Kusamvetsetsana kwa Hypothyroidism mu Mayi Woyembekezera Kwambiri Amakhudza IQ ya Mwana
Zaka khumi zapitazo, New England Journal of Medicine (NEJM) inanena zotsatira za kafukufuku amene anapeza kuti hypothyroidism yosatetezedwa pa nthawi ya mimba ingakhudze kukula kwa maganizo kwa mwana. Makamaka, kafukufukuyu anapeza kuti ana anali ndi zigawo zochepa za IQ, amachepetsa mphamvu zamagetsi, ndi mavuto okhudza chidwi, chinenero ndi kuwerenga.
Kafukufukuyu anapeza kuti amayi omwe alibe chithandizo cha chithokomiro chosachitidwa pa nthawi yomwe ali ndi pakati amakhala oposa anayi kuti akhale ndi ana okhala ndi IQ. Ofufuzawa anasonyeza kuti pafupifupi amayi mmodzi mwa amayi 50 aliwonse ali ndi hypothyroidism pa nthawi ya mimba. Akatswiri ena, komabe, amakhulupirira kuti nambalayi ingakhale yaikulu kwambiri, ndipo kuti chiwerengero chachikulu cha anthu sichidziwika kapena sichidziwika .
Phunziroli linasonyeza kuti 19 peresenti ya ana omwe anabadwa ndi amayi omwe ali ndi vuto la chithokomiro chosatetezedwa anali ndi IQ 85 kapena apansi. Izi zinkayerekeza ndi chiwerengero chochepa cha IQ cha 5 peresenti ya iwo omwe anabadwa kwa amayi popanda mavuto a chithokomiro. Malingana ndi James E. Haddow, MD, atsogolere wolemba wolemba maphunziro, m'munsimu pansi pa 85 IQ mlingo akhoza kutanthauza kuwonongeka kwakukulu kwa ana. Malingana ndi Haddow:
Ana omwe mawerengero awo ali m'mabuku awa angayang'ane ndi mavuto a moyo wawo wonse. Zitha kukhala zotheka kupeĊµa mavutowa poyambitsa matenda ndi chithandizo cha matenda a chithokomiro mwa amayi awo.
Kafukufukuyu anapeza kuti ana 62 omwe amayi awo anali ndi hypothyroid panthawi yomwe anali ndi mimba amachita zochepa pazuntha zosiyanasiyana ndi nzeru za IQ zomwe zimagwiritsidwa ntchito poyeza. Ana a amayi 48 omwe sankachiritsidwa ndi matenda a chithokomiro panthawi yomwe anali ndi pakati anali ndi ziwerengero za IQ zomwe zinali zisanu ndi ziwiri zochepa kuposa ana omwe ali mu gulu lolamulira, ndipo 19 peresenti akulemba 85 kapena pang'ono.
N'zochititsa chidwi kuti ofufuzawo anapeza kuti amayi omwe pambuyo pake anapezeka kuti ndi hypothyroid adakhala zaka pafupifupi zisanu asanafike kuti madokotala awo athane ndi matenda a chithokomiro. Akazi owerengeka sanapezepo mpaka zaka khumi kenako. Ichi ndi vuto lopitirirabe kwa anthu onse, ndipo ena amalingalira kuti pali anthu 13 miliyoni omwe ali ndi hypothyroidism ku US, ambiri mwa akazi awo, komanso ambiri omwe sadziwa. (Onani THANDIZO! TSH yanga "Yachibadwa" Koma ndimaganiza kuti ndine Hypothyroid .)
The NEJM inanena kuti kuyang'ana kwa mimba amayi a hypothyroidism angalimbikitsidwe. Kawirikawiri, amayi omwe achita njira zotulutsira kapena kutsekemera chithokomiro, kapena omwe ali ndi matenda a autoimmune hypothyroidism amadziwa hypothyroidism, ndipo ayenera kusamala kwambiri pokonzekera mimba komanso kuyang'anira ma chithokomiro panthawi yoyembekezera. Vuto lalikulu kwambiri, komabe, ndi la amayi ambiri hypothyroidism omwe sadziwa zambiri, omwe ali ndi kachilombo koyambitsa matenda enaake, kapena omwe sagwidwa ndi mankhwala osokoneza bongo hypothyroidism - onse chifukwa cha autoimmune thyroiditis (Hashimoto's Thyroiditis).
Nkhani inanso ndiyo kudandaula chifukwa cha kudya kwa iodin.
Mu ulaliki wa NEJM wophatikizapo kufufuza kofufuza, Dr. Robert Utiger anati:
Ngakhale mukuganiza kuti hypothyroidism ambiri ammimba amayamba chifukwa cha autoimmune thyroiditis, zomwe sizingalephereke, kusiyana pakati pa mayiko kukupangitsani tsatanetsatane ina - kusowa kwa ayodini, komwe kumapewa. . . N'kutheka kuti matenda osokoneza bongo amadzimadzi ambiri komanso amadzimadzi a ayodini amachititsa kuti amayi omwe ali ndi pakati akupezeka m'mayiko ambiri.
Palibenso chithunzi cha chithokomiro chokhazikika kwa amayi omwe akufuna kukhala ndi pakati, kapena ali kale ndi pakati.
Kafukufuku waposachedwapa wapeza kuti mawere a chithokomiro okwera komanso otsika angapangitse ana omwe sanabadwe. Phunziro la kafukufuku, Dr. Tim Korevaar, linati, "Pali mgwirizano wochiza matenda a hypothyroidism chifukwa amakhulupirira kuti phindu la mankhwala likhoza kupitirira kuopsa kwa kuwonongedwa kwapadera. Panalibe umboni uliwonse mwa anthu mpaka pano kuti kutentha kwa chithokomiro hormone ingakhalenso yovulaza. "
Kaya mukudziwa kuti muli ndi matenda a chithokomiro kapena ayi, ngati mukukonzekera kutenga mimba, kapena muli ndi pakati, lankhulani ndi dokotala wanu za kafukufuku wodziwika bwino kuti mukhale otetezeka.
Chitsime:
Haddow, James EMD, ndi. al. "Kulephera kwa Matenda a Kachiberekero pa Mimba ndi Kukula Kwambiri kwa Mwana," New England Journal of Medicine, Voliyumu 341: 549-555, August 19, 1999 Nambala 8, Online