Morales-Olarte E, Ramírez-Velasco JA

Language: Spanish
References: 70
Page: 23-28
PDF size: 131.02 Kb.

ABSTRACT

Before the seventh week of gestation, the gonads and external genitals are exactly the same in both sexes. It is not until the eighth week that the sexual differentiation appears by the action of HY antigen produced by the Y chromosome. In many cases an alteration of the course during the stage of the fetus’s formation might bring differentiation sexual disorders. Such disorders have been considerate a social-medical emergency to be cared by a multidisciplinary team which is constituted basically by a pediatric endocrinologist, genetist, psychologist or psychiatrist, radiologist, pediatric urologist and nurses. Participation of nurses in this multidisciplinary team has been left aside, but they play a fundamental role in caring of this kind of patients, because since birth, in different stages of the studies, and during the treatment they spend a lot of time with the patient and his relatives. This is the reason why they must have good knowledge of pathology and the way to handle the situation in advantage of the child and his parents.

REFERENCES

1. Allen TD. Disorders of sexual differentiation.

2. En: Kellalis Md, King Md,

3. editors, Clinical Pediatric Urology. Philadelphia,

4. USA:Saunders Company;

5. 1985. p. 904-919.

6. Hendren WH, Crawford JD. Adrenogenital

7. syndrome: The anatomy pf the

8. anomaly and its repair. Some new concepts.

9. J Pediatr Surg 1969;4-49.

10. Glassber KI. The intersex infant: early

11. gender assigment and surgical reconstruction.

12. J Pediatr Adolesc Gynecol,

13. 1988. 11: 151-154.

14. Coran AG, Polley TZ. Surgical management

15. of ambiguuous genitalia in

16. the infant and child. J Pediatr Surg 1991;

17. 26:-812-820.

18. Donahoe PK, Hendren WH. Perineal

19. reconstruction in ambiguous genitalia

20. in infants raised as females. Ann Surg

21. 1984;200:363-371

22. Ramírez JA, Morales E, Díaz M. El niño

23. con genitales ambiguos. Tratamiento

24. quirúrgico. Rev Med IMSS.2002; 40:

25. 15-17.

26. Asamblea Médica Mundial: Declaraci

27. ón de Lisboa; Derechos del paciente;

28. Bol of Savitt Panam; 1990;108,642.

29. Lifshitz GA, Trujillo D. Comisión Nacional

30. de Derechos Humanos; 1995;

31. 7,10,11,13,15.

32. Congreso Nacional de Colombia;

33. 2000,volumen, 2801.

34. Seminario de Salud y Derechos Humanos,

35. Declaración de los Derechos

36. Humanos del paciente de la

37. Asociación Americana de Hospitales

38. y de la declaración de los derechos

39. del paciente; Lisboa;1981.

40. Gutiérrez-Reyes, Mederos Sosa,

41. Vásquez Ocaña, Velázquez Aranda:

42. Derechos del paciente hospitalizado:

43. Responsabilidad en la práctica

44. de enfermería Rev Enferm IMSS

45. 2001;9 (1):15-18.

46. Comisión Interinstitucional de Enfermer

47. ía de la SSA Proyecto de Có-

48. digo de Ética para las Enfermeras

49. Mexicanas Rev Enferm IMSS 2001;

50. 9 (1): 27-34.

51. Declaración Universal de Derechos

52. Humanos Rev Enferm IMSS 2001;9

53. (1):49-52.

54. Actualización en Enfermería, una

55. responsabilidad profesional Rev

56. Enferm IMSS 2002;10 (1):3-6.

57. Allen TD. Disorders of sexual differentiation. En: Kellalis Md, King Md, editors, Clinical Pediatric Urology. Philadelphia, USA:Saunders Company; 1985. p. 904-919.

58. Hendren WH, Crawford JD. Adrenogenital syndrome: The anatomy pf the anomaly and its repair. Some new concepts. J Pediatr Surg 1969;4-49.

59. Glassber KI. The intersex infant: early gender assigment and surgical reconstruction. J Pediatr Adolesc Gynecol, 1988. 11: 151-154.

60. Coran AG, Polley TZ. Surgical management of ambiguuous genitalia in the infant and child. J Pediatr Surg 1991; 26:-812-820.

61. Donahoe PK, Hendren WH. Perineal reconstruction in ambiguous genitalia in infants raised as females. Ann Surg 1984;200:363-371

62. Ramírez JA, Morales E, Díaz M. El niño con genitales ambiguos. Tratamiento quirúrgico. Rev Med IMSS.2002; 40: 15-17.

63. Asamblea Médica Mundial: Declaración de Lisboa; Derechos del paciente; Bol of Savitt Panam; 1990;108,642.

64. Lifshitz GA, Trujillo D. Comisión Nacional de Derechos Humanos; 1995; 7,10,11,13,15.

65. Congreso Nacional de Colombia; 2000,volumen, 2801.

66. Seminario de Salud y Derechos Humanos, Declaración de los Derechos Humanos del paciente de la Asociación Americana de Hospitales y de la declaración de los derechos del paciente; Lisboa;1981.

67. Gutiérrez-Reyes, Mederos Sosa, Vásquez Ocaña, Velázquez Aranda: Derechos del paciente hospitalizado: Responsabilidad en la práctica de enfermería Rev Enferm IMSS 2001;9 (1):15-18.

68. Comisión Interinstitucional de Enfermería de la SSA Proyecto de Código de Ética para las Enfermeras Mexicanas Rev Enferm IMSS 2001; 9 (1): 27-34.

69. Declaración Universal de Derechos Humanos Rev Enferm IMSS 2001;9 (1):49-52.

70. Actualización en Enfermería, una responsabilidad profesional Rev Enferm IMSS 2002;10 (1):3-6.