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All Journal Jurnal Surya Medika Jurnal Penelitian Pendidikan IPA (JPPIPA) ARKESMAS [Arsip Kesehatan Masyarakat] Ensiklopedia of Journal 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Abdidas Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan
Yenni, Ririn Afrima
STIKES Dharma Landbouw
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Diagnosis of Congenital Hypothyroidism by Analysis of Medical Records Handayuni, Linda; Mardiawati, Dewi; Yenni, Ririn Afrima; Rahmadian, Rozi
Jurnal Penelitian Pendidikan IPA Vol 9 No 6 (2023): June
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i6.3490

Abstract

Congenital hypothyroidism is one of the causes of mental retardation in children that can be prevented if recognized and treated early. Thyroid hormones play a role in the development of the central nervous system. It is known that 95% of CH do not show typical clinical signs and symptoms at birth and the duration of early intervention to prevent mental retardation is short. Therefore, most developed countries have conducted neonatal screening programs for early detection of CH. The purpose of this study was to determine the diagnosis and management of congenital hypoteroid based on medical record analysis. This research method is a cross-sectional descriptive study with a quantitative approach to patient medical records. Data were analyzed in accordance with the standard diagnosis and management of congenital hypoteroid issued by the Pediatric Association in 2017. The clinical practice guidelines explain that congenital hypothyroidism can be transient or permanent and is classified according to the location of the disorder: primary (in the thyroid gland) or secondary (in the pituitary and/or hypothalamus); severity of hypothyroidism: (serum TSH levels > 100 mIU/L are considered severe; and age of onset of hypothyroidism. The most common form is permanent primary CH (high serum TSH levels) due to thyroid dysgenesis. Permanent CH requires lifelong treatment while transient CH does not. The results of the study have met clinical guidelines, namely CH screening in newborns is positive if the TSH level is ≥ 20 mU/L. Infants with positive screening results must be confirmed by re-checking serum TSH and FT4. The diagnosis of CH is made when TSH levels are high and FT4 is low. In non-screened infants, the diagnosis is made through clinical symptoms and serum TSH and FT4 examination.
Co-Authors Al Fauzain, Al Fauzain Berly Nisa Srimayarti Claudya Rizki Audina Daulay Detep Kemalasari Dian Novita Dian Novita Dicho Zhuhriano Yasli Fitri, Aznila Handayuni, Linda Kevin Wahyudi Farhan Mardiawati, Dewi Meta Hariani N Novrikasari Nidno Friani Candra Novrikasari Novrikasari, N Putri Susanti Rahmadian, Rozi Rifky Noffrian Solly Aryza Syafruddin Syafruddin Tania Tania Yenti, Melda Yuanita Windusari Yuanita Windusari Yuanita Windusari