Ye Kan, Chief Physician, Department of Pediatrics, Suzhou Municipal Hospital.
Suppose the girl is at 7Before the age of 5, boys show secondary sexual characteristics before the age of 9, which is likely to be a manifestation of precocious puberty, which is normally clinically divided into true and pseudo-sexual puberty. If parents find that their children have secondary sexual characteristics in advance, it is recommended to take their children to a regular hospital for treatment and bone age films to determine whether the bone age is ahead of scheduleB ultrasound examination of the ovaries and uterus, ** whether it has become larger;Specific sex hormone challenges are done to determine whether your child's developmental status is true or false. There is no specific reason for the precocious puberty children generally encountered in clinical practice, and precocious puberty is also one of the possible factors leading to short stature. If precocious puberty has an impact on the child's psychology and there is a significant impairment in height, intervention can be considered.
As mentioned earlier, precocious puberty has a high probability of affecting the child's adult height, which may cause the child's final height to stay in the short range. Let's analyze the reasons for this result. First of all, if the child has secondary sexual characteristics, then his sexual development is opened, the progress of bone age and the progress of sexual development is very related, so once sexual development is opened, the bone will begin to accelerate growth, the progress of bone age will become faster, and the time left for growth will be less, although the child now looks higher than other children of the same age, but because the bone age is accelerating, it means that the child's growth time will be reduced a lot, the epiphysis is closed in advance, the child will stop growing, and the final adult height is far from reaching the genetic height, if the child's genetics are not high, the adult height will be even less ideal。 One of the reasons for short stature caused by precocious puberty in clinical practice, some girls may not reach 1 in height when they become adults5m, boys may not reach 1 when they reach adulthood6m。In addition, a girl's premature chest bulge and menarche can put pressure on the child's psyche. Parents don't have to be too anxious, precocious puberty is currently completely controllable, of course, the time can't be delayed too long, if the time drags on late, the sexual development is almost mature, and the best time is missed, there is no way back.
If the child is really precocious, he will be short, and parents will be very anxious. "Is there anything that can be done to save it?Does precocious puberty necessarily need **?Is it possible to use traditional Chinese medicine?"* It is not a generalization, it is necessary to treat the disease according to the disease, and the main thing is to improve the child's lifelong height. If it is an organic lesion, we are primarily the primary lesion;If there is no primary disease in a true precocious puberty child, and precocious puberty is harmful to the child, a gonadotropin-releasing hormone analogue may be used**;During the process, it is recommended to monitor sexual development, growth rate, etc. every 3 monthsBone age is monitored every six months. The course of treatment is very important for the improvement of the final height of **, and it is recommended to continue ** for more than 2 years. Discontinuation should take into account satisfaction with height, quality of life, and the need for contemporaneous sexual development with peers. If it is false, traditional Chinese medicine can be used**, or not**, and regular follow-up monitoring of children's height and bone age. In the process of precocious puberty, drugs can be used to delay the progress of sexual development, reduce the manifestations of secondary sexual characteristics, slow down the progression of bone age, and leave enough time to grow tallerIt can also improve the diet and provide a material basis for growing taller;You can also pay attention to sleep conditions, ensure sleep time at night, promote growth hormone secretion, and win motivation for growing taller.
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