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7/17/2019 Swamedikasi baru.pptx
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SWAMEDIKASI
DEMAM DAN NYERI
Dra. Yul Mariyah Apt. Msi
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• OBAT – OBAT UNTUK SWAMEDIKASIDEMAM DAN NYERI :
1. OBAT BEBAS
2. OBAT BEBAS TERBATAS
. OBAT KERAS !OWA"
#. OT$ %ru&s
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'(s'(lipi%a!)*)+ra,
s*l"
asa) ara-hi%r(,at
'(s'(lipas*(rti(st*r(i%a
lip((/y&*,a
s*
-y-l((/y&*,,a
s**,%(p*r(si%a asa)
hi%r(p*r(si%a
l*u(tri*, 0TA
0T$# – 0TD# –0TE#
NSAID
s
il*ut(,)(,t*lu
ast
0BT#
tr(+(/
a, T3A2:
pr(sta-y-l
i, 4&l2:
pr(sta&la,%i
, 4&E2562
O2
ra%ial+*+as
- 7as(8- +r(,-hi
- a&r*&as
- pr(t*sila)+u,&
- 7as(9
- a&r*&asi
p*ra%a,&a, p*ra%a,&a,
7as(8
9
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Ma-a) a,al&*tia %a, a,tipir*tia
1. Turu,a, salisilat : as*t(sal;salisila)i%
2. Turu,a, 4 a)i,('*,(l :
as*ta)i,('*,
. Turu,a, pira<(l(, : )*tha)pir(,
#. Turu,a, asa) a,tra,ilat : asa)
)*'*,a)at; &la'*,i,
!OWA ,( 1 : (+at(+at ya,&)*,&a,%u,& M*ta)pir(,; asa)
)*'*,a)at; &la'*,i,
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O+at O+at A,al&*tia; A,tipir*tia
ANA0=ETIKA > A, ? Al&ia
O+at ya,& )*,&hila,&a, 5 )*,&halau rasa,y*ri ta,pa )*,&hila,&a, *sa%ara,
BERDASAR AKSI 6ARMAKO0O=I; DIBA=I
MEN@ADI:A,al&*tia p*rir !,(, ,ar(ti"Nar(ti
- A,al&*tia p*ri'*r ! ,(, ,ar(tia" : ti%a
+*rsi'at ,ar(ti %a, ti%a +**ra s*,tral
- A,al&*tia ,ar(ti : u,tu ,y*ri h*+at
! CARUS DEN=AN RESE4 DOKTER"
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$(,t(h a,al&*tia p*rir :
•paras*ta)(l
• salisilat:as*t(sal;salisila)i%;+*,(rilat
•
p*,&ha)+at pr(sta&la,%i,!NSAIDs" : i+upr('*,
• %*ri7at a,tra,ilat : )*'*,a)at;asa) ,i'u)at; &la'*,
• %*ri7at pira<(li,(, : a)i,('*,a<(,;is(pr(pil'*,a<(,
• lai,lai, : +*,<i%a)i,
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O+at – O+at Ya,& %i&u,aa,
1. 4ara-*ta)(l
M*ta+(lit '*,as*ti, !%ulu %i&u,aa, s+&a,al&*tia; th 1F %itari r, ,*'r(t(si;arsi,(&*,
I,%iasi : M*,uru,a, %*)a); )*,&ura,&i
,y*ri ti%a a,ti ra%a,&BSO : Ta+l*t GHH )& ; Sirup 12H)&5G)l
Dr(p 1HH )&5)lE6EK SAM4IN= :
hip*rs*,sititas *lai,a, %arah *rusaa, hati ! # & s*hari; %i&u,aa,la)a"
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C*pat(t(sis %is*+a+a, : M*ta+(lis)* %i h*par )*,&hasila,
)*ta+(lit t(sis. M*ta+(lit t(sis i,i pa%a %(sis ,(r)al %pt
%iiat (l*h &lutathi(, !trip*pti%a %,& –SC".
4a%a %(sis +*sar &lutathi(, ha+is; %a,)*ta+(lit )*,&iat pr(t*i, %,& – SC %arihati; *rusaa, ir*7*rsi+*l.
•
O7*r %(sis:Mual; )u,tah; a,(r*/ia;p*,a,&&ula,&a,,ya %,& -u-i la)+u,&atau %ita)+ah <at a,ti : asa) a)i,( Nas*tilsist*i, !)*thi(,i,".
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• Cal ya,& harus %ip*rhatia,
• D(sis harus t*pat; ti%a +*rl*+iha,; +ila%(sis +*rl*+iha, %apat )*,i)+ula,&a,&&ua, 'u,&si hati %a, &i,al.
S*+ai,ya %i)i,u) s*t*lah )aa,
• Ci,%ari p*,&&u,aa, -a)pura, (+at
%*)a) lai, ar*,a %apat )*,i)+ula,(7*r%(sis.
• Ci,%ari p*,&&u,aa, +*rsa)a %*,&a,al(h(l ar*,a )*,i,&ata, risi(
&a,&&ua, 'u,&si hati.
• K(,sultasia, * %(t*r atau ap(t**ru,tu p*,%*rita &a&al &i,al.
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Wa,ita ha)il : r*lati7 a)a,D(sis : (ral !2%% H;G1;G & )as. #&5hr;• r(,is )as 2;G&5hr"
• a,a # %% 1H )&5& BB5hrK(,tra I,%iasi : p*,%*rita &a,&&ua, 'u,&si hati
p*,%*rita y& al*r&i t*rh%p (+at i,i
p*-a,%u al(h(l
2.A-*t(sal !aspiri," > A-i%u) a-*til sali-ili-u)
I,%iasi : )*,uru,a, %*)a)
a,al&*ti
a,tii,Ja)asi
BSO : ta+l*t GHH )&; (+at ,y*ri t*rtua s*a !1F"
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Efek samping :- Iritasi )u(sa la)+u,& p*r%araha,t*rs*)+u,yi tua %is*+a+a, si'at asa); %a,
*asa)a, %apat %iura,&i %,& a,tasi%a
D(sis +*sar; *'* p*rli,%u,&a, t*rh%p )u(sala)+u,& hila,&iritasi
al*r&i ulit- ti,itus !t*li,&a +*r%*,&i,&"- *a,& +r(,-hi- Sy,%r()a Ry* !)u,tah h*+at; t*r)a,&u)a,&u;
&a,&& ,a'as; (,7ulsi"
- K(,tra i,%iasi- Wa,ita ha)il; ti%a +(l*h %i&u,aa, pa%a
tri)*st*r * ar*,a :
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- M*,&ha)+at his ;
- )*)p*rla)+at p*rsali,a,
- )*)p*rpa,a,& )asa p*r%araha, 0atasi : t% +(l*h %i+*ria, ; *-uali :i+upr('*,; ,apr(s*,; %il('*,a
Dosis rendah !#H )&" ; )*,&ha)+ata&r*&asi tr()+(sit; )*,-*&ah str(*Dosis besar !G& 5hr"; +*r*'* a,tira%a,&
Nyeri dan demam: # %% H;G1& p-; a,aa,a !# %% 1H )&5&BB5hr"
Rematik : %% 1& )as F &5hr !(ral;r*tal"
Migren : 1 & si,&l* %(sis
Penceg Infark : 1 %% 1HH )&
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ANA0=ETIKA DAN ANTIIN60AMASI
1. Turu,a, salisilat : As*t(sal; %iJu,isal; +*,(rilat
2. Turu,a, asa) pr(pi(,at : I+upr('*,;,apr(s*,; *t(pr('*,; '*,(pr('*,; '*,+u'*,
. Turu,a, i,%(l : I,%()*tasi,; suli,%a; t(l)*ti,
#. Turu,a, asa) '*,ilas*tat : %il('*,a;'*,l('*,a
G. Turu,a, pira<(l(, : 6*,il+uta<(,;(si'*,+uta<(,; a<apr(pa<(,; '*,pra<(,
. Turu,a, asa) a,tra,ilat : asa) )*'*,a)at;
asa) Ju'*,a)at; %a, Na )*l('*,a)at. Turu,a, (sia) : pir(sia); t*,(sia)
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OWA ,( 2 : +*,(rilat; i+upr('*,; !sist*)i"
: %il('*,a
: pir(sia) !l(al5t(pial"
Cal ya,& harus %ip*rhatia, :
Atura, p*)aaia, harus t*pat; %i)i,u)
s*t*lah )aa, atau +*rsa)a )aa,a,u,tu )*,-*&ah ,y*ri %a, p*r%araha,la)+u,&.
K(,sultasia, * %(t*r atau Ap(t**r +a&i
p*,%*rita &a,&&ua, 'u,&si &i,al atau hati;i+u ha)il; i+u )*,yusui %a, %*hi%rasi.
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TURUNAN ASETOSA0 :• as*t(sal larut ar+asalatalsiu)
!As-al"; lysi,as*t(sal• %iJu,isal !D(l(-i%; DiJ(,i%"• +*,(rilat; *st*r as*t(sal %,& paras*ta)(l
,*'r(t(si !B*,(rta,"• salisila)i%; *'* l*)ah; %pt hip(t*,si;h*,ti ,a'as ! N*(<*p;R*'a&a,"
• Natriu) salisilat ; *'* l*)ah; t% a%a
a,titr()+(sis !N*pr(lit"• M*tilsalisilat; u,tu a,al&*tia (+at &(s(• &li(lsalisilat; u,tu (+at &(s(
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! "#cerogen )ual; )u,tah; ,y*ri la)+u,&;&astritis; tua la)+u,& usus; p*r%araha,(--ult; %is*+a+a, p*,&ha)+ata, pr(s
ta&la,%i, !sist*)i"; p*)+*ria, l*Lat r*tal E6sa)pi,& sa)a.
K*l s*rius : i,%()*tasi,; pir(sia) K*l a&a s*rius : *t(pr('*,; %il('*,a
K*l ri,&a, : i+upr('*,
$ %angg"an f"ngsi gin&a#'( Agregasi trombosit dik"rangi' masa per
darahan diperpan&ang )re*ersibe#+' kecAsetosa#
, Reaksi k"#it - r"am' "rtikaria
. /ronchokonstriksi
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. /ronchokonstriksi
0 Efek sentra# - nyeri kepa#a' p"sing' tinit"s' depresi'
gangg peng#ihatan1 #ain2#ain - gangg f"ngsi hati )dik#ofenak+ gangg
haid
)dik#ofenak' indometasin
$ONTOC OBAT :! I/3PR45EN )Proris+
• E'* a,al&*ti %a, a,tira%a,&,ya -uup +ai.• D(sis : %*)a); r*)ati; ,y*ri hai% : # %% 2HH#HH)&
p-5%- ;• a,aa,a %% GH – 1HH )&;• )i&r*, HH )& si,&l* %(sis
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$ ASAM ME5ENAMA6 )Ponstan+• E'* a,tira%a,&,ya s*%a,&
• E'* sa)pi,&,ya s*ri,& )*,i)+ula, %isp*psia %a,%iar* h*+at !t% %ir*()*,%asia, u,tu a,aa,a"• D(sis : # %% 2GH – GHH )& p-5%-
• . DIK0O6ENAK ! (ltar*,; $ataJa)"• NSAIDs %*,&a, a,tira%a,& uat %a, *'* sa)pi,&
ura,& *ras .• Di&u,aa, u,tu s*&ala )a-a) ,y*ri .• 4*,y*rapa, &ara) K l*+ih -*pat %i+a,%i,&a, &ara) Na
.• D(sis : Ny*ri : %% 2GGH )& &ara) K5Na p-5%- K(li : 12 %% G )&
T*t*s )ata H;1 G tts
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, PIR4KSIKAM )5e#dene+• E'* a,al&*ti; a,tipir*ti %a, a,tira%a,&,ya uat %a, la)a
!%urasi GH a)"
• D(sis: r*)ati !2 %% 2H )&";Ny*ri hai% !1 %% #H )&"
ANAES6ESI 74KA7• O+at ya,& pa%a p*,&&u,aa, l(al )*ri,ta,&i s*-ara
r*7*rsi+*l p*,*rusa, i)puls sara' * SS4 %*,&a, %*)iia,
)*,&hila,&a, atau )*,&ura,&i rasa ,y*ri; &atal&atal rasapa,as
• E'* sa)pi,&1. %*pr*si t*rha%ap ssp %a, a,tu,&
2. r*asi hip*rs*,siti7itas !*/ath*)a; urti-aria;+r(,-h(spas)us; sy( a,alati"
• 4*,&&u,aa, : U,tu ,y*ri pa%a )ulut; t*,&&(r( %a, t*li,&a u)ur;
ta+ hisap; tts t*li,&a"
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U,tu &atal > &atal; ,y*ri %i ulit; lua +aar!%l) +,t sal*p; r*)"
U,tu Lasir !%l) +*,tu sup(sit(ria"
$(,t(h (+at :!/en8ocain )Rako s"pos+
$7idokain )Ka#mycin #o8+( Eti#k#orida )K#oreti# spray+; %i+aLah
t*a,a, ri,&a, +*r+*,tu -air; Bila%is*)pr(ta, * ulit;*ra,ya +*r%asara,
)*,&uap,ya l(r*til %,& -*pat ar*,a titi%i%ih,ya ya,& r*,%ah; hasiat,ya uat ttpsi,&at. E'* sa)pi,&,ya : ,y*ri %a, *a,&(t(t. T% +(l*h u,tu ulit t*r+ua ar*,at(sis t*rh%p a,tu,& %a, h*par.
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SWAMEDIKASI DEMAM
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Apaah D*)a) itu
• D*)a) :
Bua, suatu p*,yait; t*tapi &*alaa%a,ya p*,yait
=*ala :
K*,aia, suhu; %iatas ;G P$
+iasa t*ra%i pa%a )ua; +a%a,;ta,&a,.
T*lapa ta,&a, 5 ai +iasa,ya %i,&i,
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4at(si(l(&i D*)a)
Suhu Tu+uh %ir*&ulasi (l*h i,ti pa%ahip(tala)us a,t*ri(r :
T*r)(r*&ulat(r !TERMOSTAT"
TERMOSTAT :M*,&*,%alia, K*s*i)+a,&a,
a,tara pr(%usi %a, *hila,&a,pa,as
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4r(s*s p*ra,&sa,&a,t*r)(stat
M*li+ata, <at ya,& %is*+ut :4YRO=EN !*,%(&*, %a, *s(&*,"
)ar('a&
Sit(i, :I0; TN6;I0 !pyr(&*,*,%(&*,"
Bat*ri;
irus; t(si,M*,&hasila
,!pyr(&*,*s(&*,"
I,t*rasi %& r*s*pt(r7asul*r %l) pusat
t*r)(r*&ulat(r
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I,t*rasi %&r*s*pt(r
7asul*r %l)pusat
t*r)(r*&ulat(r
I,%usi4=E
Sti)ulasi sara'si)pati ;7as((,strisi; DEMAM
4usat 7as()(t(r
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Apa ya,& harus %ilaua,
• Istirahat ya,& -uup.
• Mi,u) air ya,& +a,ya.
•
Usahaa, )aa, s*p*rti +iasa;)*sipu, ,a'su )aa, +*rura,& .
• 4*risa suhu tu+uh s*tiap # a).
•
K()pr*s %*,&a, air ha,&at• Cu+u,&i %(t*r +ila suhu sa,&at
ti,&&i !%iatas FP$"; t*ruta)a pa%aa,a a,a
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Ba&ai)a,a )*,&&u,aa, t*r)()*t*r
1. 4astia, rasa a%a %i +aLah ! %i
+aLah GP$"
2. 0*taa, t*r)()*t*r %i +aLahli%ah; *tia; atau %u+ur
. $u-i t*r)()*t*r s*+*lu) %a,s*su%ah %i&u,aa,
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Kapa, harus * %(t*r Q apa, harus
sLa)*%iasi
• Bila s*(ra,& +ayi )*,%*rita pa,as
•
Bila %*)a) l*+ih %ari P$ !pa%a a,aa,a F.GP $" %a, ti%a +isa turu, %*,&a,paras*ta)(l atau ()pr*s.
• Bila %*)a) ti%a +*rura,& s*t*lah 2 hari
• Bila %*)a) %is*rtai %*,&a, au l*h*r
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• Bila %is*rtai &*ala&*ala lai, ya,&+*raita, %*,&a, %*)a) s*p*rti
• rua) ulit; sait t*,&&(r(a, +*rat;+atu %*,&a, %aha +*rLar,a hiau.
• Sait t*li,&a; sait p*rut; %iar*;
t*rlalu s*ri,& atau sait +ila +ua,&air *-il; +i,ti+i,ti )*rah pa%aulit; *a,&; pi,&sa,
• Bila t*ra%i %*)a) s*t*lah)*lahira, atau *&u&ura,
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Nyeri
4*rasaa, s*,s(ris %a, *)(si(,al ya,&ti%a *,a %a, +*rhu+u,&a, %*,&a,&a,&&ua, 5 *rusaa, ari,&a,
Isyarat a%a,ya &a,&&ua,
ari,&a, :- 4*ra%a,&a,- I,'*si asa% r*,i
- K*a,& (t(t
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4at(si(l(&i ,y*ri :
Ra,&sa,&a,
)*a,is; i)iaLi;sis
M*%iat(r ,y*ri :pr(sta&la,%i,;
+ra%ii,i,; hista)i,;
l*u(tri*,
,y*ri
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$(,t(h ,y*ri :
Sait *pala; sait &i&i; ,y*ri hai%;,y*ri ar*,a lua %ll
Cal p*,ti,& ya,& +isa %isara,a,
• T*tap ati' '(usa, pa%ap**raa, a,%a
• K()pr*s ha,&at pa%a ,y*ri (t(t
• =u,aa, (+at p*,&hila,& ,y*ris*suai p*tu,u ahli
• Bila ,y*ri +*rla,ut hu+u,&i %(t*r
h % h
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h*a%a-h*K*luha, pali,& u)u) ,y*ri a%alah pusi,&;
%ip*riraa, 1G p(pulasi p*,%u%u )*,&ala)ipusi,& s*tiap )i,&&u.
A%a 2 )a-a) lasiasi :
i,trara,ial h*a%a-h* : tu)(r; a+s*s; h*)at()a;i,'*si ! p*,yait s*rius ya,& ti%a +isa %i (+ati%& sLa)*%iasi"
E/tra-ra,ial h*a%a-h* : )i&rai, ! ar*,a &a,&&ua,7isual" p*,&lihata,; p*,%*,&ara,; p*,-iu)a,;+au.>>> a%a,& +*r*)+a,& )*,a%i l*+ihparah +*rupa ,aus*a; 7()iti,&; ph(t(p(+ia.
Mus-l* -(,tra-ti(, >> ,y*ri *pala t*ra%i ar*,aspas)* (t(t l*h*r atau ulit *pala
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Si,us h*a%a-h* : ,y*ri *pala ar*,ap*,yait si,usitis; rhi,itis; i,Ju*,<a;
%llNEURA0=IA
Ny*ri ya,& t*ra%i ar*,a &a,&&ua,syara'; +*rupa rasa ,y*ri ya,& a%a,&
%ata,& ti+ati+a s*p*rti rasa t*rtusu.4*,y*+a+ +*lu) %i*tahui
Myal&iaNy*ri ya,& t*ra%i ar*,a &a,&&ua,pa%a (t(t; s*t*lah )*,&a,&at5
)*,&*luara, t*,a&a +*rat; (,trasi
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arthral&ia
Ny*ri ar*,a i,Ja)asi pa%a )*)+ra,sy,(7ial !M*)+ra, si,(7ial )*rupaa, ari,&a, a7asul*r ya,& )*lapisi p*r)uaa,%ala) apsul s*,%i; t*tapi ti%a )*lapisip*r)uaa, raLa, s*,%i. M*)+ra, i,i li-i,%a, lu,a %a, +*rlipatlipat; +*r'u,&si u,tupr(%usi -aira, s*,%i %a, tra,s'*r (,stitu*,
%arah * %ala) r(,&&a s*,%i"Rh*u)at(i% arthritis >> i,Ja)asi r(,is pa%a
)*)+ra, si,(7ial
7/17/2019 Swamedikasi baru.pptx
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4steoartritis !4A; %i*,al u&a s*+a&ai artritisdegeneratif ; penyakit degeneratif sendi";
a%alah (,%isi %i )a,a s*,%i t*rasa ,y*ri ai+ati,Ja)asi ri,&a, ya,& ti)+ul ar*,a &*s*a,uu,&uu,& tula,& p*,yusu, s*,%i
Nyeri haid
Ny*ri ya,& ti)+ul 5 )*,y*rtai )*,*la,& %a,pa%a saat hai%.
Dis)*,(r*
,y*ri %is*+a+a, ra) rahi) pa%a saat)*,struasi.Dis)*,(r* pri)*r s*ri,& t*ra%i; *)u,&i,a,l*+ih %ari GH La,ita )*,&ala)i,ya %a, 1G%ia,tara,ya )*,&ala)i ,y*ri pa%asaat menstr"asi ya,& h*+at.
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Cal ya,& harus %ip*rhatia, :
• Atura, p*)aaia, harus t*pat;
%i)i,u) s*t*lah )aa, atau+*rsa)a )aa,a, u,tu )*,-*&ah,y*ri %a, p*r%araha, la)+u,&.
•
K(,sultasia, * %(t*r atauAp(t**r +a&i p*,%*rita &a,&&ua,'u,&si &i,al atau hati; i+u ha)il; i+u)*,yusui %a, %*hi%rasi
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• @a,&a, %i)i,u) +*rsa)a %*,&a,)i,u)a, +*ral(h(l ar*,a %apat)*,i,&ata, risi( p*r%araha,
la)+u,&.
• @a,&a, %i)i,u) +*rsa)a %& u)ari,;
a,ti(a&ula,; (rti(st*r(i%;Jupr('*,; p*,isili, %a, 7ita)i, $.
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K(,tra I,%iasi :
• 4*,%*rita al*r&i t*r)asu as)a
• Tua la)+u,& !)aa&" %a, s*ri,&p*r%araha, %i +aLah ulit
• 4*,%*rita h*)(lia %a, tr()+(sit(p*,ia
E'* sa)pi,& :
• Ny*ri la)+u,&; )ual; )u,tah
• 4*)aaia, %ala) Latu la)a %apat
)*,i)+ula, tua %a,• p*r%araha, la)+u,&
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. IBU4RO6EN
i+upr('*, #HH )& %a, HH )& > (La ,( 2i+upr('*, 2HH )& > (+at +*+as t*r+atas
I,%iasi :
•
M*,*a, rasa ,y*ri %a, ra%a,&; )isal,ya%is)*,(r*a pri)*r !,y*ri
• hai%"; sait &i&i; sait *pala; pasa(p*rasi; ,y*ri tula,&; ,y*ri s*,%i;
• p*&al li,u %a, t*rilir
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• B*,tu s*%iaa,
Ta+l*t 2HH )&
Ta+l*t #HH )&; HH )&
D*Lasa : 1 ta+l*t 2HH )&; 2 – # alis*hari;. Di)i,u) s*t*lah )aa,
A,a : 1 – 2 tahu, : ta+l*t 2HH )&; – #ali s*hari
– tahu, : ta+l*t GHH )&; – # ali
s*hariF – 12 tahu, : 1 ta+l*t GHH )&; – # alis*hari
C l h l h
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Calhal ya,& harus%ip*rhatia,
• =u,aa, (+at %*,&a, %(sis t*pat
• Catihati u,tu p*,%*rita &a,&&ua,'u,&si hati; &i,al; &a&al a,tu,&;
• Catihati pa%a p*,%*rita as)a %a,+r(,h(spas)us
• @a,&a, )i,u) (+at i,i +*rsa)a
%*,&a, al(h(l ar*,a)*,i,&ata,risi( p*r%araha, salura, -*r,a.
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• K(,tra I,%iasi :
tua la)+u,&
al*r&i
ha)il tri)*st*r ahir
• =a,&&ua, salura, -*r,a s*p*rti )ual; )u,tah;
%iar*; (,stipasi !s*)+*lit5susah +ua,& air+*sar"; ,y*ri la)+u,& sa)pai p*,%araha,.
• Rua) ulit; +r(,h(spas)us; tr()+(sit(p*,ia
• 4*,uru,a, *taa)a, p*,&lihata, %a, s*)+uh
+ila (+at %ih*,tia,• =a,&&ua, 'u,&si hati
• R*asi al*r&i %*,&a, atau ta,pa sy( a,alasi
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#. M*tha)pir(, !(La ,( 1"
I,%iasi : Sait *pala; pusi,&; %*)a);
%is)*,(r*%(sis :%*Lasa : GHH – 1HHH )&; /5 hari
a,a : 12 tahu, 2GHGHH )&; / 5 hari
: 1 tahu, 12G )& – 2GH )&; /5 hariK(,trai,%iasi :
Al*r&i; p*,%araha,
E'* sa)pi,& :=a,&&ua, %arah; iritasi la)+u,&; pruritis;tr*)(r; )ual; %ll
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G. Asa) M*'*,a)at !(La ,( 1"
I,%iasi :
Sait K*pala; sait &i&i
K(,tra i,%iasi :
Tua salura, -*r,a
ra%a,& la)+u,&;
&a&al &i,al; &a,&&ua, h*par
as)a
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• E'* sa)pi,& :
sait *pala; l*)ah; &a,&&ua,salura, -*r,a; tua p*pti.
I,t*rasi :(+at a,ti(a&ula,
• D(sis : %*Lasa %a, a,a 9 1#
tahu,GHH )& ; %ila,uta, 2GH )& tiap a); %i)i,u) +ila p*rlu; %-;
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Natriu) %il('*,a
2G )&
I,%iasi : r*)ati; (st*(arthritis;)*,&ura,&i rasa sait; p*)+*,&aa,;%ll
D(sis : %Ls G1GH )& s*hari; %i+a&i %(sis; %- atau p-
KI : tua p*pti; hip*rs*,siti7itas;&a,&&ua, h*par; La,ita ha)il
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4bat2obat ana#getik "nt"k topika#
1. Dil('*,a
!7(lta%*/ *)ul&*l; 7(ltar*, *)ul&*l"
I,%iasi : p*,&(+ata, l(al pa%a ra%a,& ar*,ar*)ati %a, trau)a.
2. 4ir(sia)
! '*l%*,* &*l"
I,%iasi :
)*,&hila,&a, rasa sait; ra%a,&; &a,&&ua,)usul(s*l*tal
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SLa)*% )ata %a, t*li,&a
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• Mata )*rupaa, (r&a, ya,& sa,&at
halus %a, )u%ah %irusa• K*luha, )ata s*+ai,ya %i(,sula,
%(t*r.
• Ca,ya *luha, ri,&a, s*p*rti*lilip*,; iritasi %*,&a, *)*rah)*raha,; &atal %apat %i(+ati %*,&a,
(+at t*t*s )ata atau -u-i )ata ya,&t*rs*%ia +*+as.
• Ti%a a%a OWA u,tu *luha, )ata.
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Strutur )ata
Mata s*p*rti alat p*)(tr*t;)*)pu,yai : – l*,sa (+y*ti' : -(r,*a; -aira, )ata
%a, l*,sa )ata
– %ia'ra&)a : pupil ; ya,& +*ra%a
%i+a&ia, t*,&ah iris – l) : r*ti,a; +a& t*,&ah %apat )*lihat
pali,& taa) %is*+ut +i,ti u,i,&
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• 9on&"ncti*a a%alah s*laput l*,%ir+*,i,& ya,& )*lapisi p*r)uaa,%ala) %ari *l(pa )ata %a, )*lalui
lipata, )*,utupi s*+a&ia, +*sar+(la )ata.
• B(la )ata %ili,%u,&i (l*h sc#era ;
Lar,a putih; +a&ia, pali,& luar %ari)ata .
• Ba&ia, )ata %*pa, ya,& +*,i,&
%is*+ut cornea
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=a,&&ua, pa%a )ata :
4*,&lihata, ura,& taa)
K()pliasi p*,yait
4*,i,&ata, t*a,a, pa%a +(la )ata!&lau()a"
Ra%a,& -(,u,-ti7ita
I,'*si +at*ri; 7irus2 6imbi# ; i,'*si +at*ri *l s*+u) pa%a
pi,&&ir *l(pa )ata
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Ya,& +isa %i(+ati %*,&a, sLa)*%iasi :
1. iritasi )ata %*,&a, *luha, &atal;a&a ,y*ri
2. )ata l*lah %apat %is*+a+a, t*rlalu+a,ya )*)+a-a; +**ra pa%a)(,it(r ()put*r ; pa%a rua,&p*,-ahayaa, ura,&;
O+at ya,& %i&u,aa, :; %ala) +*,tu t*t*s )ata !&uta* (pthal)i-" atau
-u-i )ata !-(llyria"
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1. as(%ilat(rU,tu *luha, &atal; )*raht*trahi%r(<(li, : Visine
'*,il*'ri, : Indofrin, Fitto,a'a<(li, : Optu,*2. a%stri,&*,su,tu )ata l*lah %a, )ata )*rah
s*,&sul'at : Optrex . a,tis*pti V +*,<al(,iu) l(ri%* %ala)-u-i )ata -(,t(h yri,s H;HHG
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#. 4(li7i,il al(h(l !Optifresh)
M*l*)+a+a, )ata *ri,&
G. K()+i,asi ,atriu) l(ri%*; aliu)l(ri%* (Cendolyters"
4*,&&a,ti air )ata
. Estra +il+*ry – Bery Vision, Bio-retin, Eyevit, Matovit
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7ensa kontak dan cairan #ensa kontak Ma-a))a-a) l*,sa :1. 0*,sa *ras
T*r+uat %ari p(li)*til)*tha-rylat !4MMA" Ti%a %apat %it*)+us (si&*,Si'at,ya hi%r('(+; l*,sa )*,&a)+a,& %i-aira, )ata$aira, +aru s*lalu )*,&alir * +aLahl*,sa ai+at *%ipa, )ataMata ya,& %i+*ri l*,sa i,i s*p*rti*)asua, %*+u
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2. 0*,sa s*t*,&ah l*)+ut
T*r+uat %ari s*lul(saas*t(+utirat !$AB"
Dapat %it*)+us (si&*,
Dapat )*,y*+a+a, iritasiB*rtaha, G tahu,
. 0*,sa tipis
T*r+uat %ari hi%r(si*til)*tha-rylat !CEM$"
0*+ih tipis %a, la,&su,& pa%a -(r,*aMu%ah %it*ri)a (l*h )ata; ti%a iritasi;
%i&a,ti s*tiap H;G1 tahu,
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9airan #ensa ; harus st*ril %a, )*)*,uhip*rsyarata, (+at t*t*s )ata.
u,tu )*)asui l*,sa
u,tu )*)+*rsiha, %a, )*,%*si,'*tir
u,tu )*,yi)pa,
$aira, u,tu )*)asui l*,sa; %i+utuha, (l*hl*,sa *ras.
Isi,ya ,atriu) l(ri%a %a, a,tis*pti; u&a <atya,& )*)+asaha, s*p*rti hi%r(si*tils*lul(sas*hi,&&a l*,sa %apat %i+asaha, %*,&a, p*la,p*la,.
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$aira, p*)+*rsih5p*,yi)pa,S*la)a %ipaai l*,sa (t(r; s*tiap hari harus%i+*rsiha,; %i&(s(; %i+ilasat p*)+*rsih ya,& %ita)+aha, ,atriu) –*%*tat.
U,tu l*,sa l*)+ut : -aira, p*)+*rsih hi%r(&*,p*r(si%a.0*,sa %isi)pa, l*+ih ura,& F a) u,tu%i+*rsiha, %a, %i%isi,'*si
Masua, -aira, ,*tralisasi ya,& )*,&a,%u,&*,<i) atalas* l*+ih ura,& F )*,it u,tu)*,&uraia, sisa p*r(si%as*.0*,sa ti%a usah %i&(s(
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t*li,&a
T*li,&a %i+a&i ti&a +a&ia, :
t*li,&a luar ! lia,& t*li,&a"
t*li,&a t*,&ah !r(,&&a ya,& +*risi
u%ara" t*li,&a %ala)
• a,tara t*li,&a luar %a, t*li,&a t*,&ah%ipisaha, (l*h membran thympani
• t*li,&a t*,&ah %*,&a, r(,&&a hi%u,&t*,&&(r( %ihu+u,&a, %*,&a, salura,*-il t"ba e"stachi"s
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• +u,yi )*,&&*tara, )*)+ra, ty)pha,i;&*tara, %is*l*si tula,& p*,%*,&ara,t*li,&a t*,&ah; lalu %it*rusa, * t*li,&a%ala) . &*tara, %iru+ah )*,a%i alira,
listri %a, ra,&sa,&a, sara' %it*rusa, *(ta; +u,yi t*r%*,&ar
• pa%a saat )*,*la, atau )*,&uap ta+u,&*usta-hius t*r+ua; u%ara %ari luar %apat)asu * r(,&&a t*li,&a t*,&ah; %*,&a,%*)iia, t*a,a, pa%a )*)+ra,ty)pha,i %apat %itia%aa,
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=a,&&ua, t*li,&a s*ri,& t*rait %*,&a, t*rsu)+at,ya ta+u,& *usta-hius palit upi,& ya,& )*,&*ras i,'*si +at*ri atau a)ur
4*,y*+a+ ,y*ri t*li,&a1; ra%a,& t*li,&a t*,&ahS*ri,& %is*+a+a, p*)+*,&aa, s*laput l*,%iratau t*rsu)+at,ya ta+u,& *usta-hius.4*)+*,&aa, a%aala,ya ai+at al*r&i )aa,a,.
=*ala uta)a,ya pa%a a,a sa,&at ,y*ri %i t*li,&a%ala) %a, +isa *luar -aira,4a%a %*Lasa p*,%*,&ara, +*rura,& %a, t*li,&a+*r%*,&u,&
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4*,&(+ata, : (+at a,ti ,y*ri s*p*rti paras*ta)(l; asa)
)*'*,a)at (+at a,*st*si l(al : li%(ai, t*t*s t*li,&a
t*t*s hi%u,& ya,& +*risi 7as((,strit(r• +ila a%a -aira, ya,& *luar %ari t*li,&a;
!)*)+ra, ty)pha,y p*-ah; %a,u)u),ya t*ra%i p*r+aia, %ala) Latu
#G hari" ; p*rlu (,sultasi %(t*r.• Ra%a,& t*li,&a t*,&ah ya,& r(,is; s*ri,&
a)+uh; p*rlu (,sultasi %(t*r.
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2. ,y*ri lia,& t*li,&a
4alit atau ser"men t*r%iri %ari <at<at l*)a )*,y*rupai lili,
S*tiap 2 )i,&&u harus%i*luara,
• 0ili, i,i %apat )*,&*ras; )*,yu)+at
lia,& t*li,&a ; )*)p*r+urup*,%*,&ara, +aha, %apat t*ri,'*si+at*ri.
• 0ili, ya,& )*,&*ras )*,*a, sara'
)*,i)+ula, ,y*ri
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4*,&(+ata, V
M*,&*luara, s*ru)*, ya,& )*,&*ras V
)i,ya a-a,& %it*t*sa, 2 ali 2 tts
-a)pura, air +ur(Li; asa) as*tat %a,
pr(pil*,&li(l Natriu) %(usat !6(ru)*,"
$ara )*lu,aa, :
(+at p*lu,a %it*t*sa,
apas %i+asahi (+at; %i)asua, lia,& t*li,&a%i()pr*s; alau apas *ri,& %i&a,ti apas+asah;
alau su%ah lu,a %ia)+il %*,&a, -utt(, +u%
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. Ny*ri t*li,&a %i p*saLat T*r+a,& pa%a *ti,&&ia, 1H HHH ); t*a,a, u%ara%ala) a+i, %is*suaia, %*,&a, ,ilai ya,& sa)a%*,&a, t*a,a, 2HHH ).
• Saat ,ai t*a,a, a&a )*,uru, %irasaa,
)*)+ra, ty)pha,i ; u%ara *luar %ari rua,& t*li,&at*,&ah; s*hi,&&a t*a,a, %i sisi )*)+ra, ty)pha,it*tap sa)a
• Saat turu,; t*a,a, %ala) a+i, %ituru,a, sa)pai,(r)al 1 at); u%ara %ari luar )asu * r(,&&at*li,&a t*,&ah. Cal i,i %ihi,%ari ar*,a lu+a,&ta+u,& *usta-hius t*rtutup (l*h t*a,a, %ari luarya,& ti,&&i. D*,&a, %*)iia, %irua,& t*li,&at*,&ah t*ra%i t*a,a, r*,%ah ; )*)+ra, ty)pha,it*rtari *%ala) ; s*hi,&&a t*rasa ,y*ri.
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4*,&(+ata, :
M*,&uap atau )*,*la, !lu%ah"+*raliali ai+at,ya tu+a *usta-hius
ti%a )*,utup. U%ara luar %apat )asu * r(,&&at*li,&a t*,&ah
T*a,a, %i r(,&&a t*li,&a t*,&ah %a,
%iluar sa)a; )aa rasa sait hila,&• T*t*s hi%u,& 7as(%ilat(r !/yl()*ta<(li,"
%apat )*)+ua tu+a *usta-hius
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SWAMEDIKASI 4ENYAKIT
0OKA0OBAT UNTUK KU0IT
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SLa)*%iasi ulit
Kulit )*rupaa, (r&a, t*rluar %ari tu+uh ;'u,&si,ya :
)*,aha, -aira, ; a&ar ti%a %*hi%rasi
)*ri,ta,&i p*,&aruh %ari luar s*p*rti :suhu; <at )*rusa; (t(ra,
)*)+*,tu <at *s*,sial s*p*rti 7ita)i, D
)*,&atur suhu tu+uh!tra,spirasi"
)*,&*luara, sisa )*ta+(lis)*!*ri,&at"
Susu,a, ulit
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Susu,a, ulit.
Kulit t*r%iri %ari ti&a lapisa, :
1. *pi%*r)is !ulit ari"Ba&ia, luar %ari ulit; %is*lu+u,&i(l*h lapisa, ta,%u atau *rati, ya,&
s*lalu %il*pasa, s*+a&ai s*rpiha,s*rpiha, %a, s*lalu %ip*r+aharui (l*h ari,&a, %i +aLah,ya ya,& )*,&*ras
la&i )*,a%i *rati,. Ti%a )*,&a,%u,& p*)+uluh %arah.
2 D*r)is !-utis -(riu) ulit a,&at"
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2. D*r)is !-utis; -(riu); ulit a,&at" T*r%iri %ari ari,&a, p*,&iat !(la&*,";
)*,&a,%u,& p*)+uluh %arah %a, li)'*.
Disi,i t*rl*ta sara' ! uu,&uu,& sara's*+a&ai r*s*pt(r u,tu ra,&sa,&a, i,%rap*rasa; ,y*ri %a, suhu"; a,t(,& ra)+ut!'(li*l"; *l*,ar l*)a; *l*,ar
*ri,&at; s*rta s*l)ast.K*l*,ar *ri,&at %a, l*)a +*r'u,&siu,tu )*)p*rtaha,a, *l*,tura, %a,*l*)+a+a, lapisa, *rati,.
K*l*,ar l*)a )*,yalura, l*)a !tal&;s*+u)" * %ala) a,t(,& ra)+ut*)u%ia, )*,&*luara, * p*r)uaa,*pi%*r)is.
6 # % l h % i t l
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6a#g a%alah -a)pura, %ari <at l*)as*p*rti asa)asa) l*)a %a, tri&lis*ri%.
K*l*,ar *ri,&at )*,&*luara, -aira,,ya)*lalui salura, la,&su,& * p*r)uaa,ulit )*lalui p(ri.
. Su+ -uta, !ulit +aLah"
T*r%iri %ari ari,&a, p*,&iat l(,&&ar ari,&a, l*)a.
B*r'u,&si s*+a&ai is(lat(r %a, t*)patp*,yi)pa,a, -a%a,&a, <at &i<i. Disi,it*r%apat sara' %a, p*)+uluh %arah.
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=AN==UAN=AN==UAN 4ADA KU0IT: Kulit *ri,&;%*r)atitis !*si)"
+isul;util;
ati)u)ul; lua +aar a)ur;
utu air; *raLat
! K"#it kering
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! K"#it kering
Tu+uh t*r%iri atas air ;'u,&si ulit u,tu
)*,& hi,%ari *hila,&a, -aira,V )aa%ala) ulit a%a u,sur ya,& )*,&iatair %a, *rat(liti !,a-l; asa)asa)a)i,( %a, ur*a".
Ka%ar -aira, %ala) lapisa, ta,%u)*rupaa, 'at(r ya,& p*,ti,& u,tu)*)p*rtaha,a, *l*,tura, ulit.
Apa+ila *s*i)+a,&a, -aira, t*r&a,&&u
ulit )*,a%i *ri,&.=*ala,ya p*rasaa, *ri,& %a, aupa%a ulit ya,& t*rlihat a&a *riput.
6at(r lai, ya,& )*,y*+a+a, ulit
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6at(r lai, ya,& )*,y*+a+a, ulit*ri,& :
a. usia : la,sia *pi%*r)is )*,ipis;ura,& %apat )*,aha, -aira,+. p*,yait: p*,%*rita %ia+*t*s +a,ya*hila,&a, pr(t*i,
-. ili) : *l*)+a+a, r*,%ah %a,+a,ya
a,&i,; suhu r*,%ah s*ali%. si,ar )atahari : )*,&ai+ata,p*,&*rasa, ulit*. -ara hi%up: )a,%i t*rlalu s*ri,&%*,&a, sa+u,
Kulit *ri,& pa%a ha*at,ya ti%a )u%ah %iatasi;
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& p y ;s*+a+ p*)asua, -aira, *%ala) s*ls*l ulitti%a %apat %ilaua, %ari luar )*lai,a, ha,ya%ari ari,&a,ari,&a, %ala).
Kr*) ya,& )*,&a,%u,& <at ya,& +*rsi'at)*,ari air !hi%rata,s" +*r&u,a u,tu)*)p*rtaha,a, -aira, %ala) lapisa,lapisa,ulit$(,t(h,ya : &lis*ri,; pr(pil*,&li(l;
ur*a (Carmed krem"
Mi,ya %i%ala) r*) +*r'u,&si u,tu)*,&hi,%ari *luar,ya %a, hila,&,ya l*)+a+l*+ih +a,ya a&ar ulit a,&a, )*,&*ri,& l*+ih
la,ut.Kulit )*,a%i l*+ih l*,tur %a, sup*l s*hi,&&arasa,ya )*,a%i l*+ih ,ya)a,
2 Dermatitis
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2. Dermatitis
D*r)atitis a%alah p*ra%a,&a, ulit
!*pi%*r)is %a, %*r)is" ya,&)*)+*ria, &*ala su+y*ti' &atal %a,%ala) p*r*)+a,&a,,ya )*)+*ria,*lai,a, ulit ya,& +*r)a-a))a-a).
D*r)atitis ya,& s*ri,& a)+uh s*ri,&%is*+ut s*+a&ai ek8im
4*ra%a,&a, )*rupaa, r*asi ulit
t*rha%ap +*r+a&ai <at *,%(&*,)aupu, *s(&*,
4*,y*+a+ +*rasal %ari V
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y V luar !*s(&*," )isal,ya+aha, i)ia : %*t*r&*,; asa); +asa
si : si,ar";)ir((r&a,is)* : +at*ri;a)ur %ala) !*,%(&*," )isal,ya %*r)atitis at(pi.
'at(r p*,y*+a+ %*r)atitis at(pi
'at(r &*,*ti; li,&u,&a,; (,%isi ulit; 'ar.(&i%a, i)u,(l(&i.
K(,s*p %asar t*ra%i,ya %*r)atitis at(pi a%alah)*lalui r*asi i)u,(l(&i ya,& %ip*ra,tarai (l*hs*ls*l ya,& +*rasal %ari su)su) tula,&.
Maa,a, %apat +*rp*ra, s*+a&ai p*)i-u ti)+ul,ya%*r)atitis at(pi.
Maa,a, ya,& pali,& s*ri,& a%alah t*lur; susu sapi;&a,%u); *%*l*; a-a,& ta,ah.
=*ala uta)a %*r)atitis a%alah :
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=*ala uta)a %*r)atitis a%alah :
2 gata#
=atal %apat hila,& ti)+ul s*pa,a,& harit*tapi u)u,ya l*+ih h*+at pa%a)ala) hari.
2 ke#ainan k"#it ya,& %apat ti)+ulsi)ulta, atau +*rturutturut.
Di)ulai %*,&a, ya,& pali,& ri,&a,*)*raha, sa)pai ya,& pali,& parahti)+ul *r(p*,&; ulit )*,*+al
Ai+at &arua, !ar*,a &atal"%i)u,&i,a, )u,-ul,ya s*u,%*r i,'*siya,& salah satu,ya %ita,%ai %*,&a,t*r+*,tu,ya pus !,a,ah".
• 6ahapan per"bahan ke#ainan k"#it -
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! eritema ya,& %i%asari (l*h %ilatasi p*)+uluh %arahp*ri'*r %a, s*la,ut,ya t*ra%i
2. udema. Kar*,a t*ra%i u%*)a i,tras*lul*rt*r+*,tulah( pap"# !+*,t(l+*,t(l";#. *esike# !l*puh *-il +*rair"; ti)+ulG. erosi !p*-ah" t*ra%i
0 eks"dasi ! *luar *su%at5-aira,". Apa+ila 7*si*l)*,&*ri,& t*r+*,tu1 sk"ama %a, *su%at *u,i,&a, ya,& )*,&*ri,&t*r+*,tu: kr"sta !*r(p*,&". D*r)atitis ya,& ti%a %i(+atiaa, ti)+ul
; #ikeni<kasi ! p*,*+ala, ulit %is*rtai &aris ulitya,& *las" %a,
!= hiperpigmentasi !Lar,a ulit )*,a%i l*+ih&*lap"
4I0ICAN OBAT
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1. K(rti(st*r(i%.K(rti(st*r(i% )*rupaa, h(r)(, st*r(i%
ya,& %ihasila, (l*h *l*,ar -(rt*/ a%r*,alK(rti(st*r(i% )*)pu,yai *'* : *'* &lu((rti(i%: anti radang' antia#ergi; i)u,(supr*si'; p*,i,&ata, &lu(,*(&*,*sis; *'* ata+(li *'* )i,*ral((rti(i%: r*t*,si ,atriu) %a,air.
• T*ra%i p*ra%a,&a, t(pial )aa %i&u,aa,(rti(st*r(i% t(pial; ya,& )asu &(l(,&a,
OWA a%alah hi%r((rtis(,; tria)si,(l(,;+*ta)*tas(,; Ju(rt(l(,; %iJu(rt(l(,;%*s(si)*tas(,;Jupr*%,i(,
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Ta+*l: Ti,&ata,ti,&ata, p(t*,si s*u)lah&lu((rti(i% pa%a p*,&&u,aa, %*r)al.
#emahhi%r((rtis(, as*tat1 E,a-(rtsedang%*s(/i)*tas(, ? salisilat H;2GEsp*rs(,
%*/a)*tas(, H H#D*/at(pi-Ju(rt(l(, pi7alat H;2GUltrala,Ju)*tas(, pi7alat H;H20(-a-(rt*,tria)si,(l(, as*t(,i%a H;1 K*,a-(rtAk"at
+*ta)*tas(, 7al*rat H;1 $*l*st(%*r)+*ta)*tas(, %ipr(pi(,at H;HGDipr(s(,*O%iJu(rt(l(, 7al*rat H;1 N*ris(,a
Ta+*lV 4*r+a,%i,&a, r*s(rpsi hi%r((rtis(,
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V & p%ari ulit %i +*r+a&ai %a*rah tu+uh.
0*,&a, +aLah 1 Ta,&a, !t*lapa" H;FKai !t*lapa" H;1#4*r&*la,&a, ai H;#24u,&&u,& 1;K*pala !atas";GK*tia ;
Mua ;HRaha,& +aLah 1;HS-r(tu) #2;H
Kr*) (rti(st*r(i% s*+ai,ya %i&u,aa, +ila+ l + l %i l %i % l
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+*tul+*tul %ip*rlua,; %i&u,aa, %ala) Latusi,&at %a, %i(l*sa, tipistipis.
2. A,tihista)i,A,tihista)i, a%a,& )*,y*+a+a, ta-hy'ylasis!+*rura,&,ya r*sp(," )aa a,tihista)i, %i&a,ti%*,&a, (+at a,tihista)i, lai, %ari &(l(,&a,i)iaLi ya,& +*r+*%a.
A,tihista)i, %i&u,aa, u,tu )*laLa, +*r)a-a) )a-a) rasa &atal.
T*rs*%ia %ala) +*,tu ta+l*t %a, ri) )aupu,l(ti(,4r()*ta<i, r*) (hener!an krem)
Trip*l*,a)i, r*) !"ripel krem"Di'*,hi%ra)i, l(ti(, !Caladin lotion)
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(/IS37 )5"r"nke#"
$iri,ya +*,(la, )*rah *-il %i ulit ya,& t*rasa ,y*ri
T*ruta)a %i pa,tat; *tia ; t*,&u %a, )uaDis*+a+a, p*ra%a,&a, %ari a,t(,& ra)+ut (l*h+at*ri t*rt*,tu !Sta'yl(-(- aur*us".
Dl) +*+*rapa hari )*)+*sar %*,&a, t*r+*,tu,ya
,a,ah !a+s*s"; ,y*ri )*,i,&at %a, apa+ila p*-ah rasa,y*ri hila,&.
Bisul ya,& p*-ah harus %ipiat sa)pai s*luruh,a,ah,ya *luar %a, %ita,%ai %*,&a, *luar,ya %arah
%ari lua.Bisul +*lu) )ata,& ti%a +(l*h %ipiat; ar*,a +at*ri%apat %apat t*rt*a, )asu * sirulasi %arah;ai+at,ya t*ra%i i,'*si sist*)i +aha, sa)pai s*psis.
O+at : Ihty(l 1H u,tu )*)ata,&a, +isul
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O+at : Ihty(l 1H u,tu )*)ata,&a, +isulya,& s*%a,& +*r*)+a,& %a, a,ti ra%a,&;a,tis*pti
Asa) 'usi%at 2 (F#$idin, F#$y$om r*); a,tis*pti", K36I7B*,(la, +u,%ar *-il %a, li-i, s*+*sar a-a,&p(l(,& %a, ti%a +*rsi'at &a,as
T*ruta)a t*r%apat pa%a a,aa,a %i+*laa,&ta,&a,; %i +Lah ai; %i)ua4*,y*+a+,ya 7irus %a, a&a )*,ularO+at,yaV %*,&a, <at ya,& +*rsi'at )*rusaatau )*)+aar s*l.$(,t(h,ya : '*,(l; p*ra ,itrat; -(ll(%iu)! laruta, s*lul(sa ,itrat %l) -a)pr. *t*r
al(h(l"
. KA6IM3M37 DAN KAPA7AN
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. KA6IM3M37 DAN KAPA7ANDis*+a+a, p*rtu)+uha, liar %arilapisa, ta,%u.
Kapa#anKulit s*t*)pat )*,a%i *ras. S*ri,&t*ra%i %i +a&ia, ya,& s*ri,& t*rhi)pit.
Katim"m"# )9#a*"s"Dis*+a+a, t*a,a t*rus )*,*rus pa%asatu t*)pat . -iri,ya ari,&a, )*,&*ras%*,&a, +ii %it*,&ah,ya .
O+at,ya; $(ll(%iu) la-t(sal 1H.Bii aa, )*lu,a s*hi,&&a )u%ah%i*luara, %*,&a, pisau taa).
0 73KA /AKAR
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0ua +aar %apat %is*+a+a, (l*h V
a. -aira, pa,as : lua p*r)uaa,ti%a %ala) t*tapi luas
+. +*,%a pa,as : lua l*+ih %ala)
%a, h*+at; t*tapi ti%a luas-. api : i%*)
S*suai %*,&a, %*raa% lua; %i+a&i :
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& &
a. %*raa% I : ulit +*rLar,a )*rah;a&a p*%ih
+. %*raa% 2 : *pi%*r)is rusa;+a,yal*puh; ,y*ri
-.%*raa% : *pi%*r)is hil,&; t*r)asuapil*r %a, sara'; ,y*ri h*+at
Ya,& +isa %i(+ati %,& sLa)*%iasia%alah %*raa% 1
$(,t(h : T*r*,a ,alp(t pa,as; r((
)*,yala T*rp*r-i )i,ya pa,as
T*rsira) air pa,as !ti%a luas"
4*,&(+ata, :
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a%a l*puh ya,& p*-ah )aa %itutup%*,&a, asa st*ril; u,tu )*,-*&ah
%*hi%rasi %a, i,'*si %i+alut %*,&a, p*r+a, %a, %it*a,a&ar ti%a t*ra%i l*puh. A,tis*ptia : p(7i%(, i(%i,
A,ti+at*ri p*ra sul'a%ia<i, +ur,a<i, R**pit*lisasi ulit : Estra plas*,ta +i(pl*-*,t(, *l
Mi,ya ia, sal*p )i,ya ia,
7"ka bakar matahari
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T*ruta)a apa+ila +*rala,; +*r%ia) la)a
%i+aLah )atahari .Di-*&ah %*,&a, -ara )*li,%u,&i tu+uh%ari si,ar )atahari %*,&a,)*,&&u,aa, :
1. p*,utup tu+uh; payu,& %s+2. <at p*,yari,& –U !su,s-r**, > ta+irsurya" 4ABA ! pa)i,(+*,<(at";4a%i)at*; *st*r
4ABA ! a%anox, arasol" +*,<('*,(,(si+*,<(,; &ossolare krem s*,yaLa si,a)at; (til)*t(sisi,a)at
. %ita)+ah %*,&a, p*,yari,&U
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. %ita)+ah %*,&a, p*,yari,& Usi :
tita,%i(si%a s*,&(si%a
tal
%i(l*sa, s*t*,&ah a) s*+*lu)+*r*)ur;
s*t*lah (,ta %*p*rlu %i(l*sa, la&i
6at(r p*li,%u,& %ari suatu r*); l(ti(,;
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p & ; ;+*%a !Su, Pr(t*ti' 5at(r > SP5+ )*,yataa,:
%aya,ya u,tu )*,yari,& si,ar –U %a, +*rapa la)a iraira %apat +*ra%a%i+aLah si,ar )atahari ti%a t*r+aar.
Misal,ya :
Kulit )*)*rah s*t*lah *,a )atahari H)*,it
Bila )*,&&u,aa, r*) %*,&a, faktor
0; )aa ulit +aru t*r+aar si,ar)atahari s*t*lah 0> H )*,it > 1FH)*,it.
. ?AM3R
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?
I,'*si a)ur pa%a %asaLarsa t*rahir i,i %is*luruh %u,ia )*,i,&at.
4*,y*+ara, i,i )u,&i, %is*+a+a, :a. p*,i,&ata, p*,&&u,aa, a,ti+i(tia+*rsp*tru) luas ya,& %apat )*rusa*s*i)+a,&a, +i(l(&i J(ra ,(r)al
u)a,+. p*,&&u,aa, (rti(st*r(i% ya,& %apat
)*,uru,a, i)u,itas t*rha%ap i,'*si
-. p*,&&u,aa, pil a,ti ha)il ya,& %apat
)*,sti)ulasi i,'*si%. 'at(r hy&i*,is V (la) r*,a,&; sau,a;%s+
@a)ur atau 'u,&i t*r)asu &(l(,&a,J ti% i l l
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J(ra ya,& ti%a )*)pu,yai l(r(l.
@a)ur hi%up s*+a&ai sapr(t atau
parasit.
4*ra,a, a)ur :
a. s*+a&ai +aha, )aa,a,+. )*)+a,tu )*)+uat +aha, )aa,a,
-. p*,&hasil (+at a,ti+i(tia
%. p*rusa +aha, )aa,a, 5)aa,a,
*. )*,&i,'*si ulit; ra)+ut %a, (r&a,(r&a, lai,.
Kulit %a, s*laput l*,%ir s*lalu %ihu,i (l*h l h i % t %i+ i
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s*u)lah (r&a,is)* ya,& %apat %i+a&i%ala) 2 *l()p(
! 5#ora tetap )resident @ora+
T*r%iri %ari )ir((r&a,is)* t*tap ! +asil; a)ur; ra&i";
T*r%apat pa%a l(asi t*rt*,tu %a, usiat*rt*,tu.
Bila susu,a, J(ra t*r&a,&&u;*s*i)+a,&a, i,i s*&*ra pulih %*,&a,
s*,%iri,ya.6l(ra i,i p*,ti,& u,tu )*)p*rtaha,a,*s*hata, %a, 'u,&si ,(r)al tu+uh.
$(,t(h : J(ra ,(r)al pa%a 7a&i,a .4 % i % + i J i i
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• 4a%a usia %*Lasa s*+a&ia, J(ra i,it*r%iri %ari la-t(+a-illi ya,&
)*)p*rtaha,a, li,&u,&a, asa)%*,&a, )*)+*,tu asa) latat %ariar+(hi%rat !&li(&*,".
• K*asa)a, i,i )*,-*&ah
+*r*)+a,&,ya )ir((r&a,is)*pat(&*, %i 7a&i,a.• Bila la-t(+asilli %iha)+at )is (l*h
a,tis*ptia; )aa J(ra lai, ya,&)*,y*+a+a, iritasi %a, p*ra%a,&a,aa, )*,i,&at kep"tihan ai+ati,'*si $a,%i%a %i 7a&i,a ! %i+*rip(7i%(, @*l atau %(u-h* "
$ 5#ora se#eat )transient @ora+
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$ 5#ora se#eat )transient @ora+
T*r%iri %ari )ir((r&a,is)* ,(,pat(&*,
)aupu, ya,& p(t*,sial pat(&*, ; t*tapiti%a )*,y*+a+a, sait.
Bila *s*i)+a,&a, t*r&a,&&u *l()p(J(ra i,i %apat +*r*)+a,& %a,
)*,y*+a+a, sait
=*ala %*r)at()i(sis s*ri,& )irip%*r)atitis;
U,tu )*)astia, i,'*si a)ur; p*rlu%ilaua, t*s *r(a, ulit %*,&a, KOC
@a)ur )*)p*r+a,ya %*,&a, s*ls*l ya,&%i + t
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%is*+ut sp(ra
Sp(ra %a, s*rpih ulit p*,%*rita i,'*si 'u,&i!%*r)at()i(sis" )*rupaa, su)+*r uta)ap*,ulara,.
S*t*lah t*ra%i i,'*si sp(ra tu)+uh %a,
)*)+*,tu )y-*liu) %*,&a, )*,&&u,aa,s*rpih ulit s*+a&ai +aha, )aa,a,; *)u%ia,)*,i)+ula, p*ra%a,&a,.
Bila a)ur tu)+uh %i '(li*l ra)+ut r(,t(
Bila a)ur tu)+uh %i uu (,-h()y-(sis!uu apur"; +*rLar,a *putihputiha, %a,rapuh
I,'*si a)ur %apat %i+a&i )*,a%i :
1 Mi(sis u)u) !sist*)i"
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1. Mi(sis u)u) !sist*)i"
2. Mi(sis p*r)uaa, !ti,*a"
%apat %ilaua, sLa)*%iasi4*,y*+a+,ya :
a 9andida a#bicans
S*ri,& )*,&i,'*si pa%a )u(sa ! )ulut;
+r(,-hia %a, 7a&i,a b Pityrospor"m o*a#e; ya,& +*rp*ra,pa%a *t()+*
c Ma#asse8ia f"rf"r; ya,& )*,y*+a+a,
pa,u; d 6rychophyton' Epidermophyton'
Microspor"m
• @a)ura)ur i,i u&a %i,a)aa)
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'u,&i ri,&L(r) !i,'*si t*r%iri %ari+*r-a+*r-a )*li,&ar %i ulit%*,&a, +atas taa) ya,& t*rtutup%*,&a, sisi atau &*l*)+u,& *-il".
• @a)ur i,i hi%up %i lapisa, ta,%u ;uu s*rta ra)+ut %a, )*)ilii*,<i) ya,& )a)pu )*laruta,*rati,.
• M*,y*+a+a, pa,u; urap; uuapur; utu air
O+at(+at ya,& %i&u,aa, :1 A ti+i ti
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1. A,ti+i(tiaa,ti+i(tia ya,& %i&u,aa, u,tu
(+at a)ur;Nistati,S*ri,& %i&u,aa, pa%a -a,%i%iasis)ulut !sariaLa,; st()atitis" atau7a&i,itis.Di&u,aa, s*+a&ai sal*p atau ri).
ta+ 7a& 1HH HHH IU s*la)a 1#hari +*%a ta+ur 1HH HHH iu5&ra)
2. Asa)asa) (r&a,i :
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a. Asa) salisilat
+*rhasiat 'u,&isi% ! " ; *rat(liti !G1H"; +at*ri(stati l*)ah.+. asa) +*,<(at+*rhasiat 'u,&istati %a, +at*ri(stati
l*)ah. s*+a&ai <at p*,&aL*t; *st*r,ya! ,ipa&i,; ,ipas(l"+. Asa) u,%*sili,at+*rhasiat 'u,&istatis !G1H" t*ruta)at*rha%ap utu air !Ti,*a p*%is=ara) s*,&u,%*sili,at u,tu a%stri,&*,s%a, a,ti ra%a,& l*)ah
. s*,yaLa i)i%a<(lU)u),ya +*rhasiat 'u,&istati %a, pa%a
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U)u),ya +*rhasiat 'u,&istati %a, pa%a%(sis ti,&&i +**ra 'u,&isi% t*rha%ap
a)ur t*rt*,tu.S*,yaLa i,i %i&u,aa, s*-ara l(alt*rha%ap %*r)at(t %a, -a,%i%a.a.)i(,a<(l ('aktarin"+*rhasiat 'u,&isi% %a, sp*tru),ya l*+ar.R*s(rpsi,ya *-il; t*ruta)a %i&u,aa,u,tu i,'*si %i ulit %a, uu.E'* sa)pi,& iritasi; al*r&i %a, rasat*r+aar %i ulit.
Sal*p5 r*) 2 I,'*si ulit – G)i,&&u
• I,'*si uu F +ula, atau 9
+. Is((,a<(l !"ravo!en, yno-travo!en"*(,a<(l ! yno evaryl)
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*(,a<(l ! yno-evaryl)Is()*r )i(,a<(l
U,tu )*,&(+ati -a,%i%iasis 7a&i,a;%i&u,aa, )ala) hari; a&ar (+at ti%a)*l*l*h *luar.D(sis is((,a<(l si,&l* %(sis HH )&D(sis *(,a<(l 1 %% 1 (7ula )ala)hari; s*la)a hari
U,tu i,'*si 7a&i,a; (7ula; ta+l*t sisipU,tu i,'*si ulit %i&u,aa,sal*p5r*)
-. K*t((,a<(l !i*oral)
i% l %
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I)i%a<(l p*rta)a ya,& %apat%i&u,aa, p*r(ral;
U,tu i,'*si a)ur sist*)i.
!a)ur sist*)i ti%a +isa %ilaua,sLa )*%iasi; *'* sa)pi,&
h*pat(t(sis; )*,&ha)+at si,t*sat*st(t*r(,; pr(%usi sp*r)at*r&a,&&u; t*ra%i i)p(t*,si".
Sp*tru) *ra,ya )irip )i(,a<(l.
D(sis i,'*si ulit 2 %i%ala) sal*p
%. Kl(tri)a<(l !Canesten"
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Sp*tru),ya l*+ih s*)pit %aripa%a
)i(,a<(lD(sis i,'*si 7a&i,a 1 ta+ 7a& GHH)& )ala) hari
I,'*si ulit G %ala) sal*p
*. Bi'(,a<(l !My$ospor "
D*ri7at i)i%a<(l ya,& *'*ti' u,tu
Malass*<ia 'ur'ur %a, -a,%i%a
' . lai,lai,
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T(l,a'tat !aftate"
E'*ti' u,tu pa,u ti%a u,tu -a,%i%a Cal(pr(&i, !olik "
T*ruta)a *'*ti' t*rha%ap utu air
Na'titi, (Exoderil"
U,tu (+at pa,u %a, i,'*si uu
Sil(pir(s !Batrafen"
Sp*tru),ya luas; )*a,is)* *ra,ya p*ri,ta,&a,
tra,sp(r %ari asa)asa) a)i,( )*lalui )*)+ra, s*l a)ur
- Sul'ur pr*sipitat* G1H
i i t
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)*)pu,yai *)a)pua, )*,&iat a)ur %,& *'*,ya 'u,&isi%
- I(%iu) ; ti,tur i(%iu) 2
6u,&isi% %a, sp(rasi%
*'* sa)pi,&,ya )*ra,&sa,& ulit
- 6*,(l %a, turu,a,,ya !r*s(rsi,(l; ti)(l;pir(&al(l"
'u,&isi% %a, +at*risi%
-
=*,tia, 7i(l*t 12'u,&isi% %a, +at*risi%
B*+*rapa %*r)at()i(sis ya,& s*ri,&%it*)ua, :
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%it*)ua, :
! K"t" air ) ath#eteB foot' 6ineapedis"
4*,y*+a+,ya a)ur
=*ala,ya +*rupa &atal&atal %ia,tara ari ai; *)u%ia, t*r+*,tu&*l*)+u,& lalu p*-ah. Kulit )*,a%ilu,a %a, t*r*lupas.
Su)+*r i,'*si : ulit ya,& t*r*lupas
O+at : Mi(,a<(l r*); 2# )i,&&u
$ K"k" kap"r
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!ramBs horn nai# C onychomycose"
$iri,ya uu )*,*+al; )*,&*ras;rapuh; )u%ah patah; +*rLar,a*putihputiha,.S*ri,& )*,ular %ari uu * uu.
0a,sia l*+ih s*ri,& t*ri,'*si ar*,asirulasi %arah %i ariari ai ura,&+ai.Suar %is*)+uha, ar*,a a)ur
t*rs*)+u,yi pa%a pa,&al uu.4*,&(+ata, %*,&a, )i(,a<(l)i,i)al 12 +ula,
Pan" )pityriasis *ersico#or"
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4*,y*+a+,ya : Malass*<ia 'ur'ur
=*ala : +*r-a+*r-a putih %a,*-(lata, –)*rah %i t*,&u; %a%a;pu,&&u,& %a, l*,&a,; )uaO+at : Asa) salisilat G1H %ala)
al(h(l %ilutus K()+i,asi asa) salisilat %a,asa) +*,<(at
Mi(,a<(l; is((,a<(l;
l(tri)as(l r*) 2 )i,&&u
# Ketombe4*,y*+a+ : 4ityr(sp(ru) (7al* !J(ra ,(r)al
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4*,y*+a+ : 4ityr(sp(ru) (7al* !J(ra ,(r)alp% ulit *pala"
Kalau u)lah +*rl*+iha,; )*,sti)ulir lipas*. Tri&lis*ri% %ir()+a )*,a%i asa) l*)a;)*ra,&sa,& ulit; )*,sti)ulir s*ls*l*pi%*r)is; *rati, %il*pasa,. K*rati, l*pasti%a ,(r)al t*tapi )*l*at satu sa)a lai,
s*+a&ai &u)pala,&u)pala, !s*rpiha,".=*ala : t*rl*pas,ya s*rpih +*rl*+iha, %ariulit *pala; &atalO+at : Sha)p( ya,& )*,&a,%u,& :
s*l*,sul%a s*,& pirithi(,; pir(-t(,* (la)i,*
. 9andida
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4*,y*+a+ : -a,%i%a al+i-a,s
T*ruta)a tu)+uh pa%a )u(sa=*ala : )u(sa )*)*rah %a,)*,&*luar a, -aira,
O+at : ,istati, ! My$ostatin, 'aktarinOral el"; p(7i%(, i(%i, !&ar&*l"
@ERAWAT > A$NE U0=ARIS
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@ERAWAT A$NE U0=ARIS
@*raLat a%alah p*ra%a,&a, r(,is %ari '(li*l *l*,ar tal&4*,yait u)u) pa%a ulit ya,& )*,y*ra,& FG1HH (ra,&. T*r+a,ya pa%a usia )*,*la,& 2H tahu,.
=*ala : ulit +*r)i,ya %*,&a, +i,ti+i,ti hita) %a,+i,til putih !()*%("
Bi,til *-il lu,a; )*rah !p*ra%a,&a,"; +*,(l +*risi tal&;+isa t*ra%i parut.
B*+*rapa hal ya,& )*)p*rparah a-,* a,tara lai, str*ss
!t*a,a, *)(si(,al"; )*,struasi ; )*)*,-*t a-,*.
A-,* %apat )*,y*+a+a, str*ss psi(l(&is %a, )asalahs(sial ar*,a %apat )*)p*,&aruhi p*,a)pila, s*s*(ra,&.
Ke#en&ar ta#g Ke#en&ar sebasea
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K*l*,ar tal& t*r%apat %ala) u)lah +*sar
%i ulit +a&ia, )ua; pu,&&u,& %a, %a%a.
K*l*,ar tal& t*r%apat %ala) suatua,t(,& !'(li*l"
Ka,t(,& *l*,ar tal& l*+ih +*sar %aria,t(,& ra)+ut %a, +*risi ra)+ut *-ilya,& ti%a +*r*)+a,&.
Ka,t(,& i,i )*)pu,yai salura, * lu+a,&*-il %i p*r)uaa, ulit ya,& %is*+ut p(ri.
• 4a%a K*l*,ar tal& t*r%apat J(ra
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ropionil%a$teri#m a$ne; ya,& %apat
)*)+*,tu lipas* u,tu )*ru+ahtal& )*,a%i asa) l*)a +*+as.
• Masa ail +aliX )ulai %ipr(%usih(r)(,h(r)(, *la)i, a,%r(&*,;
t*st(st*r(, !lailai" %a, *str(&*,;pr(&*st*r(,; %a, a,%r(&*, %*,&a,
u)lah s*%iit !La,ita"
•
A,%r(&*, +*rta,&&u,& aLa+t*rha%ap ti)+ul,ya a-,*.
6a#g 2222 seb"m
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• A,%r(&*, )*)p*,&aruhi *l*,ar
tal& u,tu )*)pr(%usi tal&.• Tal& a%alah s**,is l*)a ya,&
t*r%iri %ari -a)pura, : tri&lis*ri%;*st*r*st*r lili,; sXual*,; (l*st*r(l;
'(s'(lipi%.• Di*luara, * p*r)uaa, ulit
)*l*Lati p(ri; u,tu )*)*lihara
ulit a&ar ti%a )*,a%i *ri,& %a,t*tap l*,tur;
K4MED4• S*+a&ia, +*sar p*rtuara, <at %ari h(r)(,
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S*+a&ia, +*sar p*rtuara, <at %ari h(r)(,a,%r(&*, t*ra%i %i ulit.
•
T*st(st*r(, %iru+ah )*,a%i%ihi%r(t*st(st*r(, !DCT" ya,& l*+ih ati'.• DCT )*,i,&ata, ati7itas *l*,ar tal& ;
t*ra%i (7*rpr(%usi *l*,ar tal&!)*sipu, a%ar a,%r(&*, %ala) %arahti%a)*,i,&at"
• 4a%a s*ls*l p(ri; t*ra%i p*)+*,tua, s*lta,%u ya,& +*rl*+iha,
• @ala, *luar %ari tal& ya,& (7*rpr(%usi
t*rtutup s*l ta,%u; t*ra%i su)+ata, %i+aLah ulitS"mbatan ini diseb"t komedo
K()*%( a%a 2 )a-a) :
% +
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1. K()*%( t*r+ua
Su)+ata, %*,&a, titi hita)!%ari )*la,i, ya,&t*r(si%asi" t*r+*,tu %ip*r)uaa, ulit s*la)a salura,
+*lu) t*rsu)+at s*luruh,ya2. K()*%( t*rtutup
B*rupa +i,til putih;
T*ra%i,ya l*+ih %i %ala); +ilap(ri su%ah t*rsu)+at
• 4*,yu)+ata, )*,y*+a+a, J(ra+ + + l +ih l
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+*r*)+a,& +*rl*+iha,; asa) l*)at*r+*,tu l*+ih +a,ya ;)*,i)+ula, t*a,a, pa%a %i,%i,&'(li*l *l*,ar tal&; '(li*l +isa p*-ah%a, t*ra%i p*ra%a,&a, %i +aLah
ulit• Ai+at,ya t*ra%i +isul !papula" ya,&
+*rLar,a )*rah %a, a%aala,ya+*risi pus !pustula"
S*-ara li,is a,* %apat %ilasiasia,+*r%asara, :
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+*r%asara, :1. Ti,&at *s*luruha, :
Ti,&at I : +*+*rapa ()*%( %*,&a, s*%iitatau ta,pa p*ra%a,&a, Ti,&at II : t*r%iri %ari ()*%(; papula %a,pustula
Ti,&at III : sa)a %*,&a, ti,&at II %a, a%at*,%*,si p*ra%a,&a, %i %ala) Ti,&at I : pali,& parah sa)a %*,&a, a-,*-(,&l(+ata2. Sp(t ! l*si"
a. tip* ()*%(,al+. tip* papul(pustular-. tip* -(,&l(+ata
SLa)*%iasi %apat %ilaua, u,tu asusasus ya,& ri,&a, %a, ti%a t*rlalu +*rat.
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asus ya,& ri,&a, %a, ti%a t*rlalu +*rat.
O+at(+at ya,& %apat %i&u,aa, :O+at luar ya,& %i&u,aa, u,tusLa)*%iasi )*,-aup #. *l()p( :
! Kerato#itik
M*lu,aa, %a, )*lisisa, *rati, ya,&)*,yu)+at p(ri; s*hi,&&a lu+a,& t*)pat*luar,ya tal& t*r+ua *)+ali; s*hi,&&a%apat %ihi,%ari t*r+*,tu,ya ()*%(
+aru.O+at i,i u&a +*rsi'at a,tis*pti
-(,t(h : asa) salisilat 2
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asa) salisilat 2 sul'ur pr*sipitat #
r*s(rsi,(l H;G +*,<(ilp*r(si%as* 2;G; G !Ben*ola$"
hasiat : *rat(liti; +at*ri(stati %a,
)*)utiha, !+l*a-hi,&" E'* : )*,&ura,&i u)lah ()*%( %a,
)*,-*&ah p*)+*,tua, ()*%(+aru
E'* sa)pi,& : iritasi ulit; %i)ulai %ari%(sis ya,& *-il. S*ri,& %iu)pai ()+i,asi%ari (+at(+at a,tis*pti
$ Antibiotik !p*,&&u,aa, t(pial;r*) sal*p l(ti(,"
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r*); sal*p; l(ti(,"a. t*trasili, 2 !u&a %apat
)*,&ha)+at *,<i) lipas* %ariJ(ra a$ne
+. li,%a)ysi, 1;
-. &*,ta)isi, H;1 %. *ritr()isi, #
( ormon2hormon ke#amin4*rlu p*)*risaa, %(t*r
, 6retinoin H;H2G; H;HG > asa)it i A (& ti + E d "
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7ita)i, A (&etin-+, E#dyna"
•
Khasiat : )*,(r)alisasi pr(s*sp*)+*,tua, *rati,; )*lisisa,su)+ata, *rati, %a, )*,&ura,&ipr(%usi tal& !s*+u)"; s*hi,&&a
%apat )*,-*&ah p*)+*,tua,()*%( +aru.
• E'* sa)pi,&,ya %apat
)*,y*+a+a, t*rat(&*,i• T*rs*%ia %ala) +*,tu r*)