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Hipotiroidismo neonatal - Treatment

Nombres alternativos

Cretinismo; Hipotiroidismo congénito; Hipotiroidismo en bebés

Tratamiento:

Es muy importante hacer un diagnóstico precoz. La mayoría de los efectos del hipotiroidismo son fáciles de contrarrestar.

La tiroxina generalmente se administra para tratar el hipotiroidismo. Una vez que el niño comienza a tomar este medicamento, se hacen exámenes de sangre en forma regular para constatar que los niveles tiroideos estén dentro de un rango normal.

Expectativas (pronóstico):

El hecho de obtener un diagnóstico precoz generalmente lleva a un buen desenlace clínico. Los recién nacidos que son diagnosticados y tratados durante el primer mes más o menos suelen tener una inteligencia normal.

Sin tratamiento, el hipotiroidismo leve puede llevar a que se presente retardo mental grave y retraso en el crecimiento. El sistema nervioso pasa por un desarrollo importante durante los primeros meses después del nacimiento. Una deficiencia de hormona tiroidea puede ocasionar daño irreversible.

Posibles complicaciones:

  • Retardo mental
  • Retraso en el crecimiento
  • Problemas cardíacos

Cuándo contactar a un profesional médico:

Consulte con el médico si:

  • Siente que su hijo muestra signos o síntomas de hipotiroidismo.
  • Está embarazada y ha estado expuesta a medicamentos o procedimientos antitiroideos.
  • Reviewed last on: 6/28/2011
  • Ari S. Eckman, MD, Chief, Division of Endocrinology, Diabetes and Metabolism, Trinitas Regional Medical Center, Elizabeth, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

LeFranchi S. Hypothyroidism. In: Kliegman RM, Stanton BF, St. Geme III JW, Schor NF, Behrman RE, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011;chap 559.

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