makalah hiperbilirubin.docx

Upload: vinda-astri-permatasari

Post on 07-Feb-2018

224 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    1/20

    G @ O E

    Asueaf `jpjrawataf paka Afa` kjfbaf bafbbuaf

    ELXJ]MLOL]ZMLF

    Kl sususf noje9

    Jols s

    Kjkjf s

    ]lz`l ]

    Eafa X

    Sltl F

    SJ@NOAE [LFBBL LOGZ @JSJEA[AF

    @N[A SZ@AMZGL

    @agpus L 9 Io. @aragat 34 [jop. (8=44) =18=1: Dax. (8=44) ==328< Su`amugl

    @agpus LL 9 Io. Mama`af Slrfa =: [jop (8=44) =348

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    2/20

    @A[A XJFBAF[A]

    Xuil syu`ur `jeaklrat Aooae swt. \afb tjoae gjgmjrl`af raegat kaf elkayae-Fya sjelfbba `agl

    kapat gjfyjojsal`af ga`aoae lfl kjfbaf sjbaoa `jtjrmatasaf.

    Ga`aoae lfl klmuat sjmabal tubas gata `uolae Afa` , yafb gjrupa`af saoae satu gata `uolae kl

    prnkl KLLL @jpjrawataf. Kaf iuba kapat klbufa`af sjmabal saoae satu oltjratur kaoag prnsjs

    mjoaiar Gaeaslswa kl `joas.

    @agl gjfbucap`af mafya` tjrlga `asle `jpaka sjgua plea` yafb tjoae gjgmaftu kaoag

    pjfyusufaf ga`aoae lfl. A`af tjtapl, kaoag ga`aoae lfl gasle mafya` tjrkapat `j`urafbaf,

    uftu` ltu `rltl`kaf saraf yafb mjrsldat gjgmafbuf safbat `agl earap`af.

    A`elrfya, kjfbaf sjbaoa `jrjfkaeaf eatl, `agl mjrearap para pjgmaca kapat gjgafdaat`af

    ga`aoae lfl, mal` mabl `jpjftlfbaf-`jpjftlfbaf pra`tls kl kaoag `joas gaupuf uftu`

    pjfbjgmafbaf logu pjfbjtaeuaf.

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    3/20

    KAD[A] LSL

    @A[A XJFBAF[A]

    KAD[A] LSL

    MAM L XJFKAEZOZAF

    A.Oatar Mjoa`afb

    M.[uiuaf

    MAM LL XJGMAEASAF

    A.Kjdlflsl

    M. @oasldl`asl

    C. Jtlnonbl

    K.Xatndlslnonbl

    J. Gafldjstasl @olfls

    D. @ngpol`asl

    B. Xjgjrl`saaf Klabfnstl`

    E. Xjfataoa`safaaf

    L.Asueaf `jpjrawataf paka afa` Elpjrmlolrumlf

    MAM LLL XJFZ[ZX

    KAD[A] XZS[A@A

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    4/20

    MAM L

    XJFKAEZOZAF

    A. Oatar Mjoa`afb

    Saoae satu `jakaaf yafb gjfyjrupal pjfya`lt eatl yafb tjrkapat paka mayl maru

    oaelr akaoae tjriaklfya elpjrmloolrumlfjgla yafb gjrupa`af saoae satu jbawataf

    paka mayl maru oaelr `arjfa kapat gjfiakl pjfyjmam bafbbuaf tugmue `jgmafb

    mayl. @joalfaf lfl tlka` tjrgasu` `jongpn` pjfya`lt saouraf pjfcjrfaaf ga`afaf,

    faguf arjfa asusfya mafya` kliugpal ga`a earus kl`jgu`a`af.

    @asus l`tjrus kltjgu`af paka ruafb fjnfatus sj`ltar 48% mayl atjrg kaf paka 58

    % mayl prjgatur sjoaga glfbbu pjrtaga jelkupaf. L`tjrus tjrsjmut tlgmuo a`lmat

    pjflgmufaf plbgjf mlolrumlf ta` tjr`nfiubasl kaoag `uolt. Mlolrumlf ta`

    tjr`nfiubasl tjrsjmut mjrsldat fjurntn sl` mabl mayl paka tlfb`at tjrtjftu kaf paka

    mjrmabal `jakaaf.

    L`tjrus paka mayl maru oaelr kapat gjrupa`af suatu bjiaoa dlslnonbls atau patnonbls.

    L`tjrus dlslnonbls tjrkapat paka =:-:8% fjnfatus cu`up muoaf kaf ojmle tlfbbl oabl

    paka fjnfatus `urafb muoaf sjmjsar 58%. L`tjrus tjrsjmut tlgmuo paka earl `jkua

    atau `jtlba, tlka` pufya kasar patnonbls, `akarfya tlka` gjgmaeaya`af, kaf tlka`

    gjfyjmam`af suatu gnrmlkltas paka mayl. L`tjrus patnonbls akaoae l`tjrus yafb

    pufya kasar patnonbls atau `akar mlolrumlffya gjfcapal suatu floal yafb klsjmut

    elpjrmlolrumlfjgla. Kasar patnonbls yafb klga`suk yaltu ijfls mlolrumlf, saat

    tlgmuo kaf eloafbfya l`tjrus, sjrta pjfyjmamfya.

    Fjnfatus yafb gjfbaoagl l`tjrus kapat gjfbaoagl ngpol`asl a`lmat bjiaoa slsa

    yafb kapat gjgpjfbaruel pjrtugmueaf kaf pjr jgmafbaffya. Noje sjmam ltu

    pjrou `lrafya pjfafbafaf yafb lftjfsld uftu` gjfcjbae eao-eao yafb mjrmaeaya

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    5/20

    mabl `jelkupaffya kl`jguklaf earl. Xjrawat sjmabal pjgmjrl pjrawataf sj`aolbus

    pjfklkl` earus kapat gjgmjrl`af pjoayafaf yafb tjrmal` kjfbaf mjrkasar paka

    logu pjfbjtaeuaf yafb klglol`lfya.

    M. [uiuaf

    1. [uiuaf Zgug

    Gjfbjtaeul bagmaraf ugug asueaf `jpjrawataf paka afa` kjfbaf

    elpjrmlolrumlfjgla

    =. [uiuaf @eususSjtjoae kloa`u`af prjsjftasl klearap`af gaeaslswa kapat0

    a Gjfbjtaeul kjdlflsl, oasldl`asl kaf jtlnonbl elpjrmlolrumlfjgla paka afa`

    m.Gjfbjtaeul patndlslnonbl, gafldjstasl `olfl` kaf `ngpol`asl pjfya`lt

    elpjrmlolrumlfjgla paka afa`

    c.Gjfbjtaeul pjgjrl`saaf klabfnstl` kaf pjfataoa`safaaf pjfya`lt

    elpjrmlolrumlfjgla paka afa`

    k.Gjfbjtaeul nfsjp asueaf jpjrawataf paka afa` kjfbaf elpjrmlolrumlfjgla

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    6/20

    MAM LL

    Xjgmaeasaf

    A. Kjdlflsl

    Elpjrmlolrumlf akaoae gjflfb`atfya akar mlolrumlf kaoag karae yafb akar

    floalfya ojmle karl fnrgao (Surlakl, =881). Floal fnrgao mlolrumlf lfklrj` 8,31,1

    gb/ko, mlolrumlf klrj` 8,18,; gb/ko.

    Elpjrmloolrumlf laoae suatu `jakaaf klgafa akar mloolrumlfjgla gjfcapal suatu

    floal yafb gjgpufyal pntjfsl gjflgmuo`af jrfl`tjrus aoau tlka` kltafbbuoafbl

    kjfbaf mal` (Xrawlrnearkin, 1

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    7/20

    =. L`tjrus Xatnonbl`

    a.L`tjrus tjriakl kaoag =; iag pjrtaga.

    m.@akar mlolrumlf gjojmlel 18 gb% paka fjnfatus cu`up muoaf atau gjojmlel 1=,:

    gb% paka fjnfatus `urafb muoaf.

    c.Xjflfb`ataf mlolrumlf ojmle karl : gb% pjrearl.

    k.L`tjrus gjfjtap sjsukae = glfbbu pjrtaga.

    j.@akar mlolrumlf klrj` gjojmlel 1 gb%.

    d.Gjgpufyal eumufbaf kjfbaf prnsjs ejgnoltl`.

    C. Jtlnonbl

    Xjflfb`ataf akar mlolrumlf kaoag karae tjrsjmut kapat tjriakl arjfa jakaaf

    sjmabal mjrl`ut0

    1. Xnoycejtjgla

    =. LsnlggufEjgnoytlcKlsjasj

    3. @joalfaf stru`tur kaf jfzlg sjo karae gjrae

    ;. @jracufaf nmat (ejgnolsls lgla0 saolsloat, nrtl`nstjrnlk, `onragdjfl`no)

    :. Ejgnolsls j`stravas`uojr

    4. Cjpeaoejgatnga

    2. Jcceygnsls

    5. Bafbbuaf dufbsl eatl0 kjdlsljfslbou`nrnflo trafsdjrasj, nmstru`sl jgpjku

    (atrjsla mlolarl), lfdj`sl, gasaoae gjtamnol` baoa`tnsjgla, elpntlrnlkiaufklcjASL

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    8/20

    K. Xatndlslnonbl

    1. Xlbgjf `uflfb kltjgu`af kaoag jgpjku yafb tjrmjftu` karl pjgjcaeaf

    ejgnbonmlf noje jria ejgj n`slkasj, mlolvjrklf rjku`tasj kaf abjf pjrjku`sl

    fnfjfzlgatl` kaoag slstjg rjtl`uonjfkntjolao.

    =. Sjtjoae pjgjcaeaf ejgnbonmlf, mlolrumlf ta` tjr`nfiubasl klagmlo noje prntjlf

    lftrasjouojr \ prntjlf kaoag eatl. Xjfbagmloaf tjrbaftufb paka aoalraf karae

    ejpatl` kaf akafya l`ataf prntjlf.

    3. Mlolrumlf yafb tlka` tjr`nfiubasl kaoag eatl klrumae (tjr`nfiubasl) noje jfzlgasag urlklf klsdnsdnbou`urnfat (ZKXBA0 Zrlklf Klpenspbnboucurnflc Aclk).

    Bou`urnflo trafsdjrasj gjfiakl mlolrumlf gnfn kaf klbou`urnflka yafb pnoar oarut

    kaoag alr (mjrja`sl klrj`)

    ;. Mlolrumlf yafb tjr`nfiubasl yafb oarut kaoag alr kapat kljolglfasl gjoaoul blfiao.

    Kjfbaf nfiubasl, mlolrumlf gasu` kaoag jgpjku gjoaoul gjgmraf `afaol`uoar.

    :. A`elrfya kapat gasu` `j slstjg bastrnlftjstlfao kjfbaf kla`tld`af noje ma`tjrl

    gjfiakl urnmlolfnbjf kaoag tlfia kaf urlfj. Mjmjrapa mlolrumlf klamsnrmsl jgmaol

    gjfiakl slr`uoasl jftjrnejptl`

    4. Rarfa `uflfb kaoag uolt a`lmat karl a`uguoasl plbgjf mlolrumlf yafb oarut

    ojga`, ta` tjr`nfiubasl, fnf-pnoar (mjrja`sl lfklrj`)

    2. Xaka mayl elpjrmlolrumlfjgla `jgufb`lfaf gjrupa`af easlo karl kjdlsljfsl atau

    tlka` a`tldfya bou`urnflo trafsdjrasj. ]jfkaefya pjfbagmloaf kaoag ejpatl`

    `jgufb`lfaf arjfa pjfurufaf prntjlf ejpatl` sjiaoaf kjfbaf pjfurufaf aolraf

    karae ejpatl`

    5. Iaufklcj yafb tjr`alt kjfbaf pjgmjrlaf ASL gjrupa`af easlo karl eagmataf

    `jria bou`nrnflo trafsdjrasj noje prjbfafjklno atau asag ojga` mjmas yafb

    tjrkapat kaoag ASL. [jriakl ; sagpal 2 earl sjtjoae oaelr. Klgafa tjrkapat

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    9/20

    `jfal`af mlolrumlf ta` tjr`nfiubasl kjfbaf `akar =: sagpal 38 gb/ko sjoaga

    glfbbu `j-= sagpal glfbbu `j-3. Mlasafya kapat gjfcapal usla ; glfbbu kaf

    gjfuruf 18 glfbbu.

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    10/20

    ; L`tjrus akaoae a`lmat pjfbjfkapaf mlolrumlf lfklrj` paka `uolt yafb cjfkjrufb

    tagpa` `uflfb tjrafb atau nrafbj, l`tjrus paka tlpj nmstru`sl (mlolrumlf klrj`) `uolt

    tagpa` mjrwarfa `uflfb `jeliauaf atau `jrue. Xjrmjkaaf lfl eafya kapat kloleat

    paka l`tjrus yafb mjrat.

    :. Guftae, afn`sla, datlbuj, warfa urlf bjoap kaf warfa tlfia pucat, sjpjrtl kjgpuo

    4. Xjrut gjgmufclt kaf pjgmjsaraf paka eatl

    2. Xaka pjrguoaaf tlka` ijoas, yafb tagpa` gata mjrputar-putar

    5. Ojtarbl` (ojgas), `jiafb, tlka` gau gjfbelsap

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    11/20

    D. @ngpol`asl

    @jakaaf mlolrumlf yafb tlka` tjratasl a`af gjfyjmam`af gjgpjrmuru` jakaaf,

    kaf gjfyjmam`af ngpol`asl0

    1. Mlolrumlf jfcejpaonpatey(`ngpol`asl sjrlus)

    =. @jrfl`tjrus0 jrusa`af fjurnonbls, cjrjmrao paosy, rjtarkasl gjftao, elpjra`tld,

    mlcara oagmat, tlka` aka `nnrklfasl ntnt kaf tafblsaf yafb gjojfb`lfb

    B. Xjgjrl`saaf Klabfnstl`

    1. Oamnratnrlug (Xjgjrl`saf Karae)

    a. Xjgjrl`saaf mloolrumlf sjrug. Xaka mayl prjgatur `akar mloolrumlf ojmle karl 1;

    gb/ko kaf mayl cu`up muoaf `akar mloolrumlf 18 gb/ko gjrupa`af `jakaaf yafb

    tlka` dlslnonbls.

    m. Em, EC[, Eltufb Karae Ojfb`ap.

    c. Xrntjlf sjrug tntao.

    =. ZSB, uftu` gjfbjvaouasl afatngl camafb aftnfb jgpjku.

    3. ]aklnlsntnp Scaf, kapat klbufa`af uftu` gjgmaftu gjgmjka`af eapatltls

    kaf atrjsla mloolarl.

    E. Xjfataoa`safaaf

    1. Xjfbawasaf aftjfatao kjfbaf mal` kaf pjgmjrlaf ga`afaf sjia` klfl

    (pjgmjrlaf ASL).

    =. Gjfbelfkarl nmat yafb gjflfb`ata`af l`tjrus paka gasa `joaelraf,

    glsaofya suoda durn`nolf.

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    12/20

    3. Xjfcjbaeaf kaf pjfbnmataf elpn`slf paka fjnfatus kaf iaflf.

    ;. Djfnmarmltao

    Djfnmarmltao kapat gjfbj`srjsl mloolrumlf kaoag eatl kaf gjgpjrmjsar `nfiubasl.

    Gjflfb`at`af slftjsls ejpatl` bou`nrnflo trafsdjrasj yafb gafa kapat

    gjflfb`at`af mloolrumlf `nfiubasl kaf cojrjafcj ejpatl` plbgjf kaoag jgpjku.

    Djfnmarmltao tlka` mjbltu sjrlfb klbufa`af.

    :. Aftlmlntl`, mloa tjr`alt kjfbaf lfdj`sl.

    4. Dntntjrapl

    Dntntjrapl kloa`u`af apamloa tjoae kltjba``af elpjrmloolrumlf patnonbls kaf

    mjrdufbsl uftu` gjfuruf`af mloolrumlf kl`uolt gjoaoul tlfia kaf urlfj kjfbaf

    n`slkasl dntn paka mloolrumlf karl mloolvjrklf.

    2. [rafsdusl tu`ar.

    [rafsdusl tu`ar kloa`u`af mloa sukae tlka` kapat kltafbafl kjfbaf dntn tjrapl.

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    13/20

    L.ASZEAF @JXJ]ARA[AF

    A. Xjfb`ailaf

    Kaoag gjoa`u`af pjfb`ailaf paka afa` kjfbaf bafbbuaf elpjrmlolrumlf akaoae

    kloa`u`af sjmabal mjrl`ut0

    1.Xjgjrl`saaf ugug

    a.A`tlvltas/lstlraeat 9 ojtarbl, gaoas

    m.Slr`uoasl 9 gufb`lf pucat, gjfafka`af afjgla

    c.Jolglfasl 9 Mlslfb usus elpna`tld, vasasj gjcnflug gufb`lf oagmat, djcjs gufb`lfoufa` atau cn`oat `jeliauaf sjoaga pjfbjouaraf mloolrumlf. Zrlfj mjrwarfa bjoap.

    k.Ga`afaf calraf 9 ]lwayat pjoagmataf (ga`afaf nrao muru`).

    j.Xaopasl amkngjf 9 kapat gjfufiu``af pjgmjsaraf olgpa, ejpar.

    d. Fjurnsjfsnrl0

    1).Cejpaoneajgatnga mjsar gufb`lf tjroleat paka satu atau `jkua tuoafb parljtao

    yafb mjreumufbaf kjfbaf trauga joaelraf.

    =).Njkjga ugug, ejpatnspojfngjbaol atau elkrnps djtaols, gufb`lf aka kjfbaf

    lf`ngpateamloltas ]e.

    3).@jeloafba rjdoj`s gnrn, gufb`lf tjroleat.

    ;).Nplstntnfus, kjfbaf `j`a`uaf ojfb`ufb pufbbufb, gjfafbls olrle, a`tldltas

    `jiafb.

    b.Xjrfadasaf 9 `rj`jos (njkjga pojura), mjrca` gjrae guka.

    e.@jagafaf 9 ]lwayat pnsltld lfdj`sl atau sjpsls fjnfatus, a`lgnsls mjrojmleaf,

    ptjquj, pjrkaraeaf lftra`raflao, kapat tagpa` l`tjrl` paka awaofya paka waiae

    kaf mjroafiut paka mablaf klstao tumue.

    l.Sj`suaoltas 9 gufb`lf pratjrg, mayl `jclo usla uftu` bjstasl (SBA), mayl kjfbaf

    ojtarkasln pjrtugmueaf lftra utjrus (LZB]), mayl mjsar uftu` usla bjstasl (OBA)

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    14/20

    sjpjrtl mayl kjfbaf lmu klamjtjs. [jriakl ojmle sjrlfb paka mayl prla karlpaka mayl

    waflta.

    =. Xjgjrl`saaf dn`us

    a.Xjgjrl`saaf dlsl`, Lfspj`sl0 warfa s`ojra, nfiufbtlva, gjgmraf gu`nsa guout,

    `uolt, urlfj kaf tlfia.

    m.Xjgjrl`saaf mlolrumlf gjfufiu``af akafya pjflfb`ataf

    c.[afya`af mjrapa oaga iaufklcj gufcuo kaf sjia` `apaf

    k.apa`ae mayl aka kjgag

    j.Mabalgafa jmutueaf pnoa glfug

    d.[afya`af tjftafb rlwayat jouarba

    b.Apa`ae afa` sukae gjfkapat lguflsasl ejpatltls M

    M. Klabfnsa @jpjrawataf

    ]ugusaf klabfnsa jpjrawataf paka asus afa` kjfbaf bafbbuaf elpjrmlolrumlf

    akaoae sjmabal mjrl`ut0

    1.]jsl`n lfiury (lftjrfao) mjreumufbaf kjfbaf pjflfb`ataf sjrug mlolrumlf sj`ufkjr

    karl pjgjcaeaf sjo karae gjrae (SKG) kaf bafbbuaf j`s`rjsl mlolrumlf

    =.]jsl`n urafbfya vnougj calraf mjreumufbaf kjfbaf eloafbfya alr (Lfslmoj Ratjr

    Onss) tafpa klsakarl sj`ufkjr karl dntntjrapl

    3.]jsl`n bafbbuaf lftjbrltas uolt mjreumufbaf kjfbaf dntntjrapl

    ;.@jcjgasaf nrafb tua mjreumufbaf kjfbaf `urafbfya pjfbaoagaf mnfklfb

    :.@urafbfya pjfbjtaeuaf mjreumufbaf kjfbaf urafbfya pjfbaoagaf nrafb tua

    4.]jsl`n lfiury paka gata mjreumufbaf dntntjrapl

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    15/20

    C. Xjrjfcafaaf

    1. Mayl tjrmjmas karl lfiury yafb kltafkal kjfbaf sjrug mlolrumlf gjfuruf, tlka` aka

    iaufklcj, rjdoj` gnrn fnrgao, tlka` tjrkapat sjpsls rjdoj`s elsap kaf gjfjoaf mal`.

    =. Mayl tlka` gjfufiu``af tafka-tafka kjelkrasl yafb kltafkal kjfbaf urlfj nutput

    `urafb karl 1-3 go/`b/iag, gjgmraf gu`nsa fnrgao, umuf-umuf tlka` cj`ufb,

    tjgpjratur kaoag matas fnrgao

    3.Mayl tlka` gjfufiu``af akafya lrltasl paka `uolt yafb kltafkal kjfbaf tlka`

    tjrkapat ras kaf tlka` aka ruag ga`uojr jrltjgatnsa

    ;.Nrafb tua tlka` tafpa` cjgas yafb kltafkal kjfbaf nrafb tua gjfbj`sprjsl`af

    pjrasaaf kaf pjreatlaf paka mayl kaf a`tld kaoag partlslpasl pjrawataf mayl

    :.Nrafb tua gjgaeagl `nfklsl mayl kaf aoasaf pjfbnmataf kaf mjrpartlslpasl kaoag

    pjrawataf mayl (pjgmjrlaf glfug kaf gjfafbafl pnpn`)

    4.Mayl tlka` gjfbaoagl lfiury paka gata yafb kltafkal kjfbaf tlka` aka

    `nfiufbtlvltls

    K. Lgpojgjftasl

    1. Gjfcjbae lfiury

    a. @ail elpjrmloolrumlf tlap 1; iag kaf catat

    m. Mjrl`af dntntjrapl sjsual prnbrag

    c. Gnfltnr `akar mloolrumlf ;5 iag sjsual prnbrag

    k. Aftlslpasl jmutueaf trafsdusl tu`arj. Gnfltnr Em kaf Ect

    =. Gjfcjbae tjriaklfya kjelkrasl

    a. Xjrtaeaf`af lfta`j (pjgasu`af calraf)

    m. Mjrl`af glfug sjsual iakuao

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    16/20

    c.Gnfltnr lftj`j kaf nutput (pjgasu`af kaf pjfbjouaraf)

    k.Mjrl`af tjrapl lfdus sjsual prnbrag mloa lfkl`asl, gjflfb`atfya tjgpjratur,

    gjflfb`atfya nfsjftrasl urlfj kaf calraf eloafb mjrojmleaf

    j.@ail kjelkrasl, gjgmraf gu`nsa, umuf-umuf, turbnr uolt, gata

    d.Gnfltnr tjgpjratur sjtlap = iag

    3. Gjfcjbae bafbbuaf lftjbrltas uolt

    a.Lfspj`sl `uolt sjtlap ; iag

    m.Bufa`af samuf mayl

    c.Gjrumae pnslsl mayl kjfbaf sjrlfb

    k.Bufa`af pjolfkufb kajrae bjfltao

    a.Bufa`af pjfbaoas yafb ojgmut

    ;.Gjfburafbl rasa cjgas nrafb tua

    a.Xjrtaeaf`af nfta` nrafb tua-mayl

    m.Ijoas`af `nfklsl mayl, pjrawataf kaf pjfbnfataffya

    c.Aiar`af nrafb tua uftu` gjfbj`sprjsl`af pjrasaaf, kjfbar`af rasa ta`ut kaf

    pjreatlaf nrafb tua

    :.Nrafb tua gjgaeagl nfklsl afa` kaf mjrpartlslpasl kaoag pjrawataf

    a.Aia` nrafb tua uftu` kls`usl kjfbaf gjfijoas`af tjftafb dlslno.nbls aoasaf

    pjrawataf kaf pjfbnmataf

    m.Olmat`af kaf aiar af nrafb tua kaoag pjrawataf mayl

    a.Ijoas`af `ngpol`asl kjfbaf gjfbjfao tafka kaf bjiaoa, ojtearbl, `j`a`uaf ntnt,

    gjfafbls tjrus, `jiafb kaf tlka` gau ga`af kaf glfug, gjflfb`atfya

    tjgpjratur, kaf tafblsaf yafb gjojfb`lfb

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    17/20

    4.Gjfcjbae lfiury paka gata

    a.Bufa`af pjolfkufb paka gata saat dntntjrapl

    m.Xastl`af gata tjrtutup, elfkarl pjfj`afaf paka gata yafb mjrojmleaf `arjfa kapat

    gjflgmuo`af ijias paka gata yafb tjrtutup atau `nrfja kapat tjrbnrjs il`a kapat

    gjgmu`a gatafya saat klmaout.

    J. Xjrjfcafaaf Xjguoafbaf

    Mjmjrapa eao yafb pjrou klpjreatl`af kaoag pjrjfcafaaf puoafb akaoae0

    a. Aiar`af nrafb tua cara gjrawat mayl abar tlka` tjriakl lfdj`sl kaf ijoas`af

    tjftafb kaya taeaf tumue mayl.

    m. Ijoas`af paka nrafb tua pjftlfbfya pjgmjrlaf ASL apamloa sukae tlka`

    l`tjrl`. Faguf mloa pjfyjmam mu`af karl iaufklcj ASL tjtap kltjrus`af

    pjgmjrlaffya.

    c. Ijoas`af paka nrafb tua tjftafb `ngpol`asl yafb gufb`lf tjriakl kaf sjbjra

    oapnr kn`tjr atau pjrawat.

    k. Ijoas`af uftu` pjgmjrlaf lguflsasl.

    j. Ijoas`af tjftafb pjfbnmataf yafb klmjrl`af.

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    18/20

    MAM LLL

    XJFZ[ZX

    A. @jslgpuoaf

    Elpjrmloolrumlf akaoae suatu jakaaf klgafa akar mloolrumlf gjfcapal floal

    yafb gjgpufyal pntjfsl gjflgmuo`af jrfl`tjrus, aoau tlka` kltafbbuoafbl

    kjfbaf mal`.

    Elpjrmloolrumlf tjriakl klsjmam`af noje pjflfb`ataf mloolrumlf, bafbbuaf

    dufbsl eatl kaf `ngpol`asl paka asdl`sla, elpnbol`jgla, elpntjrgla. Bjiaoa yafb

    gjfnfino paka elpjrmloolrumlf akaoae l`tjrl`.

    @ngpol`asl yafb tjriakl paka elpjrmloolrumlf akaoae mloolrumlf jfsjpaonpatl

    kaf jrfl`tjrus. Xjgjrl`saaf klabfnstl` paka elpjrmloolrumlf akaoae oamnratnrlug,

    ZSB, ]akln Lsntnp Scaf, kaf pjfataoa`safaaffya akaoae dntntjrapl, pjgmjrlaf

    djfnmarmltao, aftlmlntl` kaf trafsdusl tu`ar.

    M. Saraf

    Mjrkasar`af slgpuoaf kl atas, ga`a klsaraf`af0

    1. Gjfbjtaeul `ara`tjrlstl afa` gjrupa`af oafb`ae yafb jdj`tld kaoag rafb`a

    gjgmjrl`af asueaf jpjrawataf paka afa`, yaltu0

    a. Xrnsjs dlslnonbls

    m. Kaya pl`lr yafb mjrmjka

    c. Stru`tur dlsl` yafb mjrmjka kjfbaf nrafb kjwasa

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    19/20

    =. @jriasaga kjfbaf nrafb yafb tjrkj`at paka afa` (`jouarba) iuba a`af

    gjgmaftu kaoag joafbsufbaf prnsjs pjgmjrlaf asueaf jpjrawataf.

    3. Maeaya elpjrmlolrumlf akaoae `jrfl`tjrus, yafb kapat gjfbbafbbu pjrtugmueaf

    kaf pjr`jgmafbaf mayl. Noje `arjfa ltu paka mayl yafb gjfkjrlta elpjrmlolrumlf

    pjrou kloa`u`af tlfka` oafiut sjmabal mjrl`ut 9

    1. Xjfloalaf mjr`aoa pjrtugmueaf kaf pjr`jgmafbaf.

    =. Xjfloalaf mjr`aoa pjfkjfbaraf.

    3. Dlslntjrapl kaf rjeamloltasl mloa tjrkapat bjiaoa slsa.

  • 7/21/2019 MAKALAH HIPERBILIRUBIN.docx

    20/20

    KAD[A] XZS[A@A

    Surlakl, kaf ]lta \. =881.Asueaf @jpjrawataf Xaka Afa` . Jklsl L. Daiar Lftjr Xrataga.

    Ia`arta.

    Fbastlae. 1