Author/Editor		Drobež, Janja
Title		Pristop k obravnavi subnormalne rasti na nivoju osnovnega zdravstvenega varstva otrok in mladine
Translated title		Subnormal growth - a diagnostic approach at the primary care setting
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 40, št. Suppl
Publication year		2001
Volume		str. 181-96
Language		slo
Abstract		Primary care physician involved in pediatrics daily evaluates growth of children and adolescents. Subnormal growth should not be neglected or underevaluated. Identifity growth disorders is important for several reasons: disordered growth may be a sign of serious disease; identified causes of short stature may be eliminated or treated and normal growth restored; serious growth impairment, either untreated or untreatable, represents a major handicap and has a devastating effects on the quality of life. Types of subnormal growth are listed and briefly discussed and diagnostic approach at the primary care setting introduced. Importance of meticulous history, physical examination, anthropometric measurements and proper interpretation of growth pattern is emphasised. Guidelines for laboratory investigations are proposed. Diagnostic algorithm suitable for primary care setting based only on history, and physical examination is introduced. Majority of patients exhibiting subnormal growth should be reffered to the specialist in the clinical setting. Treatement with growth hormone and other therapeutic modalities are presented.
Summary		Zdravnik v osnovnem zdravstvenem varstvu otrok in mladine se vsak dan srečuje s problematiko rasti otrok in mladostnikov. Odkrivanje subnormalne rasti; je pomembno iz več razlogov subnormalna rast je lahko znak resne bolezni; odpravljan je njenih vzrokov ali vzročno zdravljenje lahko vzpostavi normalno rast; nezdravljena ali neozdravljiva subnormalna rast predstavlja resno psihosocialno motnjo in bistveno zmanjšuje kvaliteto življenja. Predstavljene so vrste subnormalne rasti in diagnostični pristop na nivoju osnovnega zdravstvenega varstva, poudarjen je pomen natančne anamneze, fizikalnega pregleda, antropometričnih meritev in interpretac je rastnega vzorca, podan pa je tudi predlog za laboratorijske preiskave pri opredeljevanju vzroka subnormalne rasti, ki so izvedljive na nivoju osnovnega zdravstvenega varstva. Izdelan je diagnostični algoritem obravnave subnormalne rasti, primeren za osnovno zdravstveno varstvo, ki temelji le na anamnezi in kliničnem statusu. Velika večina bolnikov s subnormalno rastjo potrebuje diagnostično obravnavo v klinični ustanovi. V članku so omenjene možnosti zdravljenja subnormalne rasti s posebnim poudarkom na zdravljenju z rastnim hormonom.
Descriptors		CHILD DEVELOPMENT DWARFISM SCHOOL HEALTH SERVICES HEALTH SURVEYS CHILD ADOLESCENCE MEDICAL HISTORY TAKING PHYSICAL EXAMINATION DWARFISM, PITUITARY SOMATOTROPINS, RECOMBINANT