Kukura kushomeka kwehomoni - vana

Kukura kushomeka kwehormoni zvinoreva kuti pituitary gland haina kuita yakakwana kukura mahormone.

Iyo pituitary gland iri pazasi pehuropi. Iri gland rinodzora mwero wemuviri wemahomoni. Izvo zvinoitawo kukura mahormone. Iyi hormone inoita kuti mwana akure.

Kukura kushomeka kwehomoni kunogona kuvapo pakuzvarwa. Kukura kushomeka kwehormone kunogona kunge kuri mugumisiro wehutano. Kukuvadza kwakakomba kwehuropi kunogona zvakare kukonzera kukura kwehomoni kushomeka.

Vana vane hurema hwepanyama nechiso uye dehenya, senge kupatsanuka muromo kana kupatsanuka mukanwa, vanogona kunge vakadzikira kukura muhormone.

Kazhinji yenguva, iyo chinetso chekukura kwekushaikwa kwehormoni hachizivikanwe.

Kukura kunononoka kunogona kutanga kucherechedzwa muhucheche uye kuenderera kuburikidza nehudiki. Chiremba wevana anowanzo dhonza iyo yekukura yemwana pachati yekukura. Vana vane kukura kwekushaikwa kwehomoni vane inononoka kana yakati rebei chiyero chekukura. Kukura kunononoka hakugone kuratidzika kudzamara mwana ava nemakore maviri kana matatu ekuberekwa.

Mwana achapfupika kupfuura vana vazhinji vezera rakaenzana uye bonde. Mwana acharamba aine huremu hwakaenzana, asi anogona kunge ari hobvu. Chiso chemwana chinowanzoita sechidiki pane vamwe vana vezera rakaenzana. Mwana anozove neyakajairika njere muzviitiko zvakawanda.

Muvana vakura, kuyaruka kunogona kunonoka kana kusatouya zvachose, zvinoenderana nechakonzera.

Kuongorora kwepanyama, kusanganisira huremu, kureba, uye huwandu hwemuviri, kucharatidza zviratidzo zvekudzikira kukura. Mwana haazoteedzere zvakajairwa zvekukura macurves.

Ruoko x-ray runogona kuona zera repfupa. Kazhinji, kukura uye chimiro chemabhonzo chinoshanduka apo munhu anokura. Idzi shanduko dzinogona kuoneka pane x-ray uye ivo vanowanzo tevera pateni semwana anokura.

Kuedzwa kunowanzoitwa mushure mekunge chiremba wevana atarisa mune zvimwe zvikonzero zvekusakura zvakanaka. Miedzo inogona kuitwa inosanganisira:

• Insulin-senge kukura chinhu 1 (IGF-1) uye insulin-senge kukura chinhu chinosunga protein 3 (IGFBP3). Izvi zvinhu zvinokura mahormone zvinoita kuti muviri uite. Miedzo inogona kuyera izvi zvinhu zvekukura. Kukura kwakaringana kwekushaikwa kwehormoni kuyedza kunosanganisira kuyedza kwekusimudzira. Bvunzo iyi inotora maawa akati wandei.
• MRI yemusoro inogona kuratidza iyo hypothalamus uye pituitary gland.
• Kuyedza kuyera mamwe mazinga ehormoni anogona kuitwa, nekuti kushomeka kwekukura kwehormone kunogona kunge kusiri iro rega dambudziko.

Kurapa kunosanganisira kukura kwehomoni shots (majekiseni) anopiwa kumba. Iwo mapfuti anowanzo kupihwa kamwe pazuva. Vana vakura vanogona kudzidza kudzipa pfuti.

Kurapa nekukura kwehomoni ndeyerefu-kwenguva, kazhinji kunogara kwemakore akati wandei. Munguva ino, mwana anoda kugara achionekwa nachiremba wevana kuti ave nechokwadi chekuti kurapwa kuri kushanda. Kana zvichidikanwa, mupi wezvehutano anoshandura chipimo chemushonga.

Yakakomba mhedzisiro mhedzisiro yekukura kwehomoni kurapwa isingawanzo. Zvakajairika mhedzisiro zvinosanganisira:

• Kutemwa nemusoro
• Kuchengetwa kwemvura
• Tsvina nemajoini aches
• Kutsvedza kwemabhonzo ehudyu

Iyo yekutanga mamiriro acho anorapwa, zvirinani mukana wekuti mwana azokura kusvika padyo-senguva dzose kureba kwevanhu vakuru. Vana vazhinji vanowana masendimita mana kana anopfuura (anenge gumi masendimita) mukati megore rekutanga, uye matatu kana anopfuura masendimita (anenge 7.6 masentimita) mukati memakore maviri anotevera. Chiyero chekukura chinobva chadzikira zvishoma nezvishoma.

Kukura kwehomoni kurapwa hakushandi kune vese vana.

Kuruboshwe kusingarapwe, kukura kwehomoni kushomeka kunogona kutungamira kuhupfupi uye kunonoka kuyaruka.

Kukura kushomeka kwehomoni kunogona kuitika nekushomeka kwemamwe mahormone senge iwo anodzora:

• Kugadzirwa kwetachiona mahormone
• Kuenzanisa kwemvura mumuviri
• Kugadzirwa kwemurume nemukadzi mahormone ebonde
• Iwo adrenal glands uye kugadzirwa kwavo kwecortisol, DHEA, uye mamwe mahormone

Fonera waunopa kana mwana wako achiratidzika kunge akapfupika pazera rake.

Kazhinji kacho hazvidziviririke.

Wongorora chati yemwana wako yekukura pamwe nachiremba wevana pakuongororwa kwese. Kana paine kunetsekana nezve chiyero chekukura kwemwana wako, kuongororwa nenyanzvi kunokurudzirwa.

Pituitary kuderera; Kuwana kukura kwehomoni kushomeka; Isolated kukura kwehomoni kushomeka; Kuberekwa kwekukura kwehomoni kushomeka; Panhypopituitarism; Pfupi chimiro - kukura kwehomoni kushomeka

• Endocrine masero
• Kureba / kurema chati

Cooke DW, Divall SA, Radovick S. Zvakajairwa uye zvinokanganisa kukura muvana. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 25.

Grimberg A, DiVall SA, Polychronakos C, uye al. Nhungamiro yekukura kwehomoni uye insulin-senge kukura chinhu-Ini kurapwa muvana nevechiri kuyaruka: kukura kwehomoni kushomeka, idiopathic ipfupi chimiro, uye yekutanga insulin-senge kukura chinhu-ini kushomeka. Horm Res Paediatr. 2016; 86 (6): 361-397. PMID: 27884013 www.ncbi.nlm.nih.gov/pubmed/27884013.

Patterson BC, Felner EI. Hypopituitarism. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 573.