Poland is often accompanied by a growth stop. At the beginning of the puberty period, children are rapidly
    grow, but then the growth stops much earlier than the peers, so
    in adulthood they are below peers.

    Polycystic ovarian: girls who started menstruation
    before 8 years, are susceptible to increased risk of hormonal disorders and
    Diseases later. Polycystic ovaries manifests irregular
    menstruation and high level of hormone androgen. In this case, on the ovaries
    cysts appear, and the output of the egg does not occur.



    How to treat premature puberty

    Premature puberty: diagnosis and treatment
    In most cases, treatment
    premature puberty depends on its cause. There are two
    The main approach to treatment depending on the cause.

    Treatment of the cause of puberty
    or causeing his disease, such as tumors.

    Medicinal decrease in the level of genital hormones in order to slow down puberty.

    If premature puberty
    caused by the disease, to slow down the process, the treatment of this is necessary
    Diseases. If a child has a tumor producing hormones, «guilty»
    In the premature beginning of the puberty period, surgical
    Removal of the tumor.

    If it was not possible to establish the cause of premature sex
    ripening, child prescribed certain medicines. Introduction
    Antagonist of the gonadotropinosupport hormone - the monthly injection of the drug, for example, a leiprolide that helps stop
    HGH growth axis (human pituitary gonadotropin) and slow down
    further development. This is
    Treatment is carried out until the child reaches normal
    Age
    puberty. After discontinuation of treatment begins the process
    puberty.

    Treatment of premature sex
    ripening helps to stop the ripening process until the child is not
    reaches normal age. Otherwise there is a danger that
    Premature puberty can prevent normal physical and
    The mental development of the child.



    How is the adaptation for premature sexual maturation

    Although some early factors
    puberty cannot be controlled (gender and race), other factors
    can be eliminated. So, children must lead a healthy lifestyle and maintain
    Normal weight. Also avoid external sources of estrogen and testosterone.

    With premature sex maturation
    The child appears a feeling of dislike for peers, which can cause
    Emotional injury. Depression,
    drug addiction and low self-esteem - just some of the problems faced
    Children who have matured ahead of time. If the child can not
    Conduct with your condition, you should seek help from a psychotherapist.
    Psychotherapeutic consulting helps the child, and his parents are better
    understand emotional and physical difficulties associated with early sex
    ripening.

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