Kajian Patofisiologis Gejala Klinis dan Psikososial Sebagai Dampak Gangguan Fungsi Tiroid pada Wanita Usia Produktif

Mutalazimah Mutalazimah(1*), Budi Mulyono(2), Bhisma Murti(3), Saifuddin Azwar(4)

(1) Program Studi Gizi Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta Jl. A Yani Tromol Pos I, Pabelan, Surakarta Mahasiswa Program Doktor Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
(2) Bagian Patologi Klinis RSUP DR. Sardjito Yogyakarta
(3) Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran UNS
(4) Fakultas Psikologi Universitas Gadjah Mada Yogyakarta
(*) Corresponding Author

Abstract

Indonesia has not been free from iodine deficiency, demonstrated by the increased prevalence of
total goitre rate (TGR) from 9.8% in 1998, to 11.1% in 2003. New problem that occurs in endemic areas of
iodine deficiency is the presence of iodine excessive, one of them as the impact of universal salt iodization
program (USI) and iodiol supplementation in a long period of time. Both deficiency and excessive of iodine
can result in thyroid dysfunction. Impaired thyroid function is manifest broadly on biopsychosocial aspects,
which is detrimental especially for childbearing women, as a determinant of survival and quality of life for
future generations. Based on the measurement of TSH and FT4, were childbearing women who suffer
subclinical hypothyroidism were 2%, subclinical hyperthyroidism were 26% and euthyroid were 76%.
Biopsychosocial characteristics that can be described from hypothyroid subjects are visible goiter, puffy
face, dry skin, fatigue, decreased concentration, menorrhagia, easily upset, depressed, apathetic and withdrawn.
Meanwhile, the varying percentage of subjects with subclinical hyperthyroidism showed signs and
symptoms
include a palpable
goiter,
heat intolerance, exophthalmos, tiredness, pritibial edema, muscle
weakness,
delicated skin, poor memory,
decreased concentration, menstrual disorders, decreased sexual
libido,
anxiety,
sleep disturbances, irritability,
decreased motivation and decreased social activity.
Therefore
that
the impact of thyroid dysfunction on a biopsychosocial characteristics, does not continue to secondary
diseases,
efforts are needed to increase community awareness to recognize the signs and symptoms of
biopsychosocial
changes. Therefore, the condition of iodine deficiency and excessive can be detected early
and
overcame with adequate therapy.

Keywords

Iodine Deficiency; Iodine Excessive; Thyroid Dysfunction; Biopsychosocial

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DOI: 10.23917/jk.v6i1.5506

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