Congenital hypothyroidism imatanthawuza ku hypothyroidism, kusowa kapena kusowa kwa mahomoni a chithokomiro, omwe alipo pakubereka. Chifukwa cha sayansi yamakono, kuyerekezera kwatsopano kumene kwabadwa kumene kwachititsa kuti kugonana kwa hypothyroidism kukhala kosavuta kwambiri. Komabe, ngati zilipo, ndizofunika kwambiri kuti zidziwike mwamsanga komanso zothandizidwa moyenera kwa makanda ndi makanda, monga momwe chithokomiro chimakhudzira chitukuko cha chidziwitso ndi IQ.
Kuchiza kwa Congenital Hypothyroidism
Kawirikawiri, levothyroxine, yomwe imapanga mahomoni otchedwa T4, imagwiritsidwa ntchito pochizira matenda opatsirana pogonana. M'nyamata yomwe imapezeka ndi congenital hypothyroidism, cholinga chake ndi kupereka mankhwala a chithokomiro m'malo mwake kuti abwerere m'magulu a T4 kuti akhale osiyana.
Malingana ndi magazini yachipatala ya UpToDate :
"Nthawi ndi mlingo wa mankhwala otere a chithokomiro ndi ofunika kwambiri [3-5]. Cholinga choyambirira cha chithandizo chiyenera kukhala kubwezeretsa ndondomeko ya T4 ya seramu> 10 mcg / dL (> 129 nmol / L) mofulumira. Phunziro limodzi, odwala omwe adatenga nthawi yaitali kuposa milungu iŵiri kuti awonetsere chithokomiro chawo, anali ndi malingaliro ochepa, chidwi, ndi kupindula kuposa omwe anagwira bwino ntchito pasanathe milungu iwiri mutatha mankhwala.
Pofufuza zolemba zomwe zikuwonetsa kafukufuku 11 omwe akuyesa kuchuluka kwa msinkhu woyamba wa mankhwala a mahomoni, makanda anayamba "kumayambiriro" (masiku 12 mpaka 30) anali ndi matanthauzo a IQ 15.7 mfundo zapamwamba kusiyana ndi makanda anayamba "kenako" (> masiku makumi atatu) ... Kupititsa patsogolo mwamsanga ndi mlingo wokwanira wa T4 n'kofunika makamaka kwa makanda omwe ali ndi hypothyroidism.
Izi zikuwonetsedwa pofufuza ana 61 omwe ali ndi [severe] congenital hypothyroidism ... okha omwe amachiritsidwa msanga ndi chiwerengero chachikulu cha T4 anapeza chitukuko chabwino cha maganizo pa miyezi 10 mpaka 30. Mwa ana omwe ali ndi hypothyroidism yofatsa, onse amatha kupeza chitukuko chodziwika bwino kwa anthu kupatulapo omwe amachizidwa mochedwa ndi mlingo wochepa woyambira. "
Mwachiwonekere, monga ExToDate excerpt ikufotokozera, pamene kugonana kwa hypothyroidism kukudziwikiratu , cholinga cha madokotala ndi makolo ndi kubwezeretsa chithokomiro mofulumira komanso mosatetezeka. Ngati msangamsanga chithokomiro chimakhala chodziwika bwino, chitukuko chakumidzi ndi chithunzithunzi cha chitukuko cha khanda.
Kusamalira Mankhwala a Chithokomiro kwa Makanda Omwe Ali ndi Mphamvu Yokonzeka Kwambiri ya Hypothyroidism
Lankhulani ndi dokotala wanu za kupeza madzi a levothyroxine kuti mupereke kwa ana.
Kuti apereke mapiritsi a levothyroxine kwa khanda, makolo ayenera kuthyola piritsi la levothyroxine ndi kusakaniza ndi mkaka wa m'mawere, kapangidwe ka madzi, kapenanso madzi omwe amadyetsedwa kwa mwanayo.
Chofunika kwambiri kwa makolo, komabe musasakanize levothyroxine ndi chinyezi chaching'ono chachangu kapena kashiamu kapena kukonzekera zitsulo. Manyowa, calcium, ndi chitsulo zingathe kuchepetsa mphamvu ya khanda kuyamwa mankhwala moyenera.
Chifukwa chakuti soya njira yokha imatha kuchepetsa kapena kufooketsa luso la khanda kuti lifike pamatenda a chithokomiro, zimalimbikitsidwa kuti makanda omwe ali ndi matenda odwala tizilombo toyambitsa matenda omwe amadyetsedwa ndi soy akuyang'anitsitsa nthawi ndi nthawi. Akhoza kuwonjezera mlingo wa mankhwala kuti athane ndi chithokomiro chodziwika bwino komanso kuteteza chitukuko chao.
Kuchiza Chithandizo Chogonjetsa cha Hypothyroidism
Ana omwe akuchiritsidwa kuti asamangidwe matendawa ayenera kuyesedwa pafupipafupi, ndipo ayenera kuyesedwa miyezi ingapo kwa zaka zitatu zoyambirira za moyo. Tchulani malipoti kuti, malinga ndi American Academy of Pediatrics, serimu T4 kapena ma ARV a T4 ndi TSH ayenera kuchitidwa molingana ndi ndondomeko zotsatirazi:
- Pa masabata awiri ndi 4 mutatha kulandira mankhwala a T4
- Miyezi 1 kapena 2 iliyonse miyezi 6 yoyambirira ya moyo
- Miyezi itatu kapena 4 iliyonse pakati pa miyezi 6 ndi 3
- Miyezi 6 kapena 12 iliyonse pambuyo pake mpaka kukula kukutha
- Patatha milungu iwiri kusintha kwa mlingo
- Pakati pafupipafupi pokhapokha ngati mukutsatila ndikutsutsana kapena zotsatira zowonongeka zimapezeka
Kukhalitsa kwamuyaya kapena kwa moyo wake wonse, kungathe kukhazikitsidwa ndi kujambula ndi maphunziro a ultrasound omwe amasonyeza kuti chithokomiro sichikusowa kapena ectopic, kapena chilema chokhoza kupanga ndi / kapena kutulutsa hormoni ya chithokomiro imatsimikiziridwa.
Mawu ochokera
Ngati chitetezo cha hypothyroidism sichinakhazikitsidwe, mankhwala a levothyroxine amatha kwa mwezi umodzi ali ndi zaka zitatu, ndipo mwanayo amabwezeretsedwa. Ngati miyeso ikhale yachilendo, kugwiritsidwa ntchito kwa hypothyroidism kumaganiziridwa. Ngati miyeso ikhale yachilendo, yosatha hypothyroidism imaganiza.
Ana omwe ali ndi kachilombo koyambitsa matenda a hypothyroidism amene amachotsedwa mankhwala ayenera, komabe akadakhala ndi chithokomiro nthawi ndi nthawi , pomwe anawo akukumana ndi chiopsezo chachikulu chokhala ndi vuto la chithokomiro m'miyoyo yawo yonse.
Chitsime:
> LaFranchi, Stephen. "Kuchiza ndi kutsegula kwa thupi lobadwa mwa hypothyroidism." Zaposachedwa. Zapezeka: January 2009.