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    LI LBM 4 MODULTUMBUH

    KEMBANG

    NISITYA MAHISI URSAMAYORI30101307024SGD 19

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    Jelaskan parameterpertumbuhan anak ?

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    TinggiBadan

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    Tumbuh kembang anak. Dr. Soetjiningsih, Sp A

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    aga manapertumbuhan bayinormal yang sesuai

    degan KMS ?

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    Hal ang !aling dili"a# da$i "a%il!&ng'('$an di KMS iala" #$&n)('$*a

    ang +&$%a,+'ng da$i !&$#',+'"an+&$a# +adan ana(- S'li# %&(ali ,&nilaia!a(a" ana( ,&,ili(i +&$a# +adanid&al a#a' #',+'" (&,+ang %&.a$a/!#i,al +ila "ana ,&ngandal(an

    %a#' (ali !&ng'('$an di !l/# KMS- Halini di%&+a+(an da$i da#' !&ng'('$an"ana da!a# ,&nilai (i$a(i$a ana(#&$%&+'# ,&,ili(i +&$a# +adan %&%'aia#a' #ida( d&ngan #&,an %&+aana-Na,'n (i#a+&l', +i%a,&ni,!'l(an a!a(a" ana( #&$%&+'#,&,ili(i +&$a# id&al %&%'ai #inggi+adanna %&$#a al'$ !&$#',+'"annan/$,al a#a' #ida(

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    Mengapa nampakkurus, lemah, nasumakan kurang, hanya

    suka minum air putih ?

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    Mengapa anak didapatkan hipoglikemi,hipotermi, dan

    dehidrasi ?

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    Bagaimana tahapanmakanan sapihan ?

    !aktu "enyapihan

    Ma%a !&na!i"an %&la,a ','$ +'lan %a,!ai 2 #a"'nadala" ,a%a +&$+a"aa +agi ana( (a$&na $i%i(/ #ida(,&nda!a# &n&$gi dan a# gii .'('! +ila ana( #ida(,&nda!a# .'('! ,a(anan !&nda,!ing ASI ,a(anan(&l'a$ga dan +&$"&n#i ,&n'%'i %&+&l', ','$ 2 #a"'n

    ,i%alna (a$&na i+'na "a,il lagi %&$ing ,&nd&$i#a dia$&+ila ,a(anan !&nda,!ing ASI a#a' ,in',an#&$(/n#a,ina%i (',an %&$ing ,&,a%'((an +&nda+&nda(/#/$ (& ,'l'# %&"ingga ,&n&+a+(an dia$& a#a' .a.ingan+&$#&,' ana(ana( a#a' /$ang d&a%a lain %&+agai %',+&in5&(%i ang da!a# ,&n'la$(an !&na(i# (&"ilangan(&(&+alan ang +&$a%al da$i ASI !ada"al +&l', ,a,!'

    ,&,+&n#'( (&(&+alan %&ndi$i-

    &,+&$ian ,a(anan %a!i"an %&+ai(na +&$ang%'$ang%'$,'lai da$i ang !aling l&,+'# %a,!ai ang l&+i" (&$a%-&,+&$ian (&an&(a$aga,an +a"an ,a(anan #&(%#'$ $a%adan +&n#'( da$i ,&n'na di,ana %&,a(in +&$aga, +&n#'

    #&(%#'$ dan $a%a %&,a(in ,&ng'n#'ng(an ana( %&$#ada!a# ,&n',+'"(an .i#a $a%a ana( da$i !&$(&nalan,a(anan ang l&+i" +&$aga,- ada %aa# !&na!i"an ang#&$!&n#ing adala" !&,+&$ian ASI ,a%i" #&$'% di+&$i(anang da!a# di#&$'%(an %a,!ai ','$ ana( 2 #a"'n %&lainana( di'n#'ng(an /l&" !&,+&$ian %'%' #&$+ai(na%&(alig'% %&+agai %ala" %a#' .a$a i('# K&l'a$ga B&$&n.ana

    (a$&na %&la,a ,a%i" #a! ,&n'%'i +ai %&l #&l'$ #ida(ga,!ang #&$+&n#'(

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    "etunjuk penyapihan

    '8'( !&na!i"an da!a# dila('(and&ngan .a$a !ada %aa# 8a, ,a(an da!a$

    ,&,+&$i(an ana( ,a(anan !ada# #&$l&+i"da"'l' (&,'dian %'%' 5/$,'la %&"inggaana( ,a(an %&lagi la!a$ dan ,in',%&+agai !&l&!a% $a%a "a'%na- M&,'lai,&,!&$(&nal(an ,a(anan +a$' d&ngan.a$a ,&,+&$i(an %a#' a#a' 2 %&nd/( #&"%ia! ,a(an- Ta,+a"(an %&di(i# d&,i%&di(i# ,&n8adi 3 %&nd/( #&"-M&,+&$i(an ,a(anan !ada# da$i ,ang('(a#a' !i$ing 8angan ,&n.a,!'$ %&$&ald&ngan ASI a#a' %'%' 5/$,'la dala, +/#/l

    %'%'- Ana( "a$'% %&lal' dia8a$(an!&$+&daan a!a ang di,a(an dan a!aang di,in',- &$"a#i(an +ai(+ai(i%a$a# %ang ana( +ila ,a%i" la!a$ a(an,&,+'(a ,'l'# 8i(a %'da" (&nang a(an

    ,&nd/$/ng a#a' ,&,+&la(angi ,a(anan-B&$%a+a$la" d&ngan ana( anda !ada %aa#,&,!&$(&nal(an ,a(anan !ada#(adang(adang ana( !&$l' a(#' 'n#'(,&,+ia%a(an di$i d&ngan ,a(anan a#a'.a$a ,a(an ang +a$'-

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    and'an !&,+&$ian ,a(anan 'n#'( !&na!i"andala, #a"'n !&$#a,a ("'%'%na ana( ','$ 12+'lan

    ASI a#a' %'%' 5/$,'la ang di!&$(aa a# +&%i+&$'!a ,a(anan diberikan sedikit tapi sering4 (ali !&$"a$i a#a' 3032 g$a, !&$"a$i 3 (ali!&$"a$i a#a' 3032 g$, !&$"a$i- S&$&al +ai angdi!&$(aa a# +&%i di+&$i(an 2 %&nd/( ,a(an!&$"a$i: di.a,!'$ ASI a#a' %'%' 5/$,'la- S&$&al

    +ai a#a' %&$&al !ana% lain ;< %&nd/( ,a(an!&$"a$i: +&$'!a !/#/ngan (&.il $/#i +ag&l a#a'+i%('i#- &,+&$ian 8'% +'a" di+&$i(an 2< g$a,!&$"a$i- Sa'$ +&$a$na ('ning /$ang& dan "i8a'ang di%a$ing a#a' di"al'%(an =1 +/#/l+&$'('$an 10 .. a#a' = .ang(i$ !&$"a$i- B'a"

    %&ga$ dan ,a#ang ang di%a$ing a#a' di"al'%(an=1 +/#/l +&$'('$an 0 g$a, a#a' = .ang(i$!&$"a$i- S&,'a +'a" %&ga$ di('!a% dan di+'ang+i8ina = .ang(i$ !&$"a$i- ili"la" +'a" ang%&%'ai d&ngan +ali#a ai#' #ida( +&$+a',&$ang%ang- &,+&$ian !$/#&in +&$'!a Y/g"'$#!/l/% ;+i%a di.a,!'$ d&ngan +'a" a#a' %a'%a!&l: !'$& daging 34 %&nd/( ,a(an !&$"a$i-Daging #an!a l&,a( aa, i(an ;di%a$ing a#a'dala, !/#/ngan (&.il "al'%: ('ning #&l'$/g"'$# (&8' l&,+'#- /#/ngan (&.il dan "al'%

    da$i daging aa, a#a' i(an #&l'$ (&8' ,&n#&ga4 %&nd/( ,a(an !&$"a$i

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    Bagaimana hubunganpermberian makanansapihan yang mulaidiberikan usia # bulandengan keadaan sekarang

    Mengapa umur $ bl adalah saat terbaik anak mulai diberikanM"AS%

    - &,+&$ian ,a(an %&la" +ai +&$','$ +'lan ,&,+&$i(an!&$lind'ngan +&%a$ da$i +&$+agai !&na(i#- Hal ini di%&+a+(an

    %i%#&, i,'n +ai > +l +&l', %&,!'$na- &,+&$ian MASI dini%a,a %a8a dg ,&,+'(a !in#' g&$+ang ,a%'(na +&$+agai 8&ni%(',an- B&l', lagi 8i(a #ida( di%a8i(an "igi&ni%- Ha%il $i% #&$a("i$da$i !&n&li#i di Ind/n&%ia ,&n'n8'((an +a"a +ai g,&nda!a#(an MASI %&+&l', ia +&$','$ +l l&+i" +ana(#&$%&$ang dia$& %&,+&li# +a#'(!il&( dan !ana% di+anding(an+ai g "ana ,&nda!a#(an ASI &(%(l'%i5- B&l', lagi !&n&li#ian

    da$i +adan (&%&"a#an d'nia lainna-- Saa# +ai +&$','$ +l (&a#a% %i%#&, !&n.&$naanna %'da"$&la#i5 %&,!'$na dan %ia! ,&n&$i,a MASI-

    B&+&$a!a &ni, !&,&.a" !$/#&in %!# a%a, la,+'ng !&!%inli!a%& &ni, a,ila%& d%+ +a$' a(an di!$/d'(%i %&,!'$na !ada%aa# ia +&$','$ +l-

    - M&ng'$angi $&%i(/ #&$(&na al&$gi a(i+a# !ada ,a(anan

    Saa# +ai +&$','$ > +l %&l2 di %&(i#a$ '%'% +&l', %ia! '#((and'ngan da$i ,a(anan- S&"ingga ,a(anan g ,a%'( da!a#,&n&+a+(an $&a(%i i,'n dan #&$8adi al&$gi-

    - M&n'nda !&,+&$ian MASI "ingga +l ,&lind'ngi +ai da$i/+&%i#a% di (&,'dian "a$i- $/%&% !&,&.a"an %a$i2 ,a(anan g+&l', %&,!'$na-

    ada +&+&$a!a (a%'% g &(%#$&, ada 8'ga g !&$l' #inda(an +&da

    a(i+a# !&,+&$ian MASi #&$lal' dini- Dan +ana( %&(ali ala%anlainna ,&nga!a MASI +a$' +/l&" di!&$(&nal(an !ada ana(%&la" ia +&$','$ +l-

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    Mengapa ' hari ini kondisianak memburuk, lemah,

    kesadaran menurun ?

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    Mengapa anak sejak umur ( tahunmenderita K)" berat, sering diare sertabatuk pilek ? Sertakan klasi*kasi K)"

    s+oring system menurut M+ aren,(-$

    /ejala klinik skor

    )dema '

    Dermatosis #

    )dema 0 dermatosis $

    1air +hane (

    1epatomegali (

    Serum albumin2total protein

    3 (,442 3 ',#5

    (,446(,7- 2 ',#56',-- $

    (,56(,-- 2 7,4467,5 5

    #,446#,7- 2 7,565,7- 7

    #,546#,-- 2 5,546$,#7 '

    ',446',7- 2 $,#56$,-- #

    ',546',-- 2 ,446,7 (

    87,44 2 8,5 4

    "enilaian 9

    Skor 46' 9 marasmus

    Skor 76: 9 marasmus6k;asiorkor

    Skor -6(5 9 k;asiorkor

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    Klasi*kasi berdasarkan hasillokakarya antropometri gi

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    a. K;ashiorkor

    Ed&,a ',',na %&l'$'" #'+'" #&$'#a,a!ada !'ngg'ng (a(i ;d/$%', !&di%:

    ?a8a" ,&,+'la# dan %&,+a+

    andangan ,a#a %a'

    Ra,+'# #i!i% (&,&$a"an %&!&$#i a$na $a,+'#8ag'ng ,'da" di.a+'# #an!a $a%a %a(i# $/n#/(

    &$'+a"an %#a#'% ,&n#al a!a#i% dan $&&l&,+&%a$an "a#i

    O#/# ,&ng&.il ;"i!/#$/@: l&+i" na#a +iladi!&$i(%a !ada !/%i%i +&$di$i a#a' d'd'(

    K&lainan ('li# +&$'!a +&$.a( ,&$a" ,'da ang,&l'a% dan +&$'+a" a$na ,&n8adi ./(la#

    (&"i#a,an dan #&$(&l'!a% ;crazy pavementdermatosis:

    S&$ing di%&$#ai !&na(i# in5&(%i ',',naa('#

    an&,ia

    dia$&-

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    b. Marasmus9

    Ta,!a( %anga# ('$'% "ingga #'lang#&$+'ng('% ('li#

    ?a8a" %&!&$#i /$ang #'a &ng&ng $&&l

    K'li# (&$i!'# 8a$ingan l&,a( %'+('#i%%anga# %&di(i# %a,!ai #ida( ada ;!adada&$a" !an#a# #a,!a( %&!&$#i ,&,a(ai.&lana l/ngga$)C+agg !an#%C:

    &$'# .&('ng

    Iga ga,+ang

    S&$ing di%&$#ai !&na(i# in5&(%i

    ;',',na ($/ni% +&$'lang:dia$&

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    +. Marasmik6K;ashiorkor9

    Ga,+a$an (lini( ,&$'!a(an.a,!'$an da$i +&+&$a!ag&8ala (lni( Ka%"i/$(/$ danMa$a%,'% d&ngan BB)U

    >0 +a(' ,&dian ?HONHS di%&$#ai &d&,a ang#ida( ,&n./l/(-

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    ara mendiagnosisK)" E

    &nilaian %#a#'% gii ana( di 5a%ili#a% (&%&"a#an;'%(&%,a% R',a" Sa(i# dll: #ida( dida%a$(an !adaB&$a# Badan ana( ,&n'$'# U,'$ ;BB)U:- &,&$i(%aanBB)U dila('(an 'n#'( ,&,an#a' +&$a# +adan ana(%&(alig'% 'n#'( ,&la('(an d&(%i dini ana( ang('$ang gii ;gii ('$ang dan gii +'$'(:- &,an#a'an

    +&$a# +adan ana( da!a# dila('(an di ,a%a$a(a#;,i%alna !/%and': a#a' di %a$ana !&laanan(&%&"a#an ;,i%alna !'%(&%,a% dan Klini( T',+'"K&,+ang R',a" Sa(i#: dala, +&n#'( (&gia#an!&,an#a'an T',+'" K&,+ang Ana( d&ngan,&ngg'na(an KMS ;Ka$#' M&n'8' S&"a#: ang

    di+&da(an an#a$a ana( la(ila(i dan !&$&,!'an-S#a#'% gii ana( > 2 #a"'n di#&n#'(an d&ngan,&ngg'na(an #a+&l B&$a# Badan ,&n'$'# an8angBadan ;BB)B: %&dang(an ana( ','$ F 2 #a"'ndi#&n#'(an d&ngan ,&ngg'na(an #a+&l B&$a# Badan,&n'$'# Tinggi Badan ;BB)TB:-

    Ana( didiagn/%i% gii +'$'( a!a+ila %&.a$a (lini%Ta,!a( %anga# ('$'% dan a#a' &d&,a !ada (&d'a!'ngg'ng (a(i %a,!ai %&l'$'" #'+'"C dan a#a' 8i(aBB)B a#a' BB)TB > 3 SD a#a' 70 ,&dian-S&dang(an ana( didiagn/%i% gii ('$ang 8i(a BB)Ba#a' BB)TB > 2 SD a#a'

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    pertumbuhan BB dari KMSanak tersebut gro;thaltering ?

    /AMBAG E "olapertumbuhan yang lain E

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    engapa u an nkedua kaki atautungkai bengkak tapi

    tubuh lainnya tampakkurus ? KE

    ALBUMIN

    MENURUN

    EKSTRAASASIAIRAN

    TEKANANHIDROSTATIKMENINGKAT

    TEKANANONKOTIK

    MENURUN

    EDEMA

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    &n.&ga"an KE

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    &na#ala(%anaan

    KES)">>1 AC/KA1 >TAMA TATA AKSACA K)"

    B)GAT2/%H% B>G>K

    AC/KA1 K)6(9 ")C/BATAC2")C)/A1AC

    1%"/%K)M%A

    Hi!/gli(&,ia dan "i!/#&$,ia +ia%ana #&$8adi +&$%a,a%a,a %&$ing(ali %&+agai #anda adana in5&(%i- &$i(%a(ada$ g'la da$a" +ila ada "i!/#&$,ia ; %'"' (ia(>3)%'"' d'+'$ >3:- &,+&$ian ,a(anan ang%&$ing !&n#ing 'n#'( ,&n.&ga" (&d'a (/ndi%i #&$%&+'#-

    Bila (ada$ g'la da$a" di+aa" 0 ,g)dl +&$i(an

    0 ,l +/l'%C ;!&,+&$ian %&(alig'%: gl'(/%a 10 a#a'la$'#an %'($/%a 10

    (1 sdt gula dalam 5 sdm air)%&.a$a /$al a#a' !i!ana%/ga%#$i(-

    S&lan8'#na +&$i(an la$'#an #%+- %ia! 30 ,&ni# %&la,a2 8a, ;%ia! (ali +&$i(an +agian da$i 8a#a" 'n#'( 2

    8a,:

    B&$i(an an#i+i/#i(a ;li"a# lang(a" :

    S&.&!a#na +&$i(an ,a(an %ia! 2 8a, %iang dan,ala, ;li"a# lang(a" :

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    "emantauan 9

    Bila (ada$ gl'(/%a da$a" $&nda" 'langi

    !&,&$i(%aan g'la da$a" d&ngan da$a" da$i '8'ng8a$i a#a' #',i# %&la" 2 8a,-

    S&(ali di/+a#i (&+ana(an ana( a(an %#a+ildala, 30 ,&ni#

    Bila g'la da$a" #'$'n lagi %a,!ai >0 ,g)dl'langi !&,+&$ian 0 ,l ;+/l'%: la$'#an gl'(/%a

    10 a#a' %'($/%a dan #&$'%(an !&,+&$ian %ia!30 ,&ni# %a,!ai %#a+il-

    Ulangi !&,&$i(%aan g'la da$a" +ila %'"' a(%ila>3 dan)a#a' (&%ada$an ,&n'$'n-

    "en+egahan 9

    M'lai %&g&$a !&,+&$ian ,a(an %ia! 2 8a,

    ;lang(a" : %&%'da" d&"id$a%i ang adadi(/$&(%i-

    S&lal' ,&,+&$i(an ,a(anan %&!an8ang ,ala,-

    atatan 9

    Bila #ida( da!a# ,&,&$i(%a (ada$ gl'(/%a da$a"angga!la" %ia! ana( KE +&$a#)gii +'$'(,&nd&$i#a "i!/gli(&,ia dan a#a%i %&g&$a d&ngandi#a#ala(%ana %&!&$#i #&$%&+'# di a#a%-

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    AC/KA1 K)6#9")C/BATAC2")C)/A1AC1%"T)GM%A

    Bila suhu ketiak 3'$!&$i(%ala" %'"' d'+'$ d&ngan,&ngg'na(an #&$,/,&$ %'"' $&nda"-Bila #ida( #&$%&dia #&$,/,&$ %'"'$&nda" dan %'"' ana( %anga# $&nda"!ada !&,&$i(%aan d&ngan #&$,/,&$+ia%a angga! ana( ,&nd&$i#a "i!/#&$,ia

    Bila suhu dubur 3'$

    9

    S&g&$a +&$i ,a(anan .ai$)5/$,'la ("'%'%;,'lai d&ngan $&"id$a%i +ila !&$l':

    Hanga#(an ana( d&ngan !a(aian a#a'%&li,'# %a,!ai ,&n'#'! (&!ala la((and&(a# la,!' a#a' !&,ana% ;8angang'na(an +/#/l ai$ !ana%: a#a' !&l'( ana(di dada i+' %&li,'#i ;,/da (ang'$':-

    B&$i(an an#i+i/#i(a ;li"a# lang(a" :-

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    "emantauan9

    &$i(%a %'"' d'+'$ %ia! 2 8a, %a,!ai %'"'

    ,&n.a!ai J3 +ila ,&,a(ai !&,ana%'('$ %ia! 30 ,&ni#

    a%#i(an ana( %&lal' #&$+'ng('% %&li,'#%&!an8ang a(#' #&$'#a,a ,ala, "a$i

    Ra+a %'"' ana(

    Bila ada "i!/#&$,ia !&$i(%a (&,'ng(inan"i!/gli(&,ia-

    "en+egahan9

    S&g&$a +&$i ,a(an ) 5/$,'la ("'%'% %ia! 28a, ;li"a# lang(a" :-

    S&!an8ang ,ala, %&lal' +&$i ,a(an S&lal' di%&li,'#i dan "inda$i (&adaan +a%a"

    ;+a8' %&li,'# ala% #&,!a# #id'$:

    Hinda$i !a!a$an lang%'ng d&ngan 'da$a;,andi a#a' !&,&$i(%aan ,&di% #&$lal' la,a:-

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    AC/KA1 K)6'9")C/BATAC2")C)/A1ACD)1%DGAS%

    angan ,&ngg'na(an 8al'$in#$a*&na ) i-*-C 'n#'( $&"id$a%i(&.'ali !ada (&adaan%/()$&n8a#an- La('(an !&,+&$ian

    .ai$an in5'% d&ngan "a#i"a#i#&%an !&$la"anla"an 'n#'(,&ng"inda$i +&+an %i$('la%i dan

    8an#'ng- ;Li"a# !&nanganan

    (&gaa#an:-ai$an $&"id$a%i /$al %#anda$ ?HO,&ngand'ng #&$lal' +ana(natriumdan ('$ang kalium'n#'(

    dig'na(an !ada !&nd&$i#a KE+&$a#)gii +'$'(- S&+agai !&nggan#i+&$i(an la$'#an ga$a,)&l&(#$/li#("'%'% ai#' R&%/,al ;R&"d$a#i/nS/l'#i/n 5/$ Maln'#$i#i/n a#a'

    !&nggan#ina li"a# la,!i$an :-

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    Tida(la" ,'da" 'n#'( ,&,!&$(i$a(an %#a#'%d&"id$a%i !ada KE +&$a#)gii +'$'( d&ngan

    ,&ngg'na(an #anda#anda (lini% %a8a- adiangga! %&,'a ana( KE +&$a#)gii +'$'(

    d&ngan dia$& &n.&$ ,&ngala,i d&"id$a%i%&"ingga "a$'% di+&$i

    ai$an R&%/,al ) !&nggan#i %&+ana( ,l)KgBB %ia! 30 ,&ni# %&la,a 2 8a, %&.a$a/$al a#a' l&a# !i!a na%/ga%#$i(-

    S&lan8'#na +&$i 10 ,l)(g)8a, 'n#'( 410 8a,

    +&$i('#na 8',la" #&!a# ang "a$'% di+&$i(an#&$gan#'ng +&$a!a +ana( ana(,&ngingin(anna dan +ana(na (&"ilangan.ai$an ,&lal'i #in8a dan ,'n#a"-

    Gan#i R&%/,al).ai$an !&nggan#i !ada 8a, (&

    dan (&10 d&ngan 5/$,'la ("'%'% %&8',la"ang %a,a +ila (&adaan $&"id$a%i

    ,&na!)%#a+il-

    S&lan8'#na ,'lai +&$i 5/$,'la ("'%'% ;lang(a"

    :-

    S&la,a !&ng/+a#an !&$na5a%an .&!a# dan nadil&,a" a(an ,&,+ai( dan ana( ,'lai (&n.ing

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    "emantauan

    La('(an !&nilaian a#a% (&,a8'an !$/%&% $&"id$a%i %ia!=1 8a, %&la,a 2 8a, !&$#a,a (&,'dian %ia! 8a,

    'n#'( 12 8a, %&lan8'#na-d&ngan ,&,an#a'

    d&n'# nadi!&$na5a%an

    5$&(&n%i (&n.ing

    5$&(&n%i dia$&),'n#a"-

    Adana ai$ ,a#a ,'l'# +a%a" (&.&('ngan ,a#a dan'+'n'+'n +&%a$ ang +&$('$ang !&$+ai(an #'$g/$ ('li#

    ,&$'!a(an #anda +a"a $&"id$a%i #&la" +&$lang%'ng#a!i !ada KE +&$a#)gii +'$'( !&$'+a"an ini %&$ing(ali#ida( #&$li"a# ala'!'n $&"id$a%i %'da" #&$.a!ai-

    &$na5a%an dan d&n'# nadi ang .&!a# dan ,&na!%&la,a $&"id$a%i ,&n'n8'((an adana in5&(%i a#a'

    (&l&+i"an .ai$an-

    Tanda (&l&+i"an .ai$an 5$&(&n%i !&$na5a%an dan nadi

    ,&ning(a# &d&,a dan !&,+&ng(a(an (&l/!a( ,a#a+&$#a,+a"- Bila ada #anda#anda #&$%&+'# "&n#i(an %&g&$

    !&,+&$ian .ai$an dan nilai (&,+ali %&la" 1 8a,-

    "en+egahan9

    Bila dia$& &n.&$ +&$lan8'#T&$'%(an !&,+&$ian 5/$,'la ("'%'% ;lang(a" :

    Gan#i .ai$an ang "ilang d&ngan R&%/,al ) !&nggan#i;8',la" %a,a:

    S&+agai !&d/,an +&$i(an R&%/,al)!&nggan#i %&+ana(0100 ,l %ia! (ali +'ang ai$ +&%a$ .ai$

    Bila ,a%i" ,&nda!a# ASI #&$'%(an-

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    AC/KA1 K)679 KG)KS% /AC//>ACK)S)%MBAC/AC ))KTG%T

    ada %&,'a KE +&$a# #&$8adi (&l&+i"an na#$i',

    ;Na: #'+'" ala'!'n (ada$ Na !la%,a$&nda"- D&@%i&n%i (ali', ;K: dan ,agn&%i',;Mg: %&$ing #&$8adi dan !aling %&di(i# !&$l' 2,ingg' 'n#'( !&,'li"an-

    Kida(%&i,+angan &l&(#$/li# ini i('# +&$!&$an

    !ada #&$8adina &d&,a ;8angan /+a#i &d&,ad&ngan !&,+&$ian di'$i(',: B&$i(an

    Ta,+a"an Kali', 24 ,E)(g BB)"a$i ; 10300 ,g Kl)(gBB)"a$i:

    Ta,+a"(an Mg 0-30- ,E)(g BB)"a$i ; 7-1 ,g Mgl2 )(gBB)"a$i:

    Un#'( $&"id$a%i +&$i(an .ai$an $&nda"na#$i', ;R&%/,al)!&nggan#i:

    Sia!(an ,a(anan #an!a di+&$i ga$a,)$&nda"

    ga$a,-Ta,+a"an K dan Mg da!a# di%ia!(an dala,+&n#'( la$'#an ang di#a,+a"(an lang%'ng!ada ,a(anan- &na,+a"an 20 ,l la$'#an#&$%&+'# !ada 1 li#&$ 5/$,'la da!a#

    ,&,&n'"i (&+'#'"an K dan Mg- ;Li"a#la,!i$an 'n#'( .a$a !&,+'a#an la$'#an:-

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    AC/KA1 K)659 ")C/BATACDAC ")C)/A1AC %CI)KS%

    ada KE +&$a#)gii +'$'(#anda ang +ia%ana,&n'n8'((an adana in5&(%i%&!&$#i d&,a, %&$ing(ali #ida(

    #a,!a(- Ka$&nana !ada%&,'a KE +&$a#)gii +'$'(+&$i %&.a$a $'#in

    An#i+i/#i( %!&(#$', l'a%

    a(%ina%i a,!a( +ila ','$ana( J +'lan dan +&l',!&$na" dii,'ni%a%i ;#'nda +ilaada %/(:- Ulangi !&,+&$ian

    *a(%in %&la" (&adaan giiana( ,&n8adi +ai(-

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    atatan9

    B&+&$a!a a"li ,&,+&$i(an ,$/nida/l ;7- ,g)(g %ia! < 8a,%&la,a 7 "a$i: %&+agai #a,+a"an !ada an#i+i/#i( %!&(#$', l'a%g'na ,&,!&$.&!a# !&$+ai(an ,'./%a '%'% dan ,&ng'$angi$&%i(/ (&$'%a(an /(%ida#i5 dan in5&(%i %i%#&,i( a(i+a#

    !&$#',+'"an +a(#&$i ana&$/+i( dala, '%'% "al'%-

    ili"an an#i+i/#i( %!&(#$', l'a%

    Bila #an!a (/,!li(a%i

    K/#$i,/(%a%/l ,l %'%!&n%i !&dia#$i %&.a$a /$al 2 P)"a$i %&la,a

    "a$i ;2 ,l +ila +&$a# +adan > 4 Kg:

    Atau

    Bila ana( %a(i# +&$a# ;a!a#i% la$gi: a#a' ada (/,!li(a%i;"i!/gli(&,ia "i!/#&$,ia in5&(%i ('li# %al'$an na5a% a#a'

    %al'$an (&n.ing: +&$i

    A,!i%ilin 0 ,g)(gBB)i-,-)i-*- %ia! 8a, %&la,a 2 "a$idilan8'#(an d&ngan A,/(%i%ilin %&.a$a /$al 1 ,g)KgBB %ia! 0 g),ingg' : !&$l' $&&*al'a%i ,&n&l'$'"

    .&( a!a(a" a%'!an ,a(anan ,&n.a!ai #a$g a#a' a!a(a"

    in5&(%i #&la" da!a# dia#a%i-Bai( ;0 g),ingg': lan8'#(an !&,+&$ian ,a(anan

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    AC/KA1 K)6:9 KG)KS% D)I%S%)CS% M%KGC>TG%)C

    S&,'a KE +&$a# ,&nd&$i#a (&('$angan

    *i#a,in dan ,in&$al- ?ala'!'n an&,ia +ia%adi8',!ai 8angan #&$+'$'+'$' ,&,+&$i(an!$&!a$a# +&%i ;Q&: #a!i #'ngg' %a,!ai ana(,a' ,a(an dan +&$a# +adanna ,'lai nai(;+ia%ana %&la" ,ingg' (&2:- &,+&$ian+&%i !ada ,a%a aal da!a# ,&,!&$+'$'(

    (&adaan in5&(%ina-

    Berikan setiap hari9

    S'!l&,&n#a%i ,'l#i*i#a,in

    A%a, 5/la# 1 ,g)"a$i ; ,g !ada "a$i !&$#a,a:

    S&ng ;n: 2 ,g)(gBB)"a$i

    T&,+aga ;': 0-2 ,g)(gBB)"a$i

    Bila BB ,'lai nai( Q& 3 ,g)(gBB)"a$i a#a'

    %'l5a% 5&$$/%'% 10 ,g)(gBB)"a$ii#a,in A /$al !ada "a$i I ','$ J 1 #a"'n 200-000 SI 12 +'lan 100-000 SI > +'lan 0-000 SI (&.'ali +ila da!a# di!a%#i(an ana(%'da" ,&nda!a# %'!l&,&n#a%i *i#-A !ada 1+'lan #&$a("i$- Bila ada #anda)g&8ala d&@%i&n%i*i#-A +&$i(an *i#a,in d/%i% #&$a!i-

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    AC/KA1 K)6-9 B)G%KAC ST%M>AS%S)CSG%K DAC D>K>C/AC)MS%CA

    ada KE +&$a# #&$8adi (&$la,+a#an!&$(&,+angan ,&n#al dan !&$ila('

    (a$&nana +&$i(an

    Ka%i" %aang

    Ling('ngan ang .&$ia

    T&$a!i +&$,ain #&$%#$'(#'$ %&la,a 1

    30 ,&ni#)"a$i A(#i@#a% @%i( %&g&$a %&la" %&,+'"

    K&$li+a#an i+' ;,&,+&$i ,a(an,&,andi(an +&$,ain d%+:-

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    AC/KA1 K)6(49 T%CDAK ACJ>T D% G>MA1

    Bila g&8ala (lini% %'da" #ida( ada dan BB ana(%'da" ,&n.a!ai

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    K/,!li(a%i

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    H'+'ngan gii +'$'(d&ngan

    gangg'an a+/$%i $&%i(/ gagal 8an#'nggangg'an ,a+/li( dan&l&(#$/li#