33
WRAP UP SKENARIO 1  “NYERI SENDI SIKU” Disusun oleh: KELOMPOK A-5 KETUA : DHANA FITRIA SARI (11!1"#1$ SEKRET ARI S: ANNISA A %U RAHMA W A TI (1 1 !1"&1$ AN''OTA : AIS%AH KHAIRINA P (11!1"1$  AL)IN ARIANO (11!1"1"$  ANTA NIA SARASWA TI H (11!1" &*$  AULIA ELMA A++AHRA (11!1"",$  A'US DIAN PRANAT A (11!1&5!$  'ER% ALDILAT AMA (11!1"115$  .UWITA KARTIKA (11!1"&,$ FAKUL T AS KEDOKTERAN UNIVERSITAS YARSI 2014/2015

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WRAP UP SKENARIO 1

 “NYERI SENDI SIKU”

Disusun oleh:

KELOMPOK A-5

KETUA : DHANA FITRIA SARI (11!1"#1$

SEKRETARIS: ANNISA A%U RAHMAWATI (11!1"&1$

AN''OTA : AIS%AH KHAIRINA P (11!1"1$

  AL)IN ARIANO (11!1"1"$

  ANTANIA SARASWATI H(11!1"&*$

  AULIA ELMA A++AHRA (11!1"",$

  A'US DIAN PRANATA (11!1&5!$

  'ER% ALDILATAMA (11!1"115$

  .UWITA KARTIKA (11!1"&,$

FAKULTAS KEDOKTERAN

UNIVERSITAS YARSI

2014/2015

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SKENARIO

 N%ERI SENDI SIKU

Seo/0n l02i 3 l02i 5 40hun 6040n 2e Ru70h S02i4 6en0n 2eluh0n sen6i si2u 6i/0s020n n8e/i

60n 9e/6en8u4 se/40 7en0nu /en40n e/02 (/0ne o 7o;e7en4 < ROM$ se=02 ! 9ul0n iniP060 >e7e/i2s00n isi2 6i4e7u20n >e79en2020n >060 ole?/0non 60n >060 >e7e/i2s00n l09

6i4e7u20n hi>e/u/e2e7i0 Do24e/ 7e79e/i20n o904 0n4i n8e/i (NSAID$ 60n u/i?osu/i?

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KATA SULIT

1 Ren40n 'e/02 : .u7l0h 702si70l e/020n 80n 7un2in 6il02u20n sen6i >060  s0l0h s04u 60/i 4i0 >o4on0n 4u9uh 80i4u s0i440l 4/0ns;e/s0l 60n

  /on40l

! Me4040/so>h0l0ne0l I: E2s4/e7i40s ine/io/ >060 i9u =0/i 202i& Hi>e/u/i2e7i0 : Ke0600n 6i70n0 0s07 u/04 60/0h 4ini 6i040s #7

" U/i?osu/i? : O904 80n 9e/unsi un4u2 7enelu0/20n 0s07 u/04 7el0lui u/in

5 Ole?/0non : Ton=ol0n uln0/ >060 si2u 040u 9i0s0 6ise9u4 sen6i si2u* NSAID : Non S4e/oi6 An4i Inl07704o/8 D/us 060l0h 2elo7>o2 o904

  80n 9e/unsi se900i 0n4i inl070si 0n4i 0n0lesi2 60n 0n4i

  >i/e4i2

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PERTAN%AAN

1 A>0 80n 7en8e90920n /0s0 n8e/i 60n 9e/6en8u4 >060 sen6i si2u @! il0 n8e/i 6i9i0/20n s0=0 0>0 80n 020n 4e/=06i@ D0n 0>09il0 n8e/i 6i9e/i o904 0>0 80n

020n 4e/=06i @

& A>020h >e7e/i2s00n >enun=0n un4u2 >en802i4 4e/se9u4 @" A>0 80n 7en8e90920n hi>e/u/i2e7i0 >060 >0sien 4e/se9u4 @

5 A>0 s0=0 e=0l0 80n 4i79ul 20/en0 >en802i4 4e/se9u4 @

* A>0 80n 7en8e90920n >e79en2020n >060 ole?/0non@

.AWAAN

1 K0/en0 060n80 >e79en2020n 80n 9e/isi 2/is40l 0s07 u/04 >060 sen6i si2u 80n

6ise90920n oleh >enu7>u20n >/os40l0n6in

! A>09il0 6i9i0/20n s0=0 020n 4e/0s0 le9ih n8e/i 4e/=06i >e79es0/0n >e79en2020n 60n7en0nu 024i;i40s N07un 0>09il0 6i9e/i o904 n8e/i s0=0 n8e/i 60>04 9e/2u/0n

n07un 4e40> 060 >e79en2020n

& 0 Pe7e/i2s00n K060/ As07 U/04

 9 Pe7e/i2s00n U/in ? Pe7e/i2s00n L0=u En60> D0/0h (LED$

 6 Pe7e/i2s00n ?0i/0n sen6i s8no;i0l

 e R06ioloi 

" 0 0n802 7en2onsu7si 7020n0n 80n 7en0n6un >u/in 4ini

 9 Kel0in0n ene4i? se>e/4i 'ou4 S8n6/o7e Lesshn8h0n 60n Deisiensi A6enosin  De07in0se

5 A/4h/i4is 'ou4 :- e/6en8u4 - De707

- Ke7e/0h0n - en202  

A/4h/i4is Rhe704oi6 : Ke6u0 40n0n 202u >060 >0i h0/i

* K0/en0 >/os40l0n6in 7enelu0/20n 7e6i04o/-7e6i04o/ inl070si 80n 7en8e90920n

;0so6il040si sehin0 4e/=06i >e79en2020n

HIPOTESIS

Hi>e/u/i2e7i0 060l0h 2e0600n 6i70n0 4inin80 2060/ 0s07 u/04 60/0h 80n 6ise90920n

 90n802n80 2onsu7si 7020n0n 80n 7en0n6un >u/in 4ini A>09il0 6i9i0/20n 020n

7en8e90920n 4e/=06in80 >enu7>u20n 2/is40l 0s07 u/04 >060 sen6i sehin0 7eni79ul20n /0s0n8e/i 60n 9e/6en8u4 se/40 7en0nu /en40n e/02 Pe7e/i2s00n 80n 6il02u20n un4u2 

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7ene0220n 6i0nosis 060l0h >e7e/i2s00n LED 2060/ 0s07 u/04 u/in ?0i/0n s8no;i0l 60n

/06ioloi Pe79e/i0n NSAID 60>04 7enu/0ni /0s0 n8e/i 60n >e79e/i0n u/i?osu/i? 60>04

7enelu0/20n 0s07 u/04 60/0h 7el0lui u/in

SASARAN ELA.AR 

1 Me70h07i 60n Men=el0s20n An04o7i Pe/sen6i0n 60n Al04 'e/02 

11 M02/os2o>i2  

1! Mi2/os2o>i2  

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! Me70h07i 60n Men=el0s20n As07 U/04

!1 Deinisi

!! Me409olis7e!& E2s2/esi

& Me70h07i 60n Men=el0s20n A/4h/i4is 'ou4&1 Deinisi

&! E4ioloi

&& P04oisioloi 60n P04oenesis&" M0nies40si Klinis

&5 Di0nosis 60n Di0nosis 0n6in

&* Ko7>li20si

&# T040 L02s0n0& Pen?e0h0n

&, P/onosis

" Me70h07i 60n Men=el0s20n NSAID 60n U/i?osu/i?"1 F0/702o2ine4i2 60n F0/702o6in07i2 NSAID

"! In6i20si 60n Kon4/0in6i20si NSAID"& Ee2 S07>in NSAID

"" F0/702o2ine4i2 60n F0/702o6in07i2 U/i?osu/i?

"5 In6i20si 60n Kon4/0in6i20si U/i?osu/i?"* Ee2 S07>in U/i?osu/i?

1 Me70h07i 60n Men=el0s20n An04o7i Pe/sen6i0n 60n Al04 'e/02 

11 M02/os2o>i2 

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A A/4i?ul04io 'lenohu7e/0lis

Tul0n : B0>u4 hu7e/i 6en0n leinoi60lis se/40 l09/u7 leinoi60le

'e/02 sen6i : Fle2si e2s4ensi 096u2si 066u2si Ro40siMe6i0lisRo40si

L04e/0lis

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A/4i?ul04io Bu9i4i (A/4i?ul04io hu7e/o uln0/is C 0/4 Hu7e/o/06i0lis$ Tul0n : In?issu/0 4h/o?le0/is uln0 4/o?hle0 hu7e/i 60n0n40/0 o;e0 ?0>u4

0/4i?ul0/is /06ii 60n ?0>i4ulu7 hu7e/i 'e/02 Sen6i : Fle2si 60n e2s4ensi

-O4o4- o4o4 Shun4 : O4o4 80n 7e7>un80i o/io 6e204 6en0n sen6i 60ninse/4io =0uh 60/i sen6i (?on4oh : M /0?hio/06i0lis$

-O4o4- o4o4 S>u/4 : O4o4 80n 7e7>un80i o/io =0uh 60/i sen6i 60n inse/4io6e204

6en0n sen6i (?on4oh : M i?e>s 9/0?hii$O4o4- o4o4 shun4 le9ih 9e/unsi se900i

s409ili404o/ 60/i>060 /o404o/ se60n20no4o4- o4o4 s>u/4 le9ih 9e/unsi se900i

/o404o/ 60/i>060 s409ilis04o/

B A/4i?ul04io R06io uln0/is P/oi70lis  Tul0n : In?issu/0 /06i0lisuln0 60n ?0>u4 /06ii

'e/02 sen6i : 4h/o?hoi6e0 040u >i;o4

D A/4i?ul04io R06io Uln0/is 6is40lis Tul0n : In?issu/0 uln0/is /06ii 60n ?0>i4ulu7 uln0e

.enis sen6i : 4/o?hoi6e0

'e/02 sen6i : >/on0si 60n su>in0si

E A/4i?ul04io R06io?0/>0lis Tul0n : 0i0n 6is40l Os R06ius 60n oss0?0/>0les>/oi70lis 2e?u0li os

 >i/io/7e 'e/02 sen6i : Fle2si e2s4ensiA96u2si uln0/is

F A/4i?ul04io ?0/>o7e40?0/>0les

A/4i?ul04io ?0/>o7e40?0/>0les I Tul0n : An40/0 Me40?0/>0les 60n 4/0>eiu7

'e/02 sen6i : Fle2si e2s4ensi 096u2si 066u2si o>osisi 60n /e>osisi

A/4i?ul04io ?0/>o7e40?0/>0les II Tul0n : An40/0 Me40?0/>0le II 3 ) 6en0n Os B0/>i 6e/e40n 6is40lis

'e/02 sen6i : 'ese/ 

' A/4i?ul04io Me40?0/>o>h0l0ne0lis

A/4 Me40?0/>o>h0l0ne0lis I Tul0n : An40/0 Os 7e40?0/>0l I 60n >h0l0n I

'e/02 sen6i : Fle2si e2s4ensi se6i2i4 096u2si 60n 066u2si

A/4 Me40?0/>o>h0l0ne0lis II s07>0i ) Tul0n : An40/0 OS 7e40?0/>0l II 60n ) 6en0n Ph0l0nII 60n )

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'e/02 sen6i : Fle2si e2s4esi 096u2si 066u2si 60n si/2u76i2si

H A/4i?ul04iones in4e/>h0l0ne0lis

Tul0n : An40/ >h0l0nes

'e/02 sen6i : Fle2si 60n e2s4ensi

A A/4i?ul04io ine/io/is li9e/i (0/4i?ul04io ?o0e$

• Tul0n : A?e409ulu7 60n ?0>u4 e7u/i

• 'e/02 sen6i: Fle2si e2s4ensi 096u2si 066u2si en6o/o40sie2so/o40si

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A/4i?ul04io enus

• Tul0n : Bon68lus 7e6i0lis e7o/is 60n ?on68lus7e6i0lis 4i9i0e

• 'e/02 sen6i : Fle2si e2s4ensi /o40si 7e6i0lis le2si l04e/0lis

B A/4i?ul04io 4i9io i9ul0/is• Tul0n: F0?ies 0/4i?ul0/is i9ul0/is 6en0n 0?ies 0/4i?ul0/is ?0>i4is i9ul0e

• 'e/02 sen6i: 'ese20n 2e 040s 60n 2e 900h

D A/4i?ul04io 40lo?/ul0lis

• Tul0n: An40/0 4/o?hle040li 60n len2un 80n 6i9en4u2 oleh 70leoli oss0 ?/u/is

• 'e/02 sen6i: Pl0n40/ Flei Do/si Flei In;e/sio 0n6 E;e/sio

E A/4i?ul04io Pe6is

A/4i?ul04io 40lo?0l?0ne0

• Tul0n:Os 40lus 60n Os ?0l?0neus

• 'e/02 sen6i:li6in

F A/4i?ul04io 40lo?0l?0neon0;i?ul0/is

• Tul0n:Os 40lus Os ?0l?0neus 60n Os ?u9oi6eu7

• 'e/02 sen6i: 'ese/ 60n /o40si

' A/4i?ul04io ?0l?0neo?u9oi6e0

• Tul0n: Os ?0l?0neus 60n Os ?u9oi6eu7

• 'e/02 sen6i: 'ese/ 60n se6i2i4 /o40si

H A/4i?ul04io 40/so7e4040/s0les• Tul0n: Os 40/si 60n Os 7e4040/si

• 'e/02sen6i: Pl0n0

I A/4i?ul04io Me4040/so>h0l0ne0les

• Tul0n: Os 7e4040/si 60n Os >h0l0ne0les

• 'e/02 sen6i: le2si e2s4ensi 096u2si 066u2si

. A/4i?ul04iones In4e/>h0l0ne0les Pe6is

• Tul0n: In4e/ >h0l0ne0les

•'e/02 sen6i : le2si 60n e2s4ensi

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.enis-=enis 'e/020n Sen6i :

1 S8n0/4h/osisSen6i 80n 4i602 9e/e/02 s070 se20li Sen6i ini 6i>e/s04u20n oeh =0/in0n i204

 >0604 i9/os0 e/60s0/20n 2o7>osisi 60/i 90h0n 80n 7enisi >e/4e7u0n 2e6u0

sen6i 6i90i 7en=06i :0 Su4u/0 6i0n40/0 4ul0n 4e/60>04 =0/in0n i9/os0 80n 4i>is se20li ?on4oh: su4u/0

s0i40lis su4u/0 l0796oi6e0 su4u/0 ?o/onoi6e0

 9 S8n6es7osis 6i0n40/0 4ul0n 4e/60>04 =0/in0n i9/os0(li07en4u7<7e79/0n0$ ?on4oh: s8n6es7osis /06io-uln0/is Oss0 4i9i0i9ul0

oss0 7e40?h0/>0lis

? S8n?/on6/osis ( 0/4i?ul04ion ?0/4il0oh80lin $ 6i0n40/0 4ul0n 4e/60>04

 >e/s079un0n 4ul0n /00n ?on4oh: s87>hisis >u9is s87>hisis70nu9/iu7s4e/ni

6 S?in6enl8sis s04u 4ul0n 80n 70su2 2e 60l07 ?el0h 4ul0n

e '07>hosis 4ul0n 80n 9e/9en4u2 se>e/4i 40n6u2 60n 70su2 2e 60l07 lu90n4ul0n ?on4oh: ii 60n e/0h07

! A7>i0/4hosis

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Sen6i 80n 9e/e/02n80 se6i2i4 Bon4ohn80 060l0h sen6i 6i 0n40/0 9060n-9060n

;e/4e9/0 80n 9e/6e2040n se>e/4i A/4 S0?/oili0?0 Bon4oh l0in 060l0h 4ul0n

/usu2

& Di0/4h/osis

Sen6i 80n 60>04 9e/e/02 9e90s Me/u>020n sen6i 80n 4e/60>04 /on0 6i0n40/02e6u0 4ul0n P060 0/4i?ul04ion s8no;i0lis 4e/60>04: B0/4il0o 0/4i?ul0/is B0;i40s

0/4i?ul0/is Dis?us 0/4i?ul0/is Menis?us 0/4i?ul0/is L09/u7 0/4i?ul0/e B0>sul0

0/4i?ul0/is Me79/0n0 i9/os0 Me790/0n s8no;i0lis Pli?0 s8no;i0lis )illis8no;i0lis S8no;i0 Li07en40 4e/6i/i 60/i: Li07en4u7 e4/0?0>sul0/is

Li07en4u7 ?0>sul0/is 60n Li07en4u7 in4/0?0>sul0/is

e/60s0/20n 9en4u2 >e/7u200n sen6i 60n 4i>e >e/e/020n :

0 A/4h/oi6e0 (li6in$ 6ise9u4 =u0 sen6i lun?u/ (sen6i >l0n0$ 7e/u>020n

 >e/sen6i0n 80n 7e7un2in20n e/02 /o40si >060 s04u 9i60n 6040/ Ke>0l0 sen6i

60n le2u2 sen6i /040 is0 20/en0 07>i04h/osis Bon4oh: 0/4 In4e/?0>0les 0/4In4e/40/s0les 0/4 S4e/no?l0;i?ul0/is hu9un0n 4ul0n >e/e/l0n0n 202i

 9 'inl87us (hin$ 6ise9u4 =u0 sen6i ensel 7e/u>020n >e/sen6i0n 80n

7e7un2in20n e/020n s04u 0/0h An40/0 >e/7u200n 2on;e2s 60n 2on20

Bon4oh: 0/4 Bu9i4i 0/4 T0lo?/u/0les 0/4 In4e/>h0l0nes sen6i si2u 0n40/0 4ul0nlen0n 040s 60n 4ul0n h0s40

? Pi;o4 (4/o?hoi6e0$ 7e/u>020n >e/7u200n sen6i ;e/4i?0l Bon4oh: 0/4 A4l0n4o

0i0lis 0/4 T/o?hoi6e0 (/06iouln0/is >/o2si70lis$

6 Elli>soi6e0 (?on68loi6e0$ 6ise9u4 =u0 sen6i >u40/ 7e/u>020n >e/sen6i0n 80n7e7un2in20n e/020n 9e/>u40/ (/o40si$ Pe/7u200n sen6i 9e/9en4u2 eli>

Bon4oh: 0/4 R06io?0/>0l hu9un0n 4ul0n 4en2o/02 6en0n 4ul0n 9el020n I

(04l0s$

e S>he/oi6e0 (0 90ll 0n6 so?2e4$ 6ise9u4 =u0 sen6i >elu/u 7e/u>020n >e/sen6i0n

80n 7e7un2in20n >e/e/020n 2e se0l0 0/0h Ke>0l0 sen6i se>e/4i 9en4u2 9ol0

70su2 2e60l07 le2u2 sen6i 80n 60l07 Bon4oh: 0/4 Bo0e hu9un0n 4ul0nlen0n 040s 6en0n 4ul0n 9eli204

Sell0/is (s066le$ 6ise9u4 =u0 sen6i >el0n0 7e/u>020n >e/sen6i0n 80n7e7un2in20n 9e9e/0>0 e/020n /o40si n07un 4i602 2e se0l0 0/0h Ke>0l0

sen6i 60n le2u2 sen6i se>e/4i o/0n 6u6u2 6i040s >l0n0 2u60 Bon4oh: 0n40/0

4/0>eiu7 60n 7e40?0/>0l hu9un0n 4ul0n 4el0>02 40n0n 60n =0/i 40n0n

i60n 2h080l 4u9uh: i60n ?o/on0l 7e790i 4u9uh 7en=06i 0n4e/io/ 60n >os4e/io/ su79u

e/02n80 s0i440l

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i60n s0i440l 7e790i 4u9uh 7en=06i 6e4/0 60n sinis4/0 su79u e/02n80

/on40l i60n 4/0ns;e/s0l 7e790i 4u9uh 7en=06i su>e/io/ 60n ine/io/ su79u

e/02n80 ;e/4i?0l

'e/02 sen6i 4u9uh: Fle2si e/020n 80n 7en6e20420n 90i0n 60/i 4ul0n 80n 7e79en4u2 sen6i

E2s4ensi e/02 9e/l00n0n 60/i le2si

A96u2si e/02 0/0h sisi 7en=0uhi 9i60n s0i440l

A6u2si e/02 80n 9e/l00n0n 0/0h 6en0n 096u2si<7en6e204i 9i60n

s0i440l En6o/o40si e/02 9e/>u40/ l04e/0l 3 0n4e/io/ 3 7e6i0l

E2so/o40si e/02 9e/>u40/ 7e6i0l 3 0n4e/io/ 3l04e/0l

L04e/ole2si e/02 le2si 2e 0/0h s07>in

Si/2u76i2si 09un0n e/02 /o40si (le2si l04e/ole2si e2s4ensi$

1! Mi2/os2o>i2 

Pe/sen6i0n 060l0h 4e7>04 9e/4e7un80 6u0 040u 4i0 unsu/ 4ul0n 90i2 4ul0n 040u4ul0n /00n 6i204020n se900i sen6i 040u 0/4i2ul0si Sen6i 4e7>o/e/ 4e/60>04

sel070 70s0 >enu79uh0n : 7is0ln80 e>iisis 4ul0n >0n=0n 7en804u 6en0n

 90i0n 9040n 4ul0n 7el0lui 4ul0n /00n hi0lin 60/i 6is2us e>iisis Sen6i

6e7i2i0n 7enhil0n 9il0 >enu79uh0n 9e/hen4i 60n e>iisis 7en804u 6en0n 90i0n 9040n Te40>i 2e90n8020n sen6i 9e/si04 >e/70nen 60n 60>04 6iolon20n

 9e/60s0/20n ?i/i susun0nn80 7en=06i & olon0n u4070 : i9/os0 20/4il0inos0

60n s8no;i0l

Kl0sii20si Pe/sen6i0n

0 Sen6i Fi9/os0

Sen6i ini 6i>e/s04u20n oleh =0/in0n i204 >0604 i9/os0 il0 >en804u0n ini s0n042u04 sen6i ini 6ise9u4 su4u/0 Su4u/0 h0n80 4e/60>04 >060 4en2o/02 60n 4i602 

 9e/si04 >e/70nen 20/en0 =0/in0n i9/os0 >eni204 i4u 60>04 6i0n4i oleh 4ul0n

6i2e7u6i0n h0/i Pen804u0n 4ul0n 80n 6ih0sil20n i4u 6i2en0l se900i sinos4osisSen6i >060 4ul0n 80n 6i>e/s04u20n oleh =0/in0n i204 i9/os0 80n =0uh le9ih

 90n802 60/i>060 80n 4e/60>04 >060 su4u/0 6ise9u4 sin6es7osis

 9 Sen6i Tul0n R00nSen6i ini se/in 6i204020n se900i sen6i 20/4il0inos0 se2un6e/ un4u2 

7e79e6020nn80 60/i sen6i >/i7e/ >0lin =el0s 6i4un=u20n se900i ?on4oh olehsen6i 6i0n40/0 9060n-9060n ;e/4e9/0 80n 9e/6e2040n Pe/7u200n 4ul0n 80n

 9e/h060>0n 6il0>isi le790/-le790/ 4ul0n /00n hi0lin 80n se?0/0 e/04

6i>e/s04u20n oleh le7>en i9/o20/4il0o Si7iisis se>e/4i sen6i >u9is 60n

70nu9/ios4e/n0l 7e/u>020n ?on4oh sen6i 20/4il0inos0 se2un6e/

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? Sen6i Sino;i0l

Se90i0n 9es0/ sen6i 2i40 060l0h sen6i sino;i0l Pe/7u200n 4ul0n 80n 9e/sen6i

6iselu9uni oleh 4ul0n /00n 80n lun02 60n li?in P060 sen6i ini 4ul0n-4ul0n6i40h0n 7en=06i s04u si7>0i sen6i Si7>0i sen6i 7en804u20n 4ul0n

l0>is0n lu0/ si7>0i -G =0/in0n i204 >0604 2ol0en 80n 7en804u 6en0n

 >e/ios4eu7 l0>is0n 60l07 si7>0i -G 7e79/0n sino;i0l (7e79040si /on0 sen6i$

Me79/0n sino;i0l: 7e79/0n ;0s2ul0/ 4i>is 7en0n6un 20>ile/-2e>ile/

1 Me79/0n sino;i0l 80n 7en=ulu/ 2e60l07 /on0 sen6i -G li>040n 20s0/

! Menono=ol<e;0in0si 2elu0/ 7ene79us si7>0i lu0/ -G 9u/s0

Pe/7u200n 4ul0n 80n 9e/h060>0n 6il0>isi 4ul0n /00n 6i>is0h20n oleh ?el0h

se7>i4 -G ?0i/0n sino;i0l (6ih0sil20n 7e79/0n sino;i0l$

Te/9en4u2 se900i 6i0lis04 >l0s70 60/0h 60n li7

Unsu/ ?0i/0n sino;i0l 4e/6i/i 60/i : 0s07 hi0lu/on04 80n 4e/i204 6en0n >/o4ein e/unsi un4u2 >elu70s 60n nu4/i4i sel 4ul0n /00n sen6i

Keselu/uh0n 60e/0h sen6i 6i2elilini 20n4on 4e/9en4u2 60/i =0/in0n 9e/se/04

80n 6ise9u4 20>sul .0/in0n ini 6il0>isi 7e79/0n sino;i0l 80n 7enh0sil20n

?0i/0n sino;i0lun4u2 7e7in802iJ sen6i 0i0n lu0/ 20>sul 6i>e/2u04 olehli07en 9e/se/04 80n 7ele204 >0604ul0n 7en0h0nn80 2u04-2u04 6i 4e7>04n80

60n 7e79040si e/020n 80n 60>04 6il02u20n R00n sen6i 7el0>isi u=un-u=un

4ul0n 6en0n unsi:

1Melin6uni u=un 4ul0n 00/ 4i602 0us!Me7un2in20n >e/e/020n sen6i 7en=06i 7ulus<li?in se/40 se900i >en0h0n

 9e90n 60n >e/e607 9en4u/0nM04/i2s 4e/6i/i 60/i ! 4i>e 702/o7ole2ul 80i4u:-P/o4eoli20n : 80n 7eli>u4i 1 9e/04 2e/in /00n sen6i 7en0n6un#-

0i/ h0l inil0h 80n 7en8e90920n 40h0n 4e/h060> 4e20n0n 60n 7e7un2in20n

/00n sen6i el0s4is-Kol0en : 2o7>onen ini 7eli>u4i 5 9e/04 2e/in /00n sen6i s0n04 40h0n

4e/h060> 40/i20n M02in 2e0/0h u=un /00n sen6i 702in 4e90lsehin0 /00n

sen6i 80n 4e90l 2ol0enn80 020n 40h0n 4e/h060> 40/i20nDis07>in i4u 704/i2s =u0 7en0n6un 7ine/0l 0i/ 60n 04 o/0ni2 l0in se>e/4i eni7

TULANG RAWAN

Tul0n /00n hi0lin

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Tul0n /00n hi0lin >060 2e0600n se0/ 9e/0/n0 >u4ih 7en2il04

Tul0n /00n 4e/90n802 60l07 4u9uh

R0n20 u4070 e79/ioP060 0n02: >060 4ul0n >i>0 80n se60n 4u79uh-le7>en0n 80n

2e7u6i0n 7en0l07i >enul0n0n

P060 6e0s0: >060 s0lu/0n n00s u=un 4ul0n >e/7u200n 4ul0n60e/0h >e/sen6i0n

Tul0n /00n el0s4is

P060 2e0600n se0/ 9e/0/n0 2unin

Le9ih 2en80l 90n802 7en0n6un se/04 el0s4isP060 60un 4elin0 e>ilo4is s0lu/0n eus40?hius =02un

Tul0n /00n i9/os0

Men0n6un se/04 2ol0en >0604 60n 20s0/ Pe/0lih0n 4ul0n /00n hi0lin 60n =0/in0n >en8079un >0604

P060 0n40/0 ;e/4e9/0 >ele2040n li07en4 2e 4ul0n si7isis >u9is

O/0n4u0: 4ul0n /00n hi0lin 4ul0n /00n i9/os0

TULANG

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S4/u24u/ u7u7 =0/in0n 4ul0n 4e/6i/i 60/i 704/i2 4ul0n 90h0n in4/0sel 80n

7en0l07i 20lsii20si os4eosi4 (sel 4ul0n$ 80n 4e/60>04 60l07 l02un0 (/on0$

 >060 704/i2 os4eo9l0s4 80n 9e/>e/0n un4u2 sin4esis 90h0n o/0ni2 704/i2 4ul0nse/09u4 2ol0en li2o>/o4ein 60n os4eo2l0s (sel /02s0s0 80n 9e/>e/0n un4u2 

 >e/o79020n 704/i2 4u0ln 60n >e/u90h0n 9en4u2 =0/in0n 4ul0n$

Ko7>onen 4ul0n :

M04/i2s:

 3Ano/0ni2: 0/07-0/07 4e/u4070 B0 (,, B0 4u9uh$ 60n Fos04 3O/0ni2: >/o4ein li2os07in

Se/04: se/042ol0en 7e7060420n 20n6un0n 4ul0n

Sel: Os4eosi4Os4eo9l0s 60n Os4eo2l0s

1 Os4eosi4: Sel 4ul0n 6e0s0! Os4eo9l0s : Sel in6u2 4ul0n Un4u2 sin4es0 20n6un0n 4ul0n

& Os4eo2l0s: Sel /02s0s0 9e/0s0l 60/i 4/0nso/70si 702/o0 'un0: /eso/>si 90h0n 4ul0nC6e9/is Menh0sil20n eni7 >enh0n?u/ se/04 2ol0en

! Me70h07i 60n Men=el0s20n As07 U/04

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!1 Deinisi

As07 u/04 060l0h >/o6u2 02hi/ 040u >/o6u2 9u0n0n 80n 6ih0sil20n 60/i7e409olis7e<>e7e?0h0n >u/in As07 u/04 7e/u>020n 0n4io2si60n 60/i 70nusi0

60n he0n 4e40>i 9il0 60l07 =u7l0h 9e/le9ih0n 60l07 60/0h 020n 7en0l07i

 >en2/is40l0n 60n 60>04 7eni79ul20n ou4 As07 u/04 7e7>un80i >e/0n se900i0n4io2si60n 9il0 2060/n80 4i602 9e/le9ih0n 60l07 60/0h n07un 9il0 2060/n80

 9e/le9ih 0s07 u/04 020n 9e/>e/0n se900i >/oo2si60n (M?B/u66en F/0n?is H

!$

!! Me409olis7e

Pe79en4u20n 0s07 u/04 60l07 60/0h 60>04 7enin204 80n 6ise90920n oleh

024o/ 60/i lu0/ 4e/u4070 7020n0n 60n 7inu70n 80n 7e/0ns0n >e79en4u20n0s07 u/04 '0nu0n 60l07 >/oses e2s2/esi 60l07 4u9uh 020n 7en8e90920n

 >enu7>u20n 0s07 u/04 6i 60l07 in=0l 60n >e/sen6i0n .0lu/ 2o7>le2s

 >e79en4u20n 0s07 u/04 6i7ul0i 60/i /i9ose 5->hos>h04e su04u >en4ose 80n

 9e/0s0l 60/i l8?i6i? 7e409olis7 6i/u90h 7en=06i PRPP (>hos>ho/i9os8l >8/o>hos>h04e$ 60n 2e7u6i0n >hos>ho/i9osil07ine l0lu 6i4/0nso/70si 7en=06i

inosine 7ono>hos>h04e (IMP$ D0/i sen800 >e/0n40/0 80n 9e/0s0l 60/i06enosine 7ono>hos>h04e (AMP$ 60n u0nosine 7ono>hos>h04e ('MP$ >u/ini?

nu?leo4i6es 6iun020n un4u2 sin4esis DNA 60n RNA se/40 inosine 80n

2e7u6i0n 020n 7en0l07i 6e/060si 7en=06i h8>o0n4hine 0n4hine 60n02hi/n80 7en=06i u/i? 0?i6 (M?B/u66en F/0n?is H!$

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!& E2s2/esi

As07 u/04 80n 4el0h 6i sin4esis 7en0li/ 7el0lui 60/0h 2e in=0l 2e7u6i0n6iil4/0si 6i/e09so/>si se90i0n 60n 6ise2s2/esi se90i0n se9elu7 02hi/n80

6ie2s2/esi20n 7el0lui u/ine P060 6ie4 /en60h >u/in e2s2/esi h0/i0n 060l0h se2i40/ 

5 60n >060 6ie4 no/70l e2s2/esin80 060l0h se2i40/ 1 >e/ h0/i D0inleu7inos0 (4u79uh0n >olon$ 60n /0i 7e/u>020n 7020n0n 80n 90n802 

7en0n6un >u/in

& Me70h07i 60n Men=el0s20n A/4h/i4is 'ou4

&1 Deinisi

A/4h/i4is ou4 060l0h >en802i4 80n 6ise90920n oleh 6e>osisi 2/is40l 7onoso6iu7u/04 >060 =0/in0n 040u 02i904 su>e/s04u/0si 0s07 u/04 6i 60l07 ?0i/0n

e2s4/0selul0/

&! E4ioloi'0nu0n 7e409olis7 80n 7en60s0/20n ou4 060l0h hi>e/u/ise7i0 80n

6i6einisi20n se900i >enini0n 2060/ u/04 le9ih 60/i #7l<6l 60n *7<6l

(IPD =ili6 & e6isi * !1"$

Hi>e/use7i0 >/i7e/ 60n 'ou4 P/i7e/ 

Hi>e/u/ise7i0 >/i7e/ 060l0h 2el0in0n 7ole2ul0/ 80n 70sih 9elu7 =el0s6i2e40hui e/60s0/20n 6040 6i4e7u20n 90h0 ,, 20sus 060l0h ou4 60n

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hi>e/u/ise7i0 >/i7e/ 'ou4 >/i7e/ 80n 7e/u>020n 02i904 60/i hi>e/u/ise7i0

 >/i7e/ 4e/6i/i 60/i hi>e/u/ise7i0 20/en0 >enu/un0n e2s2/esi (-,$ 60n

20/en0 >/o6u2si 80n 9e/le9ih (1-!$ Hi>e/u/ise7i0 20/en0 2el0in0neni7 s>esii2 6i>e/2i/020n h0n80 1 80i4u 20/en0 >enin2040n 024i;i40s

;0/i0n 60/i eni7 >hos>o/i9os8l>8/o>hos>h040se (PRPP$ s8n4he40se 60n

2e2u/0n0n se90i0n 60/i eni7 h8>o0n4ine >hos>o/i9os8l4/0nse/0se(HPRT$

Hi>e/u/ise7i0 >/i7e/ 20/en0 >enu/un0n e2s2/esi 2e7un2in0n 6ise90920noleh 024o/ ene4i2 60n 7en8e90920n 0nu0n >enelu0/0n 0s07 u/04 80n

7en8e90920n hi>e/u/ise7i0 Hi>e/u/ise7i0 02i904 >/o6u2si 0s07 u/04 80n

 9e/le9ih0n 6i>e/2i/020n 4e/60>04 & 7e20nis7e

>e/4070 2e2u/0n0n eni7 7en8e90920n 2e2u/0n0n inosine 7ono>os>04e(IMP$ 040u >u/ine nu?leo4i6e 80n 7e7>un80i ee2 ee690?2 inhi9i4ion

 >/oses 9iosin4esis 6e no;o

Ke6u0 >enu/un0n >e7020i0n ul0n 7en8e90920n >enin2040n =u7l0h

PRPP 80n 4i602 6i>e/un020n Penin2040n =u7l0h PRPP 7en8e90920n 9iosin4esis 6e no;o 7enin204

Ke4i0 2e2u/0n0n eni7 HPRT 7en8e90920n hi>o0n4ine 4i602 9is06iu90h 2e790li 7en=06i IMP sehin0 4e/=06i >enin2040n o2si60si

hi>o0n4ine 7en=06i 0s07 u/04

Hi>e/use7i0 60n 'ou4 Se2un6e/ 

'ou4 se2un6e/ 6i90i 7en=06i 9e9e/0>0 2elo7>o2 80i4u 2el0in0n 80n

7en8e90920n >enin2040n 9iosin4esis 6e no;o 2el0in0n 80n 7en8e90920n >enin2040n 6e/060si ATP 040u >e7e?0h0n 0s07 nu2le04 60n 2el0in0n 80n

7en8e90920n se2/esi 7enu/un Hi>e/u/ise7i0 se2un6e/ 20/en0 >enin2040n

 9iosin4esis 6e no;o 4e/6i/i 60/i 2el0in0n 20/en0 2e2u/0n0n 7en8elu/uh eni7HPRT >060 s8n6o7e Lesh-N8h0n 2e2u/0n0n eni7 lu2os0-* >hos>h04e >060 l8?oen s4o/0e 6ise0se 60n 2el0in0n 20/en0 2e2u/0n0n eni7

/u?4ose-1 >hos>h04e 0l6ol0se 7el0lui li2olisis 0n0e/o9 Hi>e/u/ise7i0

se2un6e/ 20/en0 >/o6u2si 9e/le9ih 60>04 6ise90920n 20/en0 2e0600n80n7en8e90920n >enin2040n >e7e?0h0n ATP 040u >e7e?0h0n 0s07 nu2le04 60/i

60/i in4isel Penin2040n >e7e?0h0n ATP 020n 7e79en4u2 AMP 60n 9e/l0n=u4

7e79en4u2 IMP 040u >u/ine nu?leo4i6e 60l07 7e409olis7e >u/in se60n20nhi>e/u/ise7i0 02i904 >enu/un0n e2s2/esi 6i2elo7>o220n 60l07 9e9e/0>0

2elo7>o2 80i4u 20/en0 >enu/un0n 70s0 in=0l >enu/un0n il4/0si lo7e/ulus

 >enu/un0n /0?4ion0l u/i? 0?i6 ?le0/en?e 60n >e7020i0n o904-o9040n

Hi>e/use7i 60n 'ou4 I6io>04i2 

Hi>e/u/ise7i0 80n 4i602 =el0s >en8e909 >/i7e/n80 2el0in0n ene4i2 4i602 

060 2el0in0n isiolois 60n 0n04o7i 80n =el0s

F024o/ Resi2o 'ou4 :

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U7u/

L02i-l02i

Hi>e/u/ise7i0

Ri0804 2elu0/0

'ene4i2 

Hi>e/4ensi O9esi40s

Konsu7si 0l?ohol

Funsi in=0l 7enu/un

T/0u70

&& P04oisioloi 60n P04oenesis

His4o>04oloi 60/i 4ous 7enun=u220n /0nulo70 6i2elilini oleh 9u4i/ K/is40l

7onoso6iu7 u/04 (MSU$ Re02si inl070si 6ise2elilin K/is40l 4e/u4070 4e/6i/i60/i sel 7ononu?le0/ 60n sel i0n4 E/osi 20/4il0o 60n 2o/4e2s 4ul0n 4e/=06i 6i

se2i40/ 4ous K0>sul i9/os0 9i0s0n80 >/o7inen 6ise2elilin 4oi K/is40l 60l07

4oi 9e/9en4u2 =0/u7 60n se/in 7e79en4u2 2elo7>o2 2e?il se?0/0 /06ie/

Ko7>onen l0in 80n >en4in 60l07 4oi 060l0h li>i6 li2os07inoli20n 60n

 >l0s70 >/o4ein P060 0/4h/i4is ou4 02u4 ?0i/0n sen6i =u0 7en0n6un 2/is40l

7onoso6iu7 u/04 7onohi6/04 >060 ,5 20sus P060 ?0i/0n 0s>i/0si 60/i sen6i80n 6i079il see/0 >060 s004 inl070si 02u4 020n 6i4e7u20n 90n802 K/is40l

60l07 leu2osi4 H0l ini 6ise90920n 20/en0 4e/=06i >/oses 0osi4osis

P04oenesis

Penu/un0n u/04 se/u7 60>04 7en?e4us20n >ele>0s0n 2/is40l 7onoso6iu7 u/04 60/i6e>osi4n80 60l07 4oi (?/8s40ls she66in$ P060 9e9e/0>0 >0sien ou4 040u 6en0n

hi>e/u/ise7i0 0si7>4o704i2 2/is40l u/04 6i4e7u20n >060 sen6i 7e4040/so0l0ne0l60n >04ell0 80n se9elu7n80 4i602 >e/n0h 7en60>04 se/0n0n 02u4 Den0n

6e7i2i0n ou4 040u>un >seu6oou4 60>04 4i79ul >060 2e0600n 0si7>4o704i2

P060 >eneli4i0n >enulis 6i60>04 !1 >0sien ou4 6en0n 0s07 u/04 no/70l

Te/60>04 >e/0n0n 4e7>e/04u/e >H 60n 2el0/u40n u/04 un4u2 4i79ul se/0n0n ou4Menu/unn80 2el0/u40n so6iu7 u/04 >060 4e7>e/04u/e le9ih /en60h >060 sen6i

 >e/ie/ se>e/4i 202i 60n 40n0n 60>04 7en=el0s20n 7en0>0 2/is40l 7onoso6iu7

u/04 6ien60>20n >060 2e6u0 4e7>04 4e/se9u4 P/e6ile2si un4u2 >enen60>0n 2/is40l7onoso6iu7 u/04 >060 7e4040/so0l0ne0l-1 (MTP-1$ 9e/hu9un0n =u0 6en0n

4/0u70 /in0n 80n 9e/ul0n-ul0n >060 60e/0h 4e/se9u4

Peneli4i0n Si72in 7en60>0420n 90h0 2e?e>040n 6iusi 7ole2ul u/04 60/i /u0n

s8no;i0l 2e60l07 >l0s70 h0n80 se4en0h 2e?e>040n 0i/ Den0n 6e7i2i0n

2onsen4/0si u/04 60l07 ?0i/0n sen6i se>e/4i MTP-1 7en=06i sei790n 6en0n u/0460l07 >l0s70 >060 si0n h0/i sel0n=u4n80 9il0 ?0i/0n sen6i 6i/eso/>si 024u

 9e/90/in 020n 4e/=06i >enin2040n 2060/ u/04 lo?0l Feno7en0 ini 60>04

7ene/0n20n 4e/=06in80 0i40n 040u onse4 ou4 02u4 >060 70l07 h0/i >060 sen6i

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80n 9e/s0n2u40n Ke0s070n 60>04 7enini20n nu2le0si u/04 in ;i4/o 7el0lui

 >e79en4u20n 60/i >/o4on04e6 soli6 >h0se W0l0u>un 2el0/u40n so6iu7 u/04

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sen6i 6en0n ou4 00l un4u2 7enen4u20n 060n80 0si6osis H0l ini

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Penelu0/0n 9e/900i 7e6i04o/ >e/060n0n 02i904 024i;0si 7el0lui 9e/900i =0lu/0n40/0 l0in 024i;i40s 2o7>le7en (B$ 60n selul0/

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se900i: se79uh 9e9e/0>0 h0/i s07>0i 9e9e/0>0 7inu 9il0 4i602 6io904i

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A60n80 4ous 80n 9e/isi K/is40l u/04 040u

B Te/60>04 * 60/i 1! 2/i4e/i0 2linis l09o/04o/is 60n /06iolois se900i 9e/i2u4 :

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  =0/in0n

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6i9u4uh20n 4e/0>i o904 Pe/u90h0n 080 hi6u> 60>04 6i>020i se900i >ilih0n-

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Te/0>i es >060 4e7>04 80n s02i4

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6ihin60/20n se909 7en02i90420n /e4ensi 0s07 u/04 2e?u0li 20l0u 6i>020i 60l076osis 4ini

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s07>inn80 80n 7eni79ul20n 70s0l0h 4e/u4070 >060 70nul0 60n >0sien

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Kol2hisin

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un4u2 6i9e/i20n 60l07 6osis /en60h se9elu7 7e7ul0i o904 >enu/un u/04

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5 7 W0l0u NF 7en0n=u/20n 6i9e/i20n se4i0> ! =07 s07>0i 4i79ul 6i0/e

040u 4o40l >e79e/i0n 7 2en80400n =0/0n 6ii2u4i Ke90n8020n >0sien7e/es>ons 60l07 024u 1 =07 60n inl070si 7enhil0n >060 #5- >0sien

60l07 " =07 Re02si 80n 4i602 6i2ehen602i 60/i 2ol2hisin 060l0h 0nu0n

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70nul0 Kol2hisin se900i ;0so2ons4/i24o/ 60n 7e7>un80i ee2 s4i7ul0si >060

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Ko/4i2os4e/oi6

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 >en802i4 ini 9u20n A/4h/i4is se>4i2 se9elu7 7en8un4i220n s4e/oi6Ko/4i2os4e/oi660>04 6i9e/i20n se?0/0 o/0l 60l07 6osis 4ini (&-"7$ 040u in4/07us2ul0/

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 =0n4un

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6en0n hi>e/4ensi 60n ou4<hi>e/u/ise7i0

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seh0/i$ 040u 0lo>u/inol (!7 6u0 20li seh0/i$ se?0/0 sinii20n 7enu/0ni u/04

60l07 se/u7 sesu0i 6en0n >enin2040n e2s2/esi 0s07 u/04 Ko79in0si ini 060l0h >ilih0n 80n 90i2 un4u2 4e/0>i >0sien ou4 6en0n hi>e/4/ilise/i607i0 60n<040u

hi>e/4ensi 0l0u ee2 40790h0n hi>ou/ise7i2 si04n80 se60n

& Pen?e0h0n

Menin20420n Resi2o 'A :

D0in (s0>i 2079in 909i$ 9u44e/ Se0oo6 Al2ohol

Se6i2i4< 4i602 7e7>en0/uhi /esi2o 'A :Wine S08u/0n 2080 >u/in Un0s Telu/ Hih-04 60i/8 >/o6u?4

Menu/0ni Resi2o 'A :

Lo-04 6i0/8 >/o6u?4 Mul4i;i407in ;i4 B Min802 4u79uh-4u79uh0n (s08u/0n

oli;e 9un0 7040h0/i 6ll$

&, P/onosisW0l0u>un 6en0n 4e/0>i 80n ?e>04 60n 4e>04 >060 0/4/i4is se>4i2 4e40>i

 >/onosisn80 70sih 9u/u2 P060 s4u6i 80n 6il02u20n oleh K00n6o/> 622 >060

15" >0sien (6e0s0 60n 0n02-0n02$ && 20sus 6en0n 2elu0/0n sen6i 80n 9u/u2 80i4u 6en0n 07>u40si 0/4h/o6esis 9e60h >/os4e4i2 040u >e/9u/u20n unsion0l

80n 9e/04 7o/40li40s 9e/2is0/ !-1"

R040-/040 se4el0h se/0n0n 00l 6i/070l20n *! 80n 4i602 6io904i 020n7en60>04 se/0n0n 2e ! 60l07 1 40hun # 60l07 ! 40hun , 60l07 5 40hun

,& 60l07 1 40hun

Ino/70si20n 2e>060 >0sien 6en0n hi>e/u/ise7i0 0si74o704i2 90h0 /isi2oun4u2 'A 6i 70s0 6e>0n >/o>o/sion0l 6en0n 2060/ 0s07 u/04 60l07 60/0h 60n

70s0l0h 2eseh040n l0in 4e/u4070 hi>e/4ensi o9esi40s 2060/ 2oles4e/ol 60l07

60/0h 0su>0n 0l2ohol D0l07 >e/=0l0n0n 024u >0sien 80n 4i602 6io904i 6en0n se/0n0n 9e/ul0n

020n 7e7>un80i >e/io60 in4e/2/i4i20l 80n le9ih >en6e2 7enin204n80 =u7l0h

sen6i 80n 4e/se/0n 7enin204n80 6is09ili48

Di/070l20n 1-!! >0sien 6en0n >enen60li0n 80n =ele2 040u 4i602 6io904i020n 7en0l07i >e/2e790n0n 4oi 60n ! ne/oli4i0sis >060 2u/0n le9ih 11

40hun se4el0h se/0n0n 00l

il0 7e7>/e6i2si >0sien 6en0n >en802i4 sen6i 20/en0 2/is40l >e/4i790n20n =u0 ee2 2o7o/9i6i40s (?4 hi>e/4ensi 040u 0l2oholis7e >060 ou4 6ll$

K0i40n 0n40/0 ou4 6enn hi>e/4ensi 04e/os2le/osis hi>e/4/ilise/i6e7i0 60n

6i09e4es 7eli4us 7un2in 060 hu9un0nn80 6en0n sin6/o7 /esis4ensi insulin(o9esi40s-insulin insesi4ii40s sin6/o7 7e409oli2$

" Me70h07i 60n Men=el0s20n NSAID 60n U/i?osu/i?

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"1 F0/702o2ine4i2 60n F0/702o6in07i2 NSAID

 NSAID 060l0h su04u 2el0s o904 80n 60>04 7ene20n inl070si 7el0lui inhi9isi

eni7 ?8?loo8en0se (BO$Bon4oh NSAID:  Nonsele?4i;e : As>i/in (O904 9e90s$ I9u>/oen (O904 9e90s$ Di2loen02

 N0>/o2sen Sulin602 Ke4o>4oen In6o7e40sin Tol7e4in Pi/o2si207 Sele?4i;e : Bele?oi9 )0l6e?oi9

P/insi> 7e20nis7e NSAID se900i 0n0le4i2 060l0h 9lo206e sin4es0 >/os40l0n6in 7el0lui h079040n ?8?loo?ien0se (Eni7 BO-1 60n BO-!$

6en0n 7en0nu lin20/0n ?8?loo8en0se1! Eni7 BO-1 060l0h eni7

80n 4e/li904 60l07 >/o6u2si >/os40l0n6in 0s4/o>/o4e?4i;e un4u2 7en6o/on0li/0n 60/0h 6i 0s4/i2 60n 7enh0sil20n 9i20/9on04 BO-1 9e/060 se?0/0 4e/us

7ene/us 6i 7u2os0 0s4/i2 sel ;0s2ul0/ en6o4eli0l >l04ele4s /en0l ?olle?4in

4u9ules sehin0 >/os40l0n6in h0sil 60/i BO-1 =u0 9e/>0/4isi>0si 60l07

he7os40sis 60n 0li/0n 60/0h 6i in=0l Se90li2n80 eni7 BO-! 4i602 sel0lu 060 6i

60l07 =0/in0n 4e40>i 020n ?e>04 7un?ul 9il0 6i/0ns0n oleh 7e6i04o/ inl070si?e6e/0<lu20 se4e7>04 si4o2in in4e/leu2in in4e/e/on 60n 4u7o/ ne?/osin 0?4o/

lo206e BO-1 (4e/=06i 6en0n NSAID nons>esii2$ 4i602 6ih0/0>20n 20/en07en02i90420n 4u202 l079un 60n 7enin204n80 /isi2o >en60/0h0n 20/en0

060n80 h079040n 0/e0si >l04ele4 H079040n 60/i BO-! s>esii2 6inil0i sesu0i

6en0n 2e9u4uh0n 20/en0 4i602 7e7ili2i si04 6i 040s h0n80 7e7>un80i ee2 0n4iinl070si 60n 0n0lesi2

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 NSAID nons>esii2 60n BO-! inhi9i4o/ 7e7>e/lih0420n >e/9e600n 7e20nis7e

 NSAID nons>esii2 7ene79us 90i0n eni7 80n 024i >060 2e6u0 eni7 BO-

1 60n BO-! 60n 7enh0l0ni 70su2n80 su9s4/04 0s07 0/02hi6on04 Se90li2n80BO-! inhi9i4o/ le9ih >o4en 7enh0l0ni BO-! 60n 4i602 7e7>en0/uhi

BO-1! W0l0u>un >0/06i70 BO-! 7e7ili2i 2eunul0n 060 9e9e/0>0 isu

60n o9se/;0si 4en40n eni7- eni7 BO 60n NSAID 80n h0/us 6i?e/704i 60n60>04 7en8e90920n i7>li20si 2e070n0n BO-! inhi9i4o/

Pe/lin6un0n l079un oleh BO-1 60n 0s4/o>04i 7el0lui h079040n BO-1

4i602 sese6e/h0n0 i4u A24i;i40s BO-! 6i 7u2os0 l079un 020n 7e790n4u >060 9e9e/0>0 si4u0si

BO-! 6i in6us oleh 060n80 lu20 6i l079un 60n 4e/lih04 6i>ini/ 4u202 >060

70nusi0 60n BO-! inhi9i4o/ 7enh07904 >en8e79uh0n 4u202 >060 70nusi0

60n 9in040n A24i;i40s BO-! 7enun4un20n unsi in=0l BO-! 7e7ili2i si04

2ons4i4u4i 6i in=0l 60n 6i4/i9usi in4/0/en0l 60n /eul0si >en04u/0n 2060/ 0/07

6i0n0> 90h0 BO-! 7e790n4u >en04u/0n he7o6in07i20 in=0l >060

 9e9e/0>0 si4u0si Me20nis7e 0n0lesi2 BO-! inhi9i4o/ 4i602 60>04 6i0n0> se>ele se909 BO-

! inhi9i4o/ 7enu/0ni /0s0 n8e/i 90h20n >060 2on6isi noninl0704o/i

F0/702o2ine4i2 

 NSAID 7e7ili2i 90n802 2es0700n 60l07 0/702o2ine4i2 %0n >0lin >en4in060l0h >e/9e600n >0/uh 024u 6en0n /en40n 60/i 1 =07 un4u2 4ol7e4in s07>0i

5 =07 un4u2 >i/o2si207 7e7>en0/uhi /e2uensi 6osis 60n 2e40040n 4e/0>i

"! In6i20si 60n Kon4/0in6i20si NSAIDIn6i20si: 6iin6i20si20n un4u2 >en6e/i40 n8e/i /in0n s07>0i se60n 60n >en802i4

6en0n >e/060n0n

Kon4/0in6i20si : 6ihin60/i >060 >en6e/i40 0nu0n h04i 040u in=0l 20/en0 o904 ini6i9u0n 7el0lui o/0n 4e/se9u4 sehin0 60>04 7e7>e/9e/04 2el0in0n unsi h04i

60n in=0l I9u h07il 4/i7es4e/ 2e4i0 60n i9u 7en8usui =u0 7e/u>020n

2on4/0in6i20si >e79e/i0n o904 olon0n ini 20/en0 o904 ini 60>04 7en8e90920n2e?0?040n >060 908i 80n 6i20n6un 60n 6i9u0n 7el0lui 0i/ susu An02 6i 900h

1" 40hun 4i602 6is0/0n20n 7ene/i70 o904 ini

"& Ee2 S07>in NSAID Ee2 >060 l079un 60/i NSAID

Keluh0n 2e?il: Mu0l 6is>e>si0 0no/e2si0 /0s0 s02i4 6i l079un l04ulen

6i0/e 4e/=06i >060 1-* >0sien Un4u2 7enu/0ni ee2 ini NSAIDse90i2n80 6i7020n 6en0n 7020n0n 040u susu 2e?u0li o904 6en0n en4e/i?

?o04e6 =0n0n 6i7020n 6en0n susu 040u 0n40?i6  NSAID 60>04 7en8e90920n >en802i4 in=0l 4e/70su2 insuisiensi /en0l 02u4

hi>e/20le7i0 ne2/osis >0>il0/i in=0l D040 2linis sin6/o7 in=0l:

7enin204n80 se/u7 2/e04inin hi>e/20le7i0 7enin204n80 4e20n0n 60/0h

e6e70 >eie/0l >en0790h0n 9e/04 9060n

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"" F0/702o2ine4i2 60n F0/702o6in07i2 U/i?osu/i?  A60 ! 2elo7>o2 o904 >en802i4 >i/0i 80i4u o904 80n 7enhen4i20n >/oses

inl070si02u4 7is0ln80 2ol2isin enil9u40on o2sien09u40on 60n in6o7e40sin 60n

o904 80n 7e7>en0/uhi 2060/ 0s07 u/04 7is0ln80 >/o9enesi6 0llo>u/inol 60n

sulin>i/0on

1 Kol2isinA60l0h su04u 0n4i-inl070si 80n uni2 80n 4e/u4070 6iin6i20si20n >060 >en802i4 >i/0i

O904 ini 7e/u>020n 0l20loi6 Bol?hi?u7 0u4u7n0le se=enis 9un0 leli

F0/702o6in07i2 

Si04 0n4i/060n 2ol2isin s>esii2 4e/h060> >en802i4 >i/0i 60n 9e9e/0>0 0/4/i4is un4u2 /060n u7u7 o904 ini 4i602 ee24i Kol2isin 4i602 7e7ili2i ee2 0n0lesi? P060

 >en802i4 >i/0i 2ol2isin 4i602 7enin20420n e2s2/esi sin4esis 040u /060n 0s07 u/04

60l07 60/0h O904 ini 9e/i2040n 6en0n >/o4ein 7i2/o4u9ul0/ 60n 7en8e90920n

6e>oli7e/0si 60n 7enhil0nn80 7i2/o4u9ul i9/il0/ /0nulosi4 60n sel 9e/e/02 l0inn80

H0l ini 7en8e90920n >enh079040n 7i/0si /0nulosi4 2e 4e7>04 /060n sehin0

 >ele>0s0n 7e6i04o/ 0n4iinl070si 6i4e20n Kol2isin 7en?e0h >enle>0s0n li2o>/o4ein

60/i leu2osi4 >060 >0sien ou4 7en8e90920n n8e/i 60n /060n sen6i

F0/702o2ine4i2 

A9so/9si 7el0lui s0lu/0n ?e/n0 90i2 O904 ini 6i6is4/i9usi20n se?0/0 lu0s 60l07 =0/in0n

4u9uh K060/ 4ini 9e/060 6i 60l07 in=0l h04i li7>0 60n s0lu/0n ?e/n0 4e40>i 4i602 

4e/60>04 6i 60l07 o4o4 /0n20 =0n4un 60n o402 Se90i0n 9es0/ 6ie2s2/esi20n 60l07

 9en4u2 4in=0 1-! 7el0lui u/in P060 >0sien >en802i4 h04i le9ih 90n802 7el0lui u/in

Kol2isin 60>04 6i4e7u20n 60l07 leu2osi4 60n u/in se6i2i4n80 un4u2 , h0/i se4el0h su04u

sun4i20n I)

"5 In6i20si 60n Kon4/0in6i20si

In6i20si

Kol2isin 7e/u>020n un4u2 o904 >i/0i oleh 20/en0 i4u >e79e/i0n h0/us 6i9e/i20nse?e>04n80 >060 00l se/0n0n 60n 6i4e/us20n s07>0i e=0l0 hil0n 040u 4i79ul

ee2 s07>in 80n 7en0nu il0 o904 4e/l0lu 4e/l07904 ee24i;i40sn80

2u/0n Kol2isin =u0 9e/un0 un4u2 >/oil024i2 se/0n0n >en802i4 >i/0i 040u

7enu/0ni 9e/04n80 se/0n0n 60n o904 ini =u0 60>04 7en?e0h se/0n0n 80n6i?e4us20n oleh o904 u/i2osu/i2 60n 0lo>u/inol Un4u2 >/oil02sis ?u2u>

6i9e/i20n 6osis 2e?il

Kon4/0in6i20si

P0sien 6en0n 0nu0n in=0l 0nu0n h04i 60n 0nu0n 0s4/oin4es4in0l

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 >u/>u/0 neu/i4is >e/ie/ 7io>04i 0nu/i0 0lo>esi0 0nu0n h04i /e02si 0le/i

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I) 0nu0n e2s2/esi 02i904 2e/us020n in=0l 60n 2o79in0si 2e0600n 4e/se9u4

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Kol2isin h0/us 6i9e/i20n h04i-h04i >060 >0sien usi0 l0n=u4 le70h 040u >0sien

6en0n 0nu0n in=0l 20/6io;0s2ul0/ 60n s0lu/0n ?e/n0

DAFTAR PUSTAKA

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'un00n S' Se4i09u68 R N0/i0l6i (!#$ F0/702oloi 60n Te/0>i e6 5 .020/40 : FKUI

Leeson BRol0n6 An4hon8 A P0>0/o (1,,*$ u2u A=0/ His4oloi E6 ) .020/40: E'B

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P0ulsenFCW0s?h2eF (!1!$ So9o440 : 04l0s 0n04o7i 70nusi0 e6!& =ili6 1 C ! .020/40 : E'B

h44>:<</e>osi4o/8usu0?i6<9i4s4/e07<1!&"5*#,<&1!*<"<Bh0>4e/!II>6 6i02ses >060 ,

Se>4e79e/ !15

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h44>:<<6iili9uni7us0?i6<iles<6is21<1!5<=4>4uni7us-6l-/in0=uli0n-*!&&-!-909ii>6   6i02ses

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