Cutar cututtuka, gwaji da kuma maganin hypothyroidism a Down Down Syndrome
Down Syndrome da Hypothyroidism
Mutanen da ke ciwo da ƙananan ƙwayar cuta suna ci gaba da haɗari na bunkasa hypothyroidism. Hypothyroidism wata cuta ne mai ban mamaki wanda zai iya shafar mutane daga dukan tsufa, kuma yana faruwa a kimanin 1 cikin mutane 4,000. Abinda ya faru shine mafi girma a cikin mutane da Down syndrome. Duk wani wuri daga 13 zuwa 55% cikin mutanen da ke fama da Down syndrome zasu haifar da hypothyroidism a kan rayuwarsu.
Babu tabbacin dalilin da ya sa mutane da ciwon Down ya sami ƙarin damar da za su bunkasa hypothyroidism. Labaran labari shi ne cewa ana sauƙin bi da shi da magani.
Don fahimtar hypothyroidism, yana da muhimmanci a fahimci abin da thyroid ne da kuma aikin da yake kullum yi a cikin jiki.
Mene Ne Thyroid?
Your thyroid ne karamin malam buɗe ido dimbin yawa gland shine located a cikin wuyansa, a gaban Adam apple. Karoid yana cikin ɓangare na endocrine ko tsarin hormone. Duk da yake muna yawan haɗuwa da hawan mahaifa tare da matasa da jima'i, suna taka muhimmiyar rawa wajen tsara yawancin ayyukan jiki ciki har da matakan da ake ciki da kuma makamashi.
Mene ne Hypothyroidism?
Hypothyroidism shine yanayin da ya haifar da ciwon karamar thyroid din (thyroxine) a cikin jini. Lokacin da aka gano mutum tare da hypothyroidism, glanding thyroid ya ce "underactive" - ba samar da isasshen hormone thyroid.
Kwayoyin cututtuka na hypothyroidism sunyi kama da bayyanar cututtuka da siffofin Down Down syndrome , kuma yana da wuya a gaya wa bambanci tsakanin magungunan nan biyu. Hanyoyin cututtuka na hypothyroidism sun hada da rage yawan ci gaban, ƙyama, rashin ƙarfi ko gajiya, rage ƙwayar tsoka da busassun fata da gashi - duk abin da zai iya faruwa a cikin mutanen da aka gano tare da Down syndrome.
Mene ne Hormone Thyroid?
Your hormone thyroid, da ake kira thyroxine, ya kasance a cikin jiki a cikin daban-daban siffofin da ake kira T3 da T4. T4 shi ne mafi yawan al'ada a cikin jini, kuma an canza shi zuwa T3 lokacin da yake aiki cikin jiki. Adadin T4 da ake haifar da thyroid ne aka kwatanta da wani hormone da ake kira thyroid stimulating hormone (TSH). TSH yana ƙarfafa thyroid don samar da T4, wanda aka juya zuwa T3 a jikin. Lokacin da thyroid ya zama ƙasa da aiki, yana farawa samar da ƙasa da T4 fiye da jiki yana bukatar. A cikin ƙoƙari na gyara wannan matsala, jiki yana fara samar da ƙarin TSH, don ƙoƙari ta ƙarfafa ƙawancin maganin ƙwayar cuta don samar da karin hawan. Saboda haka don daidaita shi, lokacin da thyroid ba shi da wani dalili, akwai ƙananan matakai na T4 da T3 a cikin jini, da ƙara ƙimar TSH.
Yaya Yaya Harkar Harkar Kwance-kwata a cikin Mutane da Raunin Ciwo?
Saboda mutanen da ke ciwo da Down sun sami ƙarin damar da za su bunkasa hypothyroidism, an "yi musu kariya" ko gwada su saboda wannan cuta a kai a kai, ta gwajin jini, a kan rayuwar rayuwarsu.
Yawancin jarirai a wannan ƙasa, tare da ba tare da Down syndrome ba, an kori su don yin amfani da hypothyroidism a lokacin haifuwa ta hanyar tsarin jarrabawar jariri.
Idan jarrabawar jarrabawar ta tabbatacce, ko kuma idan likitan ku ga wasu alamun hypothyroidism a cikin jariri zai iya umurni ƙarin gwajin jini don tabbatar da wannan ganewar.
Yayinda jaririn ya tsufa, zai ci gaba da gwaji don hypothyroidism. An bada shawarar cewa dukkan jariri tare da Down syndrome za a gwada su don hypothyroidism ta hanyar binciken jini wanda auna matakan thyroid hormone a watanni shida, shekara guda da kuma kowace shekara bayan wancan don rayuwa.
Ta Yaya Aka Yi Mikiyayi?
Ana biyan hypothyroidism ta hanyar maye gurbin abin da ke faruwa a cikin yanayi wanda ake kira thyroid hormone tare da maye gurbin da ake kira levothyroxine (sunan suna Synthroid).
Levothyroxine ne kwayar da ake dauka yau da kullum kuma dole ne a dauki shi don sauran rayuwan mutum. Za a iya kula da jarirai da hypothyroidism tare da sakon levothyroxine na ruwa har sai sun iya rike haɗarin kwaya. Da zarar mutum ya fara magani, likita zai ci gaba da lura da matakan hormone da alamun su, don tabbatar da cewa suna samun adadin levothyroxine.
Layin Ƙasa
Hypothyroidism shine rashin lafiya wanda zai iya faruwa sosai a cikin mutane da Down syndrome. Saboda bayyanar cututtuka na hypothyroidism suna da hankali kuma sun haɗa da Down syndrome, duk mutanen da ke fama da Down syndrome ya kamata su yi aikin jini a kowace shekara don bincika idan sun ci gaba da wannan cuta.
SOURCES:
Harkokin Kasuwancin Ilimin Harkokin Ilimin Harkokin Ilimin Harkokin Yara. Kula da lafiya ga yara tare da ciwo na Down. Ilimin yara na yara 2001 107: 442-449.
Cohen, W., et al. (1996). Downlist Medical Check-in. Rahoton Ƙungiyar Ƙungiyar Harkokin Kasuwancin Down Down. Down Ciwo na Yakin. Volume 1 (2).
Selikowitz, Mark. Down Ciwo. New York: Oxford University Press. 2008. (3rd Edition)