Jinan maternal and child health care hospital

summary

Having been a pediatrician for 20 years, I always have the heart to say: "my child, you won't grow any longer." But I have to say. To sum up, children in the following three situations may face the problem of short height:

Jinan maternal and child health care hospital

First: to master the growth of children is to observe. If you find that your child is slower and shorter than other children of the same age and sex, you should consult a doctor as soon as possible to find out whether the child's average height is shorter or shorter through the child's growth scale. The second is to record the child's growth rate. If a child grows less than 5cm a year from the age of 2 to the age of puberty, he should seek medical advice. For growing children, parents should record how much their children grow each year. If there is no measurement, children's trousers are not short for several years, there must be problems. The third is to pay attention to children's sexual development. Children with precocious puberty or early puberty will be accompanied by early bone age, which may lead to the phenomenon of "tall children" and "short adults". In reality, many children are taller and stronger than their peers in primary school. Parents never thought that their children would have height problems. But in junior high school or high school, the growth rate of children gradually decreases, and the line in the class is getting higher and higher. If you come back to see a doctor at that time, the child's epiphysis may have closed or nearly closed. In other words, the height of a child who is not ideal at the time of medical treatment may be his lifelong height.

Second, the physiological age is not consistent with the age of time. Many parents will ask, don't they say that boys' bone age is 18 and girls' bone age is 16? Why do their boys' growth completely stop when they are only 14 or 15 and girls are only 12 or 13 or younger? Some parents are even waiting for "23 jump and 1 jump"? Here we refer to children's epiphyseal closure The age of parents is the age of time. The bone age of normal people can be 1 to 2 years different from the age of time. The bone age of children with precocious puberty or early puberty is likely to exceed this range. At this time, if the child and his children of the same age than the head, it will appear tall. In fact, he should compare with the child of the same age with his bone age in advance, and predict the final height range of the child based on this data, so as to find the height abnormality of the child as soon as possible. Parents should understand the relevant knowledge and pay close attention to the signs of their children's puberty, especially when their children's growth accelerates. They should pay attention to whether they start sexual development and whether the time of sexual development is too early. If girls start breast development before the age of 8 and boys start testicular development before the age of 9, it is called precocious puberty.

Third: understand the child's development mark, many parents do not understand what is the child's development mark, often mistakenly think that a girl's breast is higher than the chest plane is called development. In fact, when a child begins to develop, the appearance of the breast is flat, and there may be tenderness and subcutaneous tenderness when touching, and a small hard core may be reached. The beginning time of boys' sexual development is often ignored by their parents. Many parents think that voice change and spermatorrhea are just sexual development. In fact, it has reached the peak of development. The sexual development of normal boys usually starts from the enlargement of testicles. In medicine, the growth of testicles from 4 ml to 5 ml is regarded as a sign of the beginning of normal sexual development of men. In case of abnormality, consult the endocrinologist in time.

matters needing attention

Children with hypothyroidism. Some children with congenital hypothyroidism before 2 years old, if not treated, will cause mental retardation. However, after 2 years old, the symptoms usually include growth disorder, constipation, anemia, less activity and low appetite.