EFFECTIVENESS OF TAMIZ NEONATAL'S TEST TO DETECT CONGENITAL
HIPOTIROIDISMO IN A PEDIATRIC HOSPITAL DE MÉXICO
Martínez
A-N1, Oliveros L-F2
1Sección of Pediatrics,
Clinical Cardinal red Lázaro ISSEMYM Metepec, Mexico
2Sección of Pediatrics, Infantile Maternal Hospital
ISSEMYM Toluca, Mexico
Objective:
To
determine the effectiveness of Tamiz Neonatal's test in umbilical cord. I study designated: Open,
prospective, longitudinal and descriptive.
Methods: They were studied the
alive born patients in the Infantile Maternal Hospital to who are carried
out Tamiz Neonatal in umbilical cord, pursuit it was given during 6 months,
those with clinical data of congenital hipotiroidismo, one carries out
thyroid profile and you confirms the positividad presence. He/she is
carried out test of XI descriptive statistic 2 square for analysis of data.
Results: They were carried out 8000 tests of
Tamiz Neonatal of January from 1997 to January of the 2000 being detected
11 cases, 7 feminine and 3 masculine with ages between 1 and 7 months. In 9
cases the I diagnose it was for thyroid profile, 2 for sieve neonatal, for
gamagrafía were 6 atiroticos and 5 with ectopia of thyroid fabric
(Sublingual); 4 cases presented mental delay.
Conclusion: The Thyroid sufferings constitute the endocrine
illnesses but you frequent in pediatrics. It is convenient that the one
prescribes that he/she assists children this familiarized with the clinical
data of Congenital Hipotiroidismo (HC), since the one diagnosis opportune
and the appropriate therapy leads to the favorable evolution. The frequency
in our country is of a case for each 2500 recently born (RN) alive. The HC
rarely one will be able to diagnose for clinical sintomatología in RN, for
what the technique of the Tamiz Neonatal is used, in our means we have seen
that the detection in blood of umbilical cord gives errors diagnoses. The
treatment but satisfactory it is the administration of Levotiroxina
(EUTIROX) for via oral with initial dose of 10 to 15 mcg/kg/día carrying
out readjustments each 4 to 6 weeks.