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[(What ar)17.7(e the signs and)]TJ
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(symptoms of congenital)Tj
T*
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[(hypothyr)17.7(oidism?)]TJ
ET
Q
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(thyroidism appear normal at birth or for)Tj
T*
(several months after birth. But others)Tj
T*
(may have these signs and symptoms:)Tj
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()Tj
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(Jaundice \(yellowing of the skin )Tj
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(and eyes\))Tj
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()Tj
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-1.1874 -1.3095 TD
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()Tj
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-0.0051 Tc
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(Poor muscle tone)Tj
-1.1874 -1.3095 TD
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0 Tw
()Tj
1.1874 0 TD
-0.0052 Tc
(Sluggishness)Tj
-1.1874 -1.3095 TD
0.5814 Tc
(A)Tj
1.9602 0 TD
( )Tj
0.2698 0 TD
-0.0051 Tc
0.0249 Tw
(hoarse cry)Tj
-2.2301 -1.3095 TD
0 Tc
0 Tw
()Tj
1.1874 0 TD
-0.0051 Tc
0.025 Tw
(Feeding problems)Tj
-1.1874 -1.3095 TD
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0 Tw
(A)Tj
1.9603 0 TD
( )Tj
0.2699 0 TD
-0.0051 Tc
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(thick, large tongue)Tj
-2.2301 -1.3095 TD
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0 Tw
(A)Tj
1.9603 0 TD
( )Tj
0.2699 0 TD
-0.0051 Tc
0.025 Tw
(puffy-looking face )Tj
-2.2302 -1.3095 TD
0.5814 Tc
0 Tw
(A)Tj
1.9603 0 TD
( )Tj
0.2699 0 TD
-0.0051 Tc
0.025 Tw
(swollen abdomen)Tj
-2.2302 -1.3095 TD
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0 Tw
()Tj
1.1874 0 TD
-0.0051 Tc
0.025 Tw
(Large soft spots of the skull)Tj
0 -1.9158 TD
(Thyroid hormone deficiency can also)Tj
-1.1874 -1.1579 TD
(occur in older babies or young children,)Tj
T*
(even if test results at birth were normal.)Tj
T*
(If your child shows signs and symptoms)Tj
T*
(of hypothyroidism, )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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BT
/F3 1 Tf
9.5 0 0 9.5 290.8121 367.7214 Tm
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/GS2 gs
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(contact your doctor)Tj
-7.8142 -1.1579 TD
(right away)Tj
ET
Q
q
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0 783 585 -783 re
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0 Tw
(.)Tj
ET
Q
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0 783 m
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0 783 585 -783 re
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(How is congenital)Tj
0 -1.15 TD
[(hypothyr)17.7(oidism diagnosed?)]TJ
ET
Q
q
1 i
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0 783 m
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0 783 585 -783 re
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BT
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(Most newborns in the United States)Tj
-1.1874 -1.1579 TD
(are tested a few days after birth for)Tj
T*
(congenital hypothyroidism as part of)Tj
T*
(standard screening tests. These tests)Tj
T*
(detect almost all cases of congenital)Tj
T*
[(hypothyroidism. Doctors check bloo)-10(d)]TJ
T*
(levels of:)Tj
0 -1.5368 TD
0 Tc
0 Tw
()Tj
1.1874 0 TD
-0.0051 Tc
0.025 Tw
(T4, one of the thyroid hormones )Tj
-1.1874 -1.3095 TD
0 Tc
0 Tw
()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
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9.5 0 0 9.5 227.8573 218.2334 Tm
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(Thyroid-stimulating hormone)Tj
ET
Q
q
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/GS2 gs
0 Tc
0 Tw
(\()Tj
ET
Q
q
1 i
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0 783 m
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0 783 585 -783 re
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BT
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(TSH)Tj
ET
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q
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(\), a)Tj
-13.4377 -1.1579 TD
[(substance pro)-9.9(duced by the pituitary)]TJ
T*
(gland that stimulates the thyroid)Tj
T*
(gland to make thyroid hormone )Tj
0 -1.9158 TD
(Low levels of T4 and high levels of)Tj
-1.1874 -1.1579 TD
(TSH suggest a diagnosis of congenital)Tj
T*
(hypothyroidism. Doctors also might do )Tj
T*
(a thyroid scan or an ultrasound exam )Tj
T*
(to look at the size and location of the)Tj
T*
(thyroid or to find out if it is missing)Tj
T*
0 Tw
[(altogether)54.7(.)]TJ
ET
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(HORMONES & YOU)Tj
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/GS2 gs
(What is congenital)Tj
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0 Tw
[(hypothyr)17.7(oidism?)]TJ
ET
Q
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BT
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/GS2 gs
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0.025 Tw
(Newborn babies who are unable )Tj
-1.1874 -1.1579 TD
(to make enough )Tj
ET
Q
q
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(thyroid hormone)Tj
ET
Q
q
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(have)Tj
ET
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(congenital hypothyroidism)Tj
ET
Q
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(, meaning they)Tj
-9.5861 -1.1579 TD
(are born with an underactive or absent)Tj
ET
Q
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(thyroid gland)Tj
ET
Q
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0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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/GS2 gs
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0.025 Tw
(. If the condition is not)Tj
-4.8165 -1.1579 TD
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T*
(mental retardation and growth failure.)Tj
T*
[(But the goo)-9.9(d news is that early)]TJ
T*
(diagnosis and proper treatment can)Tj
T*
(prevent these problems. In most cases,)Tj
T*
(the condition is permanent and your)Tj
T*
(child will need lifelong treatment. )Tj
ET
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(What causes congenital)Tj
0 -1.15 TD
0 Tw
[(hypothyr)17.7(oidism?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
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0 0 0 1 k
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0.025 Tw
(The most common causes are: )Tj
-1.1874 -1.3853 TD
0 Tc
0 Tw
()Tj
1.1874 0 TD
-0.0051 Tc
0.025 Tw
(An underdeveloped thyroid gland )Tj
-1.1874 -1.3095 TD
0.5814 Tc
0 Tw
(A)Tj
1.9603 0 TD
( )Tj
0.2699 0 TD
-0.0051 Tc
0.025 Tw
[(thyroid gland that)54.8(s not located)]TJ
-1.0428 -1.1579 TD
(where it should be \(in the neck)Tj
T*
(below the voice box or )Tj
ET
Q
q
1 i
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0 783 m
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0 783 585 -783 re
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BT
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0 0 0 1 k
/GS2 gs
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0 Tw
(larynx)Tj
ET
Q
q
1 i
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0 783 m
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0 783 585 -783 re
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BT
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/GS2 gs
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0 Tw
(\) )Tj
-13.0232 -1.3095 TD
0.5814 Tc
(A)Tj
1.9603 0 TD
( )Tj
0.2699 0 TD
-0.0051 Tc
0.025 Tw
(missing thyroid gland)Tj
-1.0427 -1.5368 TD
(These abnormalities are not)Tj
-1.1874 -1.1579 TD
(inherited from the parents.)Tj
1.1874 -1.6884 TD
(Other possible causes include:)Tj
-1.1874 -1.3853 TD
0 Tc
0 Tw
()Tj
1.1874 0 TD
-0.0051 Tc
0.025 Tw
[(Defective pro)-9.9(duction of thyroid)]TJ
0 -1.1579 TD
(hormone \(an inherited condition\))Tj
-1.1874 -1.3095 TD
0 Tc
0 Tw
()Tj
1.1874 0 TD
-0.0051 Tc
0.025 Tw
(Problems with the )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
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0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(pituitary gland)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
9.5 0 0 9.5 58.4605 296.2557 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(\(located at the base of the brain\),)Tj
0 -1.1579 TD
(which tells the thyroid to make)Tj
T*
(thyroid hormone)Tj
0 -1.9158 TD
[(Less commonly)73.8(, a mother)54.8(s thyroid)]TJ
-1.1874 -1.1579 TD
(disease or medicines taken during)Tj
T*
(pregnancy can cause congenital)Tj
T*
0 Tw
(hypothyroidism.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
10 0 0 10 47.1804 201.5654 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0295 Tw
[(What does thyr)17.7(oid hor)-17.9(mone do?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
9.5 0 0 9.5 58.4605 189.1077 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
[(Thyroid hormone helps your baby)54.7(s)]TJ
-1.1874 -1.1579 TD
(brain and nervous system develop)Tj
T*
[(normally)73.8(. It also helps the heart,)]TJ
T*
(muscles, and other organs work )Tj
T*
[(properly and regulates how the bo)-10(dy)]TJ
T*
[(uses and stores energy)73.8(. The thyroid)]TJ
T*
(gland makes two forms of thyroid)Tj
T*
0 Tw
(hormone, )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
9.5 0 0 9.5 86.5702 112.1077 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(T3)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
9.5 0 0 9.5 100.1267 112.1077 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(\()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
9.5 0 0 9.5 103.774 112.1077 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(triiodothyronine)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
9.5 0 0 9.5 159.4346 112.1077 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(\) and )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
9.5 0 0 9.5 47.1804 101.1077 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(T4)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
9.5 0 0 9.5 60.737 101.1077 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(\()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
9.5 0 0 9.5 64.3842 101.1077 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(thyroxine)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
9.5 0 0 9.5 97.1768 101.1077 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(\). )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F5 1 Tf
24 0 0 24 46.7626 668.2676 Tm
0 0.93 0.95 0 k
/GS3 gs
-0.0223 Tc
0.0278 Tw
[(Congenital Hypothyr)17.7(oidism)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
0 -13 13 0 564.8724 517.6727 Tm
0 0 0 0 k
/GS3 gs
0.1478 Tc
0.0296 Tw
[(CONGENIT)91.6(AL HYPOTHYROIDISM)]TJ
ET
Q
q
1 i
467.372 731.374 m
472.433 718.821 483.664 709.433 498.027 709.433 c
516.905 709.433 529.584 720.526 529.584 739.407 c
529.584 742.132 529.248 744.776 528.649 747.319 c
505.618 744.265 486.814 739.457 467.372 731.374 c
W n
/GS4 gs
q -8.4223 31.4325 62.5494 16.7601 474.5943 701.6375 cm BX /Sh2 sh EX Q
Q
q
1 i
443.5 780.85 105.34 -109.63 re
564.872 263.407 m
W* n
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
1 0.62 0 0.2 k
/GS4 gs
512.242 728.697 m
517.486 729.876 519.574 724.998 v
519.203 724.496 517.633 721.38 515.997 720.618 c
515.943 721.303 516.346 723.79 513.688 724.799 c
512.949 723.655 507.737 717.166 499.198 717.533 c
501.518 718.006 509.551 719.619 512.242 728.697 c
f
509.961 757.77 m
509.961 756.294 508.763 755.099 507.288 755.099 c
505.813 755.099 504.619 756.294 504.619 757.77 c
504.619 759.249 505.813 760.443 507.288 760.443 c
508.763 760.443 509.961 759.249 509.961 757.77 c
f
511.022 728.672 m
511.022 727.41 509.997 726.385 508.734 726.385 c
507.471 726.385 506.448 727.41 506.448 728.672 c
506.448 729.933 507.471 730.958 508.734 730.958 c
509.997 730.958 511.022 729.933 511.022 728.672 c
f
500.314 726.629 m
500.314 726.78 500.334 726.93 500.361 727.075 c
498.821 726.853 493.448 726.551 491.329 727.639 c
488.859 728.914 485.587 735.752 492.649 740.226 c
483.847 736.094 486.765 726.365 v
487.439 724.345 490.282 718.432 495.821 717.758 c
491.472 718.398 492.766 724.256 501.221 724.818 c
500.676 725.238 500.314 725.889 500.314 726.629 c
f
486.552 723.895 m
486.552 722.635 485.53 721.609 484.267 721.609 c
483.004 721.609 481.98 722.635 481.98 723.895 c
481.98 725.159 483.004 726.183 484.267 726.183 c
485.53 726.183 486.552 725.159 486.552 723.895 c
f
520.633 745.095 m
511.651 759.959 495.057 752.852 494.198 752.599 c
503.637 754.418 502.066 747.2 501.967 746.896 c
500.175 741.899 494.507 740.733 493.774 740.605 c
505.071 742.727 506.745 743.554 514.512 732.674 c
514.584 732.574 514.662 732.488 514.74 732.397 c
514.821 732.236 514.914 732.082 514.991 731.919 c
514.716 740.911 508.288 744.813 v
508.597 746.893 509.997 751.72 514.987 749.093 c
516.461 748.305 518.173 747.11 520.178 745.361 c
520.296 745.294 520.418 745.223 520.531 745.156 c
520.537 745.149 520.545 745.148 520.549 745.141 c
520.549 745.141 520.546 745.141 520.545 745.148 c
520.573 745.129 520.605 745.112 520.633 745.095 c
f
497.975 717.44 m
493.512 717.18 490.141 720.839 v
490.581 721.039 493.182 720.999 493.666 721.219 c
493.147 720.057 494.479 717.931 497.975 717.44 c
f
453.534 701.015 m
459.17 701.015 l
459.043 700.069 l
456.825 700.069 l
456.825 693.642 l
455.724 693.642 l
455.724 700.069 l
453.534 700.069 l
453.534 701.015 l
f
461.925 701.015 m
463.04 701.015 l
463.04 698.021 l
466.332 698.021 l
466.332 701.015 l
467.462 701.015 l
467.462 693.642 l
466.332 693.642 l
466.332 697.089 l
463.04 697.089 l
463.04 693.642 l
461.925 693.642 l
461.925 701.015 l
f
471.134 701.015 m
475.725 701.015 l
475.569 700.069 l
472.264 700.069 l
472.264 697.964 l
475.033 697.964 l
475.033 697.018 l
472.278 697.018 l
472.278 694.631 l
475.852 694.631 l
475.852 693.642 l
471.134 693.642 l
471.134 701.015 l
f
486.502 693.642 m
486.502 696.877 l
484.468 696.877 l
484.468 693.642 l
482.561 693.642 l
482.561 701.228 l
484.468 701.228 l
484.468 698.388 l
486.502 698.388 l
486.502 701.228 l
488.423 701.228 l
488.423 693.642 l
486.502 693.642 l
f
495.133 693.529 m
492.717 693.529 491.361 695.125 491.361 697.385 c
491.361 699.871 492.774 701.312 495.062 701.312 c
497.209 701.312 498.72 700.041 498.72 697.512 c
498.72 695.139 497.52 693.529 495.133 693.529 c
h
495.034 699.97 m
493.918 699.97 493.466 699.052 493.466 697.329 c
493.466 695.422 493.974 694.857 495.034 694.857 c
496.023 694.857 496.559 695.507 496.559 697.512 c
496.559 699.052 496.206 699.97 495.034 699.97 c
f
505.741 693.642 m
505.402 694.151 505.246 694.376 504.936 694.914 c
504.018 696.453 503.862 696.693 503.636 696.693 c
503.509 696.693 l
503.509 693.642 l
501.659 693.642 l
501.659 701.228 l
504.597 701.228 l
505.416 701.228 506.263 701.086 506.758 700.592 c
507.252 700.098 507.436 699.546 507.436 698.925 c
507.436 697.865 506.687 696.99 505.896 696.82 c
506.405 696.241 507.789 693.981 507.987 693.642 c
505.741 693.642 l
h
504.145 699.829 m
503.495 699.829 l
503.495 698.049 l
504.116 698.049 l
505.148 698.049 505.472 698.317 505.472 698.925 c
505.472 699.532 505.176 699.829 504.145 699.829 c
f
517.324 693.642 m
517.069 697.428 l
517.041 697.823 517.013 698.275 516.984 698.798 c
516.886 698.36 516.716 697.865 516.603 697.47 c
515.473 693.642 l
513.863 693.642 l
512.832 697.343 l
512.733 697.682 512.578 698.346 512.464 698.953 c
512.45 698.431 512.408 697.809 512.38 697.343 c
512.154 693.642 l
510.247 693.642 l
511.066 701.228 l
513.453 701.228 l
514.414 697.696 l
514.555 697.187 514.64 696.82 514.724 696.34 c
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516.052 701.228 l
518.397 701.228 l
519.174 693.642 l
517.324 693.642 l
f
525.474 693.529 m
523.058 693.529 521.702 695.125 521.702 697.385 c
521.702 699.871 523.115 701.312 525.403 701.312 c
527.55 701.312 529.062 700.041 529.062 697.512 c
529.062 695.139 527.861 693.529 525.474 693.529 c
h
525.375 699.97 m
524.259 699.97 523.807 699.052 523.807 697.329 c
523.807 695.422 524.315 694.857 525.375 694.857 c
526.363 694.857 526.9 695.507 526.9 697.512 c
526.9 699.052 526.547 699.97 525.375 699.97 c
f
536.138 698.445 m
536.11 701.228 l
537.862 701.228 l
537.862 693.642 l
535.927 693.642 l
534.514 696.749 l
534.189 697.456 533.892 698.134 533.68 698.685 c
533.709 698.092 533.723 697.046 533.737 696.538 c
533.78 693.642 l
532 693.642 l
532 701.228 l
534.062 701.228 l
535.531 698.303 l
535.856 697.654 536.011 697.187 536.237 696.552 c
536.181 697.244 536.138 697.908 536.138 698.445 c
f
541.393 693.642 m
541.393 701.228 l
546.209 701.228 l
545.941 699.758 l
543.285 699.758 l
543.285 698.346 l
545.503 698.346 l
545.503 696.863 l
543.299 696.863 l
543.299 695.181 l
546.294 695.181 l
546.294 693.642 l
541.393 693.642 l
f
470.424 686.632 m
468.999 686.632 l
468.999 685.767 l
470.128 685.767 l
470.128 684.902 l
468.999 684.902 l
468.999 683.048 l
467.903 683.048 l
467.903 687.473 l
470.556 687.473 l
470.424 686.632 l
f
475.78 682.982 m
474.371 682.982 473.58 683.913 473.58 685.232 c
473.58 686.682 474.404 687.522 475.739 687.522 c
476.991 687.522 477.873 686.781 477.873 685.306 c
477.873 683.922 477.172 682.982 475.78 682.982 c
h
475.722 686.74 m
475.071 686.74 474.808 686.204 474.808 685.198 c
474.808 684.086 475.104 683.757 475.722 683.757 c
476.299 683.757 476.612 684.136 476.612 685.306 c
476.612 686.204 476.406 686.74 475.722 686.74 c
f
484.58 683.419 m
484.341 683.188 483.888 682.966 483.196 682.966 c
482.462 682.966 481.894 683.155 481.606 683.526 c
481.416 683.773 481.367 684.053 481.367 684.465 c
481.367 687.473 l
482.487 687.473 l
482.487 684.589 l
482.487 684.325 482.496 684.185 482.578 684.078 c
482.693 683.922 482.899 683.839 483.155 683.839 c
483.377 683.839 483.558 683.922 483.674 684.021 c
483.764 684.103 483.83 684.218 483.83 684.68 c
483.83 687.473 l
484.951 687.473 l
484.951 684.531 l
484.951 683.88 484.827 683.658 484.58 683.419 c
f
491.205 685.85 m
491.188 687.473 l
492.21 687.473 l
492.21 683.048 l
491.081 683.048 l
490.257 684.861 l
490.068 685.273 489.895 685.668 489.771 685.99 c
489.787 685.644 489.796 685.034 489.804 684.737 c
489.829 683.048 l
488.79 683.048 l
488.79 687.473 l
489.993 687.473 l
490.85 685.767 l
491.04 685.388 491.131 685.116 491.262 684.746 c
491.23 685.149 491.205 685.537 491.205 685.85 c
f
497.978 683.073 m
497.788 683.048 497.566 683.048 497.228 683.048 c
496.083 683.048 l
496.083 687.473 l
497.055 687.473 l
497.343 687.473 497.772 687.473 497.961 687.448 c
499.041 687.316 499.7 686.567 499.7 685.232 c
499.7 683.946 498.967 683.204 497.978 683.073 c
h
497.607 686.657 m
497.203 686.657 l
497.203 683.905 l
497.731 683.905 l
498.126 683.905 498.472 684.177 498.472 685.133 c
498.472 686.097 498.291 686.657 497.607 686.657 c
f
505.732 683.048 m
505.394 683.988 l
504.083 683.988 l
503.77 683.048 l
502.609 683.048 l
504.24 687.489 l
505.361 687.489 l
506.893 683.048 l
505.732 683.048 l
h
504.759 686.443 m
504.668 685.998 504.479 685.273 504.347 684.803 c
505.147 684.803 l
505.023 685.265 504.841 685.998 504.759 686.443 c
f
512.727 686.6 m
511.623 686.6 l
511.623 683.048 l
510.494 683.048 l
510.494 686.6 l
509.348 686.6 l
509.348 687.473 l
512.941 687.473 l
512.727 686.6 l
f
516.08 687.473 1.145 -4.425 re
f
522.952 682.982 m
521.543 682.982 520.752 683.913 520.752 685.232 c
520.752 686.682 521.576 687.522 522.911 687.522 c
524.164 687.522 525.045 686.781 525.045 685.306 c
525.045 683.922 524.345 682.982 522.952 682.982 c
h
522.894 686.74 m
522.244 686.74 521.98 686.204 521.98 685.198 c
521.98 684.086 522.276 683.757 522.894 683.757 c
523.471 683.757 523.784 684.136 523.784 685.306 c
523.784 686.204 523.578 686.74 522.894 686.74 c
f
530.986 685.85 m
530.969 687.473 l
531.991 687.473 l
531.991 683.048 l
530.862 683.048 l
530.039 684.861 l
529.849 685.273 529.676 685.668 529.552 685.99 c
529.569 685.644 529.577 685.034 529.585 684.737 c
529.61 683.048 l
528.572 683.048 l
528.572 687.473 l
529.775 687.473 l
530.632 685.767 l
530.821 685.388 530.912 685.116 531.044 684.746 c
531.011 685.149 530.986 685.537 530.986 685.85 c
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BT
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(May 2009)Tj
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[(hipotir)17.7(oidismo congnito?)]TJ
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(dos los das, usted le da a su beb una)Tj
-2.338 -1.1705 TD
(forma sinttica \(hecha en laboratorio\) de la)Tj
T*
(hormona tiroidea para remplazar la hormona)Tj
T*
(tiroidea faltante. Pulveriza la pldora de )Tj
T*
(la hormona y la mezcla con una pequea)Tj
T*
(cantidad de agua, leche materna o frmula.)Tj
T*
(Luego se la da a tomar a su beb con un)Tj
T*
(gotero, jeringa o bibern. El tratamiento)Tj
T*
(empieza tan pronto como sea posible)Tj
T*
(despus del nacimiento. En la mayora de los)Tj
T*
(casos, su nio tendr que tomar la hormona)Tj
T*
(tiroidea a diario por el resto de su vida.)Tj
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(Hable con su mdico para saber cada)Tj
-1.2818 -1.1705 TD
(cunto tiempo su beb necesita un examen)Tj
T*
(de seguimiento. El doctor le recomendar)Tj
T*
(pruebas de sangre para verificar que )Tj
T*
(los niveles hormonales de su hijo estn )Tj
T*
(regularizados, especialmente un mes )Tj
T*
(despus de cualquier cambio en la dosis,)Tj
T*
(para asegurarse de que su hijo est recibien-)Tj
T*
(do la cantidad correcta de la hormona. )Tj
T*
(El mdico tambin debe vigilar el creci-)Tj
T*
(miento del nio y el desarrollo cerebral.)Tj
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(Qu debe hacer con esta)Tj
0 -1.1705 TD
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[(infor)-18(macin?)]TJ
ET
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(Si su beb tiene hipotiroidismo )Tj
-1.2818 -1.1705 TD
(congnito, consulte con un endocrinlogo)Tj
T*
(peditrico \(un doctor que se especializa )Tj
T*
(en problemas infantiles relacionados con)Tj
T*
(hormonas\). Asegrese de entender bien)Tj
T*
(cmo y cunto de la medicina para la)Tj
T*
(tiroides le debe dar a su hijo. Pregntele )Tj
T*
(al doctor lo que debe hacer con alimentos )Tj
T*
(y minerales \(como la soja, fibra, hierro y )Tj
T*
(calcio\) que pueden disminuir la cantidad de)Tj
T*
(hormona que absorbe el cuerpo. Recuerde,)Tj
T*
(un diagnstico oportuno y el tratamiento)Tj
T*
(correcto pueden evitar los problemas de)Tj
T*
(salud del hipotiroidismo congnito.)Tj
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(Recursos)Tj
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(Encuentre un endocrinlogo:)Tj
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[(www)36.9(.hormone.org)]TJ
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(o llame al )Tj
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(1-800-467-6663)Tj
ET
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[(Asociacin Estadounidense de la T)89.8(iroides:)]TJ
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[(www)36.9(.thyroid.org)]TJ
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(o llame al )Tj
ET
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(1-800-849-7643)Tj
ET
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(Sociedad de Endocrinologa Pediatra Lawson)Tj
1.0441 -1.1705 TD
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0 Tw
(W)Tj
0.9587 0 TD
-0.0049 Tc
(ilkins:)Tj
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[(www)36.9(.lwpes.org)]TJ
ET
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(o llame al )Tj
ET
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(1-703-556-9222)Tj
ET
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(Cules son los indicios y sntomas)Tj
0 -1.1705 TD
[(del hipotir)17.7(oidismo congnito?)]TJ
ET
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0 783 585 -783 re
0 783 m
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0.025 Tw
(Muchos bebs con hipotiroidismo)Tj
-1.2818 -1.1704 TD
(congnito parecen normales al momento)Tj
T*
(de nacer o por varios meses despus del)Tj
T*
(nacimiento. Pero otros pueden presentar)Tj
T*
(estos indicios y sntomas:)Tj
0 -1.5796 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Ictericia \(coloracin amarilla de la piel)Tj
0 -1.1705 TD
(y los ojos\))Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0052 Tc
(Estreimiento)Tj
-1.2818 -1.375 TD
0 Tc
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Poco tono muscular)Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Lentitud en el movimiento)Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Llanto ronco)Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
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0.025 Tw
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-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
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(Lengua larga y abultada)Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Cara fofa)Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Abdomen hinchado)Tj
-1.2818 -1.375 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Crneo con muchas partes blandas)Tj
0 -1.9886 TD
(La deficiencia de la hormona tiroidea)Tj
-1.2818 -1.1705 TD
(tambin puede ocurrir en bebs mayores )Tj
T*
(o nios pequeos, incluso si los exmenes)Tj
T*
(al momento de nacer fueron normales. )Tj
T*
(Si su nio muestra sntomas de)Tj
T*
0 Tw
(hipotiroidismo, )Tj
ET
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-0.0057 Tc
0.0278 Tw
(consulte con su mdico)Tj
-6.3884 -1.1704 TD
0 Tw
(inmediatamente)Tj
ET
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0 783 m
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0 Tw
(.)Tj
ET
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0 783 m
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-0.0001 Tc
0.0296 Tw
(Cmo se diagnostica )Tj
0 -1.1705 TD
[(el hipotir)17.7(oidismo congnito?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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BT
/F2 1 Tf
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0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(A la mayora de los recin nacidos )Tj
-1.2818 -1.1705 TD
(en Estados Unidos se les hace una prueba)Tj
T*
(de hipotiroidismo congnito como parte)Tj
T*
[(de los exmenes estndar)54.7(. Estas pruebas)]TJ
T*
[(detectan casi to)-9.9(dos los casos de)]TJ
T*
(hipotiroidismo congnito. Los mdicos)Tj
T*
(examinan los siguientes componentes )Tj
T*
(de la sangre:)Tj
0 -1.5795 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(T4, una de las hormonas tiroideas )Tj
-1.2818 -1.3341 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
(La )Tj
ET
Q
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0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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8.8 0 0 8.8 238.966 221.2149 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(hormona estimulante de la tiroides)Tj
ET
Q
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0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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0 Tc
0 Tw
(\()Tj
ET
Q
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0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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(TSH)Tj
ET
Q
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0 783 m
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0 783 585 -783 re
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[(\), una sustancia pro)-9.9(ducida por )]TJ
-2.3137 -1.1705 TD
(la glndula pituitaria que estimula )Tj
T*
[(la glndula tiroides para que pro)-9.9(duzca)]TJ
T*
(hormona tiroidea )Tj
0 -1.9886 TD
(Niveles bajos de T4 y altos niveles )Tj
-1.2818 -1.1705 TD
(de TSH sugieren un diagnstico de)Tj
T*
(hipotiroidismo congnito. Los mdicos)Tj
T*
(tambin pueden hacer un examen ms)Tj
T*
(minucioso de la tiroides o una ecografa)Tj
T*
(para ver el tamao y la ubicacin de )Tj
T*
[(la tiroides, o para ver si falta del to)-10(do.)]TJ
ET
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0.0296 Tw
[(Qu es el hipotir)17.7(oidismo)]TJ
0 -1.1705 TD
0 Tw
(congnito?)Tj
ET
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0 783 m
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0 783 585 -783 re
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(Los recin nacidos que no pueden)Tj
-1.2818 -1.1704 TD
[(pro)-9.9(ducir suficiente )]TJ
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(hormona tiroidea)Tj
ET
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0 783 m
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0 783 585 -783 re
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(tienen)Tj
ET
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0 783 m
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0 783 585 -783 re
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-0.0051 Tc
0.025 Tw
(hipotiroidismo congnito)Tj
ET
Q
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0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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/F2 1 Tf
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0.025 Tw
(, lo que significa )Tj
-8.9253 -1.1704 TD
(que nacen sin la )Tj
ET
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0 783 585 -783 re
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8.8 0 0 8.8 106.5559 584.0052 Tm
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-0.0051 Tc
0.025 Tw
(glndula tiroides)Tj
ET
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0 783 585 -783 re
0 783 m
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0 783 585 -783 re
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(o que )Tj
-13.0786 -1.1705 TD
-0.0051 Tc
(sta no funciona bien. Si la enfermedad )Tj
T*
(no se diagnostica a tiempo y no se trata,)Tj
T*
(los nios pueden sufrir de retardo mental )Tj
T*
(y problemas de crecimiento. Pero lo bueno)Tj
T*
(es que un diagnstico oportuno puede)Tj
T*
(evitar estos problemas. En la mayora de)Tj
T*
(los casos, la enfermedad es permanente, y)Tj
T*
(su hijo necesitar tratamiento de por vida.)Tj
ET
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[(Qu causa el hipotir)17.7(oidismo)]TJ
0 -1.1704 TD
0 Tw
(congnito?)Tj
ET
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0 783 m
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(Las causas ms comunes son: )Tj
-1.2818 -1.5795 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Una glndula tiroides insuficientemente)Tj
0 -1.1705 TD
0 Tw
(desarrollada)Tj
-1.2818 -1.3341 TD
0 Tc
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Una glndula tiroides que no est)Tj
0 -1.1705 TD
(ubicada donde debe \(en el cuello,)Tj
T*
(debajo de las cuerdas vocales o )Tj
T*
0 Tw
(la )Tj
ET
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0 783 m
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0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(laringe)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 88.396 392.4171 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(\))Tj
-4.7268 -1.3341 TD
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(La falta de una glndula tiroides)Tj
0 -1.5795 TD
(Estas anomalas no se heredan de )Tj
-1.2818 -1.1705 TD
(los padres.)Tj
1.2818 -1.825 TD
(Entre otras posibles causas estn:)Tj
-1.2818 -1.5795 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
[(Pro)-9.9(duccin defectuosa de la hormona)]TJ
0 -1.1704 TD
(tiroidea \(un trastorno hereditario\) )Tj
-1.2818 -1.3341 TD
0 Tc
0 Tw
()Tj
1.2818 0 TD
-0.0051 Tc
0.025 Tw
(Problemas con la )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
8.8 0 0 8.8 120.7913 304.4771 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(glndula pituitaria)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 58.08 294.1771 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(\(ubicada en la base del cerebro\), )Tj
0 -1.1705 TD
[(la cual hace que la tiroides pro)-9.9(duzca)]TJ
T*
(hormona tiroidea )Tj
0 -1.9886 TD
(Un factor menos comn es que )Tj
-1.2818 -1.1705 TD
(la tiroides defectuosa de la madre o las)Tj
T*
(medicinas que tom durante el embarazo)Tj
T*
(causen el hipotiroidismo congnito.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.8 0 0 8.8 46.8 204.7724 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
[(Qu funcin tiene la hor)-17.9(mona)]TJ
0 -1.1705 TD
-0.0002 Tc
0 Tw
[(tir)17.6(oidea?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 58.08 182.8291 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(La hormona tiroidea ayuda a que )Tj
-1.2818 -1.1705 TD
(el cerebro y el sistema nervioso del beb )Tj
T*
[(se desarrollen normalmente. T)110.4(ambin)]TJ
T*
(ayuda a que el corazn, los msculos y)Tj
T*
(otros rganos funcionen apropiadamente )Tj
T*
(y regula cmo el cuerpo usa y almacena )Tj
T*
[(la energa. La glndula tiroides pro)-10(duce )]TJ
T*
(dos formas de hormona tiroidea, la )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
8.8 0 0 8.8 171.4395 110.729 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(T3)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 46.8 100.429 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(\()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
8.8 0 0 8.8 50.1785 100.429 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(triiodotironina)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 96.4063 100.429 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(\) y la )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
8.8 0 0 8.8 117.0376 100.429 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(T4)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 129.5952 100.429 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(\()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
8.8 0 0 8.8 132.9737 100.429 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(tiroxina)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
8.8 0 0 8.8 158.0185 100.429 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(\). )Tj
ET
0.89 0 0.2 0 k
3.82 635.99 m
21.54 620.42 31.5 599.3 31.5 577.29 c
31.5 205.71 l
31.5 183.7 21.54 162.58 3.82 147.01 c
-1.44 142.39 -7.26 138.37 -13.5 135 c
-13.5 648 l
-7.26 644.63 -1.44 640.61 3.82 635.99 c
f*
0 0 0 1 K
0 J 0 j 0.5 w 10 M []0 d
557.644 800.926 m
557.644 750.746 l
27.284 801.002 m
27.284 750.892 l
S
0 0.038 0.095 0 k
26.95 655.92 m
26.95 704.42 l
142.25 722.42 296.95 722.42 v
451.65 722.42 557.95 704.42 y
557.95 655.92 l
26.95 655.92 l
f*
Q
q
1 i
26.95 763.92 m
557.95 763.92 l
557.95 714.42 l
451.65 732.42 296.95 732.42 v
142.25 732.42 26.95 714.42 y
26.95 763.92 l
W* n
q 2.082 0 0 -0.2012 25.95 764.92 cm BX /Sh1 sh EX Q
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
15 0 0 15 46.5904 738.6276 Tm
0 0 0 0 k
-0.0001 Tc
0.0296 Tw
(LAS HORMONAS Y USTED)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F5 1 Tf
24 0 0 24 46.7125 667.1877 Tm
0 0.93 0.95 0 k
-0.0223 Tc
0.0278 Tw
[(Hipotir)17.8(oidismo congnito)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
0 13 -13 0 20.1275 272.33 Tm
0 0 0 0 k
0.1478 Tc
0.0296 Tw
(HIPOTIROIDISMO CONGNITO)Tj
ET
Q
q
1 i
458.442 730.294 m
463.503 717.741 474.734 708.353 489.097 708.353 c
507.975 708.353 520.654 719.446 520.654 738.327 c
520.654 741.052 520.318 743.696 519.719 746.239 c
496.688 743.185 477.884 738.377 458.442 730.294 c
W n
/GS4 gs
q -8.4223 31.4325 62.5494 16.7601 465.6643 700.5575 cm BX /Sh2 sh EX Q
Q
q
1 i
434.57 779.77 105.33 -109.63 re
20.128 512.602 m
W* n
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
1 0.62 0 0.2 k
/GS4 gs
503.312 727.617 m
508.556 728.796 510.644 723.918 v
510.273 723.416 508.703 720.3 507.067 719.538 c
507.013 720.223 507.416 722.71 504.758 723.719 c
504.019 722.575 498.807 716.086 490.268 716.453 c
492.588 716.926 500.621 718.539 503.312 727.617 c
f
501.031 756.69 m
501.031 755.214 499.833 754.019 498.358 754.019 c
496.883 754.019 495.689 755.214 495.689 756.69 c
495.689 758.169 496.883 759.363 498.358 759.363 c
499.833 759.363 501.031 758.169 501.031 756.69 c
f
502.092 727.592 m
502.092 726.33 501.067 725.305 499.804 725.305 c
498.541 725.305 497.518 726.33 497.518 727.592 c
497.518 728.853 498.541 729.878 499.804 729.878 c
501.067 729.878 502.092 728.853 502.092 727.592 c
f
491.384 725.549 m
491.384 725.7 491.404 725.85 491.431 725.995 c
489.891 725.773 484.518 725.471 482.399 726.559 c
479.929 727.834 476.657 734.672 483.719 739.146 c
474.917 735.014 477.835 725.285 v
478.509 723.265 481.352 717.352 486.891 716.678 c
482.542 717.318 483.836 723.176 492.291 723.738 c
491.746 724.158 491.384 724.809 491.384 725.549 c
f
477.622 722.815 m
477.622 721.555 476.6 720.529 475.337 720.529 c
474.074 720.529 473.05 721.555 473.05 722.815 c
473.05 724.079 474.074 725.103 475.337 725.103 c
476.6 725.103 477.622 724.079 477.622 722.815 c
f
511.703 744.015 m
502.721 758.879 486.127 751.772 485.268 751.519 c
494.707 753.338 493.136 746.12 493.037 745.816 c
491.245 740.819 485.577 739.653 484.844 739.525 c
496.141 741.647 497.815 742.474 505.582 731.594 c
505.654 731.494 505.732 731.408 505.81 731.317 c
505.891 731.156 505.984 731.002 506.061 730.839 c
505.786 739.831 499.358 743.733 v
499.667 745.813 501.067 750.64 506.057 748.013 c
507.531 747.225 509.243 746.03 511.248 744.281 c
511.366 744.214 511.488 744.143 511.601 744.076 c
511.607 744.069 511.615 744.068 511.62 744.061 c
511.619 744.061 511.616 744.061 511.615 744.068 c
511.643 744.049 511.675 744.032 511.703 744.015 c
f
489.045 716.36 m
484.582 716.1 481.211 719.759 v
481.651 719.959 484.252 719.919 484.736 720.138 c
484.217 718.977 485.549 716.851 489.045 716.36 c
f
444.604 699.935 m
450.24 699.935 l
450.113 698.989 l
447.895 698.989 l
447.895 692.562 l
446.794 692.562 l
446.794 698.989 l
444.604 698.989 l
444.604 699.935 l
f
452.995 699.935 m
454.11 699.935 l
454.11 696.941 l
457.402 696.941 l
457.402 699.935 l
458.532 699.935 l
458.532 692.562 l
457.402 692.562 l
457.402 696.009 l
454.11 696.009 l
454.11 692.562 l
452.995 692.562 l
452.995 699.935 l
f
462.204 699.935 m
466.795 699.935 l
466.639 698.989 l
463.334 698.989 l
463.334 696.884 l
466.103 696.884 l
466.103 695.938 l
463.348 695.938 l
463.348 693.551 l
466.922 693.551 l
466.922 692.562 l
462.204 692.562 l
462.204 699.935 l
f
477.572 692.562 m
477.572 695.797 l
475.538 695.797 l
475.538 692.562 l
473.631 692.562 l
473.631 700.148 l
475.538 700.148 l
475.538 697.308 l
477.572 697.308 l
477.572 700.148 l
479.493 700.148 l
479.493 692.562 l
477.572 692.562 l
f
486.203 692.449 m
483.787 692.449 482.431 694.045 482.431 696.305 c
482.431 698.791 483.844 700.232 486.132 700.232 c
488.279 700.232 489.79 698.961 489.79 696.432 c
489.79 694.059 488.59 692.449 486.203 692.449 c
h
486.104 698.891 m
484.988 698.891 484.536 697.972 484.536 696.249 c
484.536 694.342 485.044 693.777 486.104 693.777 c
487.093 693.777 487.629 694.427 487.629 696.432 c
487.629 697.972 487.276 698.891 486.104 698.891 c
f
496.811 692.562 m
496.472 693.071 496.316 693.296 496.006 693.834 c
495.088 695.373 494.932 695.613 494.706 695.613 c
494.579 695.613 l
494.579 692.562 l
492.729 692.562 l
492.729 700.148 l
495.667 700.148 l
496.486 700.148 497.333 700.006 497.828 699.512 c
498.322 699.018 498.506 698.466 498.506 697.845 c
498.506 696.785 497.757 695.91 496.966 695.74 c
497.475 695.161 498.859 692.901 499.057 692.562 c
496.811 692.562 l
h
495.215 698.749 m
494.565 698.749 l
494.565 696.969 l
495.186 696.969 l
496.218 696.969 496.542 697.237 496.542 697.845 c
496.542 698.452 496.246 698.749 495.215 698.749 c
f
508.394 692.562 m
508.139 696.348 l
508.111 696.743 508.083 697.195 508.054 697.718 c
507.956 697.28 507.786 696.785 507.673 696.39 c
506.543 692.562 l
504.933 692.562 l
503.902 696.263 l
503.803 696.602 503.648 697.266 503.534 697.873 c
503.52 697.351 503.478 696.729 503.45 696.263 c
503.224 692.562 l
501.317 692.562 l
502.136 700.148 l
504.523 700.148 l
505.484 696.616 l
505.625 696.107 505.71 695.74 505.794 695.26 c
505.865 695.726 505.992 696.249 506.119 696.687 c
507.122 700.148 l
509.467 700.148 l
510.244 692.562 l
508.394 692.562 l
f
516.544 692.449 m
514.128 692.449 512.772 694.045 512.772 696.305 c
512.772 698.791 514.185 700.232 516.473 700.232 c
518.62 700.232 520.132 698.961 520.132 696.432 c
520.132 694.059 518.931 692.449 516.544 692.449 c
h
516.445 698.891 m
515.329 698.891 514.877 697.972 514.877 696.249 c
514.877 694.342 515.385 693.777 516.445 693.777 c
517.433 693.777 517.97 694.427 517.97 696.432 c
517.97 697.972 517.617 698.891 516.445 698.891 c
f
527.208 697.365 m
527.18 700.148 l
528.932 700.148 l
528.932 692.562 l
526.997 692.562 l
525.584 695.669 l
525.259 696.376 524.962 697.054 524.75 697.605 c
524.779 697.012 524.793 695.966 524.807 695.458 c
524.85 692.562 l
523.07 692.562 l
523.07 700.148 l
525.132 700.148 l
526.601 697.223 l
526.926 696.574 527.081 696.107 527.307 695.472 c
527.251 696.164 527.208 696.828 527.208 697.365 c
f
532.463 692.562 m
532.463 700.148 l
537.279 700.148 l
537.011 698.678 l
534.355 698.678 l
534.355 697.266 l
536.573 697.266 l
536.573 695.783 l
534.37 695.783 l
534.37 694.101 l
537.364 694.101 l
537.364 692.562 l
532.463 692.562 l
f
461.494 685.552 m
460.069 685.552 l
460.069 684.687 l
461.198 684.687 l
461.198 683.822 l
460.069 683.822 l
460.069 681.968 l
458.973 681.968 l
458.973 686.393 l
461.626 686.393 l
461.494 685.552 l
f
466.85 681.902 m
465.441 681.902 464.65 682.833 464.65 684.152 c
464.65 685.602 465.474 686.442 466.809 686.442 c
468.061 686.442 468.943 685.701 468.943 684.226 c
468.943 682.842 468.242 681.902 466.85 681.902 c
h
466.792 685.66 m
466.141 685.66 465.878 685.124 465.878 684.119 c
465.878 683.006 466.174 682.677 466.792 682.677 c
467.369 682.677 467.682 683.056 467.682 684.226 c
467.682 685.124 467.476 685.66 466.792 685.66 c
f
475.65 682.339 m
475.411 682.108 474.958 681.886 474.266 681.886 c
473.533 681.886 472.964 682.075 472.676 682.446 c
472.486 682.693 472.437 682.973 472.437 683.385 c
472.437 686.393 l
473.557 686.393 l
473.557 683.509 l
473.557 683.245 473.566 683.105 473.648 682.998 c
473.763 682.842 473.969 682.759 474.225 682.759 c
474.447 682.759 474.628 682.842 474.744 682.941 c
474.835 683.023 474.9 683.138 474.9 683.6 c
474.9 686.393 l
476.021 686.393 l
476.021 683.451 l
476.021 682.8 475.897 682.578 475.65 682.339 c
f
482.275 684.77 m
482.258 686.393 l
483.28 686.393 l
483.28 681.968 l
482.151 681.968 l
481.327 683.781 l
481.138 684.193 480.965 684.588 480.841 684.909 c
480.857 684.564 480.866 683.954 480.874 683.657 c
480.899 681.968 l
479.86 681.968 l
479.86 686.393 l
481.063 686.393 l
481.92 684.687 l
482.11 684.308 482.201 684.036 482.332 683.666 c
482.3 684.069 482.275 684.457 482.275 684.77 c
f
489.048 681.993 m
488.858 681.968 488.636 681.968 488.298 681.968 c
487.153 681.968 l
487.153 686.393 l
488.125 686.393 l
488.413 686.393 488.842 686.393 489.031 686.369 c
490.111 686.236 490.77 685.487 490.77 684.152 c
490.77 682.866 490.037 682.124 489.048 681.993 c
h
488.677 685.578 m
488.273 685.578 l
488.273 682.825 l
488.801 682.825 l
489.196 682.825 489.542 683.097 489.542 684.053 c
489.542 685.017 489.361 685.578 488.677 685.578 c
f
496.802 681.968 m
496.464 682.908 l
495.153 682.908 l
494.841 681.968 l
493.679 681.968 l
495.31 686.409 l
496.431 686.409 l
497.963 681.968 l
496.802 681.968 l
h
495.829 685.363 m
495.738 684.918 495.549 684.193 495.417 683.723 c
496.217 683.723 l
496.093 684.185 495.911 684.918 495.829 685.363 c
f
503.797 685.52 m
502.693 685.52 l
502.693 681.968 l
501.564 681.968 l
501.564 685.52 l
500.418 685.52 l
500.418 686.393 l
504.011 686.393 l
503.797 685.52 l
f
507.15 686.393 1.145 -4.425 re
f
514.022 681.902 m
512.613 681.902 511.822 682.833 511.822 684.152 c
511.822 685.602 512.646 686.442 513.981 686.442 c
515.234 686.442 516.115 685.701 516.115 684.226 c
516.115 682.842 515.415 681.902 514.022 681.902 c
h
513.964 685.66 m
513.314 685.66 513.05 685.124 513.05 684.119 c
513.05 683.006 513.346 682.677 513.964 682.677 c
514.541 682.677 514.854 683.056 514.854 684.226 c
514.854 685.124 514.648 685.66 513.964 685.66 c
f
522.056 684.77 m
522.04 686.393 l
523.061 686.393 l
523.061 681.968 l
521.932 681.968 l
521.109 683.781 l
520.919 684.193 520.746 684.588 520.622 684.909 c
520.639 684.564 520.647 683.954 520.655 683.657 c
520.68 681.968 l
519.642 681.968 l
519.642 686.393 l
520.845 686.393 l
521.702 684.687 l
521.891 684.308 521.982 684.036 522.114 683.666 c
522.081 684.069 522.056 684.457 522.056 684.77 c
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F5 1 Tf
9 0 0 10 375.8667 744.8609 Tm
0.95 0.59 0.04 0.17 k
0.011 Tc
0 Tw
[(www)54.9(.hormone.or)17.7(g)]TJ
ET
0.089 0 0.02 0 k
/GS2 gs
18 79.96 520.2 -63 re
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
6.58 0 0 6.58 130.9361 63.8078 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
-0.0286 Tw
(Para ms informacin sobre cmo encontrar un endocrinlogo, obtener publicaciones gratis de la Internet, traducir esta pgina d)Tj
50.7127 0 TD
(e datos a otros idiomas,)Tj
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