Ua manaʻo paha ʻoe e like me nā hoaaloha ʻē aʻe o kāu keiki i ko lākou mau makahiki e piʻi aʻe ana ke kiʻekiʻe, ke loli nei ko lākou leo, a ke nānā aku nei lākou e like me nā mākua, akā he keiki liʻiliʻi nō kāu keiki? He mea hopohopo iki kēia no nā mākua he nui, a he mea hopohopo iki paha. He mea maʻamau ke noʻonoʻo, "He hewa anei kekahi mea me kaʻu keiki?" Akā, mai hopohopo. I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kūlana i kapa ʻia ʻo ' Delayed Puberty.'
He aha kēia wā ʻōpiopio i lohi ai?
I ka ʻōlelo maʻalahi, ʻo ka wā ʻōpiopio ke kaʻina hana o ka hoʻololi ʻana mai ke kino o ke keiki i ke kino makua e hiki ke hānau keiki. ʻAʻole kēia e hana koke ʻia. Hoʻomalu ʻia kēia kaʻina hana e kahi pilina paʻakikī ma waena o ko kākou lolo, ka pituitary gland i loko o ka lolo, a me nā ʻōpū hānau o ke keiki ( nā ovaries i nā kaikamahine a me nā testicles i nā keikikāne).
ʻO nā hormones i hana ʻia e kēia mau ʻōpū ke kumu o nā loli kino ʻē aʻe i ka wā ʻōpio. I nā kaikamahine, hoʻomaka nā ovaries e hana i ka estrogen hou aʻe , a i nā keikikāne, hoʻomaka nā testicles e hana i ka testosterone hou aʻe.
ʻO ka maʻamau, hoʻomaka nā kaikamahine e hōʻike i nā hōʻailona o ka wā ʻōpiopio ma waena o 8 a me 14 mau makahiki, a me nā keikikāne ma waena o 9 a me 15 mau makahiki . Inā ʻaʻole i hoʻomaka ke kaikamahine i kēia mau hoʻololi i ka makahiki 14 a i ʻole ke keikikāne i ka makahiki 15 , kapa mākou ia he 'delayed puberty.' ʻOi aku ka maikaʻi o ka ʻike ʻana i kāu kauka e ʻike i ke kumu o kēia. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea hormone, i kapa ʻia he endocrinologist .
He aha nā hōʻailona o ka lohi o ka wā ʻōpio?
Hoʻomaopopo mākou i ka lohi o ka wā ʻōpio ʻo ia ka nele o nā loli kino e hana mau ʻia i kēlā makahiki. E nānā kākou i kēia mau ʻokoʻa i nā kaikamahine a me nā keikikāne.
ʻO ka wā ʻōpio i nā kaikamahine
Hiki ke hoʻomaka nā hōʻailona o ka wā ʻōpio i ke kaikamahine i kekahi manawa i ka wā ʻewalu o kona mau makahiki. ʻO ia nā loli nui.
| ʻO ka hōʻailona o ka wā ʻōpio | Wehewehena |
|---|---|
| Ka ulu ʻana o ka umauma (Thelarche) | ʻO kēia ka hōʻailona mua e hoʻomaka. |
| Ka ulu wikiwiki ʻana | Hoʻomaka koke ka piʻi ʻana o ke kiʻekiʻe o ke keiki me ka wikiwiki. |
| Ka ulu ʻana o ka lauoho ma nā armpits a me nā wahi pilikino | Hoʻomaka ka ʻike ʻia ʻana o ka lauoho o ke kino. |
| Ka hoʻomaka ʻana o ka menstruation | ʻIke pinepine ʻia kēia ma hope o 2-3 mau makahiki ma hope o ka hoʻomaka ʻana o nā hōʻailona ʻē aʻe. |
| Hoʻololi i ke ʻano o ke kino | Hiki mai nā loli, e like me ka ʻāʻī o ka ʻūhā e lilo ana i mea ākea. |
E ʻoluʻolu e hoʻomaopopo: Inā ʻaʻole i hoʻomaka kāu kaikamahine i ka ulu ʻana o ka umauma i ka 14 o kona mau makahiki , a i ʻole ʻaʻole i hoʻomaka kona wā mahina i ka 16 o kona mau makahiki , e ʻimi pono i ke kōkua lapaʻau.
ʻO ke kau ʻana o ka wā ʻōpio i nā keikikāne
Hoʻomaka ka wā ʻōpio i nā keikikāne ma hope o ka piha ʻana o nā makahiki 9. ʻO kēia nā loli nui.
| ʻO ka hōʻailona o ka wā ʻōpio | Wehewehena |
|---|---|
| Ka hoʻonui ʻia ʻana o nā testicles a me ka penis | ʻO kēia ka hōʻailona mua o ka wā ʻōpio i nā keikikāne. |
| Ka ulu ʻana o ka lauoho ma ka maka, nā ʻūpā lima, a me nā wahi pilikino | Ka ulu ʻana o ka lauoho ma ka ʻumiʻumi a me nā ʻāʻī. |
| Ka ulu wikiwiki ʻana | Ka piʻi wikiwiki ʻana o ke kiʻekiʻe a me ka hoʻonui ʻana o nā poʻohiwi. |
| Ka hoʻohōhonu ʻana o ka leo | "Haʻihaʻi" ka leo a hana ʻia kahi leo hohonu. |
E ʻoluʻolu e hoʻomaopopo: Inā ʻaʻole i hoʻomaka kāu keiki e hōʻike i kekahi o kēia mau loli i ka wā he 15 ona makahiki , he mea nui e kamaʻilio me ke kauka e pili ana i ia mea.
No ke aha i lohi ai ka wā ʻōpio? He aha nā kumu?
ʻO ka mea mua e hoʻomaopopo ai, ʻokoʻa loa ka wā ʻōpiopio mai kēlā kanaka a kēia kanaka. ʻOiai inā ua hiki mua nā hoaaloha o kāu keiki i ka wā ʻōpiopio, aia nō paha kāu keiki i loko o ka pae maʻamau. Eia nō naʻe, aia kekahi mau kumu kikoʻī e lohi ai ka wā ʻōpiopio.
- ʻOhana: E noʻonoʻo inā ʻoe, ʻo ia hoʻi, kou makuahine a makuakāne paha, i hiki i ka wā ʻōpio i kou wā kamaliʻi, aia kahi manawa kūpono e hana like kāu keiki. He mea kēia i hoʻoilina ʻia.
- Ka lohi o ka ulu ʻana o ke kumu: ʻO kēia ke kumu maʻamau o ka lohi o ka wā ʻōpiopio i nā keikikāne. I ka ʻōlelo maʻalahi, ʻoi aku ka lohi o ka ulu ʻana o ka iwi o kēia mau keikikāne, a i ʻole "makahiki iwi," ma mua o nā mea ʻē aʻe. ʻAʻole kēia he maʻi. ʻO ke ʻano wale nō ia o ka ulu ʻana o ke kino o ke keiki. I ka hala ʻana o ka manawa, e hiki kēia mau keikikāne i ka wā ʻōpio a hiki i ke kiʻekiʻe maʻamau.
- Nā kumu hana: I kekahi manawa ua lohi ka lolo i ka hoʻouna ʻana i ka hōʻailona e hana i nā hormones. Kāhea mākou i kēia ma ke ʻano lapaʻau (Hypogonadotropic hypogonadism) . Ke nalowale kēia hōʻailona, ʻaʻole hoʻouna ka pituitary gland i ka leka i nā ovaries a i ʻole nā testicles e hana i nā hormones. ʻO ka hopena, ua lohi ka wā ʻōpiopio.
- Maʻi mau loa: Inā loaʻa i ke keiki kahi maʻi olakino lōʻihi (e.g., diabetes , maʻi puʻupaʻa , hānō, maʻi celiac), hiki iā ia ke kau i ka nui o ke kaumaha ma ke kino. Hiki i kēia ke alakaʻi i ka lohi o ka ulu ʻana a me ka wā ʻōpiopio.
- ʻAi ʻole: Ke loaʻa ʻole i ke kino nā meaola e pono ai, ua hoʻopaneʻe ʻia ka ulu ʻana. Hiki ke hana ʻia kēia e ka hoʻoikaika kino nui, nā maʻi ʻai, a i ʻole ka ʻai kaulike ʻole.
- Nā maʻi hoʻoilina: ʻO kekahi mau kūlana hoʻoilina, e like me ka Turner syndrome i nā kaikamahine a me Klinefelter syndrome i nā keikikāne, hiki ke hoʻopaneʻe a ʻaʻole paha i ka wā ʻōpiopio. Pono kēia i nā hoʻokolohua hale hana e ʻike ai.
Pehea e mālama ʻia ai?
Ke lawe ʻoe i kāu keiki i ke kauka, e nānā pono ʻo ia i ke keiki a, inā pono, e kauoha i nā hoʻāʻo koko a me kahi X-ray o ka lima. Hiki i ka X-ray ke hoʻoholo i ka makahiki o ka iwi o ke keiki.
- Ke mālama ʻana i kahi maʻi kumu: Inā ʻo ke kumu o ka lohi ʻana o ka wā ʻōpiopio he maʻi olakino ʻē aʻe, ʻo ka mālama pono ʻana i kēlā ʻano e hopena i ka wā ʻōpiopio e hana maoli ʻia.
- Ke kali ʻana: I ka manawa pinepine, ʻoiai inā he moʻolelo ʻohana a i ʻole he kūlana "Constitutional growth lost", e ʻōlelo ke kauka, "E kali iki kāua." No ka mea, e hiki maoli kēia mau keiki i ka wā ʻōpio, ʻoiai ua lohi iki.
- Lapaʻau hormone: Inā kaumaha loa kāu keiki, hoʻokaʻawale ʻia mai nā hoaaloha, hoʻokaʻawale ʻia mai nā haʻuki, a i ʻole pilikia me nā hana kula, hiki i kāu kauka ke hoʻoholo e hoʻomaka i ka lāʻau lapaʻau hormone. Pili kēia i ka hāʻawi ʻana i ka testosterone i nā keikikāne a me ka estrogen i nā kaikamahine ma nā ʻāpana liʻiliʻi no kekahi mau mahina.
He palekana loa kēia lāʻau lapaʻau. Hāʻawi wale ia i kahi 'paʻi' liʻiliʻi i nā kaʻina hana kūlohelohe o ke kino. Ma hope o kekahi mau mahina, i ka wā e hoʻomaka ai nā hōʻailona o ka wā ʻōpio, hoʻōki ʻia ka lāʻau lapaʻau. A laila mālama nā hormones ponoʻī o ke kino i ke koena.
Hiki i kēia ke hoʻopilikia i ke keiki ma ke ʻano psychologically?
ʻAe. ʻO kēia kahi e pono ai mākou e makaʻala nui. ʻOiai ʻaʻole kēia he kūlana weliweli i ke olakino, hiki iā ia ke lilo i mea kaumaha nui no ka noʻonoʻo o ke keiki. E noʻonoʻo i ka hoʻonāukiuki o ke keiki ke lilo i mea liʻiliʻi wale nō ʻoiai e ulu ana kā lākou mau hoaaloha a pau.
- Hiki paha iā lākou ke hoʻomohala i ka manaʻo haʻahaʻa iā lākou iho .
- Hiki ke hoʻowahāwahā ʻia a hoʻomāinoino ʻia paha lākou e nā keiki ʻē aʻe.
- Hiki ke hoʻokaʻawale ʻia ʻoe mai nā hui haʻuki a me nā hana pilikanaka.
- Hiki i kekahi mau keiki ke kū i nā kūlana e like me ke kaumaha .
ʻO ka mea nui loa āu e hiki ai ke hana ma ke ʻano he makua, ʻo ia ke hāʻawi i kāu keiki i ka ikaika noʻonoʻo.ʻAʻole pilikia. E haʻi mau i kāu keiki he lohi wale nō kēia, a i ka hala ʻana o ka manawa e ulu aʻe ʻo ia e like me kāna mau hoaaloha. E hoʻolohe i kāu keiki. E ʻae iā ia e kamaʻilio e pili ana i kona manaʻo. Inā pono, he manaʻo maikaʻi nō hoʻi e kiʻi i ke kōkua o kahi kākāʻōlelo e kamaʻilio me kāu keiki.
Leka Lawe-Home
- He mea maʻamau ka lohi o ka wā ʻōpio. Hoʻokumu pinepine ʻia e ka mōʻaukala ʻohana a i ʻole ke ʻano ulu maʻamau i ke kino o ke keiki.
- Inā ʻaʻole hōʻike ke kaikamahine i nā hōʻailona o ka wā ʻōpio i ka 14 o kona mau makahiki a i ʻole ke keikikāne i ka 15 o kona mau makahiki, he mea nui e ʻimi i ke kōkua lapaʻau.
- ʻO ka hapa nui o nā keiki me kēia maʻi, ma ke ʻano maoli a i ʻole me ka mālama pōkole, loaʻa ke kiʻekiʻe maʻamau o ka pākeke a me nā ʻano o ke kino i ka manawa kūpono.
- E mālama pono i ke olakino noʻonoʻo o kāu keiki a me ko lākou olakino kino. He mea nui loa ke hāʻawi iā lākou i ke aloha a me ke kākoʻo.
- Inā he kānalua kou, mai hilinaʻi wale i ke kuhi wale ʻana a e ʻimi i ka ʻōlelo aʻo mai ke kauka kūpono.
Ka lohi o ka wā ʻōpiopio, ka lohi o ka wā ʻōpiopio, ka ulu ʻana o ke keiki, nā pilikia hormonal, ka wā ʻōpio, ke olakino o ke keiki, ka lohi o ka ulu ʻana o ke kumukānāwai
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