Chii chinonzi congenital hypothyroidism, zviratidzo uye maitiro ekurapa

Zvemukati

• Zviratidzo zvekuzvarwa hypothyroidism
• Maitiro ekuongororwa kunoitwa
• Zvinokonzera
• Kurapa kwekuzvarwa hypothyroidism

Congenital hypothyroidism chirwere chemuviri umo utachiona hwemwana husingakwanise kuburitsa huwandu hwakakwana hwehormone yehormone, T3 neT4, izvo zvinokanganisa kukura kwemwana uye zvinokonzeresa shanduko dzetsinga dzisingaperi kana zvisina kuzivikanwa nekurapwa.

Kuongororwa kweiyo congenital hypothyroidism kunoitwa mune yekuzvitakura wadhi uye, kana shanduko muhutachiona ikaonekwa, kurapwa kunotangwa munguva pfupi yapfuura kuburikidza nehomoni kutsiva kudzivirira kunetsekana kwemwana. Congenital hypothyroidism haina mushonga, asi apo kuongororwa uye kurapwa kunoitwa nekukurumidza, mwana anokwanisa kukura zvakajairika.

Zviratidzo zvekuzvarwa hypothyroidism

Zviratidzo zvekuzvarwa hypothyroidism zvine hukama nematanho epasi eT3 uye T4 anotenderera mumuviri wemwana, ayo anogona kucherechedzwa:

• Tsvina hypotonia, inowirirana neakashata kwazvo mhasuru;
• Yakawedzera vhoriyamu yerurimi;
• Umbilical hernia;
• Kukanganiswa kwepfupa;
• Kufema kunetseka;
• Bradycardia, inoenderana neinononoka kurova kwemoyo;
• Kupererwa neropa;
• Kunyanya kukotsira;
• Dambudziko mukupa chikafu;
• Kunonoka mukuumbwa kwekutanga dentition;
• Ganda rakaoma risina kusimba;
• Kuderera kwepfungwa;
• Kunonoka mukusimudzira neuronal uye psychomotor kukura.

Kunyangwe paine zviratidzo, ingangoita gumi muzana yevacheche vane chirwere chekuzvarwa hypothyroidism vanayo, nekuti kuongororwa kunoitwa mune yekuzvitakura wadhi uye kurapwa kwehomoni kunotangwa munguva pfupi yapfuura, kudzivirira kutanga kwezviratidzo.

Maitiro ekuongororwa kunoitwa

Kuongororwa kweiyo congenital hypothyroidism kunoitwa panguva yekuzvarwa mukuyedza kuongororwa kwevana, kazhinji kuburikidza nekuyedzwa kwetsoka yemwana, umo madonhwe mashoma eropa anounganidzwa kubva pachitsitsinho chemwana uye anotumirwa kurabhoritari kunoongororwa. Ona zvimwe nezve chitsitsinho prick bvunzo.

Kana chitsitsinho cheprick bvunzo chinoratidza kuberekwa hypothyroidism, kuyerwa kwemahormone T4 uye TSH kunofanirwa kuitwa kuburikidza neropa bvunzo kuitira kuti chirwere chisimbiswe uye kurapwa kwatanga. Mimwe bvunzo yekufungidzira, senge Ultrasound, MRI uye thyroid scintigraphy, inogona zvakare kushandiswa mukuongorora

Zvinokonzera

Congenital hypothyroidism inogona kukonzerwa nemamiriro akati wandei, makuru acho ari:

• Kwete-kuumbwa kana kusakwana kuumbwa kwetachiona gland;
• Kuumbwa munzvimbo isina kujairika yetachiona yegland;
• Kukanganisa mune iyo synthesis yehormone mahormone;
• Maronda ari mune pituitary kana hypothalamus, ayo ari maviri magezi ari muuropi anoitisa kugadzirwa uye kudzora mahormone.

Kazhinji, congenital hypothyroidism ndeyekusingaperi, zvisinei, kwenguva pfupi yekuzvarwa hypothyroidism inogona kuitika, inogona kukonzerwa neodine isina kukwana kana yakawandisa kubva kuna amai kana mwana achangoberekwa kana nekupfuura nepascenta yemishonga yeantithyroid.

Nguva pfupi yekuzvarwa hypothyroidism inodawo kurapwa, asi inowanzo miswa pamakore matatu ekuberekwa, kuitira kuti bvunzo dziitwe kuti dziongorore huwandu hwekutenderera mahormone etachiona uye kuitira kuti mhando uye chikonzero chechirwere chinyatso tsanangurwa.

Kurapa kwekuzvarwa hypothyroidism

Kurapa kwekuzvarwa hypothyroidism inosanganisira kutsiviwa kwetachiona mahormone muhupenyu hwese kuburikidza nekutaurwa kwemuromo wemushonga, Levothyroxine sodium, iyo inogona kunyungudutswa mune shoma mvura kana mukaka wevacheche. Kana kuongororwa uye kurapwa kunoitwa kunonoka, mhedzisiro yekuberekwa hypothyroidism, senge kudzora kwepfungwa uye kudzora kwekukura, kunogona kuitika.

Izvo zvakakosha kuti mwana ave neyake / yake yakakwana uye yemahara T4 uye TSH mazinga anoongororwa kuna chiremba wevana kuti atarise mhinduro kurapwa. Tarisa uone rumwe ruzivo nezve kurapwa kwe hypothyroidism mune inotevera vhidhiyo: