{"id":3866,"date":"2018-08-22T23:55:47","date_gmt":"2018-08-22T16:55:47","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/08\/22\/huong-dan-danh-gia-tang-truong-cua-tre\/"},"modified":"2024-04-23T15:34:18","modified_gmt":"2024-04-23T08:34:18","slug":"huong-dan-danh-gia-tang-truong-cua-tre","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/huong-dan-danh-gia-tang-truong-cua-tre\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn \u0111\u00e1nh gi\u00e1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a tr\u1ebb"},"content":{"rendered":"<h2 style=\"text-align: justify\">B\u1ea1n c\u1ea7n ph\u00e2n bi\u1ec7t t\u0103ng tr\u01b0\u1edfng v\u00e0 ph\u00e1t tri\u1ec3n<\/h2>\n<p style=\"text-align: justify\"><strong>T\u0103ng tr\u01b0\u1edfng<\/strong> \u0111\u01a1n thu\u1ea7n l\u00e0 s\u1ef1 l\u1edbn l\u00ean (v\u1ec1 l\u01b0\u1ee3ng), c\u00e1c ch\u1ec9 s\u1ed1 th\u00f4ng d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u0103ng tr\u01b0\u1edfng l\u00e0 chi\u1ec1u cao, c\u00e2n n\u1eb7ng v\u00e0 v\u00f2ng \u0111\u1ea7u \u2026. S\u1ef1 t\u0103ng tr\u01b0\u1edfng ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a \u0111\u1ee9a b\u00e9, c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft v\u00e0 c\u00e1c b\u1ec7nh m\u1ea1n t\u00ednh.<\/p>\n<p style=\"text-align: justify\"><strong>Ph\u00e1t tri\u1ec3n<\/strong> l\u00e0 s\u1ef1 ho\u00e0n thi\u1ec7n v\u1ec1 ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan (v\u1ec1 ch\u1ea5t), v\u00ed d\u1ee5 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u00e3o b\u1ed9 th\u00f4ng qua kh\u1ea3 n\u0103ng ng\u00f4n ng\u1eef, k\u0129 n\u0103ng giao ti\u1ebfp x\u00e3 h\u1ed9i, k\u0129 n\u0103ng v\u1eadn \u0111\u1ed9ng tinh x\u1ea3o \u2026.<\/p>\n<p style=\"text-align: justify\"><strong>T\u0103ng Tr\u01b0\u1edfng v\u00e0 Ph\u00e1t Tri\u1ec3n<\/strong> \u0111\u1ed3ng h\u00e0nh c\u00f9ng nhau v\u00e0 c\u00f3 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd. M\u1ed9t Tr\u1ebb b\u1ecb suy dinh d\u01b0\u1ee1ng n\u1eb7ng ch\u1eafc ch\u1eafn s\u1ebd ch\u1eadm ph\u00e1t tri\u1ec3n tinh th\u1ea7n ng\u01b0\u1ee3c l\u1ea1i 1 tr\u1ebb ch\u1eadm ph\u00e1t tri\u1ec3n t\u00e2m th\u1ea7n (b\u1ec7nh Down..\u00a0 th\u00ec c\u0169ng c\u00f3 nh\u1eefng r\u1ed1i lo\u1ea1n v\u1ec1 t\u0103ng tr\u01b0\u1edfng, nh\u01b0 th\u1eeba c\u00e2n.<\/p>\n<p style=\"text-align: justify\">B\u00e0i n\u00e0y ch\u1ec9 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn s\u1ef1 t\u0103ng tr\u01b0\u1edfng b\u00ecnh th\u01b0\u1eddng \u1edf tr\u1ebb kh\u1ecfe m\u1ea1nh, t\u1ea5t c\u1ea3 c\u00e1c con s\u1ed1 ch\u1ec9 l\u00e0 con s\u1ed1 trung b\u00ecnh (c\u00f3 t\u00ednh ch\u1ea5t tham kh\u1ea3o) n\u1ebfu con b\u1ea1n l\u1ec7ch xa kh\u1ecfi con s\u1ed1 trung b\u00ecnh h\u00e3y t\u1edbi g\u1eb7p b\u00e1c s\u0129.<\/p>\n<p style=\"text-align: justify\">\u0110\u1ed1i v\u1edbi tr\u1ebb sinh \u0111\u00f4i, th\u01b0\u1eddng sau sinh ch\u00fang s\u1ebd t\u0103ng tr\u01b0\u1edfng m\u1ea1nh h\u01a1n tr\u1ebb sinh m\u1ed9t, m\u1eb7c d\u00f9 v\u1eady cho \u0111\u1ebfn n\u0103m 2.5 tu\u1ed5i c\u00e1c ch\u1ec9 s\u1ed1 c\u1ee7a ch\u00fang c\u00f3 th\u1ec3 v\u1eabn nh\u1ecf h\u01a1n tr\u1ebb sinh 1, tuy nhi\u00ean \u0111\u1ebfn 4 tu\u1ed5i ch\u00fang s\u1ebd b\u1eaft k\u1ecbp tr\u1ebb sinh 1.<\/p>\n<h2 style=\"text-align: justify\">\u0110\u1ea7u ti\u00ean tr\u1ebb t\u0103ng c\u00e2n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p style=\"text-align: justify\"><strong>Tr\u1ebb m\u1edbi sinh<\/strong> s\u1ebd m\u1ea5t 10 % tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3, khi \u0111\u01b0\u1ee3c 10- 14 ng\u00e0y tu\u1ed5i c\u00e2n n\u1eb7ng s\u1ebd ph\u1ee5c h\u1ed3i l\u1ea1i nh\u01b0 l\u00fac m\u1edbi sinh (s\u1ee5t c\u00e2n sinh l\u00fd)<\/p>\n<p style=\"text-align: justify\"><strong>3 th\u00e1ng \u0111\u1ea7u ti\u00ean<\/strong>: trung b\u00ecnh t\u0103ng 30 gam\/ ng\u00e0y (900 gam\/ th\u00e1ng)<\/p>\n<p style=\"text-align: justify\"><strong>3 th\u00e1ng ti\u1ebfp theo:<\/strong> 20 gam\/ ng\u00e0y (600gram\/ th\u00e1ng)<\/p>\n<p style=\"text-align: justify\"><strong>T\u1eeb 6-12 th\u00e1ng tu\u1ed5i<\/strong>: 10 gam\/ ng\u00e0y (300gram\/ th\u00e1ng)<\/p>\n<p style=\"text-align: justify\">Th\u01b0\u1eddng th\u00ec c\u00e2n n\u1eb7ng c\u1ee7a tr\u1ebb s\u1ebd t\u0103ng g\u1ea5p \u0111\u00f4i khi sinh l\u00fac tr\u1ebb \u0111\u01b0\u1ee3c 4 th\u00e1ng v\u00e0 g\u1ea5p 3 l\u00fac tr\u1ebb tr\u00f2n 1 tu\u1ed5i.<\/p>\n<p style=\"text-align: justify\"><strong>T\u1eeb 2 tu\u1ed5i \u0111\u1ebfn khi d\u1eady th\u00ec<\/strong> trung b\u00ecnh m\u1ed7i n\u0103m tr\u1ebb ch\u1ec9 t\u0103ng 2 kg.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu tr\u1ebb \u1edf tu\u1ed5i ti\u1ec1n d\u1eady th\u00ec t\u0103ng d\u01b0\u1edbi 1 kg\/ n\u0103m c\u1ea7n theo d\u00f5i s\u00e1t, c\u00f3 th\u1ec3 l\u00e0 do thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng.<\/p>\n<p style=\"text-align: justify\"><strong>L\u01b0u \u00fd:<\/strong> tr\u1ebb b\u00fa m\u1eb9 th\u01b0\u1eddng t\u0103ng c\u00e2n r\u1ea5t nhanh trong 3 th\u00e1ng \u0111\u1ea7u \u0111\u1eddi, t\u0103ng nhanh h\u01a1n so v\u1edbi tr\u1ebb b\u00fa s\u1eefa c\u00f4ng th\u1ee9c. Nh\u01b0ng sau 3-4 th\u00e1ng th\u00ec tr\u1ebb b\u00fa s\u1eefa c\u00f4ng th\u1ee9c s\u1ebd t\u0103ng c\u00e2n nhi\u1ec1u h\u01a1n. T\u1eeb 12- 23 th\u00e1ng tu\u1ed5i kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa 2 nh\u00f3m tr\u1ebb n\u00e0y.<\/p>\n<h2 style=\"text-align: justify\">T\u1ed1c \u0111\u1ed9 ph\u00e1t tri\u1ec3n chi\u1ec1u cao\/ d\u00e0i c\u1ee7a tr\u1ebb b\u00ecnh th\u01b0\u1eddng<\/h2>\n<ul style=\"text-align: justify\">\n<li>Chi\u1ec1u d\u00e0i trung b\u00ecnh l\u00fac sinh c\u1ee7a tr\u1ebb l\u00e0 50 cm<\/li>\n<li>Tr\u1ebb s\u1ebd d\u00e0i th\u00eam \u0111\u01b0\u1ee3c 25 cm trong n\u0103m \u0111\u1ea7u ti\u00ean<\/li>\n<li>Th\u00eam 10 cm n\u1eefa trong n\u0103m th\u1ee9 2<\/li>\n<li>7.5 cm\/ n\u0103m v\u1edbi tr\u1ebb t\u1eeb 24- 48 th\u00e1ng<\/li>\n<li>Tr\u1ebb s\u1ebd \u0111\u1ea1t \u0111\u01b0\u1ee3c \u00bd chi\u1ec1u cao l\u00fac tr\u01b0\u1edfng th\u00e0nh khi tr\u1ebb 24- 30 th\u00e1ng tu\u1ed5i<\/li>\n<li>T\u1eeb 4 tu\u1ed5i \u0111\u1ebfn khi d\u1eady th\u00ec tr\u1ebb ch\u1ec9 cao th\u00eam trung b\u00ecnh 5 cm \/ n\u0103m<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Th\u01b0\u1eddng th\u00ec 2 n\u0103m \u0111\u1ea7u \u0111\u1eddi, \u0111\u01b0\u1eddng cong bi\u1ec3u di\u1ec5n chi\u1ec1u cao c\u1ee7a tr\u1ebb kh\u00f4ng \u1ed5n \u0111\u1ecbnh, v\u00e0 kh\u00f4ng s\u00e1t v\u1edbi \u0111\u01b0\u1eddng cong di truy\u1ec1n c\u1ee7a tr\u1ebb. Ch\u1ec9 2\/3 tr\u1ebb c\u00f3 \u0111\u01b0\u1eddng con \u1ed5n \u0111\u1ecbnh 1\/3 c\u00f2n l\u1ea1i bi\u1ebfn \u0111\u1ed5i l\u00ean xu\u1ed1ng. t\u1eeb 2-9 tu\u1ed5i tr\u1ebb t\u00ecm \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng cong chi\u1ec1u cao di truy\u1ec1n c\u1ee7a m\u00ecnh v\u00e0 \u0111\u01b0\u1eddng cong \u0111\u00f3 \u1ed5n \u0111\u1ecbnh, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u00ean \u0111o\u00e1n chi\u1ec1u cao c\u1ee7a tr\u1ebb khi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n<p style=\"text-align: justify\">\u1ede giai \u0111o\u1ea1n ti\u1ec1n d\u1eady th\u00ec (sau 9 tu\u1ed5i) s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a tr\u1ebb kh\u00f4ng \u1ed5n \u0111\u1ecbnh, c\u00f3 nh\u1eefng giai \u0111o\u1ea1n nh\u1ea3y v\u1ecdt xen k\u1ebd nh\u1eefng giai \u0111o\u1ea1n t\u0103ng tr\u01b0\u1edfng ch\u1eadm.<\/p>\n<h2 style=\"text-align: justify\">D\u1ef1 \u0111o\u00e1n chi\u1ec1u cao c\u1ee7a tr\u1ebb khi tr\u01b0\u1edfng th\u00e0nh<\/h2>\n<p style=\"text-align: justify\">D\u1ef1a v\u00e0o chi\u1ec1u cao ti\u1ec1m n\u0103ng suy ra t\u1eeb chi\u1ec1u cao trung b\u00ecnh c\u1ee7a cha m\u1eb9 (mildparent height) v\u00e0 d\u1ef1a v\u00e0o chi\u1ec1u cao d\u1ef1 ki\u1ebfn (project height)<\/p>\n<h3 style=\"text-align: justify\">C\u00e1ch t\u00ednh chi\u1ec1u cao ti\u1ec1m t\u0103ng d\u1ef1a tr\u00ean chi\u1ec1u cao ba m\u1eb9<\/h3>\n<ul style=\"text-align: justify\">\n<li>Con trai: (chi\u1ec1u cao cha + chi\u1ec1u cao m\u1eb9 + 13): 2<\/li>\n<li>Con g\u00e1i: (chi\u1ec1u cao cha + chi\u1ec1u cao m\u1eb9 &#8211; 13): 2<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\u0110\u1ed9 ch\u00eanh l\u1ec7ch l\u00e0 +- 8.5 cm<\/p>\n<p style=\"text-align: justify\"><strong>V\u00ed d\u1ee5<\/strong> cha cao 170 cm, m\u1eb9 cao 160 cm th\u00ec chi\u1ec1u cao ti\u1ec1m n\u0103ng c\u1ee7a con g\u00e1i l\u00e0:<\/p>\n<p style=\"text-align: center\">(170 + 160- 13): 2 = 158.5 +- 8.5 cm (150 \u2013 167 cm)<\/p>\n<p style=\"text-align: justify\">R\u00f5 r\u00e0ng s\u1ef1 ch\u00eanh l\u1ec7ch l\u00e0 r\u1ea5t l\u1edbn n\u00ean d\u00f9ng c\u00f4ng th\u1ee9c n\u00e0y \u0111\u1ec3 t\u00ednh h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 \u00fd ngh\u0129a g\u00ec, v\u00ec v\u1eady ch\u00fang ta ph\u1ea3i d\u00f9ng th\u00eam 1 ch\u1ec9 s\u1ed1 n\u1eefa l\u00e0 chi\u1ec1u cao d\u1ef1 ki\u1ebfn (project height).<\/p>\n<h3 style=\"text-align: justify\">Project height<\/h3>\n<p style=\"text-align: justify\">Sau 2 tu\u1ed5i, ch\u00fang ta \u0111o chi\u1ec1u cao cho tr\u1ebb \u00edt nh\u1ea5t l\u00e0 6 th\u00e1ng 1 l\u1ea7n. sau \u0111\u00f3 v\u1ebd l\u00ean 1 \u0111\u01b0\u1eddng cong bi\u1ec3u di\u1ec5n chi\u1ec1u cao c\u1ee7a tr\u1ebb, \u0111\u1ec3 bi\u1ebft xem chi\u1ec1u cao c\u1ee7a tr\u1ebb s\u1ebd \u0111i theo k\u00eanh n\u00e0o 9 k\u00eanh 5,10,25\u2026.) sau \u0111\u00f3 ta r\u00e0 theo k\u00eanh \u0111\u00f3 cho \u0111\u1ebfn n\u0103m tr\u1ebb 18-20 tu\u1ed5i th\u00ec s\u1ebd bi\u1ebft tr\u1ebb cao bao nhi\u00eau. Chi\u1ec1u cao d\u1ef1 \u0111o\u00e1n c\u1ee7a tr\u1ebb ph\u1ea3i n\u1eb1m trong gi\u1edbi h\u1ea1n chi\u1ec1u cao ti\u1ec1m n\u0103ng th\u00ec m\u1edbi \u0111\u00fang, n\u1ebfu kh\u00f4ng l\u00e0 c\u00f3 b\u1ea5t th\u01b0\u1eddng.<\/p>\n<h2 style=\"text-align: justify\">S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a v\u00f2ng \u0111\u1ea7u.<\/h2>\n<p style=\"text-align: justify\">\u0110o chu vi v\u00f2ng \u0111\u1ea7u l\u00e0 1 vi\u1ec7c r\u1ea5t quan tr\u1ecdng \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i v\u00ec n\u00f3 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u00e3o v\u00e0 ph\u00e1t hi\u1ec7n 1 s\u1ed1 b\u1ec7nh l\u00fd: t\u1eadt \u0111\u1ea7u nh\u1ecf hay n\u00e3o \u00fang th\u1ee7y \u2026.<\/p>\n<p style=\"text-align: justify\">L\u00fac sinh trung b\u00ecnh chu vi \u0111\u1ea7u c\u1ee7a tr\u1ebb l\u00e0 35 cm (l\u1edbn h\u01a1n 1-2 cm so v\u1edbi v\u00f2ng ng\u1ef1c)<\/p>\n<p style=\"text-align: justify\">Trong n\u0103m \u0111\u1ea7u \u0111\u1eddi trung b\u00ecnh v\u00f2ng \u0111\u1ea7u m\u1ed7i th\u00e1ng t\u0103ng th\u00eam 1 cm, tuy nhi\u00ean n\u00f3 t\u0103ng m\u1ea1nh h\u01a1n trong 6 th\u00e1ng \u0111\u1ea7u. c\u00f3 th\u1ec3 t\u1edbi 2 cm trong th\u00e1ng \u0111\u1ea7u ti\u00ean v\u00e0 th\u00e1ng th\u1ee9 4 c\u00f3 th\u1ec3 t\u0103ng th\u00eam 6 cm \u2018<br \/>\nTh\u01b0\u1eddng th\u00ec v\u00f2ng \u0111\u1ea7u c\u1ee7a tr\u1ebb s\u1ebd \u1ed5n \u0111\u1ecbnh khi tr\u1ebb \u0111\u01b0\u1ee3c 4 tu\u1ed5i.<\/p>\n<h2 style=\"text-align: justify\">M\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 quan tr\u1ecdng<\/h2>\n<h3 style=\"text-align: justify\"><strong>Ch\u1ec9 s\u1ed1 cao\/ tu\u1ed5i<\/strong><\/h3>\n<p style=\"text-align: justify\"><strong>Ch\u1ec9 s\u1ed1 cao\/ tu\u1ed5i<\/strong> \u0111\u00e1nh gi\u00e1 xem tr\u1ebb c\u00f3 l\u00f9n kh\u00f4ng, c\u00f3 qu\u00e1 cao kh\u00f4ng. \u0110\u00f4i khi qu\u00e1 cao c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh tuy\u1ebfn y\u00ean.<\/p>\n<h3 style=\"text-align: justify\"><strong>Ch\u1ec9 s\u1ed1 cao\/ tu\u1ed5i<\/strong><\/h3>\n<p style=\"text-align: justify\"><strong>Ch\u1ec9 s\u1ed1 n\u1eb7ng\/ d\u00e0i<\/strong> (\u1edf tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i) v\u00e0 BMI \u1edf tr\u1ebb tr\u00ean 2 tu\u1ed5i gi\u00fap \u0111\u00e1nh gi\u00e1 t\u01b0\u01a1ng quan c\u00e2n n\u1eb7ng v\u00e0 chi\u1ec1u cao, ngh\u0129a l\u00e0 \u0111\u1ec3 bi\u1ebft c\u01a1 th\u1ec3 tr\u1ebb c\u00f3 c\u00e2n \u0111\u1ed1i hay kh\u00f4ng. t\u1eeb \u0111\u00f3 bi\u1ebft \u0111\u01b0\u1ee3c tr\u1ebb thi\u1ebfu c\u00e2n hay th\u1eeba c\u00e2n.<\/p>\n<h2 style=\"text-align: justify\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/795177330679789\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/795177330679789<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u0103ng tr\u01b0\u1edfng l\u00e0 s\u1ef1 t\u0103ng l\u00ean v\u1ec1 chi\u1ec1u cao, c\u00e2n n\u1eb7ng, &#8230;ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft v\u00e0 c\u00e1c b\u1ec7nh m\u1ea1n t\u00ednh c\u1ee7a tr\u1ebb.<\/p>\n","protected":false},"author":14,"featured_media":3868,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5574,5575,4380],"series":[3454],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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