Keterlambatan Pubertas

Syamsul Azwar

Sari


Keterlambatan pubertas merupakan masalah penting pada anak karena dapat terjadi
keterlambatan pertumbuhan dan maturasi tulang. Diagnosis keterlambatan pubertas
ditegakkan berdasarkan anamnesis, pemeriksaan fisik, laboratorium dan radiologi.
Pengobatan utama keterlambatan pubertas pada pria dengan pemberian testoteron dan
pada wanita pemberian estrogen. Selain pengobatan hormonal pendekatan psikologi
juga diperlukan.


Kata Kunci


pubertas; gonadotropin; pengobatan testoteron dan estrogen.

Teks Lengkap:

PDF

Referensi


Lee PA. Disorders of puberty. Dalam: Lifshitz F,

penyunting. Pediatric endocrinology. Edisi ke-3. New

York: Marcel Dakker; 1996. h. 175-93.

Rebar RW. Puberty. Dalam: Bercks JS, Adashi EY, Hillard

PA, penyunting. Novak’s gynecology. Edisi ke-12. Philadelphia

: William & Wilkins; 1996. h. 771-92

Henneberg CM, Vizamons B. The duration of puberty

in girls is related to the timing of its onset. J Pediatr

; 131:618-21.

Beckmann CRB, Ling FW, Barzansky BM, Bates GW,

Herbert WND, Laube DW, dkk. Obstretics and gynecology.

Edisi ke-2. Philadelphia: William & Wilkins;

h. 268-72.

Saenger P. Delayed puberty. When to wake the bugler. J

Pediatr 1998; 133:724-6.

Children’s Medical center of Dallas. Delayed puberty.

Diperoleh dari URL : http/www. childrens.com/health info

dysplay. cfm.id : 426 and main: 406

Kulin HE. Normal pubertal development. Dalam:

Rudolph AM, Hoffman JIE, Rudolph CD, penyunting.

Rudolph’s pedriatics. Edisi ke-20. Philadelphia: Prentice

Hall International; 1976. h. 1800-2.

Felig P, Bareter JD, Broadus AE, penyunting. Endocrinology

and metabolism. Edisi ke-2. New York: Mc Graw-

Hill Book; 1987. h. 869-951.

Kapolwitz P. Delayed puberty in obese boys: Comparison

with constitutional delayed puberty and response to

testorone therapy. J Pediatr 1998; 133:745-9.

Tse WY, Buyakgebiz A, Hindmarsh PC. Long term outcome

of oxandrolone treatment in boys with constitutional

delay of growth and puberty. J Pediatr 1990;

:588-90.

Copeland KC, Paunien L, Sizonenko PC. The secretion

of adrenal androgens and growth patterns of patients

with hypogonadotropic hypogonadism and idiopatic

delayed puberty. J Pediatr 1997; 91:985-90.

Susman EJ, Finklestein JW. Churchill UM. The effect

of sex hormonal replacement therapy on behaviour

probelms and moods in adolescent with delayed puberty.

J Pediatr 1998; 133:521-2.

Needlman RD, Adolescence. Dalam: Behrman RE, Kliegman

RM, Arvin AM, penyunting. Nelson textbook of pediatrics.

Edisi ke-15. Philadelphia: Saunders; 1976. h. 58-63.

Markum AH, Ismael S, Alatas H, Akib H, Firmansyah

A, Sastroasmoro S, penyunting. Buku Ajar Ilmu

Kesehatan Anak. Jilid I. Jakarta: FK-UI Press; 1.

Londell RD, Foster MB, Dave KC. Disorders of puberty.

Diperoleh dari URL: http://www.aafd.arg /990700 ap/

htm.

Ehrmann DA, Rosenfield AL, Cuttler L. A new test of

combined pituitary testicular function using the gonadotropin

realising hormone agonist nafarelin in the differentiation

of gonadotropin deficiency from delayed

puberty. Pilot studies. J Clin Endocrinol Metab 1989;

:963-7.

Kerrigan JR, Rogol AD.The impact of gonadal steroid

hormone action on growth hormone secretion during

childhood and adolescent. Endocrine review, 1992;

:281-95.

Partsch CJ, Dreyer G, Gosch A. Longitudinal evaluation

of growth, puberty and bone maturation in children

with Williams syndrome. J Pediatr 1999; 134:82-

August GP. Puberty: Normal mechanism. Dalam: Bell

JJ, August GP, Carpenter TD, penyunting. A current

review of pediatric endocrinologi. Edisi ke-3. Washington

DC; 1993. h. 45-63.

Richman RA, Kirsch LR. Testoterone treatment in

adolsecent boys with constitutional delay in growth and

development. N Engl J Med 1988; 319:1563-7.

Strickland AL. Long term result of treatment with low

dose fluocymesterone in constitutional delay of growth

an puberty and in genetic. Diperoleh dari URL : http:/

/www.com/health.




DOI: http://dx.doi.org/10.14238/sp4.4.2003.176-9

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