asuhan keperawatan pada other urinary tract disorders

8/18/2019 Asuhan Keperawatan Pada Other Urinary Tract Disorders

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ASUHAN KEPERAWATAN

PADA OTHER URINARY

TRACT DISORDERS

Oleh Kelompok 4

AJ 1/ B 17



STRICTURE URETRA



ANATOMI & ISIO!O"I



U#e$#%

U#e$#% me#p%k%' $%(') *%') me'*%l#k%' #+'e kel%# ,%

kem+h mel%l+ p#o-e- m+k-+. Se%#% %'%$om+- #e$#% ,+(%)+ m

(%)+%' *%+$ #e$#% po-$e#+o# ,%' #e$#% %'$e#+o#. P%,% p#+%

(e#2')-+ 0)% ,%l%m me'*%l#k%' %+# m%'+.

U#e$#% ,+pe#le')k%p+ ,e')%' -2+')$e# #e$#% +'$e#'% *%') $e#pe#(%$%-%' k%',') kem+h ,%' #e$#% -e#$% -2+')$e# #e$#% ek

$e#le$%k p%,% pe#(%$%-%' #e$#% %'$e#+o# ,%' po-$e#+o#.

P%'0%') #e$#% 3%'+$% k#%') le(+h 56 m -e,%')k%'

,e3%-% k#%') le(+h 56 m. Pe#(e,%%' p%'0%') +'+l%h *%') me

kelh%' h%m(%$%' pe')el%#%' #+'e le(+h -e#+') $e#0%,+ p%,% p#+



Pe')e#$+%'

S$#+k$# #e$#% %,%l%h pe'*emp+$%' lme' #e$#%

2+(#o-+- %,% ,+',+')'*%. Pe'*emp+$%' lme' +'+ ,+-

k%#e'% ,+',+')'*% me')%l%m+ 2+(#o-+- ,%' p%,% $+')k

le(+h p%#%h $e#0%,+ 2+(#o-+- ko#p- -po')+o-m. 8P#'omo

S$#+k$# #e$#% %,%l%h pe'*emp+$%' %$% pe'

8ko'-$#+k-+: lme' #e$#%. S$#+k$# #e$#% kem

,+-e(%(k%' oleh ko')e'+$%l ,%' ,+,%p%$.

8She'o* 914:



Etiologi

S$#+k$# #e$#% ,%p%$ ,+-e(%(k%' k%#e'% -%

+'2ek-+ $#%m% p%,% #e$#% ,%' kel%+'%' (%3%%

I'2ek-+ *%') p%l+') -e#+') me'+m(lk%' -$#+k$

#e$#% %,%l%h +'2ek-+ oleh km%' )o'okok- *%$el%h me')+'2ek-+ #e$#% (e(e#%p% $%h

-e(elm'*%.



Manifestasi Klinis

R+3%*%$ p%p%#%' $e#h%,%p )o'o#e -e(elm'*% #+3%*%$

+'-$#me'$%-+ %$% #+3%*%$ $#%m% p%,% #e$#% (+%-%'*%

,+$emk%';

• Se#+') $e#0%,+ p%,% -+% m,% 89549 $%h':

• R+3%*%$ me')e0%' -el%m% ke'+')• N*e#+ ,%' pem(e')k%k%' -p#%p(+k -e(%)% %k+(%$

,+-$e'-+ (l+

• S$#+k$#% #e$#% ,%p%$ $e#%(% ,+ pe#+'em -e(%)%+ l(%'

ke'+')



Patofisiologi

P#o-e- pe#%,%')%' %k+(%$ $#%m% %$% +'2ek-+ p%,% #e$#%

Te#(e'$k'*% 0%#+')%' -+k%$#+k p%,% #e$#%

Al+#%' #+'e me'0%,+ $e#h%m(%$ me')mpl ,+#o'))% pe#+#e$#%

H%m(%$%' %l+#%' #+'e h+'))% #e$e'-+ #+'e



Derajat Penyempitan Uretra

Se-%+ ,e')%' ,e#%0%$ pe'*emp+$%' lme''*% -$#+k$#%

#e$#% ,+(%)+ me'0%,+ $+')k%$%' *%+$;

• R+')%' ; 0+k% okl-+ *%') $e#0%,+ k#%') ,%#+ 1/ ,+%me$

lme' #e$#%.

• Se,%') ; 0+k% $e#,%p%$ okl-+ 1/ -%mp%+ ,e')%' < ,+%m

lme' #e$#%.

• Be#%$ ; 0+k% $e#,%p%$ okl-+ le(+h (e-%# ,%#+ < ,+%me$e

lme' #e$#%.



Peme#+k-%%' Pe''0%')

• U#o2lome$#+

• o$o #e$#o)#%2+

• o$o (+pol%# -+-$o5#e$#o)#%2+

• U#e$#o-kop+



Penatalaksanaan

J+k% p%-+e' ,%$%') k%#e'% #e$e'-+ #+'e -eep%$'

,+l%kk%' -+-$o$om+ -p#%p(+k '$k me')el%#k%

#+'e

T+',%k%' kh-- *%') ,+l%kk%' $e#h%,%p -$#+k$##e$#% %,%l%h ;

• B-+'%-+ 8,+l%$%-+: ,e')%' (-+ lo)%m

• U#e$#o$om+ +'$e#'%

•

U#e$#o$om+ ek-$e#'%



WOC



ASUHAN KEPERAWATAN



HIPOSPADIA



ANATOMI & ISIO!O"I

Testis

• Te-$+- me#p%k%'

)l%',l% *%')

-eme' $e#,%p%$

-k#o$m ,%' ,+)

2e'+kl- -pe#m0%'+' $e-$+- $e#

k%>m %(,om+'%l+

pe#+$o'em



Vesika Seminalis.

• ?e-+k% -em+'%l+- me#p%k%' ,% #%')%' ,+%'$%#% 2'

#+'%#+% ,%' #e$m m%-+')5m%-+') #%')%' (e#(e'$

Peme#+k-%%' %'$e#+o# (e#h(')%' ,e')%' 2',- >e-+k%

Kelenjar (glandula) Prostat• Se(%)+%' (e#-+2%l )l%',l%# ,%' -e(%)+%' l%)+ (e

"l%',l% p#o-$%$e $e#,%p%$ ,+(%3%h o#+>+-+m #e$#% +'

-ekel+') pe#mk%%' #e$#% melek%$ ,+(%3%h >e-+k% #e

#o'))% pelp+- ,+(%3%h -+m2+-+- p(+- po-$e#+o#



Epididimis

Ep+,+,*m+- %,%l%h -%l#%' h%l- *%') p%'0%')'*% k+#%5k+#%

$e#le$%k ,+ -ep%'0%') %$%- ,%' (el%k%') $e-$e- ,%' $e#,+#+

• K%p$ ep+,+,+m+-

• K%,% ep+,+,*m+-• Ek-$#em+$%- -pe#+o#

• Ek-$#em+$%- +'2e#+o#



Penis

• Pe'+- $e#le$%k me'))%'$') ,+ ,ep%' -k#o$m. B%)+%' 0

)l%',- pe'+- (%)+%' $e')%h ko#p- pe'+- ,%' (%)+%' p%

pe'+-. Kl+$ pem(')k- %m%$ $+p+- $+,%k (e#h(')%' ,e

pe#mk%%' ,%l%m ,%#+ o#)%' ,%' $+,%k memp'*%+ 0%#+')Kl+$ +'+ (e#h(')%' ,e')%' pel>+- -k#o$m ,%'

D+(el%k%') o#+2+-+m #e$#% ek-$e#'% kl+$ +'+ mem(e'$k

ke+l *%') ,+-e($ 2#e'lm p#ep-+m. Kl+$ *%') me'

pe'+- (e#-%m(') ,e')%' mem(#%'e m+ko-%#e$#% p%,

,%' $+,%k memp'*%+ #%m($.



Pe')e#$+%'

H+po-p%,+% %,%l%h ko')e'+$%l %'om%l+ *%') m%'

(e#m%#% p%,% -+-+ (%3%h pe'+- %$% pe#+'em 8S#+%,+

H+po-p%,+% me#p%k%' -%$ kel%+'%' o')e'+$%l *%

,+,e$ek-+ ke$+k% %$% -e)e#% -e$el%h (%*+ l%h+# +-$+l%h h

me'0el%-k%' %,%'*% kel%+'%' p%,% m%#% #e$#% p#+%997:



E$+olo)+

Pe'*e(%( *%') 0el%- (elm ,+ke$%h+. D%p%$ ,+h

,e')%' (e(e#%p% 2%k$o# pe'e$- %'$%#% l%+';

1: "%'))%' ,%' ke$+,%k-e+m(%')%' ho#mo'e

: "e'e$+k%: !+')k')%'



Kl%-+2+k%-+

Be#,%-%#k%' le$%k m%#% #e$#% -e$el%h ,+l%kk%'

ko#,e B#o3'e 81@: mem(%)+ h+po-p%,+% ,%l%m $+)%

(e-%# *%+$ ;

81: h+po-p%,+ %'$e#+o# $e#,+#+ %$%- $+pe )l%'#%l -(ko#o

pe'+- ,+-$%l

8: h+po-p%,+ me,+- $e#,+#+ %$%-; midshaft ,%' pe'+- p#

8: h+po-p%,+ po-$e#+o# $e#,+#+ %$%-; pe'o-k#o$%l -k#o$

pe#+'e%l



P%$o2+-+olo)+

Kel%+'%' ko')e'+$%l -%l#%' kem+h

"%'))%' pe'$p%' urethral fold

Te#(e'$k ko#,e

J%#+')%' +k%$ $+,%k el%-$+k

Pe'+- mem(e')kok ke %#%h >e'$#%l -%%$ e#e



Kompl+k%-+

Kel%+'%' l%+' *%') ,%p%$ me'*e#$%+ h+po-p%,+% %,%l%

• M+k#ope'+- 8pe'+- (e#k#%' le(+h ke+l ,+(%',

-e-+%'*%:

• P%,% k%-- *%') (e#%$ 8$+pe pe#+'e%l: pe'%mp+l%

ek-$e#'% ,%p%$ me#%)k%' -eh+'))% '$k

2e'o$+pe ,+pe#lk%' peme#+k-%%' k#om%$+' -ek-



HIDRONEROSIS



ANATOMI & ISIO!O"I

Secara terbagi menja

korteks dan

Korteks ginj

superfisial da

terdapat ber

Nefron mefungsional

Medula ginja

lebih prof

terdapat dukt

kecil yang m

ultrafiltrasi be



• "+'0%l %,%l%h -ep%-%') o#)%' -%l#%' kem+h *%') $e

#o'))% #e$#ope#+'e%l (%)+%' %$%-. Be'$k'*% me'*e#p

,e')%' -+-+ ek')'*% me')h%,%p ke me,+%l. Cek

,+-e($ -e(%)%+ h+l- #e'%l+- *%') ,+ ,%l%m'*% $e#,%p

pel>+- #e'%l+- ,%' -$#k$# l%+' *%') me#%3%$ )+'0pem(lh ,%#%h -+-$em l+m2%$+k ,%' -+-$em -%#%2.

• Be-%# ,%' (e#%$ )+'0%l -%')%$ (e#>%#+%-+ h%l +'+ $e#)%'$0e'+- kel%m+' m# -e#$% %,% $+,%k'*% )+'0%l p%,% -+-+l%+'.



Definisi

H+,#o'e2#o-+- %,%l%h ,+l%$%-+ %-ep$+k -el#h %$%

-+-$em pel>+k%l+k- )+'0%l -e(%)%+ %k+(%$ h%m(%$%

%$% +'$e#m+$$e' %l+#%' #+'e. 8She'o* 914:



Etiologi

1. H+,#o'e2#o-+- '+l%$e#%l

%. I'$#%m#%l 8,+ ,%l%m ,+',+'):

• B%3%%'

Kel%+'%' -%m(')%' pel>+#e$e# 8PUJ: 8,+-k+'e-+% PUJ %$% %k%l%-+% PUJ:

U#o$e#okel

• D+,%p%$ K%#-+'om% #e$e# %$% k%#-+'om% (l+ *%') me')+'2+l$#%-+ l(%') m%#% #e$

S$#+k$#% #e$e# -ek',e# -e(%)%+ %k+(%$ (%$

T(e#klo-+- p%,% #e$e# ,%' (l+

• Ek-$#%m#%l



Co'$,

. !idronefrosis "ilateral

a. Penye"a" pada anak#anak

• $imosis

• Stenosis meatal

•

Katup uretra posterior• %efluks &esikoureter "ilateral

". Pada de'asa muda

• Striktur uretra

• Pem"ulu dara a""erant "ilteral.

. Penye"a" usia pertengaan alanjut• !ipertrofi Prostat *inak (+P!• Kontraktur leer "uli•

$i"rosis retroperineal idiopa(Penyakit ,rmond)

(Senoy- /0)



Patofisiologi

-$e'o-+- h(')%' p+elm ,%' #e$e# kel%+'%'mo$+l+$%- h(')%' pel>+o#e$e#

%k$o# ,+ l%# #e$e# ,%'p+elm

komp#e-+ %$% $ek%'%' -e$el%hh+,#o'e2#o-+- $+m(l ,%'

mem(e-%#



Kompl+k%-+

asuhan keperawatan pada other urinary tract disorders

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