This is a problem that many parents are concerned about. The menarche of girls generally means that the growth and development of girls have entered puberty and maturity. The breasts, ovaries, and uterus are close to those of adults, and the growth rate has slowed down significantly compared with before. After the first menstruation, the baby's height can generally grow another 4 or 6 cm, or up to 10 cm. Since the first menstruation is a milestone in human growth and development, parents who are concerned about their children's height must go to the hospital's endocrinology department for consultation at this time to avoid missing the opportunity for treatment. What is the role of bone age in determining adult height? Measuring bone age is an important and quantifiable indicator for judging the growth and maturity of the body. For children who grow normally, their bone age is basically the same as their living age. Bone age measurement can reflect the percentage of the body that has completed physical growth and reached the final height at a certain bone age. Therefore, bone age measurement can be used to predict the adult height of children and adolescents. The height of an adult can be estimated by measuring the height obtained from the inside out and the bone age (determined by X-rays) at the same time, but it is not reliable for young children because there are many influencing factors. However, it is more reliable during puberty. Therefore, if you want to know how much you can grow after menstruation, the decision should be made based on the bone age measurement at this time. For example, two girls were diagnosed not long ago. One was 9 months after her first menstruation, and her bone age was measured to be 14 years old; the other was 21 months after her first menstruation, but her bone age was only a little over 13 years old. It is obvious that the latter has much more room for growth than the former. In addition, we can also use the height of the parents to calculate the child's genetic height, and measure the bone age to comprehensively estimate the child's growth and development potential. ? Treatment of precocious puberty and adult height? Precocious puberty refers to the appearance of secondary sexual characteristics in girls before the age of 8 and in boys before the age of 9. Its main consequence is short stature in adults, but early puberty and short stature cannot be equated, because their growth and development process also follows the above-mentioned laws. Generally, growth and development begins before the age of 6 or close to 8 years old, but if the growth trend is too rapid, the height of adulthood is likely to be damaged. Not all cases of precocious puberty require treatment. When the goal is to improve adult height, the following conditions require treatment: blood pressure bone age is 2 years or more higher than the age; blood bone age is higher than the height age; endocrine hormone tests show high estrogen levels; those who were short before weight-bearing growth and have no obvious height gain during growth. Professional doctors need to deal with each child according to their different conditions, and improving those with excessive trends is the top priority for proper treatment. At present, drugs that inhibit gonadotropin metabolism are widely used internationally to achieve the goal of inhibiting sex hormones from stopping growth and reducing the estrogen produced to pre-growth levels, thereby alleviating and eliminating the damage to accelerated bone age, thereby increasing growth time and improving adult height. When the medication is stopped, the suppression of sex hormones is eliminated, sex hormones resume growth and development, and children have time to carry out their puberty as needed. |
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