Hmoov tsis zoo, cov txheej txheem ntawm kev loj hlob tsis tas yuav mus tsis pom. Qee zaum, vim muaj cov tshuaj hormonal surges, ntau cov tsos mob tsis zoo thiab kab mob yuav tshwm sim. Ib tug ntawm lawv yog hypothalamic syndrome ntawm puberty (HSPP).
Cia peb mus saib cov ntaub ntawv tseem ceeb ntawm tus kab mob.
Hypthalamic puberty syndrome yog dab tsi?
Nws sawv cev rau ntau yam tsos mob, qhov tshwm sim ntawm qhov tshwm sim los ntawm kev ua txhaum ntawm cov tshuaj hormonal metabolic hauv lub cev vim yog kev puas tsuaj rau hypothalamus thiab qog adrenal.
Tib lub sijhawm, hypothalamic syndrome ntawm kev puberty rau cov ntxhais yog li 10 npaug ntau dua li cov tub.
Hauv cov ntaub ntawv kho mob, muaj ntau lub npe rau tus kab mob no: menyuam yaus basopilism, pubertal basophilismlub sij hawm, diencephalic syndrome ntawm pubertal-cov tub ntxhais hluas lub sij hawm, dispituitarism ntawm pubertal-cov hluas lub sij hawm, pubertal-cov hluas dispituitarism, syndrome ntawm pubertal basophilism.
Symptomatology thiab kuaj kab mob
Hypothalamic pubertal syndrome tuaj yeem nrog ntau yam tsos mob. Nyob rau tib lub sijhawm, lawv tau pom nyob rau hauv ib lossis ib txhij hauv ntau lub cev lub cev.
Yog li, dab tsi yog cov cim qhia ntawm hypothalamic pubertal syndrome?
- Los ntawm sab ntawm cov txheej txheem metabolic. Cov neeg mob muaj kev txhawj xeeb txog kev nqhis dej tas li thiab pom qhov nce hauv qab los noj mov. Thaum lub sij hawm kev ntsuam xyuas, tus kws kho mob tshwj xeeb ceeb toom ib tug uniform deposition ntawm rog nyob rau hauv lub xub pwg nyom, caj dab, lub duav, sab nraub qaum. Nyob rau hauv cov ntaub ntawv no, lub ntsej muag ua puag ncig thiab muaj ib tug pathological blush.
- Los ntawm sab ntawm lub paj hlwb thiab lub hlwb. Cov neeg mob yws yws ntawm kiv taub hau, mob taub hau, tsis nco qab thiab pw tsaug zog, qaug zog, kev nyuaj siab, chim siab, tearfulness. Kev ntsuam xyuas lub hom phiaj txiav txim siab qhov sib txawv ntawm cov menyuam kawm ntawv, nrog rau qhov sib txawv ntawm tus nplaig deb ntawm kab kab rov tav, qhov asymmetry ntawm reflexes, nasolabial folds thiab palpebral fissures, kab rov tav nystagmus.
- Los ntawm sab ntawm cov hlab plawv thiab cov ntshav siab. Tus kab mob yog nrog los ntawm nws qhov txo qis. Hauv 55-75 feem pua ntawm cov neeg mob, lub siab yog asymmetric, labile, thiab arterial hypertension yuav raug pom. Tsis tas li ntawd, tej zaum yuav muaj kev ua txhaum ntawm lub suab nrov thib ob saum lub aorta, intracranialntshav siab, nce tso tawm ntawm cortisol thiab aldosterone hauv cov ntshav, retinal angiopathy.
- Los ntawm kev ua me nyuam. Kev ua tsis tiav tuaj yeem pom nyob rau hauv daim ntawv ntawm kev coj khaub ncaws irregularities, uterine los ntshav. Tus kws kho mob kuj ua ib qho kev kawm lub hom phiaj. Cov tub ntxhais hluas uas muaj hypothalamic syndrome ntawm puberty zoo me ntsis laus dua lawv lub hnub nyoog. Nyob rau tib lub sijhawm, lawv cov hnub nyoog laus dua tshwm sim 1-2 xyoos sai dua hauv kev sib piv nrog lawv cov phooj ywg. Hauv cov tub hluas, lub ntsej muag tau txais ib hom poj niam, cov plaub hau loj hlob tsis zoo rau nws txawm tias tom qab yug me nyuam. Gynecomastia tuaj yeem tshwm sim. Nrog rau tag nrho cov no, qhov ntev ntawm qhov chaw mos, scrotum thiab cov noob qes yog cov hnub nyoog tsim nyog thiab ncav cuag lawv txoj kev loj hlob kawg thaum muaj hnub nyoog 15 xyoos. Raws li rau cov ntxhais, lawv tsim cov yam ntxwv ntawm kev sib deev ua ntej. Kev ua tsis tiav feem ntau pib qee lub sijhawm tom qab (txog tsib xyoos) tom qab pib lub cev xeeb tub thawj zaug. Lawv tshwm sim raws li amenorrhea, uterine los ntshav, mob hnyav heev, hypomenstrual syndrome. Ua tau zes qe menyuam.
- Nyob ntawm daim tawv nqaij. Tus neeg mob yws yws ntawm dryness ntawm daim tawv nqaij thiab ua txhaum ntawm lawv kev ncaj ncees (stretch marks) nyob rau hauv lub plab mog, lub xub pwg nyom, ncej puab, mammary caj pas, raws li zoo raws li cov plaub hau loj hlob. Thaum lub sij hawm kev ntsuam xyuas sab nraud, tus kws kho mob tseem sau cov xim marble-cyanotic ntawm daim tawv nqaij thiab muaj cov thickening ntawm stratum corneum nyob rau hauv lub xub pwg nyom, lub luj tshib, thiab nyob rau hauv cov chaw ntawm cov khaub ncaws kev sib txhuam. Tsis tas li ntawd, daim tawv nqaij yog txias rau qhov kov, tshwj xeeb tshaj yog nyob rau hauv tus ncej puab thiab pob tw. Nws muaj striae ntawm liab los yogxim liab thiab plaub hau heev.
Ntxiv rau tag nrho cov no, muaj qhov nce hauv cov thyroid caj pas.
Ua rau tus kab mob
Tsim kom muaj qhov tseeb ntawm tus kab mob xws li hypothalamic puberty syndrome, cov kws tshawb fawb tseem tsis tau ua tiav. Nws tsuas yog paub tias ob peb yam tuaj yeem ua rau tus txheej txheem no, xws li kev kis kab mob ntau zaus hauv menyuam yaus lossis muaj kev cuam tshuam los ntawm keeb kwm, kev raug mob thaum yug.
Pathogeny ntawm hormonal disease
Hypothalamic syndrome ntawm kev puberty tuaj yeem tshwm sim los ntawm kev tshwm sim los yog tsis muaj keeb kwm.
Hauv thawj kis, los ntawm ib tiam dhau ib tiam, cov neeg nqa khoom ntawm adiosis genotype kis mus rau cov hlwb uas tuaj yeem tsim cov rog hauv lawv tus kheej, thaum hloov cov hnyuv mucosa. Cov neeg mob uas muaj tus kab mob no muaj cov txheej txheem metabolic hyperliposynthetic thiab ua rau lub plab zom mov ntxiv, nrog rau kev tsis haum enzyme.
Nyob rau hauv rooj plaub thib ob, uas yog nyob rau hauv lub xub ntiag ntawm cov yam tsis yog caj ces, lub nuclei ntawm lub hypothalamus puas los yog cuam tshuam nyob rau hauv kev sib cuam tshuam ntawm pituitary thiab gonadotropic cov tshuaj hormones.
Kev faib tawm
Raws li cov ntsuas sib txawv, hypothalamic syndrome ntawm puberty tuaj yeem muab faib ua hom.
Nyob ntawm qhov xwm txheej ntawm tus kab mob:
- stable;
- regressive;
- progressive;
- recurrent.
Nyob ntawm chav kho mob:
- nrog rau qhov tseem ceeb ntawm cov kab mob neurocirculatory;
- nrog qhov tseem ceeb ntawm hirsutism;
- predominantly rog;
- mixed.
Nyob ntawm qhov hnyav:
- hnyav;
- medium;
- easy.
Nyob ntawm cov duab:
- vegetative-visceral;
- nerve-trophic;
- hypothalamic epilepsy;
- vegetative-vascular;
- neuromuscular;
- psychosthenic, pseudoneurasthenic;
- kev ua haujlwm tsis zoo thiab pw tsaug zog;
- thermoregulation ntshawv siab;
Neuroendocrine Neuroendocrine
Kuv tuaj yeem tig mus rau kev pab?
Leej twg yuav pab tshem tawm cov kab mob xws li hypothalamic syndrome ntawm kev puberty? Kev tshuaj xyuas ntawm cov neeg uas tau ntsib qhov teeb meem no qhia tias koj yuav tsum tau hu rau ntau tus kws kho mob ib zaug. Qhov no yog tus kws kho mob endocrinologist, kws kho menyuam yaus, kws kho mob otolaryngologist, kws kho mob neuropathologist, thiab rau cov ntxhais, tus kws kho mob gynecologist ntxiv.
Tib lub sijhawm, kev soj ntsuam los ntawm tus kws kho mob yog qhov yuav tsum tau ua, vim tias tus kab mob no tshwm sim los ntawm qhov tsis zoo ntawm tus mob thaum muaj kev ntxhov siab thiab tsis muaj kev kho mob tsim nyog.
Hypothalamic syndrome ntawm puberty: kev xaiv kho
Kev tshem tawm cov kab mob cuam tshuam nrog kev noj tshuaj, ua raws li kev noj zaub mov tshwj xeeb, thiab kev tawm dag zog. Nyob rau tib lub sijhawm, kom muaj kev vam meej zoo, nws yog ib qho tseem ceeb kom ua raws li tag nrho cov lus qhia ntawm tus kws kho mob. Rau kev yooj yim, xav txog txhua yamhom kev kho mob nyias.
kev kho mob
Cov tshuaj twg yuav pab tshem tawm cov kab mob xws li hypothalamic syndrome ntawm kev puberty? Kev kho mob muaj kev sib xyaw ua ke ntawm ntau hom kev kho kom tshem tawm tag nrho nws cov tsos mob.
- tshuaj lipotropic.
- Antihypertensive therapy.
- Sedatives.
- Resorption therapy.
- tshuaj Anorexic (Orlistat, Meridia).
- Means los txhim kho cov ntshav microcirculation ("Cavinton", "Stugeron", "Cinnarizine").
- Tshuaj txhawm rau txhim kho kev noj zaub mov ntawm cov qauv ntawm tes ("Cerebrolysin", "Nootropil").
- Kev kho dej kom qhuav ("Furosemide", "Magnesium sulfate", "Voroshpiron").
Kev noj haus thiab kev tawm dag zog
Ua ntej tshaj plaws, nws yog ib qho tseem ceeb uas yuav tsum tau tshuaj xyuas kev noj haus. Nws yog ib qho tsim nyog yuav tsum tshem tawm cov khoom noj txom ncauj ntau, tsis txhob noj ntau dhau. Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb kom tshem tawm tag nrho cov khoom noj uas muaj calorie ntau ntau los ntawm cov tub ntxhais hluas cov zaub mov, xws li nqaij rog, chocolate, ice cream, khoom noj ceev, thiab lwm yam.
Kev kho mob suav nrog kev noj haus 8. Nws suav nrog txo cov ntsiab lus calorie ntawm cov tais diav vim carbohydrates thiab cov rog ib nrab. Nws kuj tseem muab kev qhia txog cov vitamins C, E, A rau hauv kev noj zaub mov thiab hnub yoo mov.
Lub cev ua haujlwm yog txhawm rau txo cov rogpawg. Nws yuav tsum suav nrog kev tawm dag zog thaum sawv ntxov uas siv cov kev tawm dag zog tshwj xeeb, ua si sab nraum zoov, kis las, kho dej, taug kev yav tsaus ntuj.
Huab cua rau yav tom ntej
Raws li kev txheeb cais qhia, kev tshem tawm tag nrho tshwm sim hauv 20-40% ntawm tus neeg mob.
20 feem pua ntawm cov neeg mob tau kis tus kabmob.
Tus so muaj ib daim ntawv latent ntawm tus kab mob, uas yog tus yam ntxwv ntawm qhov tshwm sim ntawm relapses. Cov no, dhau los, tuaj yeem ua rau kev txhim kho ntshav siab, ntshav qab zib mellitus, tsis muaj menyuam, muaj teeb meem thaum yug menyuam, hypothalamic syndrome ntawm daim ntawv neuroendocrine, ob lub zes qe menyuam sclerocystosis.
Kev Tiv Thaiv
Txoj hauv kev tseem ceeb los tiv thaiv qhov tshwm sim ntawm hypothalamic syndrome ntawm kev puberty yog cov tub ntxhais hluas ua raws li kev noj qab haus huv thiab ua raws li cov cai ntawm kev noj zaub mov zoo. Nws yog ib qho tseem ceeb kom muaj lub cev ua si thiab taug kev hauv huab cua ntshiab.
Tsis tas li ntawd, kev huv huv ntawm cov foci ntev ntawm tus kab mob yog qhov yuav tsum tau ua.
Ua noj qab nyob zoo!
