I kekahi manawa, ma ke ʻano he makua, hopohopo paha ʻoe ke ʻike ʻoe i nā loli i ke kino o kāu keiki liʻiliʻi i ka wā mua. No ka laʻana, he mea maʻamau ke hopohopo inā ʻike ʻoe i nā mea e like me ka lauoho armpit a i ʻole ke ʻala kino ma mua o ka piha ʻana o 8 makahiki. Akā, ʻaʻole kēia he mea e makaʻu mau ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hana kūlohelohe i kapa ʻia ʻo 'Adrenarche', ka mea nāna e hoʻoulu i kēia maʻi.
He aha ʻo Adrenarche?
I ka ʻōlelo maʻalahi, he hana kūlohelohe ka adrenarche e hana ʻia i loko o ke kino o kāu keiki. Hana ʻia ia i ka wā e hoʻomaka ai nā kelepa adrenal o ke keiki e hana i ka nui o ka hormone i kapa ʻia ʻo DHEA (dehydroepiandrosterone). Hana pinepine ʻia kēia ma waena o nā makahiki 6 a me 8. I ka pololei, hoʻomaka ia ma kahi o ʻelua mau makahiki ma mua o ka hoʻomaka ʻana o ke keiki e hele i ka wā ʻōpio.
He 'hormone precursor' ka DHEA. ʻO ia hoʻi, lawe ko mākou kino i ka DHEA a hoʻohana iā ia e hana i nā hormones ikaika ʻē aʻe. Ua kapa ʻia kēia mau mea he androgens. No ka laʻana, nā hormones e like me ka testosterone a me ka androstenedione . Eia kekahi, hana ʻia ka hormone estrogen mai DHEA. Kōkua kēia mau hormones androgen i ka hoʻomaka ʻana i ke kaʻina hana o ka wā ʻōpiopio.
E noʻonoʻo e like me ka hoʻomaʻamaʻa no ka wā ʻōpio. Ua like ʻo Adrenarche me ke kau ʻana i ke kahua ma mua o ka hoʻomaka ʻana o ka hōʻike maoli.
Hiki ke ʻike ʻia ʻo Adrenarche ma ke ana ʻana i ka pae o DHEAS (kekahi ʻano o ka hormone DHEA) i loko o ke koko. Eia nō naʻe, no ka mea he hana kūlohelohe kēia, ʻaʻole pinepine nā kauka e kauoha i kēia hoʻāʻo no nā keiki.
He aha ka mea e hana ana i loko o ke kino i ka wā o ka adrenarche?
I loko o kēia manawa, e oʻo ana kahi papa kūikawā ma ka ʻaoʻao waho (cortex) o ke kelepa adrenal o ke keiki. I kona oʻo ʻana, hana nā kelepa i ka hormone DHEA. A laila hoʻohana ke kino i kēlā DHEA e hana i nā hormones androgen. ʻO kēia mau hormones ke kumu o kēia mau mea:
| Ka hopena o nā hormones | I ka ʻōlelo maʻalahi... |
|---|---|
| Hoʻomaka ka hana ʻana o nā kelepa Sebaceous | Lilo ka ʻili a me ka lauoho i mea ʻaila, a ʻo ia hoʻi ke kumu o ka pilau kino. |
| Hoʻomaka ka hana ʻana o nā kelepa Apocrine | Hoʻomaka ka hana ʻana o nā ʻōpū hou kūikawā ma nā wahi e like me nā ʻāʻī a me ka ʻūhā. ʻO kēia ke kumu nui o ke ʻala kino. |
| ʻO ka lauoho pubic a me ke axillary | Hoʻomaka ka lauoho mānoanoa a ʻeleʻele e ʻike ʻia ma nā wahi pilikino (a puni nā ʻōpū wahine) a ma lalo o nā ʻāʻī. |
Akā, he ʻokoʻa kēia mai ka wā ʻōpiopio maoli (gonadarche) . ʻO ka wā ʻōpiopio maoli e pili ana i ka hana ʻana o nā hormones e nā ovaries i nā kaikamahine a me nā testicles i nā keikikāne. ʻO kēia ke kumu o ka ulu ʻana o nā umauma i nā kaikamahine a me ka ulu ʻana o nā ʻōpū i nā keikikāne. ʻO Adrenarche lāua ʻo gonadarche ʻelua mau kaʻina hana kūʻokoʻa ʻaʻole pili kekahi i kekahi.
He aha nā hōʻailona o ka adrenarche?
Ke hoʻomaka ka adrenarche i loko, ʻaʻohe hōʻailona o waho. ʻO ke ʻano kēia, i ka wā e hoʻomaka ai ka hormone DHEA e piʻi, ʻaʻole e hōʻike ke kino o ke keiki i kekahi mau loli.
Eia nō naʻe, ma kahi o ʻelua mau makahiki ma hope o ka hoʻomaka ʻana o Adrenarche, hiki mai kahi wā i kapa ʻia ʻo Pubarche . ʻO Pubarche ka hoʻomaka ʻana o ka ulu ʻana o ka lauoho ma nā ʻāpana pilikino. Manaʻo nā kauka he hopena kino kēia o Adrenarche. ʻO kēia ka hōʻailona mua e hōʻailona ana i ka hoʻomaka ʻana o ka wā ʻōpio.
ʻO nā hōʻailona ʻē aʻe i ʻike ʻia i ka wā pubarche:
- Ka ulu ʻana o ka lauoho ma lalo o nā armpits
- ʻAla kino
- ʻIli ʻaila a me ka lauoho
- ʻAkika
He aha ka adrenarche premature?
ʻO ka adrenarche premature ka wā e ʻike mua ʻia ai nā hōʻailona a mākou i kūkākūkā ai ma mua, e like me ka ulu ʻana o ka lauoho a me ke ʻala o ke kino, ma mua o ka mea i manaʻo ʻia. ʻO ka maʻamau, ʻike ʻia kēia mau hōʻailona ma mua o ka makahiki 8 i nā kaikamahine a ma mua o ka makahiki 9 i nā keikikāne . ʻOi aku ka maʻamau o kēia ʻano i nā kaikamahine ma mua o nā keikikāne.
Nā Hōʻailona o ka Adrenarche Premature
- ʻO ke ʻano o ka lauoho pubic a/a i ʻole armpit ma mua o 8 mau makahiki i nā kaikamahine a i ʻole 9 i nā keikikāne.
- He ʻino loa ke ʻala o ke kino a pono ʻoe e hoʻohana i ka deodorant.
- I kekahi manawa ʻoi aku ke kiʻekiʻe o kēia mau keiki ma mua o nā keiki ʻē aʻe o ko lākou mau makahiki.
Eia kekahi mea nui loa. I ke ʻano o ka Premature Adrenarche , ʻaʻohe ulu ʻana o ka umauma i nā kaikamahine, ʻaʻohe hoʻi he hoʻonui ʻia o nā ʻōpū i nā keikikāne. Inā hōʻike kāu keiki i kekahi o kēia mau hōʻailona, he ʻano ʻē aʻe paha ia i kapa ʻia ʻo 'Precocious Puberty'. No laila, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa i kāu keiki kēia mau hōʻailona o ka wā ʻōpiopio mua, e hoʻāʻo mua ke kauka e ʻike inā he maʻi koʻikoʻi ʻē aʻe e hoʻoulu ai i kēia mau hōʻailona. Hiki paha i kēia ke pili i ka nānā ʻana i ke kino o ke keiki a me ka hana ʻana paha i nā hoʻokolohua koko a me nā scan. E noi maoli ke kauka i kou ʻae ma mua o ka nānā ʻana i nā ʻōpū.
Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi endocrinologist pediatric .
| Nā kūlana olakino ʻē aʻe i kāpae ʻia e ke kauka | |
|---|---|
| Ka wā ʻōpiopio mua | Ka hoʻomaka mua ʻana o ka wā ʻōpio (ka ulu ʻana o nā umauma, nā ʻōpū). |
| ʻO ka Hyperplasia Adrenal Congenital | ʻO kahi pilikia hānau me nā kelepa adrenal. |
| Nā puʻupuʻu huna-androgen | Nā ʻano puʻupuʻu e hana ana i nā hormones androgen. |
| Ka Hōʻike ʻana o Androgen Exogenous | ʻO nā hormones Androgen e komo ana i ke kino mai waho (e.g., kekahi mau kirīmi). |
Ma hope wale nō o ka hōʻoia ʻana ʻaʻohe kumu koʻikoʻi ʻē aʻe e kapa aku ai ke kauka i kēia ʻo 'Premature Adrenarche'. ʻO kēia ke kumu o kahi 90% o nā keiki e ulu mua ana ka lauoho.
He kūlana weliweli anei ʻo Premature Adrenarche?
Hiki ke hopohopo ke ʻike i kāu keiki e ulu ana ka lauoho ʻōpiopio, akā ʻaʻole ia he mea weliweli ke kino o ka adrenarche mua.
Eia nō naʻe, ua ʻike ʻia e ka noiʻi he nui iki ka pilikia o kēia mau keiki i ka momona, ke kūʻē ʻana i ka insulin, ka polycystic ovary syndrome (PCOS), a me kekahi mau pilikia olakino noʻonoʻo ma hope o ke ola .
ʻOi aku ma mua o ke kino wale nō, hiki i kēia ke hoʻopilikia i ke olakino noʻonoʻo o ke keiki. Ke loli ko lākou kino ma ke ʻano ʻokoʻa mai ko lākou mau hoa, hiki i ke keiki ke hilahila, ʻoluʻolu ʻole, a mehameha. Hiki i nā keiki ʻē aʻe ke hoʻohenehene iā lākou. Inā ke kaumaha nei kāu keiki no kēia, he manaʻo maikaʻi e ʻimi i ke kōkua mai kekahi e like me ke kauka noʻonoʻo keiki .
ʻAʻohe lāʻau lapaʻau kūikawā no kēia. Ke hoʻomaka ka ulu ʻana o ka lauoho, ʻaʻohe ala e hoʻōki ai a hoʻohuli paha. A ʻaʻole hiki ke pale ʻia.
Leka Lawe-Home
- He hana kūlohelohe a maʻamau ʻo Adrenarche e hana ʻia ma mua o ka wā ʻōpio.
- ʻO ka adrenarche mua ʻo ia ka wā e ʻike ʻia ai kona mau hōʻailona (lauoho keʻeke/pubic, ʻala kino) ma mua o 8 mau makahiki i nā kaikamahine a ma mua o 9 mau makahiki i nā keikikāne.
- ʻAʻole ulu ka umauma a i ʻole ka hoʻonui ʻia ʻana o nā ʻāpana wahine ma ʻaneʻi. Inā pēlā, he ʻano ʻokoʻa ia.
- ʻOiai ʻaʻole kēia he mea weliweli kino, hiki iā ia ke hoʻopilikia i ke olakino noʻonoʻo o ke keiki.
- Inā loaʻa i kāu keiki kēia mau hōʻailona, he mea nui loa ia e hopohopo ʻole a e ʻike i kāu kauka ʻohana e hōʻoia ʻaʻohe kumu koʻikoʻi ʻē aʻe.
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