The hormones T3 and T4 secreted by the thyroid gland affect the functions of all metabolism in the body, growth and development of the nervous system. The deficiency causes serious problems. Memorial Hospital, Department of Pediatrics An All newborn babies should be screened for hypothyroidism on the 4th to 6th days following birth, Sin says Sinan Mahir Kayıran.
: What is the Importance of Thyroid Gland?
Dr. View Sinan's Full Profile The thyroid gland is a butterfly-like two-part organ located at the bottom of the neck, weighing approximately 20-25 grams. Thyroid gland secreted T3 and T4 hormones, all the metabolism in the body functioning, growth and development of the nervous system affects many important functions, while calcitonin affects the bones.
: What causes “hypothyroidism oid called yetersiz inadequate functioning of the thyroid gland” in children?
Dr. View Sinan's Full Profile Inadequate functioning of the thyroid gland may present with different health problems in different age groups. For example, congenital hypothyroidism findings include difficulty in sucking, constipation, prolonged jaundice, umbilical hernia, thick coarse voice, broad fontanelle, and abdominal tension; older children suffer from mental retardation, developmental disability, anemia, fatigue, weakness, fatigue, menstrual irregularities, swelling of hands and feet, hair loss, dryness and cracking of the skin, blood pressure imbalance and constipation.
: Is hypothyroid occurring congenitally or later?
Dr. View Sinan's Full Profile Thyroid gland 'hypothyroidism', which is called inadequate work, can be both congenital and acquired (acquired).
: What are the causes of hypothyroidism?
Dr. View Sinan's Full Profile congenital hypothyroidism 90% of cases occur due to developmental defect of thyroid gland. also newborn transient hypothyroidism, thyroid hormone synthesis defects, mother's use of radioactive iodine in pregnancy, maternal iodine deficiency in pregnancy also causes congenital hypothyroidism. The acquired hypothyroidism group is the non-congenital form of hypothyroidism that occurs after the newborn period. The most common is 'autoimmune lymphocytic' thyroiditis. In addition, toimmun thyroiditis (Hashimato thyroiditis), acute suppurative thyroiditis, subacute non suppurative thyroiditis and iodine deficiency are the causes of acquired hypothyroidism.
: How is hypothyroidism understood?
Dr. View Sinan's Full Profile Early diagnosis can only be made by screening tests. For this reason, TSH and / or T4 is examined in whole blood sample taken from heel to filter paper on the 4th to 6th days following the birth of all newborn babies. In cases that are not diagnosed in the first days by screening tests, diagnosis is made by determination of serum TSH, T4 and free T4. Detailed history is helpful in diagnosis. In congenital hypothyroidism, 60% of cases have delayed bone maturation in the neonatal period. Since ossification cores have not appeared on the wrist before 3-4 months, knee radiography is performed. Congenital absence of distal epiphysis in a newborn with birth weight above 3000 gr thyroid hormone indicates the lack of. In older children, growth of the thyroid gland (Goiter) is examined by blood tests, scintigraphy and ultrasonography.
: Is it necessary to have a hypothyroid test for every newborn?
Dr. View Sinan's Full Profile All newborn babies on days 4 to 6 following birth, they should be screened for hypothyroidism.
: How is it treated?
Dr. View Sinan's Full Profile Treatment is purely cause. Thyroid hormone deficiency is replaced. L-thyroxine is given orally. Early diagnosis and treatment are essential and severe mental retardation can be prevented.
: If the treatment is late, can the problem become a permanent disease?
Dr. View Sinan's Full Profile If treatment is late, fine motor movements, especially mental retardation, and problems in learning (especially mathematics) are common.