Question
How should congenital hypothyroidism in newborns be treated? When FT4 and TSH levels are abnormally high, with slightly enlarged thyroid glands accompanied by increased blood flow and the presence of hypoechogenic nodules in the right lobe, what should be done? If the mother has hyperthyroidism during pregnancy and takes propylthiouracil, does the child need further examination such as MRI to confirm the presence of pituitary gland problems?
Answer
Upon diagnosis of congenital hypothyroidism in newborns, medication such as levothyroxine (Levothyroxine, Levothroid) is typically prescribed to supplement the body’s deficient thyroid hormones. The goal of treatment is to maintain thyroid hormone levels within the normal range. During the treatment process, regular monitoring of thyroid function indicators such as FT3, FT4, and TSH is required to monitor treatment effectiveness and adjust medication dosages. Additionally, it is important to investigate the cause of hypothyroidism, such as the presence of autoimmune thyroid disease. Family members should closely monitor the child’s condition and use medication under the guidance of a doctor. Avoid purchasing over-the-counter medications without a prescription to prevent delaying treatment.