MASALAH GONDOK

7/25/2019 MASALAH GONDOK

1/14

MASALAH GONDOK

BAMBANG WIRJATMADI

MERRYANA ADRIANI

DEPARTEMEN GIZI

FAKULTASA KESEHATANMASYARAKAT

UNIVERSITAS AIRLANGGA2007


2/14

YODIUM

Kebutu!" #00 $ #%0&'() !(*

I+,*u- !,! ,!.!- tubu ,.- /.- Se,*1*t

D!.!- 1e.e"/!( t(+*, u"tu1 -e"3*"te3*3

+(-+" t*(+13*")tet(!+,+t*(+"*"4T56 ,!"

t(*+,+t*(+"*" 4T6

H+(-+" u"tu1 8e(tu-bu!" "+(-!.

H+(-+" t(+9*" : !3!- !-*"+ t(+3*" ; Y


3/14

YODIUM

I+,*u- ; !3!- !-*"+ t*(+3*" HT*(+13*" I+,*u- ;

Z!t G+*t(+'e"*1 @A.!-* @ 3!*? .+b!1? 1+.? 3*"'1+"' N+" !.!-* @ .+'!- be(!t? 8e3t*3*,!


4/14

METABOLISME YODIUM

Y+,*u- Y+,*,! Ke.e"/!( t(+*, t(+'.+bu.*"

H*8+*3! ,!.!- *8+t!.!-u3 -e"'e.u!(1!" TSH4t(+*, St*-u.!t*"' H+(-+" 6 u"tu1 -e(!"'3!"'1e.e"/!( t(+*, -e"'e.u!(1!" T5 4+(-+"t(+9*"6,*e,!(1!" 1e 3e. 3!3!(!"b*.! 3u,!

Cu1u8 -!1! T5 !1!" -e feed back*8+t!.!-u3u"ut1 -e"'e"t*1!" TSH A8! !"' te(/!,* b*.! 1e1u(!"'!" +,*u-


5/14

HIPOTALAMUS

KELENJAR TYROID

SEL/JARINGAN TARGET

TSH

T4

FEED

BACK


6/14

Iodium

makmi!U"u" #a$u"

K%$%!&a' ()'oid ko$oid

*()'o+$u,o$i!-Gi!&a$

U'i!%

Ha(i da! &a'. $ai!

T4 da! T

Em0%du

U'i!% da! Ti!&a

di"%'a0

Iodida


7/14

PENENTUAN STATUS GIZI

K!,!( I+,*u- U(*"e 4B*+1*-*!6 G!-b!(!" 1u(!"')t*,!1. 1+"3u-3* I+,*u-

Se"3*t* S8e3**1 N*.!* -e,*!" 4'().t6 20?0 @ Be(!t

200 5= @ Se,!"' %0?0 == @ R*"'!" #00 @ N+(-!.


8/14


Pe-e(*13!!" TSH 4B*+1*-*!6 G!-b!(!" 1!,!( I+,*u- ,!.!- ,!(!

A1u(!3* ,( 8!,! u(*"e Se"3*t**t!3 t*"''* 8!,! "e+"!tu3 S8e3**1!3* (e",! 8!,! 1e. De!3! K!,!( TSH

?0 #=?= @ R*"'!" 20?0 =?= @ Se,!"' 50?0 @ Be(!t


9/14


Pe-e(*13!!" T(+'.+b+.*" 4B*+1*-*!6

Set*!8 -+.e1u. t(+'.+b+.*" -e"'!",u"'

!!- !-*"+ t*(+13*" 3ub3t(!t 8e-be"tu1+(-+" t*(+13*"

Leb* 3e"3*t* ,!(* TSH

TGB #0 '()-.


10/14


Pe-e(*13!!" 8e-be3!(!" 1e.e"/!( T(+*,

,e"'!" 8!.8!3*

K.!3**1!3* PAHO?De81e3?WHO G(!,e O @ N+(-!.

G(!,e IA @ Te(!b!? t,1 te(.*!t

G(!,e IB @ Te(!b! ,!" te(.*!t G(!,e II @ Te(.*!t 8+3*3* "+(-!.

G(!,e III @ te(.*!t /!(!1 5 6 M


11/14

PENENTUAN TINGKAT ENDEMISITAS

TGR :

G(!,e 4 IA;IB;II;III6

G(!,e 4O;IA;IB;II;III6

VGR :

G(!,e 4IB;II;III6 G(!,e 4O;IA;IB;II;III6


12/14

PENENTUAN TINGKAT ENDEMISITAS

N*.!* TGR

%> @ N+"E",e-*3

% $ #0> @ E",e-*3 !!.

#0 $ 20> @ E",e-*3 (*"'!"

20 $ 0> @ E",e-*3 3e,!"'

0> @ E",e-*3 be(!t

T*"'1!t !1u(!3* (e",!


13/14

A1*b!t 1e1u(!"'!" iodium

E3tet*1!

Ibu !-*. @ T(*3e-e3te( I NS

A"!1 @ I (e",!

De!3! @ A.!t (e8(+,u13* (e",!

K(et*"


14/14

Pe"Ce'!!" ,!" 8e"!"''u.!"'!"

J!"'1! 8e",e1 Pe-e(*13!!" 1!,!( +,*u- u(*"e? TSH

Me"'1+"3u-3* b!!" -!1!" 3u-be( I J!"'1! -e"e"'! Su8.e-e"t!3* J!"'1! P!"/!"' Re!b*.*t!3* .*"'1u"'!" @ 8e"''u"!!" 8u8u1?

8e"Ce-!(!" .+'!- be(!t? 8e"''u"!!" 8e3t*3*,!,..

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