Studi Kasus Hipotiroid pada Anak di UPTD Puskesmas Kediri I Kabupaten Tabanan

Abstract

Abstrak

Kejadian hipotiroid kongenital di dunia 1:3000 kelahiran, dan 1:900 kelahiran di daerah kekurangan yodium, kejadian di Indonesia 1: 2513 kelahiran. Kasus hipotiroid dari skrining awal negatif terjadi di UPTD Puskesmas Kediri I Tahun 2019. Penelitian ini bertujuan mempelajari riwayat perjalanan kasus, menggunakan metode kualitatif retrospektif dengan studi kasus. Pengumpulan data melalui obervasi, wawancara terstruktur dan studi kepustakaan. Analisis data kualitatif berdasarkan triangulasi sumber. Faktor penyumbang terjadinya kasus hipotiroid: (1) Memiliki riwayat tiroid pada keluarga, asupan yodium kurang selama hamil. (2) Ketidaksesuaian frekuensi pengambilan spesimen saat skrining hipotiroid. (3) Gejala hipotiroid sudah tampak saat lahir. (4) Jeda waktu pemberian obat dengan makan kurang dari 3 jam. (5) Perkembangan anak saat ini menyimpang karena hipotiroid, tetapi kondisi fisik dan pertumbuhannya normal. 

Abstract

The incidence of congenital hypothyroidism in the world is 1: 3000 of births and 1: 900of births in iodine deficient areas. The incidence in Indonesia is 1: 2513 of births. Hypothyroid cases from negative initial screening occurred at the UPTD Puskesmas Kediri I in 2019. This study aims to study the history of the case, used a retrospective qualitative method with case studies. Collecting data through observation, structured interviews, and literature study. Qualitative data analysis based on sources triangulation. Contributing factors to the occurrence of hypothyroidism cases: (1) Having a family history of thyroid, insufficient iodine intake during pregnancy. (2) Inconsistency in the frequency of specimen collection when screening the hypothyroidism. (3) Symptoms of hypothyroidism have appeared at birth. (4) The delay in giving the drug with meals is less than 3 hours. (5) Children's development currently deviates because of hypothyroidism, but their physical condition and growth are normal.