xerosis conjungtiva dan bitot spot

7/22/2019 Xerosis Conjungtiva Dan Bitot Spot

1/10

Sufms Dmtm Gulkmn Jgilifk Qmhfmh cmh Fkzk tjhtmhf

^jrisks Bihouhftkvm cmh ktit Rpit

Cksusuh Iljn?

Msrkmhk Myu Ukstkgm Cjwk Ru`krdmh Zl`km Durkzm

Zhkvjrsktms Dulmwmrdmh Rmdmrkhcm

@mgultms Kldu Gjpjrmwmtmh

Smnuh 51=3/51=:


2/10

5

Gmtm Qjhfmhtmr

Mlnmdculkllmn nkrieekl Mlmdkh Quok syugur gktm pmhomtgmh gjnmckrmt Mllmn RVS, gmrjhm

mtms rkcni-Hym oumlmn gmdk cmpmt djhyjljsmkgmh dmgmlmn khk.

Skcmg lupm gmdk ubmpgmh tjrkdmgmskn gjpmcm Krkymhk G, R.GD,D.Fkzk, sjlmgu cisjh

dmtm gulkmn Jgilifk pmhfmh cmh fkzk, ejrgmt tufms ymhf ejlkmu ejrkgmh gmdk sjdmgkh pmnmd

cmh djhfjrtk tjrnmcmp xjrisks bihouhftkvm cmh Ektit spit.

Gmdk dinih dmm` mpmeklm cmlmd pjdeumtmh dmgmlmn khk dmskn emhymg tjrcmpmt

gjgurmhfmh. Rjdifm dmgmlmn khk cmpmt ejrdmh`mmt gjcjpmhhym. Cmh mgnkr gmtm gmdk

ubmpgmh Rjlmdmt Djdembm.

Rmdmrkhcm, Djk 51=3

Nirdmt Gmdk,

Gjlidpig 3


3/10

2

Cm`tmr Ksk

Nmlmdmh Oucul ...................................................................................................................... =

Gmtm Qjhfmhtmr ..................................................................................................................... 5

Cm`tms Ksk ............................................................................................................................... 2

Eme K Qjhcmnulumh

M. Lmtmr Ejlmgmhf ......................................................................................................... 3E. Suoumh ...................................................................................................................... 3

Eme KK Skhomumh Qustmgm

M. Qjhfjrtkmh ............................................................................................................... :E. Jtkilifk ..................................................................................................................... :B. Smhcm cmh fjomlm ...................................................................................................... :C. Qmti`kskilifk ............................................................................................................ 0J. Qjhmhffulmhfmh ...................................................................................................... 6

Eme KKK Gjskdpulmh cmh Rmrmh

M. Gjskdpulmh .............................................................................................................. ;E. Rmrmh ........................................................................................................................ ;

Cm`tmr Qustmgm ...................................................................................................................... =1


4/10

3

Eme K

Qjhcmnulumh

M. Lmtmr EjlmgmhfCk tmnuh 51=3 khk khcihjskm dmskn oufm djhomck hjfmrm ejrgjdemhf. Emhymg sjgmlk

pjrsimlmh ymhf ck nmcmpk iljn hjfmrm ymhf sjcmhf djrmhfgmg dmou khk, cmrk dulmk

jgihidk, siskml, eucmym, gjpjhcucugmh, gjsjnmtmh, cmh sjemfmkhym. Rjnkhffm emhymg

sjgmlk pjgjrommh rudmn khcihjskm smmt khk.

Gnusus ck ekcmhf gjsjnmtmh khcihjskm dmskn oufm djhfnmcmpk dmsmlmn-dmsmlmn

gjgurmhfmh fkzk gurmhf sjpjrtk7 Fmfhffumh Mgkemt Gjgurmhfmh [ickud (FMG[),

Gjgurmhfmh Jhjrfk Qritjkh (GJQ), Gjgurmhfmh Pktmdkh M (GPM). Cmh cktmdemn dmsmlmn

fkzk ejrljekn sjpjrtk7 Iejsktms.

Rmhfmt dkrks sjgmlk gjtkgm mhmg-mhmg khcihjskm dmskn mcm ymhf djhfmlmdk cj`kskt

vktmdkh M (GPM). Ckrjgtirmt Ekhm Fkzk Dmsymrmgmt ejgjrom smdm cjhfmh RJMDJI-UJB@IH

(Riutn Jmst Mskm Dkhkstjrs i` Jcubmtkih Irfmhkzmtkih - Ujfkihml Bjhtjr `ir @iic mhc

Hutrktkih) Zhkvjrsktms Khcihjskm, ZHKBJ@ cmh Dkbrihutrkjht Khktkmtkvj pmcm tmnuh 5116

djlmgugmh survjk ck 2 privkhsk tjrpklkn ymktu Gmlkdmhtmh Emrmt, Lmdpuhf cmh Rulmwjsk

Sjhffmrm uhtug djlknmt bmgupmh supljdjhtmsk Pktmdkh M cmh djhfjvmlumsk dmhmojdjh

prifrmd Pktmdkh M. Nmskl survjk djhuhouggmh emnwm ck privkhsk Gmlkdmhtmh Emrmt

bmgupmh Pktmdkh M pmcm emyk (0-== eulmh) mcmlmn sjejsmr ::,>% cmh mhmg emlktm (=5-:;

eulmh) sjejsmr :0,0%, sjdjhtmrm uhtug privkhsk Lmdpuhf bmgupmh pmcm emyk

mcmlmn >5,3% cmh mhmg emlktm >1,3%, cmh Rulmwjsk Sjhffmrm mcmlmn 61,:% pmcm emyk cmhmhmg emlktm sjejsmr 05,5%. Nmskl survjk oufm djhjdugmh emnwm sjemhymg 61,5% emyk

udur 0- == eulmh cmh =2,;% mhmg emlktm udur =5-:; eulmh djhcmpmtgmh supljdjhtmsk

Pktmdkh M cjhfmh cisks ymhf tkcmg sjsumk udur. Ujhcmnhym bmgupmh supljdjhtmsk

vktmdkh M khk djhfkhckgmskgmh emnwm dmhmojdjh cmh siskmlksmsk prifrmd vktmdkh M

tkhfgmt gmeupmtjh/ gitm ejlud ejromlmh iptkdml.

Gmrjhm rjhcmnhym bmgupmh Pktmdkh M gj dmsymrmgmt mgkemhym mhmg emlktm ck wklmymn

tjrsjeut djdklkgk rjskgi uhtug djhfmlmdk pjhymgkt mgkemt GPM, smlmn smtuhym mcmlmn

^jrisks Bihouhftkvm cmh Ektit Rpit.

E. SuoumhSuoumh cktulkshym dmgmlmn khk mcmlmn?

=. Djhjftmnuk pjhfjrtkmh cmrk ^jrisks Bihouhftkvm cmh ektit spit5. Djhfjtmnuk @mgtir pjhyjeme (jtkilifk) cmrk ^jrisks Bihouhftkvm cmh Ektit spit2. Djhfjtmnuk tmhcm cmh fjomlm cmrk ^jrisks Bihouhftkvm cmh Ektit spit3. Djhfjtmnuk Qmti`kskilifk tjromckhym Ektit spit:. Djhfjtmnuk pjhmhffulmhfmh cmrk ^jrisks Bihouhftkvm cmh Ektit spit


5/10

:

Eme KK

Skhomumh pustmgm

M. Qjhfjrtkmh^jrisks gihouhftkvm cmh ektit spit djrupmgmh stmckud gj KK cmrk ^jri`tmldkm.

^jri`tmldkm mcmlmn fmhffumh pmcm dmtm ymhf ck mgkemtgmh iljn cjvkskt vktmdkh M.

xjri`tmldkm djrupmgmh pjhyjeme utmdm gjeutmmmh pmcm mhmg ck khcihjskm.

^jrisks Gihouhftkvm djrupmgmh gjgjrkhfmh pmcm sjlmput gihouhftkvm (sjlmput putkn)

ymhf cksjemegmh iljn cjvkskt Pktmdkh M, ckdmhm dmtm mgmh tjrlknmt gjrkhf, ejrgjrkput,

ejrpkfdjhtmsk, ejrwmrhm gjbiglmtmh cmh sjrkhf cksjrtmk cjhfmh ejrbmg ektit (ektit Rpit)

pmcm dmtm. Ektit spit ymktu dmsm putkn ejreusm pmcm gihouhftkvm euleyck cmjrmn `ksurm

pmlpjerm ymhf gnms ejrejhtug sjfktkfm cjhfmh puhbmghymgj mrmn lumr girhjm.

E. JtkilifkQjhyjeme cmrk ^jrisks bihouhftkvm cmh ektit spit khk mcmlmn gjgurmhfmh vktmdkh M.

Hirdmlhym cmlmd sjnmrk gjeutunmh gktm mgmh vktmdkh M mcmlmn sjejsmr?

i Emyk < =1 Smnuh ? =5115311 KZi Cjwmsm ? 2:113111 KZi

Qmcm pjhcjrktm ^jrisks bihouhftkvm cmh ektit spit gmcmr vktmdkh M gurmhf cmrk stmhcmr

ymhf ck stmhcmrgmh ckmtms, emngmh omun cmrk stmhcmr. Cj`kskt vktmdkh M khk ekmsmhym sjrkhf

oufm cktjdugmh pmcm pjhcjrktm dml hutrksk jhjrfk pritjkh. ^jrisks bihouhftkvm cmh ektit

spit djrupmgmh stmckud ljekn lmhout cmrk Njdjrmlipkm (eutm sjhom/gitig mymd).

B. Smhcm cmh FjomlmEkhtkg Ektit/Ejrbmg Ektit

Sjrcmpmt ejrbmg putkn sjpjrtk eusm smeuh mtmu gjou tjrutmdm ck cmjrmn bjlmndmtm sksk lumr.

Rjlurun pjrdugmmh gihouhbtkvm tmdpmg gjrkhf. Gihoubtkvm tmdpmg djhjeml, ejrlkpmt cmh ejrgjrut. Dmtm tmdpmg ejrskskg.


6/10

0

^jrisks Bihouhbtkvm/Gjgjrkhfmh Gihouhftkvm

Rjlmput ljhckr eilm dmtm gurmhf djhfgklmp mtmu tjrlknmt sjckgkt gjrkhf,ejrgjrkput, cmh ejrpkfdjhtmsk.

Dmtm ejruemn wmrhm omck gjbiglmtmh.

C.

Qmti`kskilifkCj`kskt vktmdkh M khk mgmh djhyjemegmh ^jri`tmldkm. Ckdmhm xjri`tmldkm khk tjremfk

djhomck 3 stmckud. [mghk?

Rtmckud K ? Njdjrmlipkm Rtmckud KK ? ^jrisks Bihouhftkvm cjhfmh mtmu tmhpm njdjrmlipkm cjhfmh mtmu

tmhpm ejrbmg ektit

Rtmckud KKK ? stmckud KK cktmdemn cjhfmh ^jrisks Girhjm cmh sjrkhf cksjrtmk ulgusgirhjm

Rtmckud KP ? Gjrmtidmlmsk ymhf tkdeul pmcm mhmg cjhfmh cj`kskjhsk vktmdkh Mgrihks ymhf djhcjrktm bmdpmg mtmu pjhymgkt ejrmt lmkhhym.

Gihcksk khk mgmh djhyjemegmh gjeutmmh pjrdmhjh mpmeklm tkcmg sjfjrm cktmhfmhk. Cmh

sjdmgkh tjrlmdemt djhmhfmhk cj`kskjhsk vktmdkh M khk dmgm mgmh sjdmgkh sulkt

pjhfiemtmhhym. Ejrkgut mcmlmn sgjdm cmrk ^jrisks bihouhftkvm cmh Ektit Rpit.


7/10

6

J. pjhmhffulmhfmhZpmym pjhmhffulmhfmh dmsmlmn xjriptnmldkm ck Khcihjskm tjlmn ckfmlmggmh sjomg

tmnuh =;61-mh, cjhfmh bmrm pjdejrkmh gmpsul vktmdkh M cisks tkhffk 511.111 KZ gjpmcm

sjdum mhmg ymhf ejruskm =5-:; eulmh cmh gmpsul =11.111 KZ gjpmcm mhmg ymhf ejruskm

0-== eulmh ck sjlurun Khcihjskm sjtkmp eulmh @jerumrk cmh Mfustus djlmluk Qusgjsdms.

Frm`kg ckemwmn khk djhuhouggmh gjbjhcjruhfmh bmgupmh pjdejrkmh gmpsul vktmdkh

M pmcm mhmg 0-:; eulmh djhurut pripkhsk pmcm tmnuh 5116 cmh 51=2. Bmgupmh

pjdejrkmh vktmdkh M djhkhfgmt cmrk 6=,: pjrsjh (5116) djhomck 6:,: pjrsjh

(51=2). Qjrsjhtmsj mhmg udur 0-:; eulmh ymhf djhjrkdm gmpsul vktmdkh M sjlmdm

jhmd eulmh tjrmgnkr tjrtkhffk ck Husm Sjhffmrm Emrmt (>;,5%) cmh tjrjhcmn ck Rudmtjrm

Ztmrm (:5,2%).

Gjbjhcjruhfmh Bmgupmh pjdejrkmh gmpsul vktmdkh M pmc mhmg 0-:; eulmh,

Khcihjskm 5116 cmh 51=2. Rudejr ? UKRGJRCMR 51=2

Ejrkgut mcmlmn pjcidmh pjhmhffulmhfmh ^jrisks Bihouhftkvm cmh Ektit spit, ymghk?

Qjhfiemtmh sjfjrm ? Pktmdkh M (Ujtkhkl Qmldktmt) =11.111 sk p.i Ckulmhfk nmrk gjcum Eklm duhtmn mtmu ckmrj ? Khojgsk Khtrm Dusgulmr

Qjhfiemtmh pjdjlknmrmmh ? Dkhymg nmtk kgmh = sjhcig tjn. Dkhymg nmtk lmkh 2 x sjnmrk (ejejrmpm dkhffu).

QjhbjfmnmhGmpsul vktmdkh M 00. 111 uf (3-0 eulmh sjgmlk).

Mtmu Qjdejrkmh gmpsul vktmdkh M =11.111 KZ uhtug mhmg uskm 0-== eulmh cmh

pjdejrkmh gmpsul vktmdkh M 511.111 KZ uhtug mhmg uskm =5-:; eulmh ck eulmh

`jerumrk cmh mfustus.

Qjhbjfmnmh ck rudmnRjlmkh djlmgugmh pjhbjfmnmhymhf cklmgugmh iljn tkd djcks cjhfmh pjdejrkmh

gmpsul vktmdkh M cisks tkhffk, mcm emkghym gktm djlmgugmh pjhbjfmnmh sjbmrmkhckvkcu ck rudmn dmskhf-dmskhf djhffuhmgmh vktmdkh M mlmdk. Pktmdkh M mlmdk khk


8/10

>

eksm ckcmpmtgmh cmrk dmgmhmh ymhf djhfmhcuhf vktmdkh M. ejrkgut mcmlmn sudejr

vktmdkh M mlmdk ymktu?

Rudejr Pktmdkh M njwmhk ?i Dkhymg Kgmhi Nmtki Rusui tjlur

Rudejr Pktmdkh M gmritjh (Qrivktmdkh M)i Zek Omlmr Ejrwmrhmi Rmyurmh ejrwmrhm nkomu tum sjpjrtk Emymdi Eumn-eumnmh cmh smyurmh ejrwmrhm djhbilig mtmu ejrwmrhm guhkhf

gjdjrmnmh. Rjpjrtk7 Virtjl (Bmrrit), pjpmym, cmh sjemfmkhym

i Dkhymg Gjlmpm RmwktRjemkghym cmlmd djhfilmn dmgmhmh khk tkcmg ckdmsmg tjrlmlu lmdm, mtmu sjemkghym

sunu smyurmh nmhym sjgktmr 3>b. mcm emkghym djhffuhmgmh dkhymg gjlmpm smwkt

sjgktmr 5 sjhcig dmgmh (omhfmh ejrljeknmh) uhtug djhudks dmgmhmh ymhf

djhfmhcuhf vktmdkh M. gmrjhm vktmdkh M ducmn cksjrmp iljn tueun gjtkgm

ejrsjhtunmh cjhfmh dkhymg firjhf.


9/10

;

Eme KKK

Gjskdpulmh cmh Rmrmh

M. Gjskdpulmh^jrisks Bihouhftkvm cmh ektit spit mcmlmn gjgjrkhfmh pmcm dmtm ymhf cksjrtmk ejrbmg

putkn ejreusm ymhf cksjemegmh iljn cj`kskjhsk vktmdkh M. khk djrupmgmh stmckud KK cmrk

^jri`tmldkm.

Bkrk gnms xjrisks bihouhftkvm mcmlmn Rjlmput ljhckr eilm dmtm gurmhf djhfgklmp mtmu

tjrlknmt sjckgkt gjrkhf, ejrgjrkput, cmh ejrpkfdjhtmsk. Dmtm ejruemn wmrhm omck

gjbiglmtmh.

Rjcmhf bkrk ektit spit mcmlmn Sjrcmpmt ejrbmg putkn sjpjrtk eusm smeuh mtmu gjoutjrutmdm ck cmjrmn bjlmn dmtm sksk lumr. Rjlurun pjrdugmmh gihouhbtkvm tmdpmg gjrkhf.

Gihoubtkvm tmdpmg djhjeml, ejrlkpmt cmh ejrgjrut. Dmtm tmdpmg ejrskskg.

Qjcidmh pjhmhffulmhfmh cmrk cj`kskjhsk vktmdkh M khk mcmlmn?

Qjhfiemtmh sjfjrm ? Pktmdkh M (Ujtkhkl Qmldktmt) =11.111 sk p.i Ckulmhfk nmrk gjcum Eklm duhtmn mtmu ckmrj ? Khojgsk Khtrm Dusgulmr

Qjhfiemtmh pjdjlknmrmmh ?

Dkhymg nmtk kgmh = sjhcig tjn. Dkhymg nmtk lmkh 2 x sjnmrk (ejejrmpm dkhffu).

QjhbjfmnmhGmpsul vktmdkh M 00. 111 uf (3-0 eulmh sjgmlk).

Mtmu Qjdejrkmh gmpsul vktmdkh M =11.111 KZ uhtug mhmg uskm 0-== eulmh cmh

pjdejrkmh gmpsul vktmdkh M 511.111 KZ uhtug mhmg uskm =5-:; eulmh ck eulmh

`jerumrk cmh mfustus.

Qjhbjfmnmh ck rudmnDjdejrkgmh dmgmhmh ymhf djhfmhcuhf vktmdkh M

E. RmrmhEklm djlknmt dmskn mcmhym gjomckmh xjrisks bihouhftkvm cmh ektit spit ck khcihjskm

ejrmrtk dmskn mcm dmsymrmgmt ymhf djhfmlmdk dml hutrksk. Khk djrupmgmh pjgjrommh

rudmn emfk pjdjrkhtmn uhtug djdpjrlums pjdejrkmh Bmgupmh Pktmdkh M pmcm emyk cmh

emlktm sjnkhffm tkcmg mcm lmfk emyk cmh emlktm ymhf djhcjrktm fmhffumh pmcm dmtm khk.


10/10

=1

Cm`tmr Qustmgm

@GZK =;>:7 Eugu Gulkmn 5 Kldu Gjsjnmtmh Mhmg7 Omgmrtm7 5111 Gjdjhtjrkmh Gjsjnmtmh UK7 Nmskl UKRGJRCMR 51=27 Omgmrtm7 51=2 Umdmcnmh, D.Mrek7 Fmdemrmh Bmgupmh Rupljdjhtmsk Gmpsul Pktmdkh M Qmcm Emlktm

Rugu Ckhms Gjsjnmtmh Omgmrtm Rjlmtmh Smnuh 51=17 Omgmrtm Rjlmtmh7 51=1

Mhihkd, Cj`kskjhsk Pktmdkh M,

Crm.[ustkhk Mlkijs,Mpt,DRk 7 Pktmdkh7@mbulty I` Djckbkhj Mhcmlms Zhkvjrbkty7 51=1

Krkymhk G, R.GD, D.Fkzk 7 Gjgurmhfmh Pktmdkh M (GPM) 7 @mgultms GjsjnmtmhDmsymrmgmt Zhkvjrsktms Dulmwmrdmh 7 51=3

xerosis conjungtiva dan bitot spot

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