ʻŌpio Precocious

ʻO Puberty ka manawa e oʻo ai ka moekolohe a me ke ʻano o ke kanaka. ʻO ka ʻōpio Precocious ke hoʻololi ʻia kēia mau kino ma mua o ka maʻamau.

Hoʻomaka ka wā ʻōpio ma waena o 8 a 14 mau makahiki no nā kaikamahine a me nā makahiki 9 a me 16 no nā keiki kāne.

ʻO ka makahiki kikoʻī o ke keiki i ka wā ʻōpio e hilinaʻi ʻia i nā kumu he nui, e like me ka mōʻaukala ʻohana, ka meaʻai, a me ka moekolohe.

ʻO ka hapanui pinepine ʻaʻohe kumu maopopo no ka wā ʻōpio prococious. ʻO kekahi mau hihia ma muli o nā loli i ka lolo, nā pilikia genetics, a i ʻole kekahi mau tumors e hoʻokuʻu i nā homone. Loaʻa kēia mau ʻano:

• Nā maʻi o ka testicle, ovaries, a me adrenal glands
• Tumor o ka hypothalamus (hypothalamic hamartoma)
• ʻO nā tumors e hoʻokuʻu i kahi hōmona i kapa ʻia gonadotropin chorionic kanaka (hCG)

I nā kaikamahine, ʻo ka wā ʻōpio precocious ke ulu kekahi o nā mea ma mua o ka makahiki 8:

• Armpit a i ʻole lauoho lauoho
• Hoʻomaka e ulu wikiwiki
• Nā umauma
• Manawa mua (menstruation)
• ʻO nā genital o waho

I nā keikikāne, ka wā ʻōpio precocious ke ulu kekahi o kēia mau mea ma mua o ka makahiki 9:

• Armpit a i ʻole lauoho lauoho
• Ka ulu ʻana o nā mea hōʻikeʻike a me nā peni
• ʻO ka lauoho helehelena, pinepine ma ka lehelehe luna
• Ulu Muscle
• Hoʻololi leo (hohonu)

E hana ka mea mālama ola i kahi hoʻokolohua kino e nānā ai i nā hōʻailona o ka wā ʻōpio precocious.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā ho'āʻo koko e nānā i nā pae hormonone.
• CT a MRI scan o ka lolo a i ʻole ka ʻōpū e kāpae i nā tumors.

Kaukaʻi ʻia i ke kumu, hiki i ka mālama ʻana i ka wā ʻōpio precocious ke hoʻopili pū ʻia:

• E hoʻōki i nā lāʻau i ka hoʻokuʻu ʻia ʻana o nā hormones moekolohe, i mea e hoʻopaneʻe ai i ka hoʻomohala hou ʻana o ka wā ʻōpio. Hāʻawi ʻia kēia mau lāʻau i ke kui a i ʻole ke kī ʻana. Hāʻawi ʻia lākou a hiki i ka makahiki maʻamau o ka ʻōpio.
• ʻO ke ʻoki kino e hemo ai kahi tumo.

Loaʻa paha i nā keiki me ka ulu ʻana o ka moekolohe i nā pilikia psychological a me ka pilia. Makemake nā keiki a me nā ʻōpio e like me kā lākou mau hoa. Hiki i ka hoʻomohala moekolohe mua ke hōʻike iā lākou he ʻokoʻa. Hiki i nā mākua ke kākoʻo i kā lākou keiki ma ka wehewehe ʻana i ke ʻano a pehea e hoʻolālā ai ke kauka e mālama iā ia. ʻO ke kamaʻilio pū ʻana me ka mea hana olakino noʻonoʻo a mea aʻoaʻo paha e kōkua pū paha.

ʻO nā keiki e hele i ka wā ʻōpio a ʻoi paha i hiki i ko lākou kiʻekiʻe kiʻekiʻe no ka mea ua kū mua ka ulu.

E ʻike i ka mea hāʻawi i kāu keiki inā:

• Hōʻike kāu keiki i nā hōʻailona o ka wā ʻōpio precocious
• ʻO kēlā me kēia keiki me ka ulu ʻana o ka moekolohe ma ke ʻano he pilikia paha i ke kula a i ʻole nā ​​hoa

ʻO kekahi mau lāʻau i kuhikuhi ʻia a me kekahi mau mea hoʻopihapiha e komo i loko o nā homone a pono e hōʻalo ʻia.

Pono kāu keiki e mālama i kahi kaupaona olakino.

Pubertas praecox

• Nānā Endocrine
• ʻŌnaehana hānau kāne a wahine

Garibaldi LR, Chemaitilly W. Nā maʻi o ka ulu ʻana o ka pubertal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 578.

Haddad NG, Eugster EA. ʻŌpio Precocious. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 121.