6 Jul 2020

사춘기 여아들의 유방의 성장 발육, Growth and development of female adolescent breasts

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사춘기 여아들의 유방의 성장 발육, Growth and development of female adolescent breasts

brest-dev-1s.jpg

그림7-16. 사춘기 여아들의 유방의 성장 발육단계

출처;JM Tanner, M.D., Institure of Child Health.

Department of Growth and Development, university of London, London, England

  • 여아들의 사춘기는 8~13세 경에 시작되는 것이 보통이다.
  • 사춘기가 오자마자 난소에서 에스트로겐 등 여성 호르몬이 분비된다. 여성 호르몬의 영향을 받아 유방 속에 있는 유선들과 유관들이 커진다. 
  • 유방 속 지방이 축적되어 유방이 커진다. 
  • 여성 호르몬의 영향을 계속 받아 9~15세 사춘기 여아들의 젖꼭지가 점점 더 커져 융기될 수 있고 때로는 좀 알알거릴 수 있다.
  • 12~17세까지 유방 전체가 성인 여성들의 유방처럼 원추형 유방 모양으로 변화되는 것이 보통이다. 
  • 프로게스테론이란 여성 호르몬의 영향을 받으면 유관들의 말단 부분이 커져서 유선 낭들이 형성된다. 
  • 부모도 반의사가 되어야 한다-소아가정간호백과]-제 3권 신생아, 영유아, 학령기와 사춘기 아이들의 성장발육. 제 10권 소아청소년 신장 비뇨 생식기계 질환. 제 14권 소아청소년 내분비, 유전, 염색체, 대사, 희귀병 참조

Growth and development of female adolescent breasts

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Figure 7-16. Stages of breast growth and development in adolescent girls Source; JM Tanner, M.D., Institute of Child Health. Department of Growth and Development, university of London, London, England

• Puberty in girls usually begins around the age of 8-13.

• As soon as puberty arrives, female hormones such as estrogen are secreted by the ovaries. Under the influence of female hormones, the mammary glands and ducts in the breast enlarge.

• The fat in the breasts accumulates and the breasts get bigger.

• Continuing the influence of female hormones, the nipples of adolescent girls aged 9 to 15 years can grow larger and become raised and sometimes a little flaky.

• By the age of 12 to 17, it is normal for the entire breast to change to a conical shape similar to that of adult women.

• Under the influence of a female hormone called progesterone, the distal portion of the ducts enlarges and mammary glands are formed.

•www.drleepediatrics.com – Volume 3 The growth and development of newborns, infants, school-age and adolescent children. Volume 10 Kidney and Adolescent Kidney and Urogenital Diseases. See Volume 14 Children and Adolescents Endocrinology, Genetics, Chromosomes, Metabolism, and Rare Diseases

출처 및 참조 문헌 Sources and references

  • NelsonTextbook of Pediatrics 22ND Ed
  • The Harriet Lane Handbook 22ND Ed
  • Growth and development of the children
  • Red Book 32nd Ed 2021-2024
  • Neonatal Resuscitation, American Academy of Pediatrics
  • The Johns Hopkins Hospital, The Harriet Lane Handbook, 22nd edition
  • Red book 31st edition 2021
  • Nelson Text Book of Pediatrics 21st Edition
  • Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
  • Ambulatory Pediatrics, Green and Haggerty, Saunders
  • School Health: A Guide For Health Professionals, American Academy of Pediatrics
  • How to really love your child Ross Campbell
  • Good Behavior Stephen W. Garber, Ph.D. and other
  • Adolescent Medicine and The Media Adolescents Medicine
  • AM: Stars Adolescent Medicine: State of the Art Reviews, Asthma, and Diabetes in A
  • The Pediatric Clinics of North America, Adolescent Gynecology, Part II THe Sexually Active Adolescent, August 1999
  • Fueling the Teen Machine, Ellen Shanley and Colleen Thompson
  • Why Teenagers Act the Way They Do, Eight Adolescent Personality Types: Understanding and Dealing With Them, Dr. G. Keith Olson
  • The Pregnancy bible  Joan Stone, Keith Eddleman
  • Pediatric and Adolescent Endocrinology, The Pediatric Clinics of North America in August 1987
  • Adolescent Gynecology, Ross Round table
  • Female Reproductive Health, Adolescent Medicine Patricia S. Simmons, M.D., Marc. Laufer, M.D.
  • The Adolescent Male: Adolescent Medicine, David S. Rosen, M.P.H., Michael Rich, M.D.
  • Lesbian and Gay Youth: Care And Counseling, Adolescent Medicine, Caitlin Ryan, M.S.W, A.C.S.W., Donna Futterman, M.D.
  • Medical and Gynecologic Endocrinology: Joseph S. Sanfilippo, M.D., Jordan W. Finkelstein, M.D., Dennis M. Styne. M.D., Adolescent Medicine Clinics, Oct. 2005 Vol. 16
  • Robert T. Brown, M.D., Paula K. Braverman, M.D.
  • 진정한 자녀 사랑 나비게이터
  • 10대 아들 딸 이렇게 사랑해 키워라 이상원 역
  • 소아과학 대한교과서
  • 의학 용어사전  대한 의사 협회
  • 제24권 사춘기 성교육 출처 참조 문헌
  • Gray Anatomy
  • 제 25권 임신, 분만, 출산, 신생아 돌보기 이상원저
  • 그 외

Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP

“부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances.

“Parental education is the best medicine.“