Yu smɔl pikin gɛt tayroyd prɔblɛm frɔm we dɛn bɔn am? Lɛ wi tɔk bɔt Congenital Hypothyroidism!

Di gladi at ɛn di lɔv we yu kin fil we yu smɔl pikin kam na dis wɔl nɔ go ebul fɔ ɛksplen, nɔto so? Ɔl mama ɛn papa kin op fɔ si dɛn pikin gɛt wɛlbɔdi ɛn gladi at. Bɔt sɔntɛnde, ivin di smɔl pikin dɛn kin gɛt wɛlbɔdi prɔblɛm we dɛn nɔ bin de tink se dɛn go gɛt. wan pan dεn kayn kכndyushכn dεm ya we dεn kin si pan nyu bכbi dεm, bכt dεn kin kכntro am kכmplit if dεn no am kwik εn trit am kwik, dεn kכl am ‘congenital hypothyroidism’. Wi kin kɔl dis sik na mɛrɛsin (Congenital Hypothyroidism) . Pan ɔl we fɔ yɛri dis nem kin mek yu fred, if dɛn tɛl yu bɔt am fayn fayn wan, yu go no se na sɔntin we pɔsin kin ebul fɔ kɔntrol.

Wetin na dis ‘congenital hypothyroidism’?

Fɔ tɔk am simpul wan, (Congenital Hypothyroidism) na wan sik we di tayroyd gland nɔ de wok fayn we dɛn bɔn am . Di tayroyd gland na smɔl gland we tan lɛk bɔtaflay we de bifo wi nɛk. I de mek wan kayn ɔmon we rili impɔtant to wi bɔdi, dat na di tayroyd ɔmon. Dɛn ɔmon ya impɔtant fɔ mek smɔl pikin in bren, in bɔdi gro, ɛn di we aw i de du tin.

So, if di pikin we dɛn jɔs bɔn in tayroyd gland nɔ de divɛlɔp fayn, ɔ if i nɔ de wok fayn, di bɔdi nɔ de mek inof tayroyd ɔmon. Na dat wi kin kɔl (Congenital Hypothyroidism).

If dɛn nɔ trit dis sik insay di rayt tɛm, i kin gɛt big impak pan di pikin in divɛlɔpmɛnt, mɔ pan intɛlektual disabiliti . Infakt, (Congenital Hypothyroidism) na di men tin we kin mek pɔsin gɛt intɛlektual disabiliti we pɔsin kin ebul fɔ avɔyd. Na dat mek na bɔku kɔntri dɛn ɔlsay na di wɔl, lɛk Sri Lanka, dɛn kin du smɔl blɔd tɛst fɔ chɛk aw pikin in tayroyd de wok insay sɔm dez afta dɛn bɔn am. Dis na sɔntin we dɛn kin du ɔltɛm.

Statistikin sho se dis sik kin afɛkt lɛk wan pan ɛvri 3,000 to 4,000 pikin dɛn we dɛn jɔs bɔn. Dɛn kin tɔk bak se gyal pikin dɛn kin gɛt am tu tɛm pas bɔy pikin dɛn.

כl di pikin dεm we dεn bכn wit haypotayroydism go nid fכ tek tayroyd כmon pils fכ di res כf dεn layf. Bɔt sɔm pikin dɛn kin gɛt di sik we dɛn kɔl hypothyroidism fɔ sɔm tɛm, ɛn dis kin dɔn fɔ insɛf insay sɔm wik ɔ mɔnt. If dɛn trit dɛn pikin ya fayn, dɛn kin liv rili nɔmal, wɛlbɔdi layf.

Wetin na di sayn dɛm wae kin no if pikin gɛt dis sik?

I nɔ kin no wantɛm wantɛm se pikin we dɛn jɔs bɔn gɛt aypotayroydism we dɛn bɔn wit. Na dat mek di tayroyd skrinin tɛst we wi bin dɔn tɔk bɔt rili impɔtant.

Bɔt yu kin si sɔm sayn dɛn we nɔ de si klia wan insay di fɔs wik dɛn we pɔsin de liv. Dɛn tin ya na:

Sayn dɛm wae kin apun insay di fɔs wik dɛm:

• Banbɛlɛ:I nɔ kin izi fɔ di pikin fɔ go na tɔylɛt, ɛn i nɔ kin go fɔ sɔm dez.
• di mכsul dεm we de tכn (Hypotonia): di pikin in bכdi de fil wik, i nכ gεt layf, εn di limb dεm de fil sכmtεm we dεn tכch am.
• I nɔ izi fɔ drink milk: Nɔ kin want fɔ drink milk, nɔ kin ebul fɔ sok am fayn ivin we yu de drink, ɔ yu kin vɔmit di milk afta yu dɔn drink.
• Janda we kin kɔntinyu fɔ de: Jandis we kin apin jɔs afta dɛn bɔn pikin kin stɔp insay sɔm dez. Bɔt if dis kayn tin apin, di jaundice kin de fɔ sɔm wiks.
• Letargy: I tan lɛk se di pikin de slip ɔltɛm, i nɔ izi fɔ wek, ɛn i tan lɛk se i nɔ want fɔ ple.
• Di vɔys we de ala: We pikin kray, in vɔys kin chenj, i kin mek i kray.
• Hypothermia: Di pikin in bɔdi kin fil kol ɔltɛm.

Imajin, if i tan lɛk se yu pikin we yu jɔs bɔn de slip ɔltɛm, i tu les fɔ gi am tin fɔ it, ɛn i tan lɛk se i kol we yu tɔch am, i go fayn fɔ tek tɛm smɔl tɛm dɛn lɛk dis.

If dɛn nɔ trit am, di sayn dɛm we kin kam as tɛm de go na:

If dɛn nɔ no ɛn trit dɛn fɔs sayn ya, mɔr sayn dɛn kin sho as tɛm de go.

• Blɔt: I kin tan lɛk se di bɛlɛ big ɛn swel.
• Anemia: Di blɔd we de na di bɔdi kin go dɔŋ.
• Bradycardia: Di at rit de slo.
• I kɔs kɔs: I ia kɔs ɛn dray.
• Kol, dray skin: Di skin kin fil kol we yu tɔch am ɛn i kin fil dray.
• Goiter: Na swɛlin na di nɛk usay di tayroyd gland de.
• Hypotension: Lɔw blɔd prɛshɔn .
• di tכng we big (Macroglossia): di tכng kin big pas aw i kin bi, sכmtεm i kin kכmכt na di mכt.
• Swel rawnd di yay: Di say we de rawnd di yay de luk lɛk se i dɔn ful-ɔp.

Yu nɔr nid fɔ panik if yu si wan ɔr tu pan dɛn sik ya, bikɔs sɔm pan dɛn sik ya kin kam bak wit ɔda rizin. Bɔt if yu si sɔntin lɛk dis, i go mɔs bi se i go fayn fɔ go to dɔktɔ.

Wetin mek wi pikin dɛn kin gɛt dis?

di men tin we kin mek yu bɔn pikin na di tayroyd gland we nɔ fayn na di divɛlɔpmɛnt na di tayroyd gland (Thyroid Dysgenesis) . Bɔku tin dɛn de we kin mek pɔsin du dis:

Di rizin dɛn we kin apin mɔ:

• εktopik Tayroyd Gland: di tayroyd gland kin de na difrεn say na di nεk, sכmtεm כnda di tכng, pas fכ de na di nכmal say we i de.
• di tayroyd ajenεsis: di tayroyd gland kin nכ de we dεn bכn am.
• Tayrɔyd haypoplasia: .Pan ɔl we di tayroyd gland dɔn fɔm, i rili smɔl ɛn i nɔ dɔn divɛlɔp fayn.

Dɛn tri tin ya na di tin dɛn we kin mek pɔsin gɛt aypotayroyd we pɔsin bɔn wit.

Rizin dɛn fɔ mek yu si smɔl smɔl:

Sɔm ɔda rizin dɛn de apat frɔm dis, bɔt dɛn nɔ kin bɔku smɔl.

• Jεnεtik Mכtεshכn: I kin kכz fכ sכm chenj dεm na di jin dεm we de afekt di prodakshכn fכ di tayroyd כmon dεm. Dɛn tin ya kin bi bak we pɔsin gɛt frɔm in mama ɛn papa.
• di ayodin we de na di mama we i bεlε: di minral ayodin implεnt fכ mek di tayroyd כmon dεm. If mama nɔ gɛt inof ayodin na in it we i gɛt bɛlɛ, i kin afɛkt di pikin in tayroyd.
• Sɔm mɛrɛsin dɛn we di mama kin tek we i gɛt bɛlɛ: If di mama yuz mɛrɛsin fɔ sɔm kayn maynd sik dɛn lɛk lithium, ɔ mɛrɛsin fɔ aypa tayroyd, lɛk mɛrɛsin we de agens tayroyd, we i gɛt bɛlɛ, dɛn kin ambɔg di pikin in tayroyd ɔmon we i de mek.
• Mama we de gɛt tritmɛnt fɔ tayroyd kansa we i gɛt bɛlɛ: If mama gɛt tritmɛnt fɔ tayroyd kansa (lɛk redioaktiv ayodin) we i gɛt bɛlɛ, i kin afɛkt di pikin bak.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

As wi bin dɔn tɔk bifo tɛm, if dɛn nɔ trit am kwik, (Congenital Hypothyroidism) kin mek yu gɛt siriɔs prɔblɛm dɛn . Di tin dɛn we impɔtant pas ɔl na:

• Intɛlektual Disabilities: Bikɔs di tayroyd ɔmon dɛn impɔtant fɔ mek di bren gro, if di ɔmon nɔ de igen, i kin mek i nɔ ebul fɔ divɛlɔp in maynd fayn.
• Delay growth: Tin dεm lεk ayt gεt εn bכdi growth de delay.
• I nɔ de yɛri fayn: Sɔm pikin dɛn kin ivin go te dɛn nɔ ebul fɔ yɛri.
• Anemia we nɔ gɛt bɛtɛ blɔd
• Hat kכndyush כn lεk at fεl
• Prɔblɛm dɛn we pɔsin kin gɛt we i de si

Na dat mek wi se i rili impɔtant fɔ no dis sik kwik ɛn bigin fɔ trit am kwik kwik wan ɔnda di advays we dɔktɔ gi. If yu du dat, dat kin mek yu nɔ gɛt bɔku pan dɛn prɔblɛm ya.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Insay bɔku kɔntri dɛn, ivin Sri Lanka, dɛn kin du ɛni pikin we dɛn jɔs bɔn, wan tɛst we dɛn kɔl tayroyd. Dis min se yu fɔ tek sɔm smɔl smɔl blɔd dɛn na di pikin in il ɛn chɛk tu ɔmon lɛvɛl.

• TSH (Thyroid-Stimulating Hormone): Dis na ɔmon we di pituitary gland de pul we de mek di tayroyd gland mek tayroyd ɔmon. If di tayroyd nɔ de wok fayn, bɔku tɛm di TSH lɛvɛl kin go ɔp.
• T4 (Thyroxine): Dis na di men ɔmon we di tayroyd gland de mek. dis de εp di pikin fכ gro εn mεtabolism. insay (Congenital Hypothyroidism), dis T4 lεvεl de lכw.

If di rizɔlt fɔ dis blɔd tɛst nɔrmal, we min se di TSH rili ay ɛn di T4 rili smɔl, di dɔktɔ kin du ɔda tɛst dɛn. Fɔ ɛgzampul, dɛn kin du tayroyd skan ɔ ɔltra saund fɔ si if di tayroyd gland de na di rayt say, us saiz i gɛt, ɛn if ɛni chenj de na di we aw i tan. Dis na di onli we fɔ mek yu no if yu gɛt di sik.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ di haypotayroyd we dɛn bɔn wit na fɔ tek di ples fɔ di tayroyd ɔmon we nɔ de na di bɔdi. Di mɛrɛsin we dɛn kin yuz mɔ na lɛvotayroksin . Dis na rili wan sɛntetik T4 ɔmon. I kin kam insay di fɔm fɔ wan pil. So we yu de gi am to smɔl pikin, yu fɔ krɔs di pil ɛn miks am wit sɔm mama in milk, fɔmula, ɔ wata. Yu pikin in ɛndokrinɔlɔjis go tɛl yu di rayt we aw fɔ gi am. Sɔm fɔmula dɛn we dɛn mek wit soya kin ambɔg di we aw di tayroyd ɔmon dɛn nɔ de tek, so i fayn fɔ tɔk to yu dɔktɔ bɔt tin dɛn lɛk dat.

di tin we impɔtant pas ɔl na fɔ bigin dis mɛrɛsin insay di fɔs mɔnt afta dɛn bɔn di pikin. Na da tɛm de nɔmɔ wi go ebul fɔ mek di mental retardation we wi bin tɔk bɔt nɔ apin fɔ ɔltɛm.

Afta yu dɔn bigin fɔ tek mɛrɛsin, di dɔktɔ go de chɛk di tayroyd ɔmon lɛvɛl ɔltɛm na yu pikin in blɔd fɔ mek shɔ se dɛn de gɛt di rayt doz fɔ mɛrɛsin. Dɛn kin du dɛn blɔd tɛst ya fɔ:

• εvri mכnt כ ​​tu mכnt te di pikin ol 6 mכnt.
• wan tεm evri tu כ tri mכnt afta di pikin dכn 6 mכnt.

Bɔrku pipul dɛm wae gɛt congenital hypothyroidism go nid fɔ tek dis mɛrɛsin fɔ di res ɔf dɛn layf. Bɔt, lɛk aw a bin dɔn tɔk, sɔm pipul dɛn kin jɔs nid tritmɛnt fɔ sɔm tɛm. Yu dɔktɔ go ɛksplen to yu aw yu pikin in sik de ɛn aw lɔng dɛn go nid fɔ tek di mɛrɛsin.

Aw lɔŋ pikin we gɛt dis sik kin liv?

Dis kin tan lɛk se i de mek pɔsin fred, bɔt di layf we pikin we gɛt aypotayroyd we dɛn bɔn wit kin gɛt na di sem we aw pɔsin we nɔ gɛt dis sik kin liv. De tin wae impɔtant pas ɔl na fɔ bigin tritmɛnt kwik kwik wan. If yu du dis, yu nɔ go gɛt natin fɔ fred bɔt tumara bambay.

We yu pikin dɔn big, i kin du ɛni wok we i want, fɔ mek famili if i want, ɛn du ɔltin nɔmal wan. We i dɔn stɔp fɔ tek tayroyd ɔmon pils ɛvride, i go ebul fɔ liv in layf we nɔmal.

Yu tink se we de fɔ mek dis nɔ apin?

Bikɔs na jɛnɛtiks bak, dɛn nɔ kin ebul fɔ avɔyd di haypotayroyd we dɛn bɔn wit ɔltɛm. Bɔt if yu gɛt bɛlɛ, aks yu dɔktɔ aw yu go ridyus di prɔblɛm we yu pikin gɛt. I kin tɛst yu ayodin lɛvɛl ɛn si if yu nid fɔ mek ɛni chenj pan yu mɛrɛsin dɛn.

Us tɛm yu nid fɔ go to dɔktɔ?

If yu pikin gɛt aypotayroydism we dɛn bɔn am wit, wan dɔktɔ we de mɛn di ɛndokrin go de chɛk in tayroyd ɔmon ɔltɛm. Bɔt if yu fil se yu pikin in sik de kam bak ivin afta yu dɔn bigin fɔ tek mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ. Di doz fɔ di mɛrɛsin kin nid fɔ ajɔst.

Impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

As mama ɔ papa, yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd. Na nɔmal tin. Yu kin aks di dɔktɔ we de trit yu pikin kwɛstyɔn dɛn lɛk:

• Yu kin tɛl mi di rayt tin we de mek a gɛt dis sik na mi pikin?
• Dis na tin we de apin fɔ sɔm tɛm ɔ na tin we go de sote go?
• Yu tink se i go gɛt fɔ tek mɛrɛsin fɔ di res ɔf in layf?
• Aw yu kin no di rayt doz fɔ di mɛrɛsin?
• Aw a fɔ gi mi pikin dis mɛrɛsin?
• Wetin yu go du if yu nɔ ebul fɔ gi wan doz fɔ mɛrɛsin?
• Aw ɔltɛm dɛn fɔ du tayroyd tɛst?

Nɔ fred fɔ aks di dɔktɔ ɛni kwɛstyɔn we yu gɛt.

Di las tin we a fɔ tɔk na dis (Take-Home Message)

As mama ɔ papa, yu gɛt bɔku op fɔ yu pikin we yu jɔs bɔn we i kam na di wɔl. So, na nɔmal tin fɔ mek yu fil fred ɛn nɔ shɔ we yu yɛri se yu pikin gɛt sɔm kayn wɛlbɔdi prɔblɛm. "Aw i go afɛkt mi pikin if a tɛl am (Congenital Hypothyroidism)?" "Aw in fiuja go tan lɛk?" I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn na yu maynd.

Nɔ fred. Yu dɔktɔ de fɔ ansa ɔl dɛn kwɛstyɔn ya ɛn ɛp yu. Aks am fɔ ɔl di tin dɛn we yu nid ɛn di tin dɛn we yu nid. Di gud nyus na dat, if yu bigin tritmɛnt di rayt tɛm ɛn tek di rayt mɛrɛsin, yu pikin kin liv gladi ɛn wɛlbɔdi layf lɛk ɔlman. So kɔntinyu fɔ strɔng ɛn fala yu dɔktɔ in advays. Dat na di bɛst tin we yu go du fɔ yu pikin.

` Congenital haypothayroydism, tayroyd gland, pikin sik, tayroyd ɔmon, pikin divεlכpmεnt, Levothyroxine