Clinically, the testis is measured with a testicular volume measurer, so as to detect the growth and development of the child early and treat it early.

(Photo by reporter Liu Wanjun)

[Reporter Liu Wanjun/Tainan Report] 7-year-old Huang Xiaodi is only 108.1 centimeters tall. He has grown less than 4 centimeters in the past year. After his mother took him to Chi Mei Medical Center for medical treatment, he was found to be only 2 years old in bone age. He was diagnosed with growth hormone deficiency. another 6-year-old and 11-month-old Li Xiaomei, 140 cm tall, her mother found that her chest protruded and took her to see a doctor. After examination, her bone age was 12 years old, and she was diagnosed with central precocious puberty.

The doctor reminded that children should pay attention to their growth and development.

After six months of follow-up of the two children, Huang Xiaodi started growth hormone therapy, and Li Xiaomei began to receive precocious puberty suppression acupuncture.

Chen Yushao, chief physician of the Department of Pediatric Endocrinology, Department of Pediatrics, Chi Mei Medical Center, said that there are many reasons for short stature, and can be divided into "normal variation" and "pathological growth" through examinations such as consultation, physical assessment, bone age, and blood tests. delay" two items.

Normal variation refers to familial hereditary growth retardation and constitutional growth retardation; pathological growth retardation includes endocrine diseases (such as hypothyroidism, growth hormone deficiency, etc.), genetic diseases (such as Turner's disease, general Reid-Willi syndrome, etc.), chronic diseases (such as kidney, gastrointestinal diseases, etc.), malnutrition, growth disorders and idiopathic short stature in low birth weight infants.

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Chen Yushao pointed out that we must first find out the cause before we can prescribe the right medicine. Children who are malnourished or underweight need nutritional assessment to improve their nutritional intake; children with hypothyroidism can be given thyroid hormone supplements; children with growth hormone indications (such as growth hormone deficiency, Turner's syndrome, Prader-Willi syndrome, etc.), then provide appropriate growth hormone therapy.

In addition, good habits of going to bed early and not staying up late, having a balanced diet and maintaining exercise are also key factors affecting children's growth.

Chen Yushao reminded parents to pay attention to the growth and development of their children and grasp the key to growth.

Precocious puberty will bring about adverse effects including loss of adult height and early menstruation. It is recommended that if boys have enlarged testicles and pubic hair before the age of 9, and girls will start to develop breasts and pubic hair before the age of 8, or begin to grow before the age of 10. Menstruation, or sudden and rapid increase in height of boys and girls, etc.; or the child has insufficient height (height less than the third percentile) or insufficient growth rate of height (less than 4 cm per year after the age of 2 or 3), or has For other concerns about growth, you can take your child to the clinic to discuss with the doctor.

Chen Yushao, chief physician of the Department of Pediatric Endocrinology, Department of Pediatrics, Chi Mei Medical Center, said that children need to pay attention to their growth and development.

(Photo by reporter Liu Wanjun)

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keywords

  • Malnutrition

  • bone age

  • endocrine disease

  • short and small

  • growth hormone deficiency

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