Ppt Hemoroid Fg 6

8/17/2019 Ppt Hemoroid Fg 6

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HemmorhoidKD 5-CQBL 7

DISUSUN OLEH FG 6:

FADHILAH RAHMAH

MUIA ANNISA

NAUFALIA !ULFA

SARIA S"A


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K'(#( E$i%o)i Hemoroid

*'$o+(io%)i Hemoroid

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*e&'$'%',('&''& o.er'$i/ d'& &o& o.er'$i0e1

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Seorang perempuan berusia 30 tahun dake poliklinik dengan keluhan sakit saat BAkeluar darah saat BAB. pasien riwayatmelahirkan 3 orang anak dan seorang pedsayur keliling dan jarang makan sayuran d

buah-buahan. pasien didiagnosis haemordan direncanakan operasi.


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De+&i(i

Ko&di(i dim'&' 0e&'hemoroid'% me&)'%'midi%'$'(i ',i4'$ ,o&)e($i0e&' '$'# )'&))#'&

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E$io%o)i

Faktor risiko: Keturunan

Pola makan

Usia Faktor pencetus: Karena adanya pergeseran dinding mukosa (jaringan hemoridal dan pembuluh vaskula

Peningkatan tekanan intraabdomen! tekanan vena hemoroidalis! atau kondisi konstip

Kondisi hamil atau melahirkan! mengejan yang lama! obesitas! gagal jantung! duduk atsirosis dengan hipertensi portal! dll.


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rom4o(i( d'&

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*'$o+(io%o)i

eori (%idi&) '&'%

hemoroid4er,em4'&) ,e$i,' ='ri&)'&.e&d#,#&) 4'&$'% '( analcushion) h'&>#r"

C#(hio& '&'% $erdiri d'ri.em4#%#h d'r'h


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*'$o+(io%o)i

e,'&'& e,'&'&Di&di&)o%#me er='diHemoroidSem',i&Me&)'%'miMe&


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*emeri,(''& +(i,


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'" I&(.e,(i

U&$#, me%ih'$ '.','h 'd' '$'#$id',&


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Me%ih'$ d'& me&e&$,'& derajat hemoro


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4" *'%.'(i

Hemoroid i&$er&'% .'d' ($'di#m '2'% m'(ih mer#.',.e%e4'r'& 0e&' $#m 4')i'& 4'2'h"


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*emeri,(''&.e&='&)


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'" e( .ro%'.(e #&$#, hemoroi&$er&'% Me%i.#$i $e($ ($r'i&i&) $e( .ro.%'.(e #&$#, hemoroid me&))#

'&(oo.e 4i.o%'r d'& $e( .ro.%'.(e me&))#&','& )'#e d'& '&

S$r'i&i&) $e($ i& di)#&','& #&$#, me%ih'$ .em4#,''& d#4#r .

(e>'r' e,($er&'%"

U&$#, memeri,(' hemoroid


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4" !igital "ectal #$amination Co%o, D#4#

DRE i&i di%',#,'& .'d' hemoroid i&$er&'%


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Proktosigmoidoskopi

'" A&o(,o.i

*emeri,(''&hemoroid i&$er&'


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Proktosigmoidoskopi

4" *$o,$o(,o.i

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Proktosigmoidoskopi

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*emeri,(''&hemoroid

*emeri,(''&hemoroid de&)'&

,'mer' (er'$o.$i, ,e d'%'m,o%o& (i)moid"

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*ENAALAKSANAN MEDIS


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F'rm',o%o)i($ntibiotika peroral! di4eri,'& '.'4i%' ,%ie& me&)'%'mi $'&d'-$'i&/e,(i

%airan para&n ' larutan magnesium sulfat *! di4eri,'& ,e


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No&-F'rm',o%o)i( Die$ $i&))i (er'$


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i&d','& I&0'(i/ +tapling hemoroidektomi '$'# .ro(ed#r Lo&)o '$'# **H .ro(

.ro%'.( d'& hemoroid1


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i&d','& I&0'(i/ Injection sclerotherapy % me$ode i&i di'&=#r,'& #&$#, .'(ie

hemoroid der'='$ ('$# d#' d'& $i)'" *ro(ed#r i&i di%',#,'me&


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i&d','& I&0'(i/ Bipolar diathermy % .ro(ed#r i&i di%',#,'& .'d' .'(ie& de&)'&

der'='$ d#' d'& der'='$ em.'$" Bi.o%'r di'$herm< me&))#&','& e&#&$#, me&),o')#%'(i ='ri&)'& hemoroid d'& .em4#%#h d'mem.erd'r'hi&


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i&d','& I&0'(i/ Rubber band ligation% mer#.','& .ro(ed#r .em4ed'h'& ='ri&)'&

de&)'& rubber band


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i&d','& I&0'(i/ Infrared photocoagulation% .ro(ed#r i&i e/e,$i/ di%',#,'& .'

de&)'& hemoroid der'='$ ('$# hi&))' der'='$ d#'" Si&'r i&/r' mer'.'d' 4')i'& $o(,me&)h'(i%,'& %i&),'r'& .em'&'('& (ed'%'m mm


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A(#h'&Ke.er'2'$'&


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*e&),'=i'&,dentitas -iri


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*ENGKAIAN

-ata bjektif: Ke%#'r d'r'h (''$ BAB

-ata subjektif:

K%ie& me&)e%#h &


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DIAGNOSA KE*ERA9AAN/yeri akut 4erh#4#&)'& de&)'&

.er'd'&)'& d'& edem' ,'re&' 0'ri(e("

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de&)'& .er'd'&)'& d'& ede,'re&' 0'ri(e(


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-e&sit pengetahuan4erh#4#&)'& de&)'& ,o&($i.

,ntervensi 0asional

Me&e&$#,'& >'r' 4e%'='r ,%ie& d'&4eri,'& i&/rom'(i 'ir'& mi&im'%5 m%"h'ri .e&


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D'/$'r *#($','B%'>, " M" H'2,( " H" 1" &edical-Surgical 'ursing( linica

&anagement for *ositi+e ,utcomes. th #d. Si&)'.ore: E%(e0ier I&

G'($roe&$ero% 9" 31" Hemorrhoid( : From B'(i> *'$ho.h'% M'&')eme&$" orld /ournal of atroenterology12 2)(400

He'%$h Or)'&i'$io& /or *#de&d'% Ed#>'$io&" 3?1" Anatomy the *'er+e. Di',(e( d'ri h$$.:@@222".#de&d'%ho.e"i&/o@&ode@3; .'d' $'A.ri% 36

hor&$o&SC" 351" 6emorrhoids linical *resentation. Di',(e( dh$$.:@@emedi>i&e"med(>'.e">om@'r$i>%e@775?7->%i&i>'%4; .'d' 36

9hi$eL" D#&>'&G" B'#m%e9" 3;1" &edical Surgical 'ursing 7#dition" USA: De%m'r Ce&)')e Le'r&i&)"

'&) HK" 3?1" 6emorrhoids" Seo#% : S.ri&)er-er%') Ber%i& Heid

http://www.pudendalhope.info/node/13http://emedicine.medscape.com/article/775407-clinicalhttp://emedicine.medscape.com/article/775407-clinicalhttp://www.pudendalhope.info/node/13


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Ppt Hemoroid Fg 6