Ma ke ʻano he makuahine a makua paha, ua noʻonoʻo paha ʻoe i kēia mau nīnau? "ʻOi aku ka pōkole o kaʻu keiki ma mua o nā keiki ʻē aʻe, ʻeā?", "No ke aha e hōʻike nei kaʻu kaikamahine i nā hōʻailona o ka wā ʻōpiopio?", "ʻOi aku ka momona o kaʻu keiki ma mua o nā keiki ʻē aʻe o kona mau makahiki, he mea maʻamau anei ia?". He mea maʻamau loa ka noʻonoʻo ʻana i kēia mau mea. No laila, inā kuhikuhi kāu kauka ʻohana iā ʻoe i kahi "pediatric endocrinologist " i kahi manawa e like me kēia, e hopohopo paha ʻoe ke lohe ʻoe i kēlā inoa. Akā, mai hopohopo. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia loea a me ke ʻano o nā mea āna e kōkua ai.
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I ka ʻōlelo maʻalahi, ʻo wai kēia endocrinologist pediatric?
He mea maʻalahi loa. He kauka kēia i loaʻa i ke aʻo kūikawā i nā pilikia e pili ana i ka hormone i nā keiki a me nā ʻōpio . ʻO ka ulu ʻana o ko mākou kino, ko mākou wā ʻōpiopio, a me nā mea ʻē aʻe he nui, e like me ka maʻi diabetes, ua hoʻomalu ʻia e kēia mau ʻelele kemika i kapa ʻia he hormones. No laila, inā he pilikia me ka ʻōnaehana hormonal o ke keiki, aia kēia mau loea e ʻimi a mālama pono iā ia.
E hoʻomanaʻo, ʻaʻole like nā keiki ʻōpio me nā pākeke. He ʻokoʻa loa ko lākou kino, ʻoiai ko lākou mau ʻōnaehana hormonal. ʻO ia ke kumu e pono ai lākou i ke kauka i loea no lākou.
He aha kēia ʻōnaehana endocrine?
He ʻano ʻepekema iki kēia, akā he mea maʻalahi loa ke hoʻomaopopo. E noʻonoʻo he hui nui ko kākou kino. Pono kēia hui i kahi ʻōnaehana e hoʻouna i nā leka i kēlā me kēia ʻāpana (ko kākou mau kino) e haʻi ana iā lākou i ka mea e hana ai a pehea e hana ai. Pēlā ke ʻano o ka ʻōnaehana endocrine i loko o ko kākou kino. ʻEkolu mau ʻāpana nui o kēia ʻōnaehana.
1. Nā ʻŌpū Endocrine: Ua like kēia me nā hale hana liʻiliʻi e hana ana i nā leka kemika i kapa ʻia he hormones. ʻO nā laʻana e komo pū me ka ʻōpū pituitary , ka ʻōpū thyroid, a me nā ʻōpū adrenal.
2. Nā ʻŌkana Endocrine: Loaʻa i kekahi mau ʻōkana ka hiki ke hana i nā hormones, ʻoiai he mau hana nui kā lākou. ʻO ka pancreas, ovaries, a me nā testes he mau laʻana maikaʻi o kēia.
3. Nā Hormones: ʻO kēia nā ʻelele. Hana ʻia lākou i loko o nā glands a hele i loko o ke kino ma o ke koko, e hoʻouna ana i nā leka i nā ʻōkana pili e like me "ʻAe, i kēia manawa pono ʻoe e ulu aʻe ke kiʻekiʻe", "I kēia manawa e kaohi i kou pae kō koko", "I kēia manawa ka manawa e hiamoe ai".
ʻO nā mea i hiki ʻole ke noʻonoʻo ʻia e like me ka ulu ʻana o ko mākou kino, ka metabolism, ka hiamoe, a me ka hānau hou ʻana i ka moekolohe e kāohi ʻia e ka hana a kēia mau ʻelele liʻiliʻi.
He aha nā ʻano maʻi a kēia mau kauka e mālama ai?
Hoʻomaopopo a mālama kekahi loea hormone pediatric i nā ʻano maʻi like ʻole e pili ana i ka ʻōnaehana hormonal o ke keiki. E nānā kākou i ke ʻano o lākou.
ʻO ka maʻi diabetes a me nā kūlana metabolic
ʻOiai ʻo ka huaʻōlelo "diabetes" e hiki pinepine mai ana i ka noʻonoʻo ke lohe mākou, hiki ke loaʻa kēia ʻano maʻi i nā keiki.
| Kūlana olakino | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| ʻAno 1 Diabetes | Ma muli o kahi kīnā i loko o ka ʻōnaehana pale o ke kino, ua luku ʻia nā pūnaewele i loko o ka pancreas e hana ana i ka hormone insulin. ʻO ka hopena, ua nalowale loa ka hana ʻana o ka insulin. |
| ʻAno 2 Diabetes | ʻOiai ke hana nei ke kino i ka insulin, ʻaʻole hiki i nā ʻāpana o ke kino ke pane pono iā ia. Hoʻopili pinepine ʻia kēia ʻano me ka momona. |
| Momona | Ka hōʻiliʻili nui ʻana o ka momona i loko o ke kino. I kekahi manawa hiki ke hana ʻia kēia e nā pilikia hormonal ʻē aʻe a i ʻole ke kumu o nā pilikia hormonal ʻē aʻe. |
Nā Pilikia o ka Ulu ʻana a me ka ʻŌpio
ʻO kēia kekahi o nā kumuhana e hopohopo nui nei iā mākou ma ke ʻano he mau mākua .
| Pilikia | ʻO ke ʻano kēia |
|---|---|
| Kino pōkole | ʻOi aku ke kiʻekiʻe o ke keiki ma mua o 95 mai loko mai o 100 mau keiki olakino o ka makahiki like a me ke kāne. Hiki paha kēia ma muli o ka hemahema o ka hormone ulu a i ʻole kekahi maʻi ʻē aʻe. |
| Ka wā ʻōpiopio mua | Hōʻike i nā hōʻailona o ka wā ʻōpio (e.g., ka ulu ʻana o ka umauma, ka lauoho pubic) ma mua o ka makahiki maʻamau (8 makahiki no nā kaikamahine, 9 makahiki no nā keikikāne). |
| Ka lohi o ka wā ʻōpiopio | ʻAʻole hōʻike i nā hōʻailona o ka wā ʻōpio a hiki i ka makahiki maʻamau (13 makahiki no nā kaikamahine, 14 makahiki no nā keikikāne). |
Nā Kūlana Thyroid
He ʻāpana liʻiliʻi ke kelepa thyroid, e like me ke ʻano o ka pepeke, aia ma ke alo o ko kākou ʻāʻī. Akā, ʻaʻole liʻiliʻi kāna hana. Hoʻomalu ia i ka metabolism o ke kino, ʻo ia hoʻi ka hana ʻana a me ka hoʻohana ʻana i ka ikehu.
| Kūlana olakino | I ka ʻōlelo maʻalahi, |
|---|---|
| ʻO ka hypothyroidism | ʻAʻole lawa ka hana ʻana o ka ʻōpū thyroid i nā hormones thyroid. Hiki i kēia ke hana i nā hōʻailona e like me ka ulu ʻole ʻana, ka palaualelo, a me ka piʻi ʻana o ke kaumaha o ke keiki. |
| Hyperthyroidism | Hoʻopuka nui ka ʻōpū thyroid i ka hormone thyroid. Hiki i kēia ke hana i nā hōʻailona e like me ka pohō kaumaha, ka puʻuwai wikiwiki, a me ka hou nui. |
| ʻO ka goiter | Ka hoʻonui ʻano ʻē o ke kelepa thyroid. Hiki ke ʻike ʻia kēia ma ke ʻano he pehu ma ke alo o ka ʻāʻī. |
Nā Kūlana Iwi a me ka Kalipuna
He mea nui ka kalipuna a me ka wikamina D no ka ulu ikaika ʻana o nā iwi o ke keiki. Ke nānā pū nei kēia poʻe loea i nā pilikia me nā hormones e kaohi ana i kēia mau mea.
- Rickets: Ka nāwaliwali a me ke ʻano ʻole o nā iwi ma muli o ka nele o ka wikamina D.
- Hypercalcemia : He pae kiʻekiʻe loa o ka calcium i loko o ke koko.
- Hypocalcemia: Haʻahaʻa ka nui o ka calcium i loko o ke koko.
Nā maʻi o ke kelepa adrenal
ʻO kēia mau kelepa liʻiliʻi ʻelua, e like me ʻelua mau pāpale ma luna o ko kākou mau puʻupaʻa, hana lākou i nā hormones e pono ai no ke kaulike paʻakai a me ka wai o ko kākou kino, ke koko , a me ka pane ʻana i ke kaumaha.
- ʻO ka maʻi ʻo Addison: ʻAʻole lawa ka hana ʻana o nā hormones cortisol a me aldosterone.
- ʻO ka maʻi Cushing : Hoʻonui nui ʻia ka hana ʻana o ka hormone cortisol i loko o ke kino.
- ʻO ka Congenital Adrenal Hyperplasia: He ʻano genetic e kū mai ana i ka wā hānau a hoʻopilikia i ke kaʻina hana hormone o ka adrenal gland.
Eia kekahi, mālama pū kēia mau loea i nā kūlana genetic e like me nā maʻi pituitary gland , nā maʻi o ka ulu ʻana o ka moekolohe, a me ka Turner syndrome .
He aha kāu e manaʻo ai ke hele ʻoe e ʻike i kēia kauka no ka manawa mua?
He mea maʻamau ke hopohopo iki i ka wā e lawe ai ʻoe i kāu keiki e ʻike i kahi loea hormone pediatric no ka manawa mua. Akā, ʻo ka ʻike ʻana i kēia mau mea e maʻalahi ai ka huakaʻi nou.
1. Ke nīnau ʻana i nā nīnau kikoʻī: E nīnau ke kauka iā ʻoe a me kāu keiki (inā ua lawa ka makahiki o kāu keiki e kamaʻilio) e pili ana i nā hōʻailona, i ka wā i hoʻomaka ai, a pehea lākou i hoʻomaka ai. Hiki iā lākou ke nīnau inā ua loaʻa i kekahi o kou ʻohana nā kūlana like.
2. Nā moʻolelo lapaʻau kahiko: He mea nui loa ka lawe ʻana mai i nā mea e like me nā pakuhi ulu o ke keiki mai ka hānau ʻana a hiki i kēia manawa, a me nā hōʻike hoʻāʻo koko ma mua.
3. Hoʻokolokolo kino:Ana ke kauka i ke kiʻekiʻe a me ke kaumaha o ke keiki a nānā pono i ke kino.
4. Kuhikuhi no nā hoʻokolohua: Inā pono, hiki ke kuhikuhi ʻia ʻoe no nā hoʻokolohua koko, nā hoʻokolohua mimi, a i ʻole nā scan e like me nā X-ray e ʻike pololei i ke kūlana.
ʻO ka mea nui loa, ʻo ia ke nīnau i ke kauka i nā nīnau a me nā kānalua āu e loaʻa nei. Mai noʻonoʻo, "ʻAʻole maopopo iaʻu inā he mea lapuwale ke nīnau i kēia." He mea nui loa kou manaʻo no kāu keiki.
He loea aloha kahi loea hormone pediatric e hiki ke kōkua iā ʻoe e ʻimi i nā pane i nā pilikia hormonal o kāu keiki a kākoʻo iā ʻoe ma kāu huakaʻi. No laila, inā hāʻawi kāu kauka ʻohana i ia ʻōlelo kuhikuhi, e noʻonoʻo he mea nui loa ia a he hana kūpono no ke olakino o kāu keiki.
Leka Lawe-Home
- He kauka endocrinologist pediatric kahi i loaʻa ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā maʻi o ka ʻōnaehana hormonal i nā keiki.
- Hoʻōla lākou i nā kūlana e like me ka ulu ʻana o kāu keiki (kino pōkole a kiʻekiʻe loa paha), ʻōpio (ka wā mua a lohi paha), ka maʻi diabetes, a me nā pilikia thyroid.
- He mea nui kēia ʻike loea no nā keiki no ka mea he ʻokoʻa loa ko lākou kino a me nā ʻōnaehana hormonal mai nā pākeke.
- Inā kuhikuhi kāu kauka ʻohana i kāu keiki i kekahi loea, mai makaʻu. He hana koʻikoʻi ia e hōʻoia ai e loaʻa ana i kāu keiki ka lāʻau kūpono.
- Mai kānalua e kūkākūkā i kekahi hopohopo a kānalua paha āu me kāu kauka.
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