Rhinitis Alergi
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Rhinitis Alergi
Ika Ayu Dewi Satiti
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Definisi
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Etiologi
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ALERGEN
Partikel debu kotoran tungan
Partikel debu kotoran tungan
Sisa sisa kecoa
Sisa sisa kecoa
Ketombe hewan
Ketombe hewan Jamur Jamur Serbuk sariSerbuk sari
Mast cellCD4-postitive T cells
B cellsMacrophages
Eosinophils
Infiltrasi sel inflamasi ke mukosa hidung
Release sitokin
Merangsang produksi IgE
Pelepasan mediator
RinoreaRinoreaPermeabilitas vaskular ↑Permeabilitas vaskular ↑
Rasa gatalRasa gatal
Dilatasi arteriolarDilatasi
arteriolar
Sekresi mukusSekresi mukus
Kontraksi otot
polos
Kontraksi otot
polos
HistaminLeukotrien
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Gejala dan Tanda
Rinore (cairan hidung yang bening dan encer) Bersin berulangkali Hidung tersaumbat baik menetep/hilang timbul Gatal pada daerah telinga,hidung,tenggorokan Mata gatal, merah berair Batuk kronik
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Diagnosis
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TES DIAGNOSTIK
1. Skin Prick Testing2. Allergen-specific IgE tests
15-20 menit
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Diagnosa Banding
• Rinitis akut• Rinitis vasomotor
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penatalaksanaan
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• INHALAN - Meminimalkan tungau debu rumah (mite) - Rumah cukup ventilasi & sinar matahari
- Langsung pel / lap basah - Perabot polos - Bantal/ guling/ kasur busa
• INGESTAN - Hindari susu, telur, kacang, coklat, ikan laut
04/20/23 Kuliah DM 13
Hindari Alergen Penyebab
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• Antihistamin • Dekongestan• Kortikosteroid nasal• Sodium kromolin• Ipratoprium bromida• Leukotriene antagonis
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Obat dekongestan dan durasi aksinya
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• Jika obat tidak efektif atau tidak ditoleransi dengan baik
• menginjeksikan alergen yg diketahui sbg pemicu alergi
• Proses lambat dan bertahap dosis yg semakin meningkat
• Tujuanpx mencapai peningkatan toleransi terhadap alergen
IMUNOTERAPI
IMUNOTERAPI
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Penyulit
• Sinusitis paranasalis• Poliposis nasi• Otitis media
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