What are the Changes in Growth?
The weight of healthy children can vary substantially.Many children gain much weight during the first six months and less between 10 and 18 months.
Often the children of low grow at the same rate as children with tall parents until about age. Then usually follow a slower growth curve.
After an illness is normal for children to regain lost weight quickly and return to its previous growth rate. Children who have had stunted during the intrauterine life grow proportionately more than other children after birth. Then begin to follow a normal growth pattern.
It is often necessary to use a setting on the growth charts for children born prematurely. The calculation is made by subtracting from the current age of the child the number of weeks in which the child was born prematurely, that is, the number of weeks that lacked to achieve a pregnancy to term. This correction can be applied until the child reaches two years of age.
The rate of growth of a child and the onset of puberty depends partly on heredity. For example, sometimes a father and his son are low at the beginning of puberty, but reach a higher height at the end of puberty. Similarly, a mother and daughter can be high at the age of 12 years and present the first menstruation earlier than other girls of her age.
Why some children have impaired growth?
The growth of a child is determined mainly by a combination of genetic and environmental factors, especially diet and exercise.However, there are a number of diseases that can also affect the growth, such as:
– Growth hormone deficiency .
– Thyroid hormone deficiency .
– Nutritional problems .
What can be done?
We can all weighing and measuring our children. However, the pediatrician or family physician should periodically conduct a review of the child’s growth. In many cases the growth scan can be performed during the medical school or in regular visits to the health center.
How does the doctor diagnose growth disturbance?
To diagnose a growth disturbance physicians should weigh and measure the child and chart their growth curve . Please note the weight and height of both parents, and the age at which pubertal development presented (development of secondary sexual characters, as girls begin to age 11 and boys at age 13) . The doctor will ask about the clinical aspects of the child, such as diet, appetite, exercise performance, illnesses suffered, bowel habits and any type of social or emotional problem. Subsequently, a physical exam of the child and assess its degree of pubertal development and tooth.
If deemed necessary, will be an x-ray of the left hand and wrist .This will allow the doctor to know the “bone age” of the child, ie the degree of development of their bones. The “bone age” may be advanced or delayed with respect to the child’s age. If the doctor finds any abnormalities in these explorations probably recommend consulting a specialized pediatric unit, in order to accurately determine the cause of growth disorder and the most appropriate treatment.
What is the prognosis and how is growth disturbance?
Logically, prognosis and treatment depend on the type of abnormality present the child growth and cause it originated.