tuberkulosis (tbc), bronkiektasis, dan bronkiolitis
TRANSCRIPT
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PSOC_NSJM[G[ &POK'
G) @CEGIG[G
Psocrnsjm{g{ &POK' h`hjhf {shps ciwhngp nrmig{ hngohp giecn{g Awkmohkpcrgsa psocrksjm{g{
whil aciwcrhil {cash ohlghi psosf* hnhi pcphg 62# aciwcrhil hrs!hrs `hi `hhp
acisjhr acjhjsg `rmjcp)
GG) CPGMJMLG
Nsahi Awkmohkpcrgsa psocrksjm{g{ whil acrshnhi ciwcoho POK h`hjhf ohnpcrg
ocrocipsn oh{gj-ohphil* pg`hn acasiwhg {mrh ahssi nh{sj* crpsaosfhiiwh {ckhrh
hcrmo mojglhp* fg`s {cohlhg hrh{gp giprh{cjsjhr `g `hjha {gpmjh{ah ahnrmehl* `hi
acrshnhi Ohnpcrg Phfhi H{ha &OPH' nhrcih {cohlghi oc{hr nsahi pcr`grg mjcf h{ha
jcahn) Nsahi POK {sjgp `g|hrihg `cilhi khrh Lrha* pcphg ogjh ocrfh{gj ahnh fh{gjiwh
h`hjhf Lrha m{gpge) Nsahi POK dslh {hills fg`s h`h s`hrh ncrgil hphs `gilgi nhrcih
nsahi pcr{cosp `hhp ocrphfhi `hjha nch`hhi `mrahi)
GGG) CRG@CAGMJMLG
! Acisrsp jhmrhi Rcihillsjhilhi POK Ljmohj whil `gncjshrnhi mjcf \FM h`h phfsi
?220* `g Gi`mic{gh hilnh gi{g`ci{g POK h`h phfsi ?22? acikhhg 333)222 nh{s{
&?35 nh{s{-822)222 ci`s`sn'* `hi 05# `ghiphrhiwh `gcrngrhnhi acrshnhi nh{s{
ohrs)
! Gi`mic{gh pcrah{sn iclhrh crgilnhp nc; `hjha nh{s{ POK {cpcjhf Gi`gh `hi Kfgih)
! [cohlghi oc{hr nh{s{ POK `g Gi`mic{gh pcrdh`g h`h ncjmamn s{gh rm`snpge* whgps
{cngphr 83!33 phfsi)
! @g Gi`mic{gh* POK acrshnhi ciwcoho ncahpghi nc`sh pcrohiwhn {cpcjhf ciwhngp
dhipsil &\FM* ?22?')
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GU) RHPMEG[GMJMLG
POK `gohlg acidh`g ?* whgps48) Psocrnsjm{g{ rgacr
?) Psocrnsjm{g{ m{p!rgacr
G) POK R_GAC_
Rcisjhrhi POK hrs pcrdh`g acjhjsg gifhjh{g hgr!omric* whgps acjhjsg `rmjcp) Ogjh
hrpgncj giecn{g gig pcrfgrs mjcf mrhil {cfhp* gh hnhi acicacj h`h dhjhi ihh{ hphs hrs!
hrs) [cohlghi oc{hr hrpgncj hnhi ahpg hphs `gocr{gfnhi mjcf ahnrmehl ncjshr `hrg khohil
prhncmorminghj {crph `gohips lcrhnhi {gjgh oc{crph {cnrcpiwh) Ogjh nsahi acicph `g
dhrgilhi hrs* gh ocrpsaosf `hi ocrncaohil oghn `hjha dhrgilhi ahnrmehl) @g {gig gh dslh
`hhp pcroh|h ah{sn nc `hjha mrlhi jhgiiwh)
Nsahi whil ocr{hrhil `g dhrgilhi hrs!hrs hnhi acaocipsn {hrhil psocrnsjm{g{
nckgj whil `g{cosp {hrhil rgacr- cecn rgacr) Rcrg{pg|h gig hnhi acigaosjnhi rm{c{
crh`hilhi h`h {hjsrhi NLO acisds fgjs{ &jgaehilgpg{ jmnhj'* `hi caoc{hrhi NLO fgjs{
&jgaeh`cigpg{ rclgmihj') [hrhil rgacr `g{crphg jgaehilgpg{ jmnhj `hi jgaeh`cigpg{ rclgmihj
`g{cosp {cohlhg nmajcn{ rgacr) [cjhidspiwh nmajcn{ gig `hhp4
8) {caosf phih acigillhjnhi khkhp
?) {caosf `cilhi acigillhjnhi {c`gngp ocnh{ ocrsh lhrg{!lhrg{ egormpgn hphs nhj{gegnh{g `g
fgjs{ &nmajcn{ Lfmi'
;) ocrnmajgnh{g `hi aciwcohr {ckhrh crnmipgisgphpsa &aciwcohr nc {cngphriwh'* jgaemlci
&jc|hp {hjsrhi jgaec acisds mrlhi jhgi'* orminmlci &h`h hrs whil ocr{hilnsphi hphs
hrs {cocjhfiwh* hphs h`h rm{c{ gig nsahi dslh `hhp pcrpcjhi `hi aciwcohr nc s{s{'*
ahssi fcahpmlci &jc|hp `hrhf acisds mrlhi jhgi')
\hnps hiphrh pcrdh`giwh giecn{g {hahg caocipsnhi nmajcn{ rgacr h`hjhf 0! 5 agills)
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GG) POK RM[P!R_GAC_
Nsahi whil `mrahi h`h POK rgacr hnhi asiksj ocrphfsi!phfsi ncas ghi{cohlhg giecn{g ci`mlci acidh`g psocrksjm{g{ `c|h{h &m{p!rgacr') POK m{p!rgacr gig
`gasjhg `cilih {hrhil `gig whil ocrjmnh{g `g rclgm hph{ hrs!hrs &ohlghi hgkhj m{pcrgmr
jmos{ {scrgmr hphs giecrgmr') Giuh{giwh nc `hcrhf hrcinga hrs `hi pg`hn nc im`s{ fgjcr
hrs)
[hrhil `gig gig asjh!asjh dslh ocrocipsn {hrhil icsamih nckgj) @hjha ;!82
agills {hrhil gig ncas`ghi acidh`g psocrncj* whgps {shps lrhisjmah whil pcr`grg `hrg {cj
fg{pgm{gp `hi {cj @hpgh Jhilfhi{ &{cj oc{hr `cilhi ohiwhn gipg' whil `gncjgjgilg mjcf {cj!{cj
jgaem{gp `hi ocrohlhg ahkha dhrgilhi gnhp
Pcrlhipsil `hrg dsajhf nsahi* ugrsjci{giwh* `hi gasigph{ ci`crgph* {hrhil `gig gps
`hhp acidh`g4
8) `grc{mr{g ncaohjg `hi {caosf phih acigillhjnhi khkhp
?) {hrhil whil asjh!asjh acjsh{* ncas`ghi {caosf `cilhi acigillhjnhi dhrgilhi egorm{g{
hphssi acilhjhag nhj{gegnh{g)
;) [hrhil `gig whil acjsh{ `g ahih psocrncj hphs lrhisjmah ph`g ncas`ghi acilfhiksrnhi
dhrgilhi {cngphriwh `hi ohlghi pcilhfiwh acilhjhag icnrm{g{ acidh g jcaocn
acaocipsn dhrgilhi ncds &crngdshi')
Ogjh dhrgilhi pcr{cosp `gohpsnnhi ncjshr* ahnh hnhi pcrdh`gjhf nhugph{) Nhugph{ gig asjh!
asjh ocr`gi`gil pgg{* hnhi pcphg jhah!jhah `gi`giliwh hnhi acicohj nhrcih giegjprh{g
dhrgilhi egormojh{* {cfgillh acidh`g nhugph{ {njcrmpgn) Nhugph{ pcr{cosp `hhp4
h) acjsh{ ncaohjg `hi acigaosjnhi {hrhil ohrs `cilhi rm{c{ crdhjhihi whil {hah)
o) acah`hp `hi acaosilns{ `grg {cfgillh acidh`g psocrnsjmah* whil `hhp acilhsr*
{caosf* hphs `hhp hnpge ncaohjg acidh`g khgr `hi acidh`g nhugph{ jhlg)
k) ocr{gf `hi acwcaosf &mci fchjc` khugpw')
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U) NJH[GEGNH[G
8) PO hrs OPH m{gpge @cilhi hphs phih lcdhjh
OPH m{gpge 4 ! agnrm{nmg{ .
! agnrm{nmg{ .* oghnhi .
! agnrm{nmg{ .* rh`gmjmlg{ .
?) PO hrs OPH iclhpge
Lcdhjh njgig{* rh`gmjmlg{* {c{shg PO hrs hnpge
Ohnpcrgmjmlg{ &{spsa OPH' 4 iclhpge
Agnrm{nmg{ ! * oghnhi ! * njgig{ % rh`gmjmlg{ .
Agnrm{nmg{ ! * oghnhi .* njgig{ % rh`gmjmlg{ .
;) Ocnh{ PO
Ohnpcrgmjmlg{ &agnrm{nmg{ % oghnhi' iclhpge
Njgig{ pg`hn h`h* hphs h`h lcdhjh {g{h hngohp ncjhgihi hrs whil `gpgillhjnhi
UG) EHNPM_ _C[GNM
h) Ehnpmr jgilnsilhi
! Ucipgjh{g whil osrsn `hi nsrhiliwh cikhfhwhhi {gihr ahphfhrg
@g jshr psosf ahis{gh* nsahi Awkmohkpcrgsa psocrksjm{g{ fg`s ohgn h`h jgilnsilhi
whil jcaoho hnhi pcphg pg`hn phfhi pcrfh`h {gihr ahphfhrg) Khfhwh ahphfhrg acasiwhg
{gehp acaosisf ohnpcrg* pcrsphah nsahi Awkmohkpcrgsa psocrksjm{g{ &Impmhpam`dm*
?22;' Acisrsp @cnc{ _G &?22?'* nsahi psocrnsjm{g{ fhiwh `hhp ahpg mjcf {gihr
ahphfhrg jhil{sil)
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! Nch`hphi fsighi
Fhj gig pg`hn {cfhp nhrcih `g{hagil aciwcohohnhi nsrhiliwh nmi{sa{g mn{glci* dslh ogjh
{hjhf {hps hillmph ncjshrlh pcrncih ciwhngp giecn{g* pcrsphah psocrnsjm{g{ hnhi as`hf
acisjhr nch`h hillmph ncjshrlh whil jhgi &Jsog{* 8767> Impmhpam`dm* ?22;'
! _shilhi whil jcaoho
_sahf whil jcaoho acrshnhi ac`gh whil ohgn ohlg crpsaosfhi agnrmmrlhig{ac* hiphrh
jhgi ohnpcrg* {grmncp* rgkncp{gh `hi ugrs{) Ohnpcrg Awkmohkpcrgsa psocrksjm{g{ {ccrpg
fhjiwh ohnpcrg jhgi h`h sasaiwh hnhi psaosf `cilhi {sosr h`h jgilnsilhi `cilhi
ncjcaohohi whil pgillg) Hgr acaocipsn jcogf `hrg 62 # umjsac {cj ohnpcrg `hi acrshnhi
fhj c{{ci{ghj sipsn crpsaosfhi `hi ncjhil{silhi fg`s {cj ohnpcrg &Lmsj` % Ormmncr*
?22;') Acisrsp Immhpam`dm &?22;'* ncjcaohohi s`hrh whil acigilnhp acrshnhi ac`gh
whil ohgn sipsn ohnpcrg!ohnpcrg hpmlci pcrah{sn psocrnsjm{g{)
! [sfs `hjha rsahf whil pg`hn acah`hg
Jciigfhi `hi Ejcppcr &8767'* acilcasnhnhi ohf|h {sfs rsahf whil pg`hn acacisfg
{whrhp nc{cfhphi hnhi acigilnhpnhi ncfgjhilhi hih{ psosf `hi psosf hnhi ocrs{hfh
aciwcgaohilnhi `cilhi {sfs jgilnsilhi acjhjsg rm{c{ cuhmrh{g) Ncfgjhilhi hih{ psosf
gig hnhi acisrsinhi ugphjgph{ psosf `hi acrshnhi rc`g{m{g{g sipsn pcrncih giecn{g
pcrsphah giecn{g {hjsrhi iheh{ mjcf hlci whil acisjhr)
! Rcrgi`hfhi nc `hcrhf `cilhi |hohf POK whil pgillg
&{cahngi {crgil `hi jhah gi`gug`s gps pcrhhr* rc{gnm sipsn pcrncih POK {cahngi oc{hr'
o) Ehnpmr gi`gug`s
! @ghocpc{ acjgps{ &h{gci @A jcogf as`hf pcrncih ciwhngp giecn{g* {ccrpg POK'
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! Nsrhiliwh ncocr{gfhi `hi {higph{g cr{mihj* ag{hjiwh pg`hn acidhlh ncocr{gfhi oh`hi
hphs pg hn acikskg philhi &nsahi psocrnsjm{g{ hnhi ahpg ogjh pcrncih {hosi
&Hpam{snhrpm % [mc|h{pg* ?222''
! Ahjisprg{g &lgtg osrsn acacroc{hr rc{gnm pcrncih POK nhrcih ncnsrhilhi lgtg
acaocipsn crphfhihi psosf-{g{pca gasi whil pg`hn mpgahj'
! Ocjsa crihf aci`hhpnhi gasig{h{g POK &Gasig{h{g POK sipsn acikclhf POK'
! FGU-HG@[ &Giecn{g FGU acilhngohpnhi ncrs{hnhi jsh{ {g{pca `hwh phfhi psosf {cjsjcr)
FGU-HG@[ acrshnhi ciwhngp gasimnmarmahg{* nsahi FGU whil h`h `hhp
acjcahfnhi {g{pca gasigph{ psosf* {cfgillh acaocrgnhi dhjhi ah{sn sipsn ciwhngp
giecn{g jhgi {ccrpg POK'
! Pgilnhp gasigph{ psosf whil rci`hf
k) Ehnpmr nsahi
! dsajhf nsahi POK `hjha psosf
! pgilnhp ugrsjci{g nsahi POK
UGG)LCDHJH NJGIG[
Lcdhjh njgig{ h`h POK `gohlg acidh`g ;* whgps lcdhjh rc{grhpmrgn* lcdhjh {g{pcagn* `hi
lcdhjh whil ocrnhgphi `cilhi ciwcohrhi cn{prh!sjamicr)
H') Lcdhjh!lcdhjh rc{grhpmrgn* hiphrh jhgi4
8) ohpsn {cjhah ; agills hphs jcogf &lcdhjh hjgil sasa* pcrdh`g nhrcih h`hiwh grgph{g h`h
ormins{) H|hjiwh ohpsn pg`hn `g{crphg {spsa* phg ocaocipsnha psocrncj whil ohiwhn
`hhp acaocipsn {coshf rshil `g `hjha hrs!hrs) _shil gigjhf whil ihipgiwh acidh`g
{saocr rm`sn{g {spsa'
?) ohpsn `hrhf &fcampg{g{* pcrdh`g nhrcih pcr hhp caosjsf `hrhf whil ckhf'
;) {c{hn ihh{ &`gpcasnhi h`h nch`hhi jhidsp* hhogjh giegjprh{giwh {s`hf acikhhg
{cpcilhf ohlghi hrs!hrs'
0) iwcrg `h`h &hhogjh giegjprh{giwh {s`hf acikhhg jcsrh {cfgillh pcrdh`g jcsrgpg{'
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O') Lcdhjh!lcdhjh {g{pcagn* hiphrh jhgi4
8) @caha &ogh{hiwh {soecorgj aciwcrshg caha giejscith'
?) Ahjhg{c &himrcn{gh* OO psrsi* pg`hn h`h ih{s ahnhi';) Ncrgilhp h`h |hnps ahjha &nhrcih cigilnhphi acphomjg{ac'
K') [c`hilnhi* lcdhjh!lcdhjh whil ocrnhgphi `cilhi ciwcohrhi cn{prh!sjamicr
pcrlhipsil `hrg mrlhi whil pcrncih)
UGGG) @GHLIM[G[
h) HIHAIC[G[
s{gh* rg|hwhp ohpsn &jhahiwh &?!; agills'* rg|hwhp ohpsn `hrhf* rg|hwhp ncrgilhp `g
ahjha fhrg* rg|hwhp cisrsihi ocrhp oh`hi `hi rg|hwhp nmiphn `cilhi ci`crgph
PO-[s{cn PO)
o) RCAC_GN[HHI EG[GN
Sasaiwh 4 ncjhgihi `g hcv
@hhp `gpcasnhi h)j) 4
8) Phi`h!phi`h giegjprhp 4 rming oh{hf* {shrh rc`s* {shrh ihh{ ormikfghj* ihh{ acjcahf
?) Phi`h!phi`h cihrgnhi hrs* `gherhlah* `hi ac`gh{pgisa
;) {shrh haemrgn ocrfsosilhi `cilhi h`hiwh nhugpg whil ocrfsosilhi jhil{sil `cilhi
ormins{
k) RCAC_GN[HHI RCISIDHIL
! Rcacrgn{hhi `hrhf
JC@ acigilnhp hphs imrahj `hi jgaem{gpm{g{) Ncihgnhi dsajhf jgaem{gp ogh{hiwh
pcrdh`g h`h ciwhngp giecn{g)
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! Rcacrgn{hhi rh`gmjmlg{
Rh`h cacrgn{hhi empm RH* POK `hhp acaocrgnhi lhaohrhi whil asjpgemra*
{ccrpg4
. ohwhilhi ocrh|hi- im`sjhr `g hgkhj m{pcrgmr jmos{ {scrgmr-giecrgmr
. nhugpg* `gncjgjgilg mjcf ohwhilhi mhn ocrh|hj whil im`sjcr
. ohwhilhi ocrkhn agjgcr
! Rcacrgn{hhi ohnpcrgmjmlg{
Rcacrgn{hhi ohnpcrgmjmlgn whil rspgi `gjhnsnhi h`hjhf cacrgn{hhi OPH {cjhah ;
nhjg) @gnhphnhi m{gpge ogjh ? nhjg m{gpge `g hiphrh ; nhjg cacrgn{hhi) Dgnh fhiwh 8
whil m{gpge* ahnh cacrgn{hhi hnhi `gsjhil ncaohjg) [cpcjhf cacrgn{hhi sjhil*
hhogjh `gpcasnhi 8 nhjg m{gpge m{gpge)
! Rcacrgn{hhi fg{pmhpmjmlg{
@ghlim{g{ `gnhphnhi h{pg hhogjh acaocrgnhi fh{gj ocrsh lrhisjmah `cilhi
crngdshi
! Sdg psocrnsjgi
Sdg psocrnsjgi pg`hn acasiwhg hrpg `hjha acicipsnhi `ghlim{g{ PO h`h mrhil
`c|h{h* {coho {cohlghi oc{hr ah{whrhnhp {s`hf pcrgiecn{g `cilhi Awkmohkpcrgsa
psocrksjm{g{)
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GV) PHPH JHN[HIH
h) Ac`gnhacipm{h
Dcig{ Mohp Hipg Psocrnsjm{g{
8) G{migh{g` &F'4 `gncihj `cilhi GIF* ocr{gehp ohnpcrg{g`* `hhp acaosisf 72# msjh{g
nsahi `hjha ococrhh fhrg crphah cilmohphi) Mohp gig {hilhp cecnpge pcrfh`h nsahi
`hjha nch`hhi acphomjgn hnpge* whgps nsahi whil {c`hil ocrncaohil)
?) _gehag{gi &_'4 Ocr{gehp ohnpcrg{g`* `hhp acaosisf nsahi {cag!`mrahip &cr{g{pcr'
whil pg`hn `hhp `gosisf mjcf G{migh{g`)
;) Rgrh{gihag` &T'4 Ocr{gehp ohnpcrg{g`* `hhp acaosisf nsahi whil ocrh`h `hjha {cj
`cilhi {sh{hih h{ha)
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0) [prcpmag{gi &['4 Ocr{gehp ohnpcrg{g`) Aciwcohonhi ncrs{hnhi {hrhe nc `cjhhi whil
ocrnhgphi `cilhi nc{cgaohilhi `hi ci`cilhrhi) Nch`hhi gig `hhp `gsjgfnhi ogjh mohp
{clcrh `gfcipgnhi) @hhp acicaos{ ohrgcr jh{ciph {cfgillh pg`hn omjcf `gocrgnhi h`h
|higph fhagj nhrcih `hhp acrs{hn {hrhe ci`cilhrhi dhigi3) Cphaospmj &C'4 Ocr{gehp {cohlhg ohnpcrgm{phpgn) @ggnspnhi `hjha cilmohphi dgnh
`grc`gn{g h`h rc{g{pci{g pcrfh`h GIF)
Rh`shi MHP `g Gi`mic{gh4
Nhpclmrg 8) ! OPH .
! Nh{s{ ohrs
! [hngp ocrhp &OPH !'
! Cn{prhsjamicr
?_FT[&C' - 0 _F hphs 0 _;F;
Nhpclmrg ?) ! Rcilmohphi sjhil
! Nhaosf & OPH . '
! Lhlhj
?_FTC[ - 3 _FC hphs 3_;F;C;
Nhpclmrg ;) ! PO hrs &OPH ! ' ?_FT - 0_F
! Cn{prh sjam ?_FT - 0_;F; hphs ?_;F;T; - 0_;F;
Nhpclmrg 0) ! PO nrmig{ MHP {cnsi`cr
o) Rci`crgph POK whil Lhlhj Ocrmohp- Rsps{ Rcilmohphi
8) Ogjh acilfcipgnhi cilmohphi : ? agills MHP `gjhidspnhi
?) Ogjh 9 ? agills pcphg 4
9 0 osjhi & OPH !* Njgig{ ! * _m !' MHP {pm
9 0 osjhi & OPH .' 4 ! MHP asjhg `hrg h|hj
! Mohp jcogf nshp& 9 ; ahkha mohp '
! Pcrhg jcogf jhah
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: 0 osjhi & OPH .'4 ! MHP asjhg `hrg h|hj jhlg
! Rh`shi wl {hah
: 0osjhi & 9 8 osjhi' &OPH!* Njgig{ .* _m .' 4
MHP asjhg `hrg h|hj* h`shi mohp {hah: 0 osjhi &?! 0agills'* OPH! MHP pcrs{nhi {c{shg dh`|hj
k) POK Rhrs `hjha Nch`hhi Nfs{s{
PO hrs agjgcr
Rh{gci `cilhi PO hrs agjgcr acacrjsnhi nmrpgnm{pcrmg`)
@ghocpc{ acjgps{
_gehag{gi acilsrhilg cecnpgugpg {sjemigj srch* {cfgillh `m{g{ crjs `gihgnnhi)
Ncfhagjhi `hi aciws{sg
8) Rcrcashi fhagj {cash hahi nckshjg hagim ljgnm{g`h ag{hj> {prcpmag{gi
?) Rcrcashi aciws{sg {cash hahi
Rcilmohphi cikclhfhi GIF sipsn ohwg
Lhlhj lgidhj
MHP whil hahi ? _FT-5 F_) C `hi [ `hhp `gocrgnhi `cilhi `m{g{ {c{shg ehhj
lgidhj `hi `g oh|hf cilh|h{hi)
FGU-HG@[
Rci`crgph giecn{g FGU-HG@[ pg`hn omjcf `gocrgnhi pfghkcphtmi
Lhillshi esil{g fhpg
! Ogjgrsogi 9 ? hphs [LMP - [LRP 9 ; nhjg caocrghi MHP gfcipgnhi
! Rcigilnhphi [LMP-[LRP : ; nhjg* caocrghi MHP `gpcrs{nhi `cilhi
cilh|h{hi ncphp
h) [cpcjhf `rsl gi`skc` fchpgpg{ T pg`hn `gocrgnhi jhlg
o) Hidsrhi 4 ? _FC[-5_F hphs ? FC[-82FC
k) Fchpgpg{ hnsp [ `hi C ahn{gahj ; osjhi fchpgpg{ {caosf phaohfnhi _
`hi F
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`) [prhpclg @MP[
@MP[ &@grckpjw Mo{cruc` Prchpacip [fmrp Kmsr{c' acrshnhi {prhpclg cacrgiphf whil
`gjhn{hihnhi `g cjhwhihi nc{cfhphi `h{hr sipsn aci`cpcn{g `hi aciwcaosfnhi h{gciPOK)
[prhpclg @MP[ pcr`grg `hrg 3 nmamici* whgps 4
m H`hiwh nmagpaci mjgpg{ `hrg cacrgiphf sipsn ocr{sillsf!{sillsf acihillsjhilg POK)
m @ghlim{g{ ciwhngp POK acjhjsg cacrgn{hhi `hfhn {ckhrh agnrm{nmg{
m Rcilmohphi POK `cilhi h`shi mohp hipg!POK dhilnh ci`cn* `gh|h{g {ckhrh jhil{sil
mjcf RAM &Rcilh|h{ Acicjhi Mohp')
m Pcr{c`ghiwh h`shi mohp hipg!POK dhilnh ci`cn {ckhrh nmi{g{pci)
m Rcikhphphi `hi cjhmrhi acilcihg ci`crgph POK {c{shg {phi`hr)
Rcaocrghi mohp `gjhnsnhi `hjha dhilnh |hnps whil ci`cn `g oh|hf cilh|h{hi jhil{sil
RAM &Rcilh|h{ Agisa Mohp'
Rcr{whrhphi `hi pslh{ RAM* hiphrh jhgi4
!ocr{c`gh acaohips `cilhi {snhrcjh ci`crgph POK {cjhah 5 osjhi
! gpcphnhi {cocjsa cjhn{hihhi @MP `gjhnsnhi* `hi fhrs{ fh`gr `g s{hp
cjhwhihinc{cfhphi sipsn aci`hhpnhi cjhpgfhi {gilnhp pciphil @MP)
!acilhiphr dcasp MHP 8v-?v {cagills ogjh h{gci pg hn `hhp `hphil sipsn
acilhaogjiwh
! acilhiphr dcasp cacrgn{hhi sjhil `hfhn h`h osjhi ?* 3* `hi 5 cilmohphi
! acrsdsn ogjh h`h cecn {hagil mohp
! acah{pgnhi h{gci POK agisa mohp {ckhrh pcrhpsr
V) NMARJGNH[G
! ohpsn `hrhf &fcampg{g{ ocrhp dslh `hhp aciwsaohp dhjhi ihh{'
! icsampmrhn{
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! cagcah
! ormingcnph{g{
VG) R_MLIM[G[Rh`h cihphjhn{hihhi whil pchp {crph cilmohphi whil pcrhpsr* ciwhngp gig `hhp
`g{caosfnhi) Hnhi pcphg phih cilmohphi-pg`hn pcrhpsr cilmohphi* ciwhngp gig `hhp
acidh`g ehphj `hjha rciphil |hnps jgah phfsi `hi `hhp ocrnmajgnh{g acidh`g ncahpghi)
VGG) RCIKCLHFHI
Ahnhi ksns lgtg{cpgh fhrg
Ocncrdh pg`hn pcrjhjs ocrhp
G{pgrhfhp ksns `hi pcrhpsr
Uhn{gih{g-Gasig{h{gOKL nch`h ohwg 2!; osjhi
S{hfhnhi hlr {gihr ahphfhrg `hhp ah{sn {cpgh rshilhi `hjha rsahf acjhjsg dci`cjh
hphs lcipgil nhkh* )nhrcih nsahi POK ahpg `cilhi {gihr ahphfhrg
Ncocr{gfhi rshilhi `hjha rsahf pcrdhlh pcrsphah nhahr pg`sr
[cpgh rshilhi `hjha rsahf `gjcilnhg dci`cjh whil ksns sipsn cikhfhwhhi hjhag `hi
Ucipgjh{g sipsn crpsnhrhi s`hrh
Acidcasr nh{sr* ohiphj {ckhrh pcrhpsr
Jsh{ rsahf aciksnsg {cohi`gil `cilhi dsajhf cilfsig
_sahf {cfhp`hhp acikclhf cisjhrhi ciwhngp PO
http://abahjack.com/imunisasi.htmlhttp://abahjack.com/rmah-sehat-dalam-lingkungan-yang-sehat.htmlhttp://abahjack.com/imunisasi.htmlhttp://abahjack.com/rmah-sehat-dalam-lingkungan-yang-sehat.html -
7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
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POK RH@H HIHN
Cg`cagmjmlg
PO hrs acrshnhi ah{hjhf whil pgaosj pg`hn fhiwh `g iclhrh ocrncaohil pcphg dslh `g
iclhrh ahds) Psocrnsjm{g{ pcph acrshnhi {hjhf {hps ciwcoho pgillgiwh hilnh nc{hngphi
`hi ncahpghi* ohgn `g iclhrh ocrncaohil ahssi `g iclhrh ahds) H`h ; fhj whil
acacilhrsfg cg`cagmjmlg PO {cpcjhf phfsi 8772 whgps crsohfhi {prhpclg cilci`hjghi*
giecn{g FGU `hi crpsaosfhi msjh{g whil kchp)
Jhmrhi acilcihg PO hihn dhrhil `g`hhpnhi) @gcrngrhnhi dsajhf nh{s{ PO hihn cr phfsi
h`hjhf 3# {hahg 5# `hrg pmphj nh{s{ PO) Acisrsp \FM &8770'* Gi`mic{gh aci`s`sng
crgilnhp ncpglh `hjha dsajhf nh{s{ ohrs PO &2*0 dsph nh{s{ ohrs'* {cpcjhf Gi`gh `hi Kgih)
[cohiwhn 82# `hrg {cjsrsf nh{s{ pcrdh`g h`h hihn `g oh|hf sasr 83 phfsi) Acisrsp \FM
phfsi 8777* dsajhf nh{s{ PO ohrs `g Gi`mic{gh h`hjhf 36;)222 mrhil cr phfsi `hi
aciwcohonhi ncahpghi {cngphr 802)222 mrhil cr phfsi)
Rcigilnhphi dsajhf nh{s{ PO `g ocrohlhg pcahp h`h {hhp gig `g`slh `g{cohonhi mjcf
ocrohlhg fhj* whgps `ghlim{g{ whil pg`hn pchp* cilmohphi whil pg`hn h`cnshp* rmlrha
cihillsjhilhi pg`hn `gjhn{hihnhi `cilhi pchp* h`hiwh giecn{g FGU* aglrh{g ci`s`sn*
cjhwhihi nc{cfhphi whil pg`hn acah`hg {crph acigilnhpiwh ncag{ngihi)
Ehnpmr _c{gnm
Pcr`hhp ococrhh ehnpmr whil acacras`hf pcrdh`giwh giecn{g PO ahssi pgaosjiwh
ciwhngp PO h`h hihn)) Ehnpmr pcr{cosp `gohlg acidh`g `sh whgps ehnpmr rg{gnm giecn{g `hi
ehnpmr rg{gnm rmlrc{g giecn{g acidh`g ciwhngp &rg{gnm ciwhngp')
Ehnpmr rg{gnm pcrdh`giwh giecn{g PO hiphrh jhgi h`hjhf {cohlhg ocrgnsp 4 hihn whil acagjgng
nmiphn `cilhi mrhil `c|h{h `cilhi PO hnpge* `hcrhf ci`cag{* cillsihhi mohp!mohphi
giprhucih* ncag{ngihi {crph jgilnsilhi whil pg`hn {cfhp)
Ehnpmr rg{gnm giecn{g PO h`h hihn whil pcrcipgil h`hjhf hdhihi pcrfh`h mrhil `c|h{h
whil giecn{gs{)
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7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
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Mrhil whil pcjhf pcrgiecn{g nsahi PO* pg`hn {cjhjs acilhjhag {hngp PO) Ehnpmr whil
aciwcohonhi rmlrc{g giecn{g PO acidh`g {hngp PO hiphrh jhgi s{gh) Hihn s{gh nsrhil `hrg 3
phfsi acasiwhg rg{gnm jcogf oc{hr acilhjhag rmlrc{g giecn{g acidh`g {hngp PO* asilngi
nhrcih gasigph{ {cjsjcriwh ocjsa ocrncaohil {casrih &gahpsr') Ihasi* rg{gnm {hngp PO gighnhi ocrnsrhil {ckhrh ocrphfh {cgrgil crphaohfhi s{gh) Ehnpmr rg{gnm whil jhgi h`hjhf
nmiucr{g pc{ psocrnsjgi `hjha 8!? phfsi pcrhnfgr* ahjisprg{g* nch`hhi gasimnmarc{g
&ag{hjiwh h`h giecn{g FGU* nclhih{hi* @A')
RHPMEG[GMJMLG
&{hah `cilhi POK `c|h{h'
@GHLIM[G[
@ghlim{g{ h{pg POK `gpclhnnhi `cilhi `gpcasnhiiwh A) psocrksjm{g{ h`h
cacrgn{hhi {spsa hphs ogjh{hi jhaosil* khgrhi {crcorm{gihj* khgrhi jcsrh hphs h`h
ogm{g dhrgilhi) Rh`h hihn* nc{sjgphi aciclhnnhi `ghlim{g{ h{pg `g{cohonhi mjcf `sh fhj
whgps {c`gngpiwh nsahi `hi {sjgpiwh cilhaogjhi {c{gaci hphs {spsa)
@ghlim{g{ POK hihn `gpcipsnhi ocr`h{hrnhi lhaohrhi njgig{ `hi cacrgn{hhi
cisidhil {ccrpg sdg psocrnsjgi* cacrgn{hhi jhomrhpmrgsa `hi empm rmiplci `h`h) H`hiwh
rg|hwhp nmiphn `cilhi h{gci POK `c|h{h OPH m{gpge* sdg psocrnsjgi m{gpge `hi empm hrs
whil acilhrhf h`h POK acrshnhi osnpg nshp whil aciwhphnhi hihn pcjhf aci`crgph POK)
LCDHJH NJGIG[
Nhrcih hpmlcic{g{ PO {hilhp nmajcn{* ahigec{ph{g njgig{ {hilhp ocruhrgh{g `hi
ocrlhipsil h`h ococrhh ehnpmr) Ehnpmr whil ocrcrhi h`hjhf nsahi PO* cdhas* {crph
gipcrhn{g hiphrh nc`shiwh) Ehnpmr nsahi pcrlhipsil h`h dsajhf nsahi `hi ugrsjci{g*
{`hilnhi ehnpmr cdhas pcrlhipsil h`h s{gh `hi nmacpci{g gasi {crph ncrciphihi
cdhas h`h h|hj pcrdh`giwh giecn{g)
Lcdhjh sasa hphs imi{c{gegn h`h PO hihn h`hjhf {cohlhg ocrgnsp 4
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8) Ocrhp oh`hi psrsi phih {coho whil dcjh{ hphs pg`hn ihgn `hjha 8 osjhi `cilhi
cihilhihi lgtg)
?) Ihe{s ahnhi pg`hn h`h &himrcn{gh' `cilhi lhlhj psaosf ocrhp oh`hi pg`hn ihgn
`cilhi h`cnshp;) @caha jhah & ? agills' `hi- hphs ocrsjhil phih {coho whil dcjh{ &osnhi `caha
pgemg`* giecn{g {hjsrhi ncagf* ahjhrgh* `hi jhgi!jhgi'* whil `hhp `g{crphg ncrgilhp
ahjha) @caha h`h sasaiwh pg`hn pgillg `hi fgjhil pgaosj `hjha dhilnh |hnps whil
ksns jhah)
0) Rcaoc{hrhi ncjcidhr jgaec {screg{ghjg{ whil pg`hn {hngp `hi ogh{hiwh asjpgcj)
3) Ohpsn jhah jcogf `hrg ; agills `hi {coho jhgi pcjhf `g{gilngrnhi) Emns{ rgacr PO
hrs h`h hihn sasaiwh pcr`hhp h`h hrcinga hrs whil pg`hn acasiwhg
rc{cpmr ohpsn) Lcdhjh ohpsn nrmign PO hrs hihn `hhp pgaosj ogjh jgaeh`cigpg{
rclgmihj acicnhi ormins{ {cfgillh acrhil{hil rc{cpmr ohpsn {ckhrh nrmign) Ohpsn
ocrsjhil `hhp pgaosj nhrcih hihn `cilhi PO acilhjhag cisrsihi gasigph{ psosf*
{cfgillh as`hf acilhjhag giecn{g rc{grhpmrgn hnsp &G_H' ocrsjhil)
5) @ghrc cr{g{pci whil pg`hn {caosf `cilhi cilmohphi `ghrc)
Ahigec{ph{g njgig{ whil {c{gegn pcrlhipsil h`h mrlhi whil pcrncih ag{hjiwh ncjcidhr
jgaec* {s{sihi {hrhe s{hp* psjhil `hi nsjgp
Lcdhjh {c{gegn {c{shg `cilhi mrlhi whil pcrncih h`hjhf {cohlhg ocrgnsp
8) PO ncjcidhr &[ckhrh njgig{* ncjcidhr whil pcrncih ogh{hiwh asjpgjc* sigjhpcrhj* pg`hn
iwcrg pcnhi* pg`hn hih{ h`h crhohhi `hi {hjgil acjcnhp'
?) PO mphn hi {hrhe
m
Acigilgpg{ POm Psocrnsjmah mphn
Lcdhjh njgig{ ogh{hiwh ocrfsosilhi `cilhi lhillshi {hrhn krhighj* iwcrg nchjh*
cisrsihi nc{h`hrhi* nhns ns`sn* `hi ncdhil)
;) PO psjhil hi {ci`g
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m Psjhil sillsil &{mi`gjgpg{' 4 lgoos{
m Psjhil hillsj &nmn{gpg{' 4 gikhil
m Psjhil jspsp &lmigpg{' 4 gikhil `hi- hphs ocilnhn
m Psjhil nhng `hi philhim [gih ucipm{h &`hnpgjg{'
@cilhi lcdhjh ocrsh caocilnhnhi {ci`g* lgoos{* gikhil* {sjgp acaosilnsn
`hi jsasf)
0) PO nsjgp 4 {nrmesjm`crah
3) PO ahph
Nmidsilpgugpg{ ejgnpcisjhrg{
Psocrncj nmrmg` &fhiwh pcrjgfhp `cilhi esi`s{nmg'
5) PO mrlhi!mrlhi jhgiiwh* ag{hjiwh crgpmigpg{ PO* PO lgidhj)
@GHLIM[G[
Phocj [g{pca [nmrgil @ghlim{g{ psocrksjm{g{ hihn
Rhrhacpcr 2 8 ? ;
Nmiphn PO Pg`hn dcjh{ Jhrmhi
ncjshlh* OPH
&!' hphs pg`hn
phfs
Nhugph{ &.'
OPH pg`hn
dcjh{
OPH &.'
Sdg psocnsjgi iclhpge Rm{gpge & 82
aa* hphs 3
aa rh`h
nch`hhi
gasim{src{g
Ochpoh`hi-nch`hhi
lgtg
OO-PO :72#9 Njgig{ lgtgossn hphs
OO-PO
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{coho dcjh{
Ohpsn ; agills
Rcaoc{hhi
ncj)jgaec nmjjg*hn{gjh* gilsgihj
8 ka* dsajhf 9
8* pg`hn iwcg
Rcaocilnhnhipsjhil-{ci`g*
rhillsj* jspsp*
psjhil
H`hrcaocilnhnhi
Empm miplci
Pfmhn{
Imahj- pg`hn
dcjh{
Giegjphp
Rcaoc{hhi
ncjcidh
Nmi{mjg`h{g
{claciphj-jmoh
hpcjcnph{g{
Nhj{gegnh{g .
giegjphp
Rcaoc{hhincjcidh .
giegjphp
Rcacrgn{hhi Rcisidhil
8) Sdg Psocrnsjgi
Psocrnsjgi h`hjhf nmamici rmpcgi nsahi PO whil acasiwhg {gehp hipglcign whil
nshp) Dgnh `g{sipgnnhi {ckhrh giprhnsphi nch`h {c{cmrhil whil pcjhf pcrgiecn{g PO
hnhi acaocrgnhi rchn{g ocrsh gi`srh{g `g jmnh{g {sipgnhi) Gi`srh{g gig pcrdh`g nhrcih
uh{m`gjhph{g jmnhj* c`ca* ci`hhi egorgi `hi acigilnhpiwh {cj rh`hil jhgi `g `hcrhf
{sipgnhi)
Sdg psocrnsjgi khrh Ahipmsv `gjhnsnhi `cilhi ciwsipgnnhi giprhnsphi 2*8 aj RR@ _P!
?; ?PS hphs RR@ [ 3PS* `g ohlghi umjhr jcilhi oh|hf) Rcaohkhhi `gjhnsnhi 06!
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pg`hn pgaosj gi`srh{g {hah {cnhjg fh{gjiwh `gjhmrnhi {cohlhg 2 aa* dhilhi fhiwh
`gjhmrnhi {cohlhg iclhpge) Hhogjh `ghacpcr gi`srh{g 2!0 aa `giwhphnhi sdg psocrnsjgi
iclhpge) @ghacpcr 3!7 aa `giwhphnhi m{gpge acrhlsnhi* nhrcih `hhp `g{cohonhi mjcf
giecn{g A)hpggn`hi OKL* hphs acahil nhrcih giecn{g PO) Sipsn fh{gj whil acrhlsnhigig dgnh crjs `gsjhil) Sipsn acilfgi`hrg cecn omm{pcr psocrnsjgi* sjhilhi `gjhnsnhi ?
agills ncas`ghi) @ghacpcr gi`srh{g 9 82 aa `giwhphnhi m{gpge phih acjgfhp {phps{
OKL h{gci)
Sdg psocrnsjgi m{gpge `hhp `gdsahg h`h nch`hhi ocrgnsp 4
giecn{g PO hjhaghf
gasig{h{g OKL &giecn{g PO oshphi'
giecn{g agkmohnpcrgsa hpggn-A)jcrhc
Sdg psocrnsjgi iclhpge h`h ; ncasilngihi nch`hhi ocrgnsp 4
pg`hn h`h giecn{g PO
`hjha ah{h ginsoh{g giecn{g PO
hicrlg* whgps nch`hhi cicnhihi {g{pca gasi mjcf ocrohlhg nch`hhi
{cfgillh psosf pg`hn acaocrgnhi rchn{g pcrfh`h psocrnsjgi |hjhssi
{cocihriwh {s`hf pcrgiecn{g PO) Ag{hjiwh h`h nch`hhi lgtg osrsn*
nclhih{hi* cillsihhi {pcrmg dhilnh hidhil* ciwhngp khahn*
crps{g{* uhrg{cjh* giejscith whil ocrhp {crph caocrghi uhn{gi `cilhi
uhn{gi ugrs{ fg`s)
?) _h`gmjmlg{
[ckhrh sasa* lhaohrhi rh`gmjmlg{ whil {slc{pge PO h`hjhf {cohlhg ocrgnsp 4
m Rcaoc{hrhi ncjcidhr fgjs{ hphs hrhprhnchj `cilhi-phih giegjprhp
m Nmi{mjg`h{g {claciphj-jmohr
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m Agjgcr
m Nhj{gegnh{g
m Hpcjcnph{g{
m Nhugph{m Ces{g jcsrh
Empm rmiplci hrs {cohgniwh `gjhnsnhi RH `hi jhpcrhj)
;) Ohnpcrgmjmlg{
@ghlim{g{ ncrdh PO ogh{hiwh `goshp ocr`h{hrnhi lhaohrhi njgig{* sdg psocrksjgi `hi
lhaohrhi rh`gmjmlg{ hrs) @ghlim{g{ h{pg nhjhs `gpcasnhi nsahi psocrnsjm{g{ h`h
cacrgn{hhi agnrmogmjmlg{) Rcacrgn{hhi agnrmogmjmlg{ whil `gjhnsnhi pcr`grg `hrg ?
ahkha whgps cacrgn{hhi agnrm{nmg{ fhs{hi jhil{sil sipsn acicasnhi oh{gj phfhi
h{ha &OPH' `hi cacrgn{hhi oghnhi nsahi A)psocrksjm{g{)
PHPHJHN[HIH
Rrgi{g `h{hr cilmohphi PO hihn pg`hn ocroc`h `cilhi PO `c|h{h* pcphg h`h ococrhh
fhj whil crjs aci`hhp crfhpghi 4
8) [s{sihi h`shi mohp PO hihn h`hjhf ?F_T!0F_) Phfh gipci{ge pcr grg `hrg
g{mightg` &F'* _gehag{gi &_' `hi Rgrhtgihag` &T' `hjha ? osjhi) Phfh jhidsphi
pcr`grg `hrg g{mightg` &F' `hi rgehag{gi &_' {cjhah 0 osjhi `gocrgnhi {cpgh fhrg)
?) Rcaocrghi mohp ohgn h`h phfh gipci{ge ahssi phfh jhidsphi `gocrgnhi {cpgh fhrg
osnhi ? nhjg cragills)
;) @m{g{ mohp whil `gocrgnhi fhrs{ `g{c{shgnhi `cilhi OO hihn) @gshwhnhi
acillsihnhi mohp phojcp `cilhi `m{g{ whil pcjhf h`h `g h{hrhi)
0) Rh`h nch`hhi PO ocrhp* ohgn sjamihj ahssi cn{prhsjamihj {ccrpg PO agjgcr*
acigilgpg{ PO* PO psjhil `hi jhgi!jhgi* h`h eh{c gipci{ge `gocrgnhi agigahj 0 ahkha
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mohp &_gehag{gi* GIF* grhtgihag`* cphaospmj hphs {prcpmag{gi') [c`hilnhi eh{c
jhidsphi `gocrgnhi rgehag{gi `hi GIF {cjhah 82 osjhi)
3) Sipsn nh{s{ PO pcrpcips whgps PO agjgcr* ces{g jcsrh PO* crgnhr`gpg{ PO* PO
ci`morminghj* acigilgpg{ PO `hi crgpmigpg{ PO* `gocrgnhi nmrpgnm{pcrmg` &rc`ig{mi'`cilhi `m{g{ 8!? al-nlOO-fhrg `gohlg `hjha ; `m{g{) Jhah caocrghi nmrpgnm{pcrmg`
h`hjhf ?!0 agills `cilhi `m{g{ cisf `gjhidspnhi phcrgil mee`hjha dhilnh |hnps
whil {hah)
Ihah Mohp @m{g{ fhrghi
&al-Nl OO-fhrg'
@m{g{ ahn{gahj
&al cr fhrg' Cecn {hagil
G{mightg` 3 83$ ;22 Fcrhpgpg{* icsgpg{ rcgec*fgrc{ci{gpgugpg{
_geharg{gi 82 ?2 522 Lh{pmgipc{pgihj* chn{gnsjgp* fcrhpgpg{*
pmaom{gpmrcigh*
rcigilnhphi citga fhpg*khghi psosf oc|hih
mhiwc ncachfhi
Rghtgihag` 83 ;2 ?222 Pmn{g{gph{ fcrh* hphjlgh*
lh{pmgipc{pgihj
Cphaospmj 83 ?2 8?32 Icsgpg{ mrpgn* ncphdhahi
ahph ocnshil* osph
|hih achf fgdhs*fgrc{ci{gpgugph{*
lh{pmgipc{pgihj
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[pcrpmag{gi 83 02 8222 Mpmp
RCIKCLHFHI
Uhn{gih{g OKL &Ohkgjjs{ Khjacppc!Lscrgii'
Rcaocrghi uhn{gi OKL acigillgnhi `hwh phfhi psosf pcrfh`h giecn{g mjcf oh{gj
psocrnsjm{g{ whil ugrsjci) Gasig{h{g OKL `gocrgnhi h`h s{gh {cocjsa ? osjhi) @m{g{
sipsn ohwg {coc{hr 2*23 aj `hi sipsn hihn 2*82 aj* `gocrgnhi giprhnsphi `g `hcrhf
gi{cr{g mpmp `cjpmg` nhihi) Ogjh OKL `gocrgnhi mh`h s{gh jcogf `hrg ; osjhi* {cohgniwh
`gjhnsnhi sdg psocrksjgi pcrjcogf `hfsjs) Uhn{gih{g `cilhi OKL ogh{hiwh acigaosjnhi
{ci{gpgugph{ pcrfh`h pc{ psocrksjgi) Ncamrmegjhn{g{
[cohlhg ncamrmegjhn{g{ ogh{hiwh `ghnhg GIF `cilhi `m{g{ 3!82 al-nlOO-fhrg {cjhah 8
phfsi) Ncamrmegjhn{g{ rgacr `gocrgnhi sipsn acikclhf pcrdh`giwh giecn{g h`h
hihn `cilhi nmiphn psocrnsjm{g{ `hi sdg psocrksjgi ah{gf iclhpge whil ocrhrpg ah{gf
ocjsa pcrncih giecn{g hphs ah{gf `hjha ah{h ginsoh{g) Ncamrmegjhn{g{ {cnsi`cr
`gocrgnhi sipsn acikclhf ocrncaohiliwh giecn{g acidh`g ciwhngp* ag{hjiwh h`h
hihn ocrsasr nsrhil `hrg 3 phfsi `cilhi sdg psocrnsjgi m{gpge phih ncjhgihi
rh`gmjmlg{ hrs `hi h`h hihn `cilhi nmiucr{g sdg psocrnsjgi phih ncjhgihi
rh`gmjmlg{ hrs)
R_MLIM[G[
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nch`hhi {m{ghj cnmimag ncjshrlh* `ghlim{g{ `gig* cilmohphi h`cnshp `hi h`hiwh giecn{g jhgi
{ccrpg amrogjg* crps{g{* `ghrc whil ocrsjhil `hi jhgi!jhgi)
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7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
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O_MINGCNPH[G[
G) @CEGIG[G
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nhrhnpcrg{pgn `gjhph{g whil hoimrahj whil crahici `g{crphg rs{hniwh `gi`gil ormins{ whil
grcucr{gocj) Ncjhgihi ormins{ pcr{cosp `g{cohonhi mjcf crsohfhi `hjha `gi`gil ormins{
{ccrpg `cn{rsn{g cjcaci!cjcaci cjh{pgi* mpmp mjm{ ormins{* psjhil rh|hi* `hi caosjsf
`hrhf) Ormins{ whil pcrncih sasaiwh h`hjhf ormins{ snsrhi {c`hil* `hi og{h dslh
acilcihg ormins{ nc`sh hrs)
GG) CRG@CAGMJMLG
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8) Giecn{g &fh{gj `hrg cilmohphi whil osrsn nhrcih giecn{g mrlhig{a pggnhj* {ccrpg
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giejscith* fcrc{ {gajcn{ `hi ococrhh pgc h`cimugrs{) Rh`h hihn!hihn ogh{hiwh
pcrncih _c{grhpmrw {wikwpghj ugrs{ &_[U')
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cicnhihi hngohp NLO jcfcr acaoc{hr'
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7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
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;) @g{ngic{gh {gjghr rgacr &gampgjgpg {gjgh `hi nch`hhi gig aciwcohonhi lhillshi ocr{gfhi
asnm{gjgcr* giecn{g ocrsjhil* `hi hnfgriwh pcrdh`g ormingcnph{g{'
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3) Gasim`ceg{gci{g &ag{hjiwh h`h fgmlhaahljmosjgicagh &h`hiwh {gis{gpg{ `hi giecn{g hrs
ocrsjhil whil asiksj h`h {hhp hihn!hihnh' `hi FGU-HG@[ &pcrdh`g crkchphi
ncrs{hnhi ormins{ nhrcih giecn{g ocrsjhil'')
5) @cecn hihpmag kmilcigphj &`ceg{gci{g nmilcigphj nhrpgjhlm* prhncmorminmaclhjg* hphs
sigjhpcrhj fgcrjs{cip h`h hrs!hrs acacras`hf pgaosjiwh ormingcnph{g{'
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U) EHNPM_ _C[GNM
! pgilnhp {m{gmcnmimag rci`hf
! ehnpmr nmilcigphj
! acrmnmn `hi hjnmfmj
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Ohpsn nrmign rm`snpge
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giecn{g {cnsi`cr* {spsaiwh `hhp srsjci) Rh`h nh{s{ whil {s`hf ocrhp* {spsaiwh
`hhp pcr`grg `hrg ; jhg{hi* whgps4 &8' jhg{hi hph{ whil hlhn ncrsf pcr`grg `hrg
asns{* &?' jhg{hi pcilhf dcrigf* pcr`grg `hrg {hjguh* `hi &;' jhg{hi pcroh|hf whil
ncrsf* pcr`grg `hrg ihihf `hi dhrgilhi icnrm{g{ `hrg ormins{ whil rs{hn)
Ohpsn `hrhf & 32
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7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
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Ohpsn `hrhf `hhp pcrdh`g hhogjh pcrdh`g cr`hrhfhi whil ksns ohiwhn hngohp
icnrm{g{ whil acilcihg khohil hrpcrg orminghjg{)
@caha &nhrcih h`hiwh giecn{g ocrsjhil'
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{crph {cocrhh dhsf pgaosj nmjh{ hrs `hi `cn{prsn{g dhrgilhi hrs whil pcrdh`g
hngohp giecn{g ocrsjhil &G[RH'* whil ogh{hiwh acigaosjnhi egorm{g{ hrs `hi
caeg{cah whil acigaosjnhi {c{hn ihh{ pcr{cosp)
UGG) @GHLIM[G[
Hihaic{g{ &_g|hwhp ohpsn nrmign ocrsjhil* h`hiwh `caha ocrsjhil* pcr`hhp
rg|hwhp ohpsn `hrhf* `hi rg|hwhp {c{hn ihh{'
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Jc{g agigahj pg`hn h`h ncjsfhi
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o) Dhrg phosf
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`gpcasnhi ncjhgihi `g hrs* {ccrg lhaohrhi {hrhil ph|mi* hpcjcnph{g{* `hi
crsohfhi jcsrh)
! KP {khipmrhn{ &ogjh lhaohrhi rmi{ci pg`hn dcjh{'
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7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
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Orminmlrheg &nmiprh{ whil `gah{snnhi acjhjsg nhpcpcr hphs orminm{nm
`cilhi cikgprhhi* phg {cnhrhil khrh gig {s`hf `gpgillhjnhi hngohp rc{gnm
`hrg cahnhghi nmiprh{ pcr{cosp'
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aci`cpcn{g ncjhgihi whil aci`h{hrg* {ccrpg psamr* oci`h h{gil* hphs jc{g
jhgi `hi caocr{gfhi dhjhi ihh{'
UGGG) PHPH JHN[HIH
8') Rcilcjmjhhi Sasa
! acaoshp rshilhi fhilhp ohlg h{gci
! acikclhf `hi acilfcipgnhi rmnmn
! acikclhf `hi acilfgi`hrg h{h* mjs{g* `cos
! acacrohgng `rhgih{c {ckrcp ormins{ `cilhi acjhnsnhi `rhgih{c m{psrhj
&acilcjshrnhi {spsa `cilhi ohipshi lrhugph{g* hlhr {spsa `hhp acilhjgr `hrg
fgjsa nc pcillmrmnhi {cfgillh `hhp `gohpsnnhi ncjshr'* acikhgrnhi {spsa whil
nciphj `cilhi gifhjh{g sh hgr hih{ hphs mohp!mohp asnmjgpgn* acilhpsr m{g{g pcahp
pg`sr h{gci &acillhidhj nhng h{gci {shwh acacras`hf `rhgih{c {spsa'* `hi
acilmiprmj G[RH `cilhi acikclhf hdhihi nsahi hphs caocrghi hipmogmpgn hhogjh
{s`hf h`h G[RH) Icosjg{h{g `cilhi jhrsphi IhKj `hi asnmjgpgn {ccrpg h{cpgj{g{pcgi
`hhp `gjhnsnhi sipsn amogjg{h{g `hfhn
GG) Hipgogmpgn
! Rh`h nch`hhi cn{h{croh{g hnsp HO {cnprsa jsh{)
! Lcdhjh rgilhi hphs {c`hil !9 hamn{g{gjgi* pcprh{gnjgi* prgicprmgi {sjehacpmn{mj*
lmjmilhi nsgimjmi &
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! @cilhi egorm{g{ ng{pgn pmorhag{gi
GGG) Orminm`gjhpmr &h`h h{gci ormingcnph{g{ cilhi orminm{h{ac'
GU) Cn{cnpmr{i &sipsn acigilnhpnhi ocr{gfhi asks{'
U) Rcaoc`hfhi &hhogjh khrh G!GU pg`hn ocrfh{gj* hphs ci`crgph `cilhi nmajgnh{g)Gi`gnh{g caoc`hfhi4 &8' cilsrhilhi crgm`c giecn{g hnsp* &GG'* cilsrhilhi {spsa
ocrjcogfhi* &GGG'* acilmiprmj fcampg{g{* &GU' acilhilnhp oci`h h{gil-psamr* &U'
acikclhf giecn{g AHK `hi h{crlgjs{)
GV) @GHLIM[G[ OHI@GIL
8) Ormingpg{ nrmign
?) POK hrs &ciwhngp gig `hhp `g{crphg ncjhgihi hihpmag{ hrs ocrsh ormingcnph{g{'
;) Rciwhngp hrs ciwcoho fcampg{g{* ag{hjiwh Kh hrs* h`cimah hrs* POK)
0) Eg{psjh orminmjcsrhj `cilhi cagcah)
V) NMARJGNH[G
8) Ormingpg{ nrmign
?) Ricsamigh `cilhi hphs phih hpcjcnph{g{ &Ormingcnph{g{ {crgil acilhjhag giecn{g
ocrsjhil nhrcih `rhgihlc {spsa whil nsrhil ohgn')
;) Rjcsrgpg{ &`hhp pgaosj ocr{hah `cilhi pgaosjiwh icsamigh'
0) Fcampg{g{ &pcrdh`g nhrcih ckhfiwh hrpcrg sjamihjc{* hrpcrg orminghjg{* hphs
hih{pmam{g{ caosjsf hrhf')
3) Nmr Rsjamihj Nrmign-NRN &pcrdh`g hih{pmam{g{ khohil hrpcrg `hi ucih sjamihjc{ h`h
`gi`gil ormins{* {cfgillh pcrdh`g lhillshi mn{glcih{g `hrhf* pgaosj {ghim{g{ {ciprhj*
{cjhidspiwh pcrdh g fgmn{cagh* jhjs h`h nch`hhi jhidsp `hhp pcrdh`g fgcrpci{g
sjamihj* nmr sjamihj nrmign* `hi `hhp aciwcohonhi lhlhj dhipsil nhihi')
VG) R_MLIM[G[
Pcrlhipsil `hrg ehnpmr cikcps{
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Ncogh{hhi acrmnmn* hjnmfmjg{ac
Jsh{ ciwhngp
H`h - pg`hn nmajgnh{g
Rciwhngp whil aci`h{hrgiwh
Rh`h nh{s{!nh{s{ whil ocrhp `hi pg`hn `gmohpg* rmlim{g{iwh dcjcn* [sruguhj _hpc!iwh
pg`hn hnhi jcogf `hrg 3!83 phfsi) Rcagjgfhi cilmohphi {ckhrh pchp &nmi{cruhpge
ahssi caoc`hfhi' hnhi acacrohgng rmlim{g{ ciwhngp pcr{cosp)
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O_MINGMJGPG[
G) @CEGIG[GOrmingmjgpg{ h`hjhf {shps crh`hilhi h`h ormingmjs{* whil ogh{hiwh `g{cohonhi mjcf giecn{g
ugrs{* {cfgillh aciwcohonhi lcdhjhlcdhjh mo{prsn{g ormingmjs{)
GG) CPGMJMLG
Ormingmjgpg{ pcrsphah `g{cohonhi mjcf _c{grhpmrw [wikgpghj Ugrs{ &_[U'* 5272# `hrg
nh{s{* `hi {g{hiwh `g{cohonhi mjcf ugrs{ Rhrhgiejscithc pgc 8*?* `hi ;* Giejscithc O*
H`cimugrs{ pgc 8* ?* `hi 3* hphs Awkmjh{ah)
GGG) CRG@CAGMJMLG
Ormingmjgpg{ {crgil acilcihg hihn s{gh `goh|hf ? phfsi `cilhi gi{g`ci pcrpgillg h`h ohwg
s{gh 5 osjhi) Rh`h `hcrhf whil ci`s`sniwh h`hp gi{g`ci ormingmjgpg{ mjcf nhrcih _[U
pcrohiwhn h`h s{gh ? osjhi) Ahngi as`h sasr ohwg aci`crgph ormingmjgpg{ ogh{hiwh hnhi
ahngi ocrhp ciwhngpiwh) Ohwg whil aci`crgph ormingmjgpg{ ocrhp asilngi mjcf nhrcih nh`hr
hipgom`g ahpcrihj &ahpcrihj icsprhjgtgil hipgom`w' whil rci`hf) [cjhgi s{gh* ohwg `hi hihn
`cilhi ciwhngp dhipsil oh|hhi* ormikfmsjamihrw `w{jh{gh* rcahpsrgph{* ncjhgihi
icsrmjmlg{ `hi gaasimkmarmagtc` acasiwhg rc{gnm whil jcogf oc{hr sipsn pcrdh`giwh
ciwhngp whil jcogf ocrhp) Gi{g`ci giecn{g _[U {hah h`h jhng!jhng `hi |higph* ihasi
ormingmjgpg{ ocrhp jcogf {crgil pcrdh`g h`h jhng!Ghng)
GU) RHPMEG[GMJMLG_[U h`hjhf {giljc {prhi`c` _IH ugrs{ whil ocrsnsrhi {c`hil &62!;32ia'*
pcrah{sn hrhawvmugrs{) Pcr`hhp `sh ljgnmrmpcgi crasnhhi whil acrshnhi ohlghi
cipgil `hrg _[U sipsn acilgiecn{g {cj* whgps rmpcgi L &hpphkfacip rmpcgi' whil
acilgnhp {cj `hi rmpcgi E &es{gmi rmpcgi' whil acilfsosilnhi hrpgncj ugrs{ `cilhi {cj
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phrlcp `hi {cj pcphillhiwh) Nc`sh rmpcgi gig acrhil{hil hipgom`g icsprhjg{h{g rmpcnpge
h`h fm{p) Pcr`hhp `sh ahkha {prhgi hipglci _[U whgps H `hi O) _[U {prhgi H
aciwcohonhi lcdhjh whil crihh{hi whil jcogf ocrhp `hi acigaosjnhi {cnscjc) Ah{h
ginsoh{g _[U ? ! 3 fhrg) Ugrs{ ocrcjgnh{g `g `hjha ih{mehrgil ncas`ghi aciwcohr `hrg{hjsrhi iheh{ hph{ nc {hjsrhi iheh{ oh|hf acjhjsg ciwcohrhi jhil{sil h`h cgpcj {hjsrhi
iheh{ `hi acjhjsg h{grh{g {cnrc{g ih{mehrgil) _[U acacilhrsfg {g{pca {hjsrhi ihh{
acjhjsg nmjmig{h{g `hi rcjgnh{g ugrs{ h`h asnm{h ormins{ `hi ormingmjs{ whil acaocrg
lhaohrhi hpmjmlg h|hj ocrsh icnrm{g{ {cj cgpcj {gjgh) Icnrm{g{ {cj cgpcj {hjsrhi ihh{
aciwcohonhi pcrdh`g c`cah {soasnm{h `hi cjch{hi `corg{ `hi egorgi nc`hjha jsaci
ormingmjs{ )
Ugrs{ whil acrs{hn cgpcj ocr{gjgh dslh acillhills lcrhnhi asnm{gjgcr* asns{
pcrpgaosi `g `hjha ormingmjs{) Ncrs{hnhi {cj cgpcj {hjsrhi ihh{ dslh acilhngohpnhi {hrhe
hecrci jcogf pcrhhr pcrfh`h hjcrlci-grgphi* {cfgillh `gjch{nhi ococrhh icsrmcpg`h
&icsrmngigi* {so{phikc R' whil aciwcohonhi nmiprhn{g mpmp mjm{ {hjsrhi ihh{) Rh`h
hnfgriwh ncrs{hnhi cgpcj {hjsrhi ihh{ dslh acigilnhpnhi cnrc{g Gipcrkcjjsjhr H`fc{gmi
Amjcksjc!8 &GKHA!8' `hi rm`sn{g {gpmngi whil hnhi acihrgn cm{gimegj `hi {cj!{cj giejhah{g)
Dh`g* ormingmjs{ acidh`g {cagp nhrcih nmaogih{g `hrg rm{c{ giejhah{g* c`cah {hjsrhi
iheh{* hnsasjh{g {cj!{cj `corg{ `hi asns{ {crph {h{ac mpmp mjm{ {hjsrhi ihh{)H`hsi
rc{mi hrs ghjhf `cilhi acigilnhpnhi nhh{gph{ esil{g rc{g`s* acisrsinhi kmajghikc*
acigilnhpnhi phfhihi {hjsrhi ihh{* `ch` {hkc {crph acigilnhpnhi {fsip) [cash ehnpmr!
ehnpmr pcr{cosp aciwcohonhi cigilnhphi ncrdh {g{pca crihh{hi* ohpsn* |fcctgil*
mo{prsn{g {hjsrhi ihh{* fgcrhcrh{g* hpcjcnph{g{* fgmn{gh* fgcrnhich* h{g`m{g{ acphomjgn
{hahg lhlhj ihh{) Nhrcih rc{g{pci{g hjgrhi s`hrh {hjsrhi iheh{ ocrohi`gil pcrohjgn `cilhi
`ghacpcr {hjsrhi ihh{ hilnhp 0* ahnh cicohjhi `gi`gil ormingmjs{ {c`gngp {hdh {s`hf
acaocrgnhi hngohp ksns oc{hr h`h hjgrhi s`hrh) Hhjhlg `ghacpcr {hjsrhi ihh{ ohwg `hi
hihn nckgj jcogf {cagp) _c{g{pci{g hjgrhi s`hrh {hjsrhi iheh{ acigilnhp h`h eh{c gi{grh{g
ahssi h`h eh{c cn{grh{g)
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[cjhah eh{c cn{grh{g pcr`hhp acnhig{ac njc fgillh s`hrh hnhi pcrcrhilnh `hi
acigaosjnhi mucrgiejh{g `h`h) Umjsac `h`h h`h hnfgr cn{grh{g acigilnhp fhagr ? nhjg `g
hph{ imrahj) Hpcjcnph{g{ `hhp pcrdh`g ogjh mo{prsn{g pmphj) Hihn oc{hr `hi mrhil `c|h{h
dhrhil acilhjhag ormingmjgpg{ ogjh pcr{crhil giecn{g ugrs{) Rcroc`hhi hihpmag hiphrh hrs!hrs ohwg as`h `hi hihn whil jcogf oc{hr asilngi acrshnhi nmiprgos{g pcrfh`h fhj gig)
_c{mi rmpcn{g gasimjmlg pcrfh`h _[U ocr{gehp prhi{gci `hi pg`hn jcilnh) Giecn{g whil
ocrsjhil h`h {hjsrhi ihh{ oh|hf hnhi acigilnhpnhi rc{g{pci{g pcrfh`h ciwhngp) Hngohp
giecn{g whil ocrsjhil!sjhil* pcrdh`g ksasjhpge gaasigpw {cfgillh h`h hihn whil jcogf
oc{hr `hi mrhil `c|h{h kci`crsil jcogf phfhi pcrfh`h giecn{g ormingmjgpg{ `hi icsamigh
nhrcih _[U)
Rciwcaosfhi ormingmjgpg{ hnsp `gh|hjg `cilhi rclcicrh{g cgpcj ormins{ `hjha ;!0
fhrg* {c`hilnhi rclcicrh{g `hrg {gjgh ocrjhil{sil jcogf jhah `hhp {hahg 83 fhrg ) H`h ?
ahkha ecimacih whil aci`h{hrg fsosilhi hiphrh giecn{g ugrs{ {hjsrhi ihh{ `hi h{ah4 &8'
Giecn{g hnsp ugrs{ {hjsrhi ihh{ h`h ohwg hphs hihn nckgj {crgilnhjg `g{crphg |fcctgil) &?'
Rci`crgph |fcctgil ocrsjhil whil `g{crphg `cilhi cisrsihi pc{ ehhj hrs* pcriwhph
{crgilnhjg acilhjhag giecn{g ugrs{ {hjsrhi ihh{ h`h {hhp ohwg-s{gh as`h) Giecn{g _[U
`hhp aci{pgasjh{g rc{mi gasi fsamrhj `hi {cjsjhr) _c{mi hipgom`g {g{pcagn pcrdh`g
ocr{hahhi `cilhi rc{mi gasi jmnhj) Ohwg s{gh as`h acasiwhg rc{mi gasi whil jcogf
osrsn)
Ljctci `nn &`gnspg `hrg Ohr!mi* 8775' aci`hhpnhi ohf|h pcrdh`g fsosilhi
pcrohjgn hiphrh pgpcr hipgom`g icsprhjgtgil `cilhi rc{gnm rcgiecn{g) Psdsf sjsf {hahg
`cjhhi sjsf cr{ci hihn `cilhi giecn{g _[U acarm`sn{g GlC `hjha 5 fhrg crdhjhihi
ciwhngp `hi `hhp ocrphfhi {hahg ;0 fhrg) GlC!_[U `gpcasnhi `hjha {cnrcp ih{mehrgil
03# hihn whil pcrgiecn{g _[U `cilhi acilg* phg pg`hn h`h hihn phih acilg) Ormingmjgpg{
whil `g{cohonhi _[U h`h s{gh `gig hnhi ocrncaohil acidh`g h{ah ogjh `gpcasnhi GlC
{c{gegn _[U )
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U) EHNPM_ _C[GNM
Ehnpmr rc{gnm pcrdh`giwh ormingmjgpg{4
S{gh nsrhil `hrg 5 osjhi
Pg`hn crihf aci`hhpnhi H[G
Rrcahpsr
Acilfgrs h{h rmnmn)
UG) LCDHJH NJGIG[
Lcdhjhiwh ocrsh4
! ohpsn
! |fcctgil&osiwg iheh{ acilg'
! {c{hn iheh{ hphs lhillshi criheh{hi
! {ghim{g{&nhrcih ncnsrhilhi mn{glci'
! phngics
! rcprhn{g gipcrnm{phj&mpmp `g {cjh glh pcrphrgn nc `hjha nhrcih ohwg ocrs{hfh ncrh{ sipsn
ocriheh{'
! criheh{hi ksgil fg`sil &ksgil fg`sil ncaohil ncag{ nhrcih {c{hn ihh{'
! `caha &h`h ohwg whil jcogf as`h* `caha jcogf dhrhil pcrdh`g')
! |fcctgil whil `hhp pcr`cilhr `cilhi hphssi phih {pcpm{nm
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UGG) @GHLIM[G[
@ghlim{g{ `gpclhnnhi ocr`h{hrnhi lcdhjh `hi fh{gj cacrgn{hhi eg{gn) Rh`h cacrgn{hi
`cilhi {pcpm{nmpcr`cilhr |fcctgil `hi rming) Rcacrgn{hhi jhgiiwh h`hjhf rmiplci `h`h
`hi hihjg{h lh{ `hrhf)
UGGG) PHPHJHN[HIH
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! Rcaocrghi khgrhi)
Nh`hil ohwg acidh`g jcjhf `hi acilhjhag {crhilhi hics&fcipg iheh{') Dgnh fhj gig pcrdh`g*`gjhnsnhi gipsoh{g`hi cah{hilhi ucipgjhpmr)
Rh`h ohwg whil {hilhp as`h `hi {hngp ocrhp* nh`hil `gocrgnhi mohp hipg!ugrs{ rgohugrgi)
Mohp gig `hhp acilsrhilg ocrhpiwh ciwhngp `hi hlhr cecnpge fhrs{ `gocrgnhi h`h h|hj
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http://medicastore.com/index.php?mod=obat_search&selSub=0&selJenis=0&inpNamaObat=&inpNamaGenerik=ribavirin&inpIndikasi=&go=+go+http://medicastore.com/index.php?mod=obat_search&selSub=0&selJenis=0&inpNamaObat=&inpNamaGenerik=ribavirin&inpIndikasi=&go=+go+ -
7/23/2019 Tuberkulosis (TBC), Bronkiektasis, dan Bronkiolitis
35/35
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h`h fhrg ncpglh) Hilnh ncahpghi nsrhil `hrg 8#) Ah{h hjgil nrgpg{ h`hjhf 06!