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TUBERCULOSISKELOMPOK 8
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ANGGOTAErika Sandra (04011181419014)
Abdrra!"an Akib (040111814190#0)
Sara! U""a! M$%i"a! (04011181419004)
A&ri'a Nrkari"a (04011181419#1)
i%da Nad!i%a a$bi (04011#81419080)
E%i$ab*'! S'*+ann, (04011#81419114)
-i'ria Ma$'ra! (04011#8141911).*na Nabi%a! /a$"in (04011#814191#8)
S,a! -i'ri (04011#814191)
N,i"a$ S!ara (04011#8141918)
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OUTLINE
1. Skenario dan Identifikasi Masalah2. Anatomi dan Fisiologi
3. Tuberculosis
4. Penatalaksanaan
. !erangka !onse"#. $earning Issue
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SKENARIO
Mr2 /3 a 40,*ar 5%d3 'r6k dri7*r3 a$ ad"i''*d '5 !5$&i'a% i'! "a$$i7* hemoptoe2 * 65"
hours a5 !* !ad a severe of coughing i'! +r*$! b%55d 5+ ab5' # %a$$*$2 * a%$5 $aid '
&r*7i5$ "5n'!$3 !* !ad productive cough i'! a lot phlegm3 mild fever3 loss of appe
of body weight (previous weight: 70 kg), and shortness of breath. Sin6* a **k a5
$,"&'5"$ *r* 5r$*nin2 -r5" +r'!*r in'*r7i*3 Mr2 / !a7* $i"i%ar $,"&'5"$ ,*ar$ a5
"*di6a'i5n a+'*r 65n$%'in i'! d56'5r a' '!a' 'i"*2 B' $'5& '!* 'r*a'"*n' a+'*r # **k$ b*
+**%in b*''*r2
hysical !"amination :
G*n*ra% a&&*aran6* : !* %55k*d $*7*r*%, $i6k and &a%*2 B5d, !*i!' : 1;< 6"3 b5d, *i!' :
100=;0 ""3 R:11# >="in'*3 RR: >="in'*3 '*"&*ra'r*: ;25C2 T!*r* a$ a 'a''5 5
6!*$' a$6%'a'i5n '!*r* a$ an in6r*a$* 5+ 7*$i6%ar $5nd a' '!* ri!' a&*> %n i'! "5d*
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Ana'5"i dan -i$i5%5i
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TUBERCULOSIS
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TUBERCULOSIS
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TUBERCULOSIS
• PENULARAN
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TUBERCULOSE
• Pan?an 14="• L*bar 0203="
• .indin $*%3
a$a" %*"ak
&*&'id5%ikanArabin5"ann
• Si'5&%a$"a "akr5+a
• a*r5b
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PATOGENESIS
• Tb*r6%5$i$ &ri"*r
• Tb*r6%5$i$ &a$6a &ri"*r
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PEMERIKSAAN
• emeriksaan #sik k5n?n'i7a &6a'
$b+*bri$
&*rk$i r*d&3 a$k%'a$i na+a$ br5nkia%
r5nki ba$a!3ka$ar3 n,arin
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PEMERIKSAAN
• emeriksaan laboratorium TB bar @ L*k5$i' $*diki' "*nini
%i"+5$i' "a$i! dibaa! n5r"
LE. "*ninka'
TB "%ai $*"b! @ L*k5$i' k*"ba%i n5r"a %i"+5$i' "a$i! 'ini
LE. 'rn k* n5r"a%
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PEMERIKSAAN
$putumdian5$i$ @ di'*"kan k"an BTA
k"an BTA di'*"kan bi%a br5nk$ , '*r%iba'
&r5$*$ &*n,aki' '*rbka k*%ar
&*"*rik$aan @ dian?rkan "in" air # %i'*r3 r*
ba'k
5ba' "k5%i'ik *k$&*k'5ran
in!a%a$i %ar'an ara" !i&*r'5nik $*%a"a #00 "
br5nk5$k5&i
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PEMERIKSAAN
• %es %uberculin
T*$ Man'5>3"*n,n'kkan 031 66'b*rk%in P2P2.2 (&ri*d
&r5'*in d*ri7a'i7*)in'rak'an b*rk*ka'an <
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TATALAKSANA
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TATALAKSANA
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&ategori' : (*+!) - (*+)
• Padan OAT ini dib*rikan n'k &a$i*n bar:• Pa$i*n TB &ar '*rk5nr"a$i bak'*ri5%5i$2
• Pa$i*n TB &ar '*rdian5$i$ k%ini$
• Pa$i*n TB *k$'ra &ar
• 1% &2% &ategori : (*+!)-(*+)/
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&ategori : ($*!) - (*+!3(*+)/!/)
• Padan OAT ini dib*rikan n'k &a$i*n BTA &5$i'&*rna! di5ba'i $*b*%"n,a (&*n5ba'an %an):
• Pa$i*n ka"b!
• Pa$i*n aa% &ada &*n5ba'an d*nan &adan O
ka'*5ri 1 $*b*%"n,a• Pa$i*n ,an di5ba'i k*"ba%i $*'*%a! &'$ b*r5b
to follow-up)
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&ategori : ($*!) - (*+!3(*+)/!/)
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&ategori /
• S&'n BTA n*a'i+ • K*%ainan &ar 'idak %a$
• Ka$$ *k$'ra &%"5na%
k* Ka'a5ri 1
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&ategori
• Tb*rk%5$i$ kr5nik• R*$i$'*n$i anda
• S&'" !ar$ dik%'r "*nr' ?i k*&*kaan 5ba
• O@ $*"r !id& dib*ri $a?a
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KERANGKA KONSE
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Tn. %& 4' tahun
terinfeksi M. tuberculosis
infiltrasi sel
radang di al(eolus) suara (esikular
akumulasi cairan
di al(eouluskerusakan membran
mukosa saluran
na"as
gangguan difusi
*2 dan +*2) sekresi s"utum
taki"neusaluran na"as
terhalangrefleks batuk
↑ "irogen endogen
Pele"asan angiogenesis
growth factor
hi"er(askularisasi dan dilatasi
"embuluh darah "ulmoner
ru"tur "embuluh darah
hemo"toe, -b
takikardi
P sedikit menurun
↑ set "oint di
hi"otalamus
↑ sekresi
hormon le"tin
demam ringan ↓ nafsu makan
↓ berat badanasu"an nutrisi
kurang
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KESIMPULAN .AN SARA
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•Mr2 / 40 'a!n3 "*r&akan &a$ka$$ bar 'b*rk%5$i$ &ar d*n
'a'a%ak$ana &*"b*rian OAT ka'*
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TERIMA KASI