Mwana wenyu ane dambudziko re thyroid kubva pakuzvarwa here? Ngatikurukurei nezve Congenital Hypothyroidism!

Mufaro nerudo zvaunonzwa kana mwana wako auya panyika hazvitsananguriki, handiti? Mubereki wese anotarisira kuona mwana wake aine hutano uye achifara. Asi dzimwe nguva, kunyange vana vadiki vanogona kuva nematambudziko ehutano asingatarisirwi. Chimwe chezvirwere zvakadaro, chinoonekwa muvana vachangoberekwa, asi chinogona kudzorwa zvizere kana chikaonekwa nekukurumidza uye chikarapwa nekukurumidza, chinonzi 'congenital hypothyroidism'. Tinodaidza chirwere ichi mukurapa (Congenital Hypothyroidism) . Kunyangwe kunzwa zita iri kungave kunotyisa, kana ukaziviswa nezvazvo zvakanaka, uchaona kuti chinhu chinogona kugadziriswa.

Chii chinonzi 'congenital hypothyroidism'?

Zvichitaurwa zviri nyore, (Congenital Hypothyroidism) chirwere apo thyroid gland haishande zvakanaka pakuzvarwa . Thyroid gland igland diki, rakaita seshavishavi riri pamberi pemutsipa wedu. Rinoburitsa rudzi rwehormone inokosha zvikuru mumuviri wedu, inonzi thyroid hormone. Mahormone aya akakosha pakukura kwehuropi hwemwana mudiki, kukura kwemuviri, uye mashandiro emuviri.

Saka, kana gland re thyroid remwana achangoberekwa risina kukura zvakanaka, kana kuti risiri kushanda zvakanaka, muviri haugadzi mahormone e thyroid akakwana. Ndizvo zvatinodaidza kuti (Congenital Hypothyroidism).

Kana chirwere ichi chikasarapwa nenguva, chinogona kukanganisa zvikuru kukura kwemwana, kunyanya kuremara kwepfungwa . Kutaura zvazviri, (Congenital Hypothyroidism) ndiyo inonyanya kukonzera kuremara kwepfungwa kunodziviririka. Ndosaka munyika dzakawanda pasi rose, kusanganisira Sri Lanka, kuongororwa ropa kudiki kunoitirwa kuti mwana aone kushanda kwethyroid mumazuva mashoma ekuzvarwa. Ichi chinhu chinoitwa nguva dzose.

Zvichienderana nehuwandu hwevanhu, chirwere ichi chinokanganisa mwana mumwe chete pavana vacheche vanosvika zviuru zvitatu kusvika zvina. Zvinonziwo vasikana vane mukana wakapetwa kaviri wekubatwa nacho kupfuura vakomana.

Vacheche vazhinji vane hypothyroidism yekuzvarwa nayo vachafanira kunwa mapiritsi ehormone yethyroid kweupenyu hwavo hwese. Zvisinei, vamwe vacheche vane hypothyroidism yenguva pfupi, iyo inopera yoga mukati memavhiki mashoma kana mwedzi. Nekurapwa kwakakodzera, vana ava vanogona kurarama hupenyu hwakajairika , hune hutano.

Ndezvipi zviratidzo zvinogona kuratidza kana mwana ane chirwere ichi?

Zvingasava pachena kuti mwana achangoberekwa ane chirwere chehypothyroidism. Ndosaka bvunzo yekuongororwa kwethyroid yambotaurwa ichikosha zvikuru.

Zvisinei, zvimwe zviratidzo zvidiki zvinogona kuonekwa mukati memavhiki ekutanga ehupenyu. Izvi zvinosanganisira:

Zviratidzo zvinogona kuonekwa mumavhiki ekutanga:

• Kuzvimba:Mwana anonetseka kuenda kuchimbuzi, uye anogona kusaenda kwemazuva akati wandei.
• Kunzwa tsandanyama kushoma (Hypotonia): Muviri wemwana unonzwa usina simba, usina hupenyu, uye nhengo dzemuviri dzinonzwa dzakaremara kana dzikabatwa.
• Kuomerwa nekunwa mukaka: Kusada kunwa mukaka, kusakwanisa kuusveta zvakanaka kunyangwe uchinwa, kana kurutsa mukaka mushure mekunwa.
• Jaundice inogara iripo: Jaundice inoitika nguva pfupi mushure mekuzvarwa inowanzopera mukati memazuva mashoma. Zvisinei, muchiitiko ichi, jaundice inogona kuramba iripo kwemavhiki.
• Kuneta: Mwana anoita seanogara akarara, anonetsa kumuka, uye anoita seasingafariri kutamba.
• Kunzwa kurira kwezwi: Kana mwana achichema, pane shanduko muzwi, kunzwika kurira.
• Kutonhora: Muviri wemwana unonzwa uchitonhora nguva dzese.

Fungidzira, kana mwana wako achangoberekwa achiita seanorara nguva dzese, ane usimbe hwekuyamwisa, uye achiita seanotonhora kana akamubata, zvakanaka kungwarira zvishoma panguva dzakadai.

Kana ikasarapwa, zviratidzo zvinogona kuitika nekufamba kwenguva zvinosanganisira:

Kana zviratidzo izvi zvekutanga zvikasaonekwa uye zvikarapwa, zviratidzo zvakawanda zvinogona kuoneka nekufamba kwenguva.

• Kuzvimba: Dumbu rinoita serakakura uye rakazvimba.
• Anemia: Kuderera kwehuwandu hweropa mumuviri.
• Bradycardia: Kurova kwemoyo kunoderera.
• Kuoma kwebvudzi: Vhudzi rakaoma uye rakaoma.
• Ganda rinotonhora, rakaoma: Ganda rinotonhora kana rikangobatwa uye rinonzwa rakaoma.
• Goiter: Kuzvimba kwemutsipa uko kune thyroid gland.
• Kuderera kweropa: Kuderera kweBP .
• Rurimi rwakakura (Macroglossia): Rurimi runokura kupfuura zvarwakajairika, dzimwe nguva ruchibuda mumuromo.
• Kuzvimba kwakatenderedza maziso: Nzvimbo yakatenderedza maziso inoita kunge yakazvimba.

Hamufanirwe kutya kana mukaona chimwe kana zviviri zvezviratidzo izvi, sezvo zvimwe zvezviratidzo izvi zvinogonawo kukonzerwa nezvimwe zvikonzero. Asi kana mukaona chimwe chinhu chakadai, zvakanaka kuti muone chiremba.

Sei vana vedu vachikura izvi?

Chikonzero chikuru che hypothyroidism yekuzvarwa nayo idambudziko riri mukukura kwegland re thyroid (Thyroid Dysgenesis) . Pane zvinhu zvakawanda zvinogona kukonzera izvi:

Zvikonzero zvakajairika:

• Gland reEctopic Thyroid: Gland rethyroid rinogona kunge riri panzvimbo yakasiyana mumutsipa, pamwe pasi perurimi, pane panzvimbo yaro yakajairika.
• Kubuda kwegland re thyroid: Gland re thyroid rinogona kunge risisipo kubva pakuzvarwa.
• Kushaya simba kwe thyroid:Kunyangwe thyroid gland yakaumbwa, idiki kwazvo uye haisati yakura zvakanaka.

Matanho matatu aya ndiwo anonyanya kukonzera hypothyroidism yekuzvarwa nayo.

Zvikonzero zvekuona zvishoma:

Kune zvimwe zvikonzero zvishoma kunze kweizvi, asi hazviwanzoitiki.

• Kuchinja kwemajini: Kunogona kukonzerwa nekuchinja kwemajini kunokanganisa kugadzirwa kwemahormone ethyroid. Izvi zvinogonawo kuva zvenhaka.
• Kushaikwa kweIodine muAmai Panguva Yekuzvitakura: Iyo iodine ine mineral inokosha pakugadzirwa kwemahormone ethyroid. Kana amai vasina iyoodine yakakwana mukudya kwavo panguva yekuzvitakura, zvinogona kukanganisa thyroid yemwana.
• Mimwe mishonga inotorwa naamai panguva yekuzvitakura: Kana amai vakashandisa mishonga yezvirwere zvepfungwa, zvakaita se lithium, kana mishonga yehyperthyroidism, yakadai semishonga inorwisa thyroid, panguva yekuzvitakura, inogona kukanganisa kugadzirwa kwehormone yethyroid yemwana.
• Amai vari kurapwa kenza yethyroid panguva yekuzvitakura: Kana amai vakarapwa kenza yethyroid (yakadai se radioactive iodine) panguva yekuzvitakura, zvinogonawo kukanganisa mwana.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Sezvatakambotaura kare, kana ikasarapwa nekukurumidza, (Congenital Hypothyroidism) inogona kukonzera matambudziko akakomba . Zvikuru pane izvi ndezvi:

• Kuremara Kwepfungwa: Sezvo mahormone ethyroid achikosha pakukura kweuropi, kushomeka kwehomoni kunogona kukonzera kusagadzikana kwekukura kwepfungwa.
• Kunonoka kukura: Zvinhu zvakaita sekuwedzera urefu nekukura kwemuviri zvinononoka.
• Kusanzwa zvakanaka: Vamwe vana vanogona kutosvika pakusakwanisa kunzwa.
• Kushaya ropa
• Zvirwere zvemwoyo zvakaita sekushaya simba kwemoyo
• Matambudziko ekuona

Ndosaka tichiti zvakakosha kuziva chirwere ichi nekukurumidza uye kutanga kurapwa nekukurumidza uchitungamirirwa nachiremba. Kuita izvi kunogona kudzivirira matambudziko mazhinji aya.

Vanachiremba vanoongorora sei chirwere ichi?

Munyika dzakawanda, kusanganisira Sri Lanka, mwana wese achangoberekwa anoongororwa thyroid. Izvi zvinosanganisira kutora madonhwe madiki eropa kubva pachitsitsinho chemwana uye kuongorora mazinga maviri emahormone.

• TSH (Thyroid-Stimulating Hormone): Iyi ihormone inoburitswa nepituitary gland iyo inosimudzira thyroid gland kuti igadzire mahormone ethyroid. Kana thyroid isingashande zvakanaka, mazinga eTSH anowanzo kuwedzera.
• T4 (Thyroxine): Iri ndiro hormone guru rinogadzirwa negland re thyroid. Izvi zvinobatsira kukura kwemwana uye kushandiswa kwemuviri. Mu (Congenital Hypothyroidism), huwandu hweT4 uhwu hwakaderera.

Kana mhedzisiro yekuongororwa kweropa iri isina kujairika, zvichireva kuti TSH yakakwira zvakanyanya uye T4 yakaderera zvakanyanya, chiremba anogona kuita mimwe miedzo. Semuenzaniso, thyroid scan kana ultrasound zvinogona kuitwa kuti vaone kana thyroid gland iri panzvimbo chaiyo, saizi yayo, uye kana paine shanduko muchimiro chayo. Idzi ndidzo chete nzira dzekuongorora chirwere ichi.

Ndezvipi zvinorapwa izvi?

Kurapa kwe hypothyroidism yekuzvarwa nayo ndeyekutsiva hormone ye thyroid iyo isipo mumuviri. Mushonga unonyanya kushandiswa i levothyroxine . Uyu chaizvoizvo ihormone yeT4 yakagadzirwa. Inouya muchimiro chepiritsi. Saka kana uchiipa mwana mudiki, unofanira kupwanya piritsi woisanganisa nemukaka wezamu, fomura, kana mvura. Chiremba we endocrinologist wemwana wako achakuudza chaizvo kuti ungaipa sei. Mamwe maformula e soy anogona kukanganisa kunwa kwemahormone e thyroid, saka zvakanaka kutaura nachiremba wako nezvezvinhu zvakadaro.

Chinhu chinonyanya kukosha kutanga mushonga uyu mukati memwedzi wekutanga wekuzvarwa kwemwana. Ndipo chete patinogona kudzivirira zvachose kukanganiswa kwepfungwa kwatakataura nezvako.

Mushure mekutanga kushandisa mushonga, chiremba acharamba achitarisa huwandu hwemahormone ethyroid muropa remwana wako kuti ave nechokwadi chekuti ari kuwana mushonga wakakodzera. Kuongororwa kweropa uku kunowanzoitwa kuti:

• Mwedzi wega wega kana mwedzi miviri kusvika mwana asvika mwedzi mitanhatu.
• Kamwe chete pamwedzi miviri kana mitatu mushure mekunge mwana asvitsa mwedzi mitanhatu.

Vanhu vazhinji vane chirwere che hypothyroidism chekuzvarwa nacho vachafanira kutora mushonga uyu kweupenyu hwavo hwese. Zvisinei, sezvandambotaura, vamwe vanhu vangangoda kurapwa kwenguva pfupi chete. Chiremba wako achakutsanangurira kuti mwana wako ari sei uye kuti achatora mushonga kwenguva yakareba sei.

Mwana ane chirwere ichi anogona kurarama kwenguva yakareba sei?

Izvi zvingaita sekunge zvinotyisa, asi hupenyu hwemwana ane (Congenital Hypothyroidism) hwakafanana nehwemunhu asina chirwere ichi. Chinhu chakakosha kutanga kurapwa kwemwana nekukurumidza. Kana ukadaro, hapana chekutya nezveramangwana.

Kana mwana wako akura, anogona kuita chero basa raanoda, kutanga mhuri kana achida, uye kuita zvese zvakajairika. Kana akarega kutora mapiritsi ehormone yethyroid zuva nezuva, achakwanisa kurarama hupenyu hwakajairika.

Pane nzira yekudzivirira izvi here?

Nekuti chirwere ichi chinokonzerwawo nemajini, chirwere chehypothyroidism chinokonzerwa nekuzvarwa nacho hachigone kudzivirirwa nguva dzose. Asi kana uine pamuviri, bvunza chiremba wako kuti ungaderedza sei njodzi kumwana wako. Iye anogona kuyedza huwandu hweiodine mumuviri wako uye kuona kana uchida kuchinja mishonga yako.

Inguvai yaunofanira kuona chiremba?

Kana mwana wako aberekwa aine hypothyroidism, chiremba we endocrinologist anogara achitarisa huwandu hwemahormone ake e thyroid. Zvisinei, kana uchinzwa kuti zviratidzo zvemwana wako zviri kudzoka kunyangwe mushure mekutanga kushandisa mushonga, iva nechokwadi chekuzivisa chiremba wako. Muyero wemushonga ungangoda kugadziriswa.

Mibvunzo inokosha yaunofanira kubvunza chiremba wako

Semubereki, ungave uine mibvunzo yakawanda mupfungwa dzako. Zvakajairika. Unogona kubvunza chiremba ari kurapa mwana wako mibvunzo yakaita seiyi:

• Ungandiudza here kuti chii chiri kukonzera chirwere ichi mumwana wangu?
• Izvi ndezvenguva pfupi here kana kuti ndezvechigarire?
• Achafanira kunwa mushonga kweupenyu hwake hwese here?
• Ungaziva sei kuti mushonga wacho unotorwa sei?
• Ndinofanira kupa mwana wangu mushonga uyu sei?
• Ko kana usingakwanise kupa mushonga?
• Kuongororwa kwethyroid kunofanira kuitwa kangani?

Usatya kubvunza chiremba chero mibvunzo yaunayo.

Chinhu chekupedzisira chandinofanira kutaura ndechekuti (Mharidzo Yekuenda Kumba)

Semubereki, une tariro huru pamusoro pemwana wako achangoberekwa paanozvarwa. Saka, zvakajairika kunzwa kutya uye kusava nechokwadi paunonzwa kuti mwana wako ane chirwere chakati. "Zvichakanganisa sei mwana wangu kana ndikamuudza (Congenital Hypothyroidism)?" "Remangwana rake richave rakaita sei?" Pamwe une mibvunzo yakawanda mupfungwa dzako.

Usatya. Chiremba wako aripo kuti apindure mibvunzo iyi yese uye akubatsire. Mubvunze ruzivo rwese nezvaunoda. Mashoko akanaka ndeekuti kana ukatanga kurapwa panguva yakakodzera uye ukatora mishonga yakakodzera, mwana wako anogona kurarama hupenyu hunofadza uye hune hutano sevamwe vese. Saka ramba wakasimba uye tevera zano rachiremba wako. Ndicho chinhu chakanakisa chaunogona kuitira mwana wako.

Hypothyroidism yekuzvarwa nayo , gland re thyroid, zvirwere zvevana, mahormone e thyroid, kukura kwemwana, Levothyroxine