Ntawm cov kab mob ntau yam, thyroid hypoplasia yog ib yam kab mob tsawg heev. Nws tshwm sim raws li qhov tshwm sim ntawm kev loj hlob ntawm cov thyroid caj pas, thaum cov tshuaj hormones tsim nyob rau hauv qhov tsis muaj peev xwm thiab qeeb cov ntaub so ntswg loj hlob. Koj tuaj yeem pom cov kab mob no los ntawm kev txiav txim siab qhov loj ntawm cov thyroid caj pas. Nws yog me ntsis me dua li niaj zaus, los yog qee qhov ntawm lub cev yog me dua li lwm tus. Cov kab mob zoo li no tuaj yeem txhim kho tau ntev, vim tias cov kab mob no tsis muaj cov tsos mob tshwm sim, thiab nws cov kev hloov pauv feem ntau tsis pom.
Views
Thyroid hypoplasia muaj ntau yam. Lub ntsiab yog nws daim ntawv diffuse. Nws implies ib tug congenital underdevelopment ntawm lub caj pas. Lawv tuaj yeem kuaj pom hypoplasia ntawm sab xis lossis sab laug ntawm cov thyroid caj pas, nyob ntawm seb qhov twg tseem tsis tau tsim. Xws licov xwm txheej muaj ntau heev. Cov kws kho mob muaj lawv tus kheej kev faib tawm los piav txog hom pathology. Hom hypoplasia ntawm cov thyroid caj pas yog txiav txim siab los ntawm qhov loj thiab ntim ntawm cov hlau, qhov siab thiab qhov hnyav ntawm tus neeg mob kuj raug coj mus rau hauv tus account. Teeb pom kev siv cov rooj tshwj xeeb.
Thiab, hypoplasia muaj ob peb theem:
- thawj theem yog qhia nyob rau hauv cov tsos mob maj mam thiab nce qhov loj ntawm lub qog;
- theem thib ob ntawm pathology twb tshwm sim nws tus kheej ntau dua, tag nrho cov tsos mob tuaj yeem pom tau meej, ntxiv rau, qhov loj ntawm cov thyroid caj pas nws tus kheej ua me ntsis me dua li niaj zaus;
- theem thib peb thiab zaum kawg ntawm hypoplasia yog qhia los ntawm cretinism hauv cov menyuam yaus thiab cov tsos mob ntawm myxedema hauv cov neeg laus, nyob rau theem no tus kab mob suav tias yog txheej txheem tsis tuaj yeem rov qab los.
Hom kab mob tuaj yeem kuaj pom tom qab kuaj ultrasound.
Yog vim li cas
Hypoplasia ntawm cov thyroid caj pas tshwm sim los ntawm cov noob hloov pauv raws li kev cuam tshuam ntawm ntau yam. Tus kab mob no yog tsim thaum lub sij hawm kev loj hlob ntawm fetus. Qhov ua rau lub hauv paus ntawm tus kab mob no tuaj yeem yog cov hauv qab no:
- txo qis qib iodine hauv lub cev ntawm tus poj niam cev xeeb tub;
- Yhypothyroidism;
- Ythyroidin;
- raug tshuaj;
- siv tshuaj hormonal;
- hluav taws xob cuam tshuam rau tus menyuam hauv plab uas tseem tsis tau tsim.
Txo iodine
Feem ntau thiab feem ntau ua rau cov thyroid hypoplasia yogtsawg iodine ntsiab lus nyob rau hauv cov poj niam cev xeeb tub. Pathology tuaj yeem tshwm sim nrog qhov tsis muaj cov kab mob uas tuaj nrog zaub mov. Tsis tas li ntawd, qhov ua rau ntawm iodine deficiency tuaj yeem yog tus poj niam hypothyroidism, uas tsis tau kuaj pom thiab kho tsis raws sijhawm. Hauv qhov no, cov thyroid caj pas yuav tsim cov tshuaj hormones tsawg heev uas tseem ceeb rau kev loj hlob ntawm tus menyuam hauv plab. Qhov ua rau ntawm hypoplasia tuaj yeem yog cov kab mob hauv lub cev hypothalamic-pituitary, uas tsis tau kho tau ntev.
Symptoms and signs
Cov duab pom pom hauv tus menyuam hauv lub hlis thib ob, thib peb ntawm lub neej. Tus kab mob no tshwm sim txawv ntawm cov menyuam yaus thiab cov neeg laus.
Cov menyuam yaus yuav pom cov cim hauv qab no ntawm cov thyroid hypoplastic:
- kev tshaib plab;
- poob ceeb thawj;
- suab nrov;
- cem quav tas li;
- kev puas hlwb kev loj hlob;
- ncua sijhawm teb rau stimuli;
- kev tsis sib haum xeeb;
- ncig jaundice.
Yog tias koj tsis mus ntsib kws kho mob raws sijhawm thiab tsis tau kuaj xyuas qhov tsim nyog, thaum lub sijhawm tus kws kho mob yuav sau cov kev kho mob uas tsim nyog rau hypoplastic sab laug lobe ntawm cov thyroid caj pas, tus kab mob tuaj yeem loj hlob thiab thaum kawg ua rau cretinism (kev nyuaj siab).
Tus kab mob hauv cov poj niam yog tshwm sim los ntawm cov tsos mob no:
- kev sib deev dysfunction;
- txo qis libido;
- tawv nqaij;
- qisqhov chaw ntawm lub dab teg;
- kev hais lus tsis meej;
- Underdeveloped genitals;
- strabismus;
- teeb meem nrog lub sijhawm luv luv;
- kev nyuaj siab tus choj;
- lub cev tsis zoo;
- suab nrov vim ligament o;
- rau tes thiab plaub hau;
- qis qab los tab sis nrawm nrawm;
- lub taub hau loj loj;
- kev sib cav.
Yog tias tsis pom cov tsos mob ntawm cov thyroid hypoplasia thaum ntxov ntawm txoj kev loj hlob, tom qab ntawd cov tshuaj tiv thaiv kab mob edema (sau cov hnoos qeev hauv lub cev kab noj hniav), ua pa tsis ua haujlwm, pob ntseg nruab nrab edema (kev hnov lus tsis zoo), lub plawv tsis ua haujlwm, o ntawm lub ntsej muag (tshwj xeeb nyob rau hauv daim ntawv ntawm smoothed contours ntawm lub oval ntawm lub ntsej muag, o ntawm daim tawv muag) thiab lub plawv dhia qeeb.
Hypoplasia ntawm cov thyroid caj pas hauv cov poj niam
Tus kab mob no hauv cov poj niam kuj tuaj yeem tshwm sim thaum muaj hnub nyoog loj dua. Qhov laj thawj tseem ceeb rau qhov tshwm sim no yog thyroid atrophy, uas tshwm sim rau cov laj thawj no:
- kab mob autoimmune;
- kab mob ntawm lub qog pituitary;
- kho mob hypothyroidism nrog xov tooj cua iodine thaum ntxov;
- kho nrog cov tshuaj thyreostatic (piv txwv li, Mercazolil);
- tsis ua haujlwm ntawm hypothalamic-pituitary system;
- qog ntawm cov thyroid caj pas lossis cov qog ntawm cov kabmob uas nyob ib sab;
- tsis txaus cov thyroid cov ntaub so ntswg;
- mob qog nqaij hlav thyroid.
Tus kab mob no tuaj yeem tshwm sim hauv cov neeg muaj hnub nyoog laus dua vim qhov tseeb tias kev ua haujlwm ntawm tag nrho lawv cov kabmob pib tsis zoo. Hypoplasia nyob rau hauv cov neeg laus feem ntau ua rau muaj teeb meem plawv - nce nyob rau hauv lub ntim ntawm lub plawv raws li ib tug tshwm sim ntawm tsub zuj zuj ntawm cov kua nyob rau hauv lub pericardial kab noj hniav.
Diagnosis
Kev kuaj mob hauv cov theem pib muaj teeb meem me ntsis vim tias cov tsos mob tseem tsis tau hais tawm. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau mus ntsib tus kws kho mob endocrinologist txhua xyoo kom nws tuaj yeem kuaj pom thawj cov tsos mob ntawm tus kab mob. Yog tias tus kws kho mob txawm li cas los xij pom cov tsos mob ntawm hypoplasia, nws yuav muab cov kev kuaj tshwj xeeb, kuaj ntshav rau cov tshuaj hormones, ultrasound.
Kev kuaj ntshav rau cov tshuaj hormones yog ua tiav rau txhua tus menyuam mos kom kuaj pom cov teeb meem thyroid thiab pib kho tam sim.
Daim ntawv ceeb toom hypoplastic thyroid nyob rau hauv cov neeg laus tuaj yeem ua raws li kev kuaj ntshav. Yuav kom kuaj pom hypoplasia nyob rau lub sijhawm, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam los ntawm tus kws endocrinologist txhua xyoo. Yog tias muaj qhov tsis txaus ntseeg ntawm cov kab mob no raws li kev kuaj ntshav, cov txheej txheem hauv qab no tau ua:
- pawg;
- YThyroid ultrasound;
- kuaj ntshav.
Thaum lub sijhawm puncture, pathology tuaj yeem kuaj pom los ntawm cov ntsiab lus ntawm cov qog nqaij hlav. Yog tias nws tsis tuaj los yog tsawg heev, tus kab mob no tau lees paub.
Kev kho mob
Lub hauv paus ntawm kev kho cov thyroid hypoplasia yog kev kho tshuaj hormone hloov. Hauv noHauv qhov no, cov tshuaj hormones uas tsim los ntawm lub caj pas yog txhaj rau hauv tus neeg mob los ntawm sab nraud. Xws li kev kho mob yuav tsum tsis txhob cuam tshuam thiab nws kav ntev rau lub neej. Kev kho mob yog muab raws li lub sij hawm ntawm kev pib kho. Yog tias nws muaj peev xwm txheeb xyuas cov kab mob ua ntej, ntawm thawj theem, qhov nrawm dua thiab zoo dua koj tuaj yeem tshem tawm cov kev hloov pauv tsis tuaj yeem tshwm sim hauv lub cev.
Hypoplasia ntawm cov thyroid caj pas hauv cov menyuam yaus kuj tshwm sim.
Yog tias kuaj pom tus kab mob no hauv tus menyuam mos thiab pib kho tam sim ntawd, yuav muaj feem ntau uas tus menyuam yuav tsis muaj teeb meem txog kev loj hlob thiab kev loj hlob yav tom ntej.
Yog tias kev kho mob pib lig, tsuas yog qee qhov tsos mob ntawm tus kab mob tuaj yeem raug tshem tawm. Nws yog tsis yooj yim sua kom tshem tawm tag nrho lub txim ntawm neuro-psychological thiab lub cev hloov nyob rau hauv ib tug tom qab theem.
Ntxiv nrog rau kev kho tshuaj hormone, kev kho mob yuav tsum muaj xws li gymnastics thiab zaws, uas tuaj yeem ua rau cov leeg nqaij rov qab zoo li qub.
Hypoplasia ntawm cov thyroid caj pas yog ib yam kab mob loj heev, uas yog nrog los ntawm cov metabolism hauv qeeb thiab ua rau muaj kev loj hlob tsis zoo.
Huab cua
Kev kuaj mob rau kev kho yog nyob ntawm theem ntawm tus kab mob uas tau pib kho. Kev kho mob ua ntej pib, kev hloov pauv pathological ntau tuaj yeem zam tau. Muaj tsawg zaus, tshwj xeeb tshaj yog cov xwm txheej, kev phais tau ua.
Hypoplasia yog suav tias yog kab mob txaus ntshai, thiab yog li ntawd nws txoj kev kho yuav tsum tau pib tam sim ntawd, sai li sai tau pom tus kab mob no. Tsis txhob ncua mus ntsib kws kho mob thaumnrhiav pom thawj cov tsos mob ntawm tus kab mob.
Yuav ua li cas tiv thaiv hypothyroidism hauv cov neeg laus?
Kev Tiv Thaiv
Kev tiv thaiv cov kab mob qog nqaij hlav hauv menyuam yaus yog kev saib xyuas txaus rau kev noj qab haus huv ntawm tus poj niam cev xeeb tub. Ua raws li cov cai yooj yim no yuav pab ua kom tus me nyuam noj qab nyob zoo:
- noj cov vitamins tseem ceeb uas muaj iodine;
- khoom noj kom zoo;
- tus kws kho mob soj ntsuam ntawm lub tsev kho mob antenatal;
- noj qab nyob zoo.
Yog hais tias tus poj niam cev xeeb tub nyob hauv thaj chaw uas muaj iodine tsis txaus, ces cov tshuaj uas muaj nws tau sau.
Yuav kom txo tau txoj kev pheej hmoo ntawm kev tsim cov kab mob no, nws yog ib qho tsim nyog yuav tsum tau ua kev tiv thaiv:
- tau txais kev kuaj xyuas tas li;
- txhawb kev tiv thaiv;
- tawm tus cwj pwm phem;
- kho raws sijhawm kho mob foci ntawm tus kab mob;
- yuav tsum tau iodine txaus.
Nws yuav tsum nco ntsoov tias kev kuaj mob tsis tu ncua los ntawm kws kho mob thiab kev kho mob raws sijhawm yuav pab tshem tawm thiab zam ntau yam kab mob.
Peb tau saib yuav ua li cas txhawm rau kuaj thiab kho hypothyroidism.
