Cretinism

cretinismCretinism is a disease associated with poor function of the thyroid gland, manifested by mental and physical development.
Developing with congenital underdevelopment of the thyroid gland, or hereditary violation of formation of thyroid hormones, and the lack of iodine content in drinking water.
When cretinism growth does not correspond to their age. Proportions of its body are disrupted: shortened limbs, disproportionately large heads. Puffy eyelids, eye slits narrow, lips thick, flabby cheeks. Gait perevalivaetsya, heavy. Secondary sexual characteristics are weak. Genitals are underdeveloped. There has been a sharp mental retardation up to a complete idiocy. Patients are inactive, inert and dull. Reaction to external irritation sharply slowed down. The speech, with a margin of one-syllable words.
Forecast: with a pronounced cretinism lifetime last a few years, but sometimes, in the simpler cases, people can live to old age.
Treatment of cretinism. The main treatment is tireoidin. Initial dose depends on the age of the patient. Adults are usually appointed on 0.05-0.1 g per reception 2-3 times a day. Children it is advisable to appoint, starting with small doses: in the age of 1-2 years, 1-2 mg 3 times daily, older than 2 years 2-5 mg 3 times a day, gradually (every 3-5 days) one-time increase the dose of 1-2 mg a further dose increased every 5-7 days for 10 to 30 mg a day and after a 1 % -2 months from the beginning of treatment are transferred to the optimal doses of 0.03 - 0.1 g per day. The task of paramedic is to follow as transfers the patient is prescribed treatment. When symptoms of overdose or insufficient action tireoidina the patient should be referred to an endocrinologist. Resume treatment with the lower dose.