7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
1/20
DISFUNGSI TIROIDKELOMPOK 5 :
ANA MARYANA (1001012)
DEBY BAYU SETYA PUTRA (12010113)
FEBRINA INDAH K (1201033)
GUSTIA ANERI (1201036)
KRISTINA TAMBUNAN (1201048)
MAYA HASMIRA (1201057)MELISA OKTARINA (1201060)
YUANDA (1001121)
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
2/20
K!"!#$%& T'&'K!"!#$%& *'&' *!&"!*%+ ,%% "!-!& .%/'%#
!,%# *!,%* ' .%%- +%&*'"%/ +&'+''%,'#/ +'&' %# +%#%# *&%+-!% K!"!#$%&'#' *!&'&' %*% % ". %'* ". +'&'+%#%# %#/ ','%-+%# "!- '*- T'%,
*'%, ". !,#%' "."' %#/ ' %'#/%'#/ "."' *!&%,%* "'+!" %#,%&%"'+"!&
M!#/%##/ 5965:
#& ''#
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
3/20
M!*%."'! ''%O A,%# ''! (I) -%&'%# ; 150
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
4/20
3 %
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
5/20
3 - *'&'OT&''*''# (T3)
O T'&+'# (T4)
O K%"'*#'#
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
6/20
F#/' -- *'&' %#*%&%%%"%-=
O M!#/%*& "%$ !*%."'! *.-
O M!!/%#/ ,!&%#%# ,!#*'#/ %"% ,!&*.-%#!* +-#% ,!&*.-%# %&% %# *"%#/
O M!,!&*%-%#+%# !+&!' GH %# /#%*&,'#O E!+ +*&,'+ %# I#*&,'+ *!&-%%, $%#*#/
%'* !#%.%- +!+%*%# +#*&%+' ** %#!#%.%- '&%% $%#*#/
O M!&%#/%#/ ,!.!#*+%# !" %&%- !&%-
O M!,!#/%&-' +!+%*%# %# &'*! ,!%,%%#
!.%/%' +,!#%' *.- *!&-%%, +!.*-%#+'/!# %+'.%* !*%."'!
O B!&!%+' !.%/%' %#*%/#' '#"'#
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
7/20
G%#//%# K!"!#$%&
T'&'1. Hipertiroid(Tirotoksikosis)
2. Hipotiroid
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
8/20
1. Hipertiroid (Tirotoksikosis)
%* +!%%%# +"'#'+ %#/ '*'."+%# "!-!+&!' .!&"!.'-%# %&' - *'&'D'%,%*+%# ,"% ,!#'#/+%*%# ,&+'*&''*''# (T3) !.%/%' -%'" !#'#/+%*#%
+#>!&' *'&+'# (T4) ' $%&'#/%# ,!&'!&
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
9/20
ETIOLOGI-Autoimu ( ke!"i"#"$orm"!it"s d"ri ker%" sistemimud"!"m tu$u& )-I'eksi ke!e%"r tiroid (tiroiditis)-Tumor ( %i"k#""s)-Ke!e$i&" pem$eri" &ormotiroksi
GE?ALA peuru" $er"t $"d" ke!e!"&" tremor uup $erkeri"t $"*"kTid"k t"&" p""s pem$es"r" tiroid.
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
10/20
O.%* A#*' T'&' (OAT)=K%&.'%@"
M!*'%@" P&,'"*'&%'"Y' R%'%+*' O,!&%'
F%&%+"/'
D'!* %#/ '.!&'+%# -%&
*'#//' +%"&' K#' ,&*!'# -%&
*'#//' O"%- &%/% !
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
11/20
2. Hipotiroid
H',*'&' %%"%- %* +#'' %#/'+%&%+*!&'*'+%# "!- ,&+' -*'&' %#/ &!#%-
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
12/20
Etio!oi,!#!.%.,!#!.%. -',*'&' =
O H%-'* *-&''*'
O L,-
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
13/20
K"%'+%' -',*'&'eis Or" Keter""
Hipotiroidisme
primer
+!"!#$%& *'&' P%"'#/ !&'#/ *!&$%' M!"',*' ,!#%+'*
H%-'* *'&''*'
(!$!#' ,!#%+'* %*'#!)
Hipotiroidisme
sekuder
+!"!#$%&
-','(,'*'*%&')
T!&$%' $'+% +!"!#$%& -',' *'%+
!#/-%'"+%#
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
14/20
Ge%"!"- e%"!"
&ipotiroidG!$%"%/!$%"%
!.%/%' .!&'+*=
O K!"!"%-%#
O D!,&!'
O K!#%'++%# .!&%*
.%%#
O K!*'%+*"!&%#%#
'#/'#O N/%#*+ %#/
.!&"!.'-%#
O R%.* %#/ +!&'#/%# +%%&
O K"'* +!&'#/
O K!$%#/+!$%#/ **
O K#!#*&%' !#
O S%+'*%+'* %# #!&'#!&' %#/ %%&
%%&O K%+'+%+' %#/
.!#/+%+
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
15/20
PENATALAKSANAANFARMAKOLOGI
O Leo-t&*ro/i
O Liotiroi (T0)O T&*ro!o$u!i
O G"r"m tiroksi
+O+ AMAKOLOGIO3iet se&"t $i%i-$i%i"m"k"" "!"mi $"*"k $u"&d" s"*ur" sert" "sup"*" $"ik d"ri m"k"" !"utd" protei !"i*".
OKur"i d"i *"$er!em"k.
OMier"! ,e!eium.
OMekosumsi utrisi *"
me"du $"*"k ser"t.O3iet p"d" pederit" &ipotiroiddis"r"k" utuk !e$i& $"ikm"k" d"!"m porsi ke4i!tet"pi 'rekuesi*" seri (5- k"!i)
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
16/20
K%N S'*- (35 *%-#) %*%#/ +! %,*!+ !#/%#%#%+ ,!&!,%# #% %#/ .!&& 1 *%-#!.!&'+%# &!!, *%."!* "!>*-&'# 50
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
17/20
P!#!"!%'%# +% !#/%# !*!SOAP
O SubyektifN%% = N S'*-& = 35 *%-#
$!#' +!"%'# = %#'*%TB = BB = K!"-%# = .!&%* .%%# #%'+ '#/'#!*'%, %+* &%.* !#',' !&'#/
!&%% "!%O R'%%* ,!#%+'* =
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
18/20
O byektif =
O!ssesmentB!&%%&+%# /!$%"% %+% ,%'!# ' '%/#%!#!&'*% D'
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
19/20
OTu%u" ter"pi %"k" p"%" :M!#'#/+%*+%# *%&% -', ,%'!#
2) S%%&%# T!&%,' =!#'#/+%*+%# +%%& -! *'&'
M!#%#/%#' /!$%"% %#/ !#!&*%'
3) S*&%*!/' T!&%,' =Ter"pi "rm"ko!oi : ,%'!# '.!&'+%# .%* "!>*-&+'# 50
7/24/2019 Ppt Disfungsi Tiroid Kel 5 s1a
20/20
T&"k
6ou