Kontrasepsi (PIL)
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Kontrasepsi (PIL)
Created by :Wirda Yunita081.0211.143
![Page 2: Kontrasepsi (PIL)](https://reader036.fdocuments.net/reader036/viewer/2022082610/55cf8ed7550346703b9636d3/html5/thumbnails/2.jpg)
Definisi
• A small globular mass of some coherent, but soluble, substance containing a medicine substance to be swallowed.
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Indikasi
• Mencegah terjadinya ovulasi
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Kontraindikasi (mutlak)
• Terdapat tromboflebitis/riwayat tromboflebitis
• kelainan serebrovaskular
• Fungsi hati tidak atau kurang baik,
• Adanya keganasan pada kelenjar payudara dan alat reproduksi
• Adanya kehamilan dan
• Varises berat
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Kontraindikasi (relatif)
• Hipertensi
• Diabetes
• Perdarahan abdominal per vaginam yabg tdk jelas sebabnya
• Laktasi
• Fibromioma uterus
• Peny. Jantung atau ginjal
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Mekanisme kerja
• Estrogen Estrogen mempunyai jalan mempengaruhi ovulasi , perjalanan ovum atau implantasi.
• Ovulasi di hambat mll pengaruh estrogen thd hipotalamus dan menghambat FSH dan LH.
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• Implantasi dihambat o/ estrogen dgn dosis tinggi (stilbestrol,etinil estradiol).yg di berikan pd pertengahan siklus haid.
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Progesteron F/ menyiapkan endometrium untuk implantasi dan mempertahankan kehamilan.
Khasiatnya :
-Lendir serviks mengalami perubahan menadi lebih pekat ,shg penetrasi dan transportasi sperma slanjutnya lbh sulit.
-Kapasitasi sperma dihambat o/ progesteron
-Perjalanan ovum ke tuba akan terhambat jika progesteron di berikan sebelum konsepsi.
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• Implantasi di hambat bila progesteron di berikan sebelum ovulasi.
• Penghambatan ovulasi mll fungsi HPO aksis
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Referensii
• Ilmu Kebidanan Sarwono
• Stedman’s dictionary