Neonatal hypothyroidism

Neonatal hypothyroidism na-ebelata mmepụta homonụ nke nwa ọhụrụ. N'okwu ndị na-adịkarị obere, ọ dịghị emepụta ọgwụ thyroid. A na-akpọkwa ọnọdụ ahụ congenital hypothyroidism. Congenital pụtara ugbu a site na ịmụ nwa.

The thyroid gland bụ akụkụ dị mkpa nke usoro endocrine. Ọ dị na n'ihu olu, n'elu ebe collarbones zutere. Thyroid na-eme homonụ nke na-achịkwa otú sel ọ bụla n'ime ahụ si eji ike. A na-akpọ usoro a metabolism.

Hypothyroidism dị na nwa ọhụrụ nwere ike ịbụ ihe kpatara:

• A na-efu ma ọ bụ na-emezighị emezi mepụtara thyroid
• A pituitary gland nke na-adịghị akpali thyroid gland
• Homonụ thyroid nke etolitere ma ọ bụ anaghị arụ ọrụ
• Ọgwụ nne nara mgbe ọ dị ime
• Enweghị iodine na nri nne n'oge afọ ime
• Ihe mgbochi nke ahu nke nne na - emechi igbochi ogwu nwa

Ọkpụkpụ thyroid nke na-emepebeghị emepe bụ nkwarụ kachasị. Mụ agbọghọ na-emetụta okpukpu abụọ karịa nke ụmụ nwoke.

Imirikiti ụmụ ọhụrụ emetụtara nwere obere ma ọ bụ enweghị mgbaàmà. Nke a bụ n'ihi na ogo ogo ha thyroid pere mpe. Antsmụaka nwere nnukwu hypothyroidism na-enwekarị ọdịdị pụrụ iche, gụnyere:

• Dull anya
• Ihu puffy
• Oke asụsụ nke na-apụ apụ

Ọdịdị a na - amalitekarị dị ka ọrịa na - akawanye njọ.

Nwa nwekwara ike inwe:

• Nri na-adịghị mma, na-egbu oge
• Afọ ntachi
• Akọrọ, ntutu na-agba agba
• Okwesiri ịkwa ákwá
• Jaundice (akpụkpọ na ọcha nke anya na-acha edo edo)
• Enweghị akwara (floppy nwa ọhụrụ)
• Obere ntutu
• Ogologo mkpụmkpụ
• Ihi ụra
• Adịghị ala

Nnyocha anụ ahụ nke nwa ọhụrụ nwere ike igosi:

• Mbelata ụda akwara
• Nta nwayọ
• Oké olu ma ọ bụ ụda olu
• Aka na ụkwụ dị mkpụmkpụ
• Nnukwu ntụpọ dị nro na okpokoro isi (fontanelles)
• Wat aka na mkpịsị aka dị mkpụmkpụ
• Ọkpụkpụ okpokoro isi iche iche

A na-eme nyocha ọbara iji chọpụta ọrụ thyroid. Ule ndị ọzọ nwere ike ịgụnye:

• Thyroid ultrasound nyocha
• X-ray nke ọkpụkpụ dị ogologo

Nchoputa mbu di ezigbo mkpa. Imirikiti mmetụta nke hypothyroidism dị mfe ịgbanwe. Maka nke a, ọtụtụ steeti US chọrọ ka enyocha ụmụaka niile amụrụ maka ọrịa hypothyroidism.

A na-enyekarị thyroid na-agwọ hypothyroidism. Ozugbo nwatakịrị ahụ malitere ị takingụ ọgwụ a, a na-anwale ule ọbara mgbe niile iji jide n'aka na ogo gị thyroid dị n'ụdị kwesịrị ekwesị.

Chọpụta ihe n’isi mmalite na-edugakarị na nsonazụ ọma. Bornmụ amụrụ ọhụrụ achọpụtara ma gwọọ ha na ọnwa mbụ ma ọ bụ nke nwere ọgụgụ isi oge niile.

Hypothyroidism na-enweghị ọgwụgwọ nwere ike ibute oke nkwarụ ọgụgụ isi na nsogbu uto. Usoro ụjọ ahụ na-esite na mmepe dị mkpa n’oge ọnwa ole na ole mbụ mgbe amuchara nwa. Enweghị homonụ nke thyroid nwere ike imebi mmebi nke na-enweghị ike ịgbanwe.

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ:

• Feel na-eche na nwa gị na-egosi ihe ịrịba ama ma ọ bụ ihe mgbaàmà nke hypothyroidism
• Are dị ime ma kpughee ọgwụ ma ọ bụ usoro antithyroid

Ọ bụrụ na nwanyị dị ime ewere iodine redioactive maka ọrịa kansa thyroid, enwere ike ibibi gland thyroid na nwa na-etolite. Umuaka umuaka ndi nne ha suchuru ogwu ndia kwesiri ka eji nlezianya lebara anya ma amucha ha. Ọzọkwa, ụmụ nwanyị dị ime ekwesịghị izere nnu a na-etinye na ayodiin.

Ọtụtụ steeti chọrọ nyocha nyocha oge niile iji chọpụta ụmụ amụrụ ọhụrụ maka hypothyroidism. Ọ bụrụ na steeti gị enweghị ihe a chọrọ, jụọ ndị na-eweta ọrụ gị ma ekwesịrị inyocha nwa amụrụ ọhụrụ gị.

Ndi Kretinis; Ọrịa hypothyroidism

Chuang J, Gutmark-Little M, Rose SR. Nsogbu thyroid gị na neonate. Na: Martin RJ, Fanaroff AA, Walsh MC, ụmụ. Fanaroff na Martin's Neonatal-Perinatal Medicine: Ọrịa nke Nwa Fetus na Nwa Ọhụrụ. Nke iri. Philadelphia, PA: Elsevier Saunders; 2015: isi nke 97.

Wassner AJ, Smith JR. Hypothyroidism na-agwọ ọrịa. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 581.