Puberte Prekoks ve Pediatri Hemşiresinin Rolü

Year 2020, Volume: 51 Issue: 1, 53 - 58, 15.01.2020

Selen Özakar Akça , Ahu Pınar Turan , Havva Nur Peltek Kendirci

https://doi.org/10.16948/zktipb.423576

Cited By: 1

Abstract

ÖZET

Puberte Prekoks (PP) ergenliğin fiziksel ve hormonel belirtilerinin, normal kabul
edilen sınırlardan daha erken ortaya çıkmasıdır. Bu yazıda, pediatri hemşirelerinin PP ile ilgili
farkındalıklarının artırılması amaçlanmıştır. Bu literatür derlemesinde, PP’nin
patofizyolojisi, etiyolojisi, epidemiyolojisi, kliniği, tanısı, tedavisi, hemşirelik
girişimleri ve ayırıcı yanları tanımlanmıştır. Ergenliğin erken başlaması
kızlarda memelerin erken büyümesine, erken menarşa, erkeklerde penis ve
testislerin büyümesine, erken sperm üretimine ve libido artışına, epifiz
kapaklarının erken kapanması sonucu yetişkin yaşta boy kısalıklarına sebep
olabilmektedir. Fiziksel, hormonal ve psikolojik gelişimin uyumsuzluğu
nedeniyle duygusal stres ve davranışsal problemler, psikososyal sorunlara sebep
olmaktadır. Pediatri
hemşirelerinin, PP’li çocukların erken tanılanmasında, uygun merkezlere
yönlendirilmesinde, okul-aile işbirliğinin sağlanmasında ve hemşirelik
yaklaşımlarının uygulanmasında önemli sorumlulukları vardır.

Keywords

çocuk, pediatri hemşiresi, puberte prekoks

Precocious Puberty and Role of Pediatric Nurse

Abstract

 

ABSTRACT

Precocious puberty (PP) is the physical and hormonal manifestations of
early pubertal development occurring at an earlier age than the normally
accepted limit. With this
present article it is aimed to increase the awareness of pediatric nurses about
PP. In
this literatüre review, the definition of PP pathophysiology, etiology, epidemiology, clinic, diagnosis, treatment,
nursing initiatives and definitive diagnosis. The early onset of puberty can
lead to early growth of the mammals, premature menstruation, growth in the
penis and testes in boys, early onset of sperm production and increased libido,
due to early closure of the epiphyses in children and short stature in the
adult years. Emotional stress or behavioral problems cause psychosocial
problems due to incompatibility of physical, hormonal and psychological
development. Pediatric nurses have important responsibilities in the early
diagnosis of PP children, in the orientation to appropriate centers, in the
implementation of school-family cooperation as well as of the application of nursing
approaches to the necessary precautions. 

Keywords

child, pediatric nurse, precocious puberty

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