Hōʻike hoʻonāukiuki ulu ulu

ʻO ka hoʻoulu ulu ulu (GH) e hoʻāʻo i ka hiki i ke kino e hana i ka GH.

Kuhi ʻia ke koko i mau manawa. Lawe ʻia nā laʻana koko ma o ka laina intravenous (IV) ma kahi o ka hoʻokomo hou ʻana i ka nila i kēlā me kēia manawa. Lawe ka hōʻike ma waena o 2 a me 5 mau hola.

Hana ʻia ke kaʻina hana i ke ala aʻe:

• Hoʻokomo ʻia kahi IV i kahi aa, ʻo ka mea pinepine i loko o ka kuʻe lima a i ʻole ka hope o ka lima. Hoʻomaʻemaʻe mua ʻia ka pūnaewele me ka lāʻau hoʻomake germ (antiseptic).
• Kuhi ʻia ka laʻana mua i ke kakahiaka.
• Hāʻawi ʻia ka lāʻau lapaʻau ma o ka aa. Hoʻoulu kēia lāʻau i ka pituitary gland e hoʻokuʻu iā GH. Loaʻa nā lāʻau lapaʻau he nui. E hoʻoholo ka mea mālama ola i ka lāʻau ʻoi aku ka maikaʻi.
• Kuhi ʻia nā hāpana koko hou aʻe ma luna o kekahi mau hola e hiki mai ana.
• Ma hope o ka lawe ʻia ʻana o ka hāpana hope loa, hemo ka laina IV. Hoʻohana ʻia ke kaomi e hōʻoki i ke kahe ʻana o ke kahe.

Mai ʻai no 10 a 12 mau hola ma mua o ka hoʻāʻo. Hiki i ka ʻai ʻana o ka meaʻai ke hoʻololi i nā hopena hōʻike.

Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena hōʻike. E noi i kāu mea hāʻawi inā pono ʻoe e haʻalele i ka lawe ʻana i kāu lāʻau i mua o ka hoʻāʻo.

Inā loaʻa kēia keiki i kēia hōʻike, e wehewehe i ka ʻano o ka hoʻāʻo. Makemake paha ʻoe e hōʻike ma kahi pēpē. ʻO ka ʻike o kāu keiki i ka mea e hiki mai ana a me ke kumu o ke kaʻina hana, ʻo ka liʻiliʻi o ka hopohopo e ʻike ʻia.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Hana pinepine ʻia kēia hoʻāʻo e ʻike inā ʻo ka hemahema o ka ulu ulu (GH hemahema) ke kumu o ka ulu lohi.

Loaʻa nā hopena maʻamau:

• ʻO ka helu piko maʻamau, ma ka liʻiliʻi 10 ng / mL (10 µg / L)
• Palena ʻole, 5 a 10 ng / mL (5 a 10 µg / L)
• Nūhou, 5 ng / mL (5 µg / L)

Kuhi kahi waiwai maʻamau i ka hGH hemahema. I kekahi mau keʻena hoʻokolohua, ʻo ka pae maʻamau ka 7 ng / mL (7 µg / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Inā ʻaʻole e hoʻāla kēia hōʻike i nā pae GH, aia kahi hōʻemi o ka hGH i mālama ʻia i ka pituitary mua.

I nā keiki, hopena kēia i ka nele o GH. I nā mākua, pili paha ia i ka hemahema o ka makua GH.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

ʻO nā lāʻau e hoʻoulu ai i ka pituitary i ka wā o ka hoʻāʻo e kumu i nā hopena ʻaoʻao. Hiki i ka mea hoʻolako ke haʻi hou aku iā ʻoe e pili ana i kēia.

Hōʻike Arginine; Arginine - hōʻike GHRH

• Hōʻike hoʻonāukiuki ulu ulu

Alatzoglou KS, Dattani MT. ʻO ka hemahema o ka hormone ulu i nā keiki. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 23.

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

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.