Contribution of a family to treatment and rehabilitation of patients with pubertal juvenile dyspituitarism

Abstract

Puberty-youthful (hypothalamic) dispituitarism (PD) is a disease of adolescence and adolescence, the obligatory pathogenesis factors of which are damage to the diencephalon and hypothalamic-pituitary-endocrine dysregulation: hypercorticism, hyperaldosteronism, hyperinsulinotinotropin dysregulation, tibiotensinotropin dysregulation, gonotropinotropin dysotropin syndrome . PD is a chronic disease with a long, sometimes lifelong course. His prognosis is primarily determined by the correctness and regularity of treatment, which largely depends on the awareness of the parents about the clinic, diagnosis, therapy, possible outcomes of PD. Due to the peculiarities of adolescent psychology, patients often do not want to be treated, considering themselves healthy (this is very typical for boys), or do not seek medical help due to a severe astheno-depressive state, which is more typical of girls.

Our long-term experience shows that patients come especially late in cases when the family has obese relatives and adolescent obesity does not cause serious anxiety in relatives. It is very important to conduct broader public health education on PD issues. A gross medical error should be considered a frequently encountered fact when a doctor refuses treatment for a patient with a PD, motivating: “This will pass:”. Indeed, in terms of severity, PD is mild, moderate, and severe. However, it should be remembered that any stressful situations, infections, traumatic brain injuries, etc. can change the subclinical course of the disease in an unfavorable direction, which must be explained to the patient and parents; and vice versa, even severe forms of PD, when a patient has IV degree obesity, can end in complete recovery with proper systematic treatment.