Velsher Lea
North York General Hospital, Toronto, Ontario.
Paediatr Child Health. 2003 Jan;8(1):36-9. doi: 10.1093/pch/8.1.36.
Genetic issues are important in the primary care of adolescents. A genetic diagnosis may not be made until adolescence, when the teenager presents with the first signs or symptoms of the condition. The physician's knowledge of the natural history of a genetic disease will aid in the anticipatory guidance for teens and their parents. The physician may be called upon to advise the patient regarding hormone therapy or contraception. The paediatrician may initiate topics such as sexuality and sex education for the developmentally delayed patient. The paediatrician is also the advocate for the teenager, who must gain independence from the family in medical as well as other aspects of life. This article examines some of these issues, using cases to illustrate the genetic problems and approaches in the care of the teenaged patient.
遗传问题在青少年初级保健中至关重要。直到青少年出现该疾病的首个体征或症状时，才可能做出基因诊断。医生对遗传疾病自然史的了解将有助于对青少年及其父母进行预期指导。可能会要求医生就激素治疗或避孕向患者提供建议。儿科医生可能会针对发育迟缓的患者开启诸如性和性教育等话题。儿科医生也是青少年的支持者，青少年必须在医疗以及生活的其他方面从家庭中获得独立。本文探讨了其中的一些问题，通过案例来说明青少年患者护理中的遗传问题及处理方法。
