He aha te Taioha Whakamuri? Tohutohu, Take, me te Maimoatanga

Ka puta te taioha whakamuri ina tīmata te tinana o te tamaiti ki te whānau i ngā āhuatanga taioha i mua atu i te wā e tika ana. Mō ngā kōtiro, ko te tikanga tenei ko te taioha e tīmata ana i mua i te 8 tau, ā, mō ngā tama, i mua i te 9 tau.

Ahakoa ka āta ngāwari tēnei hei mātua, he mea nui kia mōhio kē koe e pā ana te taioha whakamuri ki te 1 o ngā tamariki 5,000 ki te 10,000. Ko te nuinga o ngā take he rerekētanga noa iho i te whanaketanga, ā, he maimoatanga whai hua kei te wātea ina hiahiatia.

He aha te taioha whakamuri?

Ko te taioha whakamuri ko te tīmatanga o te tinana o tō tamaiti i ngā huringa tinana o te taioha i mua atu i ō rātou hoa. Ka puta tēnei ina tohutohu te roro ki te tinana kia tīmata te whakaputa i ngā homoni pakeke i mua i te wā.

E rua ngā momo matua o te taioha whakamuri. Ko te taioha whakamuri o te pokapū ka puta ina tahuri te ‘tapu’ taioha taiao o te roro i mua rawa atu. Ko te taioha whakamuri o te taha ka puta ina tukuna ngā homoni mai i ētahi atu puna i roto i te tinana, pēnei i ngā ovaries, ngā testes, i ngā whekau adrenal.

He mea nui te wā, nā te mea ka pā te taioha whakamuri ki te teitei o tō tamaiti, te whanaketanga hinengaro, me ngā wheako pāpori. Heoi, ko te nuinga o ngā tamariki e whai taioha whakamuri ana ka tupu hei pakeke hauora, noa.

He aha ngā tohu o te taioha whakamuri?

Ko ngā tohu o te taioha whakamuri he rite ki te taioha noa, engari ka puta i mua atu i te wā e tika ana. Ka kite pea koe i ēnei huringa i roto i ngā marama maha.

Mō ngā kōtiro, ko ngā tohu tuatahi ko:

• Te whanaketanga o ngā u (ko te tohu tuatahi te nuinga)
• Ngā tere tere e āhei ai teitei atu i ō rātou hoa
• Te tipu o te huruhuru tinana i te rohe o te kopu me ngā raro o ngā ringa
• Te kakara o te tinana me te piki o te werawera
• Te pupuhi, te huringa o te kiri
• Ngā wā (ka puta te nuinga i te 1-2 tau i muri i te tīmatanga o te whanaketanga o ngā u)
• Ngā huringa ngākau, te ngāwari ki te pouri

Mō ngā tama, ka kite pea koe i:

• Te piki o ngā testes me te titi
• Te tere o te tipu teitei
• Ngā huringa reo, te pakaru
• Te tipu o te huruhuru kanohi
• Te huruhuru tinana i ngā rohe o te kopu me ngā raro o ngā ringa
• Te piki o te uaua
• Te kakara o te tinana me te werawera
• Te whanaketanga o te pupuhi

Ka pā pea ki ētahi tamariki ngā mamae o te mahunga, ngā raruraru tirohanga, te piki o te taumaha. He iti ake te noa o ēnei tohu, engari me arotakehia e te taote i te wa poto.

He aha ngā take o te taioha whakamuri?

Ko te take o te taioha whakamuri e whakawhirinaki ana ki te momo o tō tamaiti. Ko te matauranga i te take e āwhina ana ki te whakatau i te huarahi maimoatanga pai.

Ko te taioha whakamuri o te pokapū, he mea noa ake, kāore he take e taea te whakatau. Koinei te taioha whakamuri idiopathic, ā, ko te tikanga ko te karaka o roto o tō tamaiti e tere ana i te noa. Ka puta tēnei i te 90% o ngā kōtiro me te 60% o ngā tama e whai taioha whakamuri ana.

Heoi, ka puta pea te taioha whakamuri o te pokapū i:

• Ngā mate pūngāwerewere o te roro (ahakoa he iti tēnei)
• Ngā whara o te mahunga, ngā tukinga
• Ngā mate o te roro pēnei i te meningitis
• Te maimoatanga radiation o mua ki te mahunga
• Ngā āhuatanga ira e pā ana ki te whanaketanga o te roro

Ko te taioha whakamuri o te taha ka puta ina whakaohohia tetahi mea i waho o te roro i te whakaputanga homoni. Ka uru pea tenei ki:

• Ngā cysts ovaries, ngā mate pūngāwerewere i ngā kōtiro
• Ngā mate pūngāwerewere testes i ngā tama
• Ngā mate whekau adrenal
• Ngā raruraru thyroid
• Te whakamahinga o ngā homoni o waho mā ngā kirikiri, ngā rongoā

He mea tika te kōrero e taea e ngā take oranga ora pēnei i te momona te whakauru ki te taioha whakamuri, ina koa ki ngā kōtiro. Kāore i tino mārama te hononga, engari ka āhei te pupuri i te taumaha hauora ki te āwhina.

Nōhea koe me haere ki te taote mō te taioha whakamuri?

Me whakarite e koe he hui ki te taote o tō tamaiti ki te kite koe i ētahi tohu o te taioha i mua i te 8 tau mō ngā kōtiro, i te 9 tau mō ngā tama. Ka āhei te arotake wawe ki te whakatau mena he hiahia ki te maimoatanga.

Rapua te tiaki hauora i te tere ake ki te pā ki tō tamaiti:

• Ngā mamae o te mahunga, ngā huringa tirohanga
• Te tere o te puta mai o ngā tohu taioha maha i roto i ngā wiki
• Ngā huringa āhuatanga nui, ngā huringa ngākau
• Te piki, te heke o te taumaha
• Ngā tohu o te taioha i mua i te 6 tau mō ngā kōtiro, te 7 tau mō ngā tama

Kia mahara ko te hopu i te taioha whakamuri i te wawe ka āhei te āhei ki ngā hua pai ake. Ka āhei te taote o tō tamaiti ki te whakatau mena he hiahia ki te tono atu ki tetahi tohunga endocrinologist tamariki.

He aha ngā take morearea mō te taioha whakamuri?

He maha ngā take ka piki ake te tūponotanga o te taioha whakamuri, ahakoa te mea kei a koe ngā take morearea, kāore te tikanga ka whānau tō tamaiti i te āhuatanga.

He wāhi te ira tangata, nā te mea ko ngā kōtiro e 10 wā te tūponotanga ki te whānau i te taioha whakamuri atu i ngā tama. Ki te whānau ngā tama, he nui ake te tūponotanga o te take hauora.

Ko ētahi atu take morearea ko:

• Te hītori whānau o te taioha wawe, te taioha mutunga
• Te taumaha nui, te momona
• Te iwi me te momo (he mea noa ake i ngā tamariki African American me Hispanic)
• Te whara o te mahunga o mua, te pokanga roro
• Te whakamahinga o te radiation therapy
• Ētahi āhuatanga ira
• Ngā take taiao pēnei i te ahotea, te whakamahinga o ngā pokanoa

He mea nui te matauranga e te nuinga o ngā tamariki e whai take morearea ana kāore e whānau i te taioha whakamuri. Ko ēnei noa ngā take kua kitea e te rangahau hei piki ake i ngā tūponotanga.

He aha ngā raruraru pea o te taioha whakamuri?

Ahakoa kāore te taioha whakamuri i te kino, ka āhei te ārai i ētahi wero e pā ana ki te oranga o tō tamaiti me te whanaketanga.

Ko te raruraru tinana nui rawa ko te hekenga o te teitei o te pakeke. Ko ngā tamariki e whai taioha whakamuri ana ka āhei te tere o te tipu i te tīmatanga, ka āhei teitei atu i ō rātou hoa. Heoi, ka kati ngā papa tipu i te wawe, ka āhei te iti o te teitei hei pakeke.

Ko ngā raruraru hinengaro me te pāpori ka uru ki:

• Te rerekē mai i ngā hoa, te wehe atu i te pāpori
• Te kore o te pakeketanga hinengaro e rite ana ki te whanaketanga tinana
• Te piki o te tūponotanga o te pouri, te manukanuka
• Ngā hiahia aroha, taioha wawe
• Ngā awangawanga mō te ahua o te tinana
• Te uaua ki ngā mahi e tika ana mō te tau, ngā hoa

Ka pā pea ki ētahi tamariki:

• Ngā wero mātauranga nā te ahotea hinengaro
• Te piki o te tūponotanga o ngā mahi morearea i te tauira
• Ngā take whakaaro iti
• Te whakamahinga taioha wawe e ētahi atu

Ko te rongo pai ko te tautoko tika me te maimoatanga ina hiahiatia, ka pai te whakarite o te nuinga o ngā tamariki, ka ora tonu i te ora noa, hauora.

Me pēhea te whakatau i te taioha whakamuri?

Ko te whakatau i te taioha whakamuri e whakauru ana ki ngā kaupae maha hei whakatau i te momo me te take. Ka tīmata tō taote me te hītori hauora tino pai me te whakamātau tinana.

Ko te arotake tuatahi e whakauru ana ki te ine i te teitei, te taumaha, me te tere tipu o tō tamaiti i te wā. Ka arotake hoki tō taote i te wā o te whanaketanga tinana mā te whakamahi i ngā tauine whaimana e kiia nei ko ngā wā Tanner.

Ko ngā whakamātau toto e whakahaua ana ki te ine:

• Ngā taumata homoni tae atu ki te LH, FSH, me ngā homoni taioha
• Te mahi thyroid
• Ngā taumata homoni tipu
• Ētahi atu homoni pea e uru ana

Ko ētahi atu whakamātau ka uru ki:

• Te X-ray o te iwi hei tiro i te whanaketanga o te iwi
• Te MRI o te roro hei tirotiro i ngā mate pūngāwerewere, ētahi atu rerekētanga
• Te ultrasound o te upoko i ngā kōtiro, ngā testes i ngā tama
• Te whakamātau whakaoho GnRH hei whakatau i te momo taioha whakamuri

Ko te tukanga whakatau ka āwhina i tō taote ki te matau mena he hiahia ki te maimoatanga me te momo e tino whai hua ana mō te āhuatanga motuhake o tō tamaiti.

He aha te maimoatanga mō te taioha whakamuri?

Ko te maimoatanga mō te taioha whakamuri e whakawhirinaki ana ki te momo, te take, me te āhua o te pā ki tō tamaiti. Kāore ngā tamariki katoa e whai taioha whakamuri ana e hiahia ana ki te maimoatanga hauora.

Mō te taioha whakamuri o te pokapū, ko te maimoatanga matua ko te rongoā agonist GnRH. Ka mahi ēnei rongoā mā te aukati wawe i ngā tohutohu o te roro e whakaoho ana i te taioha, ka mutu te taioha kia tae rawa ki te tau e tika ana.

Ka taea te hoatu i ngā agonists GnRH hei:

• Ngā weronga marama
• Ngā weronga 3 marama
• Ngā whakato tau e whakanohoia ana i raro i te kiri
• Ngā pupuhi ihu o ia rā (he iti ake te whakamahinga)

Mō te taioha whakamuri o te taha, ka arotahi te maimoatanga ki te whakatika i te take. Ka uru pea tenei ki:

• Te tango i ngā cysts ovaries, ngā mate pūngāwerewere
• Te maimoatanga i ngā mate thyroid
• Te whakahaere i ngā raruraru whekau adrenal
• Te mutu i te whakamahinga o ngā homoni o waho

Ka tirotiro tata tō taote i tō tamaiti i te wā o te maimoatanga, ka tirotiro i te tipu, ngā taumata homoni, me te whanaketanga katoa i ia 3-6 marama. Ko te nuinga o ngā tamariki ka pai te whakautu ki te maimoatanga, ka taea te whakahoki mai i te taioha noa ina mutu te rongoā.

Me pēhea te tautoko i te kāinga i te wā o te taioha whakamuri?

Ko te tautoko i tō tamaiti i te wā o te taioha whakamuri e whakauru ana ki te tiaki mahi me te tautoko hinengaro. He mea nui tō mahi hei mātua ki te āwhina i a rātou ki te haere i tēnei wā uaua.

Tīmata mā te kōrero tika mō te āhua o te tinana. Whakamahia te reo ngāwari, pono, ā, whakamārama atu kei te hauora rātou, kei te noa, engari kei te whānau i mua atu i ō rātou hoa.

Ko te tautoko mahi e whakauru ana ki:

• Te whakarato i ngā kakahu me ngā kakahu raro e tika ana mō te tinana e whānau ana
• Te whakaako i ngā tikanga hauora tika tae atu ki te whakamahinga o te deodorant
• Te āwhina i a rātou ki te whakahaere i ētahi huringa kiri mā ngā tikanga horoi ngāwari
• Te whakarite kia whiwhi rātou i te moe me te kai e tika ana
• Te pupuri i ngā hui hauora noa

Ko ngā rautaki tautoko hinengaro e whakauru ana ki:

• Te whakamana i ō rātou ngākau me ngā awangawanga
• Te hono atu ki te tohutohu mena he hiahia
• Te kōrero atu ki ngā kaiako mō ō rātou hiahia
• Te whakatenatena i ngā hoa me ngā mahi e tika ana mō te tau
• Te tiaki i a rātou mai i ngā pēhanga pāpori wawe

Kia mahara kei te noho tonu tō tamaiti hei tauira o tō rātou tau, ahakoa kei te huri te tinana. Kia mau tonu ki te whakahaere i a rātou hei tamaiti, me te whakaae ki te whanaketanga tinana.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āhei te āhei ki te whiwhi i te whakatau tika me te mahere tiaki tika mō tō tamaiti.

I mua i te haerenga, kohikohia ngā korero nui tae atu ki ngā rēkōta tipu o tō tamaiti mai i ngā haerenga taote o mua. Tuhia te wā me te whakarite o ētahi huringa tinana kua kite koe, tae atu ki te wā i puta tuatahi ai rātou.

Kawe mai he rārangi o:

• Ngā rongoā me ngā taapiri katoa e inu ana tō tamaiti
• Te hītori whānau o te taioha wawe, te taioha mutunga
• Ētahi atu whara o te mahunga o mua, ngā āhuatanga hauora
• Ngā awangawanga motuhake, ngā pūrongo
• Ngā whakaahua e whakaatu ana i te tere tipu o tō tamaiti mena he āwhina

Whakaritea tō tamaiti mō te hui mā te whakamārama e hiahia ana te taote ki te tirotiro i tō rātou tipu me te whanaketanga. Whakamārama atu he mea noa tēnei, kāore he mea whakama.

I te wā o te haerenga, kaua e whakaroa ki te ui i ngā pūrongo mō te whakatau, ngā whiringa maimoatanga, ngā pānga taha pea, me te tirohanga roa. Ko te matauranga i te āhuatanga o tō tamaiti ka āwhina i a koe ki te whakarato i te tautoko pai ake i te kāinga.

He aha te mea nui mō te taioha whakamuri?

Ka āhei te taioha whakamuri ki te āta ngāwari ina kite tuatahi koe i ngā tohu, engari he mea nui te mahara e te nuinga o ngā tamariki e whai āhuatanga nei ka pai rawa atu ki te tiaki me te tautoko e tika ana.

Ko te whakatau me te maimoatanga wawe ina hiahiatia ka āhei te tiaki i te teitei o tō tamaiti me te tautoko i tō rātou oranga hinengaro. Ko te nuinga o ngā take kāore e hiahia ana ki te maimoatanga hauora, ā, ko te hunga e mahi ana ka pai te whakautu ki ngā rongoā kei te wātea.

Ko tō tamaiti tonu te tangata whakamiharo i noho tonu rātou, engari kei te whānau i ngā huringa tinana i mua atu i te wā e tika ana. Mā tō aroha, tō tautoko, me te tiaki hauora e tika ana ina hiahiatia, ka taea e rātou te haere i tēnei haerenga me te ora i te ora noa, hauora.

Ngā pūrongo e ui pinepinetia ana mō te taioha whakamuri

Ka poto ake rānei tō tamaiti hei pakeke nā te taioha whakamuri?

Kāore he maimoatanga, ka poto pea ngā tamariki e whai taioha whakamuri ana i te kaha o te ira nā te mea ka kati ngā papa tipu i te wawe. Heoi, mā te maimoatanga tika mā te whakamahi i ngā agonists GnRH, ka taea e te nuinga o ngā tamariki te whiwhi i te teitei o te pakeke e tumanakohia ana. Ka tirotiro tata tō taote i te tipu me te whakarite i te maimoatanga kia rite ki te hiahia.

E hia te roa o te maimoatanga mō te taioha whakamuri?

Ko te roa o te maimoatanga e rerekē ana i runga i te āhuatanga motuhake o tō tamaiti, engari ko te nuinga o te 2-4 tau. Ko te nuinga o ngā tamariki ka tīmata i te maimoatanga i te 6-8 tau me te haere tonu kia tae rawa ki te tau e tika ana ki te whakahoki i te taioha, ko te nuinga o te 10-11 tau mō ngā kōtiro me te 11-12 tau mō ngā tama. Ka whakatau tō taote i te wā pai rawa atu i runga i te tipu me te whanaketanga o tō tamaiti.

He pānga taha rānei mai i ngā rongoā taioha whakamuri?

Ko ngā rongoā agonist GnRH he mea noa te whakaae me ngā pānga taha iti. Ka pā pea ki ētahi tamariki ngā āhuatanga weronga wawe, ngā werawera, ngā huringa ngākau i te tīmatanga o te maimoatanga. Ka mutu ēnei i te whakarite o te tinana ki te rongoā. Ka tirotiro tō taote mō ētahi pānga taha me te whakarite i te maimoatanga mena he hiahia.

Ka taea te aukati i te taioha whakamuri?

Ko te nuinga o ngā take o te taioha whakamuri kāore e taea te aukati nā te mea ka puta mai i ngā rerekētanga taiao i te whanaketanga, i ngā take ira. Heoi, ko te pupuri i te taumaha hauora mā te kai pai me te whakakori tinana noa ka āhei te āwhina ki te whakaiti i te tūponotanga. Ko te karo i te whakamahinga o ngā homoni o waho me te whakarite i te tiaki hauora e tika ana ka āhei hoki te whai hua.

Ka taea rānei e tō tamaiti te whānau tamariki noa i muri mai?

Ae, ko te taioha whakamuri te nuinga kāore e pā ki te hua i muri mai. Ko ngā tamariki e whai taioha wawe ana ka whānau te mahi whakaū noa, ka taea te whānau tamariki ina whiriwhiri rātou hei pakeke. Ko ngā rongoā maimoatanga ka taea te whakahoki mai, kāore e puta he pānga roa ki te hua. Me whānau te hauora whakaū o tō tamaiti i te noa ina mutu te maimoatanga.