Qhov twg Tanner theem ua menarche tshwm sim?
Qhov twg Tanner theem ua menarche tshwm sim?

Video: Qhov twg Tanner theem ua menarche tshwm sim?

Video: Qhov twg Tanner theem ua menarche tshwm sim?
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Anonim

Menarche feem ntau tshwm sim nyob rau hauv 2-3 xyoos tom qab thelarche (mis budding), ntawm Tanner theem IV lub mis kev loj hlob , thiab tsis tshua muaj ua ntej Tanner theem III kev loj hlob (7). Thaum muaj hnub nyoog 15 xyoos, 98% ntawm cov poj niam yuav muaj menarche (2).

Ua raws li qhov no hauv kev xav, dab tsi yog suav tias yog thaum ntxov menarche?

Peb txhais thaum ntxov menarche raws li kev qhia pib ntawm menarche ua ntej 11 xyoos. Nyob ntawm kev tshawb fawb, thaum ntxov menarche yog txhais los ntawm 9 txog 11.5 xyoo [9–11]. Qhov kev hloov pauv no, txawm tias qhov tseem ceeb, tau piav qhia los ntawm nws txoj kev sib raug zoo nrog kev faib cov hnub nyoog thaum pib ntawm menarche nyob rau hauv cov neeg kawm.

Tsis tas li ntawd, dab tsi theem ntawm puberty yog npau suav ntub dej? Thaum xub thawj nws yuav nyias. Tom qab ntawd nws yuav tsaus thiab coarser. Cov tub kuj tseem pib loj hlob cov plaub hau nyob rau lwm qhov chaw tshiab, xws li hauv siab, underarms, ntsej muag, thiab ob txhais ceg txog 2 xyoos tom qab pib ntawm cov plaub hau loj hlob. Erections (qhov tawv nqaij ntawm noov thaum nws puv nrog cov ntshav) thiab nocturnal emissions ("kev npau suav ntub") tshwm sim.

Ntawm no, hnub nyoog twg yog Tanner theem 2?

NLM Citation

Theem Poj niam
Hnub nyoog ntau (xyoo) Kev loj hlob ntawm lub mis
Kuv 0–15 Cov tub ntxhais hluas ua ntej
II 8–15 Lub mis budding (thelarche); isolar hyperplasia nrog me me ntawm cov ntaub so ntswg ntawm lub mis
III 10–15 Ntxiv o ntawm lub mis cov ntaub so ntswg thiab areola, tsis muaj kev sib cais ntawm lawv contours

Dab tsi ua rau menarche?

Menarche yog qhov tshwm sim ntawm kev sib cuam tshuam ntawm cov tshuaj hypothalamic, pituitary, thiab zes qe menyuam. Nws kuj tuaj yeem cuam tshuam los ntawm cov thyroid, adrenal, thiab cov tshuaj hormones pancreatic.

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