Kūlana pōkole

ʻO kahi keiki nona ke kino pōkole ʻoi aku ka pōkole ma mua o nā keiki i like ka makahiki a me ka moekolohe.

E hele aku kāu mea mālama ola ma luna o ka pakuhi ulu a kāu keiki me ʻoe. ʻO kahi keiki me ke kiʻekiʻe o kona kiʻekiʻe pōkole:

• ʻElua mau ʻokoʻa maʻamau (SD) a ʻoi aku paha ma lalo o ke kiʻekiʻe awelika no nā keiki o ka like a me ka makahiki.
• Ma lalo o ka 2.3 paukū haneli ma ka pakuhi ulu: Ma waho o nā keikikāne he 1000 (a i ʻole kaikamahine) i hānau ʻia i ka lā like, ʻoi aku ka lōʻihi o 977 o nā keiki ma mua o kāu keiki kāne a kaikamahine paha.

Nānā ka mea hāʻawi i kāu keiki i ka ulu ʻana o kāu keiki i nā manawa maʻamau. E hāʻawi ka mea hoʻolako i:

• E hoʻopaʻa i ke kiʻekiʻe a me ke kaumaha o kāu keiki ma ka pakuhi ulu.
• E nānā i ka nui o ka ulu o kāu keiki ma mua o ka manawa. E noi i ka mea hāʻawi i ka pākēneka o kāu keiki no ke kiʻekiʻe a me ke kaumaha.
• Hoʻohālikelike i ke kiʻekiʻe a me ke kaumaha o kāu keiki i nā keiki ʻē aʻe o ka makahiki a me ka wahine.
• E kamaʻilio pū me ʻoe inā hopohopo ʻoe i ka pōkole o kāu keiki ma mua o nā keiki ʻē aʻe. Inā he kino pōkole kāu keiki, ʻaʻole ia he manaʻo he hewa kekahi.

Nui nā kumu no ke kino pōkole o kāu keiki.

ʻO ka hapa nui o ka manawa, ʻaʻohe kumu olakino no ke kino pōkole.

• Liʻiliʻi paha kāu keiki no kona mau makahiki, akā ke ulu maikaʻi nei. E hoʻomaka paha ʻo ia i ka wā ʻōpio ma hope o kāna mau hoaaloha. E ulu mau paha kāu keiki ma hope o ka pau ʻana o ka hapanui o kāna mau hoa i ka ulu ʻana, a lōʻihi paha me ko kona mau mākua. Kapa ka poʻe hoʻolako i kēia "hoʻolohi ulu Kumukanawai."
• Inā pōkole hoʻokahi a ʻelua paha mau mākua, e pōkole paha kāu keiki. Pono ke kiʻekiʻe o kāu keiki e like me kekahi o kona mau mākua.

I kekahi manawa, kū ke kino pōkole he hōʻailona o kahi kūlana olakino.

Nā maʻi iwi a iwi paha, e like me:

• Rikeke
• Achondroplasia

Nā maʻi lōʻihi (mau), e like me:

• Asthma
• Maʻi Celiac
• Maʻi maʻi ʻōpū
• Maʻi ʻo Cushing
• Diabetes
• Hypothyroidism
• Maʻi maʻi ʻōpū
• Pā ʻōpio ʻōpio ʻōpio
• ʻO ka maʻi kīwī
• Anemia maʻi maʻi maʻi
• Thalassemia

Nā kūlana genetic, e like me:

• Down syndrome
• Noonan syndrome
• ʻO Russell-Silver maʻi
• Turner maʻi maʻi
• Maʻi maʻi ʻo Williams

Nā kumu ʻē aʻe:

• ʻO ka hemahema o ka hormone ulu
• Nā maʻi o ke pēpē e ulu ana ma mua o ka hānau ʻana
• Kaʻai pono ʻole
• Ka ulu maikaʻi ʻole o kahi pēpē ʻoiai i loko o ka ʻōpū (ka palena o ka ulu intrauterine) a i ʻole liʻiliʻi no ka makahiki hānau

ʻAʻole pili kēia papa inoa i nā kumu kūpono o ke kino pōkole.

Kāhea i kāu mea hāʻawi inā ʻike ʻia kāu keiki he ʻoi aku ka pōkole ma mua o ka hapanui o nā keiki o ko lākou mau makahiki, a i ʻole inā ua kū paha lākou i ka ulu ʻana.

E hana ka mea hāʻawi i kahi hoʻokolohua kino. E ana ka mea hāʻawi i ke kiʻekiʻe, kaupaona, a me ka lōʻihi o ka wāwae a me ka wāwae o kāu keiki.

I mea e ʻike ai i nā kumu kūpono o ke kino pōkole o kāu keiki, e nīnau ana ka mea hāʻawi e pili ana i ka mōʻaukala o kāu keiki.

Inā ma muli o ke kūlana olakino ke kino pōkole o kāu keiki, pono i kāu keiki nā hoʻokolohua lab a me nā kukuna x.

Lawe pinepine ʻia nā iwi x-ray i ka pulima hema a lima paha. Nānā ka mea hāʻawi i ka x-ray e ʻike ai inā ua ulu maʻamau ka nui a me ke ʻano o nā iwi o kāu keiki. Inā ʻaʻole i ulu nā iwi e like me ka mea i manaʻo ʻia no ka makahiki o kāu keiki, e kamaʻilio hou ka mea hāʻawi e pili ana i ke kumu e ulu pinepine ʻole ai kāu keiki.

He mau hoʻokolohua hou kā kāu keiki inā pili kekahi maʻi olakino, e like me:

• Helu piha koko
• Hoʻoulu ka hormone ulu
• Nā hoʻāʻo ʻana o ka hana thyroid
• ʻO ka pae ulu Insulin-1 (IGF-1) pae
• Nānā ke koko e nānā no ke ake, nā konā, ka thyroid, nā ʻōnaehana pale, a me nā pilikia olakino ʻē aʻe

Mālama kāu mea hāʻawi i nā moʻolelo o ke kiʻekiʻe a me ke kaumaha o kāu keiki. Mālama i kāu mau moʻolelo ponoʻī. Lawe mai i kēia mau moʻolelo i ka nānā o kāu mea hāʻawi inā he lohi ka ulu ʻana a he liʻiliʻi paha kāu keiki.

LAWAIA

Hiki i ke kino pōkole o kāu keiki ke hoʻololi i ko lākou manaʻo pilikino.

• E hoʻopaʻa me kāu keiki e pili ana i ka pilina me nā hoaaloha a me nā hoa papa. Hoʻomaewaewa nā keiki i kekahi i kekahi e pili ana i nā mea he nui, me ke kiʻekiʻe.
• Hāʻawi i ke kākoʻo naʻau i kāu keiki.
• Kōkua i ka ʻohana, nā hoaaloha, a me nā kumu e hoʻoikaika i ka mākau a me ka ikaika o kāu keiki.

KA Lapaʻau ʻana me ka ulu ʻana o ka HORMONE INJECTIONS

Inā ʻaʻohe a he haʻahaʻa paha o kāu keiki o ka hormone ulu, hiki i kāu mea hāʻawi ke kamaʻilio e pili ana i ka mālama ʻana me nā injection hormonone ulu.

Loaʻa i ka hapa nui o nā keiki i nā pae hormone ulu ulu maʻamau a ʻaʻole pono i nā injection hormonone ulu. Inā he keikikāne kāu keiki me kahi kino pōkole a lohi o ka wā ʻōpio, hiki i kāu mea lawelawe ke kamaʻilio e pili ana i ka hoʻohana ʻana i nā injection testosterone e lele i ka ulu hoʻomaka. Akā ʻaʻole paha kēia e hoʻonui i ke kiʻekiʻe o nā mākua.

ʻO ke kino pōkole ʻIdiopathic; Ua hemahema ka hormone ulu ʻole

• 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.

Cuttler L, Misra M, Koontz M. Somatic ulu a me ka oʻo ʻana. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 22.

ʻO Escobar O, Viswanathan P, Witchel SF. Endocrinology Pediatric. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 9.

Marcdante KJ, Kliegman RM. Kūlana pōkole. I: Marcdante KJ, Kliegman RM, hua. Nā Pono Nui o Pediatrics. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 173.