Kodi congenital hypothyroidism, zizindikiro ndi momwe mungachiritsire

Zamkati

• Zizindikiro za kubadwa kwa hypothyroidism
• Momwe matendawa amapangidwira
• Zoyambitsa zazikulu
• Chithandizo cha kubadwa kwa hypothyroidism

Congenital hypothyroidism ndi matenda amadzimadzi omwe chithokomiro cha mwana sichimatha kupanga mahomoni ambiri a chithokomiro, T3 ndi T4, omwe amatha kusokoneza kukula kwa mwanayo ndikupangitsa kusintha kwaminyewa kwamitsempha ngati sikunazindikiridwe bwino ndikuchiritsidwa.

Matenda a congenital hypothyroidism amapangidwa m'chipinda cha amayi oyembekezera ndipo, ngati kusintha kwa chithokomiro kutadziwika, mankhwala amayamba posachedwa kudzera m'malo mwa mahomoni kuti apewe zovuta za mwana. Congenital hypothyroidism ilibe mankhwala, koma matenda ndi matenda akapangidwa msanga, mwanayo amatha kukula bwino.

Zizindikiro za kubadwa kwa hypothyroidism

Zizindikiro zakubadwa kwa hypothyroidism zimakhudzana ndi magawo otsika a T3 ndi T4 omwe amayenda mthupi la mwana, omwe amatha kuwona:

• Minofu hypotonia, yomwe imafanana ndi minofu yosalala kwambiri;
• Kuchuluka kwa lilime;
• Chimbudzi cha umbilical;
• Kusokonezeka kwa mafupa;
• Kupuma kovuta;
• Bradycardia, yomwe imafanana ndi kugunda kwapang'onopang'ono kwambiri;
• Kusowa magazi;
• Kugona mopitirira muyeso;
• Kuvuta kudyetsa;
• Kuchedwa pakupanga kutulutsa koyamba;
• Khungu louma lopanda zotanuka;
• Kufooka kwa malingaliro;
• Kuchedwa pakukula kwa ma neuronal ndi psychomotor.

Ngakhale pali zizindikiro, pafupifupi 10% yokha ya ana omwe ali ndi vuto lobadwa nawo ali nawo, chifukwa matendawa amapangidwa kuchipinda cha amayi oyembekezera komanso chithandizo chamankhwala chomwe chimayambitsidwa ndi mahomoni amayambika posakhalitsa, kuteteza kuyambika kwa zizindikilo.

Momwe matendawa amapangidwira

Kuzindikira kwa kubadwa kwa hypothyroidism kumachitika panthawi yomwe mayi ali ndi pakati pakuyesa kuyesa kwa khanda, nthawi zambiri kudzera pakumuyesa kwa phazi la mwana, momwe madontho angapo amwazi amatengedwa kuchokera chidendene cha mwanayo ndikuwatumiza ku labotale kukafufuza. Onani zambiri za mayeso a chidendene.

Ngati mayeso a chidendene akuwonetsa kubadwa kwa hypothyroidism, kuyeza kwa mahomoni T4 ndi TSH kuyenera kuchitidwa poyesa magazi kuti matendawa atsimikizidwe ndikuyamba kulandira mankhwala. Mayeso ena ojambula, monga ultrasound, MRI ndi chithokomiro scintigraphy, amathanso kugwiritsidwa ntchito pofufuza.

Zoyambitsa zazikulu

Congenital hypothyroidism imatha kuyambitsidwa ndi zochitika zingapo, zazikulu ndizo:

• Non-mapangidwe kapena chosakwanira mapangidwe chithokomiro England;
• Mapangidwe pamalo osakhazikika a chithokomiro;
• Zofooka mu synthesis chithokomiro mahomoni;
• Zilonda za pituitary kapena hypothalamus, zomwe ndi zotupa ziwiri muubongo zomwe zimayambitsa kupanga ndikuwongolera mahomoni.

Kawirikawiri, congenital hypothyroidism imakhala yosatha, komabe, kubadwa kwanthawi yayitali kumatha kuchitika, komwe kumatha kuyambitsidwa ndi ayodini wosakwanira kapena wochulukirapo kuchokera kwa mayi kapena mwana wakhanda kapena kudzera pamitsempha ya antithyroid.

Matenda osakhalitsa obadwa nawo hypothyroidism amafunikiranso chithandizo, koma nthawi zambiri amayimitsidwa ali ndi zaka zitatu, kuti mayeso athe kuchitidwa kuti athe kuyesa kuchuluka kwa ma hormone a chithokomiro ndikuti mtundu ndi zomwe zimayambitsa matendawa zitha kumveka bwino.

Chithandizo cha kubadwa kwa hypothyroidism

Chithandizo cha kubadwa kwa hypothyroidism chimakhala ndi m'malo mwa mahomoni a chithokomiro m'moyo wonse kudzera pakamwa pakamwa, Levothyroxine sodium, yomwe imatha kusungunuka m'madzi ochepa kapena mkaka wa mwana. Pamene matenda ndi mankhwala achedwa kuchedwa, zotsatira za kubadwa kwa hypothyroidism, monga kuchepa kwamaganizidwe ndi kuchepa kwa kukula, kumatha kuchitika.

Ndikofunikira kuti mwanayo awonetsetse kuchuluka kwa T4 ndi TSH kwake kwaulere kuti adziwe momwe angathandizire. Onani zambiri zamankhwala a hypothyroidism muvidiyo yotsatirayi: