Congenital hypothyroidism inoreva hypothyroidism, kushayikwa kana kutadza kwehomoni yehomoni, iyo iripo pakuberekwa. Kuvonga kwesayenzi yemazuva ano, kuongorora kwakangoberekwa patsva kwakaita kuti kuberekwa kwekemokorodhesi isanyanya. Kunyange zvakadaro, kana iripo, inonyanya kukosha kuti ikurumidze kuongororwa uye yakarapwa zvakanaka mumucheche nechecheche, sezvo mazinga ehutachiona akakonzera kukura kwekuziva uye IQ.
Kurapa kweChenenist Hypothyroidism
Kazhinji, levothyroxine, iyo yakagadzirirwa maitiro ehomoni yeTrogen T4, inoshandiswa kurapa congenital hypothyroidism. Mucheche inowanikwa neukwepa inonzi hypothyroidism, chinangwa ndechokupa utachiona hwemishonga inoshandiswa mishonga kuti udzoke mazinga T4 kusvika kune yakarongeka.
Maererano nepepanhau rezvepanhau reIndaneti rinonzi UpToDate :
"Zvose nguva uye mazamu ehutoriyasi zvinoshandiswa zvinotarisirwa [3-5]. Chinangwa chekutanga chekurapa chinofanira kuva yekudzorera serum T4 kukosha kusvika> 10 mcg / dL (> 129 nmol / L) nokukurumidza sezvinobvira. imwe yekudzidza, varwere vakatora nguva yakareba kupfuura mavhiki maviri kuti vaite tsika yavo yehutachiona yakange iine ruzivo rwakanyanya rwekucherechedza, kutarisirwa, nekubudirira zvikoro kune avo vakawana basa rakanaka mukati memavhiki maviri mushure mekurapa kwakatanga.
Mune zvimwe zvinyorwa zvekuongorora zvinyorwa zvichitsanangura zvidzidzo gumi nematanhatu zvichiongorora makore ekutanga kwehutachiona hwehutachiona, vana vakatanga "kutanga" (12 kusvika ku30 mazuva ekuzvarwa) vaireva IQ 15.7 mapeji akakwirira kudarika vacheche vakatanga "shure" (> mazuva makumi matatu emakore) ... Kukurumidza kudzoka nematokwana akakwana eT4 kunonyanya kukosha mucheche ane rakanyanya hypothyroidism.
Izvi zvakafananidzirwa mukuongorora vana 61 vaine [rakaoma] congenital hypothyroidism ... chete avo vanobatwa kare kare ne-high-dose T4 vakawana kukurudzika kwepfungwa dzepfungwa mumwedzi gumi kusvika kune makumi matatu. Muvana vaduku vane unyoro hypothyroidism, vose vakawana kukura kwepfungwa dzepfungwa kunze kwevaya vanobatwa nguva pfupi nepamutambo wokutanga. "
Zviri pachena, sezvo iyoInToDate inotsanangurwa inotsanangura, apo congenital hypothyroidism inoratidzika, chinangwa chechiremba nevabereki ndechokudzorera utachiona hwepamusoro kune yakasununguka nokukurumidza uye nekuchengeteka sezvazvinogona. Kunyanya kukurumidza utachiona hunowanzoshambadzirwa, zvinowanzoenderana nekugutsikana kwekuziva uye kugadzirwa kwemhepo kwechecheche.
Kutungamirira Thyroid Mishonga Kumucheche Aine Congenital Hypothyroidism
Taura nechiremba wako nezvekuwana fomu yemvura ye levothyroxine yekupa vana.
Kupa mahwendefa e levothyroxine kumucheche, vabereki vanofanira kupwanya tablet ye levothyroxine ndokuisanganisa nemukaka wamazamu, chimiro, kana mvura inopihwa kumwana.
Chinyorwa chinokosha kuvabereki, zvisinei: Usasanganise levothyroxine ne soy yechando yevana kana kuti chero calcium kana kuti yakagadzirirwa masimbi. Soy, calcium, uye simbi zvinogona kuderedza kushanda kwecheche kukwanisa kushandisa mishonga zvakanaka.
Nemhaka yokuti soy inomira inogona kunonoka kana kukanganisa kukwanisa kwechecheche kusvika kuhutano hwehutachiwana huripo, zvinokurudzirwa kuti vacheche vane kuberekwa kwee-hypothyroidism avo vanodyiwa soy formula vanofanira kuongororwa nguva dzose uye zvakanyanya. Zvinogona kuwedzera muwandu wemishonga kuitira kuti zvive nehutachiona hwehutano hwakanaka uye kudzivirira hupenyu hwavo hwemagetsi.
Kuchengetedza Kuberekwa Hypothyroidism
Vana vari kurapwa nekuda kwekuberekwa kwee hypothyroidism vanofanira kuongororwa purogiramu yenguva dzose, uye vanofanira kuongororwa mwedzi yakawanda kwemakore matatu ekutanga ehupenyu. UpToDate Mishumo yokuti, maererano neAmerican Academy of Pediatrics, serum T4 kana kuti T4 uye TSH yeropa pasina kuedza inofanira kuitwa maererano nezvinoitwa purogiramu inotevera:
- Pavhiki 2 ne4 mushure mekutangwa kweT4 kurapwa
- Mwedzi imwe chete kusvika kune 2 mumwedzi 6 yekutanga yehupenyu
- Mwedzi 3 kusvika ku 4 mwedzi pakati pemwedzi mitanhatu nemakore matatu
- Mwedzi yese kusvika pamwedzi gumi nemaviri kubva ipapo kusvikira kukura kwapera
- Vhiki mbiri mushure mekuchinja chero kupi zvako mu dose
- Pane nguva dzinowanzoitika kana kutenderwa kunobvunzurudzwa kana zviitiko zvisina kuwanikwa zvinowanikwa
Kusingaperi kana kuti hupenyu hwose hukama hutachiona hunogona kugadziriswa nekufungidzira uye zvidzidzo zve ultrasound zvinoratidza kuti utachiona husipo kana ectopic, kana chirema mune kukwanisa kugadzira uye / kana kuchengetedza hormone yetachiona inotsigirwa.
Shoko kubva
Kana zvachose hypothyroidism isati yasimbiswa, levothyroxine mushonga unogona kudziviswa kwemwedzi pazera remakore matatu, uye mwana wacho anodzorerwa. Kana maitiro akasara akajairika, kwenguva duku hypothyroidism inofungidzirwa. Kana maitiro akava asina kukwana, kusingaperi hypothyroidism inofungidzirwa.
Vana vane hutano husingaperi hutachiona hwechirwere avo vanobviswa pamishonga vanofanira, zvakadaro, vachiri kuve nekanguva yekutarisa utachiona nekudzokorora , sezvo vana ava vanotarisana nehuwandu hwekuwedzera dambudziko rehutori muhupenyu hwavo hwose.
Kunobva:
> LaFranchi, Stephen. "Kurapa uye kufungidzira kwepenital hypothyroidism." Kusvika pari zvino. Yakasvika: January 2009.