ppt hemoroid fg 6
TRANSCRIPT
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HemmorhoidKD 5-CQBL 7
DISUSUN OLEH FG 6:
FADHILAH RAHMAH
MUIA ANNISA
NAUFALIA !ULFA
SARIA S"A
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O#$%i&e
K'(#( E$i%o)i Hemoroid
*'$o+(io%)i Hemoroid
*emeri,(''& +(i, d'& Di')&o($i,
*e&'$'%',('&''& o.er'$i/ d'& &o& o.er'$i0e1
A(#h'& Ke.er'2'$'&
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K'(#( 3
Seorang perempuan berusia 30 tahun dake poliklinik dengan keluhan sakit saat BAkeluar darah saat BAB. pasien riwayatmelahirkan 3 orang anak dan seorang pedsayur keliling dan jarang makan sayuran d
buah-buahan. pasien didiagnosis haemordan direncanakan operasi.
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De+&i(i
Ko&di(i dim'&' 0e&'hemoroid'% me&)'%'midi%'$'(i ',i4'$ ,o&)e($i0e&' '$'# )'&))#'&
'%ir'& 4'%i, 0e&' d'&d'.'$ me&)'r'h ,e d'%'m'$'# ,e %#'r (+&)$er '&'%Sme%$er e$ '%" 389hi$e e$ '%" 3;1"
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E$io%o)i
Faktor risiko: Keturunan
Pola makan
Usia Faktor pencetus: Karena adanya pergeseran dinding mukosa (jaringan hemoridal dan pembuluh vaskula
Peningkatan tekanan intraabdomen! tekanan vena hemoroidalis! atau kondisi konstip
Kondisi hamil atau melahirkan! mengejan yang lama! obesitas! gagal jantung! duduk atsirosis dengan hipertensi portal! dll.
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K%'(i+,'(i
A" I&$er&'%• Le$',&
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'&d'-)e='%'
*erd'r'h'& re,$#m
M'((' '4(e( '$'#
,#$i%1 di '&'%
*ro%'.(
N
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Kom.%i,'(i
9ILLIAMS HO**ER 71
*erd'r'h'&
rom4o(i( d'&
Hemoroid ($r'&)#%'(i
BLACK 1
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*'$o+(io%o)i
eori (%idi&) '&'%
hemoroid4er,em4'&) ,e$i,' ='ri&)'&.e&d#,#&) 4'&$'% '( analcushion) h'&>#r"
C#(hio& '&'% $erdiri d'ri.em4#%#h d'r'h
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*'$o+(io%o)i
e,'&'& e,'&'&Di&di&)o%#me er='diHemoroidSem',i&Me&)'%'miMe&
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*emeri,(''& +(i,
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'" I&(.e,(i
U&$#, me%ih'$ '.','h 'd' '$'#$id',&
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Me%ih'$ d'& me&e&$,'& derajat hemoro
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4" *'%.'(i
Hemoroid i&$er&'% .'d' ($'di#m '2'% m'(ih mer#.',.e%e4'r'& 0e&' $#m 4')i'& 4'2'h"
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*emeri,(''&.e&='&)
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'" e( .ro%'.(e #&$#, hemoroi&$er&'% Me%i.#$i $e($ ($r'i&i&) $e( .ro.%'.(e #&$#, hemoroid me&))#
'&(oo.e 4i.o%'r d'& $e( .ro.%'.(e me&))#&','& )'#e d'& '&
S$r'i&i&) $e($ i& di)#&','& #&$#, me%ih'$ .em4#,''& d#4#r .
(e>'r' e,($er&'%"
U&$#, memeri,(' hemoroid
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4" !igital "ectal #$amination Co%o, D#4#
DRE i&i di%',#,'& .'d' hemoroid i&$er&'%
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Proktosigmoidoskopi
'" A&o(,o.i
*emeri,(''&hemoroid i&$er&'
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Proktosigmoidoskopi
4" *$o,$o(,o.i
*emeri,(''&hemoroid i&$er&'
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Proktosigmoidoskopi
>" Si)moido(,o.i
*emeri,(''&hemoroid
*emeri,(''&hemoroid de&)'&
,'mer' (er'$o.$i, ,e d'%'m,o%o& (i)moid"
Kolonoskop'%'$&
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Kolonoskopi
<4e('r me%'%#i '("#=#'&.emeri,(''& er&'4'2'h" i&d','&i&i h'r#( di%',#,'&,e ,%ie&
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*ENAALAKSANAN MEDIS
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F'rm',o%o)i($ntibiotika peroral! di4eri,'& '.'4i%' ,%ie& me&)'%'mi $'&d'-$'i&/e,(i
%airan para&n ' larutan magnesium sulfat *! di4eri,'& ,e
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No&-F'rm',o%o)i( Die$ $i&))i (er'$
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i&d','& I&0'(i/ +tapling hemoroidektomi '$'# .ro(ed#r Lo&)o '$'# **H .ro(
.ro%'.( d'& hemoroid1
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i&d','& I&0'(i/ Injection sclerotherapy % me$ode i&i di'&=#r,'& #&$#, .'(ie
hemoroid der'='$ ('$# d#' d'& $i)'" *ro(ed#r i&i di%',#,'me&
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i&d','& I&0'(i/ Bipolar diathermy % .ro(ed#r i&i di%',#,'& .'d' .'(ie& de&)'&
der'='$ d#' d'& der'='$ em.'$" Bi.o%'r di'$herm< me&))#&','& e&#&$#, me&),o')#%'(i ='ri&)'& hemoroid d'& .em4#%#h d'mem.erd'r'hi&
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i&d','& I&0'(i/ Rubber band ligation% mer#.','& .ro(ed#r .em4ed'h'& ='ri&)'&
de&)'& rubber band
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i&d','& I&0'(i/ Infrared photocoagulation% .ro(ed#r i&i e/e,$i/ di%',#,'& .'
de&)'& hemoroid der'='$ ('$# hi&))' der'='$ d#'" Si&'r i&/r' mer'.'d' 4')i'& $o(,me&)h'(i%,'& %i&),'r'& .em'&'('& (ed'%'m mm
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A(#h'&Ke.er'2'$'&
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*e&),'=i'&,dentitas -iri
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*ENGKAIAN
-ata bjektif: Ke%#'r d'r'h (''$ BAB
-ata subjektif:
K%ie& me&)e%#h &
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DIAGNOSA KE*ERA9AAN/yeri akut 4erh#4#&)'& de&)'&
.er'd'&)'& d'& edem' ,'re&' 0'ri(e("
N
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de&)'& .er'd'&)'& d'& ede,'re&' 0'ri(e(
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Konstipasi 4erh#4#&)'& de&)'& &
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-e&sit pengetahuan4erh#4#&)'& de&)'& ,o&($i.
,ntervensi 0asional
Me&e&$#,'& >'r' 4e%'='r ,%ie& d'&4eri,'& i&/rom'(i 'ir'& mi&im'%5 m%"h'ri .e&
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D'/$'r *#($','B%'>, " M" H'2,( " H" 1" &edical-Surgical 'ursing( linica
&anagement for *ositi+e ,utcomes. th #d. Si&)'.ore: E%(e0ier I&
G'($roe&$ero% 9" 31" Hemorrhoid( : From B'(i> *'$ho.h'% M'&')eme&$" orld /ournal of atroenterology12 2)(400
He'%$h Or)'&i'$io& /or *#de&d'% Ed#>'$io&" 3?1" Anatomy the *'er+e. Di',(e( d'ri h$$.:@@222".#de&d'%ho.e"i&/o@&ode@3; .'d' $'A.ri% 36
hor&$o&SC" 351" 6emorrhoids linical *resentation. Di',(e( dh$$.:@@emedi>i&e"med(>'.e">om@'r$i>%e@775?7->%i&i>'%4; .'d' 36
9hi$eL" D#&>'&G" B'#m%e9" 3;1" &edical Surgical 'ursing 7#dition" USA: De%m'r Ce&)')e Le'r&i&)"
'&) HK" 3?1" 6emorrhoids" Seo#% : S.ri&)er-er%') Ber%i& Heid
http://www.pudendalhope.info/node/13http://emedicine.medscape.com/article/775407-clinicalhttp://emedicine.medscape.com/article/775407-clinicalhttp://www.pudendalhope.info/node/13
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C'0'&'#)h B" M" ;1" 'urse8s manual of laboratory and diagnostic tests ?$h ed"1" *hi%'de%.hi': F" A" D
Mo#&(ehoo% o/ Medi>i&e" Re$rie0ed /rom 222"''/."or)@'/.
9i%%i'm( L" S" Ho..er *" D" 71" ;nderstanding medical-surgical nursing ;rd ed"1" *hi%'de%.hi': F" Com.'& inekologi" Edi(i " R#(i M" S
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*er$'&