Ukungathandabuzeki kwe-Hypothyroidism kuMfazi okhulelweyo Kuphazamisa kakhulu i-IQ yoMntwana
Ngaphezulu kweminyaka elishumi edlulileyo, i- New England Journal of Medicine (NEJM) yabika ngeziphumo zophando olwenziwe ukuba ukukhulelwa kwe-hypothyroidism ngexesha lokukhulelwa kunokuchaphazela ukuphuhliswa kwengqondo kwengane. Ngokukodwa, uphando lufumene ukuba abantwana banamanani amanqanaba aphantsi e-IQ, izakhono zokunciphisa izakhono, kunye neengxaki ngokuqwalasela, ulwimi nokufunda.
Uphando lufumanise ukuba abafazi abanengxaki yokungathobeli, i-thyroid engapheliyo ngexesha lokukhulelwa ziba zihlandlo eziphindwe kane ukuba babe nabantwana abanamanani aphantsi e-IQ. Abaphandi babonise ukuba malunga nabafazi aba-1 kwabangu-50 bane-hypothyroidism ngexesha lokukhulelwa. Ezinye iingcali, nangona kunjalo, bakholelwa ukuba eli nani linokuba likhulu kakhulu, kwaye ukuba ipesenteji enkulu yabemi ayifumaneki okanye ayithotywanga .
Uphononongo lubonise ukuba i-19 ekhulwini yabantwana abazalelwe oomama abanokuphulukana ne-thyroid abangapheliyo babenama-IQ amanqaku angama-85 okanye aphantsi. Oku kuqhathaniswa nenqanaba elincinci le-IQ ye-5% kuphela yabantwana abazalelwe oomama ngaphandle kweengxaki ezifana ne-thyroid. NgokukaJames E. Haddow, MD, uhola umlobi ofundayo, uluhlu olungaphantsi kwinqanaba le-85 ye-IQ lithetha ukuphazamiseka okukhulu kubantwana. Ngokwe-Haddow:
Abantwana abo amanqaku abo abakweli candelo bangabhekisana nemingeni yokuphuhlisa ubomi. Kungenzeka ukuba kuthintele ezi ngxaki ngokusebenzisa ukuxilongwa kwangaphambili kunye nokunyangwa kwesifo se-thyroid kumama.
Uphononongo lufumanise ukuba abantwana abangama-62 abanomama ababephethe i-hypothyroid ngexesha lokukhulelwa benza okuncinci kwiindawo ezahlukeneyo zeengcaphephe kunye ne-IQ ezisetyenziselwa ukulinganisa. Abantwana abangama-48 ababengaphatanga ngenxa yesifo se-thyroid ngexesha lokukhulelwa babenamaqondo aphakathi kwe-IQ anamaqondo angama-7 aphantsi kunabantwana abakwiqela lolawulo, kunye neepesenti ezingama-19 ezibeka amanqaku angama-85 okanye ngaphantsi.
Okuthakazelisayo kukuba, abaphandi bafumanisa ukuba oomama abaye bafumanisa ukuba yi-hypothyroid bebekho kwiminyaka emihlanu ngaphambi kokuba oogqirha bafumane ingxaki ye-thyroid. Abambalwa kwabasetyhini abazange bafumane unyango ngaphambi kweminyaka eyi-10 kamva. Le ngxaki eqhubekayo kubemi bonke, kwaye ezinye iingqikelela zifumanisa ukuba baninzi abantu abayizigidi ezili-13 abane-hypothyroidism e-US, ininzi yabo yabasetyhini, kwaye baninzi isiqingatha. (Jonga uncedo! I-TSH yam iyinto "eqhelekileyo" Kodwa ndicinga ukuba ndiyi-Hypothyroid .)
I- NEJM ibhekisele ukuba ukucutshungulwa kokukhulelwa kwabaama-hypothyroidism kunokucetyiswa. Ngokuqhelekileyo, abafazi abaye bafumana inkqubo yokukrazula okanye ukuxuba i-thyroid, okanye abanokufumana i-hypimroidroidism eyaziwa yi-autoimmune i-hypothyroidism, kwaye kufuneka baqaphele ngokukodwa ukulungiselela ukukhulelwa nokulawulwa kwamanqanaba e-thyroid ngexesha lokukhulelwa. Noko ke, ingozi enkulu kunazo zonke kwiindawo ezininzi ze-hypothyroidism ezingabonakaliyo, ezinamazinga aqhelekileyo e-thyroid kunye nama-antibodies ephakamileyo, okanye abangakhange baphathwe nge-hyplinroidism ezingapheliyo-zonke ngenxa ye-thyroiditis engapheliyo (Hashimoto's Thyroiditis).
Enye ingxaki yinkxalabo malunga nokudla kwe-iodine.
Kumhleli we-NEJM ohambelana nokufumana uphando, uDkt. Robert Utiger wathi:
Nangona ukucinga ukuba i-hypothyroidism kwabesetyhini abaninzi abakhulelwe kubangelwa yi-thyroiditis engapheliyo, engenakukhuselwa, ukuhluka phakathi kwamazwe kubonisa enye ingcaciso-inokukhubazeka kwe-iod, ekhuselwe. . . Kungenzeka ukuba i-thyroiditis engapheliyo kunye ne-iodine engenako igalelo ekubangeni kwe-hypothyroidism kwabasetyhini abakhulelweyo kumazwe amaninzi.
Kuqhubeka kungabi nesikrini se-thyroid esifanelekileyo kwabasetyhini abanqwenela ukuba bakhulelwe, okanye sele sele bekhulelwe.
Uphononongo olutshanje lufumene ukuba amanqanaba aphakamileyo aphezulu kwaye aphantsi, angabangela umngcipheko kubantwana abangakazalwa. Umphandi woPhando, uDkt. Tim Korevaar wathi, "Kukho ukuvumelanisa ukuphatha i-hyplinroidism ye-subclonical hypothyroidism kuba kukholelwa ukuba iimeko ezinokuthi zonyango zingaphezu kweengozi zokungaphathi kakubi. i-hormone nayo inokuba yingozi. "
Ingaba uyazi ukuba unesifo se-thyroid okanye cha, ukuba uceba ukukhulelwa, okanye ukhulelwe, xela ugqirha malunga nokuhlola okulula kwamazinga akho e-thyroid - ukuze ukhuseleke.
Umthombo:
Haddow, James EMD, kunye. al. Ukunqongophala kwe-Thyroid yamanina ngexesha lokukhulelwa kunye noPhuculo lwe-Neuropsychological of the Child, " iNew England Journal of Medicine, uMqulu 341: 549-555, ngo-Agasti 19, 1999 Inani le-8, kwi-Intanethi