HIPOTIROID KONGENITAL BERBAHAYAKAH?

Summary

In this video, Dr. Darmawati, a pediatric endocrinologist at RSIA Puri in Denpasar, discusses congenital hypothyroidism, a prevalent condition in Indonesian newborns that often goes undetected. Symptoms, such as a distinctive facial appearance and developmental delays, are subtle and can be detected best within 48 to 72 hours after birth. Early detection and treatment are crucial to prevent lifelong developmental issues, emphasizing the importance of a simple blood test to ensure normal growth and development for affected children.

Takeaways

• 👩‍⚕️ The speaker is Dr. Darmawati, a pediatric endocrinologist working at RSIA Puri, Denpasar.
• 👶 The script discusses congenital hypothyroidism, a common concern for newborns in Indonesia.
• 🔍 95% of cases of this disease are asymptomatic, making early detection crucial.
• 🕒 The optimal time for detection is within 48 to 72 hours after birth, or 2-3 days.
• 🤔 Symptoms of congenital hypothyroidism are similar to Down syndrome and include a characteristic facial appearance with wide epicanthal folds and a large tongue.
• 👶 Physical signs may include a marbled skin appearance, a low-set hairline, and a protruding navel with associated developmental delays.
• 🧠 Untreated, children with congenital hypothyroidism may have an IQ less than 70 and experience developmental delays in speech and motor skills.
• 🌟 Early detection and treatment can ensure that children with congenital hypothyroidism grow and develop like their peers.
• ⏳ The urgency of treatment is highlighted, as it should begin within a month of birth to prevent lifelong conditions.
• 🩸 Screening for congenital hypothyroidism is as simple as a single blood test, which can prevent lifelong impacts.
• 💪 The message emphasizes the importance of early detection and intervention to ensure children can live and grow like others.

Q & A

What is the main topic of the video script?

The video script discusses congenital hypothyroidism, a common condition affecting newborns in Indonesia.

What percentage of congenital hypothyroidism cases in Indonesia are asymptomatic?

95% of congenital hypothyroidism cases in Indonesia are asymptomatic.

What is the optimal time frame for detecting congenital hypothyroidism in newborns?

The optimal time frame for detecting congenital hypothyroidism is within 48 to 72 hours after birth.

What are some of the physical symptoms associated with congenital hypothyroidism?

Physical symptoms include a characteristic facial appearance with a broad epicanthus, wide-set eyes, a large tongue, a small jaw, and a low-set ears.

What type of skin condition is often found in children with congenital hypothyroidism?

A skin condition resembling mottled porcelain or marble is often found in children with congenital hypothyroidism.

What is the common complication in the abdominal area for children with congenital hypothyroidism?

A common complication is an umbilical hernia, which is a protrusion of the intestines in the abdominal center.

How does congenital hypothyroidism affect a child's growth and development if left untreated?

Untreated congenital hypothyroidism can lead to poor cognitive development, with an IQ less than 70, and developmental delays such as speech and motor skills.

What is the main difference between congenital hypothyroidism and Down syndrome?

The main difference is that congenital hypothyroidism, if detected and treated early, allows for normal growth and development, unlike Down syndrome.

Why is early detection and treatment of congenital hypothyroidism crucial?

Early detection and treatment are crucial because they can prevent lifelong conditions and ensure that the child grows and develops like others.

What is the recommended method for early detection of congenital hypothyroidism?

The recommended method for early detection is a simple blood test within the first few days after birth.

What is the timeframe for starting treatment after detecting congenital hypothyroidism?

Treatment should ideally begin within one month of birth to prevent developmental challenges.