Kusanzwisiswa Hypothyroidism muMuchembere Mukadzi Anoshamisa Anoshusha IQ Mwana
Anopfuura gumi gumi apfuura, The New England Journal of Medicine (NEJM) yakashuma pamusoro pemigumisiro yekutsvakurudza kwakawanikwa iyo isina kutorwa hypothyroidism panguva yekuzvitakura ingakanganisa kufanana kwepfungwa dzepfungwa. Kunyanya, tsvakurudzo yakawana kuti vana vaiva nehuwandu hwezasi hweIQ, hutsika hwemotokari dzakaderera, uye matambudziko ane hanya, mutauro uye kuverenga.
Chidzidzo chacho chakawana kuti vakadzi vane vasingateereri, utachiona hwehutachiona hwehutachiona pahutachiwana hunenge kazhinji huwandu hwekuva nevana vane zvikamu zvezasi zveIQ. Vatsvakurudzi vakaratidza kuti vanenge 1 pavakadzi vose makumi mashanu vane hypothyroidism panguva yekuzvitakura. Dzimwe nyanzvi, zvisinei, vanotenda nhamba iyi inogona kuva yakakura kwazvo, uye kuti kuwedzera kwezana kwevanhu hakuzivikanwi kana kuti kunotapudzwa .
Chidzidzo chacho chakaratidza kuti 19 muzana yevana vakaberekerwa vanaamai vane chirwere chisina kuraswa chine utachiona chaiva neIQ mazana e 85 kana pasi. Izvi zvakafananidzwa neIc yakaderedzwa yezinga ye 5% chete yevaya vakaberekerwa vanaamai vasina matambudziko ehutachiwana akadaro. Maererano naJames E. Haddow, MD, vatungamirire vanyori vekudzidza, uwandu huri pasi pe 85 IQ yepamusoro hunogona kureva kukanganisa kukuru kwevana. Maererano neHaddow:
Vana vana vane zvikamu zviri munharaunda iyi vanogona kusangana nematambudziko ehupenyu hunobudirira. Zvingave zvichibvira kudzivirira matambudziko aya kuburikidza nehutachiona hwekutanga uye kurapwa kwechirwere chetachiona mumadzimai avo.
Chidzidzo chacho chakawana kuti vana 62 vanaamai vavo vaiva hypothyroid panguva yekuzvimba vakaita zvishoma pamhando dzose dzakachenjera neIQ miedzo yakashandiswa pakuyera. Vana vevakadzi makumi maviri nemashanu vasina kubatwa nechirwere chetachiona panguva yekuve nepamuviri vaive nemavhareji IQ mapeji ayo aiva maonero manomwe pasi pevana vari muboka rekutonga, uye 19 muzana vachiverenga 85 kana kupfuura.
Zvinofadza kuti vatsvakurudzi vakaonawo kuti vanaamai vakazoonekwa kuti vane hypothyroid vakanga vaenda mukati mevhisi makore mashanu vasati vaona kuti vanachiremba vane chirwere chetachiona. Mamwe madzimai aya haana kuongororwa kusvika makore gumi gare gare. Iyi inetso inopfuurira yehuwandu hwevanhu, uye vamwe vanofungidzira vanoona kuti kune vakawanda sevanhu vane mamiriyoni 13 vane hypothyroidism muUnited States, vazhinji vavo vakadzi, uye vakawanda sehafu havanzwisisi. (Ona RUBATSIRO! My TSH "Inowanzo" Asi Ndinofunga Ndiri Hypothyroid .)
I NEJM yakataura kuti kuongororwa kwekudzivirira vanaamai kwe hypothyroidism kunogona kukurudzirwa. Kazhinji, vakadzi vane chirongwa chokubvisa kana kuvhara utachiona, kana kuti vane chirwere chinonzi autoimmune hypothyroidism vanoziva nezve hypothyroidism yavo, uye vanofanirwa kuchenjerera kunyanya pakugadzirira pamuviri uye mukuraira kwehutachiona panguva yekuzvitakura. Dambudziko guru, zvisinei, riri mumadzimai akawanda hypothyroidism vasingazivikanwi, avo vane utachiona hwemazuva ose nevanokurudzira zvirwere zvakakwirira, kana kuti vasina kutora subclinical hypothyroidism - zvose nekuda kwekusingaperi autoimmune thyroiditis (Hashimoto's Thyroiditis).
Imwe nyaya ndeyekushushikana pamusoro pekuwedzerwa kweIodine.
MuNJJ mukurongedza pamwe chete nekutsvakurudza kwakawanikwa, Dr. Robert Utiger akati:
Pasinei nokufungidzira kuti hypothyroidism mune vakadzi vazhinji vane pamuviri inokonzerwa nekugara kwenguva refu autoimmune thyroiditis, iyo isingagoni kudzivirirwa, mutsauko pakati penyika inoratidza imwe imwe tsananguro inogona kuve - tsvina yeododhi, inogona kudzivirirwa. . . Zvichida kuti zvose zvisingagumi autoimmune thyroiditis uye kushayikwa kweiodini zvinokonzera kuitika kwe hypothyroidism muvakadzi vane pamuviri munyika dzakawanda.
Izvo zvinoramba zvichiri kusina chimiro chetachiona chakasimudzirwa kune vakadzi vanoshuva kuva nepamuviri, kana kuti vatotanga kutakura.
Kuongorora kwechangobva kuwanikwa kwakawana kuti zvose zvakakwirira, uye zvakaderera, mazinga ehutachiona anogona kuisa njodzi kune vana vasina kuberekwa. Chidzidzo chekutsvakurudza, Dr. Tim Korevaar akati, "Kune kubvumirana kwekutora subclinical hypothyroidism nekuti inowanzofungidzirwa kuti zvingangove zvakakosha zvekurapa zvinopfuura mungozi dzekumanikidzira.Ipapo kwakanga kusina uchapupu huripo kuvanhu kusvika ikozvino izvo zvakanyanyisa kuwanda kwetachiona hormone inogonawo kukuvadza. "
Kunyangwe iwe uchiziva kuti une chirwere chetachiona kana kwete, kana iwe uri kuronga kuva nepamuviri, kana kuti uri nepamuviri, taura nachiremba wako pamusoro pekuongororwa kwechirwere chako chetachiona - kuti ugare wakachengeteka.
Kunobva:
Haddow, James EMD, uye. al. "Maternal Thyroid Deficiency during Pregnancy and Subsequent Neuropsychological Development of the Child," New England Journal of Medicine, Bhuku 341: 549-555, Gumiguru 19, 1999 Nhamba ye8, Online