I fa te hian a pian tirh atangin thyroid problem a nei em? Congenital Hypothyroidism chungchang hi han sawi ila!

I fa tê tê he khawvêla a lo kal huna i hlimna leh hmangaihna i neih chu sawi fiah theih loh a ni, a ni lo maw? Nu leh pa zawng zawng hian an fa hrisel leh hlim taka hmuh an beisei. Mahse, a châng chuan, naupang tête pawhin beisei loh takin hriselna lama harsatna an nei thei a ni. Chutiang natna pakhat, nausen piang tharte hmuh theih, mahse hriat hmasak a, enkawl vat chuan control vek theih a ni a, chu chu ‘congenital hypothyroidism’ an ti. Hetiang dinhmun hi damdawi lamah chuan (Congenital Hypothyroidism) kan ti a. He hming hriat hi hlauhawm tak ni thei mah se, a chungchang dik taka hriattir i nih chuan enkawl theih thil a ni tih i hrechhuak ang.

He ‘congenital hypothyroidism’ hi eng nge ni?

A awlsam zawngin, (Congenital Hypothyroidism) hi nau piang laiin thyroid gland a thawk tha lo tihna a ni . Thyroid gland hi kan kawr hmalam a awm, hnim hring ang maia te tak te a ni. Kan taksa tana pawimawh em em hormone chi khat a siam chhuak a, chu chu thyroid hormone a ni. Heng hormone te hi naupang tê tê thluak tihhmasawn nan te, taksa thanlenna atan te, leh metabolic process te tan a pawimawh hle.

Chuvangin, nausen piang thar thyroid gland a lo thang tha lo a nih chuan, a nih loh leh a thawk tha lo a nih chuan taksain thyroid hormone a siam tha tawk lo a ni. Chu chu (Congenital Hypothyroidism) kan tih chu a ni.

He natna hi a hun taka enkawl a nih loh chuan naupang hmasawnna kawngah nghawng lian tak a nei thei a, a bik takin rilru lama harsatna a nei thei a ni . Dik tak chuan (Congenital Hypothyroidism) hi ven theih rilru lama harsatna thlentu lian ber a ni. Chuvang chuan khawvel ram tam takah, Sri Lanka telin, nausen pian atanga ni rei lo te chhunga thyroid hnathawh dan enfiah nan thisen test tenau tak an nei thin. Hei hi tih dan pangngaia tih thin a ni.

Statistics atanga a lan dan chuan he natna hian nau piang thar 3,000 atanga 4,000 zinga pakhat vel a vei a ni. Hmeichhiain mipa aiin a let hnih zetin an nei tam zawk niin an sawi bawk.

Congenital hypothyroidism nei naute tam zawk chuan an dam chhungin thyroid hormone pill an ei a ngai dawn a ni. Mahse, naute thenkhat chuan temporary hypothyroidism an nei a, chu chu kar tlemte emaw thla engemaw zat emaw chhungin a mah chauhin a reh ta a ni. Enkawlna mumal tak an neih chuan heng naupangte hian nun pangngai tak , hrisel takin an khawsa thei a ni.

Naupangin he natna a neih leh neih loh hriat theihna tur chhinchhiahna engte nge ni?

Nausen piang thar hian congenital hypothyroidism a nei tih a chiang nghal lo mai thei. Chuvang chuan a hmaa kan sawi tak thyroid screening test hi a pawimawh em em a ni.

Mahse, a dam chhung kar hmasa berah hian chhinchhiahna fiah lo thenkhat chu hmuh tur a awm thei. Chung zingah chuan:

Kar hmasa lama chhinchhiahna lo lang thei:

• Ek khal:Naute hian toilet kal a harsat a, ni eng emaw zat a kal lo thei bawk.
• Low muscle tone (Hypotonia): Naute taksa chu a chak lo va, nunna nei lo niin a inhria a, a kut leh ke te chu khawih a nih chuan a chak lo hle.
• Bawnghnute in harsatna: Bawnghnute in duh lohna, in lai pawhin a hnim tha thei lo, emaw, in zawh hnua bawnghnute chu a luak chhuak thei.
• Persistent jaundice: Nau pian hnu rei vak lovah jaundice lo awm chu ni rei lo te chhungin a reh tlangpui. Mahse, hetiang a nih chuan jaundice hi kar tam tak chhung a awm thei.
• Lethargy: Naute chu a muhil reng niin a lang a, harh a harsa a, inkhelh pawh a ngaihven lo niin a lang.
• Aw ri bengchheng: Nausen a tap hian aw a inthlak danglam a, a ri bengchheng.
• Hypothermia: Naute taksa chu a vawt reng reng a.

Ngaihtuah teh, i naute piang thar chu a muhil reng ang maia lang, chaw pek theih loh khawpa rilru hah, khawih pawhin a vawt ang maia lang a nih chuan, hetiang hun lai hian tlem fimkhur hi a tha hle.

Enkawl loh chuan hun kal zelah symptoms lo awm thei te chu:

Heng chhinchhiahna hmasa berte hi hriatchhuah leh enkawl a nih loh chuan hun kal zelah symptoms tam zawk a lang thei a ni.

• Bloating: Pum chu a lianin a hring niin a lang.
• Anemia: Taksa chhunga thisen volume tlahniam.
• Bradycardia: Heart rate a ti hniam thin.
• Sam hring: Sam hi a hring a, a vawt bawk.
• Vun vawt, vawt: Vun hi khawih chuan a vawt hle a, a vawt hle bawk.
• Goiter: Thyroid gland awmna kawngkhar a hring.
• Hypotension: Thisen sang hniam .
• Lei lian (Macroglossia): Lei chu a pangngai aia lian a lo ni a, a chang chuan ka atanga lo chhuak a ni.
• Mit vel a hring: Mit vel chu a hring chhuak angin a lang.

Heng symptoms zinga pakhat emaw pahnih emaw i hmuh chuan i hlauthawng a ngai lo, heng symptom thenkhat hi chhan dang vang pawh a nih theih avangin. Mahse hetiang thil i hmuh chuan doctor pan hi a tha ber ngei ang.

Engvangin nge kan fate hian hetiang hi an lo neih?

Congenital hypothyroidism thlentu ber chu thyroid gland lo piang chhuak (Thyroid Dysgenesis) . Hei hi a thlen thei thil engemaw zat a awm a:

A chhan tlangpui chu:

• Ectopic Thyroid Gland: Thyroid gland hi a awmna pangngai aiin a kawngah hmun dangah a awm thei a, lei hnuaiah pawh a awm thei.
• Thyroid agenesis: Thyroid gland hi pian tirh atangin a awm lo thei.
• Thyroid hypoplasia a awm chuan:Thyroid gland hi lo piang tawh mah se, a lianin a te hle a, a lo thanglian tha lo hle.

Heng dinhmun pathumte hi congenital hypothyroidism thlentu ber an ni.

Tlem a tlem zawk hmuh chhan:

Hei bakah hian chhan dang tlemte a awm a, mahse a tlem deuh hlek a ni.

• Genetic Mutations: Thyroid hormone siam chhuahna tichhe thei genes inthlak danglamna thenkhat avanga lo awm thei a ni. Chûngte chu thlahtute pawh a ni thei bawk.
• Naupai laiin Nuin Iodine a tlakchham: He mineral iodine hi thyroid hormone siam chhuahna atan a pawimawh hle. Nuin naupai laiin a ei leh inah iodine a neih tlem chuan naute thyroid a nghawng thei a ni.
• Naupai laia nuin a ei damdawi thenkhat: Nuin naupai laiin rilru lam natna thenkhat, lithium ang chi damdawi emaw, hyperthyroidism damdawi, antithyroid damdawi ang chi emaw a hman chuan naute thyroid hormone siamchhuahna a tibuai thei a ni.
• Nuin naupai laiin thyroid cancer enkawlna a dawng: Nuin naupai laiin thyroid cancer (radioactive iodine ang chi) enkawlna a dawng a nih chuan naute pawh a nghawng thei a ni.

Enkawl loh chuan eng harsatna nge awm thei?

Kan sawi tawh ang khan, enkawl hma loh chuan (Congenital Hypothyroidism) hian harsatna lian tak a thlen thei a ni . Chung zinga pawimawh ber chu:

• Intellectual Disabilities: Thyroid hormone hi thluak thanlenna atana pawimawh tak a nih avangin hormone tlakchhamna chuan rilru lama hmasawnna a tichhe thei a ni.
• Delayed growth: Height gain leh body growth ang chi thil hi a tlai deuh thin.
• Hriatna lama harsatna: Naupang thenkhat phei chuan hriat theih loh khawpin an kal thei.
• Thisen tlakchhamna (Anaemia).
• Lung lam natna, thinlung natna ( heart failure) te
• Mit hmuhna lama harsatna a awm

Chuvangin he natna hi hriat hmasak a, doctor thurawn anga a rang thei ang bera enkawl tan a pawimawh hle kan ti. Chutianga tih chuan heng harsatna tam tak hi a veng thei a ni.

Engtin nge doctor-te hian he natna hi an hriat theih?

Ram tam takah, Sri Lanka telin, nausen piang thar apiang chu thyroid test an nei vek a. Hei hian naute kekawr atanga thisen tla tlemte lak a, hormone level pahnih enfiah a huam a ni.

• TSH (Thyroid-Stimulating Hormone): Hei hi pituitary gland atanga chhuak hormone a ni a, chu chuan thyroid gland a tichak a, thyroid hormone a siam chhuak thin. Thyroid a underactive chuan TSH level a sang fo thin.
• T4 (Thyroxine): Hei hi thyroid gland atanga hormone siam chhuah ber a ni. Hei hian naute thanlenna leh metabolism a pui thin. (Congenital Hypothyroidism) ah chuan he T4 level hi a hniam hle.

He thisen test result hi a dik lo a, chu chu TSH a sang hle tihna a ni a, T4 a hniam hle tihna a nih chuan doctor chuan test dang a ti leh thei a ni. Entirnan, thyroid scan emaw ultrasound emaw hmangin thyroid gland chu a awmna tur dik takah a awm em tih te, engzat nge a lian tih te, a structure-ah danglamna a awm em tih te hriat theih a ni. Hengte chauh hi definitive diagnosis siam theihna tur kawng awmchhun a ni.

Hei hi eng enkawlna nge ni?

Congenital hypothyroidism enkawlna chu taksaa thyroid hormone tlakchhamna thlak nan a ni. Damdawi hman tlanglawn ber chu levothyroxine a ni . Hei hi a takah chuan synthetic T4 hormone a ni. Pill angin a lo thleng a ni. Chuvangin naute te tak te hnena i pek hian pill chu i chil a, nu hnute, formula emaw tui emaw nen i pawlh tur a ni. I fa endocrinologist chuan pek dan tur dik tak a hrilh ang che. Soy-based formula thenkhat chuan thyroid hormone absorption a tibuai thei a, chuvangin chutiang thil chu doctor nen inbiakna neih a tha.

A pawimawh ber chu naute pian hnu thla khatna chhungin he damdawi hi hman tan a ni. Chutiang a nih chauh chuan kan sawi tawh rilru lama harsatna lo thleng tur chu kan veng reng thei ang.

Damdawi ei tan hnuah doctor chuan i naute thisena thyroid hormone level chu a enfiah fo ang a, damdawi dose dik tak an dawng em tih a enfiah ang. Heng thisen test te hi a tlangpuiin:

• Thla tin emaw thla hnih danah naute thla 6 a tlin thlengin.
• Naute thla 6 a tlin hnu thla hnih emaw thla thum danah vawi khat.

Congenital hypothyroidism vei tam zawk chuan an dam chhung zawng he damdawi hi an ei a ngai dawn a ni. Mahse, ka sawi tawh ang khan mi thenkhat chuan hun eng emaw chen atan chauh enkawl an mamawh mai thei. I doctor chuan i fa dinhmun a hrilhfiah ang che a, eng chen nge damdawi an ei a ngai dawn tih a hrilhfiah ang che.

Hetiang natna vei naupang hi eng chen nge a dam theih ang?

Hei hi hlauhawm tak angin a lang thei a, mahse congenital hypothyroidism nei naupang dam rei zawng chu he natna nei lo dam rei zawng nen a inang vek a ni. A pawimawh ber chu a rang thei ang bera enkawl tan hi a ni. Hetianga i tih chuan nakin hun tur hlauh tur i nei lovang.

I fa a lo puitlin chuan hna a duh apiang a thawk thei a, a duh chuan chhungkua a din thei a, a pangngaiin engkim a ti thei bawk. Nitin thyroid hormone pill a ei tawh loh chuan nun pangngai tak a hmang thei tawh dawn a ni.

Hei hi ven dan tur a awm em?

Genetic a nih bawk avangin congenital hypothyroidism hi a veng thei ngai lo. Mahse naupai i nih chuan i naute tana hlauhawmna tihtlem dan tur i doctor zawt la. I iodine level a test thei a, i damdawi ei tur i tihdanglam a ngai em tih a enfiah thei bawk.

Doctor hmuh hun engtik lai nge i mamawh?

I naute hian congenital hypothyroidism a neih chuan endocrinologist chuan a thyroid hormone level a enfiah fo ang. Amaherawhchu, damdawi i ei tan hnu pawha i naute natna lanchhuahna a lo let leh nia i hriat chuan i doctor hnenah hriattir ngei ngei tur a ni. Damdawi hman dan tur pawh siam danglam a ngai mai thei.

Zawhna pawimawh tak tak i doctor zawh tur

Nu leh pa i nih angin i rilruah zawhna tam tak i nei thei a. A pangngai a ni. I fa enkawltu doctor hnenah hetiang zawhna te hi i zawt thei ang:

• Ka naute hi eng thilin nge he natna hi a thlen tih chiang takin min hrilh thei ang em?
• Hei hi hun rei lote chhunga awm nge awm reng tur?
• A dam chhung zawng damdawi a ei a ngai dawn em ni?
• Engtin nge damdawi hman tur dik tak chu i hriat theih ang?
• Engtin nge he damdawi hi ka fa hnenah ka pek ang?
• Damdawi dose khat pawh i pe thei lo a nih chuan engtin nge ni ang?
• Thyroid test hi engzat nge tih tur?

Doctor hnenah zawhna i neih apiang zawh hreh suh.

Ka sawi tur hnuhnung ber chu hei hi a ni (Take-Home Message) .

Nu leh pa i nih angin i naute piang thar chu khawvela a lo chhuah hunah beiseina sang tak i nei a ni. Chuvangin, i naute hian hriselna lama harsatna engemaw tak a nei tih i hriat hian hlauhna leh rinhlelhna i neih hi thil pangngai a ni. "Ka naute (Congenital Hypothyroidism) ka hrilh chuan engtin nge a nghawng ang?" "A hmalam hun chu eng ang nge ni ang?" I rilruah zawhna tam tak i nei ngei ang.

Hlau suh. I doctor chu heng zawhna zawng zawng chhanna tur leh pui turin a awm reng a ni. I mamawh thu leh hla zawng zawng chu a hnenah zawt rawh. Thu lawmawm tak chu, a hun taka enkawl tan a, damdawi dik tak i ei chuan i fa chu mi zawng zawng ang bawkin nun hlim leh hrisel takin a nung thei a ni. Chuvangin chak takin awm la, i doctor thurawn zawm rawh. Chu chu i fa tan i tih theih tha ber a ni.

` Congenital hypothyroidism, thyroid gland, naupang natna, thyroid hormone, naupang thanlenna, Levothyroxine