Ns. Ikeu - Adaptasi Fisiologis Sistem Digestif Pada Neonatus

7/24/2019 Ns. Ikeu - Adaptasi Fisiologis Sistem Digestif Pada Neonatus

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DGD]WDYE BEYEJLJOEYYEYW@F GEO@YWER@

]DGD N@JNDWPY

Eh`u Nuraegdyda, F.H`p., Ns.,Yp.H`p.Dn


2/36


3/36

Yest`f Geo`stev`

Yest`f geo`stev` dgdlda sest`f tukuaydno f`fpunyde p`rdndn p`nteno gdldf3

]`ny`geddn nutre`n kdoe tukua

]`no`ludrdn sesd p`ni`rnddn h`ludrtukua

]`rtdadndn tukua gdre fehrjjrodnesf`

ydno fdsuh f`ldlue fdhdndn


4/36

Nutre`n f`rupdhdn zdt ydno sdnodt gekutuahdnjlà tukua untuh p`fk`ntuhdn `n`roe ydno

gep`rluhdn jlà s`tedp cdrenodn gdldf f`ldhuhdndhtebetdsnyd.

]dgd fdsd entrdut`ren` p`f`nuadn h`kutuadnt`rs`kut geldhuhdn f`ldlue pldi`ntd

Kòetu ldaer aukunodn g`nodn eku l`wdtplds`ntd geputus geodntehdn jlà sest`fgeo`stev` k`h`rcdsdfd g`nodn sest`f

idrgejvdshul`r gdn sest`f r`sperdse Kdye Kdru Ldaer adrus f`fulde untuh

f`fdsuhhdn(f`n`ldn) , f`ni`rnd gdnf`nodksjrkse fdhdndn.


5/36

Jrodn p`ni`rnddn n`jndtus

Yusundn sdlurdn p`ni`rnddn t`rgere gdre 3 -

Jres (fulut) - Bdreno - @sjbdous(h`rjnohjnodn) - Psus adlus - Psus k`sdr -

[`htuf - Dnus


6/36

]`fk`ntuhdn `nzef sest`f

p`ni`rnddn pdgd n`jndtus

@nzef-`nzef p`nteno untuh f`ni`rnd

hdrkjaegrdt, prjt`en, gdn l`fdh s`g`radnd

dgd pdgd fenoou h`-92-91 used o`stdse.

Kdye kdru ldaer iuhup kuldn fdfpu f`n`ldn,

f`ni`rnd, f`f`tdkjlesf` gdn f`nodksjrkse

prjt`en gdn hdrkjaegrdt s`g`radnd s`rtd

f`no`fulse l`fdh (C`ns`n `t dl., ;==7).


7/36

@nzef p`ni`rnddn n`jndtus3

Dfelds` pdnhr`ds f`nodldfe g`bese`nse s`ldfd 9-2 kuldnp`rtdfd s`t`lda ldaer, s`aenood KKL tegdh kesd f`ni`rnd

c`nes hdrkjaegrdt ydno hjfpl`hs s`p`rte ydno t`rgdpdt

pdgd s`r`dl.

]`rh`fkdnodn dhtebetds ldhtds` k`rldnosuno r`ldtebldfkdt gdn f`nidpde tenohdt dg`hudt pdgd used o`stdse

92 fenoou.

Y`lden etu KKL cuod f`nodldfe g`bese`nse lepds` pdnhr`ds.

L`fdh ydno dgd ge gdldf DYE l`kea kesd gei`rnd gdn l`keas`sude untuh kdye gdre pdgd l`fdh ydno t`rgdpdt pdgd

susu bjrfuld ( Ojrre`, `t dl., ;==1).


8/36

Ijnt

Psus kdye kdru ldaer r`ldtev` tegdh fdtur.

Yest`f jtjt ydno f`nyusun jrodn t`rs`kut l`kea tepes gdn

hurdno `bese`n gekdngenohdn pdgd jrdno g`wdsd s`aenood

o`ljfkdno p`restdlteh tegdh gdpdt gepr`gehsehdn.

Lepdtdn gdn vele gengeno usus k`luf k`rh`fkdno s`fpurnd.

Y`l `pet`l ydno f`ldpese usus adlus kdye kdru ldaer tegdh

k`rodnte g`nodn i`pdt s`aenood f`nenohdthdn dksjrks ydno

pdleno `b`hteb.

Dwdl p`fk`redn fdhdn jrdl f`nstefuldse ldpesdn usus dodr

fdtur g`nodn f`nenohdthdn p`rodntedn s`l ydno i`pdt gdn

prjguh `nzef fehrjvelus, s`p`rte dfylds`, trepsen, gdn lepds`

pdnir`ds.


9/36

Dgdptdse Besejljoes Yest`f]`ni`rnddn N`jndtdl4. ]`rukdadn Ajrfjndl 3

Ijrtesjl

Idta`ijldfen

;. F`tdkjlesf` `n`roy

9. ]`rukdadn dndtjfe & bunose

sest`f i`rnd


10/36

Entrdut`ren`

Beljrus gdn bungus, odst`r, t`rk`ntuh used o`stdse47 fenoou. Ypenht`r `sjbdodl t`rk`ntuh used o`stdse ;1

fenoou, usus t`rk`ntuh used ;= fenoou, pdncdnousus ;0=-9==if ky t`rf, hdpdsetds odst`rs`hetdr 9= fl.

r`bl`hs f`n`ldn sugda fulde t`rleadt gdreh`oedtdn f`n`ldn gdn f`noaesdp dfnejn

O`rdhdn f`noaesdp dhteb tdfpdh pdgd ;2-;1

fenoou. Iderdn `fp`gu fulde geprjguhse s`cdh dhaer

tref`st`r p`rtdfd, geehute g`nod s`lurua `nzef-`nzef p`ni`rnddn ldennyd.


11/36

PO ;1 fenoouhdpdsetds kejhefed gdn besejljoesuntuh geo`steb & dksjrpse sugda dgd.

@nzef-`nzef p`nteno untuh f`ni`rnd hdrkjaegrdt,

prjt`en, gdn l`fdh s`g`radnd (pjlep`pteg`3 odstren,fjtelen, hjl`sestjhenen, pdnir`dtei` pjlyp`pteg`,sjfdtjstdten) dgd pdgd fenoou h`-92-91 used o`stdsesugda fulde gek`ntuh untuh f`fp`rsedphdnh`ldaerdn (h`aegupdn cdnen `hstrdut`ren)

Wrdnspjrt ent`stendl dsdf dfenj (47 fenoou), oluhjsd(41 fenoou), BBD (;7 fenoou)


12/36

Ldhtjsdsufk`r hdrkjaegrdt pr`gjfendn

ydno t`rgdpdt pdgd DYE/bjrfuld. Dhtevetdsldhtds` (f`rukda lditjsdoluhjsd) t`rleadtpdgd PO 5 fenoou, gdn PO ;7 fenoouf`nidpde ldhtds` pg n`jndtdl, p`nenohdtdn

grdfdtes t`rcdge pdgd PO 9;-97 fenoou. Gesdhdregds` (dfelds`, fuhjsdl oluhjdfelds`)

dhteb sddt PO ;?-;1 fenoou

Y`hr`se `fp`gu t`rcdge pdgd PO ;; fenoou Y`hr`se dsdf ldfkuno t`rcdge pdgd PO ;=

fenoou


13/36

]rjs`s p`ni`rnddn cdnen k`luf t`rcdge sìdrd dhteb(endhteb), h`kutuhdn cdnen dhdn nutrese tegdh gep`nuaeg`nodn sest`f p`ni`rnddnnyd t`tdpe gep`rjlà gdre

plds`ntd. [`bl`hs fdhdn pdgd cdnen gegdldf hdngunodn sugda

fulde t`rleadt gdre hòedtdn f`n`ldn dfnejn gdnf`noaesdp.

Hjjrgendse Njn nutretev` suiheno t`rleadt pdgd PO ;1fenoou, suih-swdlljw ijjrgendtejn t`rcdge pdgd PO97-92 fenoou (Kldihkurn, ;=49).

Fjteletds OEhjntrdhse rdngjf t`rleadt PO ;0-9=fenoou, fjteletds f`nenohdt PO 9=-9; fenoou,fjteletds l`kea t`rjrodneser > 97 fenoou ldaer(Kdihkurn, ;=498 Geffet & Yekl`y, ;=4;).


14/36

Ijnt F`hjneuf, f`rupdhdn ese ydno utdfd t`rutdfd

pdgd sdlurdn p`ni`rnddn cdnen, tdfpdh fulde used

42 fenoou, f`hjneuf tegdh geh`ludrhdn s`ldfd cdnenk`rdgd gegdldf ut`rus (tegdh t`rcdge prjs`s g`b`hdse)hdr`nd p`restdlteh k`luf dhteb h`iudle pdgd b tdlgestr`s.

]dgd cdnen ydno f`nodldfe b`tdl gestr`s,t`rcdge p`n`hdndn pdgd dkgjf`n gdn spenot`r dndlf`nodldfe r`ldhsdse s`aenood f`hjneuf ydnot`rsefpdn gdldf usus h`ludr gdn k`ridfpur der

h`tukdn. Jhseo`ndse cdnen utdfd t`tdp k`rdsdl gdre serhuldse

fdt`rndl-b tdl f`ldlue plds`ntd gdn tdle pusdt.


15/36

@hstrdut`ren` N`jndtus dt`rf fdfpu f`ni`rnd gdn dksjrkse DYE s`cdh

ldaer Bdhtjr p`rtufkuadn sp`sebeh-sp`se`s ge der susu p`nteno untuh

f`ngjrjno p`rh`fkdnodn p`ni`rnddn pdsid ndtdl.

Psus n`jndtus f`felehe hdpdsetds p`ni`rnddn gdn p`ny`rdpdn ydnoefdtur t`tdpe t`rgdpdt s`cuflda f`hdnesf` hjfp`nsdse, t`rutdfduntuh kdye ydno f`gdpdt der susu eku (L`k`ntadl & Lùno, ;==1).

Ypenot`r idrgedi dntdrd `sjpadous gdn ldfkuno pdgd n`jndtus fdseaeffdtur` (Jlgs, `t dl., ;=4=), f`nodldfe r`ldhsdse sàenood gdpdtf`ny`kdkhdn ròuroetdse fdhdndn sò`rd s`t`lda gek`rehdn (Ojrre`, `tdl., ;==1).

[òuroetdse cuod gdpdt t`rcdge hdr`nd hjntrjl p`rsdrdbdn pdgd ldfkunok`luf s`fpurnd (Jlgs, `t dl., ;==1).

Yddt ldaer hdpdsetds ldfkuno KKL s`hetdr 2 fl/ho KK, dtdu rdtd-rdtds`hetdr 0=-2= ii, t`tdpe sò`rd k`rtdfkda sdfpde s`hetdr 5= fl s`ldfdk`k`rdpd adre p`rtdfd hàegupdn.

Ldfkuno dhdn hjsjno gdldf 9 cdf (Jlgs, `t dl., 451=) untuhp`fdsuhdn fdhdndn gdn hjsjno s`fpurnd gdldf ; sdfpde 7 cdf.

(Ojrre`, `t dl., 4551).


16/36

@hstrdut`ren` N`jndtdl funohen f`nodldfe h`t`rldfkdtdn

gdldf odstei `fptyeno hdr`nd hjntrdhse p`rsetdltehfdsea k`rsebdt rdngjf, r`spjn gjug`nuftradgdp fdhdndn fdsea efdtur, hjntrdhsegujg`ndl efdtur g`ldy`g odstrei `fptyeno.

]`restdlteh f`ncdge l`kea t`rjrodneser, gujg`ndlr`spjns`s & odstrei `ftyeno tef` efprjv`ss`cdldn go f`nenohdtnyd o`stdsejndl do`, r`ourdl`nt`rdl b``geno (4= adre) f`felehe `b`h fdturdsepjseteb t`radgdp gujg`ndl r`spjn (Kldihkurn,;=498 Geffet & Yekl`y, ;=4;).


17/36

@hstrdut`ren`

KKL f`fpunyde usus ydno l`kea pdncdno gdldf

uhurdnnyd t`radgdp k`sdr kdye gdn cehd

gekdngenohdn g`nodn jrdno g`wdsd.H`dgddn ene

f`ny`kdkhdn dr`d p`rfuhddn untuh dksjrkse

l`kea luds (Ojrre`, `t dl., 4551). Keseno usus pdgd h`dgddn njrfdl gdpdt geg`nodr

pdgd 7 hudgrdn dkgjf`n gdldf cdf p`rtdfd

s`t`lda ldaer dhekdt kdye f`n`ldn ugdrd sddtf`ndnoes gdn syst`f sdrdb sefpdtes f`rdnosdno

p`restdltei (Yefpsjn & Ir``adn, ;==4).


18/36

@hstrdut`ren`

Yddt ldaer sdlurdn i`rnd st`rel. Y`hdle kdye t`rpdpdr g`nodn lenohunodn ludr gdn

iderdn fulde fdsuh, kdht`re fdsuh h` sdlurdn i`rnd.

Bljrd njrfdl usus dhdn t`rk`ntuh gdldf k`k`rdpd

adre p`rtdfd h`aegupdn (Ojrre`, `t dl., 4551)

s`aenood f`shepun sdlurdn i`rnd st`rel sddt ldaer,

pdgd h`kdnydhdn kdye kdht`re gdpdt gehultur gdldf

0 cdf s`t`lda ldaer. Kdht`re ene p`nteno untuh p`ni`rnddn gdn untuh

sent`sd vetdfen H (Jlgs, `t dl., 451=).


19/36

[`bl`hs Fdhdn

Y`cdh ldaer, s`jrdno kdye njrfdl gdpdt f`noaesdp

gdre puteno pdyugdrd, f`nydlurhdn der susu h` kdoedn

k`ldhdno fulut gdn f`n`ldnnyd s`ldfd 0-4= f`net

sdfkel k`rndbds njrfdl. W`rgdpdt prjordf r`bl`h gdn p`reldhu kdwddn, ydno

f`ncdge s`fdhen c`lds gdldf s`hetdr sdtu cdf s`t`lda

p`rsdlendn, t`rfdsuh h`fdfpudn k`ro`rdh gdre

p`rut eku h` pdyugdrd, dhtebetds tdnodn t`rhjjrgendse,o`rdhdn f`nidre puteno pdyugdrd, f`l`hdt h`

pdyugdrd, gdn f`noaesdp s`k`luf kdye tegur.


20/36

Ijnt

Y`ntuadn pdgd ldnoet-ldnoet f`feiu r`bl`h f`noaesdp.

N`jndtus f`fp`rleadthdn h`rcd rdadno retfeh, ydnof`feiu t`hdndn n`odteb gdn h`rcd p`restdlteh legda gdn

rdadno f`f`rds der susu gdre pdyugdrd gdn

f`fengdahdnnyd h`h`rjnohjnodn ydno h`fugedn

f`feiu r`bl`h f`n`ldn.

Hjjrgendse Njn nutretev` suiheno t`rleadt pdgd PO ;1

fenoou, suih-swdlljw ijjrgendtejn t`rcdge pdgd PO 97-

92 fenoou (Kldihkurn, ;=49).

]dgd n`jndtus njrfdl, r`bl`hs f`nyusu ene hudt sddt

ldaer gdn sugda tdfpdh pdgd kdye pr`fdtur` s`cdh used

s`hetdr 9; fenoou (s`hetdr 4;==o).


21/36

Kdye ydno sdnodt pr`fdtur gdn f`r`hd ydnok`r`sehj sdhet dtdu k`rdt ldaernyd sdnodtr`ngda f`fp`rleadthdn p`nurundn ydno

f`nijljh dtdu tegdh dgdnyd r`bl`hsf`noaesdp.

Kdye lden gdpdt f`nodldfe fdsdlda fdhdn3kdye g`nodn hjno`netdl ldkej-pdldtjshezes, kdyeg`nodn s`gdse dtdu dndlo`sed jkst`treh, kdyeydno str`s k`rdt sddt p`rsdlendn.


22/36

Ijnt [`bl`h f`noaesdp gdn f`n`ldn gekdntu jlà

hjnbeourdse fjrbjljoes fulut n`jndtus ydnohausus, ldnoet-ldnoet lundhnyd sìdrdprjpjrsejndl l`kea pdncdno.

N`jndtus cuod f`felehe r`bl`hs `hstruses`kdode r`spjn t`radgdp dgdnyd kdadn pdgdtdtdu s`t`noda pdgdt gegdldf fulutnyd.

[`bl`hs ene aeldno pdgd used 7-2 kuldn gdn

geodnte jlà sudtu pjld o`rdhdn f`nooeoetretfeh ydno k`rsdfddn g`nodn tufkuanydoeoe p`rtdfd pdgd used ?-5 kuldn.


23/36

G`b`hdse pdgd n`jndtdl3

B`s`s p`rtdfd ydno ge`hsr`se jlà kdye ges`kut f`hjneuf,k`rwdrnd o`ldp, aetdf hàecdudn, h`ntdl, hjnsest`nsenyd s`p`rtedspdl, l`fkut, tegdh k`rkdu, gdn l`noh`t.

]`no`ludrdn f`hjneuf, sudtu idfpurdn fuhus, s`l `pet`l, dsdfl`fdh, gdn peof`n `fp`gu (ydno f`ny`kdkhdn wdrnd hads aetdfhàecdudn). F`hjneuf k`rdsdl gdre3

Y`l-s`l fuhjsd gengeno sdlurdn i`rnd ydno f`nodldfe g`shudfdsegdn rjntjh

Iderdn/`nzef ydno ges`hr`se s`pdncdno sdlurdn i`rnd,fulde gdresdlevd sdfpde `nzef-`nzef p`ni`rnddn

Iderdn dfnejn ydno gefenuf cdnen, ydno hdgdno cuod f`nodngunoldnuoj gdn s`l-s`l gdre hulet cdnen dtdu f`fkrdn dfnejn ydnorjntjh.


24/36

Ijnt B`s`s f`hjneuf p`rtdfd kedsdnyd h`ludr gdldf ;7

cdf p`rtdfd s`t`lda ldaer. Cehd tegdh h`ludr gdldf 92-71 cdf, kdye adrus

gep`rehsd pdt`nse dnus, keseno usus gdn gest`nsedkgjf`n gdn geiureode h`funohendn jkstruhse

(Ojrre`, `t dl., 4551 & Yefpsjn & Ir`àdn, ;==4). Wep` h`gud b`s`s ydno geh`ludrhdn jlà kdye ges`kut

b`s`s trdnsesejndl, k`wdrnd ijhldt hàecdudn gdnhjnsest`nsenyd l`kea l`pds gdre pdgd b`s`s f`hjneuf.

B`s`s ene f`rupdhdn hjfkendse gdre f`hjneuf gdnb`s`s susu. H`dgddn b`s`s s`ldncutnyd s`sude tep`fdhdndn ydno gegdpdt jlà kdye (Ojrre`,`t d., 451=).


25/36

Ijnt

Hjljn pdgd kdye kdru ldaer hurdno `bese`n

f`nyefpdn iderdn gdre pdgd hjljn jrdno

g`wdsd s`aenood kdye kdru ldaer i`ng`runo

f`nodldfe hjfplehdse h`aeldnodn iderdn.

Hjngese ene f`fkudt p`nydhet gedr`

h`funohendn k`sdr f`ncdge s`reus pdgd kdye

fugd.


26/36

]`rk`gddn hdrdht`resteh sest`f p`ni`rnddn entrdut`ren` gdn

`hstrdut`rend

DY]@H ENW[D PW@[EN @HYW[D PW@[EN

Yest`f Odstrjent`stendl [`ldteb Endhteb

(tegdh dgd fdhdndn ydno get`refd

f`ldlue jrodn odstrjent stendl)

Dhteb (dgd fdhdndn ydno fdsuh

f`ldlue jrodn odstrjent stendl)

[@bl`hs [`bl`h fdhdn Yugda dgd, kdye

F`n`ldn iderdn dfnejn gdn

f`fp`rleadthdn o`rdhdn f`noaesdp

Dgd gdn s`fdhen kdeh, Kdye sugda

fdfpu f`ni`rnd gdn

f`no`lefendse DYE dtdu susu

bjrfuld

[`bl`hs p`restdlteh gdn

G`b`hdse

]dgd kdoedn kdwda dkgjf`n r`bl`hs

p`restdlteh tegdh dhteb sàenood tegdh

t`rcdge p`no`ludrdn f`hjneuf.

Hìudle pdgd b`tdl gestr`s (der h`tukdn

k`ridfpur f`hjneuf)

]dgd kdoedn kdwda

dkgjf`n p`restdlteh sugdh dhteb,

sàenood kdye f`no`ludrhdn

b`s`s. Wegdh dgdnyd b`s`s gdldf

71 cdf p`rtdfd f`noegehdsehdn

jkstruhse ese usus


27/36

IjrtesjlF`rupdhdn ajrfjn ròuldtjr untuh

fdturdse dhaer gdn dgdptdse n`jndtdltag h`ldaerdn Hdgdr ijrtesjl cdnen s.g used hàdfeldn

9= fo r`ngda (04=uo/fl) gdn sìdrdprjor`seb ;=uo/fl pg hàdfeldn 92fo gdn f`ncdge 70uo/fl f`nc`ldnoh`ldaerdn dt`rf

Ijrtesjl l`kea i`pdt sddt h`ldaerdn gdnpunidhnyd f`nidpde ;==uo/fl pdgdkkrp cdf s`t`lda h`ldaerdn


28/36

Bunose ijrtesjl 3

Fdturdse pdru dndtjfy gdnsurbditdnt

F`fk`rseahdn iderdn gdre pdru

F`nenohdthdn g`nsetds rì`ptjr Ijntrjl `n`roy f`tdkjlesf

Fdturdse bunose usus

Fdturdse tayrjeg dxes [òuldse p`no`ludrdn idtìajldfen`


29/36

Idtaìjldfen` K`rp`rdn t`rutdfd untuh K] sddth`ldaerdn

Dgdptdse tag f`tdkjlesf` `n`roe yo

f`ny`gedhdn sukstrdt f`tdkjlesf`s`t`lda ldaer oluijsd gdn dsdf l`fdh

Kdye pr`t`rf f`ns`hr`se idtìajldfen`

>>> j.h sest`f jrodn < r`spjnsev` Kdye go I`sdr`dn sìtejn f`ns`hr`se

idtìajldfen`


30/36

Oluijs` fdndo`f`nt

Yest`f jrodn, t`rutdfd jtdh, sdnodt t`rodntuno pdgd

oluhjsd s`kdode sufk`r `n`roe utdfd.

N`jndtdl f`felehe rdsej krden-tj kjgy wèoat >>>

gdre g`wdsd, sàenood h`kutuadn oluhjsd f`nenohdt. Hjnsufse oluhjsd s`r`krdl s`hetdr 5=%.

Yddt cdnen3 oluhjsd getrdnsb`r hjntenu` gdre serhuldse

fdt`rndl f`ldlue plds`ntd, sàenood tegdh gep`rluhdn

dgdnyd prjguhse oluhjsd en ut`rj.


31/36

Oluijs` ajf`jst`ses

]rjguhse oluhjsd

- Oluhjsd ydno tegdh geoundhdn ldnosuno untuh n`roedhdn gerukda f`ncdge olehjo`n (olehjo`n`ses3 oluhjsdolehjo`n), gdn gesefpdn ge a`pdr, cdntuno, jtjt.

- Y`ldfd pudsd, olehjo`n dgdn gerukda f`ncdge oluhjsd

(olehjo`njleses3 olehjo`noluhjsd).- H`fdfpudn n`jndtdl untuh olehjo`njleses k`rvdredse

t`rodntuno pdgd b`tdl orjwta gdn fdturety.

- Yufk`r lden oluhjsd dgdlda oluhjn`jo`n`ses3 prjguhse

oluhjsd gdn olehjo`n ge a`pdr ydno k`rdsdl gdre njn-oluijs` pr`iursjr (ldhtdt, peruvdt, oles`rjl/bdt, dsdfdfenj (Hdaldn & G`vdshdr, ;=44)


32/36

F`tdkjlesfd oluhjsd

Oluhjsd gef`tdkjlesf` s`kdode sufk`r `n`roe, gesefpdn sko

olehjo`n, gehjnv`rse f`ldlue oluhjn`jo`nei pr`hursjr.

Ge jtdh, jxegez`g oluijs` f`ny`gedhdn 55% i`r`krdl `n`roy, ydno

gebdseletdse jl`a `nzef3

- Oluhjsd getrdnspjrt f l`wdte kljjg-krden kdrre r, fdsuh h` s l jtdhf`ldlue oluijs` trdnspjrt`r prjt`en.

- Ge setjpldsfd3 oluhjsdperuvdtjxegez`g ds`tel-HjDfdsuh h`

fetjhjngredsehlus dsdf setrdtprjguh dhaer3 IJ;, A;J, `n`roe

(DW])

- Cehd n`jndtus f`nodldfe aepjoleh fed, suktrdt lden s`p`rt h`tjn,

ldhtdt, DDperuvdtsehlus dsdf setrdtDW].


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[òuldse ajrfjndl untuh ajf`jstdses

oluhjsd

4. ensulen3 ges`hr`se jlà s`l k`td pdnhr`ds sko r`spjn t`radgdp

p`nenohdtdn oluhjsd pldsfd. Ensulenf`nenohdthdn

p`fk`ntuhdn olehjo`n, f`n`hdn p`no`ludrdn oluhjsd a`pdr,

f`nenohdthdn uptdh` oluhjsd s`lf`nurunhdn oluhjsd pldsfd.

Ensulen tegdh f`nojntrjl fdsuhnyd `n`roe h` jtdh dtdu lev`r.;. Oluhdojn3 ges`hr`se jlà s`l k`td pdnh`rds h tehd t`rcdge

p`nurundn oluhjsd pldsfd. Oluhdojn f`nenohdthdn olehjo`njleses

& oluhjn`jo`n`ses. Ges`kut cuod s`kdode ijunt`rròuldtjry

ajrfjn (jppjset` tj ensulen) k`rsdfd g`nodn hdt`hjldfen,

hjrtesjl, orjwta ajrfjn.

9. Y`lurua ajrfjn ene k`rp`rdn untuh f`ncdod ajf`jstdses oluhjsd

(ùolyi`fed)

l l a


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B`tdl oluijs` ajf`jstdses

4. Oluhjsd fdsuh h` b`tus f`ldlue gebuse t`rbdseletdse ved

plds`ntd, pdgd jns`ntrdse ?=-1=% gdre hjns`ntrdse

oluhjsd fdt`rndl (Hdladn & G`vdshdr, ;=44).

;. ]`nyefpdndn olehjo`n untuh `n`roe pjstndtdl gefulde

sddt o`stdse dwdl gdn dhufuldse olehjo`n t`rtenooe

t`rcdge sddt tref`st`r h`teod.9. B`tdl ensulen t`rg`t`hse pdgd used o`stdse 1-44 fenoou,

ndfun r`spen t`radgdp oluijs` ljdg k`luf s`fpurnd

kdahdn sddt ldaer

7. B`tus fdfpu untuh f`ldhuhdn oluhjn`jo`nei ditevety,f`nooundhdn suktrdt s`p`rte ldhtdt (cehd gekutuahdn

untuh f`fnuae h`kutuadn f`tdkjlesf` en ut`rj)


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N`jndtdl Oluijs` ajf`jstdses4. Y`t`lda tdle pusdt geputus3 oluhjsd gdrda n`jndtdl turun,

f`nidpde teteh ndger pdgd 4-; cdf pdsid ldaer.;. ]dgd 4 cdf p`rtdfd3 jtdh kdye f`f`tdkjlesf` ldhtdt,

sàenood f`shepun hdgdr oluhjsd r`ngda ndfun jtdh tegdh

h`hurdnodn oluhjsd.

9. Kdye sìdrd ordgudl f`fjkelesdse oluhjsd untuh f`f`nuaeh`kutuadn `n`roe gon f`ns`hr`se oluhdojn gdn hdt`hjldfen

gdn f`nsupr`se ensulen. Yàenood kdahdn cehd t`rf-n`jndtdl

tegdh gek`rehdn fdhdndn sò`rd s`t`lda ldaer, l`v`l oluhjsd

gdrda dhdn f`nenohdt pdgd 9-7 cdf p`rtdfd.

7. Olehjo`n a`pdr dhdn f`nurun cehd kdye tgh gek`re DYE, gdn

oluhjn`jo`n`ses & lepjleses dhdn f`ncdge sufk`r `n`roe

untuh f`f`leadrd oluhjsd gdrda.


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Y`hedn

&s`fjod k`rfdnbddt

Ns. Ikeu - Adaptasi Fisiologis Sistem Digestif Pada Neonatus

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Transcript of Ns. Ikeu - Adaptasi Fisiologis Sistem Digestif Pada Neonatus