Are presented to the clinics, the children of many cases of children by asking parents in the level height their children while they may be invited to visit the clinic children were either not satisfied with the growth and height of their children, or that one of your friends or relatives had instructed them that and the need to assess their development to the doctor a specialist.Most children who are referred to the clinic endocrinology in children to assess the length of the height are children are natural so it is important to distinguish between short stature caused by a particular disease or problem in the growth and between some of the natural variability that occurs with many of the children so as to provide the child and his family hardships tests long .
Annual growth rate of the child
During pregnancy the rate of growth of the fetus is affected by the rapid acceleration factors related to maternal nutrition, such as about the length of the child at birth about 50 cm and up to 100 cm tall at the age of 4 years and it becomes 150 cm at the age of 12 years ago .. After several months of birth Alaoml genetic become dominant.
In the first three years of life is accelerating the growth rate to 22 cm / year and decreases after that to 5-7 cm / year and begins to decline gradually to reach adulthood, where it becomes acceleration in length from 10-12 cm / year and at that stage begins signs of puberty in females to become enlarged breasts in males the high volume of the testicles and have a life expectancy of attainment in girls at 11.5 years and males 13.5 years and although the pace of growth in girls begins at the earliest two years of the boys, but the males arrive at the sum of the length of the top in the end .
Growth curves
In each country according to race and sex there is a measurement of specific natural for members of that country and the results of surveys and assessments for groups or multiple slices of the children in the studies of sporadic to build a curve is normal for the growth of the child so that the line represents the vertical length of the child and the line represents the horizontal child's age and limits of this curveothers bowed the first of the above means that it exceeded longer than normal and the bottom line, which means that the impact of entering in a circle beneath the palace. There are curves for male children in all stages of age sometimes referred to as the blue curves are specific to females of all ages and stages symbolized by red.
Medical evaluation
Of important knowledge Biography sick of the child from his birth, weight at birth, length at birth, around his head, and whether birth was natural or Caesarean section and whether the child to the lack of oxygen at birth or not, and that are also cases of hypoglycemia in the infant may affect the production of growth hormone later .. Some medications, especially steroids, including an impact with the chronic use of this treatment on the growth in such cases of asthma and the like.
Check the length of the child during a certain stage of his life does not give an idea of the child's growth and the increasing length, but measurements of the sequence length for children over six months to a year are bound to reflect us how the child's development and the acceleration length, taking into account the reference to the length of the parents and the quality of food received by the child.
Must differentiate between a child who is suffering from specific diseases by the children who had this complaint without a medical and in the way and the quality of tests done to them
Account the expected length of the child
Can calculate the expected final length of the child, a length which is expected to have reached the child after the age of 18 or 20 years old and can be calculated according to the following equation
* For females
The final length of the child = expected length of the mother in cm + (length of the father in cm -13) ÷ 2
* For males
The final length of the child = expected length of the mother in cm +13 + the length of the father in cm ÷ 2
Laboratory tests
Initial tests include a comprehensive survey of child nutrition and the exclusion of any chronic diseases such as intimal sensitivity of the digestive system of wheat can also be work-ray of the wrist to determine bone age as some of the problems involved in the growth of bone maturity of the child as the initial tests can be done the following:
Blood count year
The level of deposition of blood
And kidney function
And liver function
Measure the level of cortisol in the blood am
Measurement of thyroid hormones
Measurement of the hormone prolactin or milk
Analysis of urine
In some special cases, which appear with other symptoms, especially the work of chromosomes for females or the work of the level of growth hormone and the sensitivity of this test must be conducted by a consultant endocrinologist for the children.
Secretion of growth hormone in the body of the child appears in undulating waves that appear especially during the night.
Error rate may occur even in this examination, compared to the other tests are also important for the diagnosis of the cause and if there is a shortage in the secretion of growth hormone may need to work a MRI of the pituitary gland, to the exclusion of any atrophy of the gland
Causes of short stature in children
Natural change
Which is why the most common in children where it appears the child without any medical problems, but show the problem of short stature, either because of short stature parents where genetically or to be structurally and which may be a child's short but accelerates the length of the child at a certain stage of life in adulthood to reach the desired length equal to that of his peers in the same age and in those cases the child does not need any tests do not need to concern parents on their child.
Reasons satisfactory
1) the reasons for non-glands
And appear more common causes of endocrine-related. And appears on the child in this case a clear lack of nutrition with problems in absorption and digestive system in general, such as ulcerative colitis and the sensitivity of wheat and some kidney-related diseases such as kidney failure or heart disease and respiratory diseases.
2) reasons related to the glands
Some might think that this is the cause of short stature in children may resort to exchange some money and stress tests of the child without the need to do so as growth hormone deficiency is an uncommon cause of the lack of growth can be weighted in the case of the exclusion of other causes. Also, the lack of thyroid hormone may also be one of those reasons.
3) Problems in the chromosomes
In some rare cases, which forms Taatsahb with satisfactory and clear some of the syndromes may be caused by a clear result of some deficiency in the chromosomes.
Treatment
Treatment depends on the cause of short stature, but after preliminary testing, and after exclusion of causes of disease and where the reason mostly for short stature in most children is one of the natural variability, the reassuring parents of the most important steps of treatment and relief that is also on the psyche of the child as the child passes through stages of his life waves of growth of variable may reach the height to which the parents hope for.
Annual growth rate of the child
During pregnancy the rate of growth of the fetus is affected by the rapid acceleration factors related to maternal nutrition, such as about the length of the child at birth about 50 cm and up to 100 cm tall at the age of 4 years and it becomes 150 cm at the age of 12 years ago .. After several months of birth Alaoml genetic become dominant.
In the first three years of life is accelerating the growth rate to 22 cm / year and decreases after that to 5-7 cm / year and begins to decline gradually to reach adulthood, where it becomes acceleration in length from 10-12 cm / year and at that stage begins signs of puberty in females to become enlarged breasts in males the high volume of the testicles and have a life expectancy of attainment in girls at 11.5 years and males 13.5 years and although the pace of growth in girls begins at the earliest two years of the boys, but the males arrive at the sum of the length of the top in the end .
Growth curves
In each country according to race and sex there is a measurement of specific natural for members of that country and the results of surveys and assessments for groups or multiple slices of the children in the studies of sporadic to build a curve is normal for the growth of the child so that the line represents the vertical length of the child and the line represents the horizontal child's age and limits of this curveothers bowed the first of the above means that it exceeded longer than normal and the bottom line, which means that the impact of entering in a circle beneath the palace. There are curves for male children in all stages of age sometimes referred to as the blue curves are specific to females of all ages and stages symbolized by red.
Medical evaluation
Of important knowledge Biography sick of the child from his birth, weight at birth, length at birth, around his head, and whether birth was natural or Caesarean section and whether the child to the lack of oxygen at birth or not, and that are also cases of hypoglycemia in the infant may affect the production of growth hormone later .. Some medications, especially steroids, including an impact with the chronic use of this treatment on the growth in such cases of asthma and the like.
Check the length of the child during a certain stage of his life does not give an idea of the child's growth and the increasing length, but measurements of the sequence length for children over six months to a year are bound to reflect us how the child's development and the acceleration length, taking into account the reference to the length of the parents and the quality of food received by the child.
Must differentiate between a child who is suffering from specific diseases by the children who had this complaint without a medical and in the way and the quality of tests done to them
Account the expected length of the child
Can calculate the expected final length of the child, a length which is expected to have reached the child after the age of 18 or 20 years old and can be calculated according to the following equation
* For females
The final length of the child = expected length of the mother in cm + (length of the father in cm -13) ÷ 2
* For males
The final length of the child = expected length of the mother in cm +13 + the length of the father in cm ÷ 2
Laboratory tests
Initial tests include a comprehensive survey of child nutrition and the exclusion of any chronic diseases such as intimal sensitivity of the digestive system of wheat can also be work-ray of the wrist to determine bone age as some of the problems involved in the growth of bone maturity of the child as the initial tests can be done the following:
Blood count year
The level of deposition of blood
And kidney function
And liver function
Measure the level of cortisol in the blood am
Measurement of thyroid hormones
Measurement of the hormone prolactin or milk
Analysis of urine
In some special cases, which appear with other symptoms, especially the work of chromosomes for females or the work of the level of growth hormone and the sensitivity of this test must be conducted by a consultant endocrinologist for the children.
Secretion of growth hormone in the body of the child appears in undulating waves that appear especially during the night.
Error rate may occur even in this examination, compared to the other tests are also important for the diagnosis of the cause and if there is a shortage in the secretion of growth hormone may need to work a MRI of the pituitary gland, to the exclusion of any atrophy of the gland
Causes of short stature in children
Natural change
Which is why the most common in children where it appears the child without any medical problems, but show the problem of short stature, either because of short stature parents where genetically or to be structurally and which may be a child's short but accelerates the length of the child at a certain stage of life in adulthood to reach the desired length equal to that of his peers in the same age and in those cases the child does not need any tests do not need to concern parents on their child.
Reasons satisfactory
1) the reasons for non-glands
And appear more common causes of endocrine-related. And appears on the child in this case a clear lack of nutrition with problems in absorption and digestive system in general, such as ulcerative colitis and the sensitivity of wheat and some kidney-related diseases such as kidney failure or heart disease and respiratory diseases.
2) reasons related to the glands
Some might think that this is the cause of short stature in children may resort to exchange some money and stress tests of the child without the need to do so as growth hormone deficiency is an uncommon cause of the lack of growth can be weighted in the case of the exclusion of other causes. Also, the lack of thyroid hormone may also be one of those reasons.
3) Problems in the chromosomes
In some rare cases, which forms Taatsahb with satisfactory and clear some of the syndromes may be caused by a clear result of some deficiency in the chromosomes.
Treatment
Treatment depends on the cause of short stature, but after preliminary testing, and after exclusion of causes of disease and where the reason mostly for short stature in most children is one of the natural variability, the reassuring parents of the most important steps of treatment and relief that is also on the psyche of the child as the child passes through stages of his life waves of growth of variable may reach the height to which the parents hope for.