dk7 pleno 2 endemik new

7/23/2019 DK7 Pleno 2 Endemik New

1/46

PLENO PEMICU 2DISKUSI KELOMPOK 7

MODUL PENYAKIT ENDEMIK


2/46

Anggota

Farhat Muthia I11111035 Syarif I11111072

Dodi Novriadi I11112014 Karolus Sangapta K I1111202!

Ir"n" #livia Sali$ I11112030 %rdi I11112040

&utri '$agia DrilnaI111120!7 K"vin ("onardo I11112073

D"a )ri*a I111120+1


3/46

PEMICU 2

Rambon (45 tahun m!ng!"uh#an #a#$#anann%a &!ma#$n m!mb!&a'Ka#$'ambon m!mb!&a' &!)a# 4 tahun %ang

"a"uP!mb!&a'an #a#$ *$'a&a#an &!)a# +tahun %ang "a"uRambon t$*a#m!'a&a#an n%!'$ ,a*a #a#$ #anann%aS!ha'$-ha'$ Rambon b!#!')a m!no'ah#a'!t &!t$a, )am 4 ,ag$ T!tanggaRambon m!'a&a#an #!"uhan %ang &ama*an a*a %ang m!'a&a#an ,!mb!&a'an

,a*a buah .a#a'n%a &!'ta ,a%u*a'a


4/46

Kata Kun/$

Rambon0 45 tahun

Ka#$ #anan m!mb!&a'

M!no'!h g!tah

P!mb!&a'an buah .a#a' *an ,a%u*a'a


5/46

Rumu&an Ma&a"ah

La#$-"a#$ 45 tahun *atang *!ngan#!"uhan #a#$ #anann%a %ang &!ma#$nm!mb!&a' &!)a# 4 tahun %ang "a"u *an

t$*a# t!'a&a n%!'$


6/46

Ana"$&$& Ma&a"ah


7/46

1$,ot!&$&

La#$-"a#$ 45 tahun m!nga"am$ "a'$a&$&"$m3at$# #'on$#


8/46


9/46

Et$o"og$

$"a'$a&$& *$&!bab#an #a'!na $n3!#&$ o"!h &!#!"om,o#/a/$ng n!mato*a %ang t!'ma&u# &u,!'3am$"$a" $"a'$o*!a

6!n$& /a/$ng $n$ a*a"ah Wuchereria bancrofti, BrugiaMalayi, *an Brugia Timori.

Ma&a $n#uba&$ ,!n%a#$t $n$ /u#u, "ama "!b$h #u'ang +tahun0 &!*ang#an ,!nu"a'an ,!n%a#$t t!')a*$ m!"a"u$!#to' n%amu# &!baga$ ho&,!& ,!'anta'a0 *an manu&$aatau h!8an #!'a *an an)$ng &!baga$ ho&,!& *!n$t$3

P!'$o*o&$ta& b!'a*an%a m$#'o"a'$a *a"am *a'ah t!,$

t!'gantung ,a*a &,!&$!& P!'$o*o&$ta& t!'&!but m!nun)u##an a*an%a "a'$a *$

*a"am *a'ah t!,$ &!h$ngga mu*ah *$*!t!#&$


10/46

E,$*!m$o"og$

9 P'o$n&$ #a&u& t!'ban%a# tahun 2::; Nangg'o! A/!h Da'u&&a"am (295; o'ang

Nu&a T!ngga'a T$mu' (+79: o'ang

Pa,ua (++5< o'ang 9 ,'o$n&$ *!ngan #a&u& t!'!n*ah

=a"$ (+< o'ang

Ma"u#u Uta'a (27 o'ang Su"a8!&$ Uta'a (9: o'ang


11/46


12/46

E,$*!m$o"og$

$"a'$a&$& *a,at m!n%!'ang &!mua go"ongan umu' ba$#ana#-ana# mau,un *!8a&a0 "a#$-"a#$ *an ,!'!m,uan

Pa*a tahun +;;70 *$,!'#$'a#an ,a"$ng t$*a# +2< )utao'ang t!'$n3!#&$0 *$anta'an%a a*a"ah ana# u&$a

*$ba8ah +5 tahun P!n*!'$ta "a'$a&$& ,'o,o'&$ t!'b!&a' b!')!n$& #!"am$n

"a#$"a#$ (50 b!'a*a ,a*a #!"om,o# u&$a ,'o*u#t$3(7+>0 *an )!n$& ,!#!')aan t$*a# b!'$&$#o (7+>

Ka&u& "a'$a&$& "!b$h ban%a# ,a*a ,!'!m,uan (5+04>0,!#!')aan bu#an ,!tan$ (5409>0 b!',!n*$*$#an '!n*ah(?0 b!',!ng!tahuan #u'ang (50 *anb!',!ngha&$"an '!n*ah


13/46

Patog!n!&$&

$"a'$a&$& *$ In*on!&$a *$&!bab#an o"!ht$ga &,!&$!& /a/$ng "a'$a %a$tu@u/h!'!'$a ban/'o3t$0 ='ug$a ma"a%$ *an

='ug$a t$mo'$ $"a'$a m!m,un%a$ &$#"u& h$*u, b$3a&$#

*$mana ,!'#!mbangan "a'a t!')a*$,a*a n%amu# ($nt!'m!*$at! ho&t *an,!'#!mbangan "a'a *an /a/$ng *!8a&a,a*a manu&$a (*!n$! ho&t


14/46


15/46

Man$3!&ta&$ K"$n$&

A&$m,tomat$# atau &ub#"$n$& "a'$a&$& Pa*a *a!'ah !n*!m$# *a,at *$t!mu#an

,!n*u*u# *!ngan m$#'o"a'$a ,o&$t$3 t!ta,$

t$*a# m!nun)u##an g!)a"a #"$n$& D!ngan "%m,ho&/$nt$g'a,h% tam,a#

,!"!ba'an *an t!'b!"$tn%a "$m3at$# *$&!'ta$t$*a# no'ma"n%a a"$'an "$m3! D!ngan US

)uga t!'"$hat a*an%a "$m3ang$!#ta&$a


16/46

Sta*$um A#ut &!'angan *!mam b!'u"ang %ang *$&!'ta$

,!mb!&a'an #!"!n)a' (a*!n$t$& *an &a"u'an

"$m3! ("%m,hang$t$& *$&!buta*!no"$m3ang$t$& (ADL

D!'mato"$m3ang$oa*!n$t$& a#ut (DLAA *$a8a"$ *$ #u"$t %ang #!mu*$an m!n%!ba' #!

&a"u'an "$m3! *an #!"!n)a' "$m3! L$m3ang$t$& "a'$a" a#ut (LA '!a#&$

$muno"og$# *!ngan mat$n%a /a/$ng *!8a&aa#$bat &$&t$m $mun ,!n*!'$ta atau t!'a,$


17/46

$"a'$a&$& ban/'o3t$ &!'$ng han%am!ng!na$ &$&t!m "$m3at$# g!n$ta"$a ,'$a&!h$ngga m!nga#$bat#an t!')a*$n%a

3un$#u"$t$&0 !,$*$*$m$t$& atau o'#$t$&0 $"a'$a&$& b'ug$a0 #!"!n)a' "$m3! %ang

t!'#!na b$a&an%a *a!'ah $ngu$na" ataua#&$"a %ang nant$n%a b!'#!mbangm!n)a*$ ab&!& %ang ,!/ahm!n$ngga"#an )a'$ngan ,a'ut


18/46

Sta*$um K'on$# Man$&3!&ta&$ #'on$& "a'$a&$& )a'ang t!'"$hat &!b!"um

u&$a "!b$h *a'$ +5 tahun *an han%a &!bag$an #!/$"*a'$ ,o,u"a&$ %ang t!'$n3!#&$ m!nga"am$ &ta*$um $n$

1$*'o#!"0 "$m3!*!ma0 !"!,hant$a&$& tung#a$ ba8ah0"!ngan atau 'otum0 #$"u'$a a*a"ah man$3!&ta&$utama *a'$ "a'$a&$& #'on$#

K!"a$nan ,a*a #u"$t *a,at t!'"$hat &!baga$ #u"$t %ang

m!n!ba"0 h$,!'#!'ato&$&0 h$,ot'$#o&$& atauh$,!'t'$#o&$&0 ,$gm!nta&$0 u"#u& #'on$#0 no*u&*!'ma" *an &ub!,$*!'ma"


19/46

L$m3!*!ma ,a*a g!n$ta"$a m!"$bat#an,!mb!ng#a#an ,a*a 'otum *an B,!n!ba"an #u"$t 'otum atau #u"$t ,!n$&%ang a#an m!mb!'$#an gamba'an ,!au *o'ang! %ang nant$n%a b!'#!mbang m!n)a*$"!&$ !'u#o&a

K$"u'$a t!')a*$ a#$bat bo/o'n%a atau

,!/ahn%a &a"u'an "$m3! o"!h /a/$ng *!8a&a%ang m!n%!bab#an ma&u#n%a /a$'an "$m3!#! *a"am &a"u'an #!m$h


20/46

O//u"t "a'$a&$& M!'u,a#an $n3!#&$ "a'$a&$& %ang t$*a#

m!m,!'"$hat#an g!)a"a #"a&$# "a'$a&$& &!'ta

t$*a# *$t!mu#ann%a m$#'o"a'$a *a"am*a'ah0 t!ta,$ *$t!mu#an *a"am o'gan*a"am

T!')a*$ a#$bat '!a#&$ h$,!'&!n&$t$$ta& tubuh

,!n*!'$ta t!'ha*a, ant$g!n m$#'o"a'$a


21/46

D$agno&$&

P!ngu)$an %ang *$"a#u#an t!'ha*a, ,a&$!n a*a"ahu&aha untu# m!n!mu#an atau m!m,!'o"!h)a'$ngan atau /a$'an tubuh untu# m!n*!t!#&$"ang&ung o'gan$&m! ,athog!n untu# m!mbu#t$#an

a*a t$*a#n%a $n3!#&$ 1a&$" *a'$ ,!ngu)$an $n$ &angat ,!nt$ng untu#

m!man*u ,!m$"$han ant$b$ot$/ untu# t!'a,$ *an&a&a'an %ang t!,at

Ca/$ng *!8a&a &u"$t untu# *$t!mu#an0 &!h$ngga%ang ,a"$ng mu*ah *$guna#an untu# m!n!ga#an*$agno&a a*a"ah "a'an%a %ang *$&!but &!baga$m$#'o"a'$a


22/46

A*a t$*a#n%a &!"ubung(Sh!ath ,a*a m$#'o"a'$a ta*$0 &,!&$!&%ang m!m$"$#$ &h!ath a*a"ah Wuchereria brancrofti, Brugia sp*anLoa loa0 &!*ang#an %ang t$*a# m!m$"$#$ &h!ath a*a"ah0Onchocerca volvulus*an Mansonella sp.

6um"ah *an ,!n%!ba'an bo*% nu/"!$( nu/"!u& %ang ban%a#

*$t!mu#an ,a*a bag$an tubuh m$#'o"a'$a0 &!'ta "!ta# *a'$ bo*%nu/"!$ ta*$ b!')a)a' atau b!'#!"om,o#

A*a t$*a#n%a &!'ta u#u'an /!,ha"$/ &,a/! %a$tu 'ongga %angt!'*a,at ,a*a *$ bag$an ant!'$o' tubuh %ang t$*a# t!'tutu,$o"!h bo*% nu/"!$

A*an%a bag$an %ang *$nama#an $nn!' bo*% %a$tu bag$an tubuh%ang ,a*a ,!'8a'naann%a Nam,a# "!b$h b!'8a'na m!'ah

L!ta# *a'$ n!'! '$ng0 !/'!to'% a,,a'atu& *an anu&

L!ta# *an u#u'an g!n$ta" /!""( g &!""


23/46

Tata"a#&ana

Untu# ,!ngobatan *a'$ $"a'$a&$&L$m3at$#(L b!'*a&a'#an '!/om!n*a&$

@1O m!n*a,at t!'a,$ #omb$na&$ *!ngan

a"b!n*a.o" atau *$!t$"#a'bma.$n *an*$mu"a$ &!b!"um ob&t'u#&$ "$m3at$# A"b!n*a.o" tab"!t 2::mg0 &u&,!n&$ +::mg B

5m"

=!n.$m$*a.o"

D$!t$"#a'bama.$n &$t'at


24/46

Pa*a Wbancrofti*an B malayi *$obat$ &!"ama 2m$nggu *!ngan obat *$!t$"#a'bama.$n0 &!*ang#anuntu# L loa&!"ama 9 m$nggu *!ngan *o&$& a8a"%ang #!/$" untu# m!n/!gah '!a#&$ a"!'g$ &!baga$

a#$bat '!a#&$ $nama&$ *a'$ m$#'o"a'$a %ang&!#a'at R!g$m!nn%a a*a"ah 5: mg ( +mgB#g,a*a ana# ,a*a ha'$ #!-+0 t$ga #a"$ *o&$& 5: mg,a*a ha'$ #!-20 9 #a"$ *o&$& +::mg (2mgB#g ,a*a

ana# ,a*a ha'$ #!-9 Dan #!mu*$an b!'$#an 2mgB#g t$ga #a"$ &!ha'$ untu# m!n%!"!&a$#an'ang#a$an t!'a,$ &!"ama 2-9 m$nggu


25/46

P!n/!gahan

K!&a*a'ann%a untu# m!m!'$#&a#an #! *o#t!'

M!n*a,at#an ,!nanganan obat-obatan &!h$ngga t$*a#

Konta# *!ngan n%amu# t!'$n3!#&$ *a,at *$#u'ang$m!"a"u$ ,!nggunaan obat o"!& ant$n%amu#0 #!"ambu

atau $n&!#t$&$*a Kont'o" ,!n%a#$t ,a*a ,o,u"a&$ a*a"ah m!"a"u$ #ont'o"

!/to' (n%amu# Namun ha" $n$ t!'bu#t$ t$*a# !3!#t$3m!ng$ngat ,an)angn%a ma&a h$*u, ,a'a&$t (4-< tahun

Pa*a ,!ngobatan ma&a" ,!mb!'$an DEC *$b!'$#an*a"am *o&$& '!n*ah (?mgB#g==*!ngan )ang#a 8a#tu,!mb!'$an %ang "!b$h "ama untu# m!n/a,a$ *o&$& tota"%ang &ama


26/46

a'ma#o*$nam$# a'ma#o#$n!t$# obat"a'$a&$&

D$!t$"#a'bama.$n M!n%!bab#an h$"angn%a m$#'o"a'$a @ ban/'o3t$0 =

ma"a%$ *an Loa "oa *a'$ ,!'!*a'an *a'ah *!ngan /!,at

M$#'o"a'$a @ ban/'o3t$ *a"am h$*'o#!" t$*a#

*$,!nga'uh$ A*a 2 /a'a #!')a obat $n$ t!'ha*a,m$#'o"a'$a0 %a$tuF m!nu'un#an a#t$$ta& otot0 a#$batn%a ,a'a&$t &!a#an-a#an

m!nga"am$ ,a'a"$&$& *an mu*ah t!'u&$' *a'$ t!m,atn%a %angno'ma" *a"am tubuh ho&,!&

#!*ua m!n%!bab#an ,!'ubahan ,a*a ,!'mu#aan m!mb'anm$#'o"a'$a &!h$ngga "!b$h mu*ah *$han/u'#an o"!h *a%a,!'tahanan tubuh ho&,!&


27/46

D$!t$"#a'bama.$n /!,at *$ab&o',&$ *a'$ u&u& *an*$*$&t'$bu&$#an #! &!"u'uh /a$'an tubuh

Ka*a' ,un/a# *$/a,a$ *a"am 4 )am

@a#tu ,a'uh b!'#$&a' anta'a +:-+2 )am K!t!'#a$tann%a *!ngan ,'ot!$n ,"a&ma *a,at *$aba$#an

S!bag$an b!&a' *$!t$"#a'bama.$n a#an *$m!tabo"$&m!&!/a'a /!,at

E#'!&$ m!"a"u$ g$n)a"0 *a"am b!ntu# utuh *an b!ntu#m!tabo"$t0 b!'"ang&ung &!m,u'na *a"am 4< )am &!t!"ah,!mb!'$an *o&$& tungga" E#'!&$ $n$ b!'#u'ang ,a*au'$n a"#a"$


28/46

E3!# &am,$ng *$!t$"#a'bama.$n D$!t$"#a'bama.$n '!"at$3 aman ,a*a *o&$& t!'a,$

E3!# &am,$ng &!,!'t$ ,u&$ng0 ma"a$&!0 n%!'$ &!n*$0 ano'!#&$a *an

muntah0 h$"ang b$"a obat *$h!nt$#an

Sa#$t #!,a"a0 muntah *an g!"$&ah %ang t!')a*$ ,a*a ,!ngobatan

*!ngan *$!t$"#a'bama.$n0 mung#$n #a'!na obat $n$ m!'ang&ang SSP R!a#&$ a"!'g$ *a,at t$mbu" a#$bat "ang&ung *a'$ mat$n%a ,a'a&$t!

atau &ub&tan&$ %ang *$"!,aan o"!h m$#'o"a'$a %ang han/u'

!)a"an%a b!'u,a &a#$t #!,a"a0 ma"a$&!0 !*!ma #u"$t0 gata" %ang

h!bat0 ,o,u"a' 'a&h0 ,!mb!&a'an *an n%!'$ ,a*a #!"!n)a' $ngu$na"0

h$,!'!#&$a0 &a#$t-&a#$t &!n*$0 ta#$#a'*$a

!)a"a $n$ b!'"ang&ung 9-7 ha'$0 &!t!"ah $tu *o&$& b!&a' *a,at

*$b!'$#an *!ngan aman Untu# m!ngu'ang$ g!)a"a a"!'g$ *a,at*$b!'$#an ant$h$&tam$n atau #o't$#o&t!'o$*0 t!'utama b$"a t!')a*$

#om,"$#a&$ ,a*a mata


29/46

D$agno&$& =an*$ng

P!mb!&a'an E#&t'!m$ta&

L$,!*!ma

1!'n$a Ingu$na"$&

Knob&

K$"u'$a


30/46

E*u#a&$

La,o'#an #!,a*a $n&tan&$ #!&!hatan%ang b!'8!nang

P!n*!'$ta *!ngan m$#'o"a'$a ha'u&

*$"$n*ung$ *a'$ g$g$tan n%amu# untu#m!ngu'ang$ ,!nu"a'an

P!n%!"$*$#an #onta# *!ngan &umb!'

$n3!#&$H *$"a#u#an &!baga$ bag$an *a'$g!'a#an %ang m!"$bat#an ma&%a'a#at


31/46

Kom,"$#a&$

Tropical Pulmonary Eosinolia(O//u"t$"a'$a&$& =!ntu# $n$ t!')a*$ #a'!na h$,!'&!n&$t$$ta&

&$&t!m $mun ,!n*!'$ta t!'ha*a,m$#'o"a'$a

Ch%"u'$a T!')a*$ a,ab$"a t!'*a,at #!na$#an t!#anan

,a*a &a"u'an "$m3! '!na" %ang m!nga"am$&umbatan0 #!mu*$an ,!/ah &!h$ngga/a$'an "$m3! ma&u# #! *a"am t'a#tu&u'$na'$u& *an m!n$mbu"#an /h%"u'$a

Ch%"u'$a &!'$ng t!'"$hat n%ata ,a*a ,ag$


32/46

P'ogno&$&

T!'gantung *a'$ )um"ah /a/$ng *!8a&a *anm$#'o"a'$a *a"am tubuh ,!n*!'$ta0 ,ot!n&$ /a/$nguntu# b!'#!mbang b$a#0 *an #!&!m,atan untu#$n3!#&$ u"ang

Pa*a #a&u&-#a&u& *$n$ *an &!*ang0 ,'ogno&$& ba$#t!'utama b$"a ,a&$!n ,$n*ah *a'$ *a!'ah !n*!m$#

P!nga8a&an *a!'ah !n*!m$# t!'&!but *a,at*$"a#u#an *!ngan ,!mb!'$an obat0 &!'ta

,!mb!'anta&an !#to'n%a Pa*a #a&u&-#a&u& "an)ut t!'utama *!ngan !*!ma

,a*a tung#a$0 ,'ogno&$& "!b$h bu'u#


33/46

S$#"u& h$*u, !#to' "a'$a&$&

N%amu# t!'ma&u# &!'angga %ang m!"ang&ung#an &$#"u!h$*u,an *$ a$'

K!"ang&ungan h$*u, n%amu# a#an t!',utu& a,ab$"a t$*a# a*aa$'

N%amu# *!8a&a &!#a"$ b!'t!"u' &!ban%a# +::-9:: but$'0b!&a' t!"u' &!#$ta' :05 mm S!t!"ah +-2 ha'$ m!n!ta& )a*$

)!nt$#0


34/46

a#to' La$n %ang P!nt$ng Umu' n%amu# ("ong!$t%

S!ma#$n ,an)ang umu' n%amu# &!ma#$n b!&a'#!mung#$nann%a untu# m!n)a*$ ,!nu"a' atau !#to'

Umu' n%amu# b!'a'$a&$ t!'gantung *a'$ &,!&$!&n%a

*an *$,!nga'uh$ o"!h "$ng#ungan K!mam,uan n%amu# !#to' untu# m!n*a,at#an

m$#'o"a'$a &aat m!ngh$&a, *a'ah %ang m!ngan*ungm$#'o"a'$a )uga &angat t!'bata&0 n%amu# %ang

m!ngh$&a, m$#'o"a'$a t!'"a"u ban%a# *a,atm!nga"am$ #!mat$an0 t!ta,$ )$#a %ang t!'h$&a, t!'"a"u&!*$#$t *a,at m!m,!'#!/$" )um"ah m$/'o"a'$a&ta*$um "a'a L9 %ang a#an *$tu"a'#an


35/46

P!'$o*$&$ta& m$/'o"a'$a *an ,!'$"a#um!ngh$&a, *a'ah n%amu# !#to'b!',!nga'uh t!'ha*a, '$&$#o

,!nu"a'anP!ng!tahuan #!,a*atann%amu# !#to' *an umu' n%amu# !#to'&angat ,!nt$ng untu# m!ng!tahu$mu&$m ,!nu"a'an *an *a,at *$guna#an

&!baga$ ,a'am!t!' untu# m!n$"a$#!b!'ha&$"an ,'og'am ,!mb!'anta&an!#to'


36/46

J!#to' ,!n%a#$t "a'$a&$&

='ug$a t$mo'$ S!&!o'ang *a,at t!'tu"a' atau t!'$n3!#&$ ,!n%a#$t #a#$

ga)ah a,ab$"a o'ang t!'&!but *$g$g$t n%amu# %ang$n3!#t$3 %a$tu n%amu# %ang m!ngan*ung "a'a &ta*$um

III (L9 N%amu# t!'&!but m!n*a,at /a/$ng "a'$a" #!/$"

(m$#'o"a'$a &!8a#tu m!ngh$&a, *a'ah ,!n*!'$tam!ngan*ung m$/'o"a'$a atau b$natang '!&!'o$' %angm!ngan*ung m$/'o"a'$a

S$#"u& P!nu"a'an ,!n%a#$t #a$#$ ga)ah $n$ m!"a"u$ *uataha,0 %a$tu ,!'#!mbangan *a"am tubuh n%amu#(!/to' *an taha, #!*ua ,!'#!mbangan *a"am tubuhmanu&$a (ho&,!& *an '!&!'oa$'


37/46

T$*a# &!,!'t$ Ma"a'$a *an D!mam b!'*a'ah0 $"a'$a&$&*a,at *$tu"a'#an o"!h 29 &,!&$!& n%amu# *a'$ g!nu&Ano,h!"!&0 Cu"!0 Man&on$a0 A!*!& A'm$g!'!&

Ka'!na $n$"ah0 $"a'$a&$& *a,at m!nu"a' *!ngan &angat

/!,at Yang ha'u& *$#!tahu$ a*a"ah0 &!&!o'ang %ang &u*ah

m!n*!'$ta #a#$ ga)ah atau %ang #a#$n%a &u*ah

b!ng#a# "ua' b$a&a0 t$*a# b$&a m!nu"a'#an,!n%a#$tn%a "ag$

6u&t'u m!'!#a %ang #!"$hatann%a &!hat *an b!"umm!nga"am$ ,!mb!ng#a#an0 ta,$ ,un%a "a'am$#'o"a'$a"ah %ang b$&a m!nu"a'#an ,!n%a#$t $tu ,a*ao'ang "a$n


38/46

Ca'a m!mb!*a#an @ban/'o3t$0 =ma"a%$0=t$mo'$

@u/h!'$/$a ban/'o3t$ Ca/$ng *!8a&a )antan *an b!t$na h$*u, *$ &a"u'an *an

#!"!n)a' "$m3!H

b!ntu#n%a ha"u& &!,!'t$ b!nang *an b!'8a'na ,ut$h

&u&u Ca/$ng b!t$na m!ng!"ua'#an m$#'o"a'$a %ang b!'&a'ung

M$#'o"a'$a h$*u, *$ *a"am *a'ah *an t!'*a,at *$ a"$'an*a'ah t!,$ ,a*a 8a#tu-8a#tu t!'t!ntu &a)a0 )a*$m!m,un%a$ ,!'$o*$&$ta&

Pa*a umumn%a0 m$#'o"a'$a @ ban/'o3t$ b!'&$3at,!'$o*$&$ta& no#tu'na

Pa*a &$ang ha'$0 m$#'o"a'$a t!'*a,at *$ #a,$"!' a"at*a"am


39/46

='ug$a ma"a%$ *an ='ug$a t$mo'$ Ca/$ng *!8a&a )antan *an b!t$na h$*u, *$ &a"u'an *an

#!"!n)a' "$m3!H

=!ntu#n%a ha"u& &!,!'t$ b!nang *an b!'8a'na ,ut$h &u&u

Ca/$ng b!t$na m!ng!"ua'#an m$#'o"a'$a %ang b!'&a'ung P!'$o*$&$ta& = ma"a%$ a*a"ah ,!'$o*$# no#tu'na0 &ub,!'$o*$#

no#tu'na0 atau non ,!'$o*$#0 &!*ang#an m$#'o"a'$a =t$mo'$ m!m,un%a$ &$3at ,!'$o*$# no#tu'na

= ma"a%$ %ang h$*u, ,a*a manu&$a *$tu"a'#an o"!h n%amu#

Ano,h!"!& ba'b$'o&t'$& *an %ang h$*u, ,a*a manu&$a *anh!8an *$tu"a'#an o"!h n%amu# Man&on$a

= t$mo'$ *$tu"a'#an o"!h n%amu# Ano,h!"!& ba'b$'o&t'$&


40/46

M!nga,a #a#$ ,a# 'ambon m!nga"am$,!mb!&a'an &!)a# 4 tahun %ang "a"u

P!mb!&a'an #a#$ ,a# 'ambon *a,at t!')a*$ a#$bat ob&t'u#&$,a*a !na atau &a"u'an "$m3! *$ *a!'ah tung#a$ %angm!'u,a#an man$3!&ta&$ "a'$a&$& #'on$#

Ca/$ng *!8a&a h$*u, *a,at m!n%umbat &a"u'an "$m3! *ant!')a*$ *$"ata&$ %ang *$&!but "$m,hang$!#ta&$a

6$#a )um"ah /a/$ng ban%a# *an "$m,hang$!#ta&$a t!')a*$&!/a'a $nt!n&$3 a#an m!n%!bab#an *$&3ung&$ &$&t!m "$m3at$#

Ca/$ng *!8a&a %ang mat$ *a,at m!n%!bab#an '!a#&$$nama&$

S!t!"ah $n"t'a&$ "$m3o&$t$# %ang $nt!n&$30 "um!n t!'tutu, *an/a/$ng m!nga"am$ #a"&$#a&$

Sumbatan t!'&!but t!'u& b!'"an)ut h$ngga &a"u'an "$m3at$#t!'tutu, m!n%!bab#an "$m3!*!ma


41/46

M!nga,a ba,a# 'ambon t$*a# m!'a&a#ann%!'$ ,a*a #a#$n%a

Man$3!&ta&$ *$n$ ,!n%a#$t $n$ a*a"ah ,!'a*angan0 &!*ang#an b$"a&u*ah "an)ut a#an m!n$mbu"#an g!)a"a ob&t'u#&$ M$#'o"a'$a%ang tam,a# *a"am *a'ah ,a*a &ta*$um a#ut a#anm!n$mbu"#an ,!'a*angan n%ata0 &!,!'t$ "$m3ang$t$&0"$m3a*!n$t$&0 3un$#u"$t$&0 !,*$*$m$t$&0 *an o'#$t$& Namun0

a*a#a"an%a ,!'a*angan t$*a# m!n$mbu"#an g!)a"a &ama &!#a"$t!'utama bag$ ,!n*u*u# %ang &!)a# #!/$" &u*ah b!'*$am *$*a!'ah !n*!m$#

P!mb!&a'an #a#$ #anan ,a# Rambon t!"ah t!')a*$ &!"ama 4tahun0 &!h$ngga m!'u,a#an 3a&! "an)ut %ang t!"ah t!')a*$ob&t'u#&$ o"!h ma#'o"a'$a *a"am &a"u'an "$m3! P!mb!&a'an $n$*$mung#$n#an #a'!na $n3!#&$ #!"!n)a' "$m3! *a!'ah $ngu$na"%ang a#an m!m,!nga'uh$ *a!'ah tung#a$ *an a"at #!"am$nbag$an "ua' S!h$ngga *a,at *$&$m,u"#an t!m,at t$ngga" ,a#Rambon m!'u,a#an *a!'ah !n*!m$#


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1ubungan ,!#!')aan *!ngan "a'$a&$&

=!b!'a,a ,!'$"a#uB#!b$a&aan0 *$*a,at#an ,'o,o'&$ #a&u&m!m,un%a$ #!g$atan *$ "ua' 'umah anta'a "a$n #!g$atan 'on*a#!amanan "$ng#ungan 20 b!'b$n/ang-b$n/ang *$ "ua''umah ++7(0 nonton *$ "ua' 'umah ?7 (470;>0 ,!n)a)a#!"$"$ng B b!')ua"an (0 b!'a*a *$ t!m,at t!'bu#a 5;

(420+>0 buang a$' b!&a' *$ "ua' 'umah (;20;>0 b!'#um,u" *$"ua' 'umah ma"am ha'$ (0 m!ma&ang obat n%amu# *$"ua' 'umah (50:> Kon*$&$ $n$ m!nggamba'#an ,!"uang #onta#*!ngan n%amu# "!b$h b!&a' 1a&$" $n$ *$*u#ung o"!h t!o'$ '!!nbah8a &a"ah &atu 3a#to' %ang m!m,!nga'uh$ ,!'ubahan,!'$"a#u %a$tu &a"ah &atun%a a*a"ah 3a#to'-3a#to' ,!nguat

(reinforcingfators %a$tu 3a#to'-3a#to' %ang m!n*o'ong ataum!m,!'#uat t!')a*$n%a ,!'$"a#u Ka*ang-#a*ang0 m!$,un&!&!o'ang tahu *an mam,u untu# b!',!'$"a#u &!hat0 t!ta,$t$*a# m!"a#u#ann%a


43/46

M!nga,a ,a%u*a'a *an buah .a#a't!tangga m!mb!&a'

P!mb!&a'an ,a%u*a'a ,a*a ,a&$!n "a'$a&$& *$&!bab#an o"!h"$m3!*!maPa*a 3a&! "an)ut t!')a*$ #!'u&a#an &a"u'an "$m3!#!/$" %ang t!'*a,at *$ #u"$tPa*a *a&a'n%a ,!'#!mbangan#"$n$& "a'$a&$& t!'&!but *$&!bab#an #a'!na /a/$ng "a'$a*!8a&a %ang t$ngga" *a"am &a"u'an "$m3! m!n$mbu"#an

,!"!ba'an (*$"ata&$ &a"u'an "$m3! *an ,!n%umbatan(ob&t'u#&$0 &!h$ngga t!')a*$ gangguan 3ung&$ &$&t!m "$m3at$#

P!n$mbunan /a$'an "$m3! m!n%!bab#an a"$'an "$m3! m!n)a*$"ambat *an t!#anan h$*'o&tat$#n%a m!n$ng#at0 &!h$ngga/a$'an "$m3! ma&u# #! )a'$ngan m!n$mbu"#an !*!ma )a'$ngan

A*an%a !*!ma )a'$ngan a#an m!n$ng#at#an #!'!ntanan #u"$tt!'ha*a, $n3!#&$ ba#t!'$ *an )amu' %ang ma&u# m!"a"u$ "u#a-"u#a #!/$" mau,un b!&a' K!a*aan $n$ *a,at m!n$mbu"#an,!'a*angan a#ut (acute attac


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Int!','!ta&$ ha&$" "ab


45/46

K!&$m,u"an

La#$-"a#$ 45 th m!nga"am$ "a'$a&$&"$m3at$# #'on$#


46/46

Da3ta' Pu&ta#a

Ch$n0 6 Manual Pemberantasan Penyait Menular. E*$to' F *' I N%oman

Kan*un0 CJ In3om!*$#a0 E*$&$ +7 C!ta#an II0 6a#a'ta0 2::? D$t)!n PP PL D!,#!& RI0 2::; K!m!n#!& $"a'$a&$& *$ In*on!&$a0 =u"!t$n 6!n*!"a E,$*!m$o"og$0 Jo"um! + 6a#a'taH 2:+:

K!m!n#!& RI0 2:+: R!n/ana Na&$ona" P'og'am A#&!"!'a&$ E"$m$na&$ $"a'$a&$& D$ In*on!&$a 2:+:-2:+40 6a#a'ta F Sub*$t $"a'$a&$& S/h$&tom$a&$& D$'!#to'atP2=2 D$t)!n PP PL

So!%o#o0 2::2 P!n%a#$t Ka#$ a)ah ($"a'$a&$& L$m3at$# P!'ma&a"ahan *an A"t!'nat$3 P!nanggu"angann%a0 P$*ato P!ngu#uhan 6abatan u'u =!&a' ,a*a K-UM0 Yog%a#a'ta

6u'$a&tut$0 P0 Ka't$#a0 M0 D)a)a0 I M0 Su&anna0 D0 2:+: a#to' R$&$#o K!)a*$an $"a'$a&$& D$ K!"u'ahan 6at$ S!m,u'na0 Ma#a'a K!&!hatan0 Jo" +40 No+ F 9+-9?

Pohan 1T $"a'$a&$& InF Su*o%o A@0 S!t$%oha*$ =0 A"8$ I0 S$ma*$b'ata MK0 S!t$at$ SH !*$to'& =u#u a)a' $"mu ,!n%a#$t *a"am5 th!* 6a#a'taF Int!'naPub"$&h$ngH

2::; ,2;9+ Nutmat T=0 6am!& @ #a.u'a $"a'$a&$&Da"amF u!''ant RL0 8a"#!' D10 @!""!' P0 ,!n%unt$ng0T'o,$/a" In3!/t$ou& D$&!a&! E*$&$ #!-2 Ph$"a*!",h$aF

E"&!$!'H2::?F++52-; S/ott AL L%m,hat$/-*8!""$ng "a'$a&$& Da"amF Thoma& = Nutman0 ,!n%unt$ng L%m,hat$/ "a'$a&$& Im,!'$a" /o""!g! ,'!&&H 2::2F5-7 htt,FBB888/*/goBn/$*o*B*,*B,a'a&$t!&B"%m,hat$/"a'$a&$&B

Pa'tono 0 Ku'n$a8an A0 O!m$)at$ S N!mato*a )a'$ngan Da"amF an*ahu&a*a S0 I""ahu*! 10 P'$ba*$ @0 ,!n%unt$ng Pa'a&$to"og$ #!*o#t!'an E*$&$ #!-96a#a'taF=a"a$ ,!n!'b$t KUIH2::9F95-44

E,$*!m$o"og$ "a'$a&$& D!,a't!m!n #!&!hatan R!,ub"$# In*on!&$a D$'!#to'at 6!n*!'a" PPPL 6a#a'ta 2::? A**$& D0 D'!%!' T'!atm!nt o3 "%m,hat$/ "a'$a&&$& Da"am Thoma& = Nutman0 ,!n%unt$ng L%m,hat$/ "a'$a&$& Im,!'$a" /o""!g! ,'!&&H2::2F+5+-+

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