Ke lohi nei kāu keiki i ka hiki ʻana i ka wā ʻōpio? (Delayed Puberty) E kamaʻilio kākou e pili ana i kēia!

Manaʻo ʻoe e ulu iki ana kāu keiki i ka wā lohi ma mua o nā keiki ʻē aʻe o kona mau makahiki? I kekahi manawa hiki nō. ʻO ia hoʻi, hoʻomaka ke keiki i ka wā ʻōpiopio ma hope o ka makahiki i manaʻo ʻia. ʻO kēia ka mea a mākou e kapa nei he wā ʻōpiopio lohi a i ʻole "ka wā ʻōpiopio lohi". Kapa pū kekahi poʻe iā ia he "hoʻomohala moekolohe lohi". E like me ka pua ʻana o kekahi mau pua i ka wā lohi iki, hiki i kekahi mau keiki ke "bloomer lohi". Akā, ʻaʻole kēia he hoʻomaka lohi wale nō. I kekahi manawa hiki ke hoʻomaka koke ka wā ʻōpiopio, a laila e pau, a hele lohi paha. A laila, ʻaʻole i hoʻopau ke keiki i nā pae āpau o ka wā ʻōpiopio e like me ka mea i manaʻo ʻia. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i kēia, akā i ka wā e ʻike pono ai mākou e pili ana i ia mea, hiki ke hoʻoponopono ʻia nā pilikia he nui.

No laila, i ka makahiki hea e manaʻo ʻia ai ka wā ʻōpio he lohi?

ʻOkoʻa iki kēia ma waena o nā kaikamahine a me nā keikikāne. Eia ke ʻano o ka wehewehe ʻana a nā kauka:

ʻO ke ʻano o ka lohi o ka wā ʻōpio i nā kaikamahine:

• Inā ʻaʻole i hoʻomaka ka ulu ʻana o kou mau umauma i ka piha ʻana o 13 makahiki.

A i ʻole,

• Inā ʻaʻole ʻoe i hoʻomaka i ka menstruation i ka piha ʻana o kou mau makahiki he 15, a i ʻole inā ʻaʻole ʻoe i hoʻomaka i ka menstruation i ʻekolu mau makahiki ma hope o ka hoʻomaka ʻana o kou mau umauma e ulu.

ʻO ke ʻano o ka lohi o ka wā ʻōpio i nā keikikāne:

• Inā ʻaʻole i hoʻomaka ka nui o nā testicles i ka piha ʻana o ka makahiki 14.

A i ʻole,

• ʻOiai inā he ʻelima mau makahiki i hala aku nei mai ka hoʻomaka ʻana o ka nui ʻana o nā testicles, ʻaʻole i pau ka wā ʻōpio.

Mai hopohopo i kēia mau palena makahiki. He mau alakaʻi maʻamau wale nō kēia. Inā he mau hopohopo kāu e pili ana i kāu keiki, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka keiki.

He aha nā hōʻailona o ka lohi o ka wā ʻōpio?

ʻO nā hōʻailona nui ka ulu ʻana o ka umauma (i nā kaikamahine) a me ka ulu ʻana o ka testicular (i nā keikikāne). Eia nō naʻe, aia paha nā mea ʻē aʻe:

• ʻOi aku paha ka pōkole o kāu keiki ma mua o ka mea i manaʻo ʻia no ko lākou mau makahiki. ʻO kēia no ka mea ʻaʻole lākou i ʻike i ka "growth spurt" e kū pinepine ana i ka wā ʻōpio.
• ʻAʻole paha i oʻo nā iwi o ke keiki e like me ka mea i manaʻo ʻia no ko lākou mau makahiki. Ua kapa ʻia kēia ʻo "delayed bone age." ʻO ke kauka wale nō ke ʻike maopopo, a pono ia i kahi X-ray.
• Ka nele o ka ulu ʻana o ka lauoho pubic ma kahi pilikino o ke keiki.

Akā eia ka mea. Loaʻa paha i kekahi mau keiki ka lauoho pubic, akā hiki ke manaʻo ʻia ua lohi lākou i ka wā ʻōpiopio. Hiki iā lākou ke hoʻomaka e ulu i ka lauoho armpit a i ʻole ke ʻala kino. ʻO kēia mau hōʻailona he ʻāpana o kahi hana kūlohelohe i kapa ʻia ʻo adrenarche. ʻO kēia ka mea e hana ʻia ma mua o ka wā ʻōpiopio. ʻOkoʻa nā hormones e kōkua i ka hoʻoulu ʻana i ka adrenarche mai nā hormones e kaohi i ka wā ʻōpiopio. No laila, inā hele kāu keiki ma o adrenarche, ʻaʻole paha lākou e hoʻomaka i ka wā ʻōpiopio i ka wā i manaʻo ʻia.

He aha ke kumu nui o ka lohi o ka wā ʻōpio?

ʻO ka pinepine, ʻo ke kumu nui o ka lohi o ka wā ʻōpiopio, ʻo ia ka genetic. ʻO ia hoʻi, he mea paha ia i loaʻa i nā keiki ʻē aʻe o ka ʻohana. Loaʻa i kekahi mau keiki ka leka ma o ko lākou mau genes e hoʻomaka ka wā ʻōpiopio ma hope iki. ʻAʻohe hewa me nā ʻōpū, nā glands, a i ʻole nā ​​hormones o ke keiki. Ke hana nei nā mea āpau. I ka ʻōlelo maʻalahi, ke hana nei ke kino o kāu keiki ma kahi papa hana ʻokoʻa ma mua o nā keiki ʻē aʻe.

Ua kapa ʻia kēia e nā kauka ʻo `(Constitutional Delay of Growth and Puberty)` a i ʻole `(CDGP)`. Ua kapa pū kekahi mau kauka iā ia ʻo `(self-limited delayed puberty)`. ʻO kēia no ka mea, ʻoiai me ka ʻole o kekahi lāʻau lapaʻau, hiki mai ka puberty i ka manawa i hoʻonohonoho ʻia a holomua maʻamau. E noʻonoʻo, inā ua lohi iki ka ulu ʻana o ka makuakāne a i ʻole ke ʻanakala o ka ʻohana, aia kahi manawa liʻiliʻi e hana like ai ke keiki.

Eia nō naʻe, i kekahi manawa hiki i nā kūlana ʻē aʻe i ke kino o ke keiki ke hoʻopilikia i ka hoʻomaka ʻana a me ka holomua o ka wā ʻōpio. ʻO ka lohi ma muli o kēia mau kumu e pono ai ka mālama ʻana.

Nā kumu ʻē aʻe o ka lohi o ka wā ʻōpiopio

Ma waho aʻe o nā genetics, aia paha kekahi mau kumu ʻē aʻe. E nānā i kēia papa inoa:

• ʻO ka maʻi o Addison
• Maʻi puʻupaʻa mau loa
• ʻO ka fibrosis cystic
• Nā maʻi genetic, e like me nā maʻi chromosomal e like me ka Turner syndrome a me Klinefelter syndrome.
• Hoʻoikaika kino nui. Hiki i kēia ke alakaʻi i ka emi nui ʻana o ka momona o ke kino a hoʻopilikia i ka hana hormonal. (He mea nui loa kēia no nā keiki ʻōpio e pāʻani ana i nā haʻuki hoʻokūkū.)
• Ka nele o ka hormone ulu
• Hypothyroidism (thyroid hana ʻole)
• ʻO ka maʻi ʻōpū mumū (IBD)
• Hiki ke loaʻa ka nele i ka meaʻai no nā kumu like ʻole. Hiki ke hoʻopilikia ʻia kēia e nā mea e like me nā maʻi ʻai.
• ʻO kekahi mau lāʻau lapaʻau a lāʻau lapaʻau paha, e like me corticosteroids, chemotherapy, a i ʻole radiation therapy.
• Nā ulia a i ʻole ka hōʻino ʻana i ka lolo a i ʻole nā ​​gonads o ke keiki (ovaries a testicles paha).
• Nā puʻupuʻu e hoʻopilikia ana i ka lolo a i ʻole ke kaula kuamoʻo o ke keiki.
• ʻO ka maʻi diabetes ʻano I.

E noʻonoʻo paha ʻoe pehea e pili ai kēia mau mea like ʻole i ka wā ʻōpio. Aia ka pane i nā hormones.

ʻO ke kuleana o nā hormones i ka lohi o ka wā ʻōpiopio

Ua like nā hormones me nā ʻelele huna o ko kākou kino. ʻO lākou ka poʻe e hana ma hope o nā hiʻohiʻona e hoʻomaka a hoʻomau i ka wā ʻōpiopio. Hana ʻia kēia mau hormones e nā kelepa endocrine. E ʻike paha kāu keiki i nā loli i ko lākou kino, e like me ka ulu ʻana o ka umauma a i ʻole ka ulu ʻana o ka lauoho ma lalo o ko lākou mau lima. Akā aia kekahi mau mea āu e ʻike ʻole ai:

1. Hoʻopuka ʻia a hoʻokuʻu ʻia ka hormone hoʻokuʻu gonadotropin (GnRH) mai kahi ʻāpana o ka lolo o kāu pēpē i kapa ʻia ʻo hypothalamus.

2. Ke haʻi aku nei kēia hormone `(GnRH)` i ka pituitary gland i loko o ka lolo o ke keiki e hana a hoʻokuʻu i ka hormone luteinizing `(LH)` a me ka hormone follicle-stimulating `(FSH)`. I ka hui pū ʻana, ua kapa ʻia kēia mau mea ʻelua he gonadotropins `(gonadotropins).`

3. ʻO kēia mau hormones gonadotropin ka mea e haʻi aku i nā gonads o ke pēpē (ovaries i nā kaikamahine a me nā testes i nā keikikāne) e hoʻokuʻu i nā hormones wahine (estrogen a testosterone paha).

4. ʻO ka hoʻokuʻu ʻia ʻana o kēia mau hormones moekolohe ke kumu o nā hōʻailona kino o ka wā ʻōpio, e like me ka ulu ʻana o ka umauma a me ka ulu ʻana o ka testicular.

Ua like kēia me kahi hui nui e hana pū ana, ʻeā? Inā loaʻa kekahi mea i kekahi lālā o ka hui, hoʻopilikia ia i ka hui holoʻokoʻa. Hoʻohana nā kauka i nā huaʻōlelo e like me kēia e wehewehe i ka mea e hana nei ma hope o nā hiʻohiʻona:

• Hypogonadotropic hypogonadism: ʻO ke ʻano kēia, ʻaʻole hana pono ka hypothalamus a i ʻole ka pituitary gland o ke keiki. ʻAʻole lākou e hana a hoʻokuʻu paha i nā hormones lawa. Hoʻokumu pinepine ʻia kēia e kahi maʻi. Ke mālama nā kauka i ke ʻano, e hoʻomaka ka wā ʻōpiopio e hana maʻamau. ʻO ka hoʻoikaika kino nui a me ka ʻai ʻole he mau kumu maʻamau nō hoʻi.
• ʻO ka hypogonadism Hypergonadotropic: ʻO kēia ka manawa e hana pono ai ka hypothalamus a me ka pituitary gland o ke keiki. Eia naʻe, ʻaʻole hana pono kā lākou gonads (testicles a i ʻole ovaries). Hana ʻia kēia i nā keiki me ka Turner syndrome a me Klinefelter syndrome. Hiki ke hana ʻia kēia kūlana ma ke ʻano he hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa a i ʻole no nā kumu ʻē aʻe.

ʻOiai paha he mea paʻakikī iki kēia mau huaʻōlelo, ma nā huaʻōlelo maʻalahi, ʻo ke ʻano o kēia, aia ka pilikia ma kahi o ka ʻōnaehana kaohi hormonal.

Pehea e ʻike ai nā kauka i kēia maʻi?

Hana nā kauka i kēia mau mea e ʻike ai i ka wā lohi o ka wā ʻōpiopio:

• Ke hana nei i kahi hoʻokolokolo kino.
• E kamaʻilio mākou me ʻoe e pili ana i ka mōʻaukala olakino o kāu keiki a me ka mōʻaukala olakino o ka ʻohana (nā mākua maoli).
• Ke hana ʻia nei kekahi mau hoʻokolohua.

ʻO kahi mea a nā kauka e nānā nui ai, ʻo ia ka loaʻa ʻana o kahi moʻolelo ʻohana o ka lohi o ka wā ʻōpiopio. Inā pēlā, hiki i kāu keiki ke "loloa koke," ʻo ia hoʻi, ʻaʻohe kumu lapaʻau kumu no ka lohi.

Eia nō naʻe, inā manaʻo nā kauka he mea ia e holo ana i loko o ka ʻohana, hana pinepine lākou i nā hoʻokolohua e hōʻoia ʻaʻohe kumu ʻē aʻe. ʻO kēia no ka mea ua kapa nā kauka i ka "Constitutional Delay of Growth and Puberty (CDGP)" he "diagnosis of exclusion." ʻO ia hoʻi, hoʻoholo lākou he "(CDGP)" ma hope o ka hōʻoia ʻana ua hoʻokaʻawale ʻia nā kumu ʻē aʻe a pau.

He mea nui loa kēia mau hoʻokolohua ʻoiai i nā hihia kahi ʻaʻohe mōʻaukala ʻohana a i ka wā e hoʻāʻo nei nā kauka e ʻimi i ke kumu.

Nā hoʻokolohua e ʻike ai i ka wā ʻōpiopio i lohi

Hiki iā ʻoe ke hana i nā hoʻokolohua penei:

• Nā hoʻāʻo koko: E nānā i nā pae hormone a ʻike inā he mau hōʻailona o kekahi mau kūlana olakino.
• Hoʻāʻo hoʻoilina: E nānā i nā loli hoʻoilina e hiki ai ke hoʻopaneʻe i ka wā ʻōpio.
• Nā hoʻokolohua kiʻi: Hana ʻia nā mea e like me ka MRI scan a i ʻole ka ultrasound scan e hōʻoia a hoʻopau paha i kekahi mau kūlana.

Hiki i kāu pediatrician ʻohana ke kuhikuhi iā ʻoe i kahi endocrinologist pediatric a i ʻole nā ​​​​loea ʻē aʻe e kōkua i ka ʻike a me ka mālama ʻana i kēia maʻi.

Pehea e mālama ʻia ai ka lohi o ka wā ʻōpiopio?

Aia ka lāʻau lapaʻau ma ke kumu o ka lohi. Hiki i ka hui lapaʻau o kāu keiki ke ʻōlelo aʻe i kēia mau mea:

• He ala "kali a ʻike": Hana pinepine ʻia kēia no nā keiki ʻōpio ʻaʻohe pilikia olakino a i ʻole kekahi kumu ʻē aʻe i ʻike ʻia no ka lohi. E ʻike nā kauka inā hiki ke hoʻomaka maoli ka wā ʻōpiopio. Inā pēlā, ʻaʻole pono kāu keiki i kekahi lāʻau lapaʻau, a e hiki mai ka wā ʻōpiopio e like me ka mea i manaʻo ʻia.
• Ka mālama ʻana i nā kūlana olakino: Inā ma muli o kahi kūlana kikoʻī ka lohi, e mālama nā kauka i kēlā kūlana. Pono kēia e kōkua i ka hoʻomaka ʻana o ka wā ʻōpiopio a me ka holomua e like me ka mea i manaʻo ʻia.
• Ka lāʻau lapaʻau hoʻololi hormone:Inā ʻaʻole hana ke kino o ke keiki i nā hormones lawa (testosterone a estrogen paha) e hiki ai i ka wā ʻōpio, pono paha lākou i ka lāʻau lapaʻau e hāʻawi i kēlā mau hormones. E wehewehe ke kime lapaʻau iā ʻoe i ka lōʻihi o ka lāʻau lapaʻau hormone e pono ai ma muli o nā pono kikoʻī o kāu keiki.

ʻAʻole pono nā keiki "loloa hope" me ke kumu ʻole o ke olakino i ka lāʻau lapaʻau hormone. Eia nō naʻe, inā he mea kaumaha loa ka lohi o ka wā ʻōpiopio no ke keiki, he koho paha ia. He paʻakikī i kekahi mau keiki ʻōpio ke kali a hiki i ka wā ʻōpiopio, a hiki i kēia lohi ke hoʻoulu i nā pilikia pili kaiaulu a hoʻopilikia i ko lākou manaʻo ponoʻī. Inā hopohopo ʻoe e hana ana kēia i kāu keiki, e kamaʻilio me kāu hui lapaʻau e pili ana i ia mea.

Āhea wau e ʻimi ai i ke kōkua lapaʻau no kaʻu keiki?

E lawe i kāu keiki no nā nānā pono maʻamau, a e kaʻana like i kou hopohopo me kāu kauka pediatric. E nānā lākou i ka ulu ʻana a me ka ulu ʻana o kāu keiki a e nīnau paha iā ʻoe e pili ana i kou mōʻaukala ʻohana. E wehewehe kāu kauka pediatric i nā hoʻokolohua a me ka hahai ʻana e pono ai inā ʻaʻole i hoʻomaka kāu keiki i ka wā ʻōpiopio e like me ka mea i manaʻo ʻia.

E mālama pono hoʻi i ke olakino noʻonoʻo o kāu keiki.

Hiki i ka lohi o ka wā ʻōpio ke loaʻa ka hopena nui i ke olakino noʻonoʻo o kāu keiki liʻiliʻi - akā he manawa nō hoʻi ia e hana nei lākou me nā manaʻo he nui a me nā loli. He manaʻo maikaʻi paha e hoʻonohonoho i kāu keiki e kamaʻilio me kahi mea lapaʻau. Hiki i ke aʻo ʻana ke kōkua i kāu keiki e kamaʻilio ma o ko lākou mau manaʻo e pili ana i ka wā ʻōpio a me nā mea ʻē aʻe a lākou e noʻonoʻo nei a hana ma o lākou. Manaʻo paha lākou, "Ua ulu aʻe koʻu mau hoaaloha a pau a ʻo wau wale nō ka mea ʻōpiopio." Pono lākou i ke kākoʻo i nā manawa e like me kēia.

He aha nā nīnau e pono iaʻu e nīnau aku i nā kauka o kaʻu keiki?

He ʻike kūikawā ka wā ʻōpiopio no kēlā me kēia keiki, inā paha e hiki mai ana "i ka manawa kūpono" a i ʻole ma hope o ka mea i manaʻo ʻia. Hiki i kāu kauka keiki a me nā loea e hāʻawi ana i ka lāʻau lapaʻau ke kaʻana like i ka ʻike e pili ana i kāu keiki. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau e hoʻomaka i ke kamaʻilio ʻana:

• Pehea e ʻike ai inā ua hoʻomaka ka wā ʻōpio o kaʻu keiki?
• Pehea e ʻike ai au inā ʻaʻole e holomua ana ka wā ʻōpio e like me ka mea i manaʻo ʻia?
• Ua lohi anei ka wā ʻōpiopio o kaʻu keiki? Inā pēlā, he aha nā hōʻailona?
• Pono anei kaʻu keiki i kekahi mau hoʻokolohua?
• Ke paipai nei ʻoe i kekahi lāʻau lapaʻau?
• Pehea e hiki ai iaʻu ke kākoʻo maikaʻi loa i kaʻu keiki?

He aha kaʻu e manaʻo ai inā ua lohi ka wā ʻōpio o kaʻu keiki?

E haʻi aku ke kime lapaʻau o kāu keiki iā ʻoe i ka mea e manaʻo ai, ma muli o ke kumu o ka lohi o ka wā ʻōpiopio a me nā lāʻau lapaʻau a kāu keiki e loaʻa ai. He paʻakikī ke ʻōlelo pololei i ka wā e hoʻomaka ai ka wā ʻōpiopio. ʻO nā keiki ʻōpio me ka "Constitutional delay of growth and puberty (CDGP)" e hoʻomaka pinepine i ka wā ʻōpiopio i ka makahiki 18. Eia nō naʻe, hiki i kāu keiki ke hoʻomaka ma mua. He ʻokoʻa ka ʻike o kēlā me kēia keiki.

E hoʻomanaʻo wale, he manawa pōkole ka lohi o ka wā ʻōpio a hiki ke mālama ʻia inā pono.

Hoʻonui anei ka lohi o ka wā ʻōpio i ke kiʻekiʻe?

He mea paʻakikī ke ʻōlelo pololei pehea ka hopena o ka lohi o ka wā ʻōpiopio i ke kiʻekiʻe o kāu keiki. Hiki kekahi mau keiki ʻōpio i kahi kiʻekiʻe makua pōkole ma mua o ka mea i manaʻo ʻia ma muli o ke kiʻekiʻe o ko lākou mau mākua maoli. Eia nō naʻe, no nā keiki ʻōpio ʻē aʻe, ʻaʻole like ka lohi o ka wā ʻōpiopio me he mea lā e hoʻopilikia i ko lākou kiʻekiʻe makua.

I kekahi manawa, hana nā kauka i kahi hoʻāʻo "makahiki iwi" (X-ray) e loaʻa ai kahi manaʻo o ke kiʻekiʻe o ke keiki makua. Hiki i kāu pediatrician ke haʻi hou aku iā ʻoe e pili ana i kēia hoʻāʻo a me kāna mea e hōʻike ai.

Ke hoʻopaneʻe nei ka hoʻohana ʻana i ka melatonin i ka wā ʻōpiopio?

Hiki i ka Melatonin ke hoʻopaneʻe i ka wā ʻōpiopio, akā pono ka noiʻi hou aku e ʻike pono ai. Ke aʻo nei nā kānaka noiʻi i nā hopena ʻaoʻao o ka mālama ʻana i ka melatonin i nā keiki a me nā ʻōpio. E kamaʻilio me kāu pediatrician e pili ana i nā pono a me nā pōʻino o ka hāʻawi ʻana i kāu keiki i ka melatonin.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Hiki i ka lohi o ka wā ʻōpiopio ke lilo i mea hoʻoluhi no ʻoe a me kāu keiki. Ke hopohopo nei paha ʻoe no kāu keiki, a i ʻole e noʻonoʻo paha ʻoe no ke aha i lohi ai ko lākou ulu ʻana. E hoʻomanaʻo, aia kēlā me kēia keiki ma ko lākou ala ponoʻī. Hiki i kāu keiki ke hiki i ka wā ʻōpio ke mākaukau ko lākou kino. A i ʻole, pono paha ko lākou kino i kahi kōkua iki e hiki ai i laila. Eia nō naʻe, hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e noʻonoʻo i ka mea e hana nei a paipai i ke ala maikaʻi loa.

I loko o kēia manawa, nui paha nā hopohopo o kāu keiki - mai ke kūpono ʻana me nā hoa a hiki i ka hilinaʻi i kona helehelena. E nīnau i kāu kauka keiki pehea e hiki ai iā ʻoe ke kākoʻo maikaʻi i nā pono o kāu keiki. Eia kekahi, e wehe i ka puka no kāu keiki e kamaʻilio me ʻoe i kēlā me kēia manawa a lākou e kaumaha ai a huhū paha. ʻOiai kahi ʻapo iki a i ʻole kahi leka e ʻōlelo ana "Haʻaheo wau iā ʻoe" hiki ke hele lōʻihi i kēia manawa.

ʻO ka lohi o ka wā ʻōpiopio, nā hormones, ke olakino o ke keiki, ka wā ʻōpiopio, ka ulu ʻana, ka ulu ʻana o ka moekolohe