欢迎来到天天文库
浏览记录
ID:19749302
大小:2.59 MB
页数:21页
时间:2018-10-05
《先天性甲状腺功能减退 ppt课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、CONGENITALHYPOTHYROIDISM5thYearIntern-AmilaKannangara1Clinicalscenario..Apregnantmotherwithherhusbandcomestoseeyou.Sheisinherthirdtrimester.Bothofthemarelawyers.TheyhaverecentlyheardaboutcongenitalhypothyroidisminTelevisionandwantstodiscusswithyouhowtoknowiftheirun
2、bornchildisaffected.2Howwillyouadvicethem?Content…1.WhatiscongenitalHypothyroidism?2.CausesbehindCH?3.SignsandsymptomsofCH?4.HowtodiagnoseCH?5.IsCHinherited?6.HowtotestforCH?7.TreatmentofCH?3WhatisCongenitalHypothyroidism?Isastateofinadequatethyroidhormoneproduction
3、innewborninfants.4Babieswhodonothaveenoughthyroidhormoneareoftenslowtogrow,aresluggish,andhavelearningdelaysandotherspecifichealthproblems.Whatarethecausesforthiscondition?1.Missingormisplacedthyroidgland5MostbabieswithCHaremissingtheirthyroidglandorhaveathyroidthat
4、didnotdevelopproperly. Insomecases,thethyroidglandmaybesmallerthanusualormaynotbelocatedinthecorrectplace.InsomechildrenwithCH,thethyroidglandmayinsteadbeunderthetongueoronthesideoftheneck.2.HereditarycausesChildrenwiththeinheritedtypeofCHdonotmakeenoughthyroidhormo
5、neeventhoughtheirthyroidglandappearsnormalinsizeandshape.3.Maternaliodinedeficiency4.Maternalthyroidconditionandmedications5.Multiplebirthswhatproblemsoccur?.Poorfeedingandpoorsuck.Lowactivitylevel.Fewerbowelmovementsorconstipation.Swellingaroundtheeyes.Cool,pale,dr
6、yskin.thefontanelthatcloseslate61.Jaundice2.Hypotonia3.Umbilicalhernia4.LargeswollentongueIfleftuntreatedCoarse,swollenfacialfeaturesBreathingproblemsHoarse-soundingcryDelayedmilestones(sitting,crawling,walking,talking)Wide,shorthandsPoorweightgainandgrowthGoiter(en
7、largedthyroidglandcausingalumpintheneck)AnemiaSlowheartrateFluidbuild-upundertheskin(calledmyxedema)Hearingloss7HowtodiagnoseCH?Familyhistoryshouldbecarefullyreviewedforinformationaboutsimilarlyaffectedinfantsorfamilymemberswithunexplainedmentalretardation.8Maternal
8、historyofathyroiddisorderandmodeoftreatment(whetherbeforeorduringpregnancy)WhatisthechanceofCHbeinginherited?About80to85%ofthetime,CHiscau
此文档下载收益归作者所有