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"name": "Синдром врожденной йодной недостаточности",
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"lead": "Это заболевание эндокринной системы, связанное с недостаточным количеством йода в организме ребенка.",
"description": "",
"etiology": "<p>Развивается заболевание во внутриутробном периоде. Оно может быть связано как с недостаточным поступлением йода в организм ребенка из внешней среды, так и с врожденными пороками щитовидной железы, развивающимися у плода во внутриутробном периоде, при недостаточном обеспечении его органов и тканей гормонами щитовидной железы матери. <br /><br /></p>",
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"diagnostics": "<p>При наличии клинических симптомов у новорожденного или при наличии явной патологии щитовидной железы у матери, на 5 -7 день жизни ребенка исследуется содержание гормонов щитовидной железы. В крови определяется уровень общего и свободного тироксина, тиреотропного гормона и тироглобулина. Дополнительно, иммунологическими тестами могут быть исследованы антитела к тироглобулину. Радиоиммунными методами, может быть изучено поглощение радиоактивного йода щитовидной железой. Объем щитовидной железы установливается методом УЗИ. В моче исследуется содержание йода. По медицинским показаниям, проводятся и иные индивидуально показанные исследования, направленные на диагностику патологии прочих, вовлеченных в процесс органов и систем.<br /><br /><br /></p>",
"treatment": "<p>Тактика лечения врожденной йодной недостаточности сводится к проведению индивидуальной пожизненной заместительной терапии гормонами щитовидной железы. С учетом функционирования органа проводится ранний, целенаправленный подбор препаратов йода и их доз. По медицинским показаниям, применяются средства, дополнительно воздействующие на эндокринную систему. Это неполовые гормоны, синтетические субстанции и антигормоны. Для коррекции терапии, каждые 6-12 месяцев проводится контроль лечения. <br /><br /><br /></p>",
"prevention": "<p>Профилактика йодной недостаточности включает прежде всего массовую йодную профилактика для всего населения.<br /><br /></p>",
"clinical_picture": "<ul>\r\n<li>отставание физического развития,</li>\r\n<li>задержка роста и смены зубов, длительное незаращение родничков черепа,</li>\r\n<li>грубые черты лица (что обусловлено отёчностью мягких тканей): широкий плоский («квадратный») нос с западанием его спинки, далеко расставленные друг от друга глаза (глазной гипертелоризм),</li>\r\n<li>большой язык (часто он не вмещается во рту),</li>\r\n<li>непропорциональное строение тела: короткие конечности, большая голова,</li>\r\n<li>толстая и грубая кожа,</li>\r\n<li>недоразвитые вторичные половые признаки,</li>\r\n<li>нарушения психического и умственного развития (вплоть до идиотии),</li>\r\n<li>малый рост</li>\r\n</ul>",
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