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

I kekahi manawa e noʻonoʻo paha ʻoe, 'Auē, he keiki liʻiliʻi nō kaʻu keiki, ʻaʻole anei ʻo ia e ulu aʻe e like me nā keiki ʻē aʻe?' A i ʻole inā he ʻōpio ʻoe iho, 'Ua loli koʻu mau hoaaloha a pau, he aha ka hewa iaʻu?' Hiki i kēia ke lilo i nīnau hopohopo no nā mākua he nui, a me nā kamaliʻi ʻōpio. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka wā ʻōpio, no ke aha i lohi ai, a me ka mea e hana ai i ka manawa e like me kēia. Mai hopohopo, e wehewehe maʻalahi mākou i nā mea āpau.

He aha ke ʻano o ka hiki ʻana i ka wā makua?

I ka ʻōlelo maʻalahi, ʻo ka wā ʻōpiopio ka manawa e loli ai kou kino mai ke kino o ke keiki a i ke kino o ke kanaka makua. I loko o kēia manawa, nui nā loli o kou kino. Hoʻomaka ʻoe e ʻike i kēia mau loli. ʻO ka maʻamau, hoʻomaka nā kaikamahine i kēia mau loli ma waena o 8 a me 14 mau makahiki. Hoʻomaka nā keikikāne ma waena o 9 a me 15 mau makahiki. I kēia manawa, e nānā i ka laulā o kēia pae makahiki. ʻO ia hoʻi, hoʻomaka kekahi mau keiki i ka wā ʻōpiopio ma mua iki, a ma hope iki kekahi. He mea maʻamau loa kēia. No laila, mai hopohopo inā hoʻomaka kou kino e loli i kekahi mau makahiki ma mua a ma hope paha o kou mau hoaaloha, ʻeā? Eia naʻe, i kekahi manawa aia nā hihia kahi i hoʻomaka ʻole ai kou kino e loli ma hope o kēia makahiki maʻamau. ʻO ia ka mea a mākou e kapa nei he `(Delayed Puberty)` a i ʻole "delayed puberty". Akā, ʻaʻohe pono e hopohopo, no ka mea, ʻo ka hapa nui o ka manawa, hiki i nā kauka ke kōkua i nā keiki ʻōpio me kēia wā ʻōpiopio lohi a hoʻokiʻekiʻe iā lākou i ke kūlana me nā poʻe ʻē aʻe.

He aha nā hōʻailona maʻamau o ka wā ʻōpio?

ʻAe, e nānā kākou i nā loli e hana ʻia ana i ke kino ke hiki kākou i ka wā ʻōpio.

Nā loli no nā kaikamahine:

Inā he kaikamahine ʻoe, e ʻike paha ʻoe i kēia mau mea:

• Ke hoʻomaka nei kou mau umauma e ulu .
• Hoʻomaka ka ʻike ʻia o ka lauoho lehulehu ma nā wahi pilikino.
• Ua piʻi koke kou kiʻekiʻe, ʻo ia hoʻi ke loaʻa nei iā ʻoe kahi "growth spurt."
• Ke hele nei ʻoe i ka menstruation , ʻo ia hoʻi, ke hoʻomaka nei kou menstruation .
• Hoʻololi ke ʻano o ke kino, hoʻonui ka ʻāpana ʻūhā.

Nā ʻokoʻa no nā keikikāne:

Inā he keikikāne, e ʻike paha ʻoe i kēia mau loli:

• Hoʻomaka ka ʻike ʻia ʻana o ka lauoho lehulehu a me ka maka ma nā wahi pilikino.
• Piʻi koke kou kiʻekiʻe (ulu wikiwiki).
• Hoʻomaka ka ulu ʻana o kou mau testicle a me ka penis .
• Hoʻololi ke ʻano o ke kino - e ākea nā poʻohiwi, loaʻa i ke kino ka nui o nā ʻiʻo, a lilo ke ʻano i ʻoi aku ka kāne.

Hana ʻia kēia mau loli a pau ma muli o nā hormones wahine i loko o ko kākou kino. Hoʻomaka ka hana ʻana o ka hormone i kapa ʻia ʻo "Testosterone" i nā keikikāne a me "Estrogen" i nā kaikamahine i nā nui he nui i kēia manawa ma mua o ka wā ma mua. ʻO ia ke kumu e hana ʻia ai kēia mau loli a pau.

He aha ka mea e hana ʻia i ka wā lohi o ka wā ʻōpio?

I kēia manawa, e nānā kākou i nā hōʻailona o ka lohi o ka wā ʻōpiopio. He mau hōʻailona maʻamau kēia, akā, mai hopohopo inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi i ke kōkua lapaʻau.

Nā hōʻailona o ka lohi i nā keikikāne:

• Inā ʻaʻole i hoʻomaka ka ulu ʻana o ka penis a me nā testicles i ka piha ʻana o ka makahiki 14.
• Inā ʻoi aku ma mua o 5 mau makahiki no ka hoʻomohala piha ʻana o nā ʻōpū.
• Inā ʻoi aku kou pōkole ma mua o kou mau hoaaloha ʻē aʻe, no ka mea, ke ulu wikiwiki nei lākou i kēia manawa.

Nā hōʻailona o ka lohi i nā kaikamahine:

• Inā ʻaʻole i hoʻomaka kou mau umauma e ulu i ka piha ʻana o 14 mau makahiki.
• Inā ʻaʻole ʻoe i hoʻomaka i ka menstruation i loko o 5 mau makahiki o ka ulu ʻana o ka umauma, a i ʻole ma ka piha ʻana o 16 makahiki.

E hoʻomanaʻo, he mau hōʻailona maʻamau wale nō kēia. Inā he hopohopo kou a i ʻole kāu keiki e pili ana i kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

No ke aha i lohi ai ka wā ʻōpio? He aha nā kumu?

E like me ka pua ʻana o nā pua i nā manawa like ʻole, pēlā nō hoʻi nā kānaka. Akā i kekahi manawa aia paha he mau kumu kūikawā no kēia lohi.

He mea nui anei ka mōʻaukala ʻohana? (Mōʻaukala ʻOhana)

I ka manawa pinepine, he mea hoʻoilina kēia. ʻOi aku ka pololei, he ʻano hoʻomohala ia e holo ana i loko o ka ʻohana. ʻO kou makuahine, makuakāne, ʻanakala, ʻanakē, kaikunāne, kaikuahine, kaikaina kāne, kaikaina wahine, a i ʻole nā ​​​​hoahānau ʻē aʻe paha ua hiki iki i ka wā ʻōpio. Ua kapa ʻia kēia ʻo "constitutional delay", a i ʻole "late bloomer". ʻAʻole pono kēia i ka mālama ʻia. Hiki i nā keiki ʻōpio e like me kēia ke hiki i ka wā ʻōpio i ka manawa kūpono, ʻoiai inā he lohi iki ma mua o nā poʻe ʻē aʻe, akā ma ke ʻano maʻamau.

Hiki i kekahi mau maʻi ke hoʻopilikia iā ia? (Nā pilikia lapaʻau)

ʻAe, hiki i kekahi mau maʻi ke hoʻopaneʻe i ka wā ʻōpio.

• ʻO kekahi mau maʻi olakino mau loa, e like me ka maʻi diabetes mellitus, cystic fibrosis , maʻi puʻupaʻa , a i ʻole ka hānō, hiki ke hoʻopaneʻe i ka wā ʻōpiopio. Hiki i kēia mau maʻi ke hoʻopilikia i ko lākou ulu ʻana. Eia nō naʻe , inā mālama pono ʻia a mālama ʻia kēia mau maʻi, hiki iā lākou ke kōkua i ka hōʻemi ʻana i ka pilikia o ka lohi ʻana o ka wā ʻōpiopio .
• Pēlā nō, ʻo ka mea i nele i ka meaʻai - ʻo ia hoʻi, ka mea i loaʻa ʻole i ka meaʻai a me nā meaola lawa - hiki paha i ka wā ʻōpio ma mua o ko lākou mau hoa e ʻai ana i ka meaʻai olakino a kaulike. No ka laʻana, ʻo ka poʻe ʻōpio me nā maʻi ʻai, e like me ka anorexia nervosa, i kekahi manawa lilo i mea wīwī loa a ʻaʻole e ulu pono ko lākou kino.
• Inā hoʻoikaika kino nui nā kaikamahine a pāʻani haʻuki, hiki i ko lākou kino ke wiwi loa, a hiki ke hoʻopaneʻe i ka wā ʻōpio. Pono ke kino o ke kaikamahine i kahi nui o ka momona e hiki ai i ka wā ʻōpio a hoʻomaka i ka menstruation.
• ʻO kekahi mea ʻē aʻe, ʻo ia ka hiki i nā pilikia me ke kelepa pituitary i loko o ko kākou lolo a me ke kelepa thyroid i loko o ko kākou ʻāʻī ke hoʻopaneʻe i ka wā ʻōpiopio. Hoʻopuka kēia mau kelepa i nā hormones he mea nui no ka ulu ʻana a me ka hoʻomohala ʻana o ke kino.

Nā pilikia o ke kinona

I kekahi manawa, ʻo ka poʻe i hiki ʻole i ka wā ʻōpio i ka manawa kūpono e loaʻa paha nā pilikia me kā lākou mau chromosomes. Ua like nā chromosomes me nā ʻāpana DNA i loaʻa ka palapala hoʻolālā no ke ʻano o ka ulu ʻana o ko mākou kino. Hiki i nā pilikia me kēia mau chromosomes ke hoʻopilikia i ka ulu maʻamau.

• Eia kekahi laʻana, he kūlana i kapa ʻia ʻo `(Turner Syndrome)` . Hoʻokumu ʻia kēia e kahi ʻano ʻē a nalowale paha o kekahi o nā chromosomes X ʻelua o ke kaikamahine. Hoʻopilikia kēia i ka ulu ʻana o ke kaikamahine, ka ulu ʻana o nā ovaries, a me ka hana ʻana o nā hormones wahine. ʻO nā wahine me `(Turner Syndrome)` i mālama ʻole ʻia he pōkole lākou ma mua o ka maʻamau, ʻaʻole paha e hiki i ka wā ʻōpio ma ke ʻano maʻamau, a loaʻa paha iā lākou nā pilikia olakino ʻē aʻe.
• I loko o kahi kūlana i kapa ʻia ʻo Klinefelter Syndrome , kahi e hoʻopilikia ai i nā keikikāne, ua hānau ʻia lākou me kahi chromosome X keu (XXY ma kahi o XY). Hiki i kēia kūlana ke hoʻopaneʻe i ka ulu ʻana o ka moekolohe. ʻOi aku ke kiʻekiʻe o nā keikikāne me kēia kūlana ma mua o ko lākou mau makahiki, loaʻa paha iā lākou nā pilikia aʻo, a loaʻa paha iā lākou nā pilikia olakino ʻē aʻe.

Nui nā kumu no kēia, ʻo ia ke kumu he mea nui e ʻike i ke kauka e ʻike i ke kumu kūpono.

Pehea e ʻike ʻia ai ka lohi o ka wā ʻōpio?

ʻO ka nūhou maikaʻi, inā he pilikia, hiki i nā kauka ke kōkua i nā keiki ʻōpio me ka lohi o ka wā ʻōpiopio a hoʻihoʻi i ko lākou ulu ʻana i ke ala kūpono. Inā he hopohopo kāu a i ʻole kāu keiki e pili ana i kēia, e hōʻoia e hoʻonohonoho i kahi manawa me kāu kauka. E hana ke kauka:

• ʻO ka mea mua, e hoʻokolokolo ʻia ʻoe (hoʻokolohua kino).
• E nīnau inā ua loaʻa i kekahi o kou ʻohana kēia ʻano ulu ʻana (mōʻaukala lapaʻau).
• Nīnau lākou inā he mau lāʻau lapaʻau kāu e lawe ai.
• Nānā lākou i kāu pakuhi ulu a nānā inā aia kahi ʻano e hōʻike ana i kahi pilikia.

Eia kekahi, hiki i ke kauka ke hana i nā hoʻokolohua e like me:

• Hiki ke kauoha ʻia nā hoʻāʻo koko e nānā i ka thyroid, pituitary, chromosome, a i ʻole nā ​​​​pilikia ʻē aʻe.
• Hiki ke kauoha ʻia kahi "Bone Age X-ray" e ʻike ai inā e ulu maʻamau ana kou mau iwi.

Pehea e mālama ʻia ai kēia?

ʻO ka hapa nui o ka manawa, ʻaʻole hiki i nā kauka ke loaʻa i kekahi mau pilikia kino. He nui nā poʻe ʻōpio me ka lohi o ka wā ʻōpiopio e ulu ana ma hope iki o ka maʻamau. Hoʻopili lākou me nā poʻe ʻē aʻe i ka manawa kūpono. Eia nō naʻe, inā loaʻa i nā kauka kahi pilikia, hiki iā lākou ke kuhikuhi iā ʻoe i kahi endocrinologist pediatric - he kauka i loea i ka mālama ʻana i nā keiki a me nā ʻōpio me nā pilikia ulu - a i ʻole i kekahi loea no ka hoʻāʻo hou a i ʻole ka mālama ʻana. No kekahi poʻe "loloa lohi," hiki i nā kauka ke kuhikuhi i ka lāʻau lapaʻau hormone:

• No nā keikikāne, hiki ke hāʻawi ʻia kahi lāʻau lapaʻau pōkole me ka hormone "Testosterone" (hāʻawi pinepine ʻia ma ke ʻano he inikini mahina no 4-6 mahina) e hoʻomaka ai i nā loli o ka wā ʻōpio.
• No nā kaikamāhine, hiki ke hāʻawi ʻia nā haʻahaʻa haʻahaʻa o ka hormone "(Estrogen)" no kahi o 4-6 mau mahina e hoʻomaka ai ka ulu ʻana o ka umauma.

Ma hope o ka pau ʻana o kēia lāʻau lapaʻau, e hoʻomaka ka hana ʻana o nā hormones ponoʻī o kou kino a e hoʻopau ʻoe i ke kaʻina hana ʻōpio. Inā ʻaʻole, e kamaʻilio kāu kauka me ʻoe e pili ana i ka lawe ʻana i nā hormones wahine i ka wā lōʻihi.

Pehea ʻoe e noho ai me kēia kūlana? Pehea ʻoe e hoʻoholo ai?

He mea paʻakikī paha ke ʻae ʻaʻole ʻoe wale nō ke ulu a ʻokoʻa kāu mau hoaaloha a pau. Manaʻo paha ʻoe ʻaʻole ʻoe e like me nā poʻe ʻē aʻe. ʻOiai inā haʻi aku ke kauka a i ʻole kou mau mākua iā ʻoe, "Ua maikaʻi nā mea a pau," ʻaʻole maʻalahi ke kali i kahi mea e hana ʻia e hoʻopilikia iā ʻoe.

Inā ʻoe e kaumaha, mehameha, a hoʻonāukiuki paha, a inā paha e hoʻopilikia ana i kāu hana kula a i ʻole nā ​​pilikia ʻē aʻe, e kamaʻilio pono me kou makuahine, makuakāne, kauka, a i ʻole kekahi pākeke āu e hilinaʻi nei. Hiki iā lākou ke kōkua iā ʻoe e ʻimi i kahi kākāʻōlelo a mea hoʻoponopono paha āu e kamaʻilio ai. Hiki iā lākou ke hoʻomaopopo i kou mau manaʻo a aʻo iā ʻoe i nā ala e hana ai me lākou.

Hiki i ka lohi o ka wā ʻōpiopio ke lilo i mea paʻakikī ke hoʻoponopono, ʻaʻohe mea pehea ka nui o kou ʻae ʻana. Akā , he pilikia ia e hiki ke mālama ʻia. Inā he mau hopohopo kāu e pili ana i kou ulu ʻana, ʻaʻole loa e lohi ke ʻimi i ke kōkua.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, eia kekahi mau mea nui iā ʻoe mai nā mea a mākou i kamaʻilio ai:

• Aia kekahi mau kumu no ka lohi o ka wā ʻōpio.
• I ka manawa pinepine, he mea maʻamau kēia e holo i loko o ka ʻohana ("late bloomer").
• I ka hapanui o nā hihia, loaʻa ke kōkua lapaʻau.
• Inā he kānalua kou a i ʻole kāu keiki e pili ana i kēia, mai kānalua e ʻike i ke kauka.
• I mea e hōʻemi ai i ke kaumaha āu e manaʻo nei i kēia manawa, he mea nui loa e kamaʻilio me kahi āu e hilinaʻi ai.

ʻAʻole ʻoe hoʻokahi, aia mau ke kōkua!

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