{"id":2502,"date":"2022-06-12T17:55:09","date_gmt":"2022-06-12T14:55:09","guid":{"rendered":"https:\/\/ladisten.com\/?p=2502"},"modified":"2022-08-01T18:50:31","modified_gmt":"2022-08-01T15:50:31","slug":"zaderzhka-rosta-u-detej","status":"publish","type":"post","link":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/","title":{"rendered":"Growth Retardation (Delayed Growth)"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If the bone age does not correspond to the biological age, this gives reason to diagnose growth retardation. Short stature manifests itself in millions of people, it does not always cause discomfort and has different origins. In case of severe pathologies, other symptoms are observed in addition to stunting. In some cases, the patient can get normal height only with help of <a href=\"https:\/\/ladisten.com\/en\/services\/operatsiya-po-uvelicheniyu-rosta-i-udlineniyu-nog\/\">leg lengthening surgery<\/a>. At Ladisten, the clinic of modern orthopedics and traumatology, such surgical operations have been carried out for over 30 years.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2516\" src=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey.jpg\" alt=\"\u0417\u0430\u0434\u0435\u0440\u0436\u043a\u0430 \u0440\u043e\u0441\u0442\u0430 \u0443 \u0434\u0435\u0442\u0435\u0439\" width=\"1110\" height=\"1110\" srcset=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey.jpg 1110w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-300x300.jpg 300w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg 1024w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-150x150.jpg 150w, https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-768x768.jpg 768w\" sizes=\"auto, (max-width: 1110px) 100vw, 1110px\" \/><\/p>\n<h2><b>Causes of growth retardation<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Growth retardation may appear because of many reasons. We will look only at the main ones in the table:<\/span><\/p>\n<table style=\"width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\">\u00a0<strong>Pathology<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>\u00a0Growth retardation ICD-10<\/strong><\/td>\n<td style=\"text-align: center;\">\u00a0<strong>Cause<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Family-related short stature<\/td>\n<td style=\"text-align: center;\">\u00a0Short stature not classified in other chapters 34.3<\/td>\n<td style=\"text-align: center;\">\u00a0Short height in parents (150-165 cm)<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Constitutional growth delay<\/td>\n<td style=\"text-align: center;\">\u00a0Short stature not classified in other chapters 34.3<\/td>\n<td style=\"text-align: center;\">\u00a0Delayed growth spurt<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Psychosocial growth delay<\/td>\n<td style=\"text-align: center;\">\u00a0Short stature not classified in other chapters 34.3<\/td>\n<td style=\"text-align: center;\">\u00a0Psychological atmosphere in the environment where the child is growing, a dysfunctional family<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Somatogenic growth delay<\/td>\n<td style=\"text-align: center;\">\u00a0N25.0, K90.0, E24.2 and others<\/td>\n<td style=\"text-align: center;\">\u00a0Develops as a consequence of past diseases of the heart, kidneys, respiratory organs<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Hereditary syndromes<\/td>\n<td style=\"text-align: center;\">\u00a0Q96, Q87.1<\/td>\n<td style=\"text-align: center;\">\u00a0Various syndromes: Shereshevsky-Turner, Noonan, Russell-Silver syndrome<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Chondroplasias<\/td>\n<td style=\"text-align: center;\">\u00a0Q77.0\u2013Q77.9<\/td>\n<td style=\"text-align: center;\">\u00a0Disproportionate skeletal structure<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Growth retardation in case of hypothyroidism<\/td>\n<td style=\"text-align: center;\">\u00a0E03.0\u2013 E03.9<\/td>\n<td style=\"text-align: center;\">\u00a0Thyroid pathologies<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\u00a0Hypopituitarism, including somatotropic insufficiency<\/td>\n<td style=\"text-align: center;\">\u00a0E23.0, E23.1, E89.3<\/td>\n<td style=\"text-align: center;\">\u00a0Deficiency of growth hormone or several pituitary hormones. May be caused by a tumor or a failure of the pituitary gland<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><b>Symptoms of delayed growth<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There is one main symptom of growth retardation \u2013 the inconsistency of growth parameters with the established norms at different stages of life. Depending on the form of the process, there are some nuances:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">constitutional growth delay is accompanied by normal hormone production. Body height and weight at birth are normal. A pronounced delay occurs at the age of 3-4 years, and then the process of growth is restored. Bone age lags behind the passport age by 1-2 years. There is a delay in puberty by 2-4 years in children, but the growth plates also close later. Therefore, the growth process eventually becomes normal and the condition does not require treatment;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">family-related short stature. At birth, the parameters of height and weight are normal. The pace slows down after 3-4 years, the child grows by 2-4 cm per year. Bone growth does not lag behind the chronological, and hormones are produced normally. Puberty is on time;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">hormonal deficiency is manifested by the most severe and pronounced symptoms. In case of growth hormone deficiency, the growth rates and bone age lag significantly behind the norm. The delay is visible already at 2 years of age. Facial features change: they become small, &#8220;doll-like&#8221;, excess body weight appears. Boys often have a micropenis;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">in case of tumors causing short stature, neurological symptoms and visual impairments appear.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In order to determine the exact cause, qualified diagnostics should be carried out.<\/span><\/p>\n<h2><b>Diagnostics<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Growth retardation is mainly determined by endocrinologists, but a consultation of an orthopedist should be additionally appointed. First, the doctor collects medical history and calculates the target height of the child. Parents&#8217; genetics and nationality play a significant role. Other diagnostic points include:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Anthropometry. This includes assessment of three parameters \u2013 growth SDS, growth rate, growth rate SDS. They show how the child&#8217;s physical development corresponds to age standards. A percentile curve needed for making diagnosis and for choosing treatment tactics is established. SDS stands for Standard Deviation Score, or the standard deviation coefficient.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Determination of body proportions. A proportional body build indicates the absence of dysplasia.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> X-ray. For a complete visualization of the structure of the skeleton, an X-ray is taken. Radiography of the hands determines bone age.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Laboratory tests. Most diagnoses are confirmed with blood tests. In addition to general indicators, the values \u200b\u200bof glucose, gliadin and transglutaminase antibodies, T4 and TSH hormones are important. Also GH stimulation tests, karyotyping and IGF-1 (insulin-like growth factor-1) determination are carried out.<\/span><\/li>\n<\/ol>\n<h2><b>Growth retardation in children: clinical recommendations<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">If you suspect short stature in your child, you need to find out its exact cause:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">pay attention to the increase in height during each examination carried out by the pediatrician. Normally, it should not be less than 3 cm per year;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">if the baby does not gain weight well and there is no height increase, you should visit an endocrinologist as soon as possible;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">at the next stage, a complete examination is required to make the correct diagnosis. X-rays and an orthopedic examination can be done at the Ladisten Clinic.<\/span><\/li>\n<\/ul>\n<h2><b>Treatment<\/b><\/h2>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-2502-2\" width=\"640\" height=\"1136\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/apparati-veklicha-dlya-operacii-po-uvelicheniu-rosta.mp4?_=2\" \/><a href=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/apparati-veklicha-dlya-operacii-po-uvelicheniu-rosta.mp4\">https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/apparati-veklicha-dlya-operacii-po-uvelicheniu-rosta.mp4<\/a><\/video><\/div>\n<p><span style=\"font-weight: 400;\">Growth retardation is treated depending on its cause. If the child does not have enough growth hormone, HGH injections are prescribed. The dose and scheme are adjusted according to the results of the increase in body height. The earlier such treatment is started, the more favorable the outcome. Also, steroids and some hormonal drugs are used to correct the process of growth in addition to growth hormone.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many conditions cannot be treated with medication. These include the hereditary factor, genetic mutations, <a href=\"https:\/\/ladisten.com\/en\/services\/lechenie-displazii-tazobedrennyh-sustavov\/\">dysplasias<\/a>. Therefore, people decide to take the only possible option \u2013 <a href=\"https:\/\/ladisten.com\/en\/services\/operatsiya-po-uvelicheniyu-rosta-i-udlineniyu-nog\/\">height increase surgery<\/a>. This is possible thanks to modern technologies and the improved Veklich fixation device. At Ladisten Clinic, minimally invasive surgical operations which make it possible to add 5-10 cm to the patient\u2019s height with practically no blood are performed. We are waiting for you at Ladisten and are always ready to provide a consultation!<\/span><\/p>\n<hr \/>\n<p><strong>Sourses<\/strong><\/p>\n<p id=\"tw-target-text\" class=\"tw-data-text tw-text-large XcVN5d tw-ta\" dir=\"ltr\" data-placeholder=\"\u041f\u0435\u0440\u0435\u0432\u043e\u0434\"><span lang=\"en\">\u00b9CHILD DISEASES Edited by Professor N.\u0410. GEPPE TEXTBOOK 2017. Ministry of Education and Science of the Russian Federation Recommended by the Coordination Council for the field of education &#8220;Healthcare and Medical Sciences&#8221; as a textbook for use in educational institutions implementing basic professional educational programs of higher education in the areas of specialty training 05\/31\/01 &#8220;General Medicine&#8221;, 05\/31\/02 &#8220;Pediatrics &#8220;. <\/span><\/p>\n<p class=\"tw-data-text tw-text-large XcVN5d tw-ta\" dir=\"ltr\" data-placeholder=\"\u041f\u0435\u0440\u0435\u0432\u043e\u0434\"><span lang=\"en\">\u00b2https:\/\/www.cdc.gov\/growthcharts\/who_charts.htm <\/span><\/p>\n<p class=\"tw-data-text tw-text-large XcVN5d tw-ta\" dir=\"ltr\" data-placeholder=\"\u041f\u0435\u0440\u0435\u0432\u043e\u0434\"><span lang=\"en\">\u00b3FEDERAL CLINICAL RECOMMENDATIONS FOR DIAGNOSTICS AND TREATMENT OF IDIOPATIC LOW GROWTH IN CHILDREN AND ADOLESCENTS, Moscow-2013.<\/span><\/p>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>If the bone age does not correspond to the biological age, this gives reason to diagnose growth retardation. Short stature manifests itself in millions of people, it does not always cause discomfort and has different origins. In case of severe pathologies, other symptoms are observed in addition to stunting. In some cases, the patient can [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-2502","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten<\/title>\n<meta name=\"description\" content=\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten\" \/>\n<meta property=\"og:description\" content=\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/\" \/>\n<meta property=\"og:site_name\" content=\"Ladisten\" \/>\n<meta property=\"article:published_time\" content=\"2022-06-12T14:55:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-08-01T15:50:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg\" \/>\n<meta name=\"author\" content=\"it4u\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"it4u\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/\"},\"author\":{\"name\":\"it4u\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/#\\\/schema\\\/person\\\/73f388da42ea53625ee676ed1768bd49\"},\"headline\":\"Growth Retardation (Delayed Growth)\",\"datePublished\":\"2022-06-12T14:55:09+00:00\",\"dateModified\":\"2022-08-01T15:50:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/\"},\"wordCount\":2493,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/zadergka-rosta-u-detey-1024x1024.jpg\",\"articleSection\":[\"Articles\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/\",\"url\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/\",\"name\":\"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/zadergka-rosta-u-detey-1024x1024.jpg\",\"datePublished\":\"2022-06-12T14:55:09+00:00\",\"dateModified\":\"2022-08-01T15:50:31+00:00\",\"description\":\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[[\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/\"]]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#primaryimage\",\"url\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/zadergka-rosta-u-detey-1024x1024.jpg\",\"contentUrl\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/zadergka-rosta-u-detey-1024x1024.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/zaderzhka-rosta-u-detej\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/ladisten.com\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Growth Retardation (Delayed Growth)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/ladisten.com\\\/en\\\/\",\"name\":\"Ladisten\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/ladisten.com\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#organization\",\"name\":\"Ladisten\",\"url\":\"https:\\\/\\\/ladisten.com\\\/en\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/11-layers.png\",\"contentUrl\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/11-layers.png\",\"width\":158,\"height\":33,\"caption\":\"Ladisten\"},\"image\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/#\\\/schema\\\/person\\\/73f388da42ea53625ee676ed1768bd49\",\"name\":\"it4u\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/943afc202ea903446a7437d8c6a5032193f6012078b0d09ea992f051aa8c8b27?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/943afc202ea903446a7437d8c6a5032193f6012078b0d09ea992f051aa8c8b27?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/943afc202ea903446a7437d8c6a5032193f6012078b0d09ea992f051aa8c8b27?s=96&d=mm&r=g\",\"caption\":\"it4u\"},\"sameAs\":[\"https:\\\/\\\/ladisten.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten","description":"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/","og_locale":"en_US","og_type":"article","og_title":"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten","og_description":"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433","og_url":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/","og_site_name":"Ladisten","article_published_time":"2022-06-12T14:55:09+00:00","article_modified_time":"2022-08-01T15:50:31+00:00","og_image":[{"url":"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg","type":"","width":"","height":""}],"author":"it4u","twitter_card":"summary_large_image","twitter_misc":{"Written by":"it4u","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#article","isPartOf":{"@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/"},"author":{"name":"it4u","@id":"https:\/\/ladisten.com\/#\/schema\/person\/73f388da42ea53625ee676ed1768bd49"},"headline":"Growth Retardation (Delayed Growth)","datePublished":"2022-06-12T14:55:09+00:00","dateModified":"2022-08-01T15:50:31+00:00","mainEntityOfPage":{"@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/"},"wordCount":2493,"commentCount":0,"publisher":{"@id":"https:\/\/ladisten.com\/#organization"},"image":{"@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#primaryimage"},"thumbnailUrl":"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg","articleSection":["Articles"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/","url":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/","name":"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten","isPartOf":{"@id":"https:\/\/ladisten.com\/en\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#primaryimage"},"image":{"@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#primaryimage"},"thumbnailUrl":"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg","datePublished":"2022-06-12T14:55:09+00:00","dateModified":"2022-08-01T15:50:31+00:00","description":"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433","breadcrumb":{"@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":[["https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/"]]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#primaryimage","url":"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg","contentUrl":"https:\/\/ladisten.com\/wp-content\/uploads\/2020\/07\/zadergka-rosta-u-detey-1024x1024.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/ladisten.com\/en\/blog\/zaderzhka-rosta-u-detej\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ladisten.com\/en\/"},{"@type":"ListItem","position":2,"name":"Growth Retardation (Delayed Growth)"}]},{"@type":"WebSite","@id":"https:\/\/ladisten.com\/en\/#website","url":"https:\/\/ladisten.com\/en\/","name":"Ladisten","description":"","publisher":{"@id":"https:\/\/ladisten.com\/en\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ladisten.com\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/ladisten.com\/en\/#organization","name":"Ladisten","url":"https:\/\/ladisten.com\/en\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ladisten.com\/en\/#\/schema\/logo\/image\/","url":"https:\/\/ladisten.com\/wp-content\/uploads\/2022\/06\/11-layers.png","contentUrl":"https:\/\/ladisten.com\/wp-content\/uploads\/2022\/06\/11-layers.png","width":158,"height":33,"caption":"Ladisten"},"image":{"@id":"https:\/\/ladisten.com\/en\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/ladisten.com\/#\/schema\/person\/73f388da42ea53625ee676ed1768bd49","name":"it4u","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/943afc202ea903446a7437d8c6a5032193f6012078b0d09ea992f051aa8c8b27?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/943afc202ea903446a7437d8c6a5032193f6012078b0d09ea992f051aa8c8b27?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/943afc202ea903446a7437d8c6a5032193f6012078b0d09ea992f051aa8c8b27?s=96&d=mm&r=g","caption":"it4u"},"sameAs":["https:\/\/ladisten.com"]}]}},"_links":{"self":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts\/2502","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/comments?post=2502"}],"version-history":[{"count":55,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts\/2502\/revisions"}],"predecessor-version":[{"id":3281,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts\/2502\/revisions\/3281"}],"wp:attachment":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/media?parent=2502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/categories?post=2502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/tags?post=2502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}