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MASALAH GONDOK
BAMBANG WIRJATMADI
MERRYANA ADRIANI
DEPARTEMEN GIZI
FAKULTASA KESEHATANMASYARAKAT
UNIVERSITAS AIRLANGGA2007
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YODIUM
Kebutu!" #00 $ #%0&'() !(*
I+,*u- !,! ,!.!- tubu ,.- /.- Se,*1*t
D!.!- 1e.e"/!( t(+*, u"tu1 -e"3*"te3*3
+(-+" t*(+13*")tet(!+,+t*(+"*"4T56 ,!"
t(*+,+t*(+"*" 4T6
H+(-+" u"tu1 8e(tu-bu!" "+(-!.
H+(-+" t(+9*" : !3!- !-*"+ t(+3*" ; Y
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YODIUM
I+,*u- ; !3!- !-*"+ t*(+3*" HT*(+13*" I+,*u- ;
Z!t G+*t(+'e"*1 @A.!-* @ 3!*? .+b!1? 1+.? 3*"'1+"' N+" !.!-* @ .+'!- be(!t? 8e3t*3*,!
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METABOLISME YODIUM
Y+,*u- Y+,*,! Ke.e"/!( t(+*, t(+'.+bu.*"
H*8+*3! ,!.!- *8+t!.!-u3 -e"'e.u!(1!" TSH4t(+*, St*-u.!t*"' H+(-+" 6 u"tu1 -e(!"'3!"'1e.e"/!( t(+*, -e"'e.u!(1!" T5 4+(-+"t(+9*"6,*e,!(1!" 1e 3e. 3!3!(!"b*.! 3u,!
Cu1u8 -!1! T5 !1!" -e feed back*8+t!.!-u3u"ut1 -e"'e"t*1!" TSH A8! !"' te(/!,* b*.! 1e1u(!"'!" +,*u-
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HIPOTALAMUS
KELENJAR TYROID
SEL/JARINGAN TARGET
TSH
T4
FEED
BACK
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Iodium
makmi!U"u" #a$u"
K%$%!&a' ()'oid ko$oid
*()'o+$u,o$i!-Gi!&a$
U'i!%
Ha(i da! &a'. $ai!
T4 da! T
Em0%du
U'i!% da! Ti!&a
di"%'a0
Iodida
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PENENTUAN STATUS GIZI
K!,!( I+,*u- U(*"e 4B*+1*-*!6 G!-b!(!" 1u(!"')t*,!1. 1+"3u-3* I+,*u-
Se"3*t* S8e3**1 N*.!* -e,*!" 4'().t6 20?0 @ Be(!t
200 5= @ Se,!"' %0?0 == @ R*"'!" #00 @ N+(-!.
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PENENTUAN STATUS GIZI
Pe-e(*13!!" TSH 4B*+1*-*!6 G!-b!(!" 1!,!( I+,*u- ,!.!- ,!(!
A1u(!3* ,( 8!,! u(*"e Se"3*t**t!3 t*"''* 8!,! "e+"!tu3 S8e3**1!3* (e",! 8!,! 1e. De!3! K!,!( TSH
?0 #=?= @ R*"'!" 20?0 =?= @ Se,!"' 50?0 @ Be(!t
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PENENTUAN STATUS GIZI
Pe-e(*13!!" T(+'.+b+.*" 4B*+1*-*!6
Set*!8 -+.e1u. t(+'.+b+.*" -e"'!",u"'
!!- !-*"+ t*(+13*" 3ub3t(!t 8e-be"tu1+(-+" t*(+13*"
Leb* 3e"3*t* ,!(* TSH
TGB #0 '()-.
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PENENTUAN STATUS GIZI
Pe-e(*13!!" 8e-be3!(!" 1e.e"/!( T(+*,
,e"'!" 8!.8!3*
K.!3**1!3* PAHO?De81e3?WHO G(!,e O @ N+(-!.
G(!,e IA @ Te(!b!? t,1 te(.*!t
G(!,e IB @ Te(!b! ,!" te(.*!t G(!,e II @ Te(.*!t 8+3*3* "+(-!.
G(!,e III @ te(.*!t /!(!1 5 6 M
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PENENTUAN TINGKAT ENDEMISITAS
TGR :
G(!,e 4 IA;IB;II;III6
G(!,e 4O;IA;IB;II;III6
VGR :
G(!,e 4IB;II;III6 G(!,e 4O;IA;IB;II;III6
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PENENTUAN TINGKAT ENDEMISITAS
N*.!* TGR
%> @ N+"E",e-*3
% $ #0> @ E",e-*3 !!.
#0 $ 20> @ E",e-*3 (*"'!"
20 $ 0> @ E",e-*3 3e,!"'
0> @ E",e-*3 be(!t
T*"'1!t !1u(!3* (e",!
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A1*b!t 1e1u(!"'!" iodium
E3tet*1!
Ibu !-*. @ T(*3e-e3te( I NS
A"!1 @ I (e",!
De!3! @ A.!t (e8(+,u13* (e",!
K(et*"
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Pe"Ce'!!" ,!" 8e"!"''u.!"'!"
J!"'1! 8e",e1 Pe-e(*13!!" 1!,!( +,*u- u(*"e? TSH
Me"'1+"3u-3* b!!" -!1!" 3u-be( I J!"'1! -e"e"'! Su8.e-e"t!3* J!"'1! P!"/!"' Re!b*.*t!3* .*"'1u"'!" @ 8e"''u"!!" 8u8u1?
8e"Ce-!(!" .+'!- be(!t? 8e"''u"!!" 8e3t*3*,!,..