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HIPOTIROID KONGENITAL: DIAGNOSIS, MANIFESTASI KLINIS, DAN PENATALAKSANAAN Latifah Mukhlisatunnafsi
Jurnal Medika Hutama Vol. 5 No. 02 Januari (2024): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

Congenital hypothyroidism is a lack of thyroid hormone production in newborns due to anatomic abnormalities of the thyroid gland, metabolic disorders for thyroid hormone formation, and iodine deficiency. The global incidence of congenital hypothyroidism is 1:2000 to 1:3000. In Indonesia, screening for congenital hypothyroidism has not been carried out nationally, only in a number of areas. Of the 14 provinces in Indonesia, a temporary incidence of 1:2513 was obtained. It is known that 95% of congenital hypothyroidism does not show typical clinical signs and symptoms at birth, so it is necessary to carry out early screening as a step in establishing the diagnosis. Management carried out as recommended by IDAI is by administering L-T4 (levothyroxine) which is given as soon as possible after the diagnosis is established and the best therapy begins before the baby is 14 days old.
Crohn Disease: Patofisiologi, Diagnosis, dan Penatalaksanaan Nurul Utami, Herdiana; Ira Munirah; Latifah Mukhlisatunnafsi; Marwa Zileikhadira Manzalina; Yusra Pintaningrum; Jaini Rahma
Lombok Medical Journal Vol. 2 No. 2 (2023): Lombok Medical Journal Volume 2 Nomor 2
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v2i1.2340

Abstract

ABSTRAK Penyakit Crohn adalah kondisi radang usus idiopatik kronis, ditandai dengan lesi, yang dapat memengaruhi seluruh saluran cerna mulai dari mulut hingga anus. Insiden tahunan penyakit crohn mencapai 3 hingga 20 kasus per 100.000 dengan usia rata-rata 30 tahun. Patofisiologi penyakit crohn didasarkan pada peradangan jaringan oleh respons imun yang tidak dapat dikendalikan terhadap antigen bakteri. Penegakan diagnosis dengan Computed tomography (CT), magnetic resonance imaging (MRI), dan ultrasonografi menjadi standar diagnosis dari penyakit crohn. Prognosis dari penyakit crohn ini tergantung dari komplikasi yang muncul seperti fistula dan bowel obstruction usus serta kondisi remisi dari pasien, ataupun tingkat respon tiap pasien terhadap pengobatan sehingga dalam menangani penyakit crohn adalah mengobati kondisi peradangan aktif hingga cepat mengalami remisi dan mempertahankannya selama mungkin. Kata Kunci: crohn disease; patofisiologi; diagnosis; penatalaksanaan; prognosis ABSTRACT Crohn's disease is a chronic idiopathic inflammatory bowel condition, characterized by lesions, which can affect the entire gastrointestinal tract from the mouth to the anus. The annual incidence of Crohn's disease is 3 to 20 cases per 100,000 with a median age of 30 years. The pathophysiology of Crohn's disease is based on tissue inflammation by an uncontrollable immune response to bacterial antigens. Computed tomography (CT), magnetic resonance imaging (MRI), and ultrasonography have become the standard for the diagnosis of Crohn's disease. The prognosis of Crohn's disease depends on complications such as enteric fistula and intestinal neoplasia and the condition of remission of the patient, or the level of response of each patient to treatment so that in treating Crohn's disease is to treat the active inflammatory condition until it goes into remission quickly and maintain it as long as possible. Keyword: crohn disease; pathophysiology; diagnosis; treatment; prognosis