Children are always the jewels of their parents, no matter how old they are or where they are, the care of their parents is always there. Especially when the child was young, he took care of it carefully, for fear of a little bit of the situation! It may not be a good thing if the child is always quiet, not crying or making trouble. It may even be a sporadic ailment. It may not be much, but it should not be underestimated!
Sporadic dysplasia, also known as thyroid dysplasia, is caused by congenital thyroid insufficiency. It is an endocrine disease with physical and intellectual impairment as the main manifestation.
1. Clinical manifestations
Infants are not easy to detect in time when they are suffering from minor illnesses. If the baby grows slowly, learn to take things by hand, sit up, walk, language starts late, and milk teeth develop late. Later, the disease should be suspected. This is due to the maternal thyroxine supply during the fetal period, which is usually normal at birth, but gradually shows signs of insufficient thyroid function after birth. Patients without thyroid or almost completely absent thyroid have symptoms of hypothyroidism in 1 to 3 months after birth. Some sick children gradually show symptoms of hypothyroidism only 6 months after birth, or even 4 to 5 years old. The performance of infants is heavier weight, difficulty in sucking, large tongue and abdominal distension, umbilical hernia, rough skin and desquamation, hoarseness of crying, and delayed regression of physiological jaundice. Typical cases have the following characteristics.
(1) Developmental delay
The anterior fontanelle is open, the closure is delayed, and the deciduous teeth grow late, which can be extended to 1 to 3 years, but the decay is early, the age is longer, and the replacement of teeth is often incomplete; sometimes the developmental age has not been replaced. , Ear and nose cartilage is soft, so the nose is sunken, the nose is thick, the eyebrows are wide, the body is short, the length of the lower body is shorter than the upper body, and the length of the limbs is shorter in proportion to the body. And because there are a lot of fat deposits in the shoulders, buttocks, abdomen, back, etc., the abdominal wall is loose, and umbilical hernia is prone to be developed, so there is a special posture when standing: the abdomen is protruding,The lumbar spine is bent forward. Because of the loose hip joints, the legs are bent, causing the walking to stagger, like a duck swaying. The hands and feet are wide, short and square. The growth of bones is significantly slower, and the bone development of a ten-year-old patient is only equal to that of a normal child of four or five years old.
(2) mental retardation
The sick child has a large head and a wide face, pale or sallow and bloated, thick lips, large tongue, often salivating, with a drooping mouth, accompanied by a drooping plate. , Faint expression, less activity, clumsy movements, significantly lower intelligence than children of the same age, dullness, hearing and language barriers, deafness and dumbness can be seen in severe cases.
(3) yang deficiency of spleen and kidney
loss of appetite, abdominal distension, constipation, coldness, low body temperature, cold limbs, slow pulse, slow breathing, low blood pressure, rough skin Dry, pale complexion, sparse hair, gray and dull, with mucinous edema without depressions, especially in the upper part of the clavicle, cheeks, hands, feet and hips, weak muscles, weak bones, and delayed sexual organ development , There are also those who have finally matured.
2. Treatment
The prognosis of this disease has a great relationship with the treatment. If the treatment is not started in the first few months after birth, the effect is not good, and the developmental deficits in intelligence may become persistent. Therefore, the health checkup of newborns and infants should be strengthened, so that early inspection, early treatment, and adherence to treatment can receive better results.
(1) Syndrome differentiation and treatment
According to clinical manifestations,The disease can be divided into two types for treatment.
Liver and Kidney Insufficiency Syndrome
Main symptoms: weak muscles and bones, developmental delay, significant delays in sitting up, standing, walking, teething, etc., even four or five years old, can’t walk, or even ten years old, The walking is still faltering. The complexion is pale and floating, the hair is not shiny, the texture is sparse and brittle, the spirit is sluggish, the limbs are weak, the limbs are weak, the tongue is light, the tongue is white, the pulse is late, and the fingerprints are light. The syndrome is a congenital deficiency, liver and kidney loss , muscle and bone dystrophy.
Therapeutic method: cultivating liver and kidney.
Recipe: Jiawei Liuwei Dihuang Pills (" Medical Zong Jinjian ").
If you are biased towards slow walking, add tiger bone, Sichuan achyranthes bidentata; if the tooth is late or early decay, add psoralen, turtle; hair is not growing, or is brittle and thin For those who are tired, add Polygonum multiflorum, Cistanche; for those who are tired and weak, add astragalus and angelica.
Cardiac Insufficiency Syndrome
Main symptoms: mental retardation, dull expression, no crying or trouble, pale complexion, thinness, lack of food, abdominal distension, constipation, pale tongue, less fur, The pulse is slow and weak, and the fingerprints are weak. The card is lack of effort , heart and spleen deficiency , lack of energy.
Therapy: Nourishing the heart and nourishing blood.
Recipe: Guipi Decoction and Changpu Pill ("Yi Zong Jin Jian") addition and subtraction.
prescription: Astragalus 15g, Acorus calamus 6g, Ophiopogon 6g, Poria cocos 6g, Polygala2_span2 span2span2 Angelica spp. , Longan meat 9g, ginseng (separately stewed) 6g.
If you eat less food and have obvious abdominal distension, add Muxiang , Divine Comedy; if hair growth is slow, or have no hair, add Polygonum multiflorum, Cistanche cistanche, Chuanxiong, etc.
(2) Proven prescriptions
Baojin San ("Book Integration")
3g per adult, 1g per child, 0.5g per infant, mixed with wine or boiling water Lying clothes.
prescription
whole scorpion 10, centipede 10, atractylodes 15g, calamus 9g, dog ridge 9g, tuckahoe 18g, white ginseng 12 2 spanspan 9g, cinnabar 3g, licorice 9g, amber 4.5g.
Usage: total details.Take 1.5g each time, 2 times a day, with boiled water in the morning and evening. Avoid fishy and cold; avoid panic and emotional excitement.
Remarks: This recipe is a proven recipe in Shandong Province. It was originally stated that the treatment of dullness was effective.
Case: Yan Mou, 4 years old, found that he could not walk his legs when he was two years old, was weak, was mentally demented, could not laugh, and had no expression.
3. Prevention
Active treatment of thyroid disease in women , especially the treatment of pre-pregnancy. However, after pregnancy, you should not take more toxic antithyroid drugs and radiation 131I treatments. So as not to destroy the baby's thyroid.
.
