HIPOTIROID KONGENITAL BERBAHAYAKAH?

Puri Bunda TV

10 Jan 202102:55

Summary

TLDRIn 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.

Outlines

00:00

👶 Congenital Hypothyroidism: Detection and Symptoms

This paragraph introduces Dr. Ayah Bunda, a pediatric endocrinologist who works at RSIA Puri in Denpasar, and discusses congenital hypothyroidism, a common concern for newborns in Indonesia. The doctor explains that 95% of cases show no symptoms, making early detection crucial within the first 48 to 72 hours post-birth. Symptoms, when present, include distinctive facial features such as wide epicanthal folds, a large tongue, a small jaw, and a low-set ears, as well as skin that appears marbled or porcelain-like. Additionally, there may be an umbilical hernia and developmental delays if untreated, which can lead to cognitive and motoric issues. The paragraph emphasizes the importance of early detection and treatment to ensure normal growth and development in affected children.

Mindmap

Keywords

💡Hypothyroidism

Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones. In the context of the video, it specifically refers to Congenital Hypothyroidism, a condition present at birth. The video discusses its prevalence and importance in early detection for preventing developmental issues in infants.

💡Congenital Hypothyroidism

This term is used to describe a form of hypothyroidism that is present from birth. The video emphasizes its asymptomatic nature in 95% of cases, making early detection crucial. It is a central theme of the video as it discusses the symptoms, diagnosis, and treatment of this condition.

💡RSIA Puri, Bunda Denpasar

RSIA Puri, Bunda Denpasar is the hospital where the speaker, a pediatric endocrinologist, works. It provides a context for the speaker's authority on the subject and the setting where the condition is discussed.

💡Asymptomatic

Asymptomatic refers to a condition that does not show any symptoms. The video mentions that 95% of congenital hypothyroidism cases are asymptomatic, highlighting the challenge of early detection and the importance of screening.

💡Screening

Screening in this context refers to the process of testing newborns for congenital hypothyroidism. The video stresses the importance of early screening within 48 to 72 hours after birth to ensure timely treatment.

💡Symptoms

The video lists several symptoms associated with congenital hypothyroidism, such as a wide epicanthus, wide-set eyes, large tongue, small jaw, and low-set ears. These symptoms help in the identification of the condition.

💡Marble-like Skin

This term describes a specific skin appearance often associated with congenital hypothyroidism, where the skin may look like marble or porcelain. It is used in the video to illustrate one of the physical signs of the condition.

💡Hernia

Hernia is mentioned in the video as a common occurrence in children with congenital hypothyroidism, specifically an umbilical hernia, which is a protrusion of the intestines through the navel.

💡Developmental Delay

Developmental delay refers to a slower than normal progression in physical, cognitive, or emotional skills. The video explains that untreated congenital hypothyroidism can lead to cognitive impairments and motor delays in children.

💡Therapy

In the context of congenital hypothyroidism, therapy refers to the medical treatment provided to affected infants to ensure normal growth and development. The video emphasizes the importance of starting therapy within the first month of life.

💡Down Syndrome

Down Syndrome is a genetic disorder caused by an extra copy of chromosome 21. The video differentiates congenital hypothyroidism from Down Syndrome, noting that while both can present with similar symptoms, early detection and treatment of hypothyroidism can prevent lifelong conditions.

Highlights

The speaker is a pediatric endocrinologist specializing in children's health.

Discussing a common disease affecting newborns in Indonesia, hypothesized to be asymptomatic in 95% of cases.

The optimum time for detection of this disease is within 48 to 72 hours post-birth.

The disease is referred to as congenital hypothyroidism.

Symptoms are similar to Down syndrome and include distinctive facial features.

Facial features include wide epicanthal folds and a broad space between the eyes.

Large tongue, small jaw, and low-set ears are characteristic symptoms.

Skin may appear marbled or porcelain-like.

Hernias, particularly umbilical, are common in affected children.

Growth and developmental delays are associated with untreated congenital hypothyroidism.

Untreated cases can lead to cognitive impairments and motor delays.

Early detection and treatment can result in normal growth and development.

The importance of starting treatment within one month of birth is emphasized.

A simple blood test is recommended for early screening to prevent lifelong conditions.

The urgency of early screening is highlighted due to the asymptomatic nature of 95% of cases.

The potential for a child to live and grow like others if diagnosed and treated early is underscored.