He aha nā menarche mua, nā ʻōuli a me nā kumu nui

Anter

• Nā hōʻailona a me nā ʻōuli o menarche mua
• Nā kumu o ka menarche mua
• Nā hoʻāʻo pono
• Hoʻomaʻo no ka menarche mua

Kūlike ʻo Menarche i ka menstruation mua a ke kaikamahine, ka mea maʻa mau i ka wā ʻōpio, ma waena o 9 a 15 mau makahiki, akā hiki ke loli e like me ka nohona, nā kumu hormonal, ke kū ʻana o ka momona a me ka mōʻaukala o ka wahine o ka ʻohana like. Hoʻokaʻawale ʻia e like me:

• Menarche mua: ke ʻike ʻia ma mua o ka makahiki 8,
• Late menarche: ke ʻike ʻia ma hope o ka makahiki 14.

Ma mua o ka hapalua o nā kaikamahine Brazil i loaʻa i ko lākou wā mua a hiki i ka 13 o ko lākou mau makahiki, a ma ka 14 mau makahiki ma mua o 90% o nā kaikamahine i hala mua.Eia nō naʻe, ke menstruates o ke kaikamahine ma mua o ka piha ʻana o nā makahiki 8, pono i nā mākua ke lawe i ke kaikamahine i ke kauka lapaʻau e nānā i nā mea e hana nei, no ka mea aia paha nā maʻi i pili.

Nā hōʻailona a me nā ʻōuli o menarche mua

ʻO nā ʻōuli a me nā ʻōuli mua o ka menarche mua ka helehelena, ma mua o ka makahiki 8, o:

• Kahe koko;
• Pehu iki o ke kino;
• ʻO ka lauoho Pubic;
• Hoʻonui umauma;
• Hoʻonui i nā pūhaka;
• ʻEha ma ka ʻōpū a me
• Nā hōʻailona psychological, e like me ke kaumaha, ka huhū a i ʻole ka hoʻonui ʻana i ka ʻike.

Hoʻomaopopo paha ke kaikamahine i ka hoʻokuʻu ʻia ʻana o ka huna keʻokeʻo a melemele paha mai ka ʻōpū i kekahi mau mahina ma mua o ka menarche.

Nā kumu o ka menarche mua

Ua hele mai ka mua mua a ma mua hoʻi. Ma mua o nā makahiki 1970, aia ka manawa mua ma waena o 16-17 mau makahiki, akā i kēia mau lā ua menstruated nui nā kaikamahine, mai ka makahiki 9 i kekahi mau ʻāina, a ʻaʻole maopopo mau nā kumu. ʻO kekahi mau kumu kūpono o ka 1st menstruation i kakahiaka nui loa:

• ʻAʻohe kumu paʻa (80% o nā hihia);
• Kahi akahai i ka momona o ke keiki;
• Aia kahi kānalua no ka hōʻike ʻana i ka lula i loaʻa ka bisphenol A mai ka wā hānau;
• Nā hōʻeha ʻōnaehana waena, e like me ka meningitis, encephalitis, cerebral cyst a i ʻole ka palalysis, no ka laʻana;
• Ma hope o ka pāhawewe i loko o ka waena ko mākou hopohopo;
• ʻO ka maʻi maʻi ʻo McCune-Albright;
• ʻO nā levarian ovarian e like me festicular cista a i ʻole neoplasia;
• Nā hikoko adrenal e hana nei i ka Estrogen;
• ʻO hypothyroidism kumu nui.

Eia hou, ke hōʻike ʻia ke kaikamahine i nā estrogen estrogen i ka wā ʻōpio, hiki ke hoʻonui ʻia ka manawa o ka menarche mua. ʻO kekahi mau hanana kahi e hōʻike ʻia ai ke kaikamahine i nā estrogens e komo pū me ka lawe ʻana i ka pill hānau hānau e ka makuahine i ka wā o ka hāpai ʻana a me / a i ʻole ka hānai ʻana i ka waiū, a me ka hoʻohana ʻana i ka hamo e hoʻokaʻawale i nā lehelehe liʻiliʻi, inā he phimosis wahine, no ka laʻana.

Nā hoʻāʻo pono

Ke loaʻa i ke kaikamahine kāna menstruation mua ma mua o ka makahiki 8, hiki i ka pediatrician ke kānalua i ka loli o kona olakino, a no kēia kumu ke nānā maʻamau ʻo ia i ke kino o ke kaikamahine ma ka nānā ʻana i ka ulu o nā umauma, ka lauoho i nā ʻelima a me nā ʻūlū. Hoʻohui ʻia, kauoha paha ke kauka i nā hoʻokolohua e like me LH, estrogen, TSH a me T4, ka iwi o ka iwi, pelvic a me adrenal ultrasound.

Ke hiki mai kou manawa mua ma mua o kou piha ʻana i 6 mau makahiki, hiki iā ʻoe ke kauoha i nā hoʻokolohua e like me ke kiʻi ʻana o ka resonance ʻume mākenēki o ka ʻōnaehana ʻōnaehana kikowaena e nānā i nā loli koʻikoʻi e hiki ke hoʻopau koke i ka manawa.

Hoʻomaʻo no ka menarche mua

ʻO nā hopena nui o ka menarche mua i nā maʻi psychological a me nā behavioral; hoʻonui i ka makaʻu kolohe; ke kino pōkole ma ke ʻano he mākua; hoʻonui i ka makaʻu o ka momona, hypertension, ʻano diabetes 2, maʻi maʻi maʻi, hahau a me kekahi ʻano o ka maʻi ʻaʻai, e like me ka maʻi ʻaʻai umauma, ma muli o ka hōʻike mua ʻia o ka hormone estrogen.

No laila, hiki i ka pediatrician ke ʻōlelo aku e hana nā mākua i ka lāʻau lapaʻau, hoʻolohi i ka menarche o ke kaikamahine a hiki i ka makahiki 12, e hoʻohana ana i nā inikona i kēlā me kēia mahina a i ka hapaha paha o ka hormone e hoʻohuli i ka wā ʻōpio. Ke hele mai ka wanaʻao mua a kumu ʻia e kekahi maʻi, pono e mālama ʻia, a nalowale ka menstruation, hoʻi i ka wā e pau ai ka lāʻau.