hiperbilirubinenima
DESCRIPTION
hiperbilirubinenima pd neonatusTRANSCRIPT
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Hiperbilirubinemiapada neonatus
DOKTER PEMBIMBING:dr. Thomas Harry Adoe, Sp.A (K)
Cinthya Andini PFakultas Kedokteran Universitas Trisakti
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PENDAHULUAN
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DEFINISI
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EPIDEMIOLOGI
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KLASIFIKASI
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IKTERUS FISIOLOGIS
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IKTERUS NON-FISIOLOGIS
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ETIOLOGI
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DIAGNOSIS
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ANAMNESIS
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PEMERIKSAAN FISIK• Ikterus terjadi akibat akumulasi bilirubin dalam darah
sehingga kulit, mukosa dan atau sklera bayi tampak kekuningan.
• Ikterus akan tampak secara visual jika kadar bilirubin lebih dari 5 mg/dl.
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Zona Bagian tubuh yang kuning
Rata-rata serum bilirubin indirek (
mol/l)
Bilirubin serum total
1. Kepala dan leher 100 5 mg/dL;
2. Pusat-leher 150 10 mg/dL
3. Pusat-paha 200 12 mg/dL
4. Lengan + tungkai 250 13-15mg/dL
5. Tangan + kaki > 250 >15 mg/dL
Tabel 1. Derajat ikterus pada neonatus menurut Kramer
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PEMERIKSAAN FISIK
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PEMERIKSAAN PENUNJANG
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PENCEGAHAN
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PENATALAKSANAANPengelolaan bayi ikterus yang mendapat ASI•Berikut ini yang harus diperhatikan pada pengelolaan early jaundice pada bayi yang mendapat ASI.
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FARMAKOTERAPI
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FOTOTERAPI
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FOTOTERAPI• Tabel Indikasi Fototerapi berdasarkan TSB dan BBLR
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TRANSFUSI TUKAR• Transfusi tukar adalah suatu tindakan pengambilan
sejumlah darah pasien yang dilanjutkan dengan pengembalian darah dari donor dalam jumlah yang sama yang dilakukan berulang-ulang sampai sebagian besar darah pasien tertukar
Indikasi transfusi tukar • Gagal dengan intensif fototerapi.• Kern ikterus
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• Indikasi transfusi tukar berdasarkan TSB
• Indikasi transfusi tukar pada BBLR
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TERIMA KASIH