Ke hopohopo nei ʻoe no ka ulu ʻana o kāu keiki? Hiki paha i kēia ke kumu o ka hemahema o ka hormone ulu (GHD)?

Ke lohi nei anei ka ulu ʻana o kāu keiki liʻiliʻi ma mua o nā keiki ʻē aʻe o kona mau makahiki? A i ʻole ke manaʻo nei ʻoe he ʻano pōkole kona ma mua o kona mau makahiki? He mea maʻamau i nā mākua ke hopohopo e pili ana i nā mea e like me kēia i kekahi manawa. Eia naʻe, ʻaʻole paha he mea maʻalahi mau. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hiki mai ana i ka noʻonoʻo i kēlā mau manawa, akā ʻaʻole maʻamau loa. ʻO ia ka 'Growth Hormone Deficiency', i kapa ʻia hoʻi ʻo 'GHD' no ka pōkole.

He aha kēia 'Growth Hormone Deficiency (GHD)'? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo GHD kahi kūlana kahi i hana ʻole ai kahi gland liʻiliʻi i loko o ko kākou lolo, ʻo ia hoʻi ka pituitary gland, i ka nui o ka hormone ulu (GH), he mea nui ia no ka ulu ʻana o ke kino. Ua kapa pū kekahi poʻe i kēia "pituitary dwarfism." Hiki i kēia kūlana ke hoʻopilikia i nā pēpē, nā keiki, a me nā pākeke. ʻOi aku ka pōkole o nā keiki me GHD ma mua o ko lākou mau makahiki, akā he maʻamau paha ko lākou mau ʻāpana kino ʻē aʻe.

ʻIke ʻoe, ua like nā hormones me nā ʻelele kemika i loko o ko kākou kino. Hele lākou ma o ke koko a haʻi i ko kākou mau ʻōpū, nā ʻiʻo, a me nā ʻiʻo ʻē aʻe i ka mea e hana ai a me ka manawa e hana ai.

He ʻāpana liʻiliʻi ko kākou ʻōpū Pituitary, akā he ʻōpū Endocrine koʻikoʻi loa ia. Aia ia ma ke kumu o ko kākou lolo, ma lalo o ka ʻōpū Hypothalamus. ʻElua ona ʻāpana nui: ʻo ka ʻōpū Anterior a me ka ʻōpū Posterior. ʻO ka ʻōpū Anterior ka mea e hana ai i ka ʻōpū Growth Hormone (GH) a me kahi o 8 mau ʻōpū ʻē aʻe.

I kekahi manawa, loaʻa paha i ka poʻe me GHD kahi maʻi i kapa ʻia ʻo hypopituitarism, ʻo ia hoʻi ka nele i nā hormones ʻē aʻe i hana ʻia e ka pituitary gland. ʻO kēia mau hormones:

• ʻO ka Hormone Antidiuretic (ADH a i ʻole Vasopressin)
• ʻO ka hormone hoʻouluulu follicle
• ʻO ka Hormone Luteinizing
• ʻO ka hormone hoʻoulu thyroid (TSH)
• ʻO ka Hormone Adrenocorticotrophic (ACTH)

No laila he aha ka hana a kēia 'Hormone ulu'?

He mea nui loa ka hormone ulu (GH) no ka ulu ʻana o nā keiki. Hoʻopilikia ia i nā ʻāpana he nui o ke kino. He mea nui ia no ka ulu maʻamau, ka ikaika o nā ʻiʻo a me ka iwi, a me ka hoʻolaha ʻana o ka momona o ke kino .

Ma hope o ka pani ʻana o nā papa ulu (epiphyses) i loko o ko kākou mau iwi, ʻo ia hoʻi, ua pau ko kākou ulu ʻana, ʻaʻole kōkua hou ʻo GH iā kākou e ulu aʻe. Eia nō naʻe, pono mau ko kākou kino i ka GH. I ko kākou ulu ʻana, kōkua ʻo GH i ka mālama ʻana i ke ʻano maʻamau o ke kino, mālama i ka holo pono o ka metabolism, a kōkua i ka mālama ʻana i nā pae glucose koko .

No laila, hiki iā ʻoe ke ʻike inā he keiki ʻoe, he ʻōpio, a he pākeke paha, inā ʻaʻole lawa ka hormone ulu i loko o kou kino, hiki iā ia ke hoʻopilikia iā ʻoe ma nā ʻano like ʻole ma muli o kou mau makahiki. I nā keiki a me nā ʻōpio, hiki i ka GHD ke kumu i kou ulu ʻole ʻana ma ke ʻano maʻamau. I nā pākeke, hiki iā ia ke hana i nā pilikia e like me ka hoʻonui ʻia o ka momona o ke kino a me ke kiʻekiʻe o ke kō koko.

Aia kekahi mau ʻano like ʻole o ka 'Growth Hormone Deficiency (GHD)'?

ʻAe, aia ʻekolu mau ʻano nui o ka `GHD`:

• GHD hānau ʻia: He kūlana kēia i loaʻa i ka wā hānau. Hiki ke hana ʻia e kahi loli genetic a i ʻole kahi pilikia me ke ʻano o ka lolo o ka pēpē.
• GHD i loaʻa: Hana ʻia kēia e ka hōʻino ʻia ʻana o ka pituitary gland ma hope o ke ola. Hiki i nā keiki a me nā pākeke ke loaʻa iā GHD ma kēia ʻano.
• GHD Idiopathic: I ka lāʻau lapaʻau, ʻo "idiopathic" ke ʻano ʻaʻole ʻike ʻia ke kumu . I kekahi mau hihia o GHD, ʻaʻohe kumu kikoʻī e loaʻa.

Ua hoʻokaʻawale ʻia ʻo GHD e ka makahiki o ka hoʻomaka ʻana, ʻoiai he ʻokoʻa nā hōʻailona a me nā ʻano hana diagnostic ma muli o ka hoʻomaka ʻana i loko o kahi keiki a i ʻole he pākeke.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo 'GHD'?

He maʻi laha ʻole ka hemahema o ka hormone ulu (GHD). Ma ke ʻano laulā, hoʻopilikia ka GHD ma kahi o hoʻokahi i loko o 4,000 a hoʻokahi i loko o 10,000 mau keiki. He maʻi laha ʻole nō hoʻi ka GHD i ka wā makua, e hoʻopilikia ana ma kahi o hoʻokahi i loko o 10,000 mau kānaka.

He aha nā hōʻailona o ka 'Growth Hormone Deficiency (GHD)'?

ʻOkoʻa nā hōʻailona o GHD ma muli o ka makahiki āu e ulu ai ke ʻano.

Nā hōʻailona o GHD i nā pēpē a me nā keiki

Ke loaʻa i nā pēpē a me nā keiki ka GHD, ua hoʻopaneʻe ʻia ko lākou ulu ʻana. ʻO ka hōʻailona nui ka lohi o ka piʻi ʻana o ke kiʻekiʻe i kēlā me kēia makahiki ma hope o ke kolu o ka lā hānau o ke keiki . ʻO ke ʻano kēia, ʻaʻole lākou e piʻi ma mua o 1.4 ʻīniha i kēlā me kēia makahiki.

ʻO nā hiʻohiʻona ʻē aʻe:

• He helehelena i ʻōpiopio ma mua o kona mau makahiki.
• Ka ulu ʻana o ka lauoho a me nā kui nāwaliwali.
• Ka lohi o ka ulu ʻana o nā niho.
• Ka lohi o ka wā ʻōpiopio .
• Haʻahaʻa ke kō koko ('Hypoglycemia') i nā pēpē a me nā keiki ʻōpio.
• He liʻiliʻi loa ka penis o nā pēpē kāne hānau hou ('Micropenis').

Nā hōʻailona o GHD e hoʻomaka ana i ka wā makua

ʻOi aku ka paʻakikī o ka ʻike ʻana i nā hōʻailona o GHD e hoʻomaka ana i ka wā makua. ʻO kēia mau hōʻailona:

• Ka manaʻo o ka nele i ka hauʻoli a me ke olakino maikaʻi.
• Hopohopo a me/a i ʻole ke kaumaha.
• Ka emi ʻana o ka ikaika kino.
• Ka hoʻonui ʻia o ka waiho ʻana o ka momona, ʻoi aku hoʻi a puni ka ʻōpū .
• Ua emi ke kani o nā ʻiʻo.
• ʻO ka emi ʻana o ka nui o ka iwi hiki ke alakaʻi i nā kūlana e like me ka osteoporosis.
• Hiki i ke kū'ē ʻana o ka insulin ke alakaʻi i ka maʻi diabetes Type 2.
• ʻO ka nui o ka LDL-cholesterol a me nā triglycerides e hoʻonui ai i ka pilikia o ka maʻi puʻuwai.

He aha nā kumu o kēia maʻi i kapa ʻia ʻo 'GHD'?

Hiki ke ʻokoʻa nā kumu o GHD ma muli o ka makahiki i hoʻomaka ai ke kūlana. I kekahi manawa, aia nā hihia kahi i hiki ʻole ai ke loaʻa ke kumu (idiopathic).

Nā kumu o ka GHD hānau

Hoʻokumu ʻia ka GHD hānau e kahi hoʻololi genetic . I kekahi manawa hiki ke pili kēia me nā pilikia i ke ʻano o ka lolo a i ʻole nā ​​​​​​mea ʻē ma ka midline o ka maka (e.g., cleft palate, single central incisor).

Ua ʻike nā kānaka ʻepekema i kekahi mau loli genetic e hoʻoulu ai i ka GHD. ʻO kekahi o lākou:

• ʻAno IA ka hemahema o ka hormone ulu i hoʻokaʻawale ʻia: ʻO kēia hoʻololi ʻana o ka genetic ke kumu o ka lohi o ka ulu ʻana i ka wā fetal, a ʻoi aku ka liʻiliʻi o ka pēpē ma mua o ka mea i manaʻo ʻia i ka wā hānau. I ka wā mua, pane maikaʻi kēia poʻe i ka lāʻau synthetic growth hormone (GH), akā ma hope e hoʻomohala i nā antibodies e kūʻē i ka hormone. ʻO ka hopena, ua lohi ka ulu ʻana a me ke kiʻekiʻe pōkole loa o ke kanaka makua.
• ʻO ka hemahema o ka hormone ulu i hoʻokaʻawale ʻia ʻano IB: Ua like kēia me ke ʻano IA, akā loaʻa i kēia mau pēpē kekahi GH kūlohelohe i loko o ko lākou kino i ka wā hānau. Hoʻolohe pū lākou i ka lāʻau GH artificial i ko lākou ola a pau.
• ʻO ka hemahema o ka hormone ulu kaʻawale ʻano II: He haʻahaʻa loa nā pae GH o kēia poʻe, a he mau ʻano like ʻole paha o ka emi ʻana o ke kiʻekiʻe. ʻIke pinepine ʻia ka hāʻule ʻana o ka ulu ʻana i ka wā kamaliʻi mua a waena paha. Ma kahi o ka hapalua o kēia poʻe he gland pituitary i ulu ʻole (Pituitary Hypoplasia).
• ʻO ka hemahema o ka hormone ulu i hoʻokaʻawale ʻia ʻano III: E like me ke ʻano II, he haʻahaʻa loa nā pae GH o kēia poʻe a hiki ke ʻike i nā ʻano like ʻole o ka stunting. ʻIke pinepine ʻia ka hāʻule ʻana o ka ulu ʻana i ka wā kamaliʻi mua a waena paha. Loaʻa paha iā lākou kahi ʻōnaehana pale palupalu nāwaliwali a me nā maʻi pinepine.

ʻOkoʻa paha nā ʻano hoʻoilina o kēia ʻano kaʻawale o ka hemahema o ka hormone ulu mai kēlā hanauna a kēia hanauna.

Nā kumu o ka GHD i loaʻa

ʻO GHD, ka mea e kū mai ana ma hope o ke ola, ua hana ʻia e ka hōʻino ʻia ʻana o ka pituitary gland. ʻO kēia hōʻino ke kumu o ka nalowale ʻana o ka gland i kona hiki ke hana a hūnā i ka hormone ulu. Hiki i nā keiki a me nā pākeke ke loaʻa iā GHD ma kēia ʻano.

Hiki ke hōʻino ʻia ka ʻōpū pituitary e nā kūlana a i ʻole nā ​​​​hanana e like me:

• ʻO ka adenoma pituitary (kahi puʻupuʻu ʻaʻole maʻi kanesa).
• ʻO ka radiation therapy i ka pituitary gland a i ʻole kona wahi e pili ana.
• ʻEha poʻo koʻikoʻi a i ʻole 'Traumatic Brain Injury (TBI)'.
• Hoʻopilikia ʻia ke kahe koko i ka pituitary gland.
• Ka pōʻino ulia pōpilikia a i ʻole ka hiki ʻole ke pale ʻia i ka wā o ke ʻoki lolo a i ʻole ke ʻoki ʻana e wehe i kahi adenoma pituitary.
• ʻO ka maʻi ʻōnaehana aʻalolo waena.
• Nā maʻi e pālahalaha ana i loko o ke kino, e like me ka Langerhans cell histiocytosis, sarcoidosis, a me ka maʻi puʻupuʻu.
• Hiki i nā puʻupuʻu i loko o ka hypothalamus ke hoʻoulu i ke kaomi ma ka pituitary gland.

Pehea e ʻike ai kā mākou mau kauka i kēia maʻi 'GHD'?

Hoʻomaopopo pinepine ʻia ka GHD i nā keiki i ʻelua mau makahiki. ʻO ka mua ma kahi o 5 mau makahiki, i ka wā e hoʻomaka ai nā keiki i ke kula . ʻO kēia no ka mea hiki i nā mākua ke hoʻohālikelike maʻalahi i ke kiʻekiʻe o kā lākou keiki me nā keiki ʻē aʻe i kā lākou papa. ʻO ka lua o ka makahiki ma waena o 10-13 mau makahiki no nā kaikamahine a me 12-16 no nā keikikāne . ʻO kēia nā makahiki e hoʻomaka pinepine ai ka wā ʻōpiopio. Hiki i ka lohi o ka wā ʻōpiopio ke hoʻāla i nā kānalua no GHD.

ʻO ke kumu nui loa i ka ʻike ʻana i ka GHD i nā keiki, ʻo ia ka piʻi ʻana o ka ulu ʻana . ʻO kēia ke kiʻekiʻe o ke keiki e ulu ana. Ma muli o ke ʻano maʻamau, hahai ka ulu ʻana i kahi ʻano. Inā nānā ʻia ka ulu ʻana no ka manawa o 6 a 12 mau mahina a aia i loko o ka pae maʻamau i loko o ia wā, ʻaʻohe manawa kūpono o ka pilikia ulu ʻana.

ʻO GHD, ka mea e hoʻomaka ana i ka wā makua, hiki ke paʻakikī ke ʻike ʻia no ka mea he maopopo ʻole kona mau hōʻailona a me he mea lā he mau mea maʻamau. Hiki i kēia ke paʻakikī i ka ʻike ʻana.

He aha nā hoʻokolohua e hana ʻia ma nā keiki e ʻike ai i ka `GHD'?

E nānā pono ke kauka o kāu keiki i kāna mōʻaukala lapaʻau a me nā pakuhi ulu e nānā i nā hōʻailona o ka ulu ʻole ʻana o ka ulu ʻana, nā mea pilikia no GHD, a me nā kūlana ʻē aʻe e hoʻopilikia paha i ka ulu ʻana.

ʻO nā kūlana olakino ʻē aʻe e hiki ke hoʻopilikia i ka ulu ʻana:

• Hypothyroidism (ka hana ʻole o ka thyroid).
• Ka lohi o ka wā ʻōpiopio.
• Maʻi Celiac.
• Ka ʻai ʻole ʻana.

Ma muli o ka loli nui ʻana o nā pae o ka hormone ulu i loko o ko kākou koko i ka lā a pau, ʻaʻole hiki i kahi hoʻāʻo koko wale nō ke hoʻoholo i ka hemahema o GH. No laila, hiki i ke kauka o kāu keiki ke kauoha i nā hoʻokolohua e like me kēia e hōʻoia i ka GHD a/a i ʻole e kāpae i nā kūlana ʻē aʻe e hoʻopilikia paha i ka ulu ʻana:

• Nā kukuna X: Hiki ke hana ʻia kahi kukuna X o ka lima e loiloi i ka ulu ʻana o ka iwi (makahiki o ka iwi) a me ka hiki ke ulu.
• Nā hoʻokolohua koko a me nā hoʻokolohua hoʻokolohua ʻē aʻe:Hiki i kekahi mau hoʻokolohua koko ke kōkua i ka hoʻopau ʻana i nā kūlana ʻē aʻe e hoʻopilikia ai i ka ulu ʻana a i ʻole ke kōkua i ka ʻike ʻana iā GHD. ʻO nā hoʻokolohua koko kikoʻī he insulin-like growth factor-1 (IGF-1) a me ka insulin-like growth factor binding protein-3 (IGFBP-3).
• Hoʻāʻo Hoʻoulu Hormone Ulu: ʻO kēia ka hoʻāʻo nui a nā kauka e hoʻohana ai e ʻike i ka GHD. Ma kēia hoʻāʻo, hāʻawi ʻia kāu keiki i kahi lāʻau lapaʻau e hoʻoulu ai i ka pituitary gland e hoʻokuʻu i ka GH. A laila lawe ke kauka i kahi hāpana koko a ana i ka pae GH. Inā ʻaʻole hōʻike nā hopena hoʻāʻo koko ua kiʻekiʻe ka pae GH i ka pae i manaʻo ʻia, ʻo ia hoʻi, ʻaʻole lawa ka hana ʻana o ka pituitary gland i ka GH.
• Kiʻi Resonance Magnetic (MRI): Hiki i ke kauka o kāu keiki ke kauoha i kahi MRI o ke poʻo. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o GHD ma ka ʻimi ʻana i nā pilikia me ka pituitary gland a i ʻole ka lolo.

He aha nā hoʻokolohua e hana ʻia ma luna o nā pākeke e ʻike ai i ka 'GHD'?

ʻO ka hoʻāʻo maʻamau i hoʻohana ʻia e ʻike ai i ka GHD i nā pākeke ʻo ia ka Insulin Tolerance Test . He hormone kūlohelohe ka insulin i hana ʻia e ko mākou pancreas.

Ma kēia hoʻokolohua, e hāʻawi ke kauka iā ʻoe i kahi inikini o ka insulin hana e hoʻohaʻahaʻa i kou pae kō koko. A laila, e lawe lākou i kahi hāpana koko a ana i ka nui o ka hormone ulu i loko o kou koko.

Ke haʻahaʻa ko mākou pae kō koko (hypoglycemia), hoʻokuʻu ʻia ka hormone ulu. Inā hōʻike kāu mau hoʻokolohua koko ua haʻahaʻa kāu mau pae hormone ulu ma mua o ka mea i manaʻo ʻia i kahi hoʻokolohua hoʻomanawanui insulin, hōʻoia kēia i ke kūlana GHD.

Aia paha he mau hoʻokolohua ʻē aʻe:

• `Hoʻāʻo hoʻoulu ʻana o Glucagon`
• `Hoʻāʻo hoʻoulu ʻana iā Macimorelin`
• `Hoʻāʻo hoʻoulu ʻana o Arginine`
• `Hoʻāʻo hoʻoulu Clonidine`

Pehea e mālama ʻia ai ka `Growth Hormone Deficiency (GHD)`?

ʻO ka lāʻau lapaʻau no GHD i nā keiki a me nā pākeke, ʻo ia nā inikini o ka hormone ulu synthetic (Recombinant Human Growth Hormone) . Hiki ke hāʻawi ʻia kēia mau mea ma ka home. Pono pinepine ka poʻe me GHD e lawe i kahi inikini i kēlā me kēia lā .

He lōʻihi ka mālama ʻana i ka hormone ulu synthetic, i kekahi manawa he mau makahiki. He mea nui loa e ʻike pinepine i kāu kauka e ʻike inā e hana pono ana ka lāʻau a inā pono e hoʻoponopono ʻia ka nui.

Inā he hemahema kou a i ʻole kāu keiki i nā hormones pituitary ʻē aʻe, pono ʻoe i ka lāʻau lapaʻau e hoʻoponopono i kēlā mau hemahema.

Nā hopena ʻaoʻao o ka lāʻau `GHD`

ʻAʻole maʻamau nā hopena ʻaoʻao iki a waena paha mai nā inikini hormone ulu no ka mālama ʻana iā GHD. Eia nō naʻe, hiki iā lākou ke komo pū me:

• ʻEha poʻo.
• ʻEha ʻiʻo a ʻeha hui paha.
• ʻO ka hypothyroidism liʻiliʻi.
• Ka pehu ʻana o nā lima a me nā wāwae.
• Hoʻonui ʻia ke kūlou ʻana o ka iwi kuamoʻo i nā poʻe me ka scoliosis.

Hiki ke loaʻa nā hopena ʻaoʻao kākaʻikahi, akā koʻikoʻi:

• ʻO ke poʻo ʻeha nui i hele pū ʻia me nā pilikia ʻike.
• ʻO ka Dysplasia Hip (hoʻopili pono ʻole ʻia o ka iwi ʻūhā i ka iwi ʻūhā).
• ʻO ka pancreatitis (ka mumū o ka pancreas).

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui e kamaʻilio koke me kāu kauka . Pono paha e hoʻoponopono i ka nui o kāu lāʻau lapaʻau.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka 'GHD'?

ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia ka hapa nui o nā hihia o GHD. Eia nō naʻe, hiki i kekahi mau mea pilikia ke hoʻonui i ka manawa e loaʻa ai iā ʻoe a i ʻole kāu keiki ka GHD i loaʻa. ʻO kēia mau mea:

• Ke loaʻa nei ka lāʻau lapaʻau no ka maʻi kanesa ma mua o ka hiki ʻana i ke kiʻekiʻe o ke kanaka makua.
• Ke loaʻa nei ka lāʻau lapaʻau radiation i ke poʻo a i ʻole ka lolo.
• Ka Hoʻomālamalama ʻana o ke Kino Holoʻokoʻa.
• ʻO ke ʻoki kino ma ka lolo, ʻo ia hoʻi ka ʻāpana waena o ka lolo kahi i loaʻa ai ka pituitary gland.

Inā pili kekahi o kēia mau mea pilikia iā ʻoe a i kāu keiki paha, he mea nui e ʻike i nā hōʻailona o GHD a kamaʻilio me kāu kauka e pili ana i ia mea.

He aha ka wānana o GHD?

No nā keiki me GHD, ʻo ka wikiwiki o ka mālama ʻia ʻana o ke kūlana, ʻo ka nui o ka ulu ʻana o ke keiki a kokoke i ke kiʻekiʻe maʻamau o ka pākeke . Loaʻa i ka hapa nui o nā keiki ʻehā ʻīniha a ʻoi aku paha i ka makahiki mua o ka mālama ʻana. Loaʻa iā lākou ʻekolu ʻīniha a ʻoi aku paha i nā makahiki ʻelua e hiki mai ana. Ma hope o kēlā, lohi ka wikiwiki o ka ulu ʻana.

ʻO ka poʻe me ka GHD i hoʻomaka i ka wā makua, inā mālama pono ʻia, loaʻa iā lākou kahi hiʻohiʻona maikaʻi a hiki ke ola olakino.

He aha nā pilikia e hiki ke loaʻa mai ka GHD?

Inā ʻaʻole mālama ʻia ʻo GHD i nā keiki, hiki iā ia ke alakaʻi i ke kino pōkole a me ka lohi o ka wā ʻōpio .

ʻOiai me ka mālama kūpono, ʻoi aku ka nui o ka pilikia o ka poʻe me ka GHD i ka wā pākeke i ka maʻi puʻuwai a me ka hahau . Hiki ke hoʻemi ʻia kēia pilikia e nā hana olakino e like me ka ʻai ʻana i ka meaʻai kaulike a me ka hoʻoikaika kino mau.

ʻO ka poʻe me GHD e hoʻomaka ana i ka wā makua, aia pū kekahi i ka nui o ka pilikia o ka loaʻa ʻana o ka osteoporosis. ʻO ke ʻano kēia, ʻoi aku ka nui o ko lākou haki ʻana i nā iwi mai nā ʻeha liʻiliʻi a i ʻole ka hāʻule ʻana. No ka hōʻemi ʻana i kēia mau pilikia, he mea nui e ʻai i ka meaʻai waiwai i ka calcium a lawe i nā mea hoʻohui vitamin D e like me ka ʻōlelo a kāu kauka.

Āhea wau e ʻike ai i ke kauka e pili ana iā GHD?

Nui nā kumu e ulu lohi ai nā keiki a pōkole ma mua o ka maʻamau. I kekahi manawa, hiki i ka ulu lohi ke maʻamau a no ka manawa pōkole. Eia kekahi laʻana, i ka wā e kokoke mai ana ka wā ʻōpio. Inā hopohopo ʻoe e pili ana i ka wikiwiki o ka ulu ʻana o kāu keiki, e ʻike i kahi endocrinologist pediatric a i ʻole kekahi kauka ʻē aʻe . Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo inā he mea e hopohopo ai ka wikiwiki o ka ulu ʻana o kāu keiki.

Inā he kanaka makua ʻoe a loaʻa iā ʻoe nā hōʻailona o GHD, e kamaʻilio me kāu kauka.

Inā ua ʻike ʻia ʻoe a i ʻole kāu keiki me GHD, pono ʻoe e ʻike pinepine i kāu kauka e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau .

Inā ʻike ʻoe i kekahi lohi o ka ulu ʻana o kāu keiki, he mea nui e kamaʻilio me kāu kauka i ka wā hikiwawe loa. ʻOiai ʻaʻole paha ʻo GHD ke kumu, he mea kūpono ke nānā i nā loli hopohopo. Inā ʻike mua ʻia ka poʻe me GHD, ʻoi aku ka maikaʻi o ko lākou hiʻohiʻona a hiki ke ola olakino. Inā he mau nīnau kāu e pili ana i ka ulu ʻana o kāu keiki, mai makaʻu e nīnau i kāu kauka. Eia lākou e kōkua.

Leka Hoʻihoʻi Hope Loa

No laila, ua maopopo paha iā ʻoe ke ʻano o ka 'Growth Hormone Deficiency (GHD)' a pehea e hiki ai ke hoʻopilikia i nā keiki a me nā pākeke. ʻO ka mea nui loa, ʻaʻole e hopohopo e pili ana i ia mea, a e ʻike koke i ke kauka inā he mau hopohopo kāu . Me ka ʻike mua ʻana a me ka mālama kūpono, hiki i ka hapa nui o ka poʻe me ka 'GHD' ke ola i nā ola holomua a olakino. Inā he mau hopohopo kāu e pili ana i ka ulu ʻana o kāu keiki a i ʻole kou olakino ponoʻī, ʻaʻole loa e lohi ke kamaʻilio me ke kauka e pili ana i ia mea.

ʻO ka hemahema o ka hormone ulu, GHD, ka hemahema o ka hormone ulu, ka gland pituitary, ka ulu ʻana o ke keiki, ka pōkole, nā pilikia hormonal, GH