Penatalaksanaan Sindrom Turner

Oleh :

dr.Nailla Fariq Alfiani

Penatalaksanaan sindrom Turner ditujukan untuk pemantauan dan pengobatan gangguan kardiovaskular secara terus menerus dan pengobatan jangka panjang dengan terapi hormon untuk mencegah konsekuensi yang merugikan dari defisiensi estrogen. Selain itu, jika perempuan dengan sindrom Turner menginginkan kehamilan, penatalaksanaan masalah kesuburan juga harus diperhatikan.

Mengingat kompleksnya masalah pada sindrom Turner maka perlu penanganan secara terpadu antara dokter anak, dokter penyakit dalam, spesialis endokrin, spesialis mata, spesialis telinga, hidung, tenggorokan (THT), spesialis jantung, ahli genetik, psikolog, gynecologists dan reproduction biologists, spesialis bedah ortopedi, serta spesialis nefrologi. [4,6,7,20,30,41]

Medikamentosa

Referensi

2. Shankar Kikkeri N, Nagalli S. Turner Syndrome. Treasure Island (FL): StatPearls Publishing; 2021 Jan. https://www.ncbi.nlm.nih.gov/books/NBK554621/
3. Cui, X., Cui, Y., et al. A basic understanding of Turner syndrome: Incidence, complications, diagnosis, and treatment. Intractable & rare diseases research, 7(4), 223–228. 2018. https://doi.org/10.5582/irdr.2017.01056
4. Daniel MS. Turner Syndrome. Medscape. 2021. https://emedicine.medscape.com/article/949681-overview
6. Rieser P, Davenport M. Turner Syndrome: A Guide For Families. Turner Syndrome Society of the United States. 2017.
7. Ibarra-Ramírez M, Martínez-de-Villarreal LE. Clinical and Genetic Aspects Of Turner's Syndrome. The journal Medicina Universitaria Vol. 18. Issue 70 Pages 42-48 (January - March 2016). DOI: 10.1016/j.rmu.2016.03.003.
18. Turner Syndrom. NHS. 2021. https://www.nhs.uk/conditions/turner-syndrome/symptoms/
20. Aditiawati, Tjahjono HB, et al. Panduan Praktik Klinis Ikatan Dokter Anak Indonesia : sindrom Turner. IDAI. https://spesialis1.ika.fk.unair.ac.id/wp-content/uploads/2018/03/PPK-Sindrom-Turner.pdf
21. Folsom, L. J., Fuqua, J. S. Reproductive Issues in Women with Turner Syndrome. Endocrinology and metabolism clinics of North America, 44(4), 723–737. 2015.
29. Shankar, R. K, Backeljauw, P. F. Current best practice in the management of Turner syndrome. Therapeutic advances in endocrinology and metabolism, 9(1), 33–40. 2018.
30. Yang S. Diagnostic and therapeutic considerations in Turner syndrome. Annals of pediatric endocrinology & metabolism, 22(4), 226–230. 2017.
31. Fuchs, M. M., Attenhofer Jost, et al. Cardiovascular surgery in Turner syndrome - early outcome and long-term follow-up. World journal of cardiology, 12(3), 97–106. 2020.
32. Acosta, Anna M. et al.Orthopaedic Manifestations in Turner Syndrome, Journal of the American Academy of Orthopaedic Surgeons: December 1, 2019 - Volume 27 - Issue 23 - p e1021-e1028 doi: 10.5435/JAAOS-D-17-00796.
33. Lou, R. B., Konofaos, P., Wallace, R. D. Correction of Pterygium Colli in Turner Syndrome: A Clinical Report and Review of the Surgical Management. The Journal of craniofacial surgery, 27(8), 2081–2083. 2016.
34. Donaldson, M. D., Gault, E. J., et al. Optimising management in Turner syndrome: from infancy to adult transfer. Archives of disease in childhood, 91(6), 513–520. 2006.
35. Princis, M. P., Montalbano, C., et al. Diet and Lifestyle Role in Homocysteine Metabolism in Turner Syndrome. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 28(1), 48–55. 2019.
41. Backeljauw P. Management of Turner syndrome in adults. Uptodate. 2020.

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