ʻO hypothyroidism neonatal

Hoemi ʻia ka neʻe ʻana o ka hypothyroidism neonatal i kahi hānau hānau. I nā hihia kakaikahi loa, ʻaʻole hana ʻia kahi hormone thyroid. Kāhea ʻia kēia ʻano he hypothyroidism kūpuna. ʻO ke kumu o ka hānau ʻana mai ka wā hānau.

ʻO ka gland thyroid kahi mea nui o ka ʻōnaehana endocrine. Aia ia ma ke alo o ka ʻāʻī, ma luna pono o kahi e hui ai nā iwi iwi. Hana ka thyroid i nā hormone e kaohi i ke ala o kēlā me kēia cell i ke kino e hoʻohana ai i ka ikehu. Kapa ʻia kēia hana he metabolism.

ʻO ka hypothyroidism i ka hānau hānau hou ke kumu ʻia e:

• He glandula thyroid e nalo a maikaʻi ʻole paha
• ʻO kahi pituitary gland e hoʻonāukiuki ʻole i ka pona thyroid
• Hana maikaʻi ʻole ʻia nā hormone thyroid a hana ʻole paha
• Nā lāʻau a ka makuahine i lawe ai i ka wā hāpai
• Ka nele o ka iodine i ka papaʻai a ka makuahine i ka wā hāpai
• Nā Antibodies i hana ʻia e ke kino o ka makuahine e ālai ana i ka hana thyroid o ka pēpē

ʻO kahi pākeke thyroid ʻaʻole hoʻomohala piha ʻia ʻo ia ka kīnā maʻamau. Pālua ʻia nā kaikamahine ma mua o nā keikikāne.

ʻO ka hapa nui o nā pēpē i hoʻopili ʻia he mau hōʻailona a ʻaʻohe paha. ʻO kēia no ka mea he haʻahaʻa iki ko lākou pae thyroid hormone. ʻO nā pēpē me ka hypothyroidism koʻikoʻi he ʻano kū hoʻokahi, e like me:

• Nānā puʻupuʻu
• ʻO ka helehelena puʻupuʻu
• Alelo mānoanoa e kūlia i waho

Hoʻonui pinepine kēia hiʻohiʻona i ka wā e ulu nui ai ka maʻi.

Loaʻa paha i ke keiki:

• Hānai hānai maikaʻi ʻole ʻia, ʻāpana papaʻa
• Konipōpō
• Lauoho maloo, palupalu
• Uē Hoarse
• Jaundice (ʻili a me nā keʻokeʻo o nā maka e melemele)
• Ka nele o ke kani muscle (floppy pēpē)
• Uhi lauoho haʻahaʻa
• Kiʻekiʻena kiʻekiʻe
• Hiamoe
• Palaualelo

Hōʻike kahi hōʻike kino o ke pēpē:

• Hoʻoiho i ke kani o ka mākala
• Hoʻonui lohi
• Uē kani leo a kani paha
• Nā lima a me nā wāwae pōkole
• Nā kiko palupalu nui loa ma ka iwi poʻo (fontanelles)
• Nā lima ākea me nā manamana pōkole
• Iwi iwi poʻo kaawale

Hana ʻia nā hoʻokolohua koko e nānā i ka hana thyroid. Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO ka scanner ultrasound thyroid
• X-ray o nā iwi lōʻihi

He mea nui ka ʻike mua. ʻO ka hopena o ka hopena o ka hypothyroidism he maʻalahi ke huli. No kēia kumu, koi ka hapanui o nā mokuʻāina ʻo US e nānā ʻia nā keiki hānau hou a pau no ka hypothyroidism.

Hāʻawi pinepine ʻia ʻo Tyroxine e mālama i ka hypothyroidism. I ka manawa e hoʻomaka ai ke keiki e lawe i kēia lāʻau, hana pinepine ʻia nā hoʻokolohua koko e hōʻoia i ka pae maʻamau o ka nui o ka hormone thyroid.

ʻO ka loaʻa mua ʻana o ka diagnose e alakaʻi i kahi hopena maikaʻi. ʻIke ʻia a mālama ʻia nā keiki hānau hou i ka mahina mua a i ʻole maʻa mau ka ʻike maʻamau.

Hiki i ka hypothyroidism mālie maikaʻi ʻole ke alakaʻi ʻia i ke kīnā koʻikoʻi koʻikoʻi a me nā pilikia ulu. Hele ka ʻōnaehana ʻōnaehana i ka ulu nui i loko o nā mahina mua ma hope o ka hānau ʻana. Hiki i ka nele o ka thyroid hormones ke hana i nā ʻino i hiki ʻole ke hoʻohuli ʻia.

Kāhea i kāu kahu mālama ola inā:

• Manaʻo ʻoe e hōʻike ana kāu pēpē i nā hōʻailona a i ʻole nā ​​hōʻailona o hypothyroidism
• Hāpai ʻoe a ua hōʻike ʻia i nā lāʻau antithyroid a i ʻole nā ​​kaʻina hana

Inā lawe ka wahine hāpai i iodine radioactive no ka maʻi ʻaʻai thyroid, e pau paha ka aila thyroid i ka hānau hānau. ʻO nā pēpē i lawe ʻia e nā makuahine i nā lāʻau e pono e nānā pono ʻia ma hope o ka hānau ʻana no nā hōʻailona o ka hypothyroidism. Eia kekahi, ʻaʻole pono nā wahine hāpai e hōʻalo i ka paʻakai i hoʻopiha ʻia me iodine.

ʻO ka hapa nui o nā mokuʻāina e koi i kahi hōʻike kānana maʻamau e nānā i nā keiki hānau hou no ka hypothyroidism. Inā ʻaʻohe koi o kou mokuʻāina, e noi i kāu mea hāʻawi inā e nānā ʻia kāu keiki hānau hou.

Cretinism; ʻO hypothyroidism kūpuna

Chuang J, Gutmark-Little I, Rose SR. Nā maʻi thyroid i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine: Nā maʻi o ka Fetus a me ka pēpē. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2015: chap 97.

ʻO Wassner AJ, Smith JR. Hypothyroidism. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 581.