Many parents expect their children to grow taller
Higher points
There is a parent
I saw the child grow up violently
But I was terrified
You must think this is Versailles
But after reading the story of this 19-year-old boy who is 2 meters 1 tall
I won't think so
Expert Reminder:
If the parents are average in height
The child has the height of Yao Ming
Then be vigilant!
35 cm a year long to "Yao Ming"
He walked like an old man
Xiaoming (pseudonym), a 19-year-old native of Jiangxi, grew up with his grandmother in rural Jiangxi because his parents worked outside the home for many years, and worked as a security guard in a factory in the town after graduating from junior high school. Originally 175cm tall, weighing 100kg, but last year the height increased by 35cm, weight increased by 30kg, this year's Spring Festival, Xiaoming's father returned to his hometown to see his son who was taller than the door frame, startled, "How a year did not see, the son grew to 2 meters 1, but also fat so much, the lips have become very thick." If he hadn't lived in his own home, Xiaoming's father couldn't believe that this was his son.
Xiaoming's father is puzzled, because he himself is 170cm tall, Xiaoming's mother is 165cm tall, according to genetics, Xiaoming's development will not be so high, not to mention the poor economic conditions at home, and the child has not eaten any special supplements.
"Dad, am I too tall and can't walk steadily?" Xiaoming told his father that he had been walking shakily for half a year, and had even fallen, and recently his left eye had become unclear, and his head hurt as if it was about to explode. Xiaoming's father also searched for Yao Ming's video on the Internet for this reason, and found that Yao Ming, who is 2 meters tall and 26, walks normally, and his son's slow walking and shaking must have nothing to do with height, "Let's go to the hospital to see." "Because of the reorganization of the family after divorcing his lover in the early years, Xiaoming's father, who had not cared for his son since childhood, felt very guilty and proposed to go to the hospital for examination.
"Consider a large pituitary adenoma." The MRI examination of the local hospital in Jiangxi indicates that Xiaoming has a huge place in the intracranial saddle area, and it is recommended to go to a large hospital for further diagnosis and treatment.
To this end, Xiaoming's father took his son to Hangzhou, the city where he worked, and walked into the First Affiliated Hospital of Zhejiang University School of Medicine.
The teenager "Yao Ming" found the reason
Huge pituitary tumors are at work
"It's most likely gigantism." At the pituitary tumor specialist clinic of Pan Xinfa, deputy chief physician of the Department of Neurosurgery of the First Hospital of Zhejiang University, Deputy Chief Physician Pan Xinfa preliminarily diagnosed Xiaoming with gigantism. "Small pituitary, big energy." Deputy Chief Physician Pan Xinfa explained that the pituitary gland is located on the ventral side of the lower part of the thalamus, which can also be said to be located in the saddle area at the base of the skull, and its shape is an oval body. Don't look at it small, the pituitary gland is the most complex and important endocrine gland in the body, and the hormones produced are not only related to the growth of the body's bones and soft tissues, but also affect the activity of the endocrine glands. The so-called gigantism is that a tumor grows on the pituitary gland, compressing the pituitary gland, resulting in abnormal growth hormone secretion, resulting in rapid growth in height and weight in a short period of time, and symptoms such as rough face.
"Pituitary tumor 5 cm with severe hydrocephalus." Further pituitary enhanced MRI and a full set of pituitary hormones showed that Xiaoming had a tumor 5 cm large on the pituitary gland and a growth hormone of 200 ng/ml (normal human growth hormone is 0-3 ng/mL). Clinically, a pituitary tumor of more than 4 centimeters is a huge pituitary tumor, because the 5-centimeter tumor reaches the unextenable growth limit in the saddle area of "inch of land", compressing the optic nerve, resulting in Xiaoming's left eye having nearly zero vision. The huge tumor also blocked the midbrain water duct, causing severe hydrocephalus, so Xiaoming developed symptoms such as slow gait and unstable walking.
(Circled is Xiaoming's pituitary tumor)
"Surgery must be done immediately." Deputy Chief Physician Pan Xinfa explained to Xiaoming's father that the tumor is too large, the hydrocephalus is serious, and if there is no timely surgical treatment, the optic nerve of the right eye may also be compressed and lead to total blindness, and the most terrible thing is that due to excessive hydrocephalus, coma is life-threatening. Xiaoming can use transnasal endoscopic pituitary tumor resection, which is the most advanced minimally invasive method for the treatment of pituitary tumors, which has been maturely promoted and applied in the First Hospital of Zhejiang University, and can achieve accelerated recovery. "A lot of pituitary tumor patients have recovered well through surgery."
"Doctor, do you still need to take medicine after the operation?" In the face of tens of thousands of surgical expenses after medical insurance reimbursement, Xiaoming's father looked embarrassed, and when he heard that he had to insist on taking drugs after surgery, he retreated, because for pituitary tumor patients, surgical resection only means half of the success, due to the damage to pituitary gland function, the recovery of endocrine gland function is a long-term problem after surgery, and strict follow-up must be strictly followed.
"Doctor, our family's economy is not good, and we can't afford the long-term treatment of our children." Deputy Chief Physician Pan Xinfa repeatedly communicated with Xiaoming's father with affection and reason, and Xiaoming's father agreed to treat the child.
"I'm still sad." Pan Xinfa deputy chief physician said that Xiaoming actually had symptoms of gigantism long ago, due to parental negligence and his own lack of attention, resulting in pituitary tumor growing so big to find out, even if the operation is successful, Xiaoming's height and appearance can not change.
(Xiaoming the "giant" in the ward)
Growing too fast and too tall is not a miracle
Be wary of this tumor in your head
Pan Xinfa deputy chief physician reminded that if the parents are average in height, but the child's height jumps up rapidly in a short period of time, looking like basketball superstar Yao Ming, do not be too happy and ignore the health problems, it is likely that the pituitary tumor is long, hurry to the regular hospital for examination.
Many parents must be confused, so how to distinguish between accelerated puberty growth and gigantism? Experts said that normal children increase by 5-7cm per year before puberty, and after entering puberty at the age of 10-12, the height suddenly increases, and the average height of boys increases by 9-11cm per year, and the average height of girls increases by 7-8cm per year. And normal pubertal development in addition to the increase in height, accompanied by the development of secondary sexual characteristics. And the height increase of gigantism is continuous, like Xiaoming 19 years old height has been 2 meters 1, growth hormone is still 66 times that of normal people, indicating that it will continue to grow, the most important thing is that the height growth of gigantism is not accompanied by the development of secondary sexual characteristics, and there may be discomfort such as coarse hands and feet, headaches, etc., parents have to pay attention.
Professor Zhan Renya, director of the Department of Neurosurgery of the First Hospital of Zhejiang University, introduced that the treatment of pituitary tumors has drug treatment and surgical treatment, of which surgical treatment is suitable for those high-functioning adenomas, drug intolerance and poor efficacy or tumors that are too large, bleeding, etc., after the doctor's evaluation can be surgical treatment, the Department of Neurosurgery of Zhejiang University First Hospital opened a pituitary tumor specialist clinic (Qingchun Campus, Wednesday afternoon), the purpose is to better do a good job in pituitary tumor diagnosis and treatment, serving patients.
Expert outpatient table of the First Hospital of Zhejiang University
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