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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

另外,性早熟还会让孩子骨龄提前,一方面让孩子提前开始“蹿个儿”的同时,青春期体内大量增加的性激素也让骨骺提前闭合,影响孩子的终身高。“性早熟的孩子,一般要比测定的遗传身高矮5-10公分左右。”戴云鹏说。

此外,由于比身边同龄人提前开始发育,不少孩子的心理也往往会受到影响,容易出现自卑,早恋、过早性行为等。

而值得注意的是,肥胖也更容易引发儿童性早熟。琪琪从小就有些发胖,还不到九岁的她体重就已经高达37公斤,琪琪爸爸说,女儿从小喜欢吃肉,不怎么爱吃青菜,去年过完暑假回来以后,脸和小肚子都明显胖了一圈。而琪琪的乳房,也已发育一两年了。

青春期前都不要给孩子过多进补

像茜茜一样的特发性性早熟,虽然临床上难以找到明确原因,但也不是完全无迹可寻。外界环境、肥胖、自身体质、食品污染、含雌激素过多的保健品,如蚕蛹、胎盘、蜂王浆等都是危险因素。

专家提醒,孩子青春期前,家长尽量都不要给孩子进补,少让孩子食用雌激素含量较多食物,少接触成人影视作品等。戴云鹏说,另外像方便面、火腿肠,三无食品、膨化类垃圾食品等也应尽量少吃或不吃。

而一旦发现孩子有性早熟迹象时,家长一定要及早带到正规医院专业门诊就诊。可以结合孩子发育表现,并通过抽血查激素、拍骨龄片、肾上腺、超声、颅脑核磁共振等检查,最终判断孩子是假性还是真性性早熟,以及时进行相应的干预。

“对于假性性早熟,有的去除掉外源性因素,如哺乳期妈妈停掉避孕药后,孩子也能恢复。”戴云鹏说,另外像孩子误服避孕药或保健品等,停掉以后,过段时间体内雌激素也有可能自动代谢掉。不过,也要密切观察雌激素水平的变化。

而真性性早熟,李洪英说,首先是病因治疗。比如肿瘤引起的性早熟要手术摘除肿瘤,而对于占大多数的特发性性早熟,因性早熟的儿童最终身高往往会矮于正常儿童,必要时需要内分泌医生根据情况使用药物控制和减缓性征的成熟度及发育速度。(茜茜为化名)

责任编辑:曲格林 CN064
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