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Síndrome de Prader-Willi - Treatment

Tratamiento:

Los bebés pueden necesitar una sonda de alimentación para ayudarles a ganar peso.

La obesidad representa la mayor amenaza para la salud. La reducción de las calorías controlará la obesidad, pero la familia, los vecinos y las autoridades escolares deben trabajar juntos muy de cerca, ya que el niño intentará obtener alimento donde sea posible. Asimismo, el ejercicio puede incrementar la masa corporal magra en los niños con este síndrome.

Se ha demostrado igualmente que la hormona del crecimiento mejora la fortaleza física y la agilidad en pacientes con el síndrome de Prader-Willi. Ha habido algunas preocupaciones con respecto al efecto de la hormona del crecimiento sobre la actividad pulmonar en los niños con esta afección. Los padres deben analizar con el pediatra los posibles efectos secundarios.

Un pene muy pequeño en el niño se puede corregir con testosterona.

Los bajos niveles de las hormonas sexuales se pueden corregir en la pubertad mediante hormonoterapia.

Grupos de apoyo:

Para buscar recursos y apoyo adicionales, ver:

  • Prader-Willi Alliance:www.prader-willi.org
  • Prader-Willi Syndrome Association:www.pwsausa.org

Expectativas (pronóstico):

La persona necesitará la educación adecuada para su nivel de CI. El control de peso permitirá una vida mucho más confortable y saludable.

Posibles complicaciones:

  • Problemas óseos (ortopédicos)
  • Diabetes
  • Insuficiencia cardíaca derecha

Cuándo contactar a un profesional médico:

Consulte con el médico si su hijo presenta síntomas de esta afección. Este trastorno se sospecha frecuentemente al momento del nacimiento.

  • Reviewed last on: 5/1/2011
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Saitta SC, Ackai EH. Specific chromosome disorders in newborns. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 20.

McCandless SE; Committee on Genetics. Clinical report -- health supervision for children with Prader-Willi syndrome. Pediatrics. 2011; 127(1):195-204.

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