ʻO kekahi o nā pilikia koʻikoʻi o ko mākou manawa e kū nei i nā keiki a me nā ʻōpio. Ke māhuahua nei ka nui o nā maʻi i kēlā me kēia lā a weliweli wale nō kēia. ʻO ka wehewehe ʻana i kēia ʻano he mea maʻalahi loa, no ka mea ʻo ke kumu nui loa ka nui o ka momona ʻana, ka nele o ka hana kino, a me ka ʻai maikaʻi ʻole.
I kekahi mau hihia, hiki i ka momona ke hopena i ka hoʻopulepule o nā kelepa thyroid, neoplasms i loko o ka lolo, a me nā pilikia olakino ʻē aʻe. No kēia kumu, kuleana wale nō kēlā me kēia makua e nānā pono i ke ʻano o ke olakino o kā lākou keiki, a ʻo kēlā me kēia keʻakeʻa i ke kaupaona e makaʻala a wikiwiki e ʻōlelo aku i kahi kauka.
Inā hoʻomaka ka ʻōpiopio e ulu i ka wā kamaliʻi, a laila hiki iā ia ke hōʻeha i nā maʻi hōʻeha. I nā keiki momona kaumaha, nui ka ulu ʻana o nā maʻi like ʻole:
- diabetes mellitus;
- hypertension arterial;
- pūpū hema;
- nā maʻi o ka ʻāʻī.
Aia i ka wā ʻelemakule, e hoʻomoʻi ʻia nā mea maʻi i ka hoʻomohala ʻana i ka wā nui o ka infertility, myocardial infarction, a me ka maʻi ʻeha coronary.
E hilinaʻi nui ʻia nā ʻano o ka mālama ʻana i ka momona.
- ke kīʻaha momona;
- hana kino kino;
- lāʻau lapaʻau a hoʻomaʻemaʻe paha (inā pono).
Ma ka nui, ʻike pono ʻoe i ke ʻano o ka hoʻomaka ʻana e kamaʻilio e pili ana i ka pohō o nā ʻano ʻokoʻa like ʻole. ʻO ke kaumaha o kēlā me kēia keiki kūikawā e hilinaʻi pololei i kāna ʻano wahine, ke kiʻekiʻe, a me ka predisposition genetic.
ʻAʻole e lilo ka mea nui i ka kūlana nui o ka olakino a me nā hana ʻai.
Ua ʻike ʻo ka lāʻau lapaʻau i nā ala he nui e ʻike ai i ke kaumaha kino nui loa i ke keiki.
ʻO nā kumu nui o ka hoʻonāukiuki i nā keiki
Aia he 2 nui o nā kikuhulu:
- alimentary (ma muli o ka ʻai maikaʻi ʻole a me ka nele o ka hana kino o ke keiki);
- endocrine (e pili ana i nā keiki a me nā wā'ōpiopio me nā pilikia koʻikoʻi o nā kūpaʻa endocrine: nā kupanaha adrenal, nā momona thyroid, a me nā ovaries).
Hoʻokumu ʻia i kekahi o nā hōʻailona hoʻohālikelike e hele pū me ka obesity, hiki i kekahi ke kuhikuhi i ke kumu o kēia kaʻina.
Inā lilo ke keiki a pau loa, a laila pono ʻoe e makaʻala i kona mau mākua. Inā mālama ʻia ke kaupaona momona i loko o lākou, a laila hiki iā mākou ke kamaʻilio e pili ana i ka pono ʻole o ka ʻai.
Hiki i kēlā ʻohana ke ʻai nui i nā meaʻai kiʻekiʻe a nā calorie kiʻekiʻe i kēlā me kēia lā, kahi nui i nā mea momona a me nā momona. Inā pēlā, ʻoi aku paha, ʻeha ke keiki mai ke ʻano o ke kau hiʻona.
I kēlā kūlana, e piha loa ka nui o ke koʻikoʻi o ke keiki ma muli o ka mismatch ma waena o nā kalona i hoʻopau ʻia a me ka ikaika i pau. ʻO kēia hemahema ikaika ka hopena o ka hōʻemi haʻahaʻa haʻahaʻa.
Inā mākou e kamaʻilio e pili ana i nā pēpē, a laila, he momona ka hopena o ka hoʻolōʻihi ʻole ʻana i nā meaʻai piha, i waiwai nui nā mea momona me nā momona. Loaʻa paha nā keiki ʻekahi i nā paona ʻē aʻe inā lākou e hoʻopau i ko lākou manawa a pau e pāʻani ana i nā pāʻani kamepiula a nānā ʻana paha i ke kīwī. Loaʻa ke ikehu a pau mai ka meaʻai i ka depot momona.
ʻO kahi hiʻohiʻona nui nui o ka momona hānai nui o ka pōʻaiʻai a me ka ala ʻole o ke ola.
Ma nā hihia i ʻoi aku ka nui o ke keiki ma mua o ka hānau ʻana a i ʻole aia i kahi kau i ka hoʻomohala ʻana, ʻo ia nei ke ʻano nui o ka ʻōpū ma muli o nā pilikia congenital me ka nui o ka lolo thyroid. Hiki ke hōʻike ʻia i ka pōkole.
- mea;
- e paʻa ana ke poʻo.
Eia kekahi, ke mākaʻikaʻi ʻia i ka ʻūhā o ke alo o ka pēpē. E hōʻike aku nā mea a pau i luna.
I nā hanana i ʻike ʻia ka hānai o nā leʻaleʻa like ʻole e pili ana i ke ʻano o ka lohi ʻana o ka noʻonoʻo, ka nāwaliwali o ka naʻau a me ka strabismus, a laila ma kēia hihia hiki iā mākou ke kamaʻilio e pili ana i ka hōʻea o nā mau huaʻalelona congenital, no ka laʻana, Down syndrome, Prader-Willi syndrome (e like me ke kiʻi).
ʻO ka maʻa mau i nā keiki a me nā wā'ōpiopio. Nā Hoʻomaka
Inā hele mai nā huʻihui o kekahi pae me nā hōʻailona aʻe, a laila hiki ke loaʻa ka hypothyroidism:
- luhi;
- nāwaliwali
- hiamoe
- haʻahaʻa hana haʻahaʻa;
- ʻilihune maikaʻi ʻole ʻole;
- maloʻo maloʻo;
- constipation
- mau ʻeke ma lalo o nā maka.
Hōʻike ʻia kēia ʻano o ka hypothyroidism i nā pilikia me ka hana o ke kelepona thyroid, a me nā hemahema o ka iodine. Ma ke kānāwai, kahi maʻi, inā ʻoi aku ka mea ma mua o ke kaikamahine i ka wā ʻōpiopio, hiki ke hōʻeha i ka menstruation (amenorrhea) a i ʻole nā hewa ʻē aʻe o kēia haki.
Inā waiho ʻia ke kaumaha nui ma luna o ka ʻōpū, ʻāʻī, ke alo, a laila hiki ke ʻeha ke keiki mai ka maʻi ʻeha a Hisenko-Cush. Hoʻohana ʻia ia me nā hōʻailona ʻē aʻe, no ka laʻana, disproportionately ʻokiʻoki i nā lima a me nā wāwae, ka wikiwiki wikiwiki o ka neʻe ʻana i ka hōʻailona o ke kala poni (kā lākou i kapa ʻia ka striae).
Me kēia maʻi, loaʻa ka nui overabundance o nā hormones i hana ʻia e nā kelepa adrenal i loaʻa.
Inā hoʻonāukiuki ʻia nā ʻōpiopio o nā ʻokoʻa i loko o nā keiki, a laila hiki iā lākou ke hōʻike i ke ʻano o kahi ʻōpū. E pale aku i nā kūlana o nā pilikia koʻikoʻi a me nā migraines, ʻike ʻia nā hōʻailona ʻē aʻe:
- ka hoʻonui ʻana o ka umauma (ʻo nā keikikāne a me nā kaikamahine). Hiki ke hoʻomaopopo ʻia ka Galactorrhea (huna ʻia o ka waiū mai nā gona). Inā e hele kēia, a ke kamaʻilio nei mākou e pili ana i ka prolactinoma - kahi ʻōpala i loko o nā kelopona pituitary e hana ai i ka prolactin (he hormone ke kuleana no ka hana o ka waiū i ka wā lactation). Eia kekahi, hiki i ka prolactinoma ke hiki i nā keikikāne. I kēia hihia, ʻike ʻia ka hoʻonui ʻana i ka umauma, nā hōʻuluʻulu, a me nā hōʻike ʻē aʻe o ke kiʻekiʻe kiʻekiʻe o ka intracranial;
- i ka hihia ke hui pū nei nā hōʻailona o ka hypothyroidism i kēia mau ʻōmaʻomaʻo, a laila, ʻoi aku ka nui o ka hoʻonāukiuki i ka wā'ōpiopio i ka ʻōpala maʻi maʻi. I ka hopena, loaʻa i ka halaʻole o ka hana o kahi hormone e hoʻoikaika i ka kūloi thyroid;
- me ka hoʻohui o nā hōʻike ʻano ʻokoʻa o ka maʻi ʻana o ka puʻuwai ʻo Hisenko-Cush, aia kahi kūlana kiʻekiʻe o ka maʻi o ka maʻi pituitary. ʻO ia neoplasm e hoʻohua i ka nui o ka hana o ka ACTH (adrenocorticotropic hormone), nāna e hoʻopuka i ka hoʻokuʻu ʻana i nā glucocorticosteroids e nā kelepa adrenal.
Aia aia nā maʻi i loaʻa i kahi wā ʻōpio keʻike i nā hōʻailona o ke wā lohi a publi and gynecomastia. ʻO ke kumu nui loa o kēia kaʻina hiki ke kapa ʻia he adiposogenital dystrophy. Hoʻopilikia ʻia kēia maʻi ma ka nele o nā hormones pituitary e hoʻoikaika i ka hoʻomohala ʻana o nā kelima mammary.
I nā kaikamahine, nā hōʻailona i kākau ʻia e hōʻike ana i ka loaʻa o ka ovary polycystic.
He aha ka hopena koʻikoʻi o ka hoʻonāukiuki?
Hiki i ke kīhāpai i nā keiki (kiʻi) hiki ke hōʻeha i nā maʻi ma mua loa o kēia ʻano makahiki.
- haʻi maʻi
- momo diabetes mellitus 2;
- cirrhosis o ka ate;
- maʻi maʻi coronary.
ʻO kēia mau maʻi e hiki ke hoʻomāhuahua i ka maikaʻi o ke keiki a hōʻemi i ke ʻano o kona ola.
Aia nā ʻōlelo hoʻopiʻi o ka pae haʻahaʻa o nā ʻokoʻa hoʻonaninani:
- Mai ka pūnaehana cardiovascular: atherosclerosis, ke koko kiʻekiʻe, ke ake ʻana o ka naʻau mākaukau, ka angina pectoris. ʻO kēia mau pilikia, ka hiʻohiʻona o ka poʻeʻelemakule, e hoʻoulu i nā pilikia he nui no nā keiki luhi;
- Mai ka pūnaehana hana ʻana: ka hana mau a ka maʻi o ka gallbladder (cholecystitis), nā hana lele o ka pancreas (pancreatitis), hemorrhoid, constipation pinepine. Hoʻomoe ka momona ma ke akea i ka lipid hepatosis (steatosis). Hōʻike ʻia kēia maʻi e ka lawa o ka hana kō ma muli o ka neʻe o ka kiko adipose maʻamau. Ma kahi liʻiliʻi loa, ʻo ka steatosis ke kumu o ka cirrhosis;
- Mai nā iwi a me nā hana, nā deformities o ka iwi, hiki ke nānā ʻia ka ʻeha ma nā ʻōpū, a me nā wāwae ʻeleʻele. E hōʻeha nā keiki keu ma ka hopena o ka luli o ka mau kuli (mau wāwae ma ke ʻano o ka leka X);
- Me kahi hema no ka hormone, ka mea i hana ʻia e ka pancreas a i ka ʻike ʻana i ka hoʻoliʻi ʻana o ka glucose, hana i ka diabetes mellitus o ka ʻano o ka papa. ʻO nā hōʻailona ʻākena o ka maʻi maʻi: ka hiamoe, ka make mau, ka nui momona, nāwaliwali, nā neʻe pinepine;
- E hōʻeha nā keiki ʻōlima i nā maʻi hiamoe e like me ka snoring a me ka apnea (intermittent lack o ka hanu).
ʻO nā wahine ʻōpio mai ke wā kamaliʻi he nui nā manawa e noho nawaliwali no ke ola.
I nā ʻanoʻokoʻa, ʻokoʻa loa i nā keiki a me nā ʻōpio hiki ke lilo i mea koi mua no nā pilikia lehulehu. E loaʻa nō iā ia nā pilikia paʻakikī i ka kamaʻilio ʻana me nā hoa o lākou.
Hoʻopiʻi pinepine i kēia kiʻi, hiki i ke kaumaha ka mea hiki ke hoʻonāukiuki i ka momona me ka hoʻohui i ka lāʻau lapaʻau, ka ʻawaʻawa a me nā pilikia ʻai, no ka laʻana, bulimia a i ʻole anorexia (e like me ke kiʻi).
Pehea e mālama ʻia ai ka momona?
Hoʻopau pololei nā mea hana i ka hoʻokaʻawale ʻana i nā pauna keu aʻe i kahi keiki. Ma waho ʻole, kā ke kauka hōʻike:
- mea ʻai olakino;
- hoʻoikaika kino kino;
- lāʻau lapaʻau lāʻau;
- hoʻōki manuahi (inā pono).
ʻO ka lōʻihi loa ka mālama ʻana i ka momona o ka wā kamaliʻi a me kona wā'ōpiopio. Pono e hoʻopaʻa ʻia kēlā me kēia ma waena o nā mākua o ke keiki maʻi a me ke kauka.
Ma ka hoʻonaʻauao olakino a me ke aʻo ʻana
ʻO ka pahuhopu nui o ka meaʻai a me ke kau ʻana, ʻaʻole ia wale ka lilo ʻana o ka momona, akā ke pale ʻia ka maikaʻi o ka hoʻonui ʻana i ke kaupaona ʻana. I ka maʻi lahilahi, e hōʻike ke keiki wale nō i ka meaʻai i hoʻolālā ʻia no ka pohō.
ʻO ka lau ʻana o ke kaumaha e hoʻomaʻamaʻa mau. ʻO ka lele koke ʻana i ke kaupaona ʻike ʻole ʻole ʻia
Pono e hoʻopili ʻia nā mea kanu kūikawā e like me ka nā loiloi o ka endocrinologist. E noʻonoʻo ke kauka i nā hiʻohiʻona pilikino a pau o ke kino maʻi o ke keiki maʻi a helu i kāna pono o kēlā me kēia lā no nā momona, nā huameka, nā pūmua, nā mea i nā trace, a me nā huaora. ʻO kēia paha, no ka laʻana, he ʻai me ka haʻahaʻa glycemic index.
E pili ana i ka hoʻonaʻauao kino:
- ʻaʻalo;
- aerobics
- nā pāʻani waho;
- mea ʻōpio.
I mea e loaʻa i kahi keiki ke makemake i ka haʻuki, e pono i kēlā me kēia makua e hoʻokumu i kāna ʻano ponoʻī, e paipai iā ia no nā mea e kū ai.
ʻO nā mea maʻamau a 30 mau minuke mau lā e kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi o ke keiki, a hōʻemi i ka hopena o nā ʻōpiopio o nā ʻōpū o nā ʻāpana like ʻole.
E hoʻokō ʻia he hana koʻikoʻi e ka ʻohana ʻoluʻolu e naʻauao ai. He mea nui e kōkua i ke keiki i ka hoʻopaʻa ʻana i ka pohō nui ʻana a me ka hoʻomaopopo ʻana o ka mea ʻaʻole e kau i luna.
ʻO ka lāʻau lapaʻau
Hiki ke mālama ʻia nā maʻi āpau me nā ʻano lāʻau like ʻole e hiki ke hoʻopau i ka momona. ʻO ke kauka ke kuhikuhi i nā lāʻau lapaʻau wale nō ma kahi hopena hope loa. ʻO kēia no ka nele o ka nui o ka noiʻi ʻepekema i kēia pilikia.
Inā waiho ke kumu o ka momona i ka pauʻole o ka hormonal, a laila ma kēia hihia, hiki ke loaʻa i ka hopena me ka hui pū ʻana o ka hana pilikino, ka meaʻai a me ka mālama ʻana i ke kumu kumu o ka momona nui.
I nā hihia i hoʻomaka ai ka maʻi diabetes i ka wā'ōpiopio i ka hope o ka momona, ʻo ia hoʻi ke komo pū me ka therapeutic meaʻai.
Hana hoʻomaʻamaʻa
Hoʻololi loa nā kauka i ke komo ʻana i nā lāʻau hōʻemi. Pono kēia i mua o nā hōʻailona koʻikoʻi koʻikoʻi, no ka laʻa, me ka loaʻa ʻole o ka hana, aia kahi kiʻekiʻe o ka make.
