Shen Wenxia, Deputy Chief Physician, Department of Pediatric Endocrinology, Shaoxing Maternal and Child Health Hospital.
My child is only 6 years old, and I always feel weird lately, I feel like I have entered "puberty", will it be precocious... My child is 10 years old, and his voice is different from before, and it feels a bit like he has developed... I believe that many parents often mention it when they are "homely" with friends, so what is it like in the child's growth period - adolescence? How can it be distinguished from "precocious"? Adolescence is a period of time that everyone has to go through in the process of growth, and it is also the most important period in life, it refers to the transition stage from the beginning of secondary sexual characteristics to the full maturity of sexual development, and is the transition stage from childhood to **. This stage is characterized by the development of secondary sexual characteristics and the peak of rapid growth in height. With the improvement and change of living conditions and the improvement of the quality of life, many children have the problem of precocious puberty, which makes puberty start early, and the occurrence of precocious puberty is not conducive to the height development of children in the later stage.
Learn to recognize that puberty and precocious puberty boys and girls puberty are not the same puberty time, parents can do a good job of relevant strategies, learn more popular science knowledge, and help children grow up healthily: a. Puberty in girls The signs of puberty in girls are: Breast development in girls is a sign of the onset of puberty, the most common manifestation is breast development, and the normal age of puberty development in girls is 8 to 10 years old. As living conditions improve, precocious puberty also tends to occur earlier, generally if 7If breast development occurs before the age of 5, we should be wary of precocious puberty and seek help from a doctor in time.
The process of puberty in girls) will have ** and axillary hair growth after breast development, ** secretions will also increase, generally occurring at the age of 9-11 years. The average age of menarche in girls is about 12 years old, and the process from breast development to menarche takes about two and a half years. If a girl has precocious puberty, menarche usually begins before the age of 10. Two. Puberty in boysSigns of puberty in boys: the appearance of secondary sexual characteristics (early manifestations are **developmental enlargement), *volume can reach 4ml, length can reach 25 cm. The normal onset of puberty in boys is generally between 10 and 12 years old, and it should be noted that if there is an increase in ** before the age of 9 (the early appearance of secondary sexual characteristics), most of them are caused by precocious puberty.
The course of puberty in boys) at this time, **enlargement**, **also develops, accompanied by pigmentation, **The time of appearance is between 12-13 years old. The first sperm loss time is generally 14-15 years old, if the sperm loss time is earlier than 12 years old, the child is likely to have precocious puberty, which will stop developing prematurely, and then affect the child's growth. Prevention of puberty and precocious puberty adolescence is the second ** period of children's height growth, after the start of puberty, due to the law of the body's own growth and development, the height growth rate of children in early adolescence is generally faster, at this time, children in the growth of height can generally be seen intuitively: height has increased! Generally, it can grow 8cm-10cm tall in a year. As a careful parent, we should pay more attention to our children at this time, especially pay attention to nutritional supplements, help children reasonably match their daily diet, and consume sufficient amounts of protein, vitamins, trace elements and minerals every day to provide sufficient nutrition for children's bone development.
Not only that, children's sleep should also develop regular sleep habits (to have good sleep and high-quality sleep), sleep time should not be less than 7-8h every day, and it is best to fall asleep before 10 o'clock at night, seize the peak period of growth hormone secretion, and help children grow taller. Two. Prevention of precocious puberty and** (1) prevention of diet Because the diet is too rich in life now, children do not control their diet, which often induces the appearance of precocious puberty. Eat plenty of fresh fruits and vegetables. (2) Drug**If the child goes to the hospital to diagnose true precocious puberty, due to the activation of the gonadal axis, the excessive secretion of sex hormones, at this time, gonadotropin-releasing hormone inhibitors can be used**. It can reduce the secretion of sex hormones, delay the process of sexual development, inhibit the progress of bone age, avoid the rapid growth of bone age, and prolong the space for children's growth.