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一岁女婴来"大姨妈" 医生:青春期前莫给孩子大补

2017-06-22 09:52:55   齐鲁壹点

(原标题:一岁女婴来“大姨妈”医生告诫青春期前莫给孩子大补)

一岁女婴乳房发育,出现月经初潮;六岁男童喉结变大,开始变声……随着生活环境的变化,性早熟的孩子也越来越多见,山大齐鲁儿童医院李洪英一天门诊上能碰到十几个。而不少性早熟的“罪魁祸首”,竟是给孩子进补过多惹得祸。

门诊一天碰到十几个性早熟儿童

“孩子乳房已经发育,并且出现月经初潮,做过磁共振头颅也没有发现异常,茜茜其实是特发性性早熟!”山东省立医院小儿血液内分泌科主任戴云鹏说,在门诊上时不时就会碰到性早熟的孩子,一个月能接诊二三十例。

据介绍,一般认为女孩在8岁以前出现乳房发育,在10岁以前月经初潮;男孩在9岁以前,睾丸开始增大等第二性征出现,称为性早熟。

“性早熟可以分为真性性早熟(中枢性性早熟)和假性性早熟(外周性性早熟)。”山东大学齐鲁儿童医院内分泌科主任医师李洪英说。在她的门诊上,平均一天能碰到十几个有性早熟表现的患儿,占到门诊量的三成左右。

在性早熟儿童中,女童数量明显高于男童。与女孩月经初潮、乳房发育的明显症状相比,男孩的性早熟睾丸增大因为比较隐蔽,相对来说并不太容易被发现。而男童一旦出现性早熟,很有可能是某种疾病的征兆,比如下丘脑垂体肿瘤、肾上腺皮质增生等。

六岁男童测骨龄已经13岁

今年六岁的男孩小泽,在声音变粗了一年多以后,家长才带他来就诊。

“小泽看起来已经有个大孩子的模样了,喉结明显较大,睾丸增大到15ml(超过4ml就已经开始青春发育了),也已经出现了变声。”李洪泽说,尽管小泽只有六岁,测试他的骨龄却发现已经到了13岁。最后,小泽被诊断为由脑垂体肿瘤引起来的中枢性性早熟。

那么性早熟将带来怎样的危害?其实,仍有不少家长并没有意识到性早熟的严重性。专家表示,已有研究发现,性早熟的孩子更容易出现子宫内膜癌、卵巢癌或卵巢功能早衰。性早熟的男性,则比普通人更可能遇到前列腺疾病的困扰。

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