THYROID FUNCTION DISORDER AND QUALITY OF LIFE ON CHILDBEARING WOMEN IN ENDEMIC AREAS OF IODINE DEFICIENCY

Mutalazimah, Mutalazimah and Asyanti, Setia (2015) THYROID FUNCTION DISORDER AND QUALITY OF LIFE ON CHILDBEARING WOMEN IN ENDEMIC AREAS OF IODINE DEFICIENCY. PROCEEDINGS International Seminar and Workshop on Public Health Action "Building Healthy Community".

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Abstract

Indonesia has not been free from iodine deficiency, new problems that occur in endemic areas of iodine deficiency is the presence of iodine excessive. 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. Participants included 50 childbearing women who living in endemic areas such as in subdistrict Cangkringan Sleman, Yogyakarta and Selo Boyolali, Central Java. We measured two thyroid hormones, TSH and FT4 and we also administered biopsychosocial test by iodine disorder questionnaire (IDQ). We then described result of biochemical measurement with result of biopsychosocial test, and explained the mechanism of the thyroid disorder and quality of life changes. Based on the measurement of TSH and FT4, found childbearing women who suffer subclinical hypothyroidism 2%, subclinical hyperthyroidism 26% and euthyroid 76%. Biopsychosocial characteristics that represented quality of life can be described from hypothyroid subjects is 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goiter, puffy face, dry skin, fatigue, decreased concentration, menorrhagia, easily upset, depressed, apathetic and withdrawn.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, anxiety, sleep disturbances, irritability, decreased motivation and decreased social activity. Thyroid function disorder caused qualityof life changes on childbearing women in endemic area of iodine deficiency . Keywords: thyroid function disorder, quality of life, childbearing women

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