Kei te āwangawanga koe mō ngā homoni o tāu tamaiti? Me kōrero tātou mō tētahi tākuta hinengaro tamariki!

Me āwangawanga tonu koe mō te tipu me te whanaketanga o tāu tamaiti, tika? I ētahi wā, tera pea he rerekētanga whanaketanga, he raruraru hauora rānei o ngā tamariki i ērā atu tamariki. Koinei te wā e tika ana kia mōhio tātou ki tētahi tākuta hinengaro tamariki. Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

Ko wai tēnei tohunga endocrinology tamariki?

He kupu ngāwari tēnei, he tākuta tēnei e tohunga ana ki ngā mate e pā ana ki ngā homoni i roto i ngā pēpi, ngā tamariki nohinohi , me ngā tamariki nohinohi . Pērā i te tohunga homoni o ngā pakeke, he tohunga motuhake anō hoki mō ngā tamariki. Nā te mea he rerekē rawa ngā tinana o ngā tamariki i ngā tinana o ngā pakeke, me ō rātou homoni anō hoki.

Nā, he aha ēnei homoni?

Whakaarohia pēnei: ​​he karere iti ngā homoni i roto i ō tātou tinana. Ka hangaia ēnei e ngā repe rerekē o ō tātou tinana, ka haere mā roto i te toto, ka tuku tohutohu ki ngā wāhanga rerekē o te tinana, pērā i te "meatia tēnei" me te "kati tēnā."

Hei tauira, he maha ngā mea e pā ana ki ēnei homoni, pērā i te roa haere, te nui haere, te whakaiti i te taumaha, te pakeketanga, te whakahaere i ō tātou kare ā-roto , te nakunaku kai, me te moe.

Ki te kore e mahi tika ēnei homoni, ka raru pea ngā mahi maha o te tinana.

He aha te Pūnaha Endocrine?

Ko te pūnaha endocrine te pūnaha e hangaia ana ina huihui mai ēnei repe whakaputa homoni katoa i roto i tō tātou tinana. Kei roto i tēnei ko ngā repe pēnei i te Repe Thyroid , te Repe Pituitary , te Repe Adrenal, me te Pancreas . Ka honoa ēnei repe katoa tetahi ki tetahi, ā, ka mahi tahi pērā i te rōpū waiata. Ki te kore tetahi taonga puoro e takarohia tika ana, ka hē te waiata katoa.

He aha ngā momo mate e āwhinahia ana e te tohunga homoni tamariki?

He maha ngā raruraru e pā ana ki ngā homoni e rongoatia ana e te tohunga homoni tamariki. Me titiro tātou ki ētahi o ngā mea matua:

• Mate huka :
• E mōhio ana pea koe ki te mate huka. Ka pāngia hoki ngā tamariki e te mate huka. E rua ngā momo matua.
• Mate huka momo 1:Ko te mea e tupu ana i tēnei, ka tata ngaro katoa te homoni insulin e hangaia ana e te tinana. Ko te insulin te mea e āwhina ana i a tātou ki te tuku i te huka (glucose) i roto i ō tātou toto ki roto i ngā pūtau me te hanga pūngao. Nō reira, ina ngaro te insulin, ka tino piki te taumata huka toto. Me werohia te insulin mō te wā katoa.
• Te Mate Huka Momo 2: I mua, ka pāngia ngā pakeke anake e tēnei mate, engari inaianei kua kitea anō hoki i roto i ngā tamariki momona. Ko te mea e tupu ana i konei, ka whakaputa te tinana i te insulin, engari kāore e taea te whakamahi tika, kāore rānei i te rawaka te nui i whakaputaina.

• Ngā raruraru tipu:
• Te Roro Poto: Mena he poto rawa atu te tamaiti i ētahi atu tamariki o tōna tau, tera pea he raruraru homoni te take, inā koa he ngoikore o te Homoni Tipu.
• Te Roa: I ētahi wā ka roa ake te tipu o ngā tamariki i ō rātou tau. Tērā pea he take homoni anō hoki tēnei.
• Te Pūkenga o te Whānautanga: Ki te whakaatu te kōtiro i ngā tohu o te pūkenga (hei tauira, te whanaketanga o te ū, te whanaketanga o te ira tangata, te huruhuru o te kēkē) i mua i te 8 tau te pakeke, te tama rānei i mua i te 9 tau te pakeke, tera pea he pūkenga o te whānautanga.
• Te Pūkenga Roa o te Pakaritanga: Mena kāore te kōtiro e whakaatu ana i ngā tohu o te pakeketanga i te 13 tau te pakeke, kāore rānei te tama e whakaatu ana i ngā tohu o te pakeketanga i te 14 tau te pakeke, he mea anō hoki tēnā hei tirotiro māu.

• Ngā Mate o te Repe Tairoiro:
• He repe iti te repe tairoiti, he āhua pūrerehua kei mua o te kaki. He mea nui ngā homoni e whakaputaina ana e ia mō ngā mea pēnei i te pākia o te tinana, te tipu, me te whanaketanga o te roro.
• (Te mate tairoidiuma): Ina nui rawa te mahi a te repe tairoi, ka nui rawa ngā homoni e whakaputaina ana. Tērā pea ka hiroki te tamaiti, ka tere te tere o te manawa, ka werawera, ā, ka kore e marino.
• Hypothyroidism: Ina kore e mahi tika te repe tairoiti, kāore e ranea te homoni. Ka raru pea te tipu, te mate puku, te kiri maroke, me te hiamoe nui. Ka pāngia hoki ngā pēpi hou e tēnei mate, koia te take e tirotirohia ai ngā pēpi mō ngā raruraru tairoiti i muri i te whānautanga.

• Ngā raruraru o te repe adrenal:
• E rua ēnei repe e āhua rite ana ki ngā taupoki e rua i runga i ō tātou whatukuhu. Ka whakaputahia e rātou ētahi homoni e tika ana mō te ora. Hei tauira, ko ngā homoni e āwhina ana i a tātou ki te aro atu ki te ahotea , me ngā homoni e whakahaere ana i te taumata tote me te wai. Ka puta pea ngā raruraru mēnā he nui rawa te mahi a ēnei repe, he iti rānei te mahi.

• Ngā raruraru o te repe pituitary:
• Ahakoa he repe iti tēnei kei raro i tō tātou roro, e kiia ana hoki ko te "Repe Matua". Nā te mea he maha atu ngā repe homoni e whakahaere ana i tēnei. He maha ngā homoni nui, pērā i te homoni tipu me te homoni whakaoho tairoi, ka puta i konei. Nō reira, ki te mea he raruraru tēnei, he maha ngā mea ka hē.

• Ngā Mate o te Whakawhanaketanga Ira Tangata (DSD):
• I ētahi wā, kāore pea ngā ira tangata o te tamaiti e whanake noa. Tērā pea he āhua kōtiro, engari he āhua tāne kei roto. Ka rongoatia hoki ēnei mate uaua e ngā tohunga homoni tamariki. He tino tairongo ēnei take, nō reira he mea nui te āwhina a te tohunga.

• Ngā Mate o te Konupūmā me te Wheua:
• He mea tino nui te konupūmā me te Huaora D hei pupuri i te kaha o ō tātou wheua. Mēnā kāore i roto i ēnei ka ngoikore, ka pakarukaru hoki ngā wheua, inā koa i roto i ngā tamariki nohinohi. Hei tauira, he mate e kiia nei ko te Rickets . Ka uru atu hoki ngā homoni e tukuna ana e ngā repe parathyroid ki tēnei.

• Te Momona e pā ana ki te Homoni:
• Ehara i te mea ko ngā homoni katoa te take o te momona. Engari i ētahi wā, ka taumaha rawa ngā tamariki nā te kore taurite o ngā homoni.

• Te huka toto iti (Hypoglycemia):
• He āhuatanga morearea anō hoki te iti o te huka toto, inā koa mō ngā pēpi nohinohi. Tērā pea he take homoni tēnei.

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Me pēhea koe e mōhio ai me toro atu tāu tamaiti ki tētahi tohunga homoni tamariki?

Ko te tākuta tamariki o tāu tamaiti te tuatahi ki te whakapae i tētahi mea pēnei, ā, ka tukuna koe ki tētahi tohunga homoni tamariki mēnā e tika ana. Heoi, hei mātua, he mea pai kia mōhio koe ki ēnei tohu:

• He iti rawa, he teitei rawa rānei te tipu (ki te whakatauritea ki ētahi atu tamariki o taua tau anō).
• Mena kei te whakaatu koe i ngā tohu o te pakeketanga wawe, te roa rānei o te pakeketanga .
• Te inu nui i te wai, me te mimi pinepine (he tohu pea ēnei o te mate huka).
• Mena ka ngaro tō taumaha, ka piki rānei, kāore he take .
• Mena kei te ahua ngenge rawa koe i ngā wā katoa, ki te mea rānei he nui rawa tō mahi, he koretake hoki.
• Mena he kiri kōwhai tō pēpi hou e roa ana i te rua wiki (he tohu pea tēnei nō te raruraru tairoi).
• Mena he āhua rerekē kei te āhua o ngā ira tangata .
• Mena he maha ngā whati wheua (ina koa i ngā aituā iti).
• Mena kei te pāngia tetahi o te whānau e ngā mate e pā ana ki ngā homoni (hei tauira, te mate huka, te mate tairoi).

Kia maumahara, kaua e mataku nā te mea kotahi, e rua rānei o ēnei tohu kei a koe. Heoi, ki te mea he āwangawanga āu, he pai ake te kōrero ki tō tākuta tamariki.

He aha ngā mea ka tupu ina haere koe ki te kite i tētahi tākuta?

Ina kite koe i tētahi tohunga homoni tamariki, ka pātai tuatahi te tākuta ki a koe me tāu tamaiti (mēnā ka taea e te tamaiti te kōrero).

• Mō te hītori hauora o te tamaiti.
• Mō ngā mate o te whānau.
• Mō te tipu o te tamaiti, tana kai, me ana tikanga.
• Pātai atu mō ngā taipitopito e pā ana ki ngā tohu e pā ana ki a koe.

Ā muri iho, ka āta tirohia te tamaiti e te tākuta. Ka inehia e rātou te teitei me te taumaha. Tērā pea ka tirohia anō hoki e rātou te whanaketanga ā-ira tangata (ka mahia tēnei me te tautoko a ngā mātua, kia kore ai te tamaiti e māharahara i tēnei wā).

Muri iho, ka tonoa pea koe kia whakamātau i ētahi whakamātautau toto . Ka tirohia e ēnei ngā mea pēnei i te taumata o ngā homoni me te taumata o te huka. I ētahi wā, ka hiahiatia pea he whakamātautau mimi , he hihi-X (ina koa he hihi-X o te ringa hei tirotiro i te pakeke o ngā wheua), he matawai rānei (matawai CT, matawai MRI) .

Ka mahia katoatia tēnei hei rapu tika i te take o te raruraru.

He aha te hiranga o ēnei maimoatanga?

I te mea he maha ngā mea nui o roto i ō tātou tinana e whakahaere ana i ngā homoni, he mea tino nui kia whiwhi wawe i te maimoatanga tika mēnā he raruraru e pā ana ki tēnei. Ki te kore, tera pea ka pā he pānga roa ki te tipu o te tamaiti, ki tōna hinengaro, me tōna hauora ā muri ake nei.

Engari ko te rongo pai , kei reira ngā maimoatanga whai hua mō ngā mate homoni maha. Ko ētahi e hiahia ana ki ngā pire, ko ētahi werohanga, ā, ko ētahi e hiahia ana ki ngā huringa āhua noho (kai, whakakori tinana).

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

• He tohunga te endocrinologist pediatric e rongoā ana i ngā raruraru e pā ana ki ngā homoni i roto i ngā tamariki.
• Ki te whakaaro koe he hononga pea te tipu o tāu tamaiti, te pakeketanga, me ētahi atu raruraru hauora ki ngā homoni, kaua e wehi ki te kōrero ki tō tākuta tamariki.
• Mā te tautuhi wawe i te mate me te tīmatanga o te maimoatanga tika ka āwhina nui i te tamaiti kia ora hauora, kia harikoa hoki.
• I a koe e pāngia ana e ngā āhuatanga pēnei, me tautoko pea koe hei mātua. Kōrero noa ki te tākuta, pātai atu, me te whakapuaki i ō whakaaro.

Kia maumahara, kāore koe i te mokemoke. Kei a koe tonu ngā tākuta hei hoatu i te mea pai rawa atu ki tāu tamaiti.

Panui a Takuta

Ko te endocrinologist mo nga tamariki he taote e tohunga ana ki te whakawhanaketanga, te pakeketanga o te ira tangata, me nga ahuatanga homoni o nga tamariki. Ko nga homoni he kaikawe matū i roto i te tinana e pa ana ki te tipu, te whakahaere taumaha me te pākia. Ko te awhina a tenei taote e hiahiatia ana mo te wa poto, te mate huka (Momo 1 te mate huka), nga raru o te repe thyroid, te pakeketanga ranei (Precocious puberty).

📖 Nga puna me nga puna pūtaiao (Nga Tohutoro)

• NHS: Referrals to Specialists
• Mayo Clinic: Pediatric Endocrinologist Care
• Cleveland Clinic: Pediatric Endocrinology
• AAP: What is a Pediatric Endocrinologist?