ʻO ka hemahema o ka hormone ulu - nā keiki

ʻO ka hemahema o ka hormone ulu ʻaʻole ia e lawa ka nui o ka ulu o ka pituitary gland.

Aia ka pituitary gland ma ke kumu o ka lolo. Mālama kēia gland i ke kaulike o ke kino o nā hormones. Hana ia i ka hormone ulu. Hoʻokumu kēia hormone i kahi keiki e ulu.

Loaʻa paha ka hemahema o ka hormone ulu i ka wā hānau. ʻO ka hemahema o ka hormone ulu ka hopena o ke ʻano olakino. ʻO ka hōʻeha lolo koʻikoʻi paha ke kumu o ka hemahema o ka hormone ulu.

ʻO nā keiki me nā kino kīnā o ka helehelena a me ka iwi poʻo, e like me ka lepe o ka lehelehe a i ʻole ka pā palaka, ua hōʻemi paha i ka pae o ka hormone ulu.

ʻO ka hapa nui o ka manawa, ʻike ʻole ʻia ke kumu o ka hemahema o ka ulu ʻana o ka hormone.

ʻIke mua i ka ulu lohi i ka wā kamaliʻi a hoʻomau i ka wā kamaliʻi. E huki pinepine ka pediatrician i ka piʻo ulu o ke keiki ma kahi pakuhi ulu. ʻO nā keiki me ka hemahema o ka hormone ulu he lohi a pā pālua paha o ka ulu ʻana. ʻAʻole hiki ke hōʻike i ka ulu lohi a hiki i ka piha ʻana o ke keiki he 2 a 3 mau makahiki paha.

E pōkole loa ke keiki ma mua o ka nui o nā keiki o ka makahiki a me ka wahine. E loaʻa nō i ke keiki ke kaulike o ke kino, akā he chubby paha ia. ʻO ka helehelena o ke keiki ke nānā pinepine aku ma mua o nā keiki ʻē aʻe o ka makahiki like. E loaʻa i ke keiki ka ʻike maʻamau i ka hapanui o nā hihia.

I nā keiki makua, hele a hele a hōʻole paha ka wā ʻōpio ma muli o ke kumu.

ʻO kahi hoʻokolohua kino, me ke kaupaona, kiʻekiʻe, a me nā kaulike o ke kino, e hōʻike i nā hōʻailona o ka ulu lohi. ʻAʻole e ukali ke keiki i nā piʻo ulu ulu maʻamau.

Hiki i ka lima x-ray ke hoʻoholo i ka makahiki o ka iwi. ʻO ka maʻamau, hoʻololi ka nui a me ke ʻano o nā iwi i ka ulu ʻana o ke kanaka. Hiki ke ʻike ʻia kēia mau hoʻololi ma ka x-ray a hahai pinepine lākou i kahi ʻano ke ulu a makua kahi keiki.

Hana pinepine ʻia ka hoʻāʻo ʻana ma hope o ka nānā ʻana o ka pediatrician i nā kumu ʻē aʻe o ka ulu maikaʻi ʻole. ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka mea ulu uluola like Insulin 1 (IGF-1) a me ka mea ulu e like me ka insulin e paʻa ana i ka protein 3 (IGFBP3). ʻO kēia nā mea e ulu ana nā homone e hana ai ke kino. Hiki i nā hoʻāʻo ke ana i kēia mau kumu ulu. ʻO ka hoʻokolohua hemahema o ka hormone ulu kūpono e pili ana i kahi hōʻike stim stimulate. Lawe kēia hōʻike i mau hola.
• Hiki i ka MRI o ke poʻo ke hōʻike i ka hypothalamus a me nā pituitary glands.
• E hana ʻia paha nā hoʻāʻo ʻana e ana i nā pae hormonone ʻē aʻe, no ka mea ʻo ka nele o ka hormone ulu ʻaʻole wale ia pilikia.

Hoʻopili ka mālama ʻana i nā pana o ka hormone ulu (injection) i hāʻawi ʻia ma ka home. Hāʻawi pinepine ʻia nā kī ʻana i hoʻokahi manawa i ka lā. Hiki i nā keiki makua ke aʻo pinepine pehea e hāʻawi ai iā lākou iho i ke kī.

ʻO ka mālama ʻana me ka hōmona ulu he wā lōʻihi ia, mau nō i mau no kekahi mau makahiki. I kēia manawa, pono e ʻike pinepine ʻia ke keiki e ka pediatrician e hōʻoia i ka hana ʻana o ka lāʻau. Inā pono, e hoʻololi ka mea mālama ola i nā ana o ka lāʻau.

ʻAʻohe loa nā hopena koʻikoʻi o ka mālama ʻana i ka hormone ulu. ʻO nā hopena ʻē aʻe e pili pū me:

• ʻEha poʻo
• Ka paʻa ʻana o ka loli
• ʻO ka ʻeha a me ka ʻeha pū
• Pāheʻe o nā iwi ʻūhā

ʻO ka ma mua o ka mālama ʻia ʻana o ke ʻano, ʻo ka ʻoi aku ka maikaʻi o ka ulu ʻana o kahi keiki a kokoke i kahi kiʻekiʻe maʻamau o nā mākua. Nui nā kamaliʻi i loaʻa he 4 a ʻoi paha ʻīniha (ma kahi o 10 mau kenimika) i ka makahiki mua, a he 3 a ʻoi aku paha nā ʻīniha (ma kahi o 7.6 kenimika) i nā makahiki 2 e hiki mai ana. ʻO ke ana o ka ulu a laila e emi mālie.

ʻAʻole holo pono ka hoʻomaʻamaʻa hormone ulu no nā keiki āpau.

Inā haʻalele ʻole ʻia, hiki i ka hemahema o ka hormone ulu ke alakaʻi i kahi kino pōkole a lohi ka ʻōpio.

Hiki ke loaʻa ka hemahema o ka hormone ulu me nā hemahema o nā hormones ʻē aʻe e like me nā mea e kaohi:

• Iecaianoaaiiuo o thyroid hormones
• Koena wai ma ke kino
• Iecaianoaaiiuo o ke kane a me ka wahine keka hormones
• ʻO nā gland adrenal a me kā lākou hana ʻana o cortisol, DHEA, a me nā hormones ʻē aʻe

Kāhea i kāu mea hāʻawi inā he pōkole maʻamau kāu keiki no ko lākou mau makahiki.

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hihia.

Loiloi i ka pakuhi ulu a kāu keiki me ke kaukōʻai i kēlā me kēia hōʻoia. Inā aia ka hopohopo e pili ana i ka ulu ulu o kāu keiki, paipai ʻia ka loiloi e kahi loea.

Dwarfism Pituitary; Loaʻa ka hemahema o ka ulu ulu; Hoʻokaʻawale hormonone ulu; Ka nele o ka hormone ulu ulu; Panhypopituitarism; ʻO ke kino pōkole - ka lawa ʻole o ka hormone ulu

• Nānā Endocrine
• Pakuhi kiʻekiʻe / kaumaha

Cooke DW, Divall SA, Radovick S. Normal a ulu pono ʻole i nā keiki. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 25.

Grimberg A, DiVall SA, Polychronakos C, et al. Nā ʻōkuhi no ka ulu ʻana o ka hormone a me ka uluola like me ka insulina-I ka mālama ʻana i nā keiki a me nā ʻōpio: ka hemahema o ka hormone ulu, ke kino pōkole idiopathic, a me ka hemahema o ka mea ulu like me ka insulin. ʻO Horm Res Paediatr. 2016; 86 (6): 361-397. PMID: 27884013 www.ncbi.nlm.nih.gov/pubmed/27884013.

Patterson BC, Felner EI. Hypopituitarism. 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 573.