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Precocious puberty: he mea hou e pili ana i kēia hanana
He mau kino ʻōpio ko lākou i ko lākou wā liʻiliʻi. ʻO ka wā ʻōpio mua he mea maʻamau pinepine ia e hoʻonele pinepine ai i nā mākua a me nā keiki. ” Ua loaʻa i kaʻu kaikamahine ʻōpio 8 makahiki he mau ū, ua hoʻomaka i kekahi mau mahina i hala. ʻO nā hoa ʻē aʻe o ke kula ke kūlana like », Ke hilinaʻi nei i kēia makuahine ma kā mākou ʻaoʻao Facebook. “ Ua haʻi mai kaʻu pediatrician ua kaumaha kaʻu kaikamahine a hiki iā ia ke hāpai i ka hoʻomaka ʻana o nā pilikia hormonal e like me ka wā ʻōpio mua, ʻoiai ke hoʻāʻo nei mākou e hoʻololi i ke ʻano o ka nohona o ka ʻohana. Wahi a kekahi makuahine. Wahi a ka poʻe loea, ʻike ʻia ka puberty precocious e ka ulu ʻana o nā umauma ma mua o 8 mau makahiki i nā kaikamahine a me ka piʻi ʻana o ka nui testicular ma mua o 9 mau makahiki i nā keikikāne.. ʻIke pinepine ʻia i nā kaikamahine ma mua o nā keikikāne liʻiliʻi. Hele pū kēia hanana ka piʻi ʻana o ka makahiki mua ka makou e nana nei ma na aina hana a pau. I kēia mau lā, ʻo nā kaikamahine ʻōpio ma ka awelika ma kahi o 12 a me ka hapa makahiki, hoʻohālikelike ʻia me 15 mau makahiki i hala ʻelua mau kenekulia.
ʻO ka wā ʻōpio mua: nā kumu olakino…
Pehea e wehewehe ai i kēia hanana? Loaʻa kahi kumu olakino koʻikoʻi ma kahi o 5% o nā hihia i nā kaikamahine a ʻoi aku ka nui o nā keikikāne (30 a 40%). Hiki pahaĀpio, ohe ino o na ovaries, ka mea e hoʻomaka ai ka wā ʻōpio. ʻOi aku ke koʻikoʻi, a hikoko ʻO ka lolo (benign a malignant) i kekahi manawa ma ke kumu o kēia maʻi. Hoʻokumu ʻia ka wā ʻōpio e ka huna ʻana o nā hormones e ʻelua kelepa i loko o ka lolo: ka hypothalamus a me ka pituitary gland. Hiki i kahi lesion (ʻaʻole pono) ma kēia pae ke hoʻonāukiuki i ke kaʻina hana. ʻO kēia mau kumu lāʻau a pau e hōʻoia i ka nīnau ʻana i kahi endocrinologist pediatric.. Ma hope o ka hoʻopau ʻana i kēia mau anomalies hiki i kekahi ke hoʻoholo i kahi " idiopathic central precocious puberty », ʻO ia hoʻi me ke kumu ʻike ʻole ʻia.
Precocious puberty: ka hopena o ka endocrine disruptors
Hoʻopili ʻia ka wā ʻōpio mua i ka hopena o nā mea kaiapuni, e like me ka loaʻa ʻana o ke kaumaha a i ʻole endocrine disruptors (EEP).
ʻO ka loaʻa ʻana o ke kaumaha mai ka wā ʻōpiopio me ka rebound i loko o ka pihi kino ma kahi o 3-4 mau makahiki ke kuleana nui no ka puberty precocious i nā kaikamahine. I ka wā mua loa, ʻo ka loaʻa ʻana o ke kaumaha ke kumu o ka hoʻololi metabolic a me ka hormonal i loko o ke kino e hiki ke hoʻopau i ka hana o nā ʻano he nui.
No nā mea hoʻopilikia endocrine, ke kānalua nui nei ko lākou hopena : ʻo kēia mau mea i hoʻokuʻu ʻia i loko o ke kaiapuni e hoʻopilikia i ka ʻōnaehana hormonal ma ka hoohalike ana i ka hana a kekahi mau hormones. Loaʻa nā ʻano PEE ʻokoʻa: no ke kumu maoli kekahi e like me nā phytoestrogens i loaʻa i ka soybeans, akā ʻo ka hapa nui mai ka ʻoihana kemika. ʻO nā pesticides a me nā mea haumia ʻoihana nona ka bisphenol A, i pāpā ʻia i Farani (akā ua hoʻololi ʻia e kona mau hoahānau ka BPS a i ʻole BPB ʻoi aku ka maikaʻi), ʻo ia kekahi o ia mea. Hiki i kēia mau huahana ke hana ma ka hoʻohālike ʻana i kahi hormone a me ka hoʻoulu ʻana i kāna mea loaʻa, e like me ka estrogen, ka mea e hoʻoulu ai i ka ulu ʻana o ka mammary gland, a i ʻole ma ke kāohi ʻana i ka hana o kahi hormone maoli. Nui nā haʻawina i loaʻa he hui ma waena o ka wā ʻōpio mua o nā kaikamahine a me ka ʻike ʻana i kekahi mau PEE, ka nui o nā phthalates a me nā pesticides DDT / DDE. Hoʻopili pū lākou i ka piʻi ʻana o nā maʻi maʻi genital i nā keikikāne (ka ʻole o ka iho o nā testicles, etc.).
He aha kāu e hana ai inā kānalua ʻoe i ka wā ʻōpio mua?
Inā hōʻike kāu keiki i nā hōʻailona o ka ʻōpio ma kahi makahiki ʻokoʻa, pono e ʻike koke i kahi pediatrician a kauka paha. mea hoʻopaʻa keiki endocrinologist. E kālailai ka hope i ka pihi ulu i ʻike ʻia i loko o ka moʻolelo olakino, e hana ʻia kahi X-ray o ka lima a me ka pulima e hoʻoholo ai i ka makahiki o ka iwi, a me ke kaikamahine, e noi i kahi ultrasound pelvic e ana i ka ʻōpū a me nā ovaries. . Hiki i ke kauka ke kauoha i ka ho'āʻo koko a me ka MRI lolo e hōʻoia i ka hōʻailona a wehewehe i ke kumu. ʻO kēia mau hoʻokolohua e hiki ai ke loiloi i nā pilikia o ka precocity a hoʻoholo i ka hoʻokele. ʻO kekahi o nā hopena o ka wā ʻōpio mua, ʻo ia ke ʻano pōkole i ka wā ʻelemakule, ʻo ka ulu ʻana o ka ulu ma mua o ka manawa. I kēia manawa, ʻO ka lāʻau lapaʻau maikaʻi loa e hana pololei i ke kikowaena o ka wā ʻōpio (ka pituitary gland) ma ke kāohi ʻana i kāna hana a pēlā e hiki ai ke hoʻokuʻu i ka holomua o ka wā ʻōpio. Eia nō naʻe, pono e hoʻomanaʻo ua hana maoli ka mālama ʻana i ka wā ʻōpio mua hihia i ka hihia. No ka mea, ma waho aʻe o ke ʻano physiological, aia kekahi ʻano psychological. Pono e noʻonoʻo ʻia ke ala e ʻike ai ke keiki i kona hoʻololi kino a me ka ʻike o ka ʻohana. Pono ke kākoʻo noʻonoʻo i kekahi manawa no ka lanakila ʻana i kēia mau haunaele kino a me ka naʻau.