Case: After the appointment at two o'clock in the afternoon on February 2, the doctor looked at the child's hospitalization record and said that he could fight, or he could wait, because he was a boy, there was no shortage of auxin, but the growth factor was relatively low, if he hesitated, he could first observe for half a year, if he could grow 8cm per year within two years, he could not fight, but if he could not grow to these, he would definitely have to fight, about the type of injection, the doctor said to choose according to the economic situation. Powders are the cheapest, short-acting water agents are a little more expensive, long-acting ones are more expensive, and auxin is generally expensive. We asked him if there was a difference between the effect of short-acting water agent and long-acting water agent, he said that it was actually the same, but short-acting water agent is a daily injection, long-acting is once a week, it will be more convenient, so it is more expensive. Another reason why you can wait is also because the boy's growth cycle is a little longer, coupled with the small bone age, waiting for half a year and a year does not affect, and the back can still be chased, but the girl's words must be dealt with immediately, can not wait, because the girl growth cycle is short.
Different ages have different meanings for measuring bone age, so when is it best to measure bone age?
On children's X-rays, it appears as a wider band of light transmission that gradually shortens with age. When the epiphyseal and cartilage at the epiphyseal end are effectively ossified, tight seams are formed. At this time, the epiphyseal is effectively closed and the epiphysis stops growing. The so-called epiphyseal line is a layer of cartilage, which is not the same as the cartilage that is not ossified for life. It is used to grow, and as long as it is still there, it will continue to be ossified, so that if puberty develops early, the epiphyseal line will close prematurely, thus stopping growth.
How can I tell if my child is deficient in growth hormone?
The first is the clinical presentation. Bone age identification shows that bone age is small, and from bone age identification, it can be seen that short height is the biggest feature. The annual height increase is less than 5 cm, and the development of the wrist bone is significantly behind that of the phalanges. Only an experienced bone ageing physician can analyze it.
Second; in general, children who lack growth hormone are born normally and are normal in the first year. From the second year onwards, the annual increase is less than 5cm, and the abdominal fat on the back of the child's hand is relatively thick, because growth hormone has another function of breaking down fat in addition to promoting growth.
Concerned about the height of the child, parents must know the bone age, but also to check the child's bone age once a year, not by age, but by bone age to determine the child's future height.
If you have more questions about your child's "short stature", please comment below.