Ukungathandwa kwe-Hypothyroidism Kwesifazane Okhulelwe Ngokuphawulekayo kuthinta i-IQ yengane
Ngaphezu kweminyaka eyishumi eyedlule, i- New England Journal of Medicine (NEJM) ibike ngemiphumela yocwaningo olwenziwe ukuthi ucwaningo lwe-hypothyroidism engakhulelwe ngesikhathi sokukhulelwa lungathinta ukuthuthukiswa kwengqondo yengane. Ngokuqondile, ucwaningo lwathola ukuthi izingane zazinamazinga aphansi e-IQ, amakhono amanciphisa amakhono, nezinkinga zokunakekelwa, ulimi nokufunda.
Ucwaningo lubuthole ukuthi abesifazane abanesifo esingasetshenziswanga, isimo se-thyroid esingasebenzi ngaphansi kokukhulelwa cishe cishe kane amathuba okuba nezingane ezinezilinganiso eziphansi ze-IQ. Abacwaningi babonise ukuthi cishe owesifazane kwaba-1 kwabangu-50 banesifo se-hypothyroidism ngesikhathi sokukhulelwa. Olunye ochwepheshe, noma kunjalo, bakholelwa ukuthi le nombolo ingase ibe mkhulu nakakhulu, nokuthi iphesenti elikhulu labantu alitholakali noma lingaphathwa kabi .
Ucwaningo lwabonisa ukuthi amaphesenti angu-19 ezingane ezalwa ngamama abanenkinga yokungatholakali kwe-thyroid yayinezigaba ezingu-85 ze-IQ noma eziphansi. Lokhu kwaqhathaniswa nezinga elincane le-IQ lamaphesenti angu-5 kuphela alabo abazelwe omama ngaphandle kwezinkinga ezifana ne-thyroid. NgokukaJames E. Haddow, MD, uhola umlobi wokutadisha, ububanzi obungaphansi kwezinga le-85 IQ lingasho ukukhubazeka okukhulu kubantwana. Ngokusho kukaHaddow:
Izingane ezizibalo zazo ezikuleli banga zingabhekana nezinselele zokuthuthukisa impilo. Kungenzeka ukuvimbela lezi zinkinga ngokusebenzisa ukuxilongwa kokuqala nokwelashwa kwesifo segciwane kumama.
Ucwaningo lubuthole ukuthi abantwana abangu-62 abomama babo babengama-hypothyroid ngesikhathi sokukhulelwa benza kahle kakhulu kuzo zonke izivivinyo ezihlukahlukene ze-intelligence ne-IQ ezisetshenziselwa ukulinganisa. Izingane zabesifazane abangama-48 abangazange baphathwe isifo sofuba ngesikhathi sokukhulelwa babenemiphumela ephakathi ye-IQ eyayinamaphuzu angu-7 aphansi kunabantwana eqenjini lokulawula, kanti amaphesenti angu-19 abeka 85 noma ngaphansi.
Kuyathakazelisa ukuthi abacwaningi bathola nokuthi omama abaye bathola ukuthi babe yi-hypothyroid bebelokhu bephakathi kweminyaka emihlanu ngaphambi kokuba odokotela babo bathole ukugula kwengculazi. Abambalwa kulaba besifazane abatholakalanga kuze kube yiminyaka engu-10 kamuva. Lena inkinga eqhubekayo kubo bonke abantu, futhi ezinye izilinganiso zithola ukuthi kunabantu abaningi abayizigidi ezingu-13 abane-hypothyroidism e-US, iningi lalabo besifazane, nabaningi abayingxenye engaziwa. (Bheka i- HELP! I-TSH yami "Yivamile" Kodwa Ngicabanga ukuthi ngingu-Hypothyroid .)
I- NEJM ibike ukuthi ukuhlolwa kokukhulelwa omama nge-hypothyroidism kungase kuphakanyiswe. Ngokuvamile, abesifazane abaye babhekana nenqubo yokukhipha noma yokuvimbela i-thyroid, noma abathola i-autoimmune hypothyroidism eyaziwa yi-hypothyroidism yabo, futhi kufanele baqaphele ngokukhethekile ukulungiselela ukukhulelwa nokuphathwa kwamazinga wegciwane ngesikhathi sokukhulelwa. Nokho, ingozi enkulu kunayo yonke abesifazane abangama-hypothyroidism abangenayo indlebe, abanamazinga ajwayelekile we-thyroid ane-antibodies ephakeme, noma abangelapheki i-hypothyroidism engaphenduki-konke ngenxa ye-autoimmune thyroiditis (Hashimoto's Thyroiditis).
Enye inkinga ukukhathazeka mayelana nokudla kwe-iodine.
Esihlokweni se- NEJM esilandela ekutholeni ucwaningo, uDkt. Robert Utiger wathi:
Naphezu kokucabanga ukuthi i-hypothyroidism kwabesifazane abaningi abakhulelwe ibangelwa i-autoimmune thyroiditis engapheli, engenakuvinjelwa, umehluko phakathi kwamazwe ubonisa enye incazelo ekhona - ukuntuleka kwe-iodine, okuvinjelwayo. . . Kungenzeka ukuthi kokubili ukukhubazeka kwe-autoimmune thyroiditis kanye nokuntuleka kwe-iodine kubangela ukuba kwenzeke kwe-hypothyroidism kwabesifazane abakhulelwe emazweni amaningi.
Kukhona okungenaso isikrini se-thyroid esimisiwe sabesifazane abafisa ukukhulelwa, noma sebevele bekhulelwe.
Ucwaningo lwamuva luye lwabona ukuthi kokubili amazinga aphezulu wezinga le-thyroid angafaka ingozi ezinganeni ezingakazalwa. Umcwaningi wocwaningo, uDkt. Dr. Tim Korevaar uthe, "Kukhona ukuvumelanisa ukwelapha i-subclinical hypothyroidism ngoba ngokuvamile ikholelwa ukuthi izinzuzo zokwelapha ezingaphezu kwamathuba angaphezu kokungaphatheki kahle. Kwakungekho bufakazi kubantu kuze kube manje ukuthi amazinga we-thyroid aphakeme kakhulu i-hormone ingase ibe yingozi. "
Kungakhathaliseki ukuthi uyazi ukuthi unesifo se-thyroid noma cha, uma uhlela ukukhulelwa, noma ukhulelwe, khuluma nodokotela wakho ngokuhlola okulula kwamazinga akho we-thyroid - ukuze uvikeleke.
Umthombo:
Haddow, James EMD, et. al. "Ukuntula Kwama-Maternal Thyroid ngesikhathi Sokukhulelwa Nokuthuthukiswa Kwengane Yezinzwa Zegazi," i- New England Journal of Medicine, uMqulu 341: 549-555, u-Agasti 19, 1999 Inombolo 8, i-Online