Download - protozoa~ Imam Khoirul Fajri
-
8/20/2019 protozoa~ Imam Khoirul Fajri
1/28
PROTOZOAImam Khoirul Fajriant of Parasitological Labor
-
8/20/2019 protozoa~ Imam Khoirul Fajri
2/28
Subkingdom
Phylum Sub-phylum Genus-eamples
Species-eamples
Proto!oa
Sarcomastig-ophorafurther divided into
Sarcodina =
rhizopoda- - moveby pseudopodia
Entamoeba E. histolytica
astigophoramove by !age""a
#iardia
Trichomonas
$eishmania
Trypanosoma
G. lamblia
T. Vaginalis
L. Donovani
T. cruzi
Apicomp"e%ano organe""e of "ocomotion
P"asmodiumToxoplasma
Cryptosporidium
P. falciparum,T. gondii
C. parvum
&i"iophora
move by ci""ia
'a"antidium . coli
E()&A$ PROTOZOO$O#*KLASIFIKASI PROTOZOA
-
8/20/2019 protozoa~ Imam Khoirul Fajri
3/28
Protozoa Usus Protozoa Atrial Protozoa Darah
& jaringan
Amoeba hidup bebas
Sarcomastiogophora
SarcodinaRhizopoda
Entamoeba histolytica
Entamoeba dispar
Entamoeba coli
Endolimax nana
Iodamoeba butschlii
Entamoeba gingialis Acanthamoeba culbertsoni
!aegleria "o#leri
Acanthamoeba castellani
Acanta$hamoeba polyphaga
%astigophora 'lagellata
(iardia lamblia
)richomonas hominis
*hilomastix mesnili
Enteromonas hominis
Retortamonas
intestinalisDientamoeba "ragilis
)richomonasaginalis
)richomonas tenax
+eishmania donoani
+eishmania tropica
+eismania braziliensis
)rypanosoma rhodensiese
)rypanosoma gambiense
)rypanosoma cruzy
Apicomplexa
Sporozoa
*occidia
Eimeria clupearum
Isospora belli
Isospora hominis
*ryptosporidiumparum
*yclospora
cayetanensis
)oxoplasma gondii
,aemosporidia Plamodium malariare
Plasmodium oale
Plasmodium "alciparum
*illiophora
*illiata
-alantidium coli
)a.sonomi belum jelas/ontr0 sel ragi
Pneumocystis carinii
-
8/20/2019 protozoa~ Imam Khoirul Fajri
4/28
P"#$#%#A
PROTOZOAATR)A$
PROTOZOA+S+S
AOE'A'E'AS
PROTOZOA(ARA, (A .AR)#A
• &ntamobahistolytika
• &ntamobacoli
• 'alantidiu
m coli• Giardia
lamblia
• Plasmodium•
$oopla
smagondii
• $richomo
nas(aginalis
Pene/anan pada
pra/ti/um /ita0A$) )) 111
-
8/20/2019 protozoa~ Imam Khoirul Fajri
5/28
MEB
ntamoeba histol it ica
ntamoeba dispar
ntamoeba col i
ntamoeba hartmani
ndol imax nana
Iodam oeba butschl i i
FL GELL TES:
Giardia lamblia
Dientamoeba frail is
!h ilomast ix m esnil i
Trichomonas hominis
nteromonas hominis
"etortamonas intestinalis
#I!$M#LE%
!riptosporidium par&um
! 'clospora ca'etanensis
Isospora bell i
MI!"$S#$"IDI
nteroc'to(oon bieneusi
ncep halito(oon intestinalis
$T)E"S
Blastoc'stis hominis
Balant idium col i
$T)E" L*ME+,D-ELI+G
#"$To.
Trichomonas &ainalis
/uroen.0
Trichomonas tenax /oral0
ntam oeba ini&alis /oral0
-
8/20/2019 protozoa~ Imam Khoirul Fajri
6/28
AMOEBIASIS(Etiologi : Entamoeba histolytica )
-
8/20/2019 protozoa~ Imam Khoirul Fajri
7/28
Entamoebahistolytia
Se!a"ah
KOSMOPOLIT#t$ t"o%is &se'angMASIA
*AR +I*P
*,
• -./0 1 Losh t"o%o2oi'
• -.34 1 5$inhe & Roos 6ista
• -374 1 Sha$'in nama E histolytia
+ISTOLITIKA
4 ST*
AmoebiasisIntestinal Amoebiasis
E6st"aintestinal
AMOEBIASISMORFOLO8I
KISTA
MITA
PATOLO8I
8, K,
Bt6 +istoliti6a
En2im
+ISTOLISIS
e6"osis &lisis !a"ingan :histolisis
9ystein %"oteinase• Lab• Se"ologis• P"o6tos6o%isigmoi'os6o%i
• Ra'iologi
T,
• Met"oni'a2ol• Emetinhi'"o6lo"i'a
• Klo"o6$in• AB : tet"asi6lin#e"it"omisisn#%a"amomisin
EPI*EMIOLO8I
In': en'emis
S$mbe" %en$la"$tama: %engan'$ng6ista
PE9E8A+A
)/htisar E2 histo"ytica
**
• E; 'is%a" • E; oli•E; ha"tmanni
• Amoeba $s$s
I kf
-
8/20/2019 protozoa~ Imam Khoirul Fajri
8/28
)aur *idup
Amoebiasis /o"on-Kolon akut+ diare,demam
-Kolon menahun+diare,obstipasi,eksaserbasi akut
Amoebiasis
e/stra/o"on utamanya,epar
Imam kf
-
8/20/2019 protozoa~ Imam Khoirul Fajri
9/28
Imam kf
-
8/20/2019 protozoa~ Imam Khoirul Fajri
10/28
-
8/20/2019 protozoa~ Imam Khoirul Fajri
11/28
OR3O$O#)ETAOE'A ,)STO$*T)&A
+ISTOLITIKA
4 ST*
KISTAMITA
TROPOZOI*
• Bt6 PATO8E
• 6$"an < besa" (=7 1 >7mi6"on)
• Inti : entamoeba
• En'o%lasma g"an$lahal$s# mg' S*M
•
E6to%lasma beninghomogen# te"lihat nyata
• Pse$'o%o'i$m'ibent$6 men'a'a6#8e"a6 e%at
• Belah %asang 'i !a"ingan lisis !a";
• Bt6 Po6o6 (ESESIAL)#
tan%anya 'a$" hi'$% ta6 '%tbe"langs$ng;
• 6$"an -7?=7 mi6"on
• Inti : entamoeba
• En'o%lasma g"an$la 6asa"#mg' ba6te"i & sisa ma6anan
• E6to%lasma ti'a6 nyata
• Pse$'o%o'i$m 'ibent$6%e"lahan# 8e"a6 lambat
• KOMESAL 'i "ongga $s$sbesa"
• En6istasi 'i $s$s besa"
• Bt6 IFEKTIF# (6istamatang $ %en$la"an)
• 6$"an -7?=7 mi6"on
• Inti : entamoeba -? >
• En'o%lasma t'% ben'a6"omatoi' bs" s%t lisong& @a6$ola gli6ogen (a'
m6nn)# 6e %' 6istamatang;
• *in'ing tahan th' asamlamb$ng
• E6s6istasi 'i s$s hal$s
F"agile#
metabolially
ati@e
ha"'y# ineti@e#en@i"onmentally "esistant
-
8/20/2019 protozoa~ Imam Khoirul Fajri
12/28
Entamo#bahistolytica
Trofozoit
4a/tif bergera/5
T"oo2oit
E. histolytica
Bent$6
+ISTOLITIKA
E.histolyti
ca trop• RBC • Inti• Bent$6
E. histolytica
bt6 min$ta
-
8/20/2019 protozoa~ Imam Khoirul Fajri
13/28
0)STA E2 histo"ytica
KISTA
E. histolytica
(T'6 a6ti be"ge"a6)
•Bt6 IFEKTIF# (6istamatang $ %en$la"an#be"inti >)
•6$"an -7?=7 mi6"on
• Inti : >
•En'o%lasma t'% ben'a6"omatoi' bs" s%t lisong &@a6$ola gli6ogen (a'
m6nn)# 6e %' 6istamatang;
•*in'ing tahan th' asamlamb$ng
•E6s6istasi 'i s$s hal$s
PROTOZOA
-
8/20/2019 protozoa~ Imam Khoirul Fajri
14/28
PROTOZOA+S+S
Entamoebahistolytica
Trophozoit
0ista
67
8
6
9
6
0eterangan62nu/"eus72/ariosom4granu"a /romatin582 endop"asmagranu"air
4va/uo"a ma/anan brisi eritrosit592 e/top"asmabntu/an pseudopodiadi bagian membrana "uar
muda matang
:a/uo"a g"i/ogen
-:a/uo"a g"i/ogen Tida/ ada2-nu/"eus 92
.arang ditemu/anImam kf
7
-
8/20/2019 protozoa~ Imam Khoirul Fajri
15/28
Entamo#ba coli
Apatogenjika di kolon4patogen ditempat "ain5
Sifat komensial
Trophozoit
0ista
6
6
9
87
erangan;62 nu/"eus--endop"asma72/ariosombesar
-
8/20/2019 protozoa~ Imam Khoirul Fajri
16/28
BALATI*IASIS(Etiologi : Balantidumcoli )
I ' ! ' )/htisar ' co"i
-
8/20/2019 protozoa~ Imam Khoirul Fajri
17/28
6?
Balanti'i$moli
9ILLIATA
KOSMOPOLIT# t$t"o%is & s$b t"o%is
9olonMASIA
*a$" hi'$%
*,
T"oo2oi'
=ST*
6"onis:
*ia"e 16onsti%asianemi
a6$t:
*ia"e ai"len'i" 'a"ah%$s
BALATI*IASISMORFOLO8I
Kista
PATOLO8I
8, K,
t"oo2oi'
In@asi m$6osa
m$lti%el
• Lab: eses• Sigmoi'os6o%i• Im$no'C
T,
• Tet"aylin• Met"oni'a2ol
E%i'emiologi
In': !"g %' mns
Pen$la"an : e6o?o"al
Penegahan
)/htisar '2 co"i
Babi# 6e"a#'omba
$l6$s
abses
PROTOZOATERBESAR%' man$sia
Pd tin@adiare
0ronis carier&h"ornasi sbr air<
sanitasi
-
8/20/2019 protozoa~ Imam Khoirul Fajri
18/28
6
orfo"ogi '2 co"i
T"oo2oi' Kista
• ukuran besa" >7 1 /7 mi6"on• ge"a6 'g ilia• o@al• en'o%lasma g"an$le" •
SITOFARI,
m$l$t#• SITOPD8E lbg %engel$a"an• Intestin$m (?)• SITOPLASMA :
• = ITI : ma6"on$6le$s (bean?sha%e')# mi6"on$6le$s
• = A9; KOTRAKTIL• A9; MAKAA
• $6$"an 07 1 7 mi6"on• 'in'ing = la%is• SITOPLASMA :
• 8RALA•
= ITI• A9; KOTRAKTIL
patogen infektif
)aur hidup
-
8/20/2019 protozoa~ Imam Khoirul Fajri
19/28
6B
)aur hidup'alantidium coli
Belah pasang
transversal
Btk infektif : 6ista tertelan host
E6s6istasi : di usus halus
T"oo2oit
belah %asang
t"ans@e"sal
berdiam di usus besar(olon)
reproduksi
Kon!$gasi
Invasi colon
multiplikasi
!embali ke
lumen hancur
En6istasi
'i olon!ista matang
keluar
bersamafesesImam kf
-
8/20/2019 protozoa~ Imam Khoirul Fajri
20/28
KLINIS
• - INKUBASI : TDK. JELAS• - ONSET ; PELAN - MENDADAK• - ASYMPTOMATIK - SYMPTOM.• - AKUT : - DIARE ENCER 6-15
- DG LENDIR, DRH & PUS
- NYERI PERUT • - KRONIS : - DIARE - KONSTIPASI
- NYERI COLON
- ANEMI
• - BERAT : - PERFORASI USUS PERITONOTIS
• - KOMPLIKASI ; - LIER ABSCES
- AGINITIS
- INF. TRAC. URINARIUS
-
8/20/2019 protozoa~ Imam Khoirul Fajri
21/28
GI "DI SIS
(Etiologi : Giardia lamblia)
• -.- A Lee$Genhoe6 Ikhti G l bil
*O8 & 9AT
-
8/20/2019 protozoa~ Imam Khoirul Fajri
22/28
8ia"'ialamblia
Se!a"ah
KOSMOPOLIT# t$i6lim %anas
MASIA
*AR +I*P
*,
• -.- 1 A Lee$Genhoe6
• -.03 1 Lambl
• -3-0 1 Stiles nama8ia"'ia lamblia
= ST*
Sin'"om
malabso"bsi
*ia"e 'g
STEATORE
8ia"'iasis
Lamblia
intestinalisMORFOLO8I
KISTA
t"oo2oit
PATOLO8I8, K,
• T'6 in@asi • menggangg$
abso"bsi lema6
• Lab eses• *ete6si antigen
gia"'ia %a'aeses
T,
•
Met"oni'a2ol4,=07 mg / h" 'll
EPI*EMIOLO8I
PE9E8A+A
Ikhtisar G. lambila
Traveller"s diarrhea# day
care centres# hand to
mouth$
%aga higiene
Feses banya6#be"ba$ b$s$6
*O8 & 9AT
lagellata
-
8/20/2019 protozoa~ Imam Khoirul Fajri
23/28
Giardia lamblia
-
8/20/2019 protozoa~ Imam Khoirul Fajri
24/28
Giardia lamblia
#)AR()A )TERA&T)O C)T, T,E ,+A
-
8/20/2019 protozoa~ Imam Khoirul Fajri
25/28
#)AR()A )TERA&T)O C)T, T,E ,+A)TEST)E
-
8/20/2019 protozoa~ Imam Khoirul Fajri
26/28
0ista matang Giardia lamblia
age""a ditari/ masu/ /eda"amserutan /ayu
u/"eusscr teori ada 94/rang tr"ihat @e"as5
E/top"asmapadatgranu"air
/ariosoma
Giardia lamblia
-
8/20/2019 protozoa~ Imam Khoirul Fajri
27/28
Giardia lambliambaran kasar $rofo!oit
Trophoz
oit
6 >
6
89D
>
7
0et;62 nu/"eus 72 /ariosoma/romatin padat disentra"82 3"age""a "atera"92 'enda parabasa"D23"age""a posterior
>2b"efarop"ast
-
8/20/2019 protozoa~ Imam Khoirul Fajri
28/28
/aturSu0un1..