Ke ulu wikiwiki nei kāu keiki i ke kiʻekiʻe? E aʻo kākou e pili ana i ka gigantism!

I kekahi manawa, ulu koke kā kākou mau keiki, ʻeā? Akā, ʻaʻole maʻamau iā lākou ke ulu koke aʻe ma mua o nā keiki ʻē aʻe, me nā lālā nui aʻe. ʻO ke kumu o kēia paha he maʻi kakaikahi loa. I kēia lā, e kamaʻilio ana mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi, ʻo 'Gigantism'.

He aha ke ʻano o ka 'Gigantism'?

I ka ʻōlelo maʻalahi, ʻo ka gigantism kahi kūlana kakaikahi kahi e hana ai kahi keiki a ʻōpio paha i ka nui o ka hormone ulu (GH) . ʻO ia ke kumu e ulu nui ai kēia mau keiki ma mua o nā poʻe ʻē aʻe. ʻO ka maʻamau, hana ʻia kēia hormone ulu (GH) e kahi gland liʻiliʻi, e like me ka nui o ka pī ma ke kumu o ko mākou lolo. Ua kapa ʻia ʻo ia ʻo ka pituitary gland. Eia naʻe, inā ulu kahi puʻupuʻu liʻiliʻi i loko o kēia pituitary gland, hiki iā ia ke hana i ka hormone ulu (GH) ma mua o ka mea e pono ai. ʻO ia ka manawa e hana ai ka gigantism.

He ʻāpana liʻiliʻi ka Pituitary Gland ma ke kumu o ka lolo, ma lalo o ka Hypothalamus. Hoʻokuʻu maoli ia i kahi 8 mau hormones. ʻO ka Growth Hormone (GH) kekahi o lākou.

ʻO ka Hormone Ulu, i ʻike ʻia hoʻi ʻo Human Growth Hormone (hGH), he mea nui ia no ka ulu ʻana o nā keiki. Hoʻopilikia ia i nā ʻāpana he nui o ke kino a kōkua i ke keiki e ulu pono. Eia nō naʻe, aia kekahi mau ʻano o nā papa ulu i loko o ko kākou mau iwi i kapa ʻia ʻo Epiphyses/Growth Plates, a i ka wā e pani loa ʻia ai (ʻo ia hoʻi ma hope o ka wā ʻōpiopio), ʻaʻole e hoʻonui ka hormone ulu (GH) i ke kiʻekiʻe. ʻO ka mea āna e hana ai, ʻo ia ka mālama ʻana i ke ʻano a me ka metabolism o nā iwi, ka cartilage, a me nā ʻōpū ʻē aʻe. Pili loa kēia hormone ulu (GH) i kahi hormone i kapa ʻia ʻo Insulin-like Growth Factor 1 (IGF1), i hana ʻia e ko kākou ake. I ka hui pū ʻana, kōkua kēia mau mea ʻelua i ka ulu ʻana a me ka metabolism.

ʻO ka Gigantism kahi kūlana kahi e hana ai ke kino i ka nui o ka hormone ulu (GH), e ulu wikiwiki ai nā ʻiʻo, nā iwi, a me nā ʻiʻo pili. ʻO kēia ka hopena i ke kiʻekiʻe maʻamau ʻole a me kekahi mau loli i nā ʻiʻo palupalu o ke kino. Inā ʻaʻole mālama ʻia, hiki i kekahi poʻe me ka gigantism ke ulu a ʻoi aku ma mua o 8 kapuaʻi ke kiʻekiʻe.

No laila, he mea nui loa ka ʻike ʻana i ka maʻi a hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe loa i nā hihia o ka gigantism.

He aha ka ʻokoʻa ma waena o ka 'Gigantism' a me ka 'Acromegaly'?

ʻO ka Gigantism a me ka acromegaly nā kūlana ʻelua i hoʻokumu ʻia e ka nui o ka hormone ulu (GH). ʻO ka ʻokoʻa ka mea nāna e hoʻomohala. Hoʻomohala ka Acromegaly i nā pākeke. Hoʻomohala ka Gigantism i nā keiki a me nā ʻōpio e ulu mau ana, ʻo ia hoʻi, ʻaʻole i hiki i ka wā ʻōpio.

I ka ʻōlelo maʻalahi, hana ka gigantism ke piʻi aʻe ka nui o ka hormone ulu (GH) ma mua o ka pani ʻana o nā papa ulu i nā iwi o nā keiki (ʻo ia hoʻi, ma mua o ka pau ʻana o ka wā ʻōpiopio).

Inā piʻi aʻe kou pae hormone ulu (GH) ma hope o ka pani ʻana o kāu mau papa ulu, hiki iā ia ke hana i ka acromegaly. ʻAʻole ʻoe e ulu kiʻekiʻe, akā hiki i ka GH keu ke hoʻopilikia i ke ʻano o kou mau iwi, ka nui o kou mau kino, a me nā kūlana olakino ʻē aʻe.

ʻOi aku ka laha o ke ʻano o ka gigantism ma mua o ka acromegaly.

ʻO wai ka mea i loaʻa i ka gigantism? Pehea ka maʻamau?

ʻOiai he maʻi kakaikahi loa kēia, hiki ke ulu ka gigantism i loko o kekahi keiki i pani ʻole ʻia kona mau papa ulu (ʻo ia hoʻi, ʻaʻole lākou i pau i ka wā ʻōpio). ʻOi aku ka maʻamau i nā keikikāne ma mua o nā kaikamahine.

He ʻano laha ʻole loa ka Gigantism. Eia kekahi laʻana, ua hōʻike wale ʻia ma kahi o 100 mau hihia ma ʻAmelika Hui Pū ʻIa a hiki i kēia manawa. No laila hiki iā ʻoe ke noʻonoʻo i kona laha ʻole.

Pehea e ulu ai ka ulu maʻamau o nā keiki? He aha ka ʻokoʻa me ka gigantism?

ʻO ka hormone ulu (GH) ka mea e kāohi i ka ulu ʻana i ka wā kamaliʻi. ʻO ia hoʻi, kāohi ia i ka metabolism me ka hoʻoulu ʻana i ka ulu ʻana o nā iwi, nā ʻiʻo, a me nā ʻiʻo. ʻO ka maʻamau, he hana paʻa ka ulu ʻana a hiki i ka wā ʻōpiopio o ke keiki.

I ka wā ʻōpio, piʻi nui ka hoʻokuʻu ʻia ʻana o nā hormones wahine (estrogen a me testosterone). ʻO kēia ke kumu e pani mālie ai nā epiphyses (nā papa ulu) ma nā wēlau o nā iwi lōʻihi o ke keiki. Ke pani loa nā epiphyses, ʻo ia hoʻi, ke pau ka wā ʻōpio, e pau ka ulu ʻana o ke kiʻekiʻe.

ʻO ka wikiwiki o ka ulu ʻana o ke keiki a me ko lākou kiʻekiʻe hope loa ma hope o ka hiki ʻana i ka wā ʻōpio e hoʻoholo ʻia e ka hui pū ʻana o kekahi mau genes a lākou e hoʻoilina ai mai ko lākou mau mākua mai, nā kumu pili i ke kaiapuni, a me ko lākou kāne.

I ke ʻano o ka gigantism, ulu koke ke keiki, a ʻoi aku ke kiʻekiʻe ma mua o nā keiki ʻē aʻe o ka makahiki like a me ke kāne. Eia nō naʻe, hiki i nā hōʻailona o ka gigantism ke like me ka ulu ʻana o ka wā kamaliʻi maʻamau, e paʻakikī ai i nā mākua ke ʻike.

Inā he mau nīnau a kānalua paha kāu e pili ana i ka ulu ʻana o kāu keiki, e kamaʻilio me kāna kauka.

He aha nā hōʻailona o ka gigantism?

Hoʻokumu ʻia ka gigantism e ka nui o ka hormone ulu (GH). Eia kekahi, hiki i kahi puʻupuʻu i loko o ka pituitary gland ke kau i ke kaomi ma ka lolo kokoke a me nā ʻiʻo nerve, e hana ana i kekahi mau hōʻailona. ʻO ka hōʻailona nui o ka gigantism ka ulu nui ʻana.ʻO nā keiki me ka gigantism e ulu wikiwiki loa i ke kiʻekiʻe.

Ma waho aʻe o ke kiʻekiʻe/ʻoi aku ka nui ma mua o ko kekahi mau makahiki, ʻo nā ʻano kino i ʻike ʻia i ka gigantism:

• He lae koʻikoʻi loa a me ka ʻauwae koʻikoʻi.
• Loaʻa nā hakahaka ma waena o nā niho.
• Ka mānoanoa o nā hiʻohiʻona o ka helehelena.
• Nā lima a me nā wāwae nui, a me nā manamana lima mānoanoa.

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia paha:

• Ka hoʻonui ʻia ʻana o nā ʻōpū o loko, ʻoiai ka puʻuwai o ke keiki.
• Ka hou nui ʻana (hyperhidrosis).
• ʻIke pālua a i ʻole ka pilikia me ka ʻike peripheral.
• ʻEha poʻo.
• ʻEha hui.
• Ka lohi o ka wā ʻōpiopio.
• Ka menstruation kūpono ʻole.
• Nā pilikia hiamoe, no ka laʻana, ka apnea hiamoe.
• Ka nāwaliwali o nā ʻiʻo.

Inā loaʻa i kāu keiki kēia mau hōʻailona, ​​​​he mea nui loa e kamaʻilio me ke kauka i ka wā hikiwawe loa.

He aha nā kumu o ka gigantism?

Hoʻokumu pinepine ʻia ka gigantism e kahi puʻupuʻu maikaʻi ʻole (pituitary adenoma) i loko o ka pituitary gland o ke keiki. ʻO kēia ke kumu o ka hoʻokuʻu nui ʻana o ka hormone ulu (GH). Ke ʻike ʻia nā keiki me ka gigantism, aneane loaʻa iā lākou kahi adenoma pituitary nui (kahi puʻupuʻu 10 mm a ʻoi aku paha), i kapa ʻia he macroadenoma. Hiki ke hoʻokumu ʻia ka gigantism e ka hoʻonui ʻia ʻana o ka pituitary gland, i kapa ʻia ʻo pituitary hyperplasia.

He nui nā keiki me ka gigantism i loaʻa kahi mutation genetic e hoʻoulu ai i kahi puʻupuʻu pituitary. ʻO ka mutation genetic maʻamau e pili ana me ka gigantism he mutation a i ʻole ka holoi ʻana i ka gene AIP. Hoʻopilikia kēia i kahi 29% o ka poʻe me ka gigantism.

Hiki ke hana ʻia ka Gigantism ma ke ʻano he ʻāpana o kekahi mau maʻi genetic kakaikahi loa e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kahi puʻupuʻu pituitary e hūnā ana i ka hormone ulu (GH). ʻO kekahi o kēia mau maʻi:

• ʻO Carney complex: He ʻano genetic kēia e hoʻopilikia ai i ka pigmentation ʻili a hoʻoulu i nā tumors benign o ka ʻili, ka puʻuwai, a me ka ʻōnaehana endocrine. Ma kahi o 10% a 13% o ka poʻe me Carney complex e hoʻomohala i nā adenomas pituitary e hoʻopuka ana i ka hormone ulu (GH), kahi e ulu mālie pinepine ai.
• ʻO ka maʻi McCune-Albright:He kūlana hoʻoilina kēia e hoʻopilikia ai i nā iwi, ka ʻili, a me ka ʻōnaehana endocrine. Hoʻoulu ia i nā kiko café-au-lait ma ka ʻili, nā ʻiʻo ʻeha ma nā iwi, a me ka wā ʻōpiopio mua. He 20% a 30% o ka poʻe me ka maʻi McCune-Albright he nui ka hormone ulu (GH). Hoʻokumu pinepine ʻia kēia e ka hoʻonui ʻia (hyperplasia) o ka pituitary gland, a i ʻole ka pituitary adenoma.
• Nā ʻano Endocrine Neoplasias (MEN) ʻano 1 a i ʻole 4: He mau kūlana genetic kēia. I kēia hihia, lilo kekahi a ʻoi aku paha o kāu mau kelepa endocrine i mea hana nui, a i ʻole e ulu ana kahi puʻupuʻu. Hiki i kēia ke komo pū me kahi puʻupuʻu pituitary e huna ana i ka hormone ulu (GH).
• ʻO Neurofibromatosis: He ʻano maʻi hoʻoilina kēia i kapa ʻia he maʻi neurocutaneous. Hoʻopilikia kēia i ka ʻili a me ka ʻōnaehana nerve. Hoʻokumu ʻia kēia mau kūlana e ka piʻi ʻana o ka ulu ʻana o nā cell. Hiki i kēia ke alakaʻi i ka hoʻokumu ʻia ʻana o nā tumors ma ke kino holoʻokoʻa. Hiki i kēia ke komo pū me kahi tumor e hūnā ana i ka hormone ulu (GH).
• ʻO Familial Isolated Pituitary Adenomas (FIPA): He kūlana hoʻoilina kēia. Pili ia i ka ulu ʻana o nā adenomas pituitary. Hiki i kēia ke komo pū me nā adenomas huna hormone ulu (GH).

Pehea e ʻike ʻia ai ka gigantism?

Hiki ke paʻakikī ke ʻike i ka gigantism no ka mea he maʻi laha ʻole ia, a no ka mea hiki ke ʻokoʻa loa ka ulu ʻana o nā keiki ma muli o nā kumu genetic a me ke kaiapuni.

ʻO ka mea maʻamau, kānalua nā kauka i ka gigantism ke ʻekolu mau ʻokoʻa maʻamau o ke kiʻekiʻe o ke keiki ma luna o ke kiʻekiʻe awelika no ko lākou kāne a me ko lākou mau makahiki, a i ʻole ʻelua mau ʻokoʻa maʻamau ma luna o ke kiʻekiʻe awelika i helu ʻia mai ke kiʻekiʻe o nā mākua o ke keiki.

Inā kānalua ke kauka o kāu keiki he gigantism kāu keiki, e kuhikuhi paha ʻo ia iā ʻoe i kahi endocrinologist (he kauka loea i nā maʻi e pili ana i ka hormone). E hana ke kauka i kahi hōʻailona ma muli o ka mōʻaukala olakino o kāu keiki, ka mōʻaukala olakino ʻohana, kahi hoʻokolokolo kino piha, a me nā hoʻokolohua kūikawā e like me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi.

He aha nā hoʻokolohua e hoʻohana ʻia e hoʻoholo ai i ka gigantism?

Inā manaʻo ke kauka o kāu keiki he gigantism kona, hiki ke hana ʻia nā hoʻokolohua e hōʻoia i ke kūlana:

• Nā hoʻāʻo koko o ka Hormone Ulu a me ka IGF-1 (Insulin-like Growth Factor 1): Ke ana kēia mau hoʻāʻo i nā pae o nā hormones like ʻole i loko o kahi hāpana koko i lawe ʻia mai ke aʻa koko o ke keiki. Inā ʻoi aku ke kiʻekiʻe o nā pae ma mua o ka maʻamau, he hōʻailona paha ia o ka gigantism.
• Hoʻāʻo Hoʻomanawanui Glucose: Ke ana kēia hoʻāʻo i ka maikaʻi o ka pane ʻana o nā pae hormone ulu o ke keiki i ka glucose. No kēia hoʻāʻo, lawe ke kauka i nā hāpana koko mai kahi aa koko i nā manawa like ʻole ma hope o ka inu ʻana o ke keiki i kahi hopena glucose (kō).
• Nā hoʻāʻo kiʻi: Inā hōʻoia nā hoʻokolohua koko ua loaʻa i kāu keiki ka gigantism, e ʻōlelo pinepine kāu kauka i kahi scan MRI (Magnetic Resonance Imaging) a i ʻole kahi scan CT (Computed Tomography). Hiki i kēia mau mea ke ʻike maopopo i ka nui a me kahi o ka puʻupuʻu pituitary. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana i ka lāʻau lapaʻau pololei e pono ai.

Inā ua ʻike ʻia kāu keiki me ka gigantism, hiki i ke kauka ke hana i kekahi mau hoʻokolohua hou aʻe e ʻike ai inā ua hoʻopilikia ke kūlana i nā ʻāpana ʻē aʻe o ke kino. Hiki i kēia mau hoʻokolohua ke komo pū me:

• ʻO kahi echocardiogram e nānā ai i nā pilikia o ka puʻuwai.
• Nā hoʻokolohua hiamoe e ʻike ai inā loaʻa iā ʻoe ka apnea hiamoe.
• Nā kukuna X a i ʻole kahi scan DEXA/DXA e nānā i ke olakino o kou mau iwi.

Pehea e mālama ai ka gigantism?

ʻO nā pahuhopu nui o ka mālama ʻana i ka gigantism:

• Ke kaohi palekana nei i nā pae o ka 'hormone ulu' (GH) a me ka 'insulin-like growth factor 1' (IGF1).
• Ke mālama nei i ka ulu ʻana o kahi 'tumor pituitary'.
• Hoʻemi i ka hopena o kahi puʻupuʻu pituitary ma ka ʻiʻo lolo kokoke a me ke aʻalolo optic.
• Ke mālama ʻana a i ʻole ka hōʻemi ʻana i nā hopena o ka hormone ulu (GH) ma nā ʻōnaehana kino ʻē aʻe.

Hoʻohana pinepine nā kauka i ka hui pū ʻana o nā lāʻau lapaʻau no ka gigantism , me ke ʻoki ʻana a me ka radiation therapy nā lāʻau lapaʻau nui.

ʻOiai aia nā lāʻau lapaʻau kūpono e mālama ai i ka nui o ka hormone ulu (GH) i nā pākeke (acromegaly), ʻaʻole i aʻo maikaʻi ʻia nā hopena o kēia mau lāʻau lapaʻau i nā keiki.

ʻO ke ʻoki kino no ka Gigantism

ʻO ke ʻoki kino ka lāʻau lapaʻau maʻamau no ka gigantism. ʻO ka pahuhopu ka wehe ʻana i ka puʻupuʻu pituitary a i ʻole e hoʻēmi i kona nui. No ka mea, he nui pinepine ka puʻupuʻu pituitary e hoʻoulu ai i ka gigantism, pono paha ke keiki e hana i nā ʻoki kino he nui e kāohi pono i nā pae hormone ulu (GH).

Hiki i ke kauka lapaʻau o kāu keiki ke hoʻohana i kahi kaʻina hana ʻoki i kapa ʻia ʻo ke ʻoki transsphenoidal e wehe i kahi puʻupuʻu pituitary. Pili kēia i ka hana ʻana i ke ʻoki ma o ka ihu o kāu keiki a ma o ka sphenoid sinus (kahi lua i loko o ke poʻo ma hope o ka lua ihu, ma lalo o ka lolo).

ʻO ka Radiation Therapy no ka Gigantism

Inā ʻaʻole hiki i ke ʻoki kino ke hōʻemi i nā pae hormone ulu, hiki i ka radiation therapy ke kōkua. Pili kēia i ka hoʻohana ʻana i nā lako kūikawā e kuhikuhi i nā kukuna radiation i ka puʻupuʻu. Hana lohi kēia lāʻau lapaʻau. Pono paha i kekahi mau lāʻau lapaʻau, me nā manawa hoʻomaha lōʻihi ma waena. Hiki nō hoʻi ke hala i kekahi mau makahiki e ʻike i nā hopena piha.

He aha nā pilikia o ka mālama ʻana?

Ma muli o ke ʻoki kino a me/a i ʻole ka radiation therapy, ma kahi o 60% o ka poʻe me ka gigantism e loaʻa i kahi kūlana i kapa ʻia ʻo hypopituitarism ma hope o ka mālama ʻana. ʻO kēia ka wā e hana ʻole ʻia ai kekahi, kekahi, a i ʻole nā ​​​​hormone āpau i hana ʻia e ka pituitary gland. Hoʻōla ʻia ka Hypopituitarism me nā lāʻau lapaʻau hoʻololi hormone.

ʻO nā pilikia e hiki mai ana mai ke ʻoki ʻana e wehe i kahi tumo pituitary:

• Ke kahe ʻana o ke koko.
• Ka liki ʻana o ka wai Cerebrospinal (CSF).
• ʻO ka maʻi lolo (meningitis).
• Ka nalowale o ka sodium (paʻakai) a me ke kaulike wai i loko o ke kino.

ʻO nā hopena ʻaoʻao o ka radiation therapy e komo pū paha:

• Ka Hoʻopilikia ʻana i ka Hānau Keiki.
• Ka nalowale o ka ʻike a me ka hōʻino ʻana o ka lolo (kākaʻikahi).
• Hoʻokumu ʻia ka puʻupuʻu i kekahi mau makahiki ma hope o ka mālama ʻana (kākaʻikahi).

Hiki ke pale ʻia ka gigantism? He aha ka wānana?

ʻO ka mea pōʻino, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i ka gigantism. Eia nō naʻe, he mea nui ka ʻike mua ʻana. Hiki i ka mālama mua ke kōkua i ka pale ʻana a i ʻole ka hoʻohuli ʻana i nā loli e hoʻonui ai i ke kiʻekiʻe o kāu keiki.

ʻO ka wānana no nā keiki a me nā ʻōpio i ʻike ʻia me ka gigantism e pili ana i kekahi mau kumu:

• Pehea ka wikiwiki a i ʻole ka lohi o ka ʻike ʻia ʻana o ka maʻi.
• Pehea ka maikaʻi o nā lāʻau lapaʻau no ka mālama ʻana i nā pae hormone ulu?
• Inā he mau pilikia e pili ana i ka gigantism.

Ma keʻano laulā, ʻoi aku ka nui o nā pilikia o ka poʻe ʻelemakule i ka wā i ʻike ʻia ai ka maʻi ma mua o ka poʻe i ʻike ʻia i ka wā ʻōpiopio. ʻO kēia paha ma muli o ka lōʻihi o ka ʻike ʻana i ka hormone ulu a me ka insulin-like growth factor 1 (IGF1).

No laila, inā ʻike ʻoe i nā loli maʻamau ʻole a i ʻole nā ​​​​​​loli i manaʻo ʻole ʻia i ka ulu ʻana o kāu keiki a/a i ʻole nā ​​​​​​ʻano kino, he mea nui e kamaʻilio me kā lākou kauka i ka hikiwawe loa.

He aha ke ola lōʻihi o kekahi me ka gigantism? He aha nā pilikia lōʻihi?

He mea nui ka ʻike mua ʻana a me ka mālama ʻana i ka gigantism e pale ai i ke kiʻekiʻe nui a me nā pilikia e pili ana a hoʻonui i ka manaʻolana ola.

Inā ʻaʻole mālama ʻia, pili ka gigantism me nā pilikia koʻikoʻi a hiki i ka nui o ka make ke piʻi i ka pālua o ka maʻamau.

ʻO nā pilikia lōʻihi e ʻike ai kekahi poʻe me ka gigantism ma muli o ko lākou kiʻekiʻe nui a me ka hopena holoʻokoʻa o ka loaʻa ʻana o ka hormone ulu nui loa:

• Paʻakikī ke neʻe a puni (Neʻe) ma muli o ka nāwaliwali o nā ʻiʻo.
• ʻO ka Osteoarthritis (ka mumū o nā hono).
• ʻO ka Neuropathy Peripheral (nā maʻi o ke aʻalolo peripheral).
• ʻO ka ʻApnea hiamoe.
• Puʻuwai nui (cardiomegaly) a me nā pilikia o ka valve puʻuwai.
• Nā pilikia metabolic e like me ka Type 2 Diabetes.

Eia kekahi, hiki ke hoʻemi ʻia ke ʻano o ke ola o ka poʻe me ka gigantism i mālama ʻole ʻia ma muli o nā pilikia me nā hana o kēlā me kēia lā e like me ke kūʻai ʻana i nā lole a me ka huakaʻi ʻana ma muli o ke kiʻekiʻe loa.

Āhea ʻoe e ʻike ai i ke kauka o kāu keiki e pili ana i ka gigantism?

Inā ua ʻike ʻia kāu keiki me ka gigantism, pono ʻo ia e ʻike i kā lākou kauka a/a i ʻole endocrinologist i nā manawa a pau e nānā i ka holomua o ka lāʻau lapaʻau a e hōʻoia i ka maikaʻi o kā lākou mau pae hormone.

Inā ʻike ʻoe i kekahi mau loli i ka wikiwiki o ka ulu ʻana o kāu keiki a/a i ʻole nā ​​ʻano kino, he mea nui e kamaʻilio me ke kauka o kāu keiki i ka wā hikiwawe loa. ʻOiai ʻaʻole paha ke kumu o ka gigantism, he mea kūpono ke noiʻi ʻana i nā loli kānalua. ʻOi aku ka maikaʻi o ka ʻike mua ʻana i ka gigantism, a ʻo ka poʻe me ka gigantism e ola kino maikaʻi. Inā he mau nīnau kāu e pili ana i ka ulu ʻana o kāu keiki, mai makaʻu e nīnau i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

He maʻi laha ʻole ka gigantism akā he maʻi koʻikoʻi paha. ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mea ʻē a kānalua paha e pili ana i ka ulu ʻana o kāu keiki, e like me ka ulu wikiwiki ʻana o ke kiʻekiʻe ma mua o ka mea i manaʻo ʻia a i ʻole ka nui o nā lālā.

E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama ʻana e hoʻonui nui i nā manawa kūpono o kāu keiki e ola i kahi ola olakino a maʻamau. Mai hopohopo, aia nā kauka ma laila e kōkua iā ʻoe a me kāu keiki. E kamaʻilio me lākou e pili ana i nā hopohopo āu e loaʻa ai.

ʻO ka Gigantism, ka Hormone Ulu, ka Pituitary Gland, ka Ulu ʻana o nā Keiki, ka Piʻi ʻana o ke Kiʻekiʻe, Acromegaly