正常生長
兒童如何成長?量度孩子身高Growth charts正常生長是怎樣的?甚麼是異常生長?孩子性別
影響生長的因素
甚麼會影響生長?Growth Hormone
兒童生長問題
身材矮小生長障礙生長激素缺乏症出生小於胎齡特納氐綜合症普瑞德威利症候群慢性腎病
營養及生活方式
營養睡眠體能活動
生長激素治療
治療選擇
生長激素常見問題
正常生長
兒童如何成長?量度孩子身高Growth charts正常生長是怎樣的?甚麼是異常生長?孩子性別
影響生長的因素
甚麼會影響生長?Growth Hormone
兒童生長問題
身材矮小生長障礙生長激素缺乏症出生小於胎齡特納氐綜合症普瑞德威利症候群慢性腎病
營養及生活方式
營養睡眠體能活動
生長激素治療
治療選擇
生長激素常見問題Downloads
Is growth hormone therapy safe for children?
Growth hormone therapy is a safe and effective treatment for children with growth hormone deficiency and other growth disorders causing short stature.

Significant side effects of growth hormone therapy may include headaches, nausea and vomiting, joint pain, and swelling in the hands and feet (oedema). However, these are very rare.16 If they do happen, your child’s doctor or nurse should be informed.

The most frequent side effects are skin reactions at the site of injection, such as pain, redness, swelling, itching and bruising.45 Repeated injections at the same site may cause lipoatrophy – a large deep depression or dimple as a result of damage to the underlying fatty tissue. To prevent this, rotate the injection sites for each injection so that the skin has time to heal properly.46
Why isn’t growth hormone therapy recommended for
idiopathic short stature?
The effectiveness of growth hormone therapy for idiopathic short stature (ISS) is controversial. Many doctors are divided as to whether children with ISS would benefit from growth hormone therapy.47 The response to treatment in children with ISS is highly variable, and those who do respond to treatment may only have modest gains in height (by an average of 4–6 cm only).27,48

Growth hormone therapy is expensive and works slowly over several years. The potential gains in height will need to be weighed against the considerable cost of treatment, which may exceed SGD 30,000 per year depending on dosage levels. For a 30kg child, the estimated cost is ~SGD 23,000 per 1 cm increase in height.48

If your child doesn’t qualify for growth hormone therapy, discuss your child’s options with your doctor. For some children, a growth plan focusing on lifestyle habits (healthy eating, sleeping and physical activity) does help. Others may require special interventions. Your doctor will be the best resource to answer your questions.
© 2024 Primary Care Education Foundation | 健康教育基金會
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Editorial oversight provided by Dr. Cheung Pik To. Specialist in Paediatric Endocrinology
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