pemeriksaan rektum dan anus
TRANSCRIPT
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RJEJ\ACWDD@ \JGXZE HD@ D@ZW
Ndxd| ljndcd`k
Edcwzh hd|a rjelzdxd` edcdndf a`a dhdndf ejelj|acd` rjelj|axdfzd` xj|fdhdr wjezd
edwqd|dcdx xj`xd`k ldfdqd%ldfdqd dcd` rj`qdcax qd`k ej`qj|d`k rdhd |jgxze hd` d`zw.
Hdnde edcdndf a`a ozkd hawjlzxcd` drd wdod hderdc hd|a rj`qdcax rdhd |jgxze hd` d`zw hd`
xj|njxdc rdhd ldkad` xzlzf ed`dcdf |jgxze hd` d`zw. Rdhd edcdndf a`a hawjlzxcd` ozkd
hjia`awa hd|a |jgxze hd` d`zw. Hd|a edcdndf a`a caxd hdrdx ej`kjxdfza hjia`awa rj`qdcax
dcaldx hd` gd|d rj`d`kd`d` rj`qdcax rdhd |jgxze hd` d`zw.
\jgxze hd` d`zw dhdndf wdndf wdxz ldkad` hd|a m|kd` rj`gj|`dd` rdhd ed`zwad. Haed`d rdhdldkad` a`a &|jcxze! wzhdf xahdc xj|odha ndka r|mwjw rj`qj|drd` wd|a edcd`d`.
Xzozd`
4. Ej`kjxdfza njlaf d{dn rj`qjldl rj`qdcax rdhd |jcxze hd` d`zw
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Cm`wxardwa lj|fzlz`kd` hj`kd` odnz| rjelzd`kd` qd`k cjgan cj|a`k cmxm|d` qd`k cj|dw
dxdz xahdc nj{dx`qd cmxm|d` ha zwzw z`xzc ljlj|drd {dcxz. A`a xj|odha cd|j`d rj|kj|dcd` ijwjw
ejndnza zwzw ljwd| ndeldx haed`d |jdlwm|lwa gda|d` xj|odha ha zwzw ljwd|. Cm`wxardwa
lj|fzlz`kd` hj`kd` rj`kmwm`kd` cmxm|d` qd`k wznax hd` ej`a`kcdx`qd zwdfd dxdz xjkd`kd`
hd|a mxmx%mxmx ymnz`xj| rdhd r|mwjw hjijcdwa.
Dhd ld`qdc rj`qjldl cm`wxardwa ?
4. Cjladwdd` lzd`k da| ljwd| &l.d.l! qd`k xahdc xj|dxz|
Wdndf wdxz rj`qjldl qd`k rdna`k wj|a`k ej`qjldlcd` cm`wxardwa dhdndf cjladwdd` l.d.l qd`k
xahdc xj|dxz|. \jinjcw hjijcdwa qdk` `m|edn hafdeldx dxdz hadldacd |jinjcw%|jinjcw a`a
xj|cm`hawa ej`odha wjedca` ejnjedf. Cjxacd cjladwdd` hadldacd` cja`ka`d` z`xzc hjijcdwa
fand`k.
D`dc rdhd edwd lj|eda ladwd ej`kdldacd` |jinjcw%|jinjcw a`a3 m|d`k hj{dwd
ej`kdldacd``qd cd|j`d xjcd`d` {dcxz hd` rjcj|odd`.
Cnaj` qd`k ha|d{dx a`dr lawd ej`jcd` cja`ka`d` lzd`k da| ljwd| cd|j`d ednz ej`kkz`dcd`
ljhrd` dxdz cd|j`d r|mwjw hjijcdwa qd`k wd`kdx xahdc `qded . Rj|zldfd` |zxa`axdw hd` hajx
ozkd hdrdx lj|rj|d` hdnde cm`wxardwa. Odnd` xj|ldac z`xzc ej`kfa`hd|a cm`wxardwa dhdndf
ejeladwdcd` l.d.l xj|dxz| hdnde cjfahzrd`.
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wjrj|xa3 lj|dw xjnz| hd` hdka`k wjkd| lj|kj|dc njlaf ndeldx ha wdnz|d` gj|`d. Ej`a`kcdx`qd
dwzrd` gda|d` hj`kd` edcd`d` wjrj|xa axz ej`a`kcdxcd` rj|kj|dcd` edcd`d` xj|wjlzx.
:. Mldx%mldxd`
Ld`qdc mldx%mldxd` hj`kd` jijc wdera`k lj|zrd cm`wxardwa. Ljlj|drd ha d`xd|d`qd wjrj|xa 3
em|iaa gmhja wded fdn`qd hj`kd` mldx%mldxd` dh|j`j|kac hd` d`xacmna j|kac
ejndeldxcd` rj|kj|dcd` cmnm` ejndnza cj|od ej|jcd rdhd wawxje wqd|di rzwdx. Rj`qjldl
nda``qd wjrj|xa? dx ljwa ejerz`qda jijc ej`gazxcd` hd` cj|od qd`k njlaf wjgd|d nmcdn rdhd
ezcmwd zwzw ej`qjldlcd` cm`wxardwa. _dx ljwa ozkd ejerz`qda jijc ej`ka|axdwa hd` hdrdx
ej`qjldlcd` had|j rdhd wjldkad` m|d`k.
9. Ndxafd` qd`k xahdc gzczr
Rdhd cnaj` hj`kd` edwd |d{dx a`dr qd`k nded mxmx wjgd|d zeze dcd` ejnjedf xj|edwzc
mxmx dlhmej` hadi|dked hdwd| rjnyac qd`k hakz`dcd` rdhd r|mwjw hjijcdwa. Cz|d`k`qd
ndxafd` wjgd|d xahdc nd`kwz`k hafzlz`kcd` hj`kd` lj|cz|d`k`qd `diwz edcd` hd`
cjez`kca`d` cz|d`k`qd ozendf wj|dx qd`k rj`xa`k z`xzc ej|d`kwd`k |jinjcw rdhd r|mwjw
hjijcdwa.
;. Zez|
Rdhd ed`znd mxmx%mxmx hd` xm`zw wra`cxj| wjedca` ejnjedf xz|zx lj|rj|d` wjldkda rj`qjldl
rz`z|z`d` cjederzd` hjijcdwa.
6. R|mwjw rj`qdcax
Ljlj|drd rj`qdcax rdhd zwzw hdrdx ej`qjldlcd` cm`wxardwa ljlj|drd ha d`xd|d`qd mlwx|zcwa
zwzw `qj|a cjxacd hjijcdwa lj|fzlz`kd` hj`kd` fjem|fmah qd`k ejelzdx m|d`k
ej`kfa`hd|a hjijcdwa3 rd|dnawaw qd`k ej`kfdeldx cjederzd` cnaj` z`xzc lzd`k da| ljwd|3
xj|odha`qd rj|dhd`kd` rjnyac qd`k ej`kfdwancd` rd|dnawaw dxdz dxm`a rdhd zwzw.
Cm`wxardwa lawd odha lj|jwacm rdhd cnaj` |jkd`kd` cjxacd l.d.l hdrdx ej`qjldlcd` wx|jw rdhd
dlhmej` dxdz nzcd rdhd rj|a`jze &rmwx mrj|dwa!3 \zrxz| hdrdx xj|odha oacd xjcd`d` wddx
hjijcdwa gzczr ljwd|. Haxdeldf ndka rj|jkd`kd` wj|a`k lj|wdedd` hj`kd` xj|xdfd``qd `drdw.
Kj|dcd` a`a hdrdx ej`qjldlcd` edwdndf wj|azw rdhd m|d`k hj`kd` wdcax od`xz`k x|dzed
mxdc dxdz rj`qdcax rdhd rj|`drdwd`. Xj|xdfd``qd `drdw ej`a`kcdxcd` xjcd`d` a`x|d xm|dcdn
hd` a`x|dc|d`adn. Rdhd cm`hawa xj|xj`xz xjcd`d` a`a hdrdx hacz|d`ka oacd wjwjm|d`k
ej`kjnzd|cd` `drdw ejndnza eznzx cjxacd ej`kjod`-|jkd`kd` xj|odha. Ldkdaed`drz
ej`kfa`hd|a |jkd`kd` ej|zrdcd` rj`gjkdfd` qd`k xj|ldac.
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Aerdcwa ijwjw hdrdx hahjij`awacd` wjldkda wzdxz edwwd dxdz czerznd` qd`k ej`kj|dw ijwjw
wjrj|xa hjerzn rdhd nardxd` |jcxze. Aerdcwa xj|odha rdhd |jxj`wa qd`k nded hd` dczezndwa
hd|a ldfd`%ldfd` ijwjw. Rdhd aerdcwa qd`k kd{dx ijwjw xj|czerzn hd` dhd ha hdnde gmnm`
wakemah. Aerdcwa ijwjw haxd`hda hj`kd` dhd`qd had|j hd` cmxm|d` qd`k xahdc `m|edn. Gda|d`
ej|jeljw cjnzd| ijwjw wjcjnana`k hd|a edwwd qd`k xj|xdfd`. Aerdcwa hdrdx ozkd ha`anda hj`kd`
rjej|acwdd` hakaxdn rdhd |jcxze wjnded aerdcwa edwwd qd`k ej`kj|dw wj|a`k ozkd hdrdx
hardnrdwa.
Had|j qd`k lj|wded hj`kd` cm`wxardwa xj|edwzc kjodnd qd`k wj|a`k xjxdra xahdc dhd
cja`ka`d` z`xzc hjijcdwa hd` `qj|a rdhd |jcxze. Fdha|`qd xd`hd%xd`hd zeze hd|a xj|odha`qd
rj`qdcax 3 cnaj` ej`odha d`m|jcwad dlhmej` ej`odha xjkd`k hd` lawd ozkd xj|odha ez`xdf.
Rj`qjldl hd|a aerdcwa ijwjw ladwd`qd cjladwdd` lzd`k da| ljwd| qd`k od|d`k hd` cm`wxardwa.
Mldx%mldx xj|xj`xz ozkd lj|rj|d` wj|xd rdhd aerdcwa. Ld|aze hakz`dcd` rdhd rjej|acwdd`
|dhamnmka rdhd wdnz|d` kdwx|ma`xjwxa`dn ldkad` dxdw hd` ld{df hdrdx ej`odha idcxm| rj`qjldl
wjfa`kkd wjxjndf rjej|acwdd` a`a fdwan rj`kzcz|d` harj|mnjf z`xzc ejedwxacd` rj|kj|dcd`
ld|aze.
Rdhd m|d`k qd`k njlaf xzd idcxm|%idcxm| qd`k lj|dkde hdrdx ej`qjldlcd` aerdcwa3 dwzrd`
gda|d` qd`k cz|d`k hajx qd`k cz|d`k wj|dx |j`hdf`qd dcxayaxdw ejnjedf`qd xm`zw mxmx.
Rjej|acwdd` hakaxdn fd|zw handczcd` hj`kd` njelzx hd` fdxa%fdxa cd|j`d |d`kwd`kd` rdhd
`j|yzw ydkzw ha ha`ha`k |jcxze hdrdx ejerj|ndeldx cj|od od`xz`k rdwaj`.
7. Rj|wadrd` r|j mrj|dwa
Ladwd`qd rdhd wjezd xa`hdcd` mrj|dwa wjljnze`qd ha ndczcd` j`jed. D`dwxjwad zeze &KD!
hdnde rjeljhdfd` lawd halj|acd` ejndnza j`jed hj`kd` xzozd` z`xzc ej`kz|d`ka jijc
ez`xdf wjnded hd` wjxjndf mrj|dwa ozkd ej`gjkdf xj|odha`qd dwra|dwa.
8. Z`xzc xa`hdcd` hadk`mwxac eawdn`qd rjej|acwdd` |dhamnmka
Rjej|acwdd` |dhamnmka wjrj|xa gmnm`mwgmrq j`hmwgmrq hnn.
Rj`kcdoad`
Rj`kcdoad` rdwaj` handczcd` z`xzc ej`hdrdxcd` hdxd wzlojcxai hd` hdxd mlojcxai ejndnza
a`xj|yaj{ hd` rjej|acwdd` iawac xj|zxded qd`k lj|cdaxd` hj`kd` wdnz|d` gj|`d rjej|acwdd`
ndlm|dxm|aze hd` |dhamnmkq
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\jcxze hd` d`zw
Rdhd rjej|acwdd` d`m|jcxdn cnaj` ladwd`qd had`oz|cd` hdnde rmwawa waew-ea|a`k cj ca|a dxdz
kj`zrjgxm|dn. Cnaj` {d`axd ozkd hawd|d`cd` hdnde rmwawa naxmxmea.
HADK@MWD CJRJ\D[DXD@
Hadk`mwd cjrj|d{dxd` lj|dwdn hd|a rj`kcdoad` hdxd qd`k cm`c|ax hd|a rj|d{dx.
Gm`xmf gm`xmf hadk`mwd cjrj|d{dxd` qd`k lj|fzlz`kd` hj`kd` dnxj|`dxai l.d.l ?
4. Cm`wxardwa qd`k lj|fzlz`kd` hj`kd` ld|aze.
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j. Ejelzdx cm`x|dc &{dcxz xjerdx hd` xa`hdcd` qd`k dcd` handczcd`!
i. Wjnded cmez`acdwa hakz`dcd` ldfdwd qd`k ojndw wawxjedxaw wj|xd xahdc ej`kd`gde.
k. Cnaj`-cjnzd|kd halj|a cjwjerdxd` lj|xd`qd z`xzc cnd|aiacdwa
f. Ej`odkd r|aydwa cnaj`.
a. Ejerj|nafdxcd` cjwdld|d` rj`zf jerdxa wmrd` hd` rj|fdxad` wj|xd |jwrjc
wjnded lj|cmez`acdwa hd` ejndczcd` xa`hdcd`
o. Rdwaj` hawadrcd` hdnde rmwawa qd`k wjwzda
Rj|dndxd`
4. wd|z`k xd`kd`
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JYDNZDWA
Cnaj` dcd` ?
Ej`jxdrcd` {dcxz qd`k xj|dxz| z`xzc hjijcdwa
Lj|rd|xawardwa hdnde r|mk|de ndxafd` qd`k xj|dxz|
Ejedcd` edcd`d` wjwzda hj`kd` hajx qd`k haxj`xzcd`
L.D.L hj`kd` `qded` hd` nd`gd|
Ea`ze #
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Gd|mn Xdqnm| Jx Dnn. 411;. Iz`hdej`xdn Mi @z|wa`k. Narra`gmxx \dyj`
[dwfa`kxm`
Gfj` XW. Gfj` RW &4161! A`xjwxa`dn dzxma`xmvagdxam`? d ejhagdn
njaxemxaiOmz|`dn mi Gna`agdn Kdwx|mj`xj|mnmkq
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RJEJ\ACWDD@ \JCXZE HD@ D@ZW
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Hawzwz` mnjf ?
4. @z|xa` & 77 !