Cah sentence example

cah
  • The acid renders it available as a manure by converting the calcium phosphate, Ca 3 P 2 O 8, that it contains into the soluble monocalcium salt, CaH 4 P 2 O 8, or "superphosphate."
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  • As previously described, CAH embryos are exposed to excess androgens from the first few weeks, right through until birth.
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  • Both sleep-disordered breathing and CAH can be reversed and symptoms improved with the initiation of ventilatory assistance.
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  • Congenital adrenal hyperplasia (CAH) is a genetic disorder characterized by a deficiency in the hormones cortisol and aldosterone and an over-production of the hormone androgen.
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  • Congenital adrenal hyperplasia (CAH) is a form of adrenal insufficiency in which 21-hydroxylase, the enzyme that produces two important adrenal steroid hormones, cortisol and aldosterone, is deficient.
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  • Females with CAH are born with an enlarged clitoris and normal internal reproductive tract structures.
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  • In its most severe form, called salt-wasting (or salt-losing) CAH, where there is a total or near total deficiency of the 21-hydroxylase enzyme, a life-threatening adrenal crisis can occur if the disorder is untreated.
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  • There is also a milder form of CAH in which children have partial 21-hydroxylase enzyme deficiencies (simple virilizing form).
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  • Another type of CAH is characterized by only a slight deficiency in production of the 21-hydroxylase enzyme (nonclassic or late-onset form), in which symptoms occurs later in childhood or during young adolescence.
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  • Females with severe CAH may be mistaken for males at birth.
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  • If not treated, this form of CAH can result in death within one to six weeks after birth.
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  • In the mild form of CAH, which occurs in late childhood or early adulthood, symptoms include premature development of pubic hair, irregular menstrual periods, unwanted body hair, or severe acne.
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  • Many cases of CAH will be detected at birth, but in milder cases, symptoms may not develop until later, at which time medical care should be obtained.
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  • For children with more severe cases of CAH, regular medical care is necessary to achieve desired treatment results.
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  • A number of states in the United States perform a hormonal test (a heel prick blood test) for CAH and other inherited diseases within a few days of birth.
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  • For some forms of CAH, prenatal diagnosis is possible through chronic villus sampling in the first trimester and by measuring certain hormones in the amniotic fluid during the second trimester.
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  • The goal of treatment for CAH is to return the androgen levels to normal.
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  • Treatment results must be monitored carefully, because of large individual variations in enzyme deficiency in children with CAH.
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  • For children with salt-wasting CAH, fludrocortisone (Florinef), which acts like aldosterone (the missing hormone), is also prescribed.
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  • Serum electrolytes must be checked frequently, especially for children with salt-wasting CAH, to assure that normal levels of sodium and potassium are maintained.
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  • Children with CAH should see a pediatric endocrinologist frequently.
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  • If they require medical treatment, CAH children with the milder form of the disorder are usually effectively treated with hydrocortisone or prednisone.
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  • Females with CAH who have masculine external genitalia require surgery to reconstruct the clitoris and/or vagina.
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  • Adrenalectomy, a surgical procedure to remove the adrenal glands, is a more radical treatment for CAH.
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  • In the early 2000s, it is recommended for CAH children with little or no enzyme activity and can be accomplished by laparoscopy.
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  • Adrenalectomy is followed by hormone therapy, but in lower doses than CAH patients not treated surgically receive.
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  • Prenatal therapy, in which a pregnant woman at risk for a second CAH child is given dexamethasone to decrease secretion of androgens by the adrenal glands of the female fetus, has been in use since 1994.
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  • This means that a number of fetuses are exposed to unnecessary steroid treatment in order to prevent the development of male-like genitals in female fetuses with CAH.
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  • Parents with a family history of CAH or who have a child with CAH should seek genetic counseling.
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  • Genetic testing during pregnancy can provide information on the risk of having a child with CAH.
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  • When taking a child with CAH for emergency care, parents are advised to refer to the condition by its full name rather than CAH.
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  • The parents should inform medical personnel if the child has salt-wasting CAH.
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  • It is also recommended that parents have a letter or information prepared concerning CAH and care needed so that this can be given to a new doctors who may treat the child.
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  • Parents should be sensitive to the psychological aspects of the disease and obtain counseling for children with CAH.
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