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    Penilaian Status Gizi Secara Biokimia: Dr. Ety Yuni Ristanti, SKM, MPH

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    sunarti wally
    This document discusses assessing nutritional status through biochemical analysis. It provides definitions and uses of examining body specimens in laboratories to determine specific nutritional status. Key indicators for assessing anemia and iron deficiency through biochemical parameters like hemoglobin, hematocrit, serum iron, ferritin, transferrin saturation and free erythrocyte protoporphyrin are presented. Normal values for various populations are also outlined. Biochemical analysis of protein and metabolites can provide nutritional status indicators like albumin and prealbumin levels. Assessment of vitamin A and iodine deficiency through biochemical parameters in blood, urine and tissues are also summarized.

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    Penilaian Status Gizi Secara Biokimia: Dr. Ety Yuni Ristanti, SKM, MPH

    Uploaded by

    sunarti wally
    110 views16 pages
    This document discusses assessing nutritional status through biochemical analysis. It provides definitions and uses of examining body specimens in laboratories to determine specific nutritional status. Key indicators for assessing anemia and iron deficiency through biochemical parameters like hemoglobin, hematocrit, serum iron, ferritin, transferrin saturation and free erythrocyte protoporphyrin are presented. Normal values for various populations are also outlined. Biochemical analysis of protein and metabolites can provide nutritional status indicators like albumin and prealbumin levels. Assessment of vitamin A and iodine deficiency through biochemical parameters in blood, urine and tissues are also summarized.

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    PSG Biokimia

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    This document discusses assessing nutritional status through biochemical analysis. It provides definitions and uses of examining body specimens in laboratories to determine specific nutritional status. Key indicators for assessing anemia and iron deficiency through biochemical parameters like hemoglobin, hematocrit, serum iron, ferritin, transferrin saturation and free erythrocyte protoporphyrin are presented. Normal values for various populations are also outlined. Biochemical analysis of protein and metabolites can provide nutritional status indicators like albumin and prealbumin levels. Assessment of vitamin A and iodine deficiency through biochemical parameters in blood, urine and tissues are also summarized.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    110 views16 pages

    Penilaian Status Gizi Secara Biokimia: Dr. Ety Yuni Ristanti, SKM, MPH

    Uploaded by

    sunarti wally
    This document discusses assessing nutritional status through biochemical analysis. It provides definitions and uses of examining body specimens in laboratories to determine specific nutritional status. Key indicators for assessing anemia and iron deficiency through biochemical parameters like hemoglobin, hematocrit, serum iron, ferritin, transferrin saturation and free erythrocyte protoporphyrin are presented. Normal values for various populations are also outlined. Biochemical analysis of protein and metabolites can provide nutritional status indicators like albumin and prealbumin levels. Assessment of vitamin A and iodine deficiency through biochemical parameters in blood, urine and tissues are also summarized.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    PENILAIAN STATUS

    GIZI SECARA
    BIOKIMIA

    Dr. Ety Yuni Ristanti, SKM, MPH

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    Section Break
    Insert the Subtitle of Your Presentation
    Pengertian
    Pemeriksaan spesimen yg diuji scr
    laboratoris pd berbagai jaringan
    tubuh

    Ex : Agenda
    Darah, Urine, tinja,
    Hati, Otot, dll
    Style
    Your Picture Here

    Pengunaan :

    - Dpt menentukan status gizi spesifik


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    PENILAIAN STATUS
    GIZI ANEMIA GIZI
    Secara Biokimia

    INDIKATOR
    Hb, Hematokrit, Serum Besi, Serum
    Ferritin, Transferin Saturation, FEP

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    HEMOGLOBIN (Hb)

    Pemeriksaan Hb dpt tentukan prevalensi Anemia

    01 A. METODE SAHLI
    - Kesalahan 2 – 3 kali
    - Hb + Hcl ➔ Globin Fe ++ Heme ➔ O2
    02
    ➔ Fe +++ Heme + Ion cl ➔ Ferri
    Hemeclorid (coklat)

    03

    04
    B. METODE CYANMETHEMEGLOBIN
    - Hb Oksidasi K. Peroksida ➔
    Methemoglobin ➔ Ion Sianida ➔
    Sian – Methemoglobin (merah)
    - Hasil lbh obyektif

     NILAI NORMAL
    - Laki – Laki : 14 – 18 gr %
    - Wanita : 12 – 16 gr %
    - Wanita Hamil : 11 gr %

    AWESOME
    SLIDE
    HEMATOKRIT (HCT)

    -Volume SDM yg terpisah dr plasma


    - Estimasi scr tdk langsung Hb (HCT
    3 X Hb)

     HARGA NORMAL
    - Laki – laki : 40 – 54 % Kepler
    - Wanita : 37 – 47 %
    - laki – laki : 42 – 50 % Wells
    - Wanita : 40 – 48 %
    FREE ERYTHROCYTE
    SERUM FERRITIN TRANSFERIN PROTOPHORPHYRIN
    (SF) SATURATION (TS) (FEP)
    Content Here

    - Menilai kecukupan Fe utk


    - Menilai status besi - Menilai kadar Fe pembtk SDM di SSM
    di hepar dlm serum Tulang
    - SF < 12 µg /L - TS < 16 %
    (Defisiensi Fe) (Defisiensi Fe) - Normal : 35 – 50 µg/dl RBC
    - Metode : IRMA, - TIBC tinggi - FEP > 100 µg/dl ( Defisiensi
    RIA, ELLISA (Anemia Gizi Fe)
    . Besi) - Metode : Flurometic
    PSG BIOKIMIA KEP
    ANALISIS BIOKIMIA YG DIGUNAKAN
    Nilai Protein & Hasil Metabolit
    Protein (Darah, Urine)

    INDIKATOR
    - Rasio As Amino Bebas (Plasma)
    - Plasma Protein, Albumin, Prealbumin
    - Plasma Transferin
    HARGA NORMAL
    - Albumin : 3,5 – 5 gr/dl
    - Globulin : 1,5 – 3 gr/dl
    - Fibrinogen : 0,2 – 0,8 gr/dl
    PRE – ALBUMIN
    - Gizi Baik : 23,8 ± 0,9 mg/dl
    - Gizi Sedang : 16,5 ± 0,8 mg/dl
    - Gizi Kurang: 12,4 ± 1,0 mg/dl
    - Marasmus : 7,6 ± 0,6 mg/dl
    - Mars – Kwas : 3,3 ± 0,2 mg/dl
    - Kwashiorkor : 3,2 ± 0,4 mg/dl
    SERUM ALBUMIN
    - < 1 Th : Cukup > 2,5 gr/dl
    - 1 sd 5 Th : Cukup > 3 gr/dl
    - 6 sd 16 Th : Cukup > 3,5 gr/dl
    - 16 Th
    Cukup : > 3,5 gr/dl
    Kurang : < 2,8 gr/dl
    Margin: 2,8 – 3,4 gr/dl
    - Wanita Hamil
    Cukup : > 3,5 gr/dl
    Kurang : < 3,5 gr/dl
    Margin : 3 – 3,4 gr/dl
    SERUM PROTEIN
    - < 1 Th : Cukup > 5 gr/dl
    Margin < 5 gr/dl
    - 1 sd 5 Th : Cukup 5,5 gr/dl
    Margin < 5,5 gr/dl
    - 6 sd 16 Th : Cukup 6 gr/dl
    Margin < 6 gr/dl
    - > 16 Th : Cukup 6 gr/dl
    Kurang 5,5 gr/dl Margin 6,5 – 5,9 gr/dl

    INDIKATOR KEP
    Abumin/Globulin, Kolest & Hb turun
    PSG BIOKIMIA KVA
     PROSES
    Cadangan Vit A Hepar << ➔
    Deplesi Vit A dlm tbh ➔ Kadar Vit A
    plasma turun ➔ Disfungsi Retina ➔
    perubahan epitel
     INDIKATOR
    1. Vit A Plasma Normal : ≥ 30 µg/dl
    KVA : < 5 µg/dl
    2. Vit A Hepar Normal : ≥ 15 µg/dl
    KVA : <15 µg/dl
    3. RBP Normal : ≥ 20 µg/dl
    KVA : < 20 µg/dl
    PSG BIOKIMIA GAKI
     INDIKATOR
    1. Ekskresi Iodium dlm Urine
    - N > 50 µg/gr Creatinin
    - Endemis Sedang : 25 - 50 µg/gr
    Creatinin
    - Endemis Berat : < 25 µg/gr
    Creatinin
    2. TSH
    - N : 0,5 – 4,7 µg/ml
    THANK YOU
    Insert the Subtitle of Your Presentation

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