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/kloc-girls aged 0/2 can only grow to 1.6 meters.
Last weekend, Ms. Luo and her wife took 12' s daughter Xiao Jia (a pseudonym) to a youth healthy growth center in Futian District for bone age and bone density testing. After checking their weight and height, Xiao Jia did a bone age and bone density test, that is, took a palm bone slice. After watching the bone age film, the center doctor told Jony J that the bone age is 12.5, and now the height of 153cm is only half a year's chance. According to the bone age and bone density, "the height development is basically completed, and it may grow a few centimeters this year, and the highest growth will be 160cm."
Ms. Luo said that Xiaojia is now in a period of growth and development. Her height is not short among her classmates. Why can't her height grow much in the future? The doctor pointed to the bone fragments in the palm of his hand and told them that the growth and height of bones actually depend on the growth and height of bones. Adults' bones are continuous, children's bones are discontinuous, and there is a seam in the middle. When the child grows into an adult, the middle seam grows slowly and the epiphyseal line closes, just like the joint between two steel bars is bonded by electric welding, and there is no room for growth. "In this way, the height of the child is finally finalized." The epiphyseal line in Jony J has begun to close, and the natural growth has been basically completed, so there is not much room for growth. "Now the bone age is 12.5 years old, which is only half a year away from complete closure. Girls generally stop growing when they are 13 years old. " The doctor said. From the perspective of bone density, there is no room for growth in Jony J.
"Is there any way to remedy it?" After listening to the doctor's explanation, Ms. Luo raised her own questions. In view of the situation in Jony J, the doctor suggested that Jony J could adjust his schedule, go to bed early and eat less high-calorie food. At the same time, she can delay the time of epiphysis closure by taking medicine and injection, and help improve her height. "If she takes medicine or an injection, she may grow 10cm in these two years." However, for the doctor's advice, Ms. Luo and her wife have been very entangled. On the one hand, they hope that there is a way to remedy their daughter's height, but they don't know if the method of taking medicine and giving injections will work.
survey
Bone age and bone density age are judged by naked eyes.
Recently, the reporter also visited a number of growth institutions in the city that help children grow taller through bone age and bone density testing. These institutions are located in the Shoe Capital Building in the business center. During the visit, it was found that the bone age and bone density of such institutions were very simple, and there was no uniform testing standard, which was "seen" by doctors sitting in the classroom.
In a growth institution in Qixing Square in Huaqiang North, Dr. A told reporters that the average girl's bone age is 13 years old, and the boy's bone age is 14 years old. The epiphyseal line began to close and natural growth and development stopped. In another growth institution, Dr. B, who was sitting in the classroom, told the reporter that the average teenager's bone age reached 18 and his height stopped growing. Both doctors told reporters that the age of bone age and bone density is different from the actual age of people. Therefore, judging a person's growth and development can not be judged by actual age, but by bone age and bone density. "If the bone age and bone density age have not reached the final closing age, it means that there is still room for growth, there are ways to remedy it, and measures can be taken to encourage it. If the era of bone age and bone density has arrived, there is no way to remedy it. "
What criteria do doctors use to judge children's bone age and facial age? Dr. B told reporters that there is no uniform evaluation standard in general inspection institutions, but there is a process for the growth and development of bones. Every doctor knows exactly what the bones of every age group look like, and they are all "seen" by the naked eye.
In addition to the lack of uniform standards for testing, the reporter found that the charging standards are different, some need more than 2,000 yuan a month, and some need more than 3,000 yuan. "I asked several institutions, the cost of each is different, and the treatment time is different. Some years, some years, just drug treatment, 1 year will cost at least tens of thousands of yuan, which is a lot of money. " Mr. Qin, who took his son to test, said: "I don't know if it is expensive or cheap."
expert
"If there is a problem with height, you should have a comprehensive inspection."
Can you judge a child's growth and height by measuring bone age and bone density? For people's increasingly keen detection of bone age and bone density, Liu Xia, director of the endocrinology department of Shenzhen Children's Hospital, pointed out that bone age detection mainly depends on the growth and development of children's bones through filming, while bone density mainly depends on whether bones have osteoporosis. It is one-sided and unscientific to judge a child's growth and height only by the detection of bone age and bone density. "Overall, this country has a growth curve. According to this curve, we can judge the growth and development of teenagers at all stages. The height and weight are different, and we can't just rely on bone age and bone density. "
She introduced that the main substance for bone building is blood calcium. Whether a bone can grow is a very important indicator. "That is, the detection of calcium age refers to whether calcium can be absorbed for a long time after entering the blood. If blood calcium can be absorbed, bones can grow. " In addition to blood calcium test, some hormones are also important, because some growth hormones affect the growth and development of children, and if the hormone level is lacking, it will also affect the height. Therefore, Liu Xia believes that just checking the bone age and bone density does not mean that the child's growth and height are problematic. When judging whether the child's growth and development is normal, these two tests can only be used as indicators to measure, as a judgment that can be considered, and cannot be used as the only accurate indicator. Therefore, she does not recommend that parents take their children to have bone age and bone density tests for their height.
Ma Changsheng, director of pediatric orthopedics at Pingle Orthopaedics, also agreed. He pointed out that for children's growth, there are two rapid growth periods, one is about 8 years old and the other is about 14 years old. At other times, it is not obvious. If parents suspect that there is something wrong with their child's growth and height, it is that the child has osteopathy. Common bone diseases are influenced by bone metabolic diseases, bone growth and other factors, including the abnormality of nervous system. Moreover, from the perspective of functional orthopedics, the bone age and bone density of different ages are different, and the function of bones will be different. Therefore, it is impossible to explain the height problem of children by only one test data. "If you suspect that your child has a height problem, you should take your child to the hospital for a comprehensive examination in time, instead of just measuring bone age and bone density." Ma Changsheng.
In addition, Liu Xia also pointed out that another reason why bone age and bone density testing is not recommended is that there is no uniform standard for testing, which is also a major problem in this industry at present. "There is no uniform standard for testing instruments, and there is no standard for judging bone age and bone density. Every family has different instruments and equipment, and the standards and methods of judgment are different. " Liu Xia said that without a unified testing standard, it is difficult to judge the growth and development of children.
There are many factors that affect children's height, including genetic factors, living environment factors, nutritional factors, lifestyle, diseases and so on. If the congenital genetic factors and environment are not good, but the acquired lifestyle is good, it will also have an impact on growth and development. "Parents are not tall, and children may be tall."