Most parents may find when bathing their children that the child’s breasts have nuclei or the child will cry out in pain. Does this phenomenon require intervention, is the child developing normally, or is it precocious, and how should we go about determining it?
The earliest sign of puberty is the enlargement of the testicles, followed by an increase in androgens, secondary sex disorders and accelerated growth; the average duration of puberty for boys is 4.9 years, with a total height growth of about 25-30 CM, of which, about 1.5 years in the middle of puberty, this period is a rapid growth period, the annual growth rate can exceed 10 CM, after which the growth rate decreases sharply, until it stops growing completely. The growth rate decreases until it stops completely. When a boy’s beard appears on his jaw, there is usually no more room for growth. The earliest sign of puberty is the enlargement of the ovaries (which is difficult to detect in time without ultrasound and is often marked by the development of breasts), followed by an increase in estrogen, the appearance of secondary sex characteristics and accelerated growth. The average length of puberty for girls is about 4.7 years, with a total height growth of about 20-25 CM, of which about 1 year is the middle of puberty, which is also the rapid growth period, with an annual growth rate of nearly 10 CM. Some normal girls do not have a significant period of rapid growth (since rapid growth is often a period of rapid bone growth, the absence of rapid growth is not necessarily a bad thing.
Developmental symptoms are mostly found in the spring and summer months, and will resolve in the fall and winter. Precocious puberty is generally defined as the development of breasts in girls before the age of 8 and the onset of menstruation before the age of 10; in boys, the appearance of secondary sexual characteristics before the age of 9, accompanied by excessive physical development, is called precocious puberty. In females, 75% to 90% of precocious puberty is idiopathic and the cause is unknown, while in males, more than 80% is caused by organic lesions. Precocious puberty has a great adverse effect on the physical and mental development of children: because of the early maturity, the period of bone growth is shortened, and the epiphysis will close prematurely, which will affect their final height; although the affected children start to mature sexually, their actual age and the degree of psychological maturity are not consistent with this, which can easily cause psychological disorders in children; because precocious puberty can produce sexual impulses that do not match their age, they can easily go astray and cause Some social problems.
If your child meets the diagnostic criteria of precocious puberty, don’t panic first, you need to go to the hospital to do relevant exclusion tests to rule out whether the precocious symptoms are caused by organic lesions of the organs. Ultrasound of liver, gallbladder, spleen and pancreas.
The treatment of precocious puberty, like the treatment of dwarfism, is a long-term treatment process (usually 1-2 years) that requires the active cooperation of parents and children and requires a high level of parental knowledge and high treatment costs.
However, not all precocious puberty needs to be treated. If the adult predicted height is not low and the child is given the right guidance in terms of psychology, it is only necessary to review the bone age regularly to prevent the bone age from changing too quickly and not being detected in time, and the bone age is generally reviewed every six months.