Kodi mwana wanu ali ndi vuto la chithokomiro kuyambira kubadwa? Tiyeni tikambirane za Congenital Hypothyroidism!

Chisangalalo ndi chikondi chomwe mumamva mwana wanu akabwera padziko lapansi n'chosaneneka, sichoncho? Makolo onse amayembekeza kuona mwana wawo wathanzi komanso wosangalala. Koma nthawi zina, ngakhale ana aang'ono amatha kukhala ndi mavuto azaumoyo osayembekezereka. Vuto limodzi lotere, lomwe limapezeka mwa makanda obadwa kumene, koma limatha kulamuliridwa kwathunthu ngati litazindikirika msanga ndikuchiritsidwa mwachangu, limatchedwa 'congenital hypothyroidism'. Matendawa timawatcha kuti matenda a chipatala (Congenital Hypothyroidism) . Ngakhale kumva dzinali kungakhale koopsa, ngati mutadziwitsidwa bwino za izi, mudzazindikira kuti ndi chinthu chomwe chingathetsedwe.

Kodi 'congenital hypothyroidism' imeneyi ndi chiyani?

Mwachidule, (Congenital Hypothyroidism) ndi vuto lomwe chithokomiro cha chithokomiro sichigwira ntchito mokwanira pobadwa . Chithokomiro cha chithokomiro ndi chithokomiro chaching'ono, chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lathu. Chimapanga mtundu wa mahomoni omwe ndi ofunikira kwambiri m'thupi lathu, omwe ndi mahomoni a chithokomiro. Ma mahomoni awa ndi ofunikira pakukula kwa ubongo wa mwana wamng'ono, kukula kwa thupi, komanso kagayidwe kachakudya.

Choncho, ngati chithokomiro cha mwana wakhanda sichikukula bwino, kapena ngati sichikugwira ntchito bwino, thupi silipanga mahomoni okwanira a chithokomiro. Ndicho chimene timachitcha (Congenital Hypothyroidism).

Ngati vutoli silinachiritsidwe pa nthawi yake, likhoza kukhudza kwambiri chitukuko cha mwana, makamaka vuto la maganizo . Ndipotu, (Congenital Hypothyroidism) ndiye chifukwa chachikulu cha vuto la maganizo lomwe lingapeweke. Ichi ndichifukwa chake m'maiko ambiri padziko lonse lapansi, kuphatikizapo Sri Lanka, kuyezetsa magazi pang'ono kumachitika kuti awone momwe chithokomiro cha mwana chimagwirira ntchito mkati mwa masiku ochepa kuchokera pamene anabadwa. Ichi ndi chinthu chomwe chimachitika nthawi zonse.

Malinga ndi ziwerengero, vutoli limakhudza pafupifupi mwana mmodzi pa ana obadwa kumene 3,000 mpaka 4,000. Akutinso atsikana ali ndi mwayi wochuluka wopeza matendawa kuposa anyamata.

Ana ambiri omwe ali ndi vuto la hypothyroidism yobadwa nayo adzafunika kumwa mapiritsi a mahomoni a chithokomiro kwa moyo wawo wonse. Komabe, ana ena amakhala ndi vuto la hypothyroidism kwakanthawi, lomwe limatha lokha mkati mwa milungu kapena miyezi ingapo. Ndi chithandizo choyenera, ana awa amatha kukhala ndi moyo wabwinobwino komanso wathanzi.

Kodi ndi zizindikiro ziti zomwe zingadziwike ngati mwana ali ndi vutoli?

Sizingakhale zomveka nthawi yomweyo kuti mwana wakhanda ali ndi vuto la hypothyroidism lobadwa nalo. Ndicho chifukwa chake mayeso oyezera chithokomiro omwe tawatchula kale ndi ofunikira kwambiri.

Komabe, zizindikiro zina zosaoneka bwino zingaoneke mkati mwa milungu ingapo yoyambirira ya moyo. Izi zikuphatikizapo:

Zizindikiro zomwe zingawonekere m'masabata oyamba:

• Kudzimbidwa:Mwanayo amavutika kupita kuchimbudzi, ndipo sangapiteko kwa masiku angapo.
• Minofu yochepa (Hypotonia): Thupi la mwana limakhala lofooka, lopanda moyo, ndipo miyendo imafooka ikakhudzidwa.
• Kuvuta kumwa mkaka: Kusafuna kumwa mkaka, kusatha kuyamwa bwino ngakhale akumwa, kapena kusanza mkaka atamwa.
• Kusakhazikika kwa jaundice: Jaundice yomwe imachitika nthawi yochepa mwana atangobadwa nthawi zambiri imatha pasanathe masiku angapo. Komabe, pankhaniyi, jaundice imatha kupitirira kwa milungu ingapo.
• Kutopa: Mwana amaoneka ngati akugona nthawi zonse, amavutika kudzuka, ndipo sakufuna kusewera.
• Mawu omveka bwino: Mwana akamalira, mawu ake amasinthasintha, mawu ake amamveka bwino.
• Kuzizira kwa thupi: Thupi la mwana limamva kuzizira nthawi zonse.

Tangoganizirani, ngati mwana wanu wakhanda akuoneka kuti akugona nthawi zonse, ali waulesi kwambiri kuti asadye, ndipo akuoneka wozizira kwambiri akangomukhudza, ndi bwino kusamala pang'ono nthawi ngati izi.

Ngati sichinachiritsidwe, zizindikiro zomwe zingachitike pakapita nthawi ndi monga:

Ngati zizindikiro zoyambirirazi sizikudziwika ndi kuchiritsidwa, zizindikiro zina zingawonekere pakapita nthawi.

• Kutupa: Mimba imaoneka yayikulu komanso yotupa.
• Kuchepa kwa magazi m'thupi: Kuchepa kwa magazi m'thupi.
• Bradycardia: Kugunda kwa mtima kumachepa.
• Tsitsi lolimba: Tsitsi ndi lolimba komanso louma.
• Khungu lozizira komanso louma: Khungu limamva lozizira likakhudza ndipo limamva louma.
• Goiter: Kutupa pakhosi pomwe pali chithokomiro.
• Kuthamanga kwa magazi pang'onopang'ono: Kuthamanga kwa magazi pang'ono .
• Lilime lokulirapo (Macroglossia): Lilime limakula kuposa masiku onse, nthawi zina limatuluka mkamwa.
• Kutupa mozungulira maso: Malo ozungulira maso amaoneka ngati otupa.

Simuyenera kuchita mantha ngati muwona chimodzi kapena ziwiri mwa zizindikirozi, chifukwa zina mwa zizindikirozi zimathanso kuchitika chifukwa cha zifukwa zina. Koma ngati muwona chinthu chonga ichi, ndi bwino kupita kwa dokotala.

N’chifukwa chiyani ana athu amakula ndi izi?

Chifukwa chachikulu cha matenda a hypothyroidism obadwa nawo ndi vuto lomwe limapezeka mu chithokomiro (Thyroid Dysgenesis) . Pali zinthu zingapo zomwe zingayambitse izi:

Zifukwa zofala kwambiri:

• Ectopic Thyroid Gland: Chithokomiro chingakhale pamalo ena pakhosi, mwina pansi pa lilime, osati pamalo ake abwinobwino.
• Kubadwa kwa chithokomiro: Chithokomiro chingakhalepo kuyambira kubadwa.
• Kuchepa kwa chithokomiro:Ngakhale kuti chithokomiro cha thyroid chapangidwa, ndi chaching'ono kwambiri ndipo sichinakule bwino.

Matenda atatuwa ndi omwe amachititsa kwambiri kuti munthu adwale matenda a hypothyroidism.

Zifukwa zowonera pang'ono:

Palinso zifukwa zina zingapo kupatula izi, koma sizofala kwambiri.

• Kusintha kwa majini: Kungayambitsidwe ndi kusintha kwina kwa majini komwe kumakhudza kupanga mahomoni a chithokomiro. Izi zitha kukhala zobadwa nazo.
• Kusowa kwa ayodini mwa amayi panthawi ya mimba: Ayodini wa mchere ndi wofunikira popanga mahomoni a chithokomiro. Ngati mayi alibe ayodini wokwanira muzakudya zake panthawi ya mimba, izi zingakhudze chithokomiro cha mwana.
• Mankhwala ena omwe mayi amamwa panthawi ya mimba: Ngati mayi agwiritsa ntchito mankhwala a matenda ena amisala, monga lithiamu, kapena mankhwala a hyperthyroidism, monga mankhwala oletsa chithokomiro, panthawi ya mimba, amatha kusokoneza kupanga mahomoni a chithokomiro cha mwana.
• Mayi amene akulandira chithandizo cha khansa ya chithokomiro ali ndi pakati: Ngati mayi akulandira chithandizo cha khansa ya chithokomiro (monga ayodini wochuluka) ali ndi pakati, zingakhudzenso mwana.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

Monga tafotokozera kale, ngati sichilandira chithandizo msanga, (Congenital Hypothyroidism) chingayambitse mavuto aakulu . Zofunika kwambiri mwa izi ndi izi:

• Kulephera kwa Luntha: Popeza mahomoni a chithokomiro ndi ofunikira pakukula kwa ubongo, kusowa kwa mahomoni kungayambitse kulephera kwa kukula kwa nzeru.
• Kuchedwa kukula: Zinthu monga kukula msinkhu ndi kukula kwa thupi zimachedwa.
• Kulephera kumva: Ana ena amatha kufika poti satha kumva.
• Kuchepa kwa magazi m'thupi
• Matenda a mtima monga kulephera kwa mtima
• Mavuto a masomphenya

Ndicho chifukwa chake timati ndikofunikira kwambiri kuzindikira vutoli msanga ndikuyamba kulandira chithandizo mwachangu motsogozedwa ndi dokotala. Kuchita izi kungapewe mavuto ambiriwa.

Kodi madokotala amazindikira bwanji vutoli?

M'mayiko ambiri, kuphatikizapo Sri Lanka, khanda lililonse lobadwa kumene limayesedwa chithokomiro. Izi zimaphatikizapo kutenga madontho ang'onoang'ono a magazi kuchokera pachidendene cha mwana ndikuwunika kuchuluka kwa mahomoni awiri.

• TSH (Hormone Yolimbikitsa Chithokomiro): Iyi ndi homoni yomwe imatulutsidwa ndi pituitary gland yomwe imalimbikitsa chithokomiro kupanga mahomoni a chithokomiro. Ngati chithokomiro sichigwira ntchito mokwanira, TSH nthawi zambiri imawonjezeka.
• T4 (Thyroxine): Iyi ndi homoni yaikulu yopangidwa ndi chithokomiro. Izi zimathandiza kukula ndi kagayidwe kachakudya ka mwana. Mu (Congenital Hypothyroidism), mulingo wa T4 uwu ndi wotsika.

Ngati zotsatira za mayeso a magazi awa sizachilendo, zomwe zikutanthauza kuti TSH ndi yokwera kwambiri ndipo T4 ndi yotsika kwambiri, dokotala angachite mayeso ena. Mwachitsanzo, thyroid scan kapena ultrasound ingachitike kuti aone ngati chithokomiro chili pamalo oyenera, kukula kwake, komanso ngati pali kusintha kulikonse mu kapangidwe kake. Izi ndi njira zokhazo zodziwira matenda enieni.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo cha matenda a hypothyroidism obadwa nawo ndikusintha mahomoni a chithokomiro omwe akusowa m'thupi. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi levothyroxine . Awa ndi mahomoni opangidwa ndi T4. Amabwera ngati mapiritsi. Chifukwa chake mukapereka kwa mwana wamng'ono, muyenera kuphwanya mapiritsiwo ndikusakaniza ndi mkaka wa m'mawere, mkaka wa m'mawere, kapena madzi. Dokotala wa endocrinologist wa mwana wanu adzakuuzani momwe mungawaperekere. Mafomula ena okhala ndi soya amatha kusokoneza kuyamwa kwa mahomoni a chithokomiro, chifukwa chake ndi bwino kulankhula ndi dokotala wanu za zinthu ngati zimenezo.

Chofunika kwambiri ndi kuyamba kumwa mankhwalawa mkati mwa mwezi woyamba wa kubadwa kwa mwana. Pokhapokha titatero tingapeweretu kusokonezeka maganizo komwe tinakambirana.

Mutayamba kumwa mankhwala, dokotala nthawi zonse amafufuza kuchuluka kwa mahomoni a chithokomiro m'magazi a mwana wanu kuti atsimikizire kuti akupeza mlingo woyenera wa mankhwala. Mayeso a magazi awa nthawi zambiri amachitidwa kuti:

• Mwezi uliwonse kapena miyezi iwiri mpaka mwana atakwanitsa miyezi 6.
• Kamodzi pa miyezi iwiri kapena itatu iliyonse mwana akakwanitsa miyezi 6.

Anthu ambiri omwe ali ndi vuto la hypothyroidism yobadwa nayo adzafunika kumwa mankhwalawa moyo wawo wonse. Komabe, monga ndanenera kale, anthu ena angafunike chithandizo kwakanthawi kochepa. Dokotala wanu adzakufotokozerani momwe mwana wanu alili komanso nthawi yomwe adzafunika kumwa mankhwalawa.

Kodi mwana amene ali ndi vutoli angakhale ndi moyo kwa nthawi yayitali bwanji?

Izi zitha kumveka zoopsa, koma nthawi ya moyo wa mwana yemwe ali ndi (Congenital Hypothyroidism) ndi yofanana ndi ya munthu wopanda vutoli. Chofunika kwambiri ndikuyamba kulandira chithandizo cha mwana mwamsanga. Mukatero, simudzaopa chilichonse chokhudza tsogolo.

Mwana wanu akakula, amatha kugwira ntchito iliyonse yomwe akufuna, kuyambitsa banja ngati akufuna, ndikuchita zonse mwachizolowezi. Akasiya kumwa mapiritsi a mahomoni a chithokomiro tsiku lililonse, adzatha kukhala moyo wabwinobwino.

Kodi pali njira yopewera izi?

Popeza ndi matenda a majini, matenda a hypothyroidism obadwa nawo sangapewedwe nthawi zonse. Koma ngati muli ndi pakati, funsani dokotala wanu momwe mungachepetsere chiopsezo cha mwana wanu. Iye akhoza kuyesa kuchuluka kwa ayodini m'thupi lanu ndikuwona ngati muyenera kusintha mankhwala anu.

Kodi muyenera kupita kwa dokotala nthawi yanji?

Ngati mwana wanu ali ndi vuto la hypothyroidism lobadwa nalo, dokotala wa endocrinologist nthawi zonse amafufuza kuchuluka kwa mahomoni a chithokomiro chake. Komabe, ngati mukuona kuti zizindikiro za mwana wanu zikubwerera ngakhale mutayamba kumwa mankhwala, onetsetsani kuti mwadziwitsa dokotala wanu. Mlingo wa mankhwalawo ungafunike kusinthidwa.

Mafunso ofunikira omwe muyenera kufunsa dokotala wanu

Monga kholo, mungakhale ndi mafunso ambiri m'maganizo mwanu. Ndizachilendo. Mutha kufunsa dokotala amene akuthandiza mwana wanu mafunso monga:

• Kodi mungandiuze chomwe chikuyambitsa vutoli mwa mwana wanga?
• Kodi izi ndi zochitika zakanthawi kapena zosatha?
• Kodi adzayenera kumwa mankhwala kwa moyo wake wonse?
• Kodi mumadziwa bwanji mlingo weniweni wa mankhwala?
• Kodi ndiyenera kupereka bwanji mankhwala awa kwa mwana wanga?
• Nanga bwanji ngati simungathe kupereka mlingo wa mankhwala?
• Kodi mayeso a chithokomiro ayenera kuchitidwa kangati?

Musaope kufunsa dokotala mafunso aliwonse omwe muli nawo.

Chinthu chomaliza chomwe ndiyenera kunena ndi ichi (Uthenga Wopita Nawo Kunyumba)

Monga kholo, mumakhala ndi chiyembekezo chachikulu pa mwana wanu wakhanda akadzabadwa. Choncho, n'zachibadwa kukhala ndi mantha komanso kusatsimikiza mukamva kuti mwana wanu ali ndi vuto linalake la thanzi. "Kodi zidzakhudza bwanji mwana wanga ndikamuuza (Congenital Hypothyroidism)?" "Kodi tsogolo lake lidzakhala lotani?" Mwina muli ndi mafunso ambiri m'maganizo mwanu.

Musachite mantha. Dokotala wanu alipo kuti ayankhe mafunso onsewa ndikukuthandizani. Mufunseni kuti akupatseni zambiri ndi zinthu zonse zomwe mukufuna. Nkhani yabwino ndi yakuti ngati muyamba kulandira chithandizo panthawi yoyenera ndikumwa mankhwala oyenera, mwana wanu akhoza kukhala ndi moyo wabwino komanso wosangalala monga wina aliyense. Choncho khalani olimba mtima ndikutsatira malangizo a dokotala wanu. Ndicho chinthu chabwino kwambiri chomwe mungachite kwa mwana wanu.

Matenda a chithokomiro, matenda a chithokomiro, matenda a ubwana, mahomoni a chithokomiro, kukula kwa mwana, Levothyroxine