Parents do not pay attention to this matter, and be careful that the child is longer and shorter

Before I talked to Director Tan Chuanmei about the case of successful children in the department, the director's face always showed a gratifying smile, but when it comes to the story of these two children, Director Tan Chuanmei will make a sorry: "If it is, if it is Just come early, it's a pity! "

[Do not take the doctor's order as a big length of the child]

The matter dates back to February 2021. Director Tan Chuanmei's clinic, as usual, came with a mother who led the child to see the height.

After inquiring about the condition, Director Tan Chuanmei learned that this girl named Xiaoyi (pseudonym) was actually 8 years old and one month old. One week ago, the child's mother accidentally found that the breasts of Xiaoyi (pseudonym) increased.

Obviously, I felt that this was not like the normal development state of a 8 -year -old girl, so I immediately became nervous, afraid that the child's physical development would have an abnormality, so I decided to take the child to the hospital for a systematic examination.

The child's mother also told Director Tan Chuanmei that the child's usual high speed is relatively fast and can reach 7cm/year.

After improving the relevant inspection of Xiaoyi (pseudonym), Director Tan Chuanmei found that Xiaoyi (pseudonym )'s current actual height is 130.5cm, and the results of bone age tests are 7 years old.

Below the actual age 1.1 years old, the adult height of Xiaoyi (pseudonym) can reach 164.1cm, and the test results are ideal.

Director Tan Chuanmei told her mother that although the development of Xiaoyi (pseudonym) is still in the controlled range, there is a risk of puberty. Therefore, it is necessary to monitor the growth and development of the child. Clinic.

After 3 months, Director Tan Chuanmei did not wait for Xiaoyi (a pseudonym) to return.

Until one and a half later this year, Xiaoyi (pseudonym) and mother appeared again in Director Tan Chuanmei's clinic, and Xiaoyi (pseudonym) was 9.6 years old at this time.

My mother told the director that after the first diagnosis, I thought that the inspection I did at that time did not monitor the child's development anymore. It was not until yesterday that Xiaoyi (a pseudonym) came to the holiday before realizing the seriousness of the matter. Hurry up again again. Registration brings a visit.

However, after the inspection, it was found that the result of Xiaoyi (pseudonym) was not ideal. At this time, Xiaoyi (pseudonym) had grown to 11.1 years old.

Beyond the actual age of 1.5 years (a year and a half years of bone age is 4.1 years old), the age of bone age is obviously ahead, and the predicted adult height has also dropped from 164.1cm to 157.2cm.

The child's mother regretted the news and blamed that she was too careless. She did not listen to the doctor to monitor the child's age at a time. As a result, the child's adult height was a lot older.

Fortunately, the inspection prompt Xiaoyi (pseudonym) of the bone crickets has not been closed. Now hurrying up for treatment, you can grasp the last long tail and help the child.

[Scientific monitoring physical changes to avoid children's adult regret]

But another little patient, Xiao Nan (pseudonym), was not so lucky!

In mid -July this year, Director Tan Chuanmei had a 15 -year -old boy. The child's father told Director Tan Chuanmei that Xiao Nan (pseudonym) had changed for 3 years.

In recent years, he has never taken him any medical examination, nor does it know that there is a bone age test. The whole family believes that boys can still rush to the age of 17-18, so I have never worked with the child's growth and development. It was not until recently that the child's height has been walking in place before he wants to take a look at the doctor.

Director Tan Chuanmei also learned through the consultation that Xiaonan (pseudonym )'s father had 168cm, his mother had 159cm, and the genetic height of Xiaonan (pseudonym) could reach 170 ± 5cm.

However, this checkup found that the age of 15 years old (pseudonym) has reached 18 years of age, suggesting that bone bone is closed, and there is no chance of long and high.

Due to the lack of awareness of their children's height monitoring, the height of Xiao Nan (pseudonym) was suspended at 158.7cm.

[Bone age monitoring should pay attention to grasping the golden period of growth]

It is believed that many parents are not unfamiliar with the word "bone age". Bone age is the abbreviation of bone age. It is compared with the actual degree of development of children's bones as standard development.

Because bone age can more accurately reflect the development level of people from birth to a complete maturity, it has the most widely used application in each development age.

In particular, in terms of endocrine disease, developmental disorders, nutritional disorders, genetic diseases and metabolic diseases, bone age is more important.

Using the development of bone age inference to reflect the state of physical growth and development, it will help understand the potential of children's height development.

Therefore, parents must detect bone age in a timely manner during the growth of their children, and be monitored regularly, because bone age changes, scientifically monitoring and scientifically promoted.

(Edit Rainbow.)

Hunan Medical Chat Special Author: Hunan Women's and Children's Hospital Cao Yu

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