Hoopanee ka wā ʻōpio i ke keikikāne

ʻO ka ʻōpio lohi i ke keikikāne ke hoʻomaka ʻole ka ʻōpio ma 14 mau makahiki.

Ke hoʻolohi ʻia ka wā ʻōpio, ʻaʻole kū kēia mau hoʻololi a i ʻole holomua maʻamau. ʻOi aku ka pinepine o ka wā ʻōpio i nā keikikāne ma mua o nā kaikamahine.

I ka hapanui o nā hihia, ʻo ka lohi o ka wā ʻōpio ka mea nui o nā loli ulu e hoʻomaka ana ma hope o ka maʻa mau, i kekahi manawa kapa ʻia ʻo bloomer lohi. I ka hoʻomaka ʻana o ka wā ʻōpio, e holomua maʻamau. Kāhea ʻia kēia ua lohi ke kumukānāwai i ka wā ʻōpio, a holo i loko o nā ʻohana. ʻO kēia ke kumu maʻamau o ke oʻo loa ʻana.

Hiki paha i kahi ʻōpio lohi ke hana i ka wā liʻiliʻi a ʻaʻohe paha o nā testosterone. Kapa ʻia kēia hypogonadism.

Hiki i kēia ke hana inā hōʻino ʻia nā hōʻike ʻaʻole hoʻomohala ʻia e like me ka mea e pono ai.

Hiki pū kekahi inā loaʻa kahi pilikia i 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:

• Celiac sprue
• ʻO ka maʻi maʻi ʻōpū (IBD)
• Pahu thyroid paʻa ʻole
• Diabetes mellitus
• ʻO Cystic fibrosis
• Maʻi maʻi maʻi maʻi
• ʻO ka maʻi ate a me nā hakuʻala
• Anorexia (ʻike ʻole ʻia i nā keikikāne)
• Nā maʻi Autoimmune, e like me Hashimoto thyroiditis a i ʻole Addison maʻi
• Chemotherapy a i ʻole radiation cancer cancer treatment
• ʻO kahi tumo i ka pituitary gland, Klinefelter syndrome, kahi maʻi maʻi
• Ka loaʻa ʻole o nā hōʻike ma ka wā hānau (anorchia)
• ʻO ka hōʻeha a hōʻeha paha i nā testicle ma muli o ka torsion testicular

Hoʻomaka ke keikikāne i ka wā ʻōpio ma waena o 9 a 14 mau makahiki a hoʻopau iā ia i 3.5 a 4 mau makahiki.

Hoʻololi nā ʻōpio i ka hoʻomaka ʻana o ke kino e hana i nā hormones sex. Hoʻomaka ka hoʻololi ʻana o kēia mau ʻano i nā keikikāne ma waena o 9 a 14 mau makahiki.

• Hoʻonui ka testicle a me ka penis
• Ulu ka lauoho ma ka maka, ka umauma, nā wāwae, nā lima, nā ʻāpana o ke kino ʻē aʻe, a puni ka genital
• Hoʻonui ke kiʻekiʻe a me ke kaumaha
• E hohonu ana ka leo

• Ua ʻoi aku ka liʻiliʻi o nā hōʻike ma mua o 1 ʻīniha e ka makahiki 14
• Liʻiliʻi a paʻakikī ʻole ʻo Penis i ka makahiki 13
• ʻAʻohe liʻiliʻi o ka lauoho o ke kino a aneane ʻole e ka makahiki 15
• Mau kiʻekiʻe ka leo o ka leo
• Noho pōkole a lahilahi ke kino
• Hiki ke waiho i nā waihona momona ma nā pūhaka, pelvis, ʻōpū, a me nā umauma

ʻO ka lohi o ka wā ʻōpio ke kumu o ke kaumaha i ke keiki.

E lawe ka kahu mālama ola o kāu keiki i ka mōʻaukala ʻohana e ʻike inā holo ʻōpio i ka ʻohana. E hana ka mea hāʻawi i kahi hoʻokolohua kino. Pili pū kekahi mau hōʻike ʻē aʻe:

• E hoʻāʻo i ke koko e nānā i nā pae o kekahi mau hormone ulu, nā homone wahine, a me nā homone thyroid
• LH pane i ka hoʻāʻo koko GnRH
• Nānā Chromosomal a i ʻole nā ​​hoʻokolohua ʻē aʻe
• MRI o ke poʻo no nā hikoko
• ʻO Ultrasound o ka pelvis a i ʻole nā ​​testicle

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.

Inā hoʻolohi ʻia ka ʻōpio ma muli o kahi maʻi, e like me ka gland thyroid underactive, mālama ʻana iā ia ke kōkua i ka ʻōpio e ulu maʻamau.

Hiki ke kōkua i ka Hormone therapy i ka hoʻomaka ʻōpio inā:

• ʻAʻole ulu ʻo Puberty
• Pilikia loa ke keiki no ka lohi

E hāʻawi ka mea hāʻawi i kahi kī (injection) o testosterone (kāne male kāne hormone) i ka mākala i kēlā me kēia 4 mau pule. E nānā ʻia nā loli ulu. E hoʻonui mālie ka mea hāʻawi i ka lāʻau a hiki i ka wā ʻōpio.

E loaʻa paha iā ʻoe ke kākoʻo a hoʻomaopopo hou e pili ana i ka ulu ʻana o kāu keiki ma:

ʻO ka MAGIC Foundation - www.magicfoundation.org

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

Hiki i ka mālama ʻana me nā hormoni ke hoʻoulu i ka ʻōpio. Hiki ke hāʻawi ʻia i nā Hormones inā pono e hoʻomaikaʻi i ka momona.

Hiki i kahi pae haʻahaʻa o nā homone wahine ke kumu:

• Nā pilikia kūkulu hale (impotence)
• Hoʻoipo
• ʻO ka iwi haʻahaʻa a me nā haʻihaʻi ma hope o ke ola (osteoporosis)
• Nawaliwali

Kāhea i kāu mea hāʻawi inā:

• Hōʻike kāu keiki i kahi lohi o ka ulu lohi
• ʻAʻole hoʻomaka ʻo Puberty e 14 mau makahiki
• Hoʻomaka ka Puberty, akā ʻaʻole holomua i ka maʻamau

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

Hoʻoneʻe hoʻomohala kolohe - keikikāne; Hoopanee Pubertal - keikikāne; Hypogonadism

Allan CA, McLachlan RI. Nā maʻi maʻi Androgen. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 139.

Haddad NG, Eugster EA. Hoopaneeia ka manawa makua. I: Jameson JL, De Groot LJ, de Kretser DM, et al. nā ʻaoʻao 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. 21st ed. 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.