On child hypothyroidism diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 8 On child hypothyroidism diagnosis and treatment [Keywords:] Children’s diagnosis and treatment of hypothyroidism Hypothyroidism (referred to as hypothyroidism) is affected by a variety of reasons the hypothalamic-pituitary-thyroid axis function, leading to the synthesis or secretion of thyroid hormone deficiency, or thyroid hormone receptor for the clinical syndrome caused by defects. According to the etiology and age of onset can be divided into congenital and acquired hypothyroidism hypothyroidism two categories, the majority of children with congenital hypothyroidism during hypothyroidism. A congenital hypothyroidism Congenital hypothyroidism in the past been known as cretinism or cretinism. The disease is divided into two categories: sporadic hypothyroidism is thyroid tissue during the embryonic developmental abnormalities, absent or ectopic, or thyroid hormone synthesis caused by defects in the enzyme, a low is due to local water, soil or food in iodine deficiency caused goiter more common in endemic areas. [Clinical manifestations] 1. Neonatal performance (1) often outdated production, than normal birth weight infants. (2), feeding difficulties, low cry, a hoarse voice. (3) delayed discharge meconium, abdominal distension and constipation. (4), hypothermia, poor peripheral circulation. (5) extend the period of physiological jaundice. 2. A typical example (1) special face: Head Great Neck short, indifferent face, eyes away from the widened eyes crack is small, flat nose collapsed, generous tongue, stretching in the estuary, rough skin, sparse hair, dry, hoarse voice. (2) Special Body: short stature, upper greater than lower volume, big belly, umbilical hernia, spinal curvature, lumbar lordosis, pseudo-muscle hypertrophy. (3) exercise and mental retardation. (4) physiological dysfunction: to less cold, hypothermia, lethargy, low response to external things, heart rate s