On January 7, 2021, Ning Ning, a 10-year-old boy who was in fifth grade in Harbin, was diagnosed with severe fatty liver by a doctor. Upon hearing this disease, Dad Ningning was shocked: “Isn’t this an adult disease? And it is easy for people who drink often! Will it be misdiagnosed?” So he went to another hospital for examination, and the result was “the same. of”.
According to media reports, a 7-year-old child in Wuhan suffered from renal failure, and a 20-year-old girl from Harbin suffered from cerebral hemorrhage… Then the topic of a younger age of adult disease caused heated discussions and vigilance among parents.
In this regard, the reporter visited a number of hospitals and physical examination centers in Harbin from January 11 to 21. After interviews and investigations with many experts, parents, and children, it was found that the increasing number of adult diseases and younger age is shocking, but Some parents don’t take the children’s physical examination seriously, and it is difficult to find professional children’s physical examination packages in the medical market.
Hard-to-find medical check-up packages for children in the medical market
Since knowing that Ningning had severe fatty liver, Ningning’s father regretted it. He told reporters: “Children usually have symptoms of loss of appetite, fatigue, and nausea. I thought it was caused by pressure in studies or crazy play. A boy should not be so hypocritical. I did not expect it to be caused by disease. If you give it every year Children undergoing an individual examination will prevent minor illnesses from developing into serious illnesses…”
In line with the idea of early detection, early diagnosis, and early treatment, some parents wanted to give their children a comprehensive physical examination during the holiday, but they found the medical market. The medical examination center in Shanghai, as well as some major hospitals, do not have professional medical examination packages for children.
The reporter investigated more than 10 physical examination centers in Harbin and found that the physical examination items launched were all aimed at adults or the elderly. Among them are “entry physical examination, basic physical examination, physical examination for young and middle-aged people, and elderly physical examination”, “caring for elites, urban beauties, and grateful parents” packages, and packages for “entertainment people, smokers, wealthy people, pre-marital people, tumor people”, etc. There are so many varieties and names, but there is no children’s physical examination package.
Dr. Zhao of the Bingcheng Medical Examination Center told reporters: “The medical examination for children under 14 can be customized according to the content of the adult medical examination.” The staff of the Elizabeth Medical Examination Center told reporters: “The project can be selected according to the adult package.” Zhiyuantang Children A staff member of the Health Management Center said: “There are only Chinese medicine diagnosis, no physical examination items.”
Ms. Huang, who lives in Honglang Garden District, told reporters: “In early January, my father was hospitalized in the Second Hospital of Harbin Medical University. Her daughter has an individual examination, and the result of consultation is that the hospital does not have a children’s physical examination package.” The staff advised her that if the child is found to be abnormal, she can go to the pediatrics or related departments for treatment. Ms. Huang said: “Physical examination is a preventive measure for early disease prevention, early screening, and early treatment. When there is an obvious abnormality, it will be delayed if you see a doctor…” The
reporter then went to the First Hospital of Harbin Medical University, the Second Hospital of Harbin Medical University, and the Provincial Hospital. The center’s inquiries, the answer is that there is no children’s physical examination package.
An unnamed medical worker told reporters: “Because these major hospitals have a large number of outpatients and inpatients, they usually come for treatment. The medical examination centers are mostly responsible for adult group medical examinations such as company employees and civil servants. , Children who want to check can only go to the pediatrics and other related departments to see a doctor.”
The reporter came to the physical examination center of Harbin Children’s Hospital. As soon as he entered the door, the decoration of cartoon pictures made people feel childlike and warm. The reporter saw the children’s package price list presented by the staff. According to the different physical examination items, it is divided into three types: A, B, and C. Among them, the package price for children aged 2 to 6 ranges from 776.7 yuan to 1671.1 yuan; the package price for children aged 6 to 18 ranges from 728.5 yuan to 2582.2 yuan.
In an interview with reporters, Chen Yanping, director of the Health Care Department and Physical Examination Department of Harbin Children’s Hospital, emphasized: “Children are not a reduced version of adults. Children’s physical examination involves monitoring of growth, intelligence, and psychological behavior, which cannot be replaced by adult physical examination.”
Some parents In this regard, it is hoped that private and public hospitals in society can launch professional medical examination packages for children and form multi-point competition, so that services, facilities, prices and other aspects can be optimized and more scientific.
These adult diseases are getting younger
In the past few days, the reporter interviewed several pediatric experts, including Cui Lanwei, chief physician of the Department of Pediatrics of Harbin Medical University;
Experts said that the phenomenon of aging of adult diseases is shocking, such as fatty liver, diabetes, high blood pressure, hyperlipidemia, cervical spondylosis, obesity, depression, insomnia, etc. These adult diseases are at full capacity and are becoming super-fast. Therefore, regular physical examinations for children cannot be ignored.
In the diet, animal foods such as oil and meat have increased, and coarse grains and cereal foods have decreased. In particular, children prefer cakes and beverages. The age of onset of diabetes is significantly earlier than that of more than a decade ago. Children aged 10 to 14 are dying of diabetes. Peak period.
Cervical spondylosis in children
Cervical spondylosis is mostly caused by incorrect posture at desk for a long time, leading to disorder of the cervical spine joints, which is more common in people aged 30 to 40. However, today’s children love to surf the Internet and study excessively at desk, resulting in a younger age of cervical spondylosis.
Children with stomach problems
As children often eat mala Tang, barbecue, instant noodles, fried foods, snacks and other foods, more and more infants suffer from stomach problems and gastric ulcers. The youngest child in actual cases is only 10 years old.
Children’s nightlife syndrome
At the same time, nearly one-third of children currently have symptoms of adult nightlife syndrome, and sleep problems have become one of the most frequently asked questions from parents in the pediatric clinic of the hospital.
Obese children are one of the “main force” in pediatric clinics. It is reported that six national departments recently issued the “Implementation Plan for the Prevention and Control of Obesity in Children and Adolescents.” In the current situation of overweight and obesity rates among children and adolescents in various regions, Heilongjiang Province belongs to the “high-prevalence area.”
Dr. Cui Lanwei said that the 15-year-old girl Tongtong is 1.65 meters tall and weighs 200 kilograms. The examination results showed that a number of blood lipid indicators such as total cholesterol were significantly increased, and serum insulin was severely exceeded, and symptoms caused by metabolic problems such as steatohepatitis, insulin resistance, and black acanthus were also found. The reason is mainly caused by obesity. It wasn’t until the menstrual disorder appeared in the past six months that Tongtong had aggravated hair, and the neck and armpits turned black, that the parents were a little worried. After examination, it was found that Tongtong suffered from polycystic ovary syndrome, metabolic syndrome, fatty liver and other diseases.
According to Dr. Guo Meijie, obesity is a state in which the volume of collective fat increases due to the imbalance of energy metabolism, excessive food intake and/or insufficient energy consumption. Often accompanied by varying degrees of dyslipidemia, hyperinsulinemia and insulin resistance, it is one of the most important risk factors for type 2 diabetes and cardiovascular disease. Children with obesity may snor during sleep and even suffer from sleep obstructive apnea. In addition, there are often bone metabolism problems, prone to osteoporosis, fractures, knee valgus, knee varus, O-legs, etc.; it is also often accompanied by sexual development problems, such as early puberty and precocious puberty. Missing the best treatment period will regret for life.
Why does Bao Mom and Dad “have a big heart”?
Although the problem of adult disease and younger age is getting more and more serious, it still has not attracted enough attention from parents. What are the reasons? The reporter’s investigation found that there are the following four reasons.
A: Rely on school physical examination
Dong Pingping, a parent of a second-year student in a middle school in Harbin, told reporters: “Children undergo physical examinations at school every year from elementary school to middle school. If the child has no obvious symptoms, there is no need to undergo a separate physical examination.” The
reporter learned that the school physical examination is only right. Routine examinations for height, weight, vision, oral cavity, etc., no blood routine, urine routine, B-ultrasound and other inspection items. For diseases such as diabetes and precocious puberty, basic physical examination alone cannot be detected.
B: Lack of medical knowledge
Dr. Guo Meijie told reporters that in September last year, an eight-and-a-half-year-old girl went to the Children’s Hospital for menstruation. If she came to see her when her breasts were growing, and intervened in time for precocious puberty, the current situation would not happen.
Similar to this kind of parents who lack medical knowledge and common sense, and do not pay attention to observe the physical changes of the children, there are many children who cause minor illnesses to serious illnesses.
C: There is a misunderstanding about obesity
For children with obesity symptoms, many parents believe that children in adolescence can eat, grow greedy, and are overweight, which is a normal growth phenomenon for children.
Dr. Guo Meijie told reporters: “In clinical practice, we adopt the’height-weight method’ as the criterion for judging obesity, that is, 20% of the weight exceeding the same sex, age and height-weight standard is obese; mild ≥ 20%, moderate ≥ 30%, severe ≥40%, extremely severe ≥60%.”
The young age of adult diseases is shocking, such as fatty liver, diabetes, high blood pressure, hyperlipidemia, cervical spondylosis, obesity, depression, insomnia, etc. These adult diseases are on full swing and are becoming super-fast, so children’s diseases are undergoing regular checkups. Can not be ignored.
D: Lack of awareness of disease prevention
Many parents believe that children do not have to worry if they have no obvious abnormal symptoms. Medical experts said that parents lack the awareness of treating the disease, and even if they are asymptomatic, they should undergo necessary physical examinations every year.
The reporter’s investigation found that some treasure parents pay more attention to the physical development of their children before they go to school; after entering school, especially at the junior and high school stages, their attention often shifts to their children’s studies and ignores physical health issues. In addition, parents have difficulty controlling their children’s diet at school, and they rush to seek medical attention only when symptoms appear, often missing the best time for treatment.
Scientific physical examination and medical intervention
”Youth is strong, the country is strong.” Children’s health is related to the happiness of the family and the future of the motherland. Nowadays, medical experts are helping children’s health one after another.
Reporter: How to prevent the aging trend of adult diseases?
Wang Xiuzhen , Chief Physician of the Department of Traditional Chinese Medicine of Harbin Qunli Home Community Health Service Center: First, schools and parents should promote balanced and scientific diets to their children, and guide young people to develop healthy eating habits. They should eat scientifically and properly control their diets. According to the child’s individual situation, scientifically customize three meals, eat more vegetables, eliminate junk food, and prevent diseases from being imported; secondly, reduce the time for children to watch TV, play computers, and play mobile phones, increase outdoor activities, strengthen physical exercise, and ensure adequate Sleep, improve immunity; again, children should be checked regularly to avoid adult diseases and chronic diseases, early detection, early diagnosis, and early treatment.
Reporter: What are the characteristics of children’s growth and development?
Gao Jiaai, deputy chief physician of the Department of Gynecology, Heilongjiang Academy of Chinese Medical Sciences: Children’s sexual development, growth and development, and psychological and behavioral development are a dynamic and intersecting process, which varies from person to person, with different light and dark. It can be said that there is a small change every 3 months and a big change every 6 months. Therefore, continuous scientific physical examinations and medical interventions should be carried out for children. The whole society should pay attention to the physical and mental health of children. Some children have kidney failure before they reach adulthood, and their blood pressure is high at the age of twelve or thirteen, which is distressing.
Reporter: What are the necessary physical examinations for children?
Chen Yanping, Director of the Health Care Department and Physical Examination Department of Harbin Children’s Hospital: For preschool children aged 0 to 6, the main focus is on growth and development testing, including height, weight, head circumference, chest circumference, etc.; for children over 6 years old, more attention should be paid In addition to continuous monitoring of growth and development index, children over 10 years of age should also undergo blood routine, urine routine, liver, gallbladder, spleen and kidney B-ultrasound, electrocardiogram, genital development, and trace element tests. In addition, it is necessary to monitor intelligence and psychological behavior, including the evaluation and judgment of children’s growth and development indicators, and the detection of children’s hyperactivity, tics, autism and developmental delays and other developmental behavioral diseases.
Reporter: How to promote the whole society to pay attention to children’s health?
Wang Weiming, member of the National Committee of the Chinese People’s Political Consultative Conference and vice president of the Heilongjiang Academy of Chinese Medical Sciences: If we do not pay attention to health problems in childhood, we will further increase the burden on society in the future, and the social medical system will inevitably pay for it in the middle and old ages. Therefore, we should attach great importance to the universal education of children’s health and include student physical education in the evaluation indicators; introduce restrictive regulations for the scientific diet and use of electronic products for minors, and clarify the respective responsibilities of parents, schools, and related enterprises; according to the law of growth and development In response to the aging trend of adult diseases, optimize the mode and content of children’s physical health monitoring; incorporate children’s physical examination into the public health service system, and build a big data platform and data sharing system for children’s physical health monitoring and prevention.