Daaweynta Hypothyroidism ee Haweenka uurka leh waxay si xun u saameysaa IQ-da Ilmaha
In ka badan toban sano ka hor, The New England Journal of Medicine (NEJM) ayaa soo tebisay natiijada daraasad cilmi baaris ah oo lagu ogaaday in cudurka hypothyroidism ee aan la daaweyn muddada uurka uu saameyn ku yeelan karo horumarka maskaxda ilmaha. Gaar ahaan, cilmi baaris ayaa lagu ogaaday in caruurtu hoos u dhaceen heerka IQ-da, hoos-u-qaadista xirfadaha, iyo dhibaatooyinka leh dareenka, luqadda iyo akhriska.
Daraasadu waxay ogaatay in haweenka qaba xaalad tayroodh ah oo aan la daaweyn inta lagu guda jiro uurka ay ku dhow yihiin afar laab ka badan inta ay u badan tahay in ay haystaan carruur leh dhibco hoose IQ. Cilmi baadhayaashu waxay tilmaameen in qiyaastii 1 ka mid ah 50 dumar kasta ay qabaan hypothyroidism inta lagu guda jiro uurka. Khabiiro kale, si kastaba ha ahaatee, waxay rumaysan yihiin in nambarku dhab ahaantii noqon karo mid aad u ballaaran, iyo in boqolkiiba ballaaran ee dadwaynaha aan la ogaan ama la fulin .
Daraasadu waxay muujisay in 19 boqolkiiba carruurta ku dhashey hooyooyinka leh la'aanta tayroodh aan la daweynin ay IQ gaartay 85 ama ka hoose. Tani waxaa la barbardhigay heerka dhimirka IQ oo keliya 5 boqolkiiba kuwa u dhasha hooyooyinka iyada oo aan lahayn dhibaatooyinka tayroodh. Sida laga soo xigtay James E. Haddow, MD, oo ah hoggaamiyaha cilmi-baarista, ayaa hoos udhaca heerka IQ 85aad taas oo micnaheedu noqon karo waxoogaa naafada ah. Sida laga soo xigtay Haddow:
Carruurta imtixaanka ku jira waxay ku dhici karaan caqabado horumarineed oo nolosha ah. Waxaa laga yaabaa in suurtagal ah in laga hortago dhibaatooyinkaas iyada oo loo marayo baaritaanka hore iyo daaweynta xanuunka thyroid ee hooyooyinkooda.
Daraasadan ayaa lagu ogaaday in 62 ilmood oo hooyooyinkood ah ay qabaan cudurka hypothyroid inta uurka lagu jiro ay ka wanaagsanaayeen dhammaan sirdoonada kala duwan iyo baaritaanada IQ loo isticmaalo cabiraadda. Carruurta 48 haween ah ee aan loo daweyn cudurka cudurka thyroid inta lagu guda jiro uurka waxay lahaayeen dhibco celcelis IQ ah oo 7 dhibcood ka hooseeya caruurta ku jirta kooxda gacanta ku haysa, iyadoo 19% ay dhalisay 85 ama wax ka yar.
Taa waxaa xiiso leh, cilmi-baarayaashu waxay sidoo kale ogaadeen in hooyooyinka ka dib markii loo ogaaday in ay qabaan cudurka hypothyroid-ka ay celcelis ahaan shan sano ka hor dhakhtarradooda ku sheegeen cudurka qanjirka thyroid. Dhowr haween ah lagama helin ilaa 10 sano kadib. Tani waa mushkilad joogto ah dadka oo idil, qiyaaso qiyaasood ah ayaa ogaaday in ay jiraan dad tiradoodu dhan tahay 13 malyan oo qof oo qaba cudurka hypothyroidism ee Maraykanka, inta badana haweenka, iyo inta badhkoodii la ogaaday. (Eeg HELP! My TSH waa "caadi" Laakiin waxaan u maleynayaa inaan ahay hypothyroid .)
NEJM waxay sheegtey in baaritaanka hooyooyinka uurka leh loogu talagalay in lagu dhiirigeliyo hypothyroidism. Caadi ahaan, dumarka ka soo jeeda nidaam ah in ay ka saaraan ama ku dhajiyaan qanjirada, ama kuwa qaba cudurka hypothyroidism ee lagu ogaanayo waxay ka warqabaan astaamahooda hypothyroidism, waana in ay ku dadaalaan daryeelka gaarka ah ee isu diyaarinta uurka iyo maamulidda heerarka tirakoobka xiliga uurka. Hase yeeshee, khatarta ugu weyn ee ku jirta dumarku waxay ku badan yihiin dumarka hypothyroidism oo aan la ogaan karin, kuwaas oo leh qanjirro caadi ah oo leh qanjidhada caadiga ah ee difaaca, ama kuwa aan haysan daawada hypothyroidism-oo ay sabab u tahay qanjirada difaaca ee "tritoid" ee Thyroiditis (Hashimoto's Thyroiditis).
Arrin kale ayaa ah walaaca ka imaanaya helitaanka Iodine.
Qoraalka NEJM ee la socota natiijooyinka cilmi baarista, Dr. Robert Utiger ayaa yiri:
Inkasta oo ay u muuqato in hypothyroidism dumarka uurka leh ay sababaan qanjirka 'trimmobile', oo aan looga hortagi karin, farqiga u dhexeeya dalalka ayaa muujinaya sharaxaad kale oo macquul ah - yaraanta iodine, taas oo laga hortagi karo. . . Waxay u badan tahay in tachoiditis iyo iodineka labadaba loo yaqaanno "autoimmune" oo labadaba wax ku kordhiya haweenka uurka leh ee wadamo badan oo ku dhaca cudurka hypothyroidism.
Ma jiraan wax shaashad tifaftiran oo loogu talagalay haweenka doonaya inay uur yeeshaan, ama horeba uurka yeeshaan.
Daraasad dhowaan la sameeyay ayaa lagu ogaaday in heerarka qanjidhada ee sareeya iyo kuwa hooseeya, heerarka tayroodhku ay khatar galin karaan carruurta uurka ku jira. Cilmi-baaristaha, Dr. Tim Korevaar, ayaa sheegay, "Waxaa jira is waafaqo lagu daaweyn karo cudurka hypothyroidism, sababtoo ah guud ahaan waa la rumaysan yahay in faa'iidooyinka daaweynta ee ka iman karta khatarta ka iman karta dhibaatada. hoormoonka sidoo kale wuxuu noqon karaa mid waxyeello leh. "
Haddii aad ogtahay inaad leedahay xanuunka thyroid ama haddii aadan qorsheynin inaad uur yeelatid, ama aad uur leedahay, kala hadal dhakhtarkaaga qiimeyn sahlan oo ku saabsan heerarka tayroodhka - oo kaliya inaad badbaado qabto.
Xigasho:
Haddow, James EMD, et. al. "Maternal Tyroid Deficiency" intii lagu guda jiray uurka iyo koritaanka xuubka maskaxda ee cunugga, " Journal of New England Journal, Volume 341: 549-555, Agoosto 19, 1999 lambarka 8, Online