٧ըԧ?

Ѩغѹǹ˭ͧ٧ ٧ ǹҡͧ١٧ҳ 6 ص 180 ૹ ººѺ͡Ҿ¹ǹ˭٧ʧӹҨ ѡɳǹ١٧ҳ 170 ૹ ººѺҧҧѡǹ˭˭ԧ٧ʹ

ҺҹҧԭԺ٧ӤѭҡԴ˹ еԭԺ¡ ÷ ͪ (growth hormone, GH) ҧ͡ҡͧ

ͪе״ͧд١ҧͧ٧

äҴͪѡԭԺ˭ǹ٧ҳ 120-140 ૹ ѡ˭٧

ҧçѹäͧͧ͡Դҧ ҡԴѡԭԺ˭ǹ٧ҳ 200-250 ૹ

٧ҧѹ

ѨӤѭ˹٧ͧ ѹء ҡǴ

Ѩ·ҧѹء ѨӤѭش ٧ͧѪ˹ѡҾ٧ͧ١

ҧ

٧ 165 ૹ ٧ 155 ૹ 㹡óշ١çԴ öӹdz٧ͧ١ѧ

١¨٧ = (165+155)/2 + 5.5 = 165.5 ૹ + 10

١Ǩ٧ = (165+155)/2 - 5.5 = 145.5 ૹ + 10

ѧͧҡѹ֧٧ҧѹҡ ͧҡѺ˹ѹǺ٧ҧѹ

Ѩҧ͡ѧ ѨӤѭҡѹ ҴԭԺ ˭ѡҾҧѹ

úǹԭԺѡҾ٧ͺ

ҧ ѧʧšԭԺ٧ͧҡ ٧ͧѧԡѹû ׺ͧҡѡҾҧѹҧѹ ѹ٧ͧҳ 5 ૹ ººѺ 20-30 ͹ ѧ˹Ѩغѹ֧ѡ٧ ѡ٧ԹѡҾ٧ͺ

Ǵ աѨ˹Ӥѭաѹ 4 Ĵ Ĵ͹ʧѴ ԭԺĴ˹˹١ʧͧҡʧӤѭҧԵԹͧҧ ԵԹӤѭԭԺͧд١ç

͡ҡäѨӤѭաС˹ äҴҧԴ ä ä äѺ äд١ äǹӤѭԭԺ

Ѩغѹöѧͪӹǹҡ ͧͧͧʡѴҡͧͧԵ͹͹

ͪ٧ͧ٧ѡҾҧѹ

šҴͪѺմ Ҵҳ 2-3 ͧҴҧҧ (GH secretory rate) ԭԺҧѴҧáͧͧѡ Ѵ ѵԭԺ Ŵŧ

٧˭ ѧѴ§͡ ͧҡǹ˭ͧѧشԭԺ ԧ ͪԭԺԴͧд١ д١Դ״ͧд١ա ѧͪҨŧ ٧˭ҨºѺѺѡҴ

֡ҡԵҧᾷ (Journal of Pediatrics) 2537 ҹѡҴͪӹǹ 15 ҹԴѹ 4-10 ԭԺ 4 áͧѡ ٧˭ҧѺ٧ѡҾҧѹ ҧѺ٧ӹdz͹ѡ ʴͪԭԺ д١Դ ͧҡǡѺ٧͹˭ѺѡͪѧҡйͧԴ 5-10 ֧Ѵ٧ҡ˹

Ѻͪ٧ҧ

ͧͧ͡ԴҧҡԴ٧ 200 ૹ ͧҡͪ͡ҧҳҡԺ ѧҡմͪҴ٧Ժ ٧ҧͧʧԴäá͹ҡдѺͪҧҡԹ äҹ ѹʹ٧ äд١ ˭ ä͡ѧ ֧٧äá͹ҧ

ԭԺ

(sex teroids) ˭ԧ-ਹ (estrogen) -ù (testosterone) ԭԺҧǧ˹

˭ԧеͪ ед١״͡ ֧ҡ

˵ͧǧ 9-15 ˹ ѡѵͺ ˹ ҧ Ш͹á 16 ˹ 18 ˹Դ شԭԺ˭٧

ҧѭҧԵҡ ׺ͧҡ˹Ԩóҳ ҹ 3-6 ͹ ѡҡ 13-14 еҧ˹

ѡɳ¹ҵд١Դ ٧˭ ٧͹˭Ŵŧ ͪԭԺ ٧شҡ

ҧ

ѡԪҡª еҡ Թҡ ԭԺҧѴਹ Ѻ˹ ҧҡ ˹͹ ҧ ҧ 3 Ǻ ҧ 4 Ǻ ͡ҡԭԺͧд١Դд١Դ͹˹ شԭԺҧҹ٧͹ ֧˭

ҡ٧ҧ

ҡ͡٧ͧªҵ ͧѨҵöѺ¹ԭԺ٧شѡҾ

ѨӤѭ ԭԺҧҡ ͧҳ§ سҾúǹ ԹõչԭԺԹõչ

ԹԵѳ Ӥѭͧ д١ԭԺ˹ҡԹ

Ѩաҧ˹Ӥѭҡ͡ѧҧ ͡ҡآҾç ѧͪ

Ѩش͹Ѻ ͪ͡ҡѺʹԷ Ѻ ͪ͡ҡ ѧ֧ѺĵԡԹ ͡ѧ ͹ѺԭԺѡҾ٧ͧ е鹨ҡ͡ҧ

ѭͪ

ͪѨغѹ§Ըմ˹ѧѹФ駡͹͹ մзشԭԺд١Դ ѧѡ֧ͧմԴѹ ѭӤѭմءѹҨҧҹԵ ͡ҡҤ٧ҡ ҳ 2 - 5 ʹҷ شѭѧͺ ѧ§͡ ͧҡѧҹ֧ 10

ػ

٧ԧ Ҵ٧ ǹҴ ͧԴ֡ԨͪҴʹ٧ҡ˹ Դ
⪤Ѳ, Ѳ 2540 ͪǺҹ 19(219) : 12-16