Tuesday, July 21, 2009

Short stature is the treatment of 3-12 year-old critical period


Growth and development of children can be broadly divided into the rapid growth period, growth slowed down and adolescence growth accelerated phase 3 stage. From the embryo to the 2-year-old for the rapid period of growth. The first year after birth, the fastest growth, may grow 25 cm. 2-year-old from the start to pre-adolescence (about 10-year-old girls, boys about 12 years old) for the slow growth period. Puberty during the first two years, again to speed up the growth of boys in the adolescent growth in height can be 25-28 cm, tall girls can grow 23-25 cm. Parents should pay close attention to changes in the child's height.


Height is an important indicator of growth and development, short stature is the most common endocrine metabolic diseases and nutrition. But most parents do not know is a short illness, but the child attributed the low side in the "late development" and "choosy food eclipse", so missed the best time of treatment.
The six reasons for short stature
1, endocrine short stature: the disease is mainly caused by abnormal secretion of endocrine hormones, including pituitary growth hormone secretion is too small, hypothyroidism, precocious puberty, excessive secretion of adrenal hormones, such as.
2, bone disease and short stature: short stature caused by bone dysplasia, dystrophy, including cartilage, bone formation, such as incomplete.
3, nutrition, metabolic disorders stature: individual suffering from chronic diseases, Nutrition disorders, diabetes insipidus, diabetes and so on.
4, the spirit of social stature: short stature, also known as emotional breaker. Scientists recently pointed out that mental disorders can affect the height.
5, accompanied by small chromosomal abnormalities: chromosomal abnormalities are often associated with performance for the short stature, such as Down syndrome, congenital syndrome, such as ovarian dysgenesis.
6, other reasons for short stature: including familial short stature, idiopathic short stature (ISS), such as constitutional delay of puberty
Standard height of China's young people:
5-year-old boy of not less than 1.01 meters tall, 5-year-old girl no less than 1 m tall; 10-year-old boy of not less than 1.27 meters tall, 10-year-old girl no less than 1.26 meters tall, can not achieve this standard, we are Partial or short stature.
Small children need to do the inspection
1. Skeletal age evaluation; 2. Growth hormone determination; 3. Determination of thyroid hormone; 4. Cranial magnetic resonance imaging; 5. Chromosome examination.
3-12 years old
Annual growth of no less than 4-5 cm
Children 3-12 years of age is the best time to intervene in the growth. During this period with adequate nutrition, sports and reasonable, adequate sleep, as well as disease prevention and control is to promote the growth of the four elements will be missed during this period the best treatment missed period. During this period if the height is not standard, or an annual growth of less than 4-5 cm should be on time.Master is the "initiative"
Ideal height can depend on several factors, first of all, genetic factors accounted for 70 percent, in addition, exercise, nutrition, environmental and social factors may affect the height. It should be noted the following points:
Understanding of the rapid growth period
In early childhood, the height is the fastest growing youth development, the Chinese children, the sudden increase in peak height for girls aged around 12, about 14-year-old boy. This time, parents in particular, attention should be paid to children's nutrition, physical activity issues.
Focus on nutritional supplements
Children want to grow tall and strong, protein, calcium, phosphorus and trace amounts of manganese, iron, magnesium and zinc, vitamin A, vitamin C, vitamin D are essential nutrients, the food supply must be.
At present, the average family in a well-established meat diet, nutrition and should be comprehensive enough. In addition, there are five points to note:
A. does not eclipse their parents set a good example.
b. before the child is not doing a negative assessment of food, such as: "bitter gourd so hard, you can eat?" Offhand remark adults, children of a particular food makes a particular impression of the establishment of the future become an excuse for his refusal to eat.
c. Do not use food as a reward or punishment tool for children.
D. to teach children the concept of a balanced diet. Because many parents have to work, many parents give their children money to buy their own lunch. Some parents want to instill their children the concept of healthy eating, such as: eat less fried, deep-fried things, a balanced food choices, and more changes.
E. to prevent children becoming obese or weight loss diet.
Movement and ultimately, bone growth
Movement itself can promote the secretion of growth hormone, to speed up blood circulation, accelerate the growth of bone tissue, the benefit of the human body long high. Given a certain degree of vertical pressure on bone movements are useful for long high, such as jogging, rope skipping, dancing, playing basketball and playing volleyball. However, excessive weight training such as gymnastics, weightlifting will impede growth, doctors recommended that the best growth stage to avoid.
Concerned about the psychological factors
Excessive pressure will cause the body's endocrine dysfunction, so that lack of growth hormone secretion, growth is therefore limited. In addition, too much pressure would gastrointestinal dysfunction, poor appetite and children not only the absorption capacity will deteriorate, leading to malnutrition in the long run, I would like to grow taller, it would be difficult.
The spirit of the nervous system abnormalities may also affect children's physical growth. If parents divorce, the relationship between children and guardians are not normal, regular cases of abuse or other serious child stimulation, and its growth rate will gradually slow down, so that height in the normal children the same age, same sex is the following standards. Children with short stature would add to the body of inferiority, which is suffered as a result of children with mental and social stimulation, affected the cerebral cortex nerve impulses down the spread of the hypothalamus, thus inhibiting the secretion of pituitary growth hormone. When the children to be treated well, the growth rate of return to normal.
Do not forget the positive control of chronic diseases
On the issue of children and adolescents with chronic diseases should be actively treated. Long-term diseases such as chronic infection, chronic hepatitis, chronic nephritis, asthma, heart disease, anemia may affect the growth and development. Genetic bone diseases such as dysplasia of bone, such as cartilage, bone growth will also be restricted.
Of children should be effective monitoring
Once every six months the amount of height, down a long year if the child less than four centimeters high, parents should have children, please go to the hospital pediatric physician assessment.
To ensure that sleep
Human growth hormone secreted at night during sleep was particularly strong, so you want a long high, as far as possible, before 23 o'clock to go to bed.
Experts advise: the need for professional treatment of short stature
Should seek medical attention to the formal University Hospital Division of Pediatric Endocrinology clinic, after a comprehensive medical specialists and the necessary laboratory examination, after a comprehensive analysis in order to obtain the exact diagnosis and treatment advice.
Can not believe that some health care products indiscriminately advertising, increased health care currently available in the market products of unknown composition, the children will not only fail to improve height, it will promote bone maturation, and ultimately affect the development of the child's height.

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