Hoopanee ka wā ʻōpio i nā kaikamahine

Hana ʻia ka ʻōpio lohi i nā kaikamahine ke ulu ʻole nā ​​umauma e ka makahiki 13 a i ʻole menstrual manawa e hoʻomaka i ka makahiki 16.

Hoʻololi nā ʻōpio i ka hoʻomaka ʻana o ke kino e hana i nā hormones sex. Hoʻomaka mau kēia mau hoʻololi e hōʻike i nā kaikamahine ma waena o nā makahiki 8 a 14 mau makahiki.

Me ka lohi o ka ʻōpio, ʻaʻole hiki mai kēia mau hoʻololi, a i ʻole inā hana ʻia, ʻaʻole holomua lākou i ka maʻamau. ʻOi aku ka pinepine o ka wā ʻōpio i nā keikikāne ma mua o nā kaikamahine.

I ka hapanui o nā hihia o ka lohi o ka ʻōpio, hoʻomaka wale nā ​​loli ulu ma hope o ka maʻamau, i kapa ʻia i kekahi manawa he bloomer lohi. I ka hoʻomaka ʻana o ka wā ʻōpio, e holomua maʻamau. Holo kēia kumu i loko o nā ʻohana. ʻO kēia ke kumu maʻamau o ke oʻo loa ʻana.

ʻO kekahi kumu maʻamau o ka lohi o ka ʻōpio i nā kaikamahine ka nele o ka momona o ke kino. Hiki i ka lahilahi ke hoʻonāukiuki i ke kaʻina maʻamau o ka ʻōpio. Hiki i kēia ke hana i nā kaikamahine i:

• Ke ʻeleu nui nei i nā haʻuki, e like me nā ʻauʻauʻau, nā kūkini, a i nā mea hulahula paha
• Loaʻa i kahi maʻi ʻai, e like me anorexia a bulimia paha
• Undernourished

Hiki paha i kahi ʻōpio lohi ke hana i ka wā e hana ai nā ovaries i ka liʻiliʻi a i ʻole nā ​​hormones. Kapa ʻia kēia hypogonadism.

• Hiki i kēia ke hana inā hōʻino ʻia nā ovaries a i ʻole ke hoʻomohala e like me ka mea e pono ai.
• Hiki pū kekahi inā loaʻa kahi pilikia me nā ʻāpana o ka lolo e pili ana i ka wā ʻōpio.

Hiki i kekahi ʻano olakino a i ʻole nā ​​lāʻau lapaʻau ke alakaʻi i ka hypogonadism, me:

• Celiac sprue
• ʻO ka maʻi maʻi ʻōpū (IBD)
• Hypothyroidism
• Diabetes mellitus
• ʻO Cystic fibrosis
• ʻO ka maʻi ate a me nā hakuʻala
• Nā maʻi Autoimmune, e like me Hashimoto thyroiditis a i ʻole Addison maʻi
• ʻO Chemotherapy a i ʻole ka mālama ʻana i ka maʻi ʻaʻai radiation e hōʻino ai i nā ovaries
• ʻO kahi tumo i ka pituitary gland
• Turner Syndrome, he ʻano maʻi maʻi

Hoʻomaka ka wā ʻōpio i ke ʻōpio ma waena o nā makahiki 8 a 15. Me ka lohi o ka ʻōpio, hiki i kāu keiki ke loaʻa hoʻokahi a ʻoi paha o kēia mau ʻōuli.

• ʻAʻole ulu nā umauma i ka makahiki 13
• ʻAʻohe lauoho lauoho
• ʻAʻole hoʻomaka ka Menstruation e ka makahiki 16
• ʻO ke kiʻekiʻe pōkole a me ka lohi o ka ulu ʻana
• ʻAʻole ulu ka Uterus
• ʻOi aku ka liʻiliʻi o ka makahiki iwi ma mua o ka makahiki o kāu keiki

Aia paha he mau hōʻailona ʻē aʻe, kaukaʻi ʻia i ke kumu o ka lohi o ka ʻōpio.

E lawe ka kahu mālama ola o kāu keiki i ka mōʻaukala ʻohana e ʻike inā holo ʻōpio i ka ʻohana.

E nīnau paha ka mea hāʻawi e pili ana i kāu keiki:

• Nā ʻano ʻai
• Nā ʻano hoʻoikaika kino
• Mōʻaukala olakino

E hana ka mea hāʻawi i kahi hoʻokolohua kino. Pili pū kekahi mau hōʻike ʻē aʻe:

• Nā hoʻokolohua koko e nānā i nā pae o kekahi mau homone ulu, nā homone wahine, a me nā homone thyroid
• LH pane i ka hoʻāʻo koko GnRH
• Ka Ikepili Chromosomal
• MRI o ke poʻo no nā hikoko
• Ultrasound o nā ovaries a me ka kōpū

Hiki ke kiʻi ʻia kahi hihi x o ka lima hema a me ka pulima e loiloi ai i ka makahiki o ka iwi i ka kipa mua ʻana e ʻike inā makua paha nā iwi. E hana hou paha ia i ka manawa, inā pono.

Pili ka lāʻau i ke kumu o ka lohi o ka ʻōpio.

Inā loaʻa kahi moʻolelo ʻohana o ka hopena o ka wā ʻōpio, ʻaʻole pono ka lapaʻau ʻana. I ka manawa, e hoʻomaka ana ka ʻōhule ma kāna iho.

I nā kaikamahine me ka liʻiliʻi o ka momona o ke kino, ʻo ka loaʻa ʻana o kahi kaumaha ke kōkua i ka hoʻomaka ʻana i ka ʻōpio.

Inā hoʻokumu ʻia ka wā ʻōpio e ka maʻi a i ʻole kahi maʻi ʻai, mālama ʻana i ke kumu e kōkua ai i ka wā ʻōpio e ulu maʻamau.

Inā ʻaʻole e ulu ka wā ʻōpio, a kaumaha nui paha ke keiki ma muli o ka lohi, hiki i ka hoʻōla hormonone ke kōkua i ka hoʻomaka ʻōpio ʻana. E hāʻawi ka mea hoʻolako i:

• Hāʻawi i ka estrogen (kahi homone wahine) ma nā haʻahaʻa haʻahaʻa, i ka waha a i ʻole ka pā
• Nānā i nā loli ulu a hoʻonui i ka lāʻau i kēlā me kēia 6 a 12 mau mahina
• Hoʻohui i ka progesterone (kahi sex hormone) e hoʻomaka i ka menstruation
• Hāʻawi i nā pākana pale waha e mālama i nā pae maʻamau o nā hormones sex

Hiki i kēia mau kumuwaiwai ke kōkua iā ʻoe e loaʻa i ke kākoʻo a hoʻomaopopo hou e pili ana i ka ulu ʻana o kāu keiki.

ʻO ka MAGIC Foundation - www.magicfoundation.org

ʻO Turner Syndrome Society o ʻAmelika Hui Pū ʻIa - www.turnersyndrome.org

ʻO ka ʻōpio ʻōpala i holo i ka ʻohana e hoʻoponopono iā ia iho.

ʻO kekahi mau kaikamahine me kekahi ʻano, e like me nā mea i hōʻino i kā lākou ovaries, pono paha e lawe i nā homone i ko lākou ola holoʻokoʻa.

Loaʻa paha nā hopena i ka hopena estrogen.

ʻO nā pilikia kūpono ʻē aʻe e pili pū me:

• Menopause mua
• Hoʻoipo
• ʻO ka iwi haʻahaʻa a me nā haʻihaʻi ma hope o ke ola (osteoporosis)

Kāhea i kāu mea hāʻawi inā:

• Hōʻike kāu keiki i kahi lohi o ka ulu lohi
• ʻAʻole hoʻomaka ʻo Puberty e 13 mau makahiki
• Hoʻomaka ka Puberty, akā ʻaʻole holomua i ka maʻamau

Hiki ke ʻōlelo ʻia i kahi endocrinologist pediatric no nā kaikamahine me ka lohi o ka ʻōpio.

Hoʻoneʻe hoʻomohala kolohe - kaikamahine; Hoopanee Pubertal - kaikamahine; Ua lohi ke kumukānāwai i ka ʻōpio

Haddad NG, Eugster EA. Hoopaneeia ka manawa makua. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 122.

Krueger C, Shah H. Kauka ʻōpio. I: Ka Haukapila ʻo Johns Hopkins; Kleinman K, McDaniel L, Molloy M, eds. ʻO ka Halemai ʻo Johns Hopkins: Ka puke lima ʻo Harriet Lane. 22nd ʻepekema Piladelapia, PA: Elsevier; 2021: chap 5.

ʻO Styne DM. Physiology a me nā maʻi o ka wā ʻōpio. Ma Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 26.