kuliah hidung ke 1
DESCRIPTION
THTTRANSCRIPT
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HIDUNG
dr Ranidewi SpTHT-KL, MKes
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PINTU GERBANG PERNAFASANMEMBENTUK PROFIL WAJAHPALING MENONJOL MUDAH TRAUMA
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ANATOMI
1. NASUS EKSTERNUS2. KAVUM NASI3. SINUS PARANASALIS
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1. NASUS EKSTERNUS
1. APEX NASI (TIP)2. DORSUM NASI3. RADIX NASI (ROOT)4. NARES (NOSTRILS)5. KOLUMELA6. BASIS7. ALA NASI
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KERANGKA HIDUNG1. OS NASALIS2. KARTILAGO LATERALIS
krus lateralis
3. KARTILAGO ALARIS MAYOR krus medialis4. KARTILAGO ALARIS MINOR 5. KARTILAGO SESAMOID
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PENYANGGA NASUS EKSTERNUS
1. SEPTUM NASI2. PROSESUS NASALIS (DARI OS FRONTALIS)3. PROSESUS FRONTALIS DARI OS MAKSILARIS4. PROSESUS ALVEOLARIS Tepi bentuk buah peer APPERTURA PIRIFORMISdan di bgn bawah median SPINA NASI ANTERIOR
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OTOT NASUS EKSTERNUS
1. OTOT DILATOR - m procerus
- caput angulare m Quadratus Labii Superior
2. OTOT KONSTRIKTOR- m nasalis pars transversa
pars alaris - m depresor septi
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ALIRAN DARAH NASUS EKSTERNUS
1. a. dorsalis nasi2. a. angularis3. Pemb darah vena berjalan sejajar dgn arteri
dan berakhir di sinus cavernosus
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SARAF PADA NASUS EKSTERNUS
1. Otot dari N Fasialis (N VII)2. Kulit dari cabang N Trigeminus (V) - N Supra Trochlearis ke kulit radix nasi & dahi
- Ramus nasalis eksterna ke kulit apex & alae nasi
- Ramus palpebralis inferior ke kulit radix nasi- N Infra Orbitalis r nasalis ekst ke ala nasi
r nasalis int ke septum mobile
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GETAH BENING NASUS EKSTERNUS
1. Bersama v fasialis ant ke lnn sub maksilaris2. Dari radix nasi & lateral nasi ke lnn parotis3. Anastomosis dgn sal limfe di mukosa hidung
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2. RONGGA HIDUNG
DI BAGI 2 OLEH SEPTUM NASI
MASING2 RONGGA MEMPUNYAI1. DINDING: DASAR / LANTAI
ATAP DINDING LATERAL
DINDING MEDIAL 2. LUBANG: BELAKANG : KHOANE
DEPAN : NARES
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DASAR KAVUM NASI
DIBENTUK : ¾ DEPAN: PROC PALATINA MAYOR
¼ BELAKANG: PROC HORIZ OS PALATINAPOSISI : HORIZONTALTEBAL : MAKIN KE BELAKANG MAKIN TIPIS
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ATAP KAVUM NASI
MELENGKUNG SPT BUSURDIBENTUK: - BGN DEPAN : OS FRONTALIS - BGN TENGAH : LAMINA KRIBROSA OS ETHMOIDALIS - BGN BELAKANG : OS SFENOIDALIS
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Os frontalisLamina cribrosa
Os sfenoidalis
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DINDING LATERAL KAVUM NASIDIBENTUK OLEH DINDING MEDIAL SINUS MAKSILARIS 1) KONKA NASI INFERIOR
pl panjang, mukosa tebal LORONG DI BAWAHNYA DISEBUT MEATUS INFERIOR INFERIOR, DI BGN DEPAN BERMUARA DUKTUS LAKRIMALIS YG DILINDUNGI OLEH MUKOSA (PLIKA LAKRIMALIS DARI HASNER)
MENGANDUNG PLEKSUS KAVERNOSUS KONKARUM RANGKA TULANG MELEKAT PD KRISTA KONKALIS
(os palatina, os maksila, os lakrimalis) DAN PROCESUS UNCINATUS OS ETHMOIDALIS
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2) KONKA NASI MEDIUS mukosa = mukosa konka nasi inferior
RANGKA TULANG: BGN OS ETHMOIDALIS LORONG DI BWH : MEATUS NASI MEDIUS - DI BGN DEPAN: INFUNDIBULUM ETHMOID
- DI POSTEROSUPERIOR INFUNDIBULUM: BULLA ETHMOIDALIS
- PINTU MASUK INFUNDIBULUM: HIATUS SEMILUNARIS - DI ANTEROSUPERIOR INFUNDIBULUM :
DUKTUS NASOFRONTALIS , SELULE ETHMOIDALIS ANTERIOR DI BGN TENGAH MEATUS MEDIUS: OSTEUM SINUS
MAKSILARIS
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3) KONKA NASI SUPERIOR (PLG KECIL) MUKOSA TIPIS RANGA TULANG: BGN DARI OS ETHMOIDALIS LORONG DI BAWAHNYA: MEATUS NASI SUPERIOR
- disini BERMUARA SELULE ETHMOIDALIS POSTERIOR- ANTARA ATAP KAV NASI – KONKA NASI SUP:
RESESUS SFENO-ETHMOIDALIS- DI POSTERIOR: MUARA OSTIUM SINUS
SFENOIDALIS4)KADANG2 ADA KONKA SUPREMA (KECIL)
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DUKTUS NASOLAKRIMALIS
OSTEUM SINUS FRONTALIS
OSTEUM SINUS MAKSILARISOSTEUM SINUS ETHMOIDALIS ANTERIOR
OSTEUM SINUS ETHMOIDALIS POSTERIOR
OSTEUM SINUS SFENOIDALIS
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DINDING MEDIAL KAVUM NASI
DIBENTUK OLEH :1) DI SUPERIOR: LAMINA PERPENDIKULARIS
OS ETHMOIDALIS2) DI ANTERIOR: KARTILAGO SEPTUM NASI
QUADRANGLARE 3) DI POSTERIOR: TULANG VOMER4) DI ANTERO-INFERIOR: SEPTUM NASI MOBILE
DIBENTUK OLEH CRUS MEDIALIS KARTOLAGO ALARIS NASI
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MUKOSA KAVUM NASI
SEMUA PERMUKAAN KAVUM NASI DILAPISI MUKOSA KECUALI DAERAH NARES DAN VESTIBULUM NASI KULIT + RAMBUT (VIBRICAE)
MUKOSA DI LAP PSEUDOEPITHEL KOMPLEKS KOLUMNER BERCILIADI ANTARA SEL SEL GOBLET LENDIR DGN Ph 6,5 & mengandung Lysosim
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MUKOSA DI REG OLFAKTORIUS : EPITHEL SQUAMOUS KOMPLEKS (banyak mengandung sel olfaktorius)
MUKOSA DI BAG ANTERIOR SEPTUM NASI: PARS CARTILAGENUS DAERAH YG BANYAK MENGANDUNG PEMBULUH DARAH YAITU PLEXUS KIESSELBACH (AREA LITTLE)
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ALIRAN DARAH DI KAVUM NASI
• a. ethmoidalis anterior cab a. opthalmika ke atap kavum nasi, septum nasi, dinding lateral kavum nasi bag antero-superior
• a. ethmoidalis posterior cab a. opthalmika ke septum nasi superior, dinding lateral kavum nasi bag superior
• a. sfenopalatina cab a. maksilaris interna ke dinding lateral kavum nasi
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• a. nasopalatina (lanjutan a.sfenopalatina) ke atap kavum nasi, septum nasi, beranastomose dgn a. palatina ke dasar kavum nasi, dinding lateral kavum nasi bag belakang• a. lateralis nasi cab a. maksilaris eksterna ke dinding lateral kavum nasi• a. faryngea cab a. maksilaris eksterna ke bag
posterior radix nasi• a. nasalis posterior cab a. maksilaris eksterna bag bawah septum nas, sepanjang dasar kavum nasi
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SARAF KAVUM NASI
N. TRIGEMINUS (N. V)1) N. OFTALMIKUS
- rr. nasalis interna medialis ke septum nasi anterior- rr. nasalis interna lateralis ke dd lat kav nasi
2) N. MAKSILARIS- rr nasalis posterosuperior lateralis ke konka superior
dan medius- rr nasalis posterosuperior medialis ke septum nasi- rr nasalis posteroinferior (lateralis) ke konka nasi
inferior
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- N. OLFAKTORIUS SUPERIOR rr alveolaris superior, anterior ke meatus
inferior- N. INFRA ORBITALIS
rr nasalis interna ke septum mobile & vestibulum nasi
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ALIRAN LIMFE KAVUM NAS
1) JAR LIMFATIK ANTERIOR KE LN SUB MAKSILARIS2) JAR LIMFATIK POSTERIOR :
KELOMPOK SUPERIOR DR KONKA MEDIA & SUP, DD LATERAL KAV NASI KE LN RETROFARINGEAL
KELOMPOK MEDIA DR KONKA NASI INF, MEATUS INF, DASAR KAV NASI KE LN JUGULARIS
KELOMPOK INFERIOR DR SEPTUM NASI & DASAR HIDUNG KE LN SEPANJANG VENA JUGULARIS INTERNA
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SINUS PARANASALIS
ADA 4 PASANG SINUS PARANASALIS1. SINUS FRONTALIS2. SINUS MAKSILARIS3. SINUS ETHMOIDALIS4. SINUS SFENOIDALIS MASING2 SINUS MEMILIKI KEISTEMEWAAN:
tentang: letak terhadap sekitarnya letak osteumnya masa pembentukannya
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SINUS FRONTALIS
TERBENTUK SEMPURNA PD USIA 6 TAHUNASAL: DARI SELULE ETHMOIDALIS ANTERIORBESAR: TDK SELALU SAMA, KADANG2 TIDAK
TERBENTUKLETAK: DALAM TULANG DAHI
DD DEPAN TEBAL, DD BELAKANG TIPIS & BERBATASAN DGN FOSS CRANII
ANTERIOR HUB DGN KAVUM NASI MELALUI DUKTUS
NASOFRONTALIS OSTIUM SINUS FRONTALIS DI MEATUS MEDIUS
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SINUS MAKSILARIS
LETAK: CORPUS OS MAKSILA DI KA & KI HIDUNGTERBENTUK: LAHIR BELUM TERBENTUK
MULAI BERKEMBANG PD USIA 3 THBENTUK: PIRAMID TERBALIK YAITU
ATAP: DASAR ORBITADD MEDIAL: DD LATERAL KAVUM NASIDASAR: AKAR GIGI ATAS P2, M1, M2
OSTIUM: DEKAT ATAP, DI HIATUS SEMILUNARIS MEATUS MEDIUS TERTUTUP OLEH BULLA ETHMOIDALIS
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SINUS SFENOIDALIS
SUDAH TERBENTUK SAAT LAHIR DGN BESAR BERVARIASILETAK: DLM CORPUS OS SFENOIDALISBATAS2:
ATAS: FOSSA CRANII & KEL PITUITARIABELAKANG: FOSSA CRANII POSTERIORSAMPING: SINUS CAVERNOSUS, N III, N IV, N VI
OSTIUM SINUS DI DD ANTERIOR, BERMUARA DI RESESUS ETHMOIDALIS DI BELAKANG KONKA SUPERIOR
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SINUS / CELLULAE ETHMOIDALIS
SDH TERBENTUK SAAT LAHIRLETAK: LABIRIN ETHMOIDALISCELLULAE KECIL : JUMLAH 3-15 / >BATAS:
LATERAL: BERBATASAN DGN ORBITA (DD TIPIS: LAMINA PAPIRACEA)
ATAS: FOSSA CRANII ANTERIORMEDIAL: KAVUM NASI (KONKA MEDIA DAN
SUPERIOR)
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CELLULAE ETHMOIDALIS DIBAGI 2 KELOMPOK:
1. CELLULAE ETHMOIDALIS ANTERIOR OSTIUM DI MEATUS MEDIUS
2. CELLULAE ETHMOIDALIS POSTERIOR OSTIUM DI MEATUS SUPERIOR BERHADAPAN DGN OSTIUM SINUS SFEOIDALIS
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DUKTUS NASOLAKRIMALIS
OSTEUM SINUS FRONTALIS
OSTEUM SINUS MAKSILARISOSTEUM SINUS ETHMOIDALIS ANTERIOR
OSTEUM SINUS ETHMOIDALIS POSTERIOR
OSTEUM SINUS SFENOIDALIS
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FISIOLOGI HIDUNG
1. RESPIRATORIUS2. OLFAKTORIUS3. RESONANSI SUARA4. DRINAGE & VENTILASI
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1. FUNGSI RESPIRASI
MENYIAPKAN UDARA PERNAFASAN YAITUa. MENGATUR JUMLAH UDARA YG MASUKb. MENYARING UDARA YG MASUKc. MEMBASAHI / MENGATUR KELEMBABAN
UDARA YG MASUKd. MEMANASI UDARA YG MASUKe. DESINFEKSI & MELEKATKAN MATERI YG
MASUK BERSAMA UDARAENZYM LYZOZYM, LENDIR ASAM(pH 6.5), CILIA, SEL PHAGOCYT
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FAKTOR2 YG MEMPENGARUHI JALANNYA UDARA DLM KAVUM NASI :1. ARAH NARES2. BENTUK KAVUM NASI3. PEMBUNTUAN RELATIF KARENA NARES LBH
KECIL DR KAVUM NASI DAN KOANE
UDARA MENGALIR KE ATAS REGIO OLFAKTORIUSUDARA MENGALAMI PUSARAN KONTAK SE
BANYAK2NYA DGN PERMUKAAN MUKOSA
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2. FUNGSI OLFAKTORIUS
• PD MANUSIA TIDAK TERLALU BERPERAN - BAU SESEORANG DAYA TARIK
- PENGECAP (GUSTATORIK) MAKANAN JD KURANG SEDAP• PD HEWAN UTK MEMPERTAHANKAN DIRI,
MENCARI MAKAN DLL
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3. FUNGSI RESONANSI
• BILA HIDUNG BUNTU SUARA SENGAU DISEBUT RHINOLALIA OCLUSA
• BILA HIDUNG TERLALU LONGGAR DISEBUT RHINOLALIA APERTA (PD PARESE OTOT PALATUM MOLE)
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4.FUNGSI DRAINASE DAN VENTILASI
• DRAINASE: CILIA DARI EPITEL MENGALIRKAN SEKRET KE BELAKANG
• VENTILASI: MEMASUKKAN UDARA DAN MENGGANTI UDARA DALAM SINUS PARANASALIS DAN KAVUM TIMPANI
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PEMERIKSAAN HIDUNG
1. INSPEKSI1) BENTUK NORMAL / TIDAK2) PERUBAHAN WARNA3) ADA LUKA, LASERASI, TUMOR KULIT DLL
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2. PALPASI1) ADANYA KREPITASI, DISLOKASI, RASA SAKIT DLL
2) RASA SAKIT DI SINUS PARANASALIS:a. SINUS FRONTALIS TEKAN DASAR SINUS
ATAU DD DEPAN SINUS FRONTALISb. SINUS MAKSILARIS TEKAN FOSA CANINA
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3. RHINOSKOPI ANTERIOR
MELIHAT KAVUM NASI MELALUI VESTIBULUM NASI ALAT: LAMPU KEPALA, SPEKULUM HIDUNGDPT DILIHAT:
1)KONKA NASI INF & MEDIA PERHATIKAN: WARNA, UDEM, TUMOR DLL 2)MEATUS NASI: INF, MED, SUP & fis. Olfaktorius PERHATIKAN : SEKRET, TUMOR DLL
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3) SEPTUM NASIPERHATIKAN : WARNA, LESI DI AREA LITTLE, DEVIASI SEPTUM, DLL
4) KAVUM NASIPERHATIKAN: ADANYA SEKRET, KORPUS ALENUM, TUMOR DLL
5) PALATUM MOLLE PHENOMENGERAKAN PALATUM MOLE DILIHAT MELALUI KAVUM NASI SAAT PENDERITA DISURUH MENGUCAPKAN iiii TAMPAK BAYANGAN GELAP BERGERAK DI KAVUM NASI BGN BELAKANG
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RHINOSKOPI ANTERIOR RHINOSKOPI POSTERIOR
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4. RHINOSKOPI POSTERIORMELIHAT NASOFARING & BGN BELAKANG KAVUM NASI DGN
CERMIN NASOFARING DIPERLUKAN: LAMPU KEPALA, LAMPU SPERITUS, SPATULA LIDAH,
CERMIN NASOFARINGPERHATIKAN:
1) ATAP NASOFARING: TUMOR, ADENOID2) DDG. LATERAL:-OSTIUM TUBA EUSTACHIUS,
-TORUS TUBARIUS, FOSA -ROSSENMULERI 3) TEPI DORSAL SEPTUM NASI
4) KAUDA KONKA NASI INF & MED5) KAV NASI BGN BELAKANG: SEKRET, POLIP, POST NASAL
DRIP, TUMOR DL
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5. TRANS-ILUMINASI (DIAPHANOSCOPY)
PEMERIKSAAN RONGGA SINUS PARANASALIS DGN MENGGUNAKAN LAMPU DI KAMAR GELAP
PX SINUS MAKSILARIS LAMPU DIMASUKKAN KE RONGGA MULUT, MULUT DI TUTUP DGN TANGAN PEMERIKSA TAMPAK SINAR MEMANCAR MENEMBUS DINDING SINUS
NORMAL: SINAR DI SINUS MAKSILARIS KANAN DAN KIRI SAMA (TIDAK BERBEDA)
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PX SINUS FRONTALIS LAMPU DILETAKKAN DI DASAR SINUS FRONTALIS (ATAP ORBITA), LAMPU DITUTUP DGN TANGAN PEMERIKSA
NORMAL: TAMPAK PANCARAN SINAR MELEWATI DINDING DEPAN SINUS FRONTALIS KANAN DAN KIRI SAMA TERANGNYA
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GAMBAR TEKNIK TRANSILUMINASI
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6. X FOTO RONTGENT
• PROYEKSI: WATERS UTK SINUS MAKSILARIS CALDWELL UTK SINUS FRONTALIS
DILIHAT:NORMAL HITAM JERNIH (UDARA)ADA NANAH, DARAH, TUMOR SURAM/PUTIHOBSTRUKSI KRONIS PENEBALAN MUKOSATULANG ADA DESTRUKSI DLL
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PUNGSI PERCOBAAN SINUS
CARA: 1. MEATUS INFERIOR DI ANESTHESI DGN
LIDOCAIN 2% ATAU 8% SELAMA 5-10 MENIT2. TROICART DITUSUKKAN DI MEATUS INF 1/3
DEPAN DGN ARAH LATEROSUPERIOR3. DISEMPROTKAN CAIRAN STERIL (BOORWATER)4. LIHAT CAIRAN YG KELUAR: BERSIH , DARAH,
NANAH
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GAMBAR PUNGSI SINUS
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8. BIOPSIMENGAMBIL SEDIKIT JARINGAN UTK DILAKUKAN
PEMERIKSAAN PATOLOGI ANATOMI (PA)CARA:1. ANESTHESI LOKAL: XYLOCAIN EFEDRIN 2-8%2. JAR YG DICURIGAI DIAMBIL DGN TANG BIOPSI 3. JARINGAN BIOPSI YANG DIAMBIL DARI SINUS MAKSILARIS
DIAMBIL MELALUI LUBANG PUNGSI DI MEATUS NASI INFERIOR ATAU MENGUNAKAN OPERASI CALDWELL-LUC
4. JAR DIMASUKKAN KE DLM BOTOL BERISI ALKOHOL 70% ATAU LAR FORMALIN
5. KIRIM KE LAB PA
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9. PEMERIKSAAN LABORATORIUM
UTK MENUNJANG DIAGNOSIS1. PEMERIKSAAN LAB RUTIN2. HISTOPATOLOGI, CITOLOGI3. IMMUNOLOGI
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THANK YOU……