The Adolescent girls is familiar which gynecologies problem
The Adolescent girls which discusses here points 13~17-year-old miss especially, society all right, or themselves all right and all think that they have with 18~20-year-old and a little bigger miss it’s different, they usually have some special problems.The reason that, people think they and the dissimilarity of girl with largish age, have a few reasons as follows:Among them the most important BE, all of them are the girls of menarche just, the action of the reproductive medicine of their hypothalamus-hypophysis, pituitary gland-ovaries axial series, still not sound.They also are unlike 18 one 20-year-old girls so, more active in sex problem top, they have the opportunity of the venereal disease and occurrence pregnancy of the less infection, but their occurrence has relation with development disorder of tumor of the opportunity then is bigger.Though there are these differences, these Adolescent girlses still may take place to become adult various gynecology problems that the women have.
The Adolescent girls is easily gradual mature, but also have many misses at the time of satisfiedly accepting a whole body check-up from the Ming, frightened face an antrum check.Because of this reason, be them to go to a gynecology check-up or seek medical advice, had better not make they with become adult women crowded together, the doctor should also adopt to them loose of demulcent therapy, reconciliation more steady and heavy attitude.Don’t let the Adolescent girls feel them being patients.If the doctor asks a problem, should inquire her possibly, but don’t ask to keep company with since then of mother.The doctor is most important to want to enrich at the sympathy, and to their relate to mean interest, if involve the factor of sex, keep a species don’t make the attitude for adjudicate.Be a gynecologist, kind, patiently use methods, such as anatomy diagram and form…etc. to carry on an explanation toward the misses, the introduction wants to use of instrument equipments etc..The privacy which still wants to promise them toward the young sufferer would drive keep secret demulcent therapy, reconciliation protection, want ?only themselves different idea, the doctor won’t reveal toward anyone including their mother.
A, “clip a leg comprehensive advertise for”
A 9-year-old girl, usually walk while have a class absolute being, the body twists to move on the chair, sometimes suddenly two leg hairs keep, the face red perspiration, the teacher for many times criticizes invalid, press to move disease treatment more to also ignore to use, went to a hospital to do tapetum CT, electroencephalogram, EEG…etc. various checks all normal.Finally confirm for”clip a leg comprehensive advertise for” at the sex medicine family out-patient service.This be the school age period child, especially the girl much sees of one species physiology phenomenon.Cause the reason of this phenomenon a lot of, such as private parts not the Jie, underwear lead tightly and be subjected to the factor which results in the private parts be irritated over sadism’s etc..Can produce one species sexual impulse and pleasant sensation while clipping a leg to twist to move, two leg hairs keep elucidation to already arrive an orgasm.Clip a leg comprehensive advertise for don’t belong to a child to overcome on his/her own ability bad, but as time passes become this kind of habit after, make them feel from vulgar, fear, will affect the development of mind and body.
The expert thinks that penis or clitoris erection are cause by a series reflection activity of, is a normal phenomenon.Child about about 2 years old from the l ? will produce the physiology of this kind of instinct to respond.So, parent while appearing this kind of circumstance also need not panic, carry on mind and behavior to correct and cure a circumstance under the doctor’s instruction is can be control or control.Moreover, also need to notice don’t wear close fitting trousers for kid, keep the private parts sweep, don’t literally genitals of touch the kid, can’t even have fun with this.The this kind of phenomenon of 10 years old later girl less saw, but may also have the purpose more explicit masturbation occurrence.
Two, the sexual maturity of lateness
What deferred sexual maturity is mentioned is other aspects although the development is normal, still keeps delivering sex amenorrhea at first.May exist some reason, include physiology of or delay of somatoplasm, serious heredity, anatomy or endocrine disease suffer from, even may have already threatenned the disease of life to suffer from.If a girl arrived 13 years old still time hair, 14 years old haven’t menstruate, then display a delay of sexual maturity, need to take in to evaluate.
Three, the menstruation, mensis(?) doesn’t adjust
(L)menstruation indiscipline:Many puberty menstrual cycle and volume of blood of the young girl all indiscipline.after menarche of the first several years in, the menstrual cycle partition can reach to for two months or three months, this is normal, and they also have no worry more.However, if when the partition is longer and appear an amenorrhea after the hair, they will beg to cure and look for a help.
Many young girl chief complaints their menstruations be as long as 10~12 days.Very difficult judge its hemorrhage, bleeding quantity according to their own description, hence the hemoglobin level then became dependable judgment index sign.If the hemoglobin level is low at 12 grams/100 milliliter, express to need to give a treatment.If low go to 7 grams or much lower, then need to go to hospital and give the more aggressive reinforcement the treatment.Other aspects all healthy young girl of most bodies are a few occurrence menstruation to greatly bleed of, but once the occurrence then needs to give a treatment allow of no to neglect.If when the young girl didn’t take oral contraception, but appeared the intravenous drop hemorrhage, bleeding of of period, be then likely to be first symptom which grows a system malignant tumor.
(2)after deliver sex amenorrhea:Puberty after the reason of the hair amenorrhea more more fundamental because of the hypothalamus- Hypophysis, pituitary gland- The palliation disorder of the ovary axial series action, the machine quality reason with the result that less see.Pregnancy is also diagnose after the hair amenorrhea a demand expel of factor, because the puberty advance demulcent therapy, reconciliation the influence of the social bad moral atmosphere, some young girls lead early have sexual behavior, but oneself to the knowledge of the pregnancy but have no idea of, until the late trimester of pregnancy is just discover by the parents or teacher.Affect the hypothalamus action and cause to ask after the hair through of still keep delivering sex amenorrhea at first.May exist some reason, include physiology of or delay of somatoplasm, serious heredity, anatomy or endocrine disease suffer from, even may have already threatenned the disease of life to suffer from.If a girl arrived 13 years old still time hair, 14 years old haven’t menstruate, then display a delay of sexual maturity, need to take in to evaluate.
Four, dysmenorrhea
The young girl under 15 years of age seldom takes place dysmenorrhea and because of delivering at first sex dysmenorrhea seldom takes place after having no ovulation period, many young girls at menarche and have 6~18 to have no ovulation period.After hair venereal disease through demulcent therapy, reconciliation other abnormalities may be the machine quality injury of signal.So, the sufferer of any chief complaint genitals and inferior belly department pain, all need to accept a gynecology check, but ignore how her age is and have already had no sexual activity to experience.The certainly girlish gynecology check carries on through an anus digital examination.
Five, the premenstrual phase be comprehensive to advertise for(PMS)
Most women, include a puberty young girl, will experience a premenstrual phase of unwell, but their great majorities symptom be lighter, so will not look for consultation and treat.Look for because the premenstrual phase is comprehensive to advertise for the young girl that the doctor help, most chief complaint edemas or acne once grew quick.Can let the young girl record at least a menstruation, mensis diary of period, can find out the accurate relation between symptom and menstruation so, can also make the premenstrual phase advertise for the further classification comprehensive.Exist to in the whole period and so diagnose and then shouldn’t be that the premenstrual phase is comprehensive to advertise for such as some people’s symptom.Have an anxious and related symptom and share a premenstrual phase of control the position comprehensive advertise for, the depression type can synthesize to advertise for with premenstrual phase phase distinction.The anxious type premenstrual phase is comprehensive to advertise for women’s Huang2 Zuo4 Qi2’s estrogen, E go up and the progestogen lower;Depression type the premenstrual phase be comprehensive to advertise for women a luteal phase estrogen, E to lower and the progestogen go up.
Six, descend an abdominal pain
Puberty young girl because the genitals cause of the inferior belly pain be not familiar, in this age section, the inferior belly department of the occurrence’s most familiar reason of the pain is a menstruation, mensis(?) to ask a pain demulcent therapy, reconciliation not typical model dysmenorrhea.However, can occasionally also meet the machine quality injury, appear a pathological changes(turn round, hemorrhage, bleeding and rupture) such as the ovary tumor or the ovary tumor the etc. suddenly can also cause an inferior belly pain.So all want to carry on for all young girls of chief complaint umbilicus inferior belly pain include anus digital examination and abdominal part double to match to diagnose at inside of gynecology check, will never be able to drop with light heart.
Seven, leucorrhea
Girl perineum department the skin be thin and delicate, there are no fat pad and pubic hairs, can not get a protection, easy with the result that injury and infection.
BE a mother of sometimes because of girl leucorrhea increment band the girl see a doctor.Some young girls will also increase for own leucorrhea, color change, glue sex change but worried, especially those young girls which already have sexual behavior, more fear that the changes of leucorrhea infect by venereal disease.In fact, leucorrhea color and the variety of trait, character are more widespread, will deliver such as the leucorrhea color of hot water bath empress Huang.The leucorrhea is an estrogen, E’s effect for vagina epithelium stimulus, proteinase form, have to glue the vagina discharge, secretion of sex, pure Che clearing and the vagina of the meat quality to organize, usually is that it constitutes composition.When the sufferer hasn’t the Jie coitus, copulation history and leucorrhea unusually express, Be prevent°from measure, should carry on a vagina discharge, secretion cultivation to expel the existence of sexually transmitted diseases.The vagina hemorrhage, bleeding of leucorrhea and menstruation is also likely to be because the young girl expected to get in touch with in the fetus the alkene female phenol already, such as mother for the sake of prevention habitual abortion but protect a foetus once took this drug, young girl once appearing the above-mentioned symptom, should periodically with visit to be alongside of to be subjected to an appropriate check.Should also give a homologous check to expel various infection while meeting other varieties of leucorrhea.
Age at the miss of 18~20-year-old have of the chief complaint be more close in become adult women, they of the menstrual cycle majority ovulate a type.Their menstrual cycles are like the young girl so and easily appears the circumstance of indiscipline, but the incidence rate of dysmenorrhea consumedly increase.If appear the inferior belly department pain, their gynecologies disease suffer from of incidence rate, also high at the 13~17-year-old young girl.If appear a leucorrhea abnormality, because of venereal disease with the result that of the possibility increase Gao.However, some misses because of madly in love in can hold good dimensions, or can experience the deceiving words of male friend but sexual behavior happen, easily appear one species”venereal disease phobia”.This much takes place when the after the event male friend hand over a heart or play with bride’s side affection, the miss accepts to can not stand this kind of mind stroke, too sad.The imbalance that is mentally makes them deeply regret, the upset mood makes them doubt right away that oneself got venereal disease, hence beg to cure everywhere, drive even river lake doctor cheat also no object, the by all manners wants the stain ” wash and brush”.Effect is though again and again analyze, cultivation all is feminine gender, they still 100 not trust, wash a face by tears all day long, in low spirits.At this time if give appropriate psychotherapy, usually obtain obvious effect.
In fine, the teenager’s gynecology problem, doubtless have its age characteristics of, the above-mentioned contents is an all important clues while consider diagnosis.When the young girl appears not and usually of gynecology symptom or vagina infection to, must in consideration of the possibility of sadism happen, or masturbation with the result that the possibility of vagina foreign body.
