GAKI-Nop03HOut

Bagian Ilmu Gizi FK-USUBagian Ilmu Gizi FK-USUdr. Halomoan Hutagalungdr. Halomoan Hutagalung

• Kebutuhan :Kebutuhan :• FungsiFungsi

100-150 µgr/hari100-150 µgr/hari

Hormon TiroidHormon Tiroid-Tiroksin (T4)-Tiroksin (T4)-Tri Iodo Tironin -Tri Iodo Tironin (T3)(T3)

• Tubuh Tubuh : :

15-30 mgr/hari15-30 mgr/hari

EEEETIOLOGITIOLOGITIOLOGITIOLOGI

PPRIMERRIMER

SSEKUNDEREKUNDER

Intake Iodium Intake Iodium

Zat GoitrogenZat Goitrogen

• Kubis/Kubis/

• SingkongSingkong

• A i rA i r

KolKol TiosianatTiosianatIsotiosianatIsotiosianat

dandan

HCNHCN

Volatil sulfonat hidrokarbonVolatil sulfonat hidrokarbon

PerchloratPerchloratee

dan dan ThiocyanateThiocyanate

ThiouracylThiouracyl

• PerchloratePerchlorate• ThiocyanateThiocyanate• Radikal NitritRadikal Nitrit

• ThiouracylThiouracyl• Phenil ButazonPhenil Butazon

dan Nitratdan Nitrat

• PASPAS

U S U SU S U SU S U SU S U S

diabsorbsidiabsorbsi

PLASMAPLASMAIODIDEIODIDE

IODIDEIODIDE

IODIUMIODIUM

IODINEIODINE

TRAPPING TRAPPING PHASE PHASE

COUPLING COUPLING PHASE OF PHASE OF SYNTHESISSYNTHESIS

PERHLORATEPERHLORATE PERHLORATEPERHLORATE THIOCYANATETHIOCYANATE THIOCYANATETHIOCYANATE

THIOURACILTHIOURACILTHIOURACILTHIOURACIL

RESORPTION RESORPTION PHASE PHASE

HiperplasHiperplasiaia

HipertroHipertropipiHipertroHipertropipiHipertroHipertropipiHipertroHipertropipiHipertroHipertropipiHipertroHipertropipiHipertroHipertropipiHipertroHipertropipi

GRADE- GRADE- 00

GRADE- GRADE- 00

NORMALNORMAL

GRADEGRADE- - 1A1A

GRADEGRADE- - 1A1A

2-4 kali ukuran 2-4 kali ukuran NormalNormal

GRADE- GRADE- 1B1B

GRADE- GRADE- 1B1B

terlihatterlihat

GRADE- 2GRADE- 2 GRADE- 2GRADE- 2

kepala ditengadahkan kepala ditengadahkan maxmax

WHOWHOWHOWHO


GRADE- GRADE- 00

GRADE- GRADE- 00GRADEGRADE- 1A- 1AGRADEGRADE- 1A- 1A

GRADE- 1BGRADE- 1BGRADE- 1BGRADE- 1B

GRADE- GRADE- 22

GRADE- GRADE- 22

dpt dilihat dpt dilihat

kepala posisi kepala posisi normalnormal

WHOWHOWHOWHO

GRADE- GRADE- 22

GRADE- GRADE- 22 GRADE- GRADE- 22







GRADE- GRADE- 22 GRADE- 2GRADE- 2 GRADE- 2GRADE- 2


GRADE- GRADE- 00

GRADE- GRADE- 00GRADEGRADE- 1A- 1AGRADEGRADE- 1A- 1A

GRADE- GRADE- 1B1B

GRADE- GRADE- 1B1B

GRADE- GRADE- 22

GRADE- GRADE- 22

WHOWHOWHOWHO

dpt dilihat dpt dilihat

dari jarak 10 dari jarak 10 mm


Data gondok diungkapkan dalam :Data gondok diungkapkan dalam :

RATERATE GOITRE GOITRE

VISIBLEVISIBLE GOITREGOITRE RATERATE

22

1 A1 A1 B1 B2233

10%10% ENDEMIKENDEMIK

33

GG TOTALTOTAL TT RR

VV GG RR

Data gondok diungkapkan Data gondok diungkapkan dalam :dalam :

TTTT GG RRRR GOITRE GOITRE 1 A1 A1 B1 B2233

10%10% 10%10% ENDEMIKENDEMIK

TOTAL TOTAL RATERATE

30%30% 30%30%

KRETINKRETINENDEMIKENDEMIKKRETINKRETIN

ENDEMIKENDEMIK

RINGAN 10-30 % SEDANGSEDANG

SEDANG

Tingkatan

PrevalensiTGR

Median J urin (µgr J/dl)

BERAT

3,5 - 5,0

20-50 % 2,0 - 3,5

30-100% < 2,0

GAKI

dlm Urin/24 jamdlm Urin/24 jam EKSRESI JEKSRESI J

PANJANGPANJANGPANJANGPANJANG JangkaJangka JangkaJangka

PENDEKPENDEKPENDEKPENDEK JangkaJangka JangkaJangka

Jangka FORTIFIKASIFORTIFIKASI FORTIFIKASIFORTIFIKASI

40 40 ppm ppm KJO3 KJO3

GARAMGARAM

JJ

JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

JJ

JJ

JJJJJJJJJJJJJJJJJJ

JJJJ

JJ

LIPIODOLLIPIODOL

Golongan UmurGolongan Umur

0 - 6 0 - 6 blnbln

0,20,2

6 - 12 6 - 12 blnbln

0,30,3

1 - 6 1 - 6 thnthn

0,0,55 6 - 45 6 - 45

thnthn1,01,0

Lipiodol Lipiodol : Yodium dlm minyak (480 mg/ml): Yodium dlm minyak (480 mg/ml)

Jangka PENDEKPENDEK

Dosis Dosis (ml)(ml)

Gandum 1 - 10Kentang 30 Kacang-kacangan

8 - 60Wortel 30 - 90 Kol (kubis)

130Susu Sapi segar

70M. Goreng nabati

30 -100

Bahan Makanan SegarBahan Makanan Segar …… µgr /Kg bahanµgr /Kg bahan

Udang, Kepiting

200 - 300Salmo

n 100 - 500Minyak Ikan 3000 - 13000

Bahan Makanan SegarBahan Makanan Segar …… µgr /Kg bahanµgr /Kg bahan

GAKI-Nop03HOut

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