Yu smɔl pikin gɛt ɔmon prɔblɛm? Lɛ wi tɔk bɔt wan dɔktɔ we de mɛn pikin dɛn ɛn we de mɛn pikin dɛn!

Sɔntɛnde, we wi de tink bɔt di sik dɛn we wi smɔl pikin dɛn kin gɛt, mɔ we i tan lɛk se dɛn kɔmplikt smɔl, wi kin fil big big lod pan wi at, nɔto so? Prɔblɛm dɛn we gɛt fɔ du wit ɔmon na di sem. Bɔt nid nɔ de fɔ wɔri. Na bikɔs spɛshal pipul dɛn de we go ɛp yu ɛn yu pikin di tɛm dɛn lɛk dis. Dat na di kayn pɔsin we na pikin dɛn ɛndokrinɔlɔjis , ɔ lɛk aw wi kin se na Inglish, na ``Pediatric Endocrinologist''. So tide, lɛ wi tɔk smɔl mɔ bɔt dis spɛshal pɔsin.

Udat na Pediatric Endocrinologist?

Fɔ tɔk am simpul wan, pɔsin we sabi bɔt ɔmon fɔ pikin dɛn na dɔktɔ we de no ɛn trit sik dɛn we gɛt fɔ du wit ɔmon pan pikin dɛn ɛn yɔŋ pipul dɛn , dat na, prɔblɛm dɛn we de wit di ɛndɔkrin sistɛm. If yu pikin gɛt prɔblɛm wit di tɛm we i de bɔn , i nɔ de gro fayn, i gɛt tin dɛn lɛk dayabitis , ɔ ɛni ɔda tin we gɛt fɔ du wit di ɔmon ɛn di gland dɛn we de mek dɛn, dis spɛshal dɔktɔ kin ɛp am.

So wetin na dis ɛndokrinɔlɔji?

εndokrinכlכji na di branch fכ mεdikal we de stכdi di εndokrin sistεm na wi bכdi. dis sistεm na di εndokrin gland dεm, di εndokrin כgan dεm, εn כmon dεm. Tink bɔt am lɛk spɛshal we fɔ mek wi bɔdi de tɛl pipul dɛn mɛsej.

Ɛndokrin Gland dɛn

Dis na spɛshal tisu dɛn na wi bɔdi we de mek ɔmon dɛn ɛn pul dɛn na di blɔd. Bɔku men kayn gland dɛn de:

• Adrenal gland dεm: Dis na tu sכm gland dεm we de oba wi kidni dεm. Dɛn kin mek ɔmon dɛn we de ansa we pɔsin strɛs, ɛn dɛn kin mek ɔmon dɛn we de kɔntrol di sɔl lɛvɛl.
• Pituitary gland : dis sכmכl gland we lεk bon we de jכs dכn di bren de kכntro bכku כda gland dεm, so sכmtεm dεn kin kכl am "masta gland."
• Tayroyd : Dis gland we shep lɛk bɔtaflay we de bifo di nɛk de mek ɔmon dɛn we de kɔntrol di rit we di bɔdi de yuz ɛnaji.
• Paratayroyd gland dεm: dis fכ sכm sכm gland dεm we de bihayn di tayroyd gland de kכntro di kalsiכm lεvεl dεm na di bכdi.

Di Ɔgan dɛn we de na di Ɛndokrin

Dɛn ɔgan dɛn ya kin mek ɔmon dɛn bak ɛn dɛn kin du ɔda spɛshal wok dɛn.

• Pankrias : Dis ɔgan we de na di ɔpa bɛlɛ gɛt fɔ du wit dayabitis.I de mek di ɔmon we dɛn kɔl insulin .
• Hypothalamus: Dis pat na di bren de kɔntrol di pituitary gland.
• Ovaries : Na pat pan di uman in riprodaktiv sistεm we de mek sεks כmon dεm.
• Testes : Na pat pan di man riprodaktiv sistεm we de mek sεks כmon dεm.

Ɔmon dɛn

Ɔmon dɛn tan lɛk kemikal mɛsenja dɛn na wi bɔdi. Dɛn kin travul frɔm wan gland to ɔda wan tru di blɔd ɛn afɛkt ɔda ɔgan ɔ tisu we dɛn want fɔ du. Ɔmon dɛn kin afɛkt bɔku impɔtant tin dɛn we de apin na wi bɔdi. Na sɔm ɛgzampul dɛn ya:

• Mεtabolism : Na di prכsεs we di bכdi de kכnvכlt it to enεji εn yuz da enεji de.
• Growth: Na di we aw wi de gro lɔng ɛn wi bɔdi de gro.
• Sekswal riprodakshɔn : Tin dɛm lɛk puberty ɛn di ebul fɔ bɔn pikin.
• Slip: Fɔ kɔntrol wi slip ɛn wek saykl.

Wetin na di difrɛns bitwin pikin dɛn we sabi bɔt ɔmon ɛn wan jenɛral ɔmon spɛshal pɔsin?

Dis na tin we rili impɔtant. Pikin dɛn nɔto smɔl pipul dɛn. Di we aw dɛn bɔdi de gro ɛn di we aw dɛn ɔmon dɛn de wok rili difrɛn frɔm big pipul dɛn. Di ɔmon prɔblɛm dɛn we pikin dɛn kin gɛt kin difrɛn bak frɔm di wan dɛn we big pipul dɛn kin gɛt. Pikin dɛn we sabi bɔt ɔmon na dɔktɔ dɛn we dɔn gɛt spɛshal trenin fɔ no aw dɛn ɔmon prɔblɛm ya gɛt fɔ du wit aw pikin dɛn de gro ɛn divɛlɔp. So, dɛn kin gi pikin dɛn patikyula tritmɛnt.

Wetin pɔsin we sabi bɔt ɔmon fɔ pikin dɛn kin du? Us kɔndishɔn dɛn kin trit?

Wan spɛshal pɔsin we de mɛn pikin dɛn we de wok na di bɔdi kin no, trit, ɛn manej difrɛn difrɛn tin dɛn we kin afɛkt di pikin in ɛndokrin sistɛm. Lɛ wi tek tɛm luk sɔm pan dɛn kɔndishɔn ya.

Di prɔblɛm dɛn we de na di adrenal gland

Wi adrenal gland dɛn de mek bɔku impɔtant ɔmon dɛn. Sɔm pan di prɔblɛm dɛn we kin apin to dɛn gland ya na:

• Addison’s disease: Dis kin apin we di pikin in bɔdi nɔ de mek inof tu ɔmon, kɔtisol (wan ɔmon we de ansa strɛs) ɛn aldosterone (wan ɔmon we de kɔntrol di sɔl lɛvɛl).
• Congenital adrenal hyperplasia: Dis na jεnεtik kכndyushכn we de afekt di pikin in prodakshכn fכ di כmon dεm we dεn kכtisol, aldosterone, εn androgen (wan kayn man כmon).
• Di sik we dɛn kɔl Cushing’s syndrome:Dɛn kin kɔl dis bak `(Hypercortisolism)`. wetin de apin ya na di pikin in bכdi de prodyuz tu mכch כmon `(Cortisol)`.

Bɔn ɛn kalsiɔm kɔndishɔn

Bɔku ɔmon dɛn kin ɛp fɔ mek wi bon dɛn strɔng ɛn fɔ mek wi gɛt di rayt kalsiɔm.

• Hypercalcemia: Na sik we di kalsiɔm lɛvɛl na pikin in blɔd pas aw i kin bi.
• Hypocalcemia: Na tin we di kalsiɔm lɛvɛl na pikin in blɔd smɔl pas aw i kin bi.
• Riket: Dis na sik wae de kam wae yu nɔr gɛt bɛtɛ Vitamin D. Dis kin mek pikin dɛn bon wik ɛn hunch.

Dayabitis ɛn mɛtabolik kɔndishɔn

Di wan dɛn we sabi bɔt ɔmon fɔ pikin dɛn kin trit bak prɔblɛm dɛn we gɛt fɔ du wit di mɛtabolism, we na aw di bɔdi de mek ɛnaji. Dayabitis na wan sik wae kin pasmak.

• Tayp 1 dayabitis: Dis na we di pikin in yon imyun sistεm (autoimmune attack) de pwεl di sεl dεm na di pankrias we de mek insulin. Dis kin mek di pankrias nɔ ebul fɔ mek insulin.
• Tayp 2 dayabitis: Insay dis sik, di pankrias kin mek insulin, bɔt di bɔdi nɔ kin ebul fɔ yuz am fayn. Bɔku tɛm dis kin gɛt fɔ du wit fɔ fat.
• Fat: Na kɔmpleks, lɔng tɛm kɔndishɔn we bɔku bɔku bɔdi fat kin gɛda ɛn i kin ambɔg wɛlbɔdi. Dis kin gɛt fɔ du bak wit di ɔmon dɛn we nɔ balans.

Dizayd dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs

Sɔntɛnde, pikin dɛn kin gɛt tin dɛn we nɔ kin apin we dɛn de du mami ɛn dadi biznɛs. Fɔ ɛgzampul, wan sik we dɛn kɔl atypical genitalia . Dis na wan sik we nɔ kin apin we pɔsin kin gɛt we i kam pan jɛnɛtiks. insay dis kes, di pikin in εksternal jεnitalia kin nכ gεt di tכpik man כ uman apinεns, bכt i kin apin sכmsay bitwin. Wan dɔktɔ we sabi bɔt ɔmon fɔ pikin dɛn kin no bɔt dɛn kayn tin ya ɛn gi dɛn advays ɛn tritmɛnt we dɛn nid.

Jɛnɛtik ɛndɔkrin disɔda

Sɔm prɔblɛm dɛn we gɛt fɔ du wit di ɔmon kin kɔmɔt frɔm di tin dɛn we de na di bɔdi.

• Turner syndrome: Dis sik kin afɛkt gyal pikin dɛn nɔmɔ. Wan ɔ ɔl dɛn X kromozom dɛn nɔ de. dis kin afekt tin dεm lεk fכ gro εn di ovarian fכnshכn.
• Prader-Willi syndrome: Dis na wan sik bak we de mek pɔsin gɛt jɛnɛtiks. i de afekt di pikin in mεtabolism, we de mek in fכshal εn bihayvya chenj (e.g., angri pasmak, prכblεm fכ gro).

Prɔblɛm dɛn we gɛt fɔ du wit di we aw pɔsin de gro ɛn we i de bɔn

כmon dεm rili impɔtant fכ di pikin in gכd εn divεlכpmεnt εn fכ mek i rich puberty di rayt tεm. Prɔblɛm dɛn we kin apin pan dis na:

• Short ayt: .Di pikin shɔt pas 95% pan ɔda pikin dɛn we gɛt di sem ej ɛn man ɔ uman. Bɔku rizin dɛn kin de fɔ dis, wan pan dɛn rizin dɛn de na we pɔsin nɔ gɛt bɛtɛ ɔmon.
• Precocious puberty : If gyal pikin sho sayn dεm fכ puberty (e.g., di brεst divεlכpmεnt na gyal pikin, di tεstikul dεm we de big) bifo i rich 8 ia, כ bכy pikin bifo i rich 9 ia, dεn kin tek am as precocious puberty.
• Delay puberty : If puberty nɔ bigin te bɔku leta pas aw i fɔ bi, we min se gyal pikin nɔ dɔn sho sayn dɛn yet fɔ puberty we i ol 13 ia ɔ bɔy pikin we i ol 14 ia, i kin bi delay puberty.

Pituitary gland disɔda dɛn

As wi bin dɔn tɔk bifo tɛm, di pituitary gland de mek bɔku impɔtant ɔmon dɛn. If prɔblɛm de wit aw dis gland de wok, difrɛn sayn dɛn kin kam.

• Dayabitis insipidus: Dis nɔto di sem wit dayabitis. Wetin kin apin ya na dat di bɔdi kin lɔs tumɔs urine ɛn i nɔ kin ebul fɔ kip wata fayn fayn wan. Fɔ tɔsti pasmak na sayn bak fɔ dis.
• Hypopituitarism: If di pituitary gland nɔ de prodyuz wan ɔ mɔ ɔmon dɛn, i kin afɛkt di we aw pɔsin de gro, di tayroyd we i de wok, di adrenal we i de wok, we i de bɔn pikin, ɛn we i de kɔntrol di tɔsti.

Di kɔndishɔn dɛn we de na di tayroyd

Prɔblɛm kin apin ilɛksɛf di ɔmon dɛn we di tayroyd gland de mek nɔ bɔku ɔ i bɔku.

• Goiter: Na tayroyd gland we dɔn big. Dis kin apin ilɛksɛf di ɔmon lɛvɛl nɔmal, smɔl, ɔ ay.
• Hypothyroidism: Di tayroyd gland nɔ de pul inof tayroyd ɔmon dɛn na di blɔd. Dis kin mek di bɔdi slo, mek i gɛt mɔ wet, ɛn mek i gɛt kɔnstipɛshɔn.
• Hyperthyroidism: Na wan sik we di tayroyd gland de mek tumɔs tayroyd ɔmon ɛn pul am na di blɔd. Dis kin mek in at bit kwik kwik wan, i kin lɛf fɔ it bɔku bɔku it dɛn, ɛn i kin mek i swet mɔ ɛn mɔ.

Wetin yu fɔ ɛkspɛkt we yu go to pikin dɛn we sabi bɔt ɔmon fɔ di fɔs tɛm?

We yu ɛn yu pikin mit spɛshal dɔktɔ fɔ pikin dɛn ɔmon fɔ di fɔstɛm, di dɔktɔ go aks yu bɔku tin bɔt yu pikin in sik, in famili mɛdikal istri, ɛn di mɛrɛsin dɛn we yu pikin de tek naw . I go du ɛgzam bak fɔ di bɔdi . Sɔntɛnde, dɛn kin se dɛn fɔ du blɔd tɛst ɛn skan. Nɔ wɔri, dɛn kin du ɔl dis fɔ gɛt bɛtɛ aidia bɔt yu pikin in kɔndishɔn.

Di tin we impɔtant pas ɔl na fɔ tɛl di dɔktɔ ɔl di tin dɛn we yu no, ilɛksɛf i smɔl. I go ɛp dɛn fɔ no di sik kɔrɛkt wan.

Aw yu go bi spɛshal ɔmon fɔ pikin dɛn?

I fayn bak fɔ no dis. Pikin ɛndokrinɔlɔjis na pɔsin we fɔs kɔmplit wan jenɛral mɛdikal digri (4-5 ia) ɛn afta dat i gɛt spɛshal trenin pan pikin dɛn (lɛk 3 ia). Afta dat, dɛn nid fɔ du ɔda 3 ia spɛshal trenin (fɛlɔship) pan pikin dɛn ɛndokrinɔlɔji, dat na, pikin dɛn ɔmon sik dɛn. Dis trenin fɔ gɛt aprɔval bak frɔm wan mɛdikal ɛdyukeshɔn kaɔnsil we dɛn no (lɛk di Akrediteshɔn Kaɔnsil fɔ Grɛdyut Mɛdikal Ɛdyukeshɔn - ACGME). Apat frɔm dat, sɛtifiket frɔm institiushɔn dɛn we dɛn no lɛk di American Board of Pediatrics (ABP) de kɔnfɔm bak se dɛn sabi du tin. Na bikɔs ɔf dis lɔng trenin we dɛn kin gɛt dip no bɔt dis kɔmpleks wok.

Bɔt na wi kɔntri, dat na, na Sri Lanka, di we fɔ bi Kɔnsult Pidiatrik Ɛndokrinɔlɔjis difrɛn smɔl. Dɛn kin du am tru di PGIM (Post Graduate Institute of Medicine) we gɛt fɔ du wit di Yunivasiti ɔf Kɔlɔmbɔ.

Insay Sri Lanka, dis waka de go insay dis ɔda:

1. Besik Kwalifayeshɔn (MBBS & Intanshɔp): Fɔs, yu fɔ gɛt MBBS digri frɔm mɛdikal skul, kɔmplit di intanshɔp we dɛn fɔ du, ɛn rɛjista wit SLMC.

2. Entrance Exam (Selection Exam): Dɔn yu fɔ pas di "MD (Paediatrics) Selection Exam" we PGIM de du. Dis na kɔmpitishɔn ɛgzam.

3. Jɛnɛral Pidiatrik Trenin - Rɛjistra: We yu pas di ɛgzam, yu go gɛt lɛk 3 ia trenin (Rɛjistra tɛm). Insay dis, yu go lan mɔ bɔt jenɛral pikin dɛn.

4. MD Egzamin: We dɛn 3 ia ya dɔn, di "MD (Paediatrics) Exam" de. Fɔ pas dis na di bɛsis kwalifayeshɔn fɔ bi "spɛshal dɔktɔ".

5. Sab-spɛshal Sɛlɛkshɔn: Afta pɔsin dɔn pas di MD, i fɔ disayd us dairekshɔn fɔ go. na de, wan fכ pik di sכb spεshal wan we dεn kכl "Paediatric Endocrinology" (pikin hכmon dεm). (Dis de bays pan Merit ɛn vakɛns).

6. Pɔst-MD Trenin - Sinia Rɛjistra: Na dis say spɛshal trenin fɔ ɔmon dɛn kin bigin. Dis kin tek lɛk 2-3 ia.

   • Lokal Trenin:Yu nid fɔ wok fɔ lɛk wan ia so na wan say usay dɛn de mɛn ɔmon fɔ pikin dɛn na wan big ɔspitul na Sri Lanka.

   • Ovasi Trenin: Yu fɔ gɛt trenin fɔ wan ɔ tu ia na ɔda kɔntri (bɔku tɛm na di UK ɔ Ɔstrelia) na wan sɛnta we dɛn no.

7. Bɔd Sɛtifiket: We dɛn dɔn ɔl dis, dɛn go gɛt sɛtifiket fɔ yu as "Board Certified Consultant Pediatric Endocrinologist" frɔm PGIM.

So, jɔs lɛk di jenɛral prɔses we wi bin dɔn tɔk bɔt, na Sri Lanka bak, dis na joyn we nid bɔku dedikeshɔn fɔ ɔda 6-7 ia afta MBBS.

So, wetin na di impɔtant tin we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt? (Mɛsej we dɛn kin tek go na os)

• If yu tink se yu pikin gɛt prɔblɛm we gɛt fɔ du wit ɔmon, we i de gro, we i de bɔn, ɔ we gɛt dayabitis, fɔs go to yu famili dɔktɔ ɔ dɔktɔ we de mɛn pikin dɛn.
• If dɛn tink se i nid fɔ bi, dɛn go rifer yu to wan dɔktɔ we de mɛn pikin dɛn we de mɛn di sik.
• Dɛn spɛshal pipul ya na dɔktɔ dɛn we gɛt spɛshal no ɛn trenin bɔt ɔmon prɔblɛm dɛn we pikin dɛn gɛt. Dɛn kin ebul fɔ no di pikin in kɔndishɔn kɔrɛkt wan ɛn gi di bɛst tritmɛnt ɛn manejmɛnt plan.
• Mɛmba se di prɔblɛm dɛn we pikin dɛn gɛt wit ɔmon difrɛn frɔm di wan dɛn we big pipul dɛn gɛt, so i impɔtant fɔ mek dɛn go to masta sabi bukman dɛn fɔ ɛp dɛn.

So, if yu pikin gɛt ɛni wan pan dɛn sik ya, nɔ panik, ɛn go to di rayt advays to dɔktɔ. Sɔlv dɛn de fɔ ɔltin! Ɔmon, Pikin, Grɔw, Puberty, Dayabitis, Ɛndokrin Sistɛm, Pikin Ɔmon Spɛshal