I kekahi manawa, ma ke ʻano he makua, ua ʻike paha ʻoe ua ʻike kāu kaikamahine a keiki kāne paha i nā loli i loko o ko lākou kino i kūpono ʻole i ko lākou mau makahiki. Malia paha ua ulu aʻe ka lauoho armpit iā lākou, a ua ulu aʻe paha kahi ʻala maikaʻi ʻole mai ko lākou kino. He mea maʻamau ka manaʻo makaʻu a hopohopo iki ke ʻike ʻoe i kahi mea e like me kēia. Manaʻo paha ʻoe, 'Auē, e hele ana anei kaʻu keiki i ka wā ʻōpio ma mua o kēia makahiki?' I kēia lā ke kamaʻilio nei mākou e pili ana i kēia kūlana a nā mākua he nui e makaʻu nei, akā ʻaʻole maopopo loa. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he Premature Adrenarche .
I ka ʻōlelo maʻalahi, he aha ka Premature Adrenarche?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka adrenarche. I ka ʻōlelo maʻalahi, loaʻa iā kākou āpau ʻelua mau kelepa liʻiliʻi e like me ke pāpale ma luna o ko kākou mau puʻupaʻa. Ua kapa ʻia kēia mau mea ʻo nā kelepa adrenal. Hoʻopuka kēia mau kelepa i kekahi mau hormones e pono ai no ko kākou kino.
ʻO ka maʻamau, ma kahi o 5 mau makahiki, 'oʻo' iki kēia mau kelepa adrenal a hoʻomaka e hana i kahi ʻano hormone hou (ʻo ia hoʻi kahi hormone i kapa ʻia ʻo DHEA). Ua kapa ʻia kēia kaʻina hana ʻo Adrenarche.
Akā ʻoiai kēia mau loli hormonal e hana ʻia i loko o ke kino, hoʻomaka pinepine nā hōʻailona e ʻike ʻia ma kahi o 8 a 9 paha makahiki. Hoʻomaka nā mea e like me ka lauoho armpit a me ka lauoho pubic e ʻike ʻia a puni ia manawa. No laila, inā hoʻomaka ke kaikamahine e hōʻike i kēia mau hōʻailona ma mua o 8 mau makahiki a i ʻole hoʻomaka ke keikikāne e hōʻike i kēia mau hōʻailona ma mua o 9 mau makahiki, kapa mākou i kēlā ʻano he Premature Adrenarche . ʻO ia hoʻi, ʻo ka mea e hana ʻia e hana mua iki, ʻo ia wale nō.
He aha nā hōʻailona o kēia maʻi?
E nānā inā loaʻa i kāu keiki kēia mau hōʻailona pū kekahi. Akā e hoʻomanaʻo, ʻaʻole kēia he maʻi koʻikoʻi. Ke hana wale nei ke kino o kāu keiki ma kāna papa hana ponoʻī.
| Hōʻailona | Wehewehena |
|---|---|
| Ka ulu mua ʻana o ka lauoho | Ka ulu ʻana o ka lauoho ma nā ʻēheu a i ʻole nā wahi pilikino ma mua o 8 mau makahiki i nā kaikamahine a ma mua o 9 mau makahiki i nā keikikāne. |
| ʻAla kino ikaika | Ke hou ʻoe, honi ʻoe e like me ke kanaka makua, me kahi ʻala kino ikaika. I kekahi manawa, pono ʻoe e hoʻohana i ka deodorant. |
| ʻOi aku ke kiʻekiʻe ma mua o ka awelika | Ke ulu nei ke kiʻekiʻe ma mua o nā keiki ʻē aʻe o ka makahiki like. Ke loaʻa nei kahi helu kiʻekiʻe aʻe ma nā pakuhi ulu. |
| ʻO ka nele o nā hōʻailona o ka wā ʻōpio | ʻO kēia ka mea nui loa. ʻAʻohe ulu ʻana o ka umauma i nā kaikamahine a i ʻole ka ulu ʻana o nā ʻāpana kino i nā keikikāne. Inā he mau hōʻailona like, ʻaʻole paha he Premature Adrenarche, akā he ʻōpiopio maoli. |
No ke aha i hana ʻole ʻia ai nā mea e like me ka ulu ʻana o ka umauma?
He nīnau koʻikoʻi loa kēia. I ka Premature Adrenarche, hele mai nā hormones mai ka adrenal gland. Hoʻoulu kēia mau hormones i ka ulu ʻana o ka lauoho a me ka honi ʻana o ka hou.
Eia nō naʻe, no ka ulu ʻana o nā umauma o ke kaikamahine, pono i kāna mau ovaries ke hana i kahi hormone i kapa ʻia ʻo estrogen. Pēlā nō, no ka ulu ʻana o nā ʻōpū o ke keikikāne, pono i kāna mau testicles ke hana i ka testosterone. Hana ʻia kēia mau hanana i ka wā ʻōpiopio maoli, ʻaʻole i ka adrenarche premature, ke hōʻailona ka lolo iā ia e hana pēlā.
No laila, ʻaʻole pono ke kaikamahine me kēia maʻi e makaʻu e hoʻomaka ana kona wā. E hala kekahi mau makahiki ma mua o kēlā.
He mea weliweli anei kēia kūlana? Aia kekahi pilikia?
I ka hapa nui o ka manawa, ʻaʻole kēia he kūlana weliweli. ʻAʻole ia e hōʻeha i ka pēpē. Eia nō naʻe, he mea maikaʻi ke makaʻala i kekahi mau mea liʻiliʻi.
- Ka Pōpilikia o ka Polycystic Ovary Syndrome (PCOS): Ua ʻike ʻia he ʻoi aku ka nui o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo Polycystic Ovary Syndrome (PCOS) ma hope o ke ola, ʻo ia hoʻi, i ka wā ʻōpiopio. Hiki i ka PCOS ke hoʻoulu i nā wā ʻino, ka lauoho maka i makemake ʻole ʻia, a me ka piʻi ʻana o ke kaumaha.
- Nā kūlana olakino ʻē aʻe: Kākaʻikahi loa , ke kuhikuhi hou nei au, kākaʻikahi loa, hiki i kēia mau hōʻailona ke hōʻailona o kahi pilikia enzyme a i ʻole kahi puʻupuʻu i loko o ka ʻōpū adrenal.
ʻO ia ke kumu e ʻōlelo mau ai mākou inā loaʻa i kāu keiki kēia mau hōʻailona, mai hopohopo a e ʻike pono i ke kauka no ka ʻōlelo aʻo. Ma kēlā ala, hiki iā ʻoe ke maopopo ʻaʻohe mea e hopohopo ai.
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia. ʻO ia wale nō ka hoʻomaka ʻana o nā kelepa adrenal e hana i nā hormones e like me DHEA ma mua o ka makahiki maʻamau (ma hope o 10 mau makahiki).
Akā, aia kekahi mea maikaʻi ma ʻaneʻi. ʻO ia hoʻi, ʻaʻole hana nui ke kino o ke keiki i nā hormones, hana wale ia i ka nui kūpono i kahi manawa mua iki. No laila, ʻaʻole ʻike nui ʻia nā hōʻailona, ʻike mua ʻia lākou.
I kekahi manawa hiki ke loaʻa kēia ʻano i nā keiki momona . Akā hiki nō hoʻi ke loaʻa i nā keiki kaumaha ʻole. Eia kekahi, ʻoi aku ka nui o ka pilikia o nā keiki kaumaha ʻole i ka wā hānau.
Pehea e ʻike ai ke kauka i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, e nānā pono mua ʻo ia i ke keiki. Eia nā ʻanuʻu hiki iā ʻoe ke hahai maʻamau:
- Ke nānā ʻana i ka ulu ʻana o ke keiki: Ana ʻia ke kiʻekiʻe a me ke kaumaha o ke keiki a hoʻohālikelike ʻia me nā pakuhi ulu. He mea nui e ʻike inā e ulu ana ke keiki ma kahi wikiwiki maʻamau.
- Nā Hoʻāʻo Koko: Hiki ke nānā ʻia nā pae hormone i loko o ke koko, ʻoiai nā pae o nā hormones e like me DHEA-S.
- X-ray lima: Ke ana nei kēia i ka 'makahiki iwi' o ke keiki. Inā ʻoi aku ka nui o ka makahiki iwi ma mua o ka makahiki maoli o ke keiki, he hōʻailona paha ia o ka wā ʻōpiopio mua.
Eia nō naʻe, inā he ulu lauoho mua a me ke ʻala kino wale nō kāu keiki, hiki i ke kauka ke hoʻoholo ʻaʻole pono ka hoʻāʻo hou ʻana. Eia nō naʻe, inā he mau hōʻailona ʻē aʻe, e like me ka ulu ʻana o ka umauma, pono paha nā hoʻāʻo e kāpae i nā kūlana ʻē aʻe.
Aia kekahi lāʻau lapaʻau no kēia? Pehea e hiki ai iaʻu ke kōkua i ke keiki?
ʻAʻohe lāʻau lapaʻau kūikawā no ka Premature Adrenarche. ʻOiai aia nā lāʻau lapaʻau e kāohi maoli i ka wā ʻōpio, ʻaʻole lākou e hoʻopilikia i kēia maʻi.
No laila, ma mua o ka noʻonoʻo ʻana i ka lāʻau lapaʻau, pono mākou e kālele i ka pono o ka noʻonoʻo o ke keiki. E noʻonoʻo wale, i ka wā e loli ai kona kino ma mua o kona mau hoaaloha, hilahila paha ʻo ia a ʻoluʻolu ʻole. Malia paha e hoʻohenehene aku kāna mau hoaaloha ma ke kula iā ia. Pehea ka ʻeha inā ʻōlelo kekahi i kekahi mea e like me, "Auē, he mau ʻōuli kou ma lalo o kou mau ʻāʻī?"
No laila, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana ma ke ʻano he makua:
1. E kamaʻilio me kāu keiki: E wehewehe me ke aloha iā lākou he mea maʻamau loa ka mea e hana nei i ko lākou kino, e hana ʻia kēia mau mea i nā poʻe ʻē aʻe ma hope aku, a ua hana wale ʻia iā ʻoe ma mua iki.
2. Kūkulu i ka hilinaʻi iā ʻoe iho: E mahalo i kāna mau talena a kōkua iā ia e kūkulu i ka manaʻo ponoʻī.
3. E aʻo e pili ana i ka maʻemaʻe:I mea e kāohi ai i ke ʻala o ke kino, e aʻo iā lākou e ʻauʻau pono i kēlā me kēia lā a e hoʻohana i kahi deodorant palupalu inā pono.
4. E ʻike i ke kauka: Ke ʻike ʻoe i ke kauka a ʻike ʻoe ʻaʻohe mea e makaʻu ai, e ʻike ʻoe a me kāu keiki i kahi manaʻo nui o ka hōʻoluʻolu.
Leka Lawe-Home
- ʻO ka adrenarche mua ʻo ia ka wā e hōʻike ai ke kaikamahine i kekahi mau hōʻailona o ka wā ʻōpio (ulu lauoho, ʻala kino) ma mua o 8 mau makahiki a i ʻole he keikikāne ma mua o 9 mau makahiki.
- ʻAʻole kēia he kūlana weliweli, a ʻaʻohe hōʻailona o ka ʻōpio maoli, e like me ka ulu ʻana o ka umauma a i ʻole ka hoʻonui ʻia ʻana o nā ʻōpū.
- Inā loaʻa i kāu keiki kēia mau hōʻailona, e ʻike pono i kāu kauka e hōʻoia ʻaʻohe maʻi koʻikoʻi ʻē aʻe a e loaʻa i ka ʻōlelo aʻoaʻo kūpono.
- ʻAʻohe lāʻau lapaʻau kūikawā no kēia. ʻO ka mea nui loa, ʻo ia ke kōkua i ke keiki e hoʻomaopopo he mea maʻamau nā loli a lākou e ʻike nei a e kōkua iā lākou e mālama i ko lākou olakino noʻonoʻo a me ka hilinaʻi iā lākou iho.
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