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1496 8 |
Ultima descărcare din IBN: 2020-11-04 12:49 |
Căutarea după subiecte similare conform CZU |
616.441-008.64-07-08 (1) |
Patologia sistemului limfatic, a organelor hemopoietice şi endocrine (189) |
SM ISO690:2012 DOBROTĂ, Luminiţa, NEAMŢU, Mihai-Bogdan, NEAMŢU, Mihai-Leonida. Hipotiroidismul tranzitoriu (hipotiroidismul congenital primar tranzitoriu). In: Buletin de Perinatologie, 2017, nr. 1(73), pp. 42-47. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 1(73) / 2017 / ISSN 1810-5289 | ||||||
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CZU: 616.441-008.64-07-08 | ||||||
Pag. 42-47 | ||||||
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Rezumat | ||||||
The transient congenital hypothyroidism (TCH) represents one of the most frequent causes, the most varied clinically, and, obviously, the most controversial form of therapeutic point of view of congenital hypothyroidism in children. The main causes of TCH are: iodine deficiency, transplacental passage of maternal TSH receptor blocking antibodies, fetal exposure toanti thyroid drugs, maternal and neonatal iodine exposure. It isalsoinc luded the hypothyroidism of pretermneonates, especially, those in critical condition. The symptomatology is varied, depending of age of diagnosis. The prolonged neonatal jaundices the main symptom which determines the visit to the doctor. The other symptoms are: umbilical hernia, enlarged fontanelas, constipation, macroglosia, hoarse crying. The effects of thyroid hormones deprivation are reversible only if the hormonal substitution treatment is initiated before age of 6 weeks (the objectives of the neonatal screening). Some screening program shave implemented the second screening, at the time of returning to pediatrician, other programs it performs routinely at patients with high risk of delayed increase of thyrotropin. Even if the TCH treatment (of preterm neonates with TCH) still remains controversial and the most studies considered that several weeks months an adequate period of treatment, in case of persistence of high level of thyrotropin, the hormonal substitution treatment should be continue dup to age of 3 years, when the effects of thyroid hormones deprivation upon then ervous system are greatly reduced. |
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Cuvinte-cheie hipotiroidismul congenital tranzitoriu, cauze, diagnostic, Tratament |
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