On children with congenital hypothyroidism in the nursing.docVIP

 PAGE \* MERGEFORMAT 6 On children with congenital hypothyroidism in the nursing [Keywords:] thyroid disease care to reduce Congenital Hypothyroidism (Congenital hypothyroidism, congenital hypothyroidism), also known as cretinism, cretinism, is the most common congenital endocrine diseases. The cause is due to many causes thyroid dysfunction, causing inadequate secretion of thyroid hormone or thyroid hormone receptor defects. The disease is divided into two kinds of sporadic and localized, the former is mainly due to congenital hypothyroidism or thyroid hormone dysplasia enzyme synthesis caused by defects, mostly sporadic cases, a few family history, according to the International Statistical Institute screening, the incidence of the world about 1/2600-1/4000; the latter is due to dietary iodine deficiency caused goiter prevalence more common in the mountains. Congenital hypothyroidism mainly as growth retardation, mental retardation, and basal metabolic rate. if early detection, early treatment and prognosis of most of the good. [Nursing assessment] 1. Assessment of history to know whether the endemic areas of residence and family history, asking the mother’s diet during pregnancy and drug use. Physical and mental development of children the situation is normal. Spirit, appetite, activity situation, whether feeding difficulties . 2. Assessment of symptoms and signs observed in children have a special face, height, weight, head circumference, calculate the amount of the upper and the lower the ratio of the amount, test their intelligence, physiological feature is low. 3. To understand a variety of laboratory examinations of serum T3, T4, TSH levels, basal metabolic rate and other findings, hand and wrist X-ray, whether slow bone growth and maturation. 4. Assess the psychological and social factors in children of parents understand the knowledge to grasp the extent of the disease, can grasp the side effects of medication