What examination should precocious puberty do?

summary

With the rapid development of society and the improvement of people's living standards, parents are particularly concerned about the healthy growth of children. Parents used to live a hard life, not enough to eat and sleep well has become a pain they do not want to recall. In order not to let children experience the pain, parents strive to give their children a good material life. What examination should precocious puberty do? Let's talk about it

What examination should precocious puberty do?

Sex hormone can accelerate bone maturity, so it is valuable to judge bone age according to left hand X-ray. The earlier the development, the more advanced the bone age. Bone age is an accurate index to predict menarche. In addition, the final height can be predicted according to bone age, current height and actual age.

The peak values of FSH and LH after LHRH stimulation test are helpful to judge pituitary function and central precocious puberty. LHRH 100 was injected intravenously for excitation test μ Before injection, 30 min and 60 min after injection, blood samples were taken for LH and FSH respectively. If pituitary dysfunction was considered, blood samples could be taken again at 90 min. In normal puberty or true precocious puberty, the peak value of LH appeared in 15-30 minutes, and the peak value of LH was more than 3 times higher than the basic value, if the basic value was 1.0; There was no such reaction in prepubertal children or pseudoprecocious puberty.

The size of uterus and ovary, the number and size of ovarian follicles, the presence or absence of ovarian cysts and tumors, and the presence or absence of testicular tumors can be observed by B-ultrasound. In order to exclude intracranial space occupying lesions, young girls and all boys with central precocious puberty should be examined with CT or MRI.

matters needing attention

Popularize the knowledge of dietary balance. Due to the improvement of nutrition, superior family living conditions, the reduction of diseases and other factors, children's growth and development has accelerated. Some parents pay too much attention to tonic. For example, when they cook soup, they cook the viscera of animals together. The thyroid gland, gonad and other endocrine glands of animals contain hormone substances, which can enter the human body through meals, leading to the increase of premature sexual development and precocious puberty.