Neonatal hypothyroidism

Neonatal hypothyroidism inoderedzwa kugadzirwa kwehormone mumwana achangozvarwa. Muzviitiko zvisingawanzoitika, hapana hutachiona hutachiona hunogadzirwa. Mamiriro acho anonziwo congenital hypothyroidism. Kuberekwa zvinoreva kuvapo kubva pakuberekwa.

Iyo thyroid gland inhengo yakakosha yeiyo endocrine system. Iyo iri kumberi kwemutsipa, pamusoro chete panosangana makoloni. Utachiona hunoita mahormone anodzora mashandisiro anoita sero rega mumuviri simba. Izvi zvinonzi metabolism.

Hypothyroidism mumwana achangoberekwa inogona kukonzerwa ne:

• Iyo isipo kana isina kugadzirwa gland thyroid
• Pituitary gland isingasimudzi gland yegland
• Utachiona mahormone asina kuumbwa zvakanaka kana asingashande
• Mishonga iyo amai vakanwa panguva yekuzvitakura
• Kushaikwa kwe ayodini mukudya kwaamai panguva yekuzvitakura
• Maantibodies anogadzirwa nemuviri wamai anovharira hutachiona hwemwana

Utachiona gland iyo isina kunyatsogadziriswa ndiyo yakajairika hurema. Vasikana vanobatwa kaviri zvakapetwa sevakomana.

Vazhinji vacheche vanobatwa vane mashoma kana vasina zviratidzo. Izvi zvinodaro nekuti utachiona hwehutachiona hwayo hwakaderera zvishoma. Vacheche vane hutachiona hwakakomba hunowanzo kuve nechitarisiko chakasarudzika, kusanganisira:

• Kutaridzika kutarisa
• Puffy kumeso
• Rurimi rukobvu runonamira

Uku kutaridzika kunowanzo kukura sezvo chirwere ichi chichiwedzera.

Mwana anogona zvakare kuve ne:

• Kudya zvakashata, kudzipwa kwezvikamu
• Kuzvimbirwa
• Yakaoma, bvudzi rinopwanya
• Hoarse kuchema
• Jaundice (ganda nevachena vemeso vanotaridzika kuita yero)
• Kusava nemhasuru toni (floppy mucheche)
• Yakadzika bvudzi
• Kureba kupfupi
• Kurara
• Usimbe

Kuongorora kwemwana mucheche kunogona kuratidza:

• Kupera kwemhasuru toni
• Kunonoka kukura
• Kuchema-kurira kuchema kana izwi
• Mapfupi maoko nemakumbo
• Akakura kwazvo akapfava mavara padhehenya (fontanelles)
• Wide mawoko neminwe mipfupi
• Yakaparadzaniswa zvikuru mapfupa ehenya

Kuongororwa kweropa kunoitwa kuongorora utachiona. Mimwe bvunzo inogona kusanganisira:

• Utachiona ultrasound scan
• X-ray yemapfupa marefu

Kuongororwa kwekutanga kwakakosha. Mazhinji emhedzisiro ye hypothyroidism ari nyore kudzosera kumashure. Nechikonzero ichi, nyika zhinji dzeUS dzinoda kuti vese vacheche vavhenekwe hypothyroidism.

Thyroxine inowanzo kupihwa kurapa hypothyroidism. Kana mwana achangotanga kutora mushonga uyu, kuongororwa kweropa kunowanzoitwa kuti ave nechokwadi chekuti mahormone ehorosi ari mune yakajairwa renji.

Kuonekwa kuti uchikurumidza kunowanzo kutungamira kumhedzisiro. Vacheche vanoonekwa uye vanorapwa mumwedzi wekutanga kana zvakadaro vanowanzo kuve nehungwaru chaihwo.

Kusarapwa hunyoro hypothyroidism kunogona kutungamira mukuremara kwehungwaru uye matambudziko ekukura. Iyo sisitimu yenzira inoenda kuburikidza nekukosha kukura mukati memwedzi mishoma yekutanga mushure mekuzvarwa. Kushaikwa kwetachiona mahormone kunogona kukonzera kukuvara kusingadzokere shure.

Fonera wako mupi wezvehutano kana:

• Iwe unonzwa mwana wako achiratidza zviratidzo kana zviratidzo zve hypothyroidism
• Iwe uri nepamuviri uye wakaratidzirwa kune antithyroid zvinodhaka kana maitiro

Kana mukadzi ane nhumbu akatora iodine ine radioactive pagomarara reganda, iyo thyroid gland inogona kuparadzwa mumucheche ari kukura. Vacheche vanaamai vakatora mishonga yakadai vanofanirwa kucherechedzwa mushure mekuzvarwa kune zviratidzo zvehypothyroidism. Zvakare, vakadzi vane nhumbu havafanirwe kudzivirira iodine-yakawedzera munyu.

Mazhinji matunhu anoda muitiro wekuongorora bvunzo kuongorora vese vacheche ve hypothyroidism. Kana nyika yako isina ichi chinodiwa, bvunza mupi wako kana kacheche zvako kachiongororwa.

Cretinism; Kuberekwa hypothyroidism

Chuang J, Gutmark-Mudiki I, Rose SR. Matambudziko ehutachiona mumwana. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga: Zvirwere zveMucheche neMucheche. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 97.

Wassner AJ, Smith JR. Hypothyroidism. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 581.