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저희 첫째 아이도 또래보다 키가 많이 작은 편이라 고민이 되네요. 남편도 키가 많이 작은 편이고, 시가쪽이 키가 전체적으로 작은 편이라 아마도 유전적인 영향이 큰게 아닐까 싶거든요. 검사부터 한번 해봐야 할거 같네요. 저도 부작용때문에 주사는 맞게 하고 싶지는 않거든요.
(Concern) The child who is short in height has a bone age of 3 years younger, but he is entering puberty. Should he receive growth hormone injections?
2024.05.15 20:52
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My child is shorter than peers.
My birthday is at the end of October, so I might be a bit slow, but still on the smaller side...
I am a bit short in height, but I was born with an 8-sack dong and have a congenital weakness in my stomach.
During a time when it should have grown significantly, it didn't grow much at all, only about 5 centimeters in a year, and then growth stopped.
All my younger siblings are taller than average... I don't think it's because of genetic factors that I am not tall.
The groom is 183 centimeters tall, which is quite tall, and the groom's grandmother was tall as well.
Your father, when viewed in his era, was above average height...
And when the son sees this molar, he is more than two years behind his peers.
Because I am shorter than my peers, I have been getting bone age tests since the third grade.
They have always been somewhat slow, around 2.5 to 3 years old.
Expected height is 185 to 190 centimeters...
However, during this year's regular check-up as a fifth grader...
Although the bone age is still young... the testicular size has increased by 1.
If you're in fifth grade, it's now secondary sexual characteristics... the age when puberty begins...
The doctor said that if this happens, bone age will quickly catch up and height growth may stop.
They say that the expected height is less than 170 or barely reaching it...
Sigh... It was so shocking...
Suddenly, my expected height has decreased by about 20 centimeters over the past six months...
I was recommended growth hormone injections...
I'm really 고민이 되네요..
There is a sister-in-law on my husband's side.
Both of my sister-in-law's children are growing faster than their peers, so they are about 6-7 centimeters taller than their peers.
On the contrary, since the growth is too rapid and both children have advanced bone age, they receive a gonadotropin-releasing hormone suppression injection for precocious puberty once a month...
The girl who is the same age as my son was hit for two years starting from the third grade, and she says she stopped just this March when she became in fifth grade.
Now is the time to go through secondary sexual characteristics... The expected height was 158, but now it's over 168...
A 3rd-grade boy who is only 2 years old is now starting to get vaccinated...
My son needs to receive growth hormone injections every day.
The injection I have to get every day~~ ㅠ_ㅠ
My son heard that sound and cried, saying it's okay if he doesn't grow tall...
Until recently, the bucket list was "I want to grow taller."
Because I was very afraid of injections when I was young, I understand that feeling...
I'm worried about missing the timing, so I wonder if I should get it right...
Since the bone age is still young... I wonder if I should wait a bit...
The child doesn't use the phone loudly either.
Playing games for about 30 minutes on Tuesday and Thursday, and about 50 minutes on Saturday.
And I watch TV for about two hours or less on weekends.
I didn't even touch the slime at all..
I go to taekwondo every day, and at taekwondo, I also do jump rope and run...
I sleep well, so I fall asleep quickly when I lie down and sleep for about 9 hours.
In order for growth hormone injections to be covered by insurance, a diagnosis of growth hormone deficiency must be made.
Then, what does growth hormone deficiency refer to?
There are various factors that can lead to growth hormone deficiency.
First, if there is a congenital deficiency of growth hormone, it can manifest as a deficiency due to genetic causes.
In this case, it can be said that the function of the hippocampus and the hypothalamus in the brain was affected.
Acquired factors for growth hormone deficiency include pituitary tumors, brain injuries, or trauma.
It may appear due to radiation therapy, among other reasons.
If there is an abnormality in pituitary function, it negatively affects the regulation of growth hormone secretion.
It is said that deficiencies tend to appear easily...
If that hormone is deficient, you will experience a slowdown in growth rate.
It becomes relatively short in height compared to age and tends to become prominent during childhood or adolescence.
Not only does muscle mass decrease, but physical strength also weakens, and growth may be delayed.
In addition, it also affects metabolism in the body, which can lead to increased body fat or metabolic disorders such as diabetes.
Above all, when comparing with friends of the same age, you can surprisingly feel the difference.
So, what would the average height be now?
The average height of fifth-grade elementary school students in 2022 is 146.6 cm.
My son's average height is 138.3 centimeters... It's even shorter than a fourth grader...ㅠㅠ
My son is smaller than his peers, but the difference isn't so great that it would be shocking...
It's not quite a deficiency... so insurance coverage isn't applicable.
About 600,000 won a month... It costs that much. T_T
The timing of growth hormone injections is usually known to start from age 5.
This injection is a subcutaneous injection, so it needs to be administered daily as a growth hormone injection.
Most of them are after elementary school admission, which can endure it.
The treatment duration with growth hormone injections appears to range from as short as 6 months to as long as 2 years.
As a result of long-term administration, it is expected to promote an additional growth of about 3 cm per year.
Growth hormone injections are known to be covered by insurance treatment if diagnosed as a pathological condition such as Turner syndrome, genetic predisposition, or short stature diagnosed at the hospital.
Precautions for growth hormone injection therapy include an increase in the size of spots or idiopathic intracranial hypertension.
It is possible to experience joint pain and other symptoms.
Suddenly growing taller can sometimes cause knee pain.
Growth hormone has an anti-insulin effect, so regular blood sugar tests may be necessary due to increased blood sugar levels.
Side effects?
This is... the biggest reason I am 고민하는.
I saw the article below on Health Chosun... I'm really concerned that the side effects might be serious...
Healthy child, increased risk of diabetes, hypothyroidism, and scoliosis
Growth hormone injections increase the risk of various diseases. The most common disease is diabetes.
Growth hormone can induce insulin resistance.
Especially, children without growth hormone deficiency who receive growth hormone injections may have an increased risk of developing diabetes in the future.
According to a study analyzing 11,000 children in the United States,
Children who received growth hormone therapy had an 8.5 times higher risk of developing type 2 diabetes due to impaired insulin function.
If a child has pediatric diabetes (type 1 diabetes), the use of growth hormone injections should be decided more cautiously.
According to the Korea Institute of Drug Safety and Risk Management, growth hormone not only induces insulin resistance, but also...
It can alter the effectiveness of diabetes medication.
The use of growth hormone preparations is strictly prohibited in cases of retinal abnormalities caused by diabetes.
In addition, it has been reported that the risk of developing hypothyroidism and scoliosis increases.
Gigantism, which causes excessive growth of the hands, feet, and facial bones when administered excessively over a long period, or edema caused by water retention
Joint pain and other symptoms may also occur.
Since it is a self-injectable formulation, there are also side effects related to the injection procedure itself.
Common side effects include symptoms such as pain, itching, and redness at the injection site.
Usually, these symptoms disappear within a few days, but
If there is no improvement or if it worsens after a few days, you should visit the hospital for treatment.
Rarely, allergic reactions can occur to the active ingredients of the medication itself.
Urticaria all over the body, swelling of the mouth and throat, chest tightness, difficulty breathing immediately after injection
If symptoms suggesting anaphylaxis appear, you should quickly visit the emergency room.
Meanwhile, there is a way to stimulate growth hormone secretion without using growth hormone injections.
What are the lifestyle habits recommended by the Pediatric Endocrinology Society to promote growth?
▲Exercise for at least 30 minutes a day
▲Get at least 8 hours of sufficient sleep every day
Eating a balanced and nutritious diet
▲Not overdoing activities such as using mobile phones or playing computer games.
It is not recommended to take dietary supplements whose ingredients are unknown or whose efficacy has not been proven.
There are many medications related to height growth, but if you take a drug whose ingredients are unknown, then,
On the contrary, bone age may progress quickly, leading to early cessation of growth.
Source: https://health.chosun.com/site/data/html_dir/2023/06/23/2023062302059.html
Lifestyle habits...
My son is doing all four.
Supplements... I am not taking them carelessly...
At the hospital... This place is so famous that you really have to do an open run at the growth clinic hospital.
If you're recommending it there... it must be right, right?
Not all children will experience side effects, right???
If you miss the timing...
Because I know that if I miss the growth period, there is no way to increase my height...
I'm really very 고민이 되네요...
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Comments 8
또이또이아이고.. 진짜로 고민되시겠어요. 저희 둘째조카는 지금 성장주사를 맞고 있어요. 2학년인데 지난달 가서 잰 키가 114.7입니다. 그나마 이것도 먹이고 주사 맞아서 큰 거예요. 제가 돌보기 전에 성장호르몬결핍? 이런 진단을 받고 주사도 이미 맞고 있었던 거라 과정이 어떻게 되는지는 모르지만, 얘는 한눈에도 너무 작아서 당연히 보험 적용되어 시작했죠. 그런데 6개월사이에 예상키가 20센티나 작아질 수도 있나요? 이건 너무 충격적인데요? 좀더 세밀하게 검사할 수는 없는 건가요? 진짜 고민 많이 되시겠어요. 근데 저는 충격인 게.. 시누이 아이들이요. 저희 아들이 5학년인데 지금 160이예요. 일년에 10센티씩 크더라구요. 이런 아이도 뼈나이 검사하고 해봐야 되는 거예요? 성조숙증 그런 거 때문에? 고민 글 읽고 오히려 제가 고민이 생겨버렸네요 ㅠㅠ
인프리아 조카분이 맞고 있군요. 결핍이면 당연히 보험 적용이 되더라고요. 네 성장이 빠른 아이들도 검사해야해요. 그렇게 성장하다 딱 멈춰서 안큰데요 ㅜㅠ 시누도 초6에 162까지 크고 성장이 멈췄다고 하네요. 그래서 아이들 가서 검사하고 성조숙증 검사해서 주사 맞히는거구요. 아드님이 진짜 크네요. 근데 지금 5학년이면 성조숙증 주사를 맞힐수는 없을거고 뼈나이 검사는 5만원이니 한번 해보세요. 성장판이 닫히고 있으면 지금 얼른 키를 키울 방법 생각하셔야하고 그게 아니라면 걱정하실거 없을 것 같아요
쩌기저별어디 병원인지 모르겠지만, 전 대학병원을 추천드립니다. 저도 대학병원에서 두 아들 치료하고 있구요.. 교차진료를 보시는 게 좋을 것 같아요
- 인프리
네.. 대학병원도 고민했는데 대기가 너무 길더라고요. 그 한달 넘게 기다리는 동안 때를 놓칠까 그게 고민되네요.
서원글의 압박이 느껴져요. 겨우 다 읽었네요.
- 인프리
저와 비슷한 고민이 있는게 아니시라면 다 안읽으셔도 되는데요. ㅎㅎ