Fisiologi pubertas pada

8445:-079,85,/,,39, !:-079,85,/,,39,

!:-079,8,/,,9,,5,32,9:7,818/2,3,3/;/:203,/2,25:80.,7, !:-079,8,/,,9,,5,32,9:7,818/2,3,3/;/ :203,/2,25:80.,7,18448 18448 :39:70574/:8!07:-,,3,3 :39:70574/:8!07:-,,3,3907,/80,2,5:-079,8/503, 907,/80,2,5:-079,8/503,7:401,947 7:401,947 30:7447243,,32024/:,850 30:7447243,,32024/:,85079:2-:,3842,98/,3 79:2-:,3842,98/,3502-039:,347,3808: 502-039:,347,3808:, , $02:,20,3820,3907,/80,2,5:-079,820 $02:,20,3820,3907,/80,2,5:-079,8207:5,,3,8/,7,9;, 7:5,,3,8/,7,9;,88:2-:,:7 88:2-:,:7 549,,2:85418843,/9;,88:2 549,,2:854188 43,/9;,88:2-:3-079,3:3,,-907 -:3-079,3:3,,-907,/,5507:-,,3 ,/,5507:-,,3  507:-,,3-4482471448/,3584  507:-,,3-4482471448/,35844880,2,5:-0 4880,2,5:-079,8 79,8 %,3307202-,9,,5,3,3907,/80,2,5:-079,8%, %,3307202-,9,,5,3,3907,/80,2,5:-079,8%,,5,33/-,203,//,7% ,5,33/-,203,//,7% 8,25,%/2,3,%/039/03,350702-,3 8,25,%/2,3,%/039/03,350702-,3,32,8,,3,,3,/,3 ,32,8,,3,,3,/,3%/039/03,3 %/039/03,3 2,9:79,8503: !,/,,39,5:-079,8/,,/03,32:3.:3,,7,90780880:3/0 !,/,,39,5:-079,8/,,/03,32:3.:3,, 7,90780880:3/075,/,:8,809,7 75,/,:8,809,7 9,:3%07,/,35:-079,8-8,2 9,:3%07,/,35:-079,8-8,2:3.:0-,,/,3-8,: :3.:0-,,/,3-8,:,0-.05,9!:-079,8 ,0-.05,9!:-079,8 /,9,,3570485702,9:7,5,-,9,3/,9,3/ /,9,,3570485702,9:7,5,-,9,3/,9,3/,80880:3/ ,80880:3/072:3.:5079,2,, 072:3.:5079,2,, 80-0:2:8,9,:3/,3/,9,,3907,2 80-0:2:8,9,:3/,3/,9,,3907,2-,9,2:3.:5,/,8,,9203 -,9,2:3.:5,/,8,,92033,:8,0-/,7 3,:8,0-/,7 9,:3 !0702-,3,3,7,90780880:3/075,/,,3 !0702-,3,3,7,90780880:3/075,/,,39,205:9502-08,7,3 9,205:9502-08,7,34;,7:2:907:8 4;,7:2:907:8 ;,3,,-,5,:/,7,8079,9:2-:3 ;,3,,-,5,:/,7, 8079,9:2-:3,7,2-:95:-8/,3,8, ,7,2-:95:-8/,3,8,,39,7,802:,3, ,39,7,802:,3,,3 ,3  5079,2,,2:3.:,/,,502-08,7,35,:/,7,90  5079,2,,2:3.:,/,,502-08,7,35,:/,7,90,7.0/,3/:99:2,7.0/,3/:99:2-:3,7,2-:9 :3,7,2-:9  5:-8,8,-:,38090,3,$0/,3,3:907:8  5:-8,8,-:,38090,3,$0/,3,3:907:8203.,5,::7,3808:,%20 203.,5,::7,3808:,%203:7:9 3:7:9 %,3307,2572,9:709,203897:,850 %,3307,2572,9:709,203897:,85079,2,,203,7.00-0 79,2,,203,7.00-07,5,,50393,3 7,5,,50393,3 ,3907,/80,2,5:-079,8,39,,39,7,,3,/,3 ,3907,/80,2,5:-079,8,39,,39,7,,3,/,3,5,.:9:2-:,/40803 ,5,.:9:2-:,/408038:,9: 8:,9:  507.05,9,35079:2-:,393-,/,3/,32  507.05,9,35079:2-:,393-,/,3/,32:3.:3,07,,9,.30;:, :3.:3,07,,9,.30;:,785,/,:8, 785,/,:8, 809,79,:303,7.0803/72:3.: 809,79,:303,7.0803/72:3.:,39,7,:8,9,:3 ,39,7,:8,9,:3!,/,5:-079,8 !,/,5:-079,8  57048203,7.0907,/5,/,:8,  57048203,7.0907,/5,/,:8,9,:380/,3,35,/ 9,:380/,3,35,/,5:-079,8907,2-,9203,7.0 ,5:-079,8907,2-,9203,7.0  -,7:2:3.:3,:8,9,:3  -,7:2:3.:3,:8,9,:3$:84;:,85,/,,39,907,/ $:84;:,85,/,,39,907,/809,7-:,3 809,7-:,3 8090,203,7.0 !:-079,8/,5,9/,9,,390,03,5/,,2 !:-079,8/,5,9/,9,,390,03,5/,,29,:38090,4380 9,:38090,438095079,2,/,3 95079,2,/,3  5079:2-:,3842,993-,/,3  5079:2-:,3842,993-,/,32,8-8,-07,38:39,:3 2,8-8,-07,38:39,:38090,3,,/7, 8090,3,,/7, 7,9,:38090,438095079,2,5:-079,8 0-07,5,89,,38073/:3,,3 0-07,5,89,,38073/:3,,3/,,29,3/,9,3/,80880:3/0 /,,29,3/,9,3/,80880:3/075,/,,39,,39,7, 75,/,,39,,39,7, ,390,7.0,9:502-08,7,35,:/,7, ,390,7.0,9:502 -08,7,35,:/,7,5:-,7.0,9:9:25:-,7.0,9:9:2-:3,7,2-:95:-8 :3,7,2-:95:-8 203,7.0,9:203897:,8,3 203,7.0,9:203897:,8,35079,2,,907,//,3,/703, 5079,2,,907,//,3,/703,7.0,9: 7.0,9: 9:2-:3,7,2-:9,8,80-,,,-,95033 9:2-:3,7,2-:9,8,80-,,,-,95033,9,3,3/7403/,7,/ ,9,3,3/7403/,7,/703, 703, 38,85:-079,85,/,,39,

$890270574/:8,39,-0:2,918,25,:8, $890270574/:8,39,-0:2,918,25,:8,5:-079,8,3/ 5:-079,8,3/80-,-,3,/,3, 80-,-,3,/,3,  5030,3,38:5708,919,83#549,,2  5030,3,38:5708,919,83#549,,2:85,/,1,805705 :85,/,1,805705:-079,8,3,,3, :-079,8,3,,3, !030,3,3907,/,5,919,83#3203 !030,3,3907,/,5,919,83#3203,3/3-809,202,8::8 ,3/3-809,202,8::8, ,  5:-079,80,3820,5,,3203,9:780  5:-079,80,3820,5,,3203,9:7803,5030,3,3 3,5030,3,390780-:9/3-82,8 90780-:9/3-82,8-0:2 -0:2 /5,,280503:3,

!07:-,,318,3907,/80,2,5:-079,85,/,,39,

&39:2025072:/,502,,2,320303,507:-,,318,3907,/80,2,5:-079,8  5,/,,39,%,3307203443,33,203,/-0-07,5,9,,5,3,3/9,3/,/03,3/,7 %%,33078,25,% %,3307 !077,,3 % :8,











%0,7.0

!:-,7.0

0.05,9,3 ,3,3  5079:2-:,3 93  -,/,39,:3  .2 /703,7.0

 9,:3 ,9,: 0;,85:938:8: %/,,/, :7,3 ,704,2,880,,7 7,2-:9,9,:,/, /03,35072:,,3 7,2-:93,2:3 /,/,  -039:3,805079 ;:8  9,:3 %:3,85,:/,7,-8, #,2-:9,7,3  .2 907,-,,704, 80/9 202-08,7  -0752039,8  9,:3 !,:/,7,200-,7 03,/0- 200--,9,8,704,,8,70,5/,3 0793  9,:3 !:993 8:8: -07,/, %50/0,8, /,9,8-:9,704, 3,2:3  5030-,7,33, 80-,9,85:-8  9,:3 ,9,: 3907,85:938:8:%50/0,8,/,3 0-  5030-,7,33, 3,05,, 80-0,/,,2

 .2

.2

!02-08,7,3 9478  52039,8 ,-, .30 ;:,78 7,2-:9,8, 03,7.0

03.,5, 7,3039, 93 /0,8, 2,82,5,/, :8,9,:3

!03,7:47243,

!07:-,,3,3907,/80,2,5:-079,8-,502:3.:,3,7,907808572072,:5:3 80:3/07802:,3,/70:,830:7447243/,-,3,47243,3203,9:7, 90780-:9/,3.,7,07,3,8,3-07,9,3,39,7,8,9:/03,3,3,33, $0.,7,,78-08,7907/,5,99,7,747243,,3-07507,38,,95:-079,85,/,,39, ,9:43,/49453700,834724303#,3/,8,340549,,2:8 4.0892:,93472430$/,3:9033472430,3/,8,340 54188,39074780-,,7085438,9,83#/,3897403/,35740890743,3 /,8,3404;,7:280-,,7085438,9,8$/,3 43,/49453700,834724303#

3#,/,,472435059/,,3/,8,340549,,2:8,3203892:,88080 43,/497455,/,54188,390747549,,2:8803/75030:,7,33#/,9:740 3:0:8,7:,9,0:7435,/,3:0:8,7:,9,20202,25:,3:39:202574/:8/,3 2005,8042-,33#054188

43,/49453

43,/4974535,/,,39,205:94.0892:,93472430$/,3:9033 472430,$/,3/80708,340003,754188,3907475,/,:8, ,39,7,9,:310/,7807084724390780-:9,/,,8:8203897:,8,3907,/  5,/,:8,809,79,:3!074/03/,9,,35:-079,880/,3,38:8203897:,8  5079,2,/80-:9203,7.0 $/,3-007,203892:,84;,7:2/03,3-07,9,35,/,70805947$/,370805947 #0805947,3907,9;,8,,32033,9,3,:80708805079:2-:,3/,3  574107,8809;9,83/507,39,7,40.! O

4.0892:,93472430$

$207:5,,347243,3202897:9:74574903/574/:8/8043,/49745 54188/892:,84047243,9;3/,3/,2-,940472433-3$-071:38 /,,25079:2-:,350702-,3,32,9:7,88,,95:-079,8/,370574/:8 !,/,,39,$203892:,82,9:7,880800723,203892:,85079:2-:,3140 907:9,2,5,/,80807,3:48,/,3203.0,,9708,140!,/,,71,8014:,707, $/,2-,9403-3/,35,/,,71,80:90,,9;9,8$02-,2033,9:39: 2025078,5,38:84;:,8-07:93,/02,380907:83, 07,$:,/,2-,9400897,/40897403,3/,8,3401402,9,3 803,2030-,-,314090780-:9/,5,9203,,24;:,880/,3,3140,33, 203,,2,9708, O

:9033472430

207:5,,347243,3202897:9:7457490309074/207/574/:8/80 43,/4974554188/,307,3,9/,/503,7:40,9;9,8,9;33-3/,3 47243808 !,/,8,,9$203892:,85079:2-:,3140:8:83,807,3:48,2,,  5030:,7,30897403,,3202.:2:3.:3,70805947:39:,,3-07,9,35,/, 708059473,90780-:9/,30897403,,320372:25,3-,54891:39:2030:,7,3 0--,3,,03,3802,3-,3,3,2,,,,3202.:4;:,8 5030:,7,34;:2/,714080,:8203,7,,3502-039:,3475:8:90:2475:8 :90:2,3907-039:,,3203,8,35740890743,3-07:3,5,/,8,,925,39,8 897403/,35740893 897403

!,/,,39,,380/,39/,,20897403/574/:8/4;,7:2/,347908,/703, 80/,3,35,/,,39,,20897403:,/574/:8/5,8039,/,9,2,.,20897403 ,3907/,5,9/,,2:2,831,3×0897,/40897430/,308974×0897,/4-,3, /574/:8/4;,7:280/,3,308974300--,3,/574/:8/47908,/703,/,380 8090,/,5:308974,/,,9:7:3,3×0897,/4/,30897430,38:/,/43;078/,9

,703,×0897,/42025490380897403,0-:,9/-,3/30897430/,3 ,0-:,9/,7089742,,×0897,/4/,9,,380-,,08974032,47 10/,70897403,/,,203892:,8574107,880:07/,35079:2-:,347,3808/,3  ,73,3,33,907,970574/:807:9,/,,010089740380.,7,85081 O

&907:8/,347,3808089073,

!,/,2,8,5:-079,80897403/574/:8809,7,5,90--,3,/-,3/32,8,  5705:-079,8!033,9,3,/,7472433-078,2,,3/03,35032-:3,302, 2030-,-,3507:-,,3507:-,,385081,9:502-08,7,34;,7:29:-,1,45:907:8 /,3;,3, 897403:,203:-,0590;,3,/,70590:-4/203,/0590-0793,9,30- 7088903907,/,597,:2,/,33108 O

%:-,1,45

897403 2030-,-,3574107,8,73,35,/,,58,32:48,9:-,1,45$0,39: 0897403:,2033,9,3:2,/,3,9;9,880808,,350393/,,250707,,3 4;:2,390,/10798,8 O

!,:/,7,

897403 2030-,-,350702-,3,3,73,389742,5,/,003,75,:/,7,5079:2-:,3 88902/:9:88079,/0548802,4-::84-::8/,3,;04-0702-,3203,/0- :,8 O

$89027,3,

897403 203,2-,9,9;9,848904,8803,203:7,350307,5,34890489/,3 2033,9,35079:2-:,39:,3897403:,2030-,-,3503,9:,3051885,/, 9:,39:,35,3,309,:-,,010 08974035,/,,39,0-:,9/-,3/3,3 010908948907435,/,57,3,2:3503039,33,,3.05,92030-,-,3,39, .03/07:30-503/0/-,3/357, O

05488574903

897403 2030-,-,35033,9,3574903949,9:-:,3/-:9,340 0802-,3,3397403,30-548918090,502-07,30897403,2:3, /-,3/3,3/03,390894890743010/05488574903,3/92-:,34090894890743 0-:,9/-,3/3,30897403 O

09,-48209:-:/,3/0548802,

897403 2033,9,3,:209,-49:-:3,2:30-02,,/-,3/3,3/03,3 010,38,2,409089489074357,$0,39:0897403:,2033,9,3:2,02, 8:-:9,3/,3203/054883,5,/,/,07,/,07,9079039:8050795,:/,7,-443/,3  5,,803,202:3.:,3,2-,7,3200:,39,,3,8

O

897-:87,2-:9

8974039/,202010-08,7907,/,5503/897-:8,37,2-:9/,5:39:2-:3, 7,2-:9//,07,5:-8/,3,8,207:5,,3507,3/,7,3/7403,/703, O

:9

897403 2030-,-,3:9,39,2029089:7,302-:9/,3,:83,2:30- 90-,,/-,3/3,3/03,3:9,3,,3,$0,39:0897403:,2030-,-,3:9 203,/0-;,8:,7,38073/,848,8,3/03,35033,9,38::5,/,:9/,3  507/,7,,3,30--,3,,907,/8,,9,35,/,:9,39,/-,3/3,3/03,3 :957, O

08092-,3,3009749

897403 2030-,-,3709038,7/,384/:2409:-::89:-::83, !740893

!74089390750393,/,,5740890743!,/,,39,,380/,39/,,25740890743 /574/:840475:8:90:25,/,5,7:907,78:84;,7:2:385740890743  -07/,8,7,347,3,3/503,7:3,,/,, O

&907:8

:38907503935740890743,/,,2033,9,3507:-,,380709475,/,03/42097:2 :907380,2,5,7:,78:8808:,803,2025078,5,3:907:8:39:25,39,8 4;:2$0,39:5740890743:,203:7,3170:038/,3390389,84397,8:90730 803,/03,3/02,3203:7,3784907,/3,50:7:,34;:2,390, /25,39,8 O

%:-,1,45

!7408907432033,9,380708,58,3 2:48,,3,/,5,/,9:-,1,45$07083 /507:,3:39:3:9784;:2,390,/10798,880-0:2203,,225,39,8 O

003,75,:/,7,

!740890743202.:50702-,3,34-::8/,3,;045,/,5,:/,7,2030-,-,38080 ,;04,7-07574107,8202-08,7/,3203,/8070947,2:357408907439/,-07507,3 /,,280708$ !740890743:,2030-,-,3502-08,7,3003,75,:/,7,,703,5033,9,3.,7,3/  ,73,38:-:9,3 47243,3

$0,3/,747243,38:/,/80-:9,3/,9,8907/,5,947243,3,3:,-07507,3 /,,25:-079,8,2:39/,80507947243/,9,847243,33:7,39/,

202503,7:50702-,3,380857207/,3,3,202503,7:50702-,3,3,7,907 80880:3/07 O

!74,93

!,/,50702-,3,3003,75,:/,7,/2,8,5:-079,8472430897403203892:,8  50702-,3,3/:9:880/,3,35740890743207,38,3502-039:,34-::8,;04:8 0/:,3,9/,,/,:-:3,33,/03,35030:,7,3,78:8:,,:39:5030:,7,3,7 8:8:/892:,8404724309,574,93 !74,93207:5,,347243,3/80708,34054188,390747:38/,7574,93 ,/,,203892:,808708,78:8:$0,2,5,7:5079,2,0,2,3003,75,:/,7, 80-03,73,90,8,5:39:202574/:8,78:8:3,2:3/,2-,9400897403/,3  57408907430,2,3$090,0,2,38008,-,7:,003,75,:/,7,-8, 202574/:8,78:8: O

$9074/,/703,

$9074/,/703,/,8,3/47908,/703,/,9,4724389074/,/703,,9: 2307,4794/907:9,2,,/48090743:39:08092-,3,32307,:44794/ 907:9,2,47984:39:209,-4820,7-4/7,902,/,35749038079,47243808 ,3/039/03,3,3/,8,34043,/4;,7:25,/,,39, !,/,,39,47243808,3/,8,34047908,/703,,,0897403,2:3  :2,3,,:0-80/9/,75,/,0897403,3/,8,3/4;,7:2803,9/, 907,:-072,3,$0,39:/47908,/703,:,/,8,3,3/7403 /0/7405,3/74890743!,/,57,39/,-072,3,,703,/,,,340 90894890743,2:35,/,,39,,3:7,3202,3/74033202 2,3,18448,9:5079:2-:,37,2-:95:-8/,3,8,5,.:9:2-:5:-079,88079,  50702-,3,3/,35020,7,,3/4743,3808,39, O

749472430

80,3-071:3880-,,472435079:2-:,3:,2020105,/,5:-079,8 203892:,8/107038,8807,3:48,,3/3/:840$2033,9,30;0 /4;,7:2/,32033,9,370854384;,7:2907,/,543,/497453 O

38:307491,.947

2033,9,301043,/4974535,/,807,3:48,/,3-007,80.,7,83078 /03,3:39:2,9:7,84;,7:25489203,7.0 O

38:3

!,/,,9:5:-079,8907,/43,,3,/,738:35,82,09,:38:3202 470,854891:,9/03,3 #0107038

9

 :943,%09-444120/.,5844 0/!0338;,3,80;07 3.5 3/  $00744/8442,3:8,/,780088902 0/,,79,5  9  ',3/0709,:2,358449020.,38241-4/1:3.943 0/&$%0 .7,425,3085 9  ,343#0;04120/.,5844 0/&$%0.7, 425,3085