gdd lap pagi koass 18 juli 2014

8/19/2019 GDD Lap Pagi Koass 18 Juli 2014

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GLOBAL DEVELOPMENTALDELAY

Arif Handiarsa

MS PPDS I Ilmu Kesehatan Ana !aultas Ked"teran #ni$ersitas Gad%ah

Mada&S#P dr' Sard%it" Y"()aarta

*uli +,-.


2/23

Introduction

An estimated 12-16% of children have adevelopmental and/or behavior disorder

Only 30% are identified before schoolentrance


3/23

Surveillance and Screening

AAP recommends f"rmal s/reenin(at 01 -21 and +. "r 3, m"nths1

and if /"n/erns raised 4)5arent65h)si/ian durin( r"utinesur$eillan/e

AAP also recommends all -2 m"nth"lds 4e s/reened 7ith an autism8s5e/i9/ t""l


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Deteksi Dini PenyimpanganPerkembangan

Tanya 5erem4an(an anak dengan KPSP

(Kuesioner Pra Skrining Perkembangan) mulaiumur 3 bulan,

minimal tiap 3 bln sampai umur t!n minimal tiap " bulan umur # " t!n$

Tanya 5enden(aran anak dengan TDD (tesdaya dengar) mulai umur 3 bln minimal tiap 3 bln sampai umur % t!n minimal tiap " bulan sampai umur " t!n

Tes 5en(lihatan anak dengan TDL (tes daya

li!at) mulai umur 3 ta!un, tiap " bulan$

Tanya (an((uan 5erilau dengan KMME (kuesioner masala! mental emosional), :HAT (c!ecklist &or autisme in toddler) dan :"nners

untuk 'angguan Pemusatan Per!atian dani eraktitas


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6/23

• Seorang anak tidak mencapai

ta!ap perkembangan yangdi!arapkan sesuai denganumurnya$

D*+A

• Keterlambatanperkembangan pada aspekatau lebi! (motorik kasar

atau !alus, bicara atauba!asa, kogniti&, sosial ataupersonal)

• -mur . / ta!un (%0#30)

'lobal

developmental delay


7/23

ETIOLOGY


8/23

ID*1TI2IATI41 42 T* I+D 5ITP4T*1TIA+ D*+4P6*1TA+ D*+A

H ISTORY

P7*1ATA+ P4ST1ATA+

P7*S*1T 2A6I+


9/23

Anamnesis


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13/23

Investigations


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15/23

Treatment

Speec! and language t!erapy4ccupational t!erapy

P!ysical t!erapy and re!abilitation

including mobility and postural support2amily counseling and support

8e!avioral intervention

*ducational assistance


16/23

Prevention

Primar) 5re$enti"n 9

Avoidance o& prenatal e:posure to alco!ol or ot!erto:ins

-se o& prenatal multivitamins, especially &olic acid Appropriate prenatal care

1e;born screening programs &or metabolicdisease

7outine c!ild!ood immuni


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Se/"ndar) 5re$enti"n treatingan underlying

condition to reduce potential cognitive

=adaptive dys&unction

• surveillance in a c!ild at risk &or lead

e:posure• dietary restriction in metabolic

diseases

• t!yroid !ormone replacement in a


18/23

Tertiar) 5re$enti"n 9• *arly identication o& a>ected

individuals

• Access to and provision o&appropriate compre!ensive servicesand resources

• Treatment o& comorbid conditions

• Prevention and treatment o&psyc!osocial disorders$


19/23

TE&IMAKASIH


20/23

7ett Syndrome

• &ett s)ndr"me is aneurodevelopmental disorder o& t!egrey matter o& t!e brain

• &emales more commonly t!an males

• caused by mutations in t!e gene6*P located on t!e ?

c!romosome$ 6*P is &ound neart!e end o& t!e long arm o& t!e ?c!romosome at ?@


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• Development appears to be normaluntil "=% mont!s$

• At around "#% mont!s t!ere is aperiod o& developmental stagnation&ollo;ed by a developmentalregression ;!ere language and

motor milestones regress, purpose&ul!and use is lost, and ac@uireddeceleration in t!e rate o& !ead

gro;t! (resulting in microcep!aly in


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• 7epetitive !and movements, suc! as;ringing andBor repeatedly putting!ands into t!e mout!

• People ;it! 7ett syndrome are proneto gastrointestinal disorders and upto C0 !ave sei


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Denision

'lobal delay can be dened assignicant delay in t;o or moredevelopmental domains9 gross and nemotor speec! and language cognitionpersonal and social development oractivities o& daily living$

+ 6cDonald, A 7ennie, E Tolmie, P 'allo;ay, 7 6c5illiam$Investigation o& global developmental delay$ CC". Arch Dis Child

gdd lap pagi koass 18 juli 2014

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