Cudurka 'hypothyroidism' waxaa loola jeedaa hypothyroidism - la'aanta ama la'aanta hormoonka thyroid - marka dhalashada.
Waqtiga baaritaanka ilmaha dhawaan dhashay, cudurka hypothyroidism ee congenital waa mid dhif ah. Weli, haddii ay joogaan, waxaa muhiim ah in si dhakhso ah loo ogaado oo loo daweeyo . Si habboon u dhaqmidda iyo si dhakhso ah loo daaweeyo hypothyroidism wuxuu keeni karaa waxyeelo IQ iyo horumarinta neerfaha.
Cudurka 'hypothyroidism' ayaa dhab ahaantii ka mid ah sababaha ugu badan ee la daweyn karo ee maskax ahaanshaha dunida oo dhan.
Waxaa jira laba nooc oo asaasi ah oo loo yaqaan 'hypothyroidism' oo lagu dhasho: 'hypothyroid hemorrhagia' iyo 'hypothyroidism'.
Cudurka Hypothyroidism ee joogtada ah
Noocyada noocan ah ee loo yaqaan 'hypothyroidism' waxay u baahan tahay daaweyn joogta ah, oo leh dhowr sababood:
- Sababta ugu badan ee keenta hypothyroidism waa cillad ama horumar aan caadi ahayn ee qanjirka thyroid, oo loo yaqaan dysgenesis. Gaar ahaan, unugyada aan caadi ahayn ee ku yaal (ectopic) unugyada thyroid waa cillada ugu caansan. Qiyaastii laba meelood labo meel cudurka hypothyroidism waa natiijada dysgenesis.
- Carruurta qaarkood waxay dhaxlaan cillado awood u leh inay keenaan hoormoon tayroodh oo qarsoodi ah. Kuwani waxay qiyaastii ku dhawaad boqolkiiba 10 kiisaska cudurka hypothyroidism ee lagu dhasho.
- Cudurka hypothyroid-ka ee dhuuxa waxaa sababi kara cillad xagga tareenka hoormoonka hoormoonka.
- Dhallaanka qaarkood, cudurka hypothyroidism, oo ku lug leh dhibaatooyinka hypothalamic ama pituitary, waa sababta keenta hypothyroidism.
Ku-dhalinta hypothyroidism ee ku-meel-gaadhka ah
Waxaa la aaminsan yahay in boqolkiiba 10 ilaa 20 carruurta dhaladka ah ee qaba hypothyroid ay leeyihiin qaab ku meel gaar ah oo loo yaqaan 'hypothyroidism' oo ku dhalan kara dhalanteed.
Hooyo hypothyroidism ee dhalaanka cusubi waxay leedahay sababo badan:
- Yaraanta iodine ee dhalaanka cusub, taas oo ka dhalata qaadashada unug ku filan ee iodine hooyada
- Cudurka qaaxada ee TSH-reseptor (PRB-Ab) ee haweeneyda uurka leh ee leh xanuunka thyroid-ka, sida caadiga ah cudurka 'Graves', oo loo wareejiyo mandheerta iyo saameynta shaqada tayroodh ee ilmaha caloosha ku jirta, taasoo keenta hypothyroidism marka dhalashada. Tani ma dhicin dhammaan haweenka qaba cudurka thyroxim-yada ah ee autoimmune. Caadi ahaan, marka uu sameeyo, cudurka hypothyroidism wuxuu qiyaasaa ilaa hal ilaa saddex bilood kadib dhalmada maadama unugyada difaaca hooyada si dabiici ah looga nadiifiyo ilmaha.
- Daawooyinka Antithyroid (PTU, metimazole) oo ay qaadatay haween uur leh oo ah hyperthyroid oo ka gudubta mandheerta, taas oo keenaysa hypothyroidism ee dhalaanka cusub. Caadi ahaan, cudurka hypothyroidism wuxuu xalliyaa dhowr maalmood ka dib dhalashada, iyo waxqabadka tayroodhka caadiga ah wuxuu soo noqdaa dhowr toddobaad gudahood.
- Fetus ama dhalashada cusub ee soo-gaadhista qadar aad u sarreeya oo ah iodine, taasoo keeni karta hypothyroidism-ka waqti-gaaban. Noocyada noocan ah ee soo-saarka iodine-ka ee laga isticmaalo daweynta iodine-ku-salaysan sida amiodarone (oo loo isticmaalo daawaynta garaaca wadnaha ah ee aan caadiga ahayn) hooyada ama ilmaha, ama isticmaalka iidhka daawooyinka iodine-ka ee antiseptics ama kuwa ka soo horjeeda.
Calaamadaha iyo Calaamadaha
Badanaa ilmaha cusub ee leh cudurka hypothyroidism, ma laha wax calaamado ah ama astaamo ah.
Tani waxay sabab u tahay jiritaanka hoormoonka tayroodhka qaar ka mid ah, ama waxoogaa hawlaha qanjidhada ka baxsan ee iyaga u gaar ah.
Laakiin, astaamaha calaamadaha iyo astaamaha waxaa ka mid noqon kara kuwan soo socda:
- Miisaanka dhalmada oo kordhay
- Kordhay wareegga madaxa
- Lethargy (tamar la'aanta, hurdada badanaa inta badan, waxay u muuqataa daal xitaa marka ay soo jeedaan)
- Dhaqdhaqaaq dhaqdhaqaaqa
- Qaylo fara badan
- Dhibaatooyinka quudinta
- Caloosha aan joogtada lahayn, midabtako ama buuxa taabashada
- Carrabka weyn
- Maqaarka qallalan
- Heerkulka jirka oo hooseeya
- Joonis aad u dheer
- Goiter (tirtirid qotodheer )
- Mushexaad aan caadi ahayn oo hooseeya
- Wejiga muuqda
- Xaglo qabow
- Timo adag oo culus oo hoos u sii jeedda
- A fontanel weyn (meel jilicsan)
- Qalab caloosha oo herniated ah
- Wax yar ma kobocdo, guuldareysato inay ku soo baxdo
Xanuunka hypothyroidism wuxuu ku badan yahay ilmaha yar ee qaba cilladaha kale ee dhalmada (badanaa wadnaha la xiriira) iyo Down syndrome.
Ogaanshaha iyo Diinta
Cudurka 'hypothyroidism' waxaa badanaa la ogaadaa baarista dhaladka, sida caadiga ah waxaa lagu sameeyaa baaritaan ciribta cirridka maalmo yar gudahood. Baaritaanka waxaa badanaa la raacaa laba illaa lix toddobaad kadib dhalmada.
Sida laga soo xigtay tixraaca caafimaadka UpToDate :
"Baaritaanka dhammaan dhalaanka hadda waa mid caadi ah dhammaan 50 gobol oo ka mid ah Mareykanka, Canada, Europe, Israel, Japan, Australia iyo New Zealand, waxaana uu ku jiraa horumarinta Bariga Yurub, South America, Aasiya iyo Afrika. , tusaale ahaan, in ka badan 4 milyan oo dhallaan ah ayaa sanad walba la baadho, taasoo horseed u ah in la ogaado 1000 dhallaan oo qaba cudurka hypothyroidism-ka dunida oo dhan, ayaa lagu qiyaasay 12 milyan oo dhallaan ah oo la baadho iyo 3,000 oo sannadkii ayaa la ogaadaa cudurka hypothyroidism.
Marka tijaabada baaritaanka dhiigga ee ugu horreysa lagu ogaado dhibaatada iman karta, dabagalka waxaa ku jira shaqooyinka dhiigga ee dheeraadka ah waxaana laga yaabaa inay ku jiraan baaritaano kale, sida baaritaannada sawir-baadhitaanka tirakoobka . UpToDate waxay leedahay faahfaahin faahfaahsan oo ku saabsan hababka cudurka dabiiciga ah ee loo isticmaalo si loo xaqiijiyo hypothyroidism-ka loo yaqaan 'congenital hypothyroidism' iyo qiimeyntiisa.
Ereyga ka
Haddii aad leedahay ilmo dhasho hindhiso-ku-dhalasho, waa maxay astaamihiisa? Haddii xaaladda cunuggaaga la ogaado marka uu dhasho oo dhakhso loo daweeyo, natiijadu waa mid aad u fiican. Sida laga soo xigtay cilmibaarista, carruurta la ogaaday markay dhalayaan kuwaas oo hela daaweyn hore waxaa caadi ahaan yeeshaan koboc iyo horumar joogta ah, badankoodana cilmi-baadhisu wax isbeddel ah kuma sheegaan IQ.
Daraasadaha qaarkood, si kastaba ha ahaatee, waxay heleen hoos u dhac ku yimi hadal ahaan, xisaab, iyo dhibcaha IQ, iyo sidoo kale dhibco yaryar ee xasuusta iyo feejignaanta carruurta qaarkood oo lagu soo celiyo heerarka tayroodh ee caadiga ah si tartiib tartiib ah, sababtoo ah ogaanshaha daahitaanka ama bilawga bilowga. Daaweynta hore iyo tan ku filan ee loo yaqaan hypothyroidism waa sidaas, gaar ahaan muhiim.
Xigasho:
> LaFranchi, Stephen. "Qaababka Daaweynta Qaaxada iyo Qaadashada Cudurka Hypothyroidism." UpToDate .