Post on 24-Feb-2018
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INTEGUMAN SYSTEM
BLOK 5
DAFTAR ISI
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BAB HALAMANSISTEM INTEGUMEN 1 2SISTEM INTEGUMEN 2 13HISTOLOGI 2 16FARMAKAOLOGI 1 23FARMAKAOLOGI 2 35PATOFISIOLOGI INTEGUMEN 59ASKEP TUMOR SISTEM
INTEGUMEN
79
PENGKAJIAN 86ASKEP LUKA BAKAR 93
A. Komponen-Komponen Sistem integ men
!. Epi"e#mis $
Stratu !"r#$u
Stratu %u!&'u
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Stratu (ra#u)"%u
Stratu )*")u
Stratu +a)a%$
%. De#mis
Pa*&%ar, %a,$r -%a*&)a# *a*&%$r.
R$t&!u%ar %a,$r -%a*&)a# r$t&/u%$r.
&. Hipo"e#mis -%a*&)a# )u+/uta#.
'. (o#e -*"r&0*"r& /u%&t.
5. Meissne# )o#p s)*e -)ara M$&)#$r.
+. (,))ini,n )o#p s)*e -)ara Pa!!&.
. F#ee ne# es en"ing -u u#( )ara +$+a).
/. G*,n" *, se0,)e, -/$%$# ar )$+a)$a.
1. Senso#2 ne# e 30e# -urat )ara )$#)"r&.
!4. H,i# #oot -a/ar ra +ut.
!!. H,i# o**i)*e - "%&/$% ra +ut.
!%. A#te#i
!&. 6en,
!'. A"iposse tiss e - ar(a# a'&*")a.
!5. E7o)#ine s8e,t tiss e -/$%$# ar /$r(at $/)"/r.
!+. Me*,no)2te
B. Epi"e#mis
0 Su*$r !&a%4 t&*&)4 t$r'&r& 'ar& ar(a# E*&t$%
0 T&'a/ t$r'a*at ),ara
0 T&'a/ t$r'a*at *$ +u%u 'ara
0 T$r'a*at *&( $# me*,nin ,a#( $ru*a/a# ar#a *a'a
/u%&t
Me*,nin 9 g, 0e# ngsi me*in" ngi ",#i Sin,# U6
:. Tipe Se* Epi"e#mis
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1 K$rat
2 M$%a#")&t
3 S$% La#($r a#)
S$% Mar/$%%
5 Stratu +a)a%$
!. Ke#,tin
0 E*&'$r &) t$r)u)u# ata) st#,ti3e" s; ,mo s
epit
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0 A*0ino ,",*,< =on"isi ti",= ,",n2, me*,nosit
0 6iti*igo ,",*,< =on"isi ti",= ,",n2, me*,nosit
se),#, se0,gi,n
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o :2,nosti) =e0i# ,n a'a%a ta#'a =e= #,ng,n
O=sigen In,"e; ,te O72gen
o C, n"i)e = ning t$r a'& /ar$#a pigment,si
Bi**i# 0in ,a#( $#('&/a)& g,ngg ,ng Li e#
H,ti
o E#it#em, =eme#,a% ,a#( '&t$ u/a# '& $*&'$r &)4
$ *u#,a& )a*) 'a# 0e#< 0 ng,n "eng,n
som,tosenso#2 ,#e en me=,no#esepto#
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o*i=e* #,m0 t
De#mis t$r)u)u# 'ar& % *,pis,n $
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0 ! 5 'ar& tot,* *,pis,n "e#mis
0 T$r'&r& 'ar& 9,#ing,n =one=ti s ,eo#,* =o*,gen
",n e*,stis
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a/ &ra# )ara u#tu/ )$#tu a#
0 T$r'a*at,=
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0 o*i=e* #,m0 t> s,#, > g*,n" *, se0,se,> g*,n" *,
s "o#i e#,
E. A=seso#is K *it
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2 Ku/u
3 K$%$# ar0/$%$# ar
R$)$*t"r )ara
!. R,m0 t ",n Fo*i=e* #,m0 t
0 Ha&rC*&%%& t$r'a*at '&)$+a(&a# +$)ar *$r u/aa# /u%&t
=e) ,*i te*,p,= t,ng,n> pe#m =,,n 9,#i ",n
te*,p,= =,=i
0 Pa'a "ra#( '$ a)a4 #,m0 t 0i,s,n2, t m0 men9,g, = *it tet,p *em0 t 'a#
meng *o=,si ",n tipe
se=#esin2, $
E))#ine
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Apo)#ine
&. K =
K = '&(u#a/a# u#tu/ $ *$r/uat 'a,a ($#((a 4
$ "t"#( "+ $/4 $#((aru/4 $#u)u/4 $%'u#(& /u%&t
ar& )$rta r$)$*t"r )ara ,a#( ta a
F. F ngsi K *it
1 B%""' R$)$r>"&r2 Pr"t$/)&
3 Duta#$"u) )$#)at&"#
St$)&) =&ta
!. B*oo" Rese# oi#
0 $r &) t$r'a*at +a#,a/ *$ +u%u 'ara
0 Pa'a "ra#( '$ a)a $ +a a )$/&tar 801 : 'ar& t"ta%
a%&ra# 'ara *a'a "ra#( '$ a)a
0 ar& a%a)a# & )$ ((a /u%&t )$+a(a& +%%"' r$)$r>"&r
%. (#ote=si
0 Ku%&t $%'u#(& tu+u '$#(a# +$r+a(a& a!a !ara
0 K$rat $%'u#(& ar(a# '&+a a #,a 'ar& &/r"+a4
a+ra)&4 *a#a) 'a# ;at /& &a
0 PH a)a $#!$(a *$r/$ +a#(a# &/r"+a
0 P&( $# $%a# $#!$(a /$ru)a/a# $ $/ 'ar& U=
0 T$r'a*at )$% La#($r a#) - $#!$(a a)u/#,a +a/t$r&
,a#( +$r+a a,a.
&. Curneous Sensation
0 S$#)a)& ,a#( +&)a '&ra)a/a# '&/u%&t )$*$rt& @
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0 S$#)a)& tra/t&% @ )$#tu a#4 t$/a#a#4 ($tara#
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'(.
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a'a /$ru)a/a# ar(a#
0 &/u%&t t$r'a*at >ar&a)& 'ar& a/ &ra# )ara 'a# r$)$*t"r
,a#( t$r)$+ar '&/u%&t t$r a)u/ '&)!) ta!t&%$ '&
$*&'$r &)4 !ur*u)!%$) " t"u! '& '$r &)'a# a&r r""t
*%$ u)$) ,a#( +$ra'a '&)$/$%&%( "rt&/$% ra +ut
'. E=#esi ",n A0so#0si
Ku%&t #"r a%#,a $ &%&/& u#()& )$+a(a& @
1 E/)/r$)& @ *$ +ua#(a# )u+)ta#)& 'ar& 'a%a tu+u
2 A+)"r+)& @ a)u/#,a at$r&a% 'ar& %uar /$'a%a
tu+u
5. Sintesis 6it,min D
0 St$)&) =&t '&/u%&t $ +utu /a# *r$/u)"r )ar U=
"%$ ata ar&
0 E#;, $ '& %&>$r 'a# '& ( a% $ "'& /a)& a/t& #,a
"%$/u% )$ ((a $ *$r"'u/)& !a%!&tr&"%
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/a%)&u *a'a a/a#a# 'ar& G% /$ 'ara
0 U= a#,a '&+utu /a# 'a%a u %a /$!&% u#tu/ )t$)&)
=&t -1 015 $#&t 'a%a 2 C ((u.
G. Homeost,sis (en2em0
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!. Epi"e#m,* 8o n"
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2. Mat$r&a% a)(3.
P$r)&a*a# *$#,$ +u a#0 =a)"'&%ata)& 'a# *$#(/ata# *$r $a+&%&ta) *a'a
*$ +u%u 'ara $ *$r!$*at *$#(&r& a# )$% )$% ,a#(
$ +a#tu 'a%a a)$ a a)&
0 S$% )$% t$r)$+ut $ru*a/a# )$% a(")&t 'ar& )$% 'ara *ut&
-#$utr" %4 "#"!,t$. ,a#( +$ru+a $# a'& a/r" a(
,a#( $ a(")&t &/r"+a 'a# )$% $)$#/& ,a#(
+$r/$ +a#( $# a'& +r"+%a)t0 M$#!$(a *$#,$+ara# $/)&
In ,m,si te#9,"i ",*,m tig, ,se$
0 H&)ta 'a# *r"t$ /" *%$ $# $#(/at/a#
>a)"'&%ata)& 'a# *$r $a+&%&ta) /a*&%$r4)$ ((a t$r a'&
*$#(/ata# at&ra# 'ara /$ ar$a )$ ((a u#!u% ta#'a0
ta#'a /$ $ra a#4 +$#(/a/4 *a#a)
0 N$utr" % 'a# "#")&t +$r $ &(ra)& /$ ar$a %u/a /$ u'&a#
$%a/u/a# a(")&t")&) t$r a'a* +a/t$r& Pu)4 !a&ra# 'a#
/u *u%a# )$% at& t$r a'& *a'a a)$ $/)&
0 F&+r"($#4 $ +$/u/a# 'ara 4 $#!$(a /$ &%a#(a#
'ara 4 )$%a# ut#,a '&&/ut& '$#(a# *$r+a&/a# ar(a# ,a#(
+aru u#tu/ $#((a#t&/a# ar(a# ,a#( at&
SISTEM INTEGUMEN %
B2. N # it, R s"i,n,
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!. Men9,g, t 0 < ",#i "ea*"ra)& ,a#(
t$r&a%u +$)ar4 $)/&*u# $>a*"ra)& *a)t& t$r a'&.- &/u%&t t$r'a*at /$rat ,a#( t$r)$+ar '&)$&uru
*$r u/aa# $*&'$r &)- K$rat $ru*a/a# *r"t$ at$r *r"
R$)&/" t$r/$#a $/)& +a/t$r&4 +$r$)&/" /$ &%a#(a# )$ u %a
+$)ar H2 $%a%u& $>a*"ra)&
$ ,'rat&"#
&'a%a *%a) a 'ara a/a# t$r a'& $ "/"#)$#tra)& $ tr$ $
P$#(/ata# /"#)$#tra)& 'ara $%$+& & #"r a%
P%a) a 'ara $# a'& &*$rt"#&/ -/$ &%a#(a# !a&ra# $%$+& &
#"r a%C*$#t#(/ata# /"#)$#tra)& -/"#)$#tra)& H2 r$#'a .
S$% 'ara $ra ,a#( $#(a%a & /r$#a)& )$ ((a $#($!&%)$!ara a+#"r a%4 $ *u#,a& +a#,a/ /$ruta# 'a# (urata#
)$ ((a t&'a/ a *u +$r u#()& )$!ara #"r a% $ +a a
"/)&($# - 2. $%$ at& *$ +u%u 'ara S$ ((a "ra#( ,a#(
'$ &'ra)& +&)a $#(a%a & /$ru)a/a# ar(a# 'a%a +$#tu/
Ischemia ,a#( $#( a%a#(& *$ +u%u 'ara $#(a%&r /$
+a(&a#0+a(&a# tu+u
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%. K *it ",n Te#mo#eg *,si
- Ku%&t +$r u#()& $r$(u%a)& *a#a) tu+u 'a# t$ *$ratur$- F$$'+a!/ #$(at&>$ 'a%a $#("#tr"% t$ *$ratur$ "ra%
a/a# $ *$rta a#/a# " $")ta)&)- T$r "r$)$*t"r '&/u%&t a/a# $#'$t$/)& *$#(/ata# atau
*$#uru#a# "ra% t$ *$ratur$- K$%$# ar /$r(at 'a%a tu+u a/a# $%$*a)/a# /$r(at
)$ ((a a/a# $#uru#/a# t$ *$ratur$ tu+u- =a)"'&%ata)& 'ar& *$ +u%u 'ara '&/u%&t a/a#
$#uru#/a# )u u tu+u "ra% $%a%u& *r")$) *$%$*a)a#
*a#a)
&. K *it ",n A*e#gi
- A%$r($# $/a#&) $ & u#"%"(& %( E r$)*"# a%$r(&
-r &t&)4 $/)$ a4 a) a.
Mi=#os=op> Sito*ogi> Geneti=, (e8,#is,n Si ,t
O*e< $ Y ningt2,s8,#i
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Mi=#os=op
M&/r")/"* @ -Lat @ M&/r" /$!&% @ S!"*&u *$#(%& ata#.4 ,a#(
$ (//a# )$)$"ra#( u#tu/ 'a*at $#(a at& "+ $/ ($ra/a#
,a#( )a#(at a%u) )$ ((a t&'a/ 'a*at '&%& at '$#(a# ata
+u(&%
MA:AM MIKROSKO(
- J$#&) @ ! %$/tr"#4 ! )t$r$"- Ju %a %$#)a "/u%$r @ "#"/u%$r 'a# +"/u%$r- Ba(&a#0+a(&a# &/r")/"* 'a# u#(),a -%& at (a +ar +$r&/ut .
B,gi,n-0,gi,n mi=#os=op
a L$#)a "/u%$r @ %$#)a ,a#( '&%& at atau '&t&*
+ Ta+u#( &/r")/"* @ +a(&a# ,a#( $#( u+u#(/a# %$#)a
"/u%$r '$#(a# %$#)a "+ $/t&
! R$>"%>$r @ *$ utar ,a#( '&(u#a/a# u#tu/ $#(u+a
*$ +$)ara# %$#)a "# $/t&
' L$#)a "+ $/t& *$ +$)ara# %$ a
$ L$#)a "+ $/t& *$ +$)ara# /uat
M$/a &/r")/"* @ t$ *at %$ta//a# )*$!& $# C *r$*arat
,a#( '&a at&
( K%&* @ *$# $*&t "+ $!t (%a))
Ka/& &r/")/"*
& D$r @ $ a#tu%/a# !a a,a *a'a %$#)a "+ $/t& a(ar
*$#(a ata# *r$*arat %$+& $%a)
&a ra( a @ +a(&a# ,a#( '&(u#a/a# u#tu/ $#(atur
t$#)&ta) !a a,a ,a#( a)u/ /$ %$#)a "+ $/t&
/ L$#(a# &/r")/"* atau *$(a#(a#
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% P$ utar a%u) @ +a(&a# ,a#( '&(u#a/a# ut#u/ $#((ara//a#
- $# au C $#'$/at. %$#)a "+ $/t& t$r a'a* *r$*arat
)$!ara *$%a#C a%u).
P$ utar /a)ar @ +a(&a# ,a#( '&(u#a/a# ut#u/ $#(($ra//a#
- $# au C $#'$/at/a#. %$#)a "+ $/t& t$r a'a* *r$*arat
)$!ara t$*at
SITOLOGI
S$% u#&t *a%( 'a)ar 'ar& /$ &'u*a# a/ %u/ &'u* @- J$#&) )$% @ $u/ar,"t$4 *r"/ar,"ta *$r+$'aa#,a @ )tru/tur )& at4
u+u#(a# '$#(a# )$% %a- K"#)$* )$% @ /$'u'u/a# 'a%a "r(a#&) $4 a)a%#,a4 u/ura#4
+$#tu/4 a!a 4 )tru/tur4 u#()&- Or(a#&)a)& )$% *r"/ar,"ta @ u/ura#4 %$ta/ NA4 t&'a/ a'a
$#'" $ +ra# *a'a +a/t$r&- Or(a#&)a)& )$% $u/ar,"t$ @ u/ura#4 )tru/tur ru &t4 "r(a#$%
+$r $ +ra#4 #"# $ +ra#4 !%u)&"#) Pa'a )$% $ a#4 )$%
tu +u a#4 *$r+$'aa##,a
STRUKTUR KHAS SEL EUKARYOTA
- P$r u/aa# )$% @ u#tu/ *r"t$/)&4 *$#'u/u#( u+u#(a# )$%- '( )$% @ )$% tu +u a#- M$ +ra# *%a) a @ $ +ra# ,a#( $#($%&%(& )$% )$!ara
)$%$/t& *$r $a+%$ M$#(a#'u#( 5 : %&*&' -F") "%&*&*'4
a %&*&/. 5 : *r"t$ )$%$/t& *$r $a+%$ Fu#()& $ +ra# @
a%%" a "r '& $r$#t !'&t&"#) +$t $$# )&'$ a#' "ut)&'$ "
!$%% )u+'&>&'$) !$%% t" !" *art$ $#t) &t '& $r$#t t$r#a%
!"#'&t&"#) a%%" a r$%$a)$ " )u+)ta#!$) r" !$%% >&a >$)&!%$
u)&"# &t "ut$r $ +ra#$- Nu/%$u) @ $ru*a/a# ),)t$ /$#'a%& ($#$t&! )$% @
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o M$ +ra# ra#(/a* 2 '$#(a# *"r4 $ &)a /a# "r(a#$%
'$#(a# )&t"*%a) ao NA ta *a/ )$+a(a& +$#a#(0+$#a#( /r&" at #u/%$"%u)
+$r0(ra#u%a4 t$ *at *$ +$#tu/a# rRNA
ORGANEL IN:LUSIONES
Or(a#$% )$+ua /u *u%a# )$%4 "r(a#$% $ *u#,a& u#()& /$r a
a)(0 a)(4 &)a%#,a r&+")" -t$ *at )t$)&) *r"t$. atau
&t"/"#'r&a -)&tu) ($#$ra)& ATP *a'a $u/ar&"ta.
R$t&/u%u $#'"*%a) a
R$t&/u%u $#'"*%a) a -RE. /a)ar +$r(ra#u%a @ $ +uat
$ +ra# )t$)&) *r"t$
RE a%u) @ )t$)&) %&*&' '$t& & /a)& "+at 'a%a $*at")&t
Mito=on"#i,
M&t"/"#'r&a @ $#ua& $#$r(, /& &a 'ar& a/a#a#-Br$a/) '" # (%u!")$ &t " ,($# t" *r"'u!$ $#$r(,.
T$r'a*at *a'a )$ ua $u)&t /$!ua%& *a'a +$+$ra*a *r"t";"a
a#a$r"+ $ +ra# ra#(/a* 24 t$ *at r$)*&ra)& )$%
Ju %a 'a# +$#tu/ *a'a t&a* $#&u) )$% +$r>ar&a)&
A*aratu) G"%(&
S$#tu a# a/ &r4 *$#,& *a#a#4 *$#(&r& a# a)&%0 a)&%
+uata# )$%Sa#(at *$#t( 'a%a )$% ,a#( a/t& t$r%&+at 'a%a )$/r$)&
L&)")" @ $#!$r#a a/a#a# )$% ;at0;at +ua#(a#
$#(a#'u#( $#;& 0$#;& &'r"%&t&/
L&)")" a+#"r a% *$#,a/&t0*$#,a/&t /ar$#a
/$/ura#(a# $#;& 0$#;& &'"%a)$ t$rt$#tu 'ar&
%&)")" @ *$#,a/&t P" *$ /$0a# $#;& *$#!$r#a
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(%&/"($# *$#,a/&t Ta,0Sa! @ %&)")" /$0a# $#;& 0
$#;& *$#!$r#a %&*&'
=a/u"%a @
Pa'a Pr"t&)ta @ >a/u"%a +$r'$#,ut $ $%& ara
/$)$& +a#(a# a&r
Pa'a tu +u a# >a/u"%a )$#tra% +$r u#()& )$+a(a&
(u'a#(4 +$r*$ra# 'a%a *$rtu +u a# )$% 7 )$+a(a&
%&)")" ,a#( +$)ar
R&+")" @ )t$)&) *r"t$Stru/tur *a%( /$!&% ,a#( t$r)u)*$#)& '&'a%a
)&t"*%a) a
a%a )$% ,a#( a/t& $#)t$)&) *r"t$ r&+")"
'a*at $ru*a/a# 25: +$rat /$r( )$% -*a'a
$*at")&tu).
S&t"*%a) a
)$(a%a )$tuatu '&'a%a /$!ua%& #u!%$u)& 'a%a #,a t$r'a*at "r(a#$% -)tru/tur ,a#( '&+ata)&
'$#(a# $%a)4 )$%a%u a'a 'a%a )$t&a* $#&) )$%.
S$+a(&a# +$)ar t$r'&r& 'ar& a&r4 ,a#( '&'a%a #,a t$r%arut
+a#,a/ "%$/u%0 "%$/u% /$!&% &"# )$rta )$ u %a
+$)ar *r"t$
Sitos=e*etonSitos=e*eton $ =e#,ng=, inte#n,*> st# =t # men9,*,
te#"i#i ",#i 3*,ment-3*,men p#otein-p#otein g*o0 *,#
30#os,
Mi=#o3*,men $ sepe#ti 0en,ng> se#,t tipis> p,n9,ng>
D 5-+ nm p#otein-p#otein g*o0 *,# ,=tin
Fi*,men meneng,< $ 0e# p, 0en,ng> D !4 nm
p#otein-p#otein 30#os,
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Mi=#ot 0 *i $ t,0 ng-t,0 ng 0e#ongg, p#otein-
p#otein g*o0 *,#:i*i, ,ge**, 0e#ge#,= 9i=, mi=#ot 0 *i
mem0eng=o=
GENETIKA
Ba a# ($#$t&!L$ta/ NA @ #u!%$u)4 &t"/"#'r&a
Kr" ")"
NA MK a%ur &+u
G$# C %$ta/
F$#"t&*4 ($#"t&*4 )& at4 $r";&("t4 " ";
G$# '" a#4 r$)$)&
A*a u#()& ($#
B$r a!a )$% +a(a& a#a '$#(a# NA0#,a
RNA +$'a
P"%a *$ ar&)a# )& at $r$'&t$r
G$# tu#((a%4 a%$% (a#'a4 *"%&($#a
G$# aut")" a%4 ($# t$r/a&t )$ /r" ")" a%
Muta)& C ($# uta#t C r$)$)&
I#+r$$'( r&)&/"
K$%aa# ta/ /r" ")" a% u %a 4 )tru/tur
S'r" a '" #4 /%$ $%t$r
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FARMAKOLOGI
( Pengantar Farmestika dan ahasa !atin dalam "esep )
( Ibu. Sri #asminatun, $.Si.,%pt )
I. Se9,#,< F,#m,si
L,t,# 0e*,=,ng
a P$#,a/&t *a'a a#u)&a
+ M$#((u#a/a# "+at0"+at )$'$r a#a4 t$ruta a +a a#0
+a a# a%a
! &/a&t/a# '$#(a# a%0 a% ( a&+ -r" a at. 'a#
'&%a/u/a# "%$ /$*a%a )u/u atau t"/" a(a a
' B$r a)&% atau t&'a/ +$r a)&%
$ $# a'& *$#(a%a a# ,a#( turu# t$ uru#
&+u/t&/a# )$!ara &% &a
II. To=o
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$ Su *a H&*"!rat$) ,a#( $ru*a/a# tata !ara
*$r&%a/u u#tu/ *r" $)& *$#,$ +u a#
tt*@CC&' &/&*$'&a "r(C &/&CSu *a &**"/rat$)
-iocorides (abad masehi)
a "/t$r u#a#& 'a# a %& +"ta#&
+ M$#((u#a/a# &% u tu +u a# )$+a(a& &% u t$r*a'u
! Ha)&% /ar,a#,a '$ at$ra $'&!a '&a#((a* )$+a(a&
a a% *$#($ +a#(a# +"ta#& ar a)& *#$%&t&a# +a a#
a%a
Galen ( + */ $asehi)
a "/t$r 'a# a %& ar a)& u#a#&
+ M$ u%a& *$ +uata# "+at0"+at 'ar& tu +u a# '$#(a#
$ra!&/ +a a# 'ar& a%a 4
! F"r u%a 'a# )$'&aa# ar a)& ,a#( '&)$+ut Far a)&
Ga%$#&/
Philipus %ureaulus #heopratus ombatus 0an
&olhenhein ( '1+* 2' S$)
a M$ *$#(aru & *$ru+a a# ar a)&
+ M$#,&a*/a# +a a# atau )*$)& / 'a# $ *$r/$#a%/a#
at /& &a )$+a(a& "+at t$r#a%
o Far a)& *&)a 'ar& K$'"/t$ra# ta u# 12 M ata)
*$rta FRE ERIDK II
o Far a)& +&'a#( *r" $)&"#a% /$)$ ata#4 /" +a)& 'ar&
&% u /$)$ ata# &% u /& &a4 ,a#( $ *u#,a&
ta#((u#(0 a a+ $ a)t&/a# $ $/t&>&ta) 'a# /$a a#a#
*$#((u#aa# "+at
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III. R ,ng Ling= p ",#i p#,=ti= ,#m,si $
P$ra!&/a# 'a# *$#,$'&aa# )$'&aa# "+at4 )$rta *$%a,a#a#
t$r a'a* *a) (patient care) '&a#tara#,a %a,a#a# /%&/4
$>a%ua)& $ /a)& 'a# /$a a#a# *$#((u#aa# "+at4 'a#
*$#,$'&aa# "r a)& "+at
I6. FARMASETIKA
I% u ,a#( $ *$%a ar& t$#ta#( !ara *$#,$'&aa# "+at
$# a'& +$#tu/ t$rt$#tu ((a )&a* '&(u#a/a# )$+a(a&
"+at4 )$rta $ *$%a ar& *$r/$ +a#(a# "+at ,a#(
$%&*ut& &% u 'a# t$/#"%"(& *$ +uata# "+at 'a%a
+$#tu/ )$'&aa# ,a#( 'a*at '&(u#a/a# 'a# '&+$r&/a#
/$*a'a *a)&$#
(en2e"i,,n o0,t me*ip ti $
o P$#(u *u%a#4 *$#($#a%a#4 *$#(a $ta# 'a#
*$ +a/ua# +a a#0+a a# "+ato S$#& *$ra!&/a# "+at
o P$ +uata# )$'&aa# ar a)&
6. FARMAKO(E
ar& /ata Pharma copeia (bhs 3erman) P ar a/"# C
"+at 'a# *r"t$ C +uat "r u%a u#tu/ $ *$r)&a*/a#
"+at S$t&a* N$(ara $ &%&/& +u/u ar a/"*$ ,a#( $ uat
*$r),arata# /$ ur#&a#4 )& at /& &a 'a# )&/a4 !ara
*$ $r&/)aa#4 )$rta +$+$ra*a /$t$#tua# %a ,a#(
+$r u+u#(a# '$#(a# "+at0"+ata#
,. F,#m,=ope In"onesi, I-I6
0. Unite" St,te (
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". Ne"e#*,n"s ($ +$r 1978
( Far a/"*$ I#'"#$)&a $'&)& II t$r+&t 9 O/t"+$r 1979
Far a/"*$ I#'"#$)&a $'&)& I= t$r+&t 5 $)$ +$r 1995
6II. SUATU SEDIAAN FARMASI $ JAT AKTIF BAHAN
TAMBAHAN
J,t ,=ti
S$)ua& "#"(ra '& Far a/"*$ I#'"#$)&a
B,
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o +a a# t$r)$+ut t&'a/ $ +a a,a/a# 'a%a u %a
,a#( '&(u#/a#o T&'a/ $%$+& & u %a & a% ,a#( '&*$r%u/a# u#tu/
$ +$r&/a# $ $/ ,a#( '& ara*/a#
o T&'a/ $#(ura#(& /$t$r)$'&aa# a,at&4 $ $/ t$ra*&
atau /$a a#a# 'ar& )$'&aa# r$) &
o T&'a/ $#((a#((u 'a%a *$#(u &a# 'a# *$#$ta*a#
/a'ar
6III. SUHU (ENYIM(ANAN
o ( @ )u u t&'a/ %$+& 'ar& 8 " D
%$ ar& *$#'( $ &%&/& )u u 2 " D 'a# 8 " D
$) %$ ar& *$ +$/u $ *u#,a& )u u 2 " D 'a# 1 " D
o S$ a/ @ )u u a#tara 8 " D ? 15 " D
o Su u /a ar @ )u u *a'a rua#( /$r a
o Su u /a ar t$r/$#'a%& @ )u u ,a#( '&atur a#tara 15 " D ?3 " D
o Ha#(at @ )u u a#tara 3 " D 'a# " D
o Pa#a) +$r%$+& @ )u u '&ata) " D
Su u /$!ua%& ',ata/a# %a +$rart& '$ra at !$%!&u)
TIMBANGAN OBAT
Tim0,ng,n o0,t D,2, 0e0,n Kepe=,,n T& +a#(a# /a)ar 25 ? 1 ( 2 ( T& +a#(a# (ra
a%u)
1 ? 2 ( 5 (
T& +a#(a#
&%%&(ra
1 ? 5 ( 5 (
a,a +$+a# @ +"+"t a/) ,a#( +"%$ '&t& +a#(
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K$*$/aa# @ ta +a a# +"+"t a/)& u ,a#( '&*$r%u/a#
*a'a )a%a )atu *&r( t& +a#(a# )$t$%a /$'ua#,a '&&)&
uata# a/)& u 4 $#,$+a+/a# a,u#a# aru t& +a#(a#
t&'a/ /ura#( 'ar& 2 t&a* ' *a# a#( aru
Ke*,# t,n
Ke*,# t,n ?,t 2,ng te#),nt m ",*,m ,#m,=ope
I)t&%a K$%aruta# Ju %a +a(&a# *$%arut ,a#(
'&*$r%u/a# u#tu/ $%arut/a# I
+a(&a# ;atSa#(at u'a %arut Kura#( 'ar& I
Mu'a %arut 1 )a *a& 1Larut 1 )a *a& 3
A(ar )u/ar %arut 3 )a *a& 1Su/ar %arut 1 )a *a& 1
Sa#(at )u/ar %arut 1 )a *a& 1Pra/t&) t&'a/ %arut %$+& 'ar& 1
o (e#sen
P$r)$# +"+"t *$r +"+"t -+C+.4 $#,ata/a# u %a (ra
;at 'a%a 1 (ra %aruta# atau !a *ura#
P$r)$# +"+"t *$r >"%u $ -+C>.4 $#,ata/a# u %a (ra
;at 'a%a 1 % %aruta#
P$r)$# >"%u $ *$r >"%u $ ->C>.4 $#,ata/a# u %a %
;at 'a%a 1 % %aruta#
o K,",* ,#s, E7pi#,tion ",te
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BAB 5 LANCUTAN
BAHASA LATIN DALAM RESE( OBAT
R$)$* '"/t$r @ *$r taa# t$rtu%&) 'r u u 4 'r )*4 'r(
A*"t$/$r '& A*t u#tu/ $#,$'&a/a# "+at $#,$ra /a#
+a(& *a)&$# )$)ua& *$ratura# *$ru#'a#(a# ,a#( +$r%a/u
M$ru*a/a# $'&a /" u#&/a)& '"/t$r -*$#u%&) r$)$*. '$#(a#
APA -*$#,$'&a "+at. 'a# *a)&$# -*$#((u#a "+at.
R$)$* '"/t$r
Ba a)a +a/u +a a)a %at
Tu%&)a# aru) $%a)Ba(&a#0+a(&a##,a %$#(/a*
$ru*a/a# '"/u $# ,a#( '&%'u#(& u#'a#(0u#'a#(
O+at 'a%a r$)$* "+at a'& C "+at +uta# *a+r&/
-F"r u%a )*$!&a%&t&).atau "r u%a " !&a%&)
atau "+at ra!&/a# - "r u%a a(&)tra%&).
O+at +$r $r/ atau "+at ($#$r&!
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I. B,n2,= o0,t 2,ng mi#ip
Lose) ,a#( +$r&)& " $*ra;"%$ -u#tu/ (a#((ua#
%a +u#(. La)& Q ,a#( +$r&)& ur")$ &'$ -'&ur$t&/a.
Fe*"en)e ,a#( $ru*a/a# )uatu AINS S$%'$#!$ Q
,a#( +$r&)& t$r $#a'$ -)uatu a#t& &)ta .
Sot,ti) ,a#( +$r&)& $t"!%"*ra &'$ -"+at a#t&u#ta . D,t"t$! Q -+$r&)& &)"*r")t"%. ,a#( 'a*at
$#,$+a+/a# t$r a',a a+"r)& &/a '&+$r&/a# *a'a &+u
a &%
II. B,gi,n Resep Do=te#
Ba(&a#0+a(&a# R$)$* "/t$r
III. (en *is,n C m*,< O0,t
P$#u%&)a# u %a "+at
-a#(/a r" a &.
I u#u) 1 '$!$ 1
II 'u" 2 II 12
III tr$) 3 2
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I= uatt"ur 3
= u(u$ 5 L 5
=I )$ 6 D 1
=II )$*t$ 7 5
=III "!t" 8 M 1
I #">$ 9
FARMAKOLOGI
:,#, (em0e#i,n ",n A*e#gi
I. !% a%ua)&
B$#ar r$a/)& t$r a'a* a/a#a#
B$#ar r$a/)& '$#(a# "+at
II. @,=t 2,ng 0en,#
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Ba!a atura# *a/a& "+at C $t&/$t
B$ra*a /a%& )$ ar&4 *$rta t$ta* atau +&%a *$r%u4 )$+$%ua/a# atau )$)u'a a/a#
A#t&+&"t&/ aru) '&+$r&/a# 'a%a )$%a#( a/tu ,a#( )a a
B$r&/a# "+at ,a#( a+)"r*),a '& a +at a/a#a#4
)$+$%u a/a# S$'a#(/a# "+at ,a#( $#(&r&ta)& )a%ura#
!$r#a +$r&/a# +$r)a a atau )$)u'a a/a#
III. R te 2,ng 0en,#
B$r&/a# "+at *a'a t$ *at ,a#( )$)ua& +$r'a)ar/a#
+$#tu/ "+at 'a# *$rta *$#("+ata#
N&%a& /$ a *ua# *a)&$# u#tu/ $#$%a# )$+$%u
$ +$r&/a# "+at0"+at *$r"ra%
P$r(u#a/a# t$ #&/ a)$*t&/ u#tu/ $ +!r&/a# "+at T$ #&/ )t$r&% '&*$r%u/a# 'a%a !ut$ *ar$#t$ra%
a *(& *a)&!# )a *a& "+at0"+at "ra% '&t$%a#
I6. (e#0e",,n ),#, pem0e#i,n O0,t
(e#0e",,n$
o $ $/ "+at @ %"/a% atau )&)t$ &/
o Fa##a/"/$t&/a "+at
o O#)$t - a/tu . 'a# 'ura),a
6. (#ose" # Unt = (em0e#i,n O0,t 2,ng Ben,#
(e#si,p,n
o Du!& ta#(a# )$+$%u $#,&a*/a# *$#("+ata#
o P$r&/)a /$ u#(/a# a%$r(& "+at
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o P$r&/)a $t&/$t "+at 'a# *$rta *$#("+ata#
o
*$r&/)a u%a#( *$#( &tu#(a# '")&) "+ato Tua#( !a&ra# )$t((& ata
o E#!$r/a# "+at ,a#( $#(&r&ta)& atau +$r&/a# +$r)a &
atau )$t$%a a/a#
(em0e#i,n
o P$r&/)a &'$#t&ta) *a)&$#
o B$r&/a# a#,a "+at ,a#( )au'ara *$!)ta*/a#o Ba#tu *a)&$# $#'a*at/a# *")&)& ,a#( t$*a%
t$r(a#tu#( 'ar& rut$ *$ +$r&a#
o T$ta*%a +$r)a a *a)&$# )a *a& "+at '&*a/a&
o J&/a $ +$r&/a# "+at *a'a +$+$ra*a *a)&$#4 +$r&/a#
"+at t$ra/ &r *a'a *a)&$# ,a#( *$r%&& +a#tua# $/)tra
o Bua#( aru )u#t&/ 'a# ta+u#( )u#t&/ /$ t$ *at ,a#(
+$#ar
(en),t,t,n
o La*"r/a# /$)a&a a# "+at '$#(a# )$($ra /$*a'a
'"/t!> atau *$ra at )u*$r>&)"r L$#(/a*& %a*"ra#
*$r&)t& a
o Datat "+at ,a#( '&+$r&/a#4 '")&)4 a/tu Rut$ 'a#
&)&a% a#'ao La*"r 'a# !atat "+at0"+at ,a#( '&t"%a/ 'a# a%a)a#
*$#"%a/a#
6. Y,ng Ti",= Bo*e< ",*,m (em0e#i,n O0,t
Ja#(a# $ +$r&/a# "+at /$t&/a t&'a/ /"#)$#tra)&
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Ja#(a# $ +!r&/a# "+at ,a#( '&/$&uar/a# "ra#( %a C
ta#*a /$t $%a) Ja#(a# $ 'a /a# "+at 'ar& )atu t$ *at /$ t$ *at
%a
Ja#(a# $ +$r&/a# "+at ,a#( t$%a /a%a'u ar)a atau
ru)a/ -*$r at&/a# ta#'a0ta#'a "+at ru)a/.
Ja#(a# $#'u(a0'u(a '")&) "+at Ta#,a/a# +&%a ra(u0
ra(u
Ja#(a# +$r&/a# "+at &/a *a)&$# $#,ata/a# +a a"+at t$r)$+ut +$r%aa# '$#(a# ,a#( t$%a &a t$r& a
)$+$&u #,a P$r&/)a *$rta *$#("+ata#
6I. R te (engg n,,n O0,t
Ora%
tra#)'$r a%
*ar$#t$ra%C)u#t&/
I#)t&%a)& -t$t$)4 )$ *r"t4 a$r")"%.
Su*")&t"r&a
/u%&tCt"*&!a%
(ENCELASANNYA $
R te o#,*
o Pa'at
o Ta+%$t +&a)a )a%ut4 (u%a4 )a%ut $#t$r&!4 %$*a) %a +at4
$ $r $)!$#t
o Ka*)u% /$ra) %u#a/
o P&%
o S$r+u/
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T#,ns"e#m,
o
O+at tra#)'$r a% t$r)& *a# 'a%a *at!o O+at /ar'&">a)!u%ar4 "+at #$)"*%a)t&/4 )u%
(,#ente#,*
o
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o T$/#&/ )u#t&/a# 0Tra!/4 ,a#( $#!$(a +"!"r#,a "+at
/$'a%a ar(a# )u+ !uta#
Int#, en,
o E $/ )&)t$ &/4 +$r$ $/ )$($ra
o L$+& !$*at 'ar& S/ 'a# IM
o T$ *at @ >$#a *$r& $r ,a#( u'a '&!a*a&
Insti*,sio O+at !a&r ,a#( +&a)a#,a '&+$r&/a# )$+a(a& t$t$) 'a%a
+$#tu/ t$t$) ata4 )a%$* ata4 t$t$) t$%(a
S posito#i,
o L$ a/ aru) '&)& *a# '&%$ ar& $)4 E @ a#u)"%
o Larut a&r 'a*at '&)& *a# *a'a )u u /a ar M&) @
'u%!"%a/
ALERGI
O0,t
M$#urut K$* M$#K$) RI N" 193CKa+CB =IIC71
O+at &a%a )uatu +a a# atau *a'ua# +a a#0+a a# ,a#(
'& a/)u'/a# u#tu/ '&(u#a/a# 'a%a $#$ta*/a# '&a(#")&)4
$#!$(a 4 $#(ura#(/a#4 $#( &%a#(/a#4 $#,$ +u /a#
*$#,a/&t atau ($ a%a *$#,a/&t4 %u/a4 atau /$%aa# +a'a#&a 'a#
r" a#&a *a'a a#u)&a atau $ a# 'a# u#tu/ $ *$r$%"/ atau
$ *$r'a +a'a# atau +a(&a# +a'a# a#u)&a
I. E e= S,mping
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E $/ )&"%"(&) ,a#( t&'a/ +$r/a&ta# '$#(a# $ $/ "+at
,a#( '&(/a# S&'$ $ $!t
A'>$r)$ 'ru( r$a!t&"#
H,*$r)$#)&t&>$ r$a!t&"# C a%%$r(,
P)$u'"a%%$r(,
II. A" e#se D# gs Re,)tion
Adverse drug reactionTipe A
T$r(a#tu#( '")&)
a*at '&*$r/&ra/a#
I#)&'$#)& 'a# "r+&'&ta)#,a
t((&
M"rta%&ta)#,a r$#'a
Tr$at $#t '")&)
'&)$)ua&/a#
Tipe B
T&'a/ t$r(a#tu#( '")&)
T&'a/ 'a*at
'&*$r/&ra/a#
I#)&'$#)& 'a#
"r'&+&ta)#,a r$#'a
M"rta%&ta)#,a t((&
Tr$at $#t )t"*
III. K,s s
K,s s
Tipe A
$ "r(& -A#t&/"a(u%a#.
(a)tr&t&) -AINS.u%ut /$r( 'a# /"#)t&*a)&
-atr"*.
$#(a#tu/ -DTM4
'& $# &'ra .
)$)a/ #a a) -*r"*ra#"%"%.
&*"t$#)& *")tura%4 ta/&/ar'&a
- &'ra%a;
Tipe B
a(ru#u%")&t")&)
-'&*&r"#4 $#&+u%a;"#.a#$ &a a*%a)t&/a
-/%"ra $#&/"%.
$ "%,)&) -*r& a/u.
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I6. Re,=si O0,t
5: 'ar& *a)&$# RS
1 02 : *a)&$# ra at a* RS
Kem,ti,n
o 41: *a)&$# #"# +$'a
o 4 1: *a)&$# +$'a
(,sien #,8,t 9,*,n
o I#)&'$#)& +$r>ar&a)& t$r(a#tu#( $#&) "+ato : "+at t$rt$#tu -NSAI )4 a#t&+&"t&!0/$ "t$ra*&.
F,=to#
OBAT
o F&)&/"/& &a &4 ar a/"/$t&/a4 '")&)4 r$/u$#)& 'a#
!ara *$#((u#aa#
(en"e#it,
o K"#'&)& )&"%"(&4 *at"%"(&)4 a%$r(&4 ($#$t&!
6. Kon"isi Fisio*ogis
K"#'&)& )&"%"(&)
tua )$/a%& - " *".
u'a )$/a%& -#$"#atu).
a &%
$#,u)u&
a%#utr&)&
6I. Kon"isi pen2,=it p,to3sio*ogis
g,g,* gin9,* e*imin,si te#g,ngg
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o a "(%&,!")&'a -)tr$*t" &) /a#a &) ')+4 'a#
$#,$+a+/a# "t"t/)&/.o '&(" t" &!at&"#
o a)$t")a% *$ a# a#(a# a/tu *$r'ara a#4 ')+
g,st#itis
o /"rt&/")t$r"&'a -r$)&/" +%$$'( #a&/.
o NSAI ) -r$)&/" u%/u) 'a# +%$$'( #a&/.
o t$ % -r$)&/" #,$r& $*&(a)tr&/ #a&/.
,sm, 0#on=i,*o a)$t"% -r$)&/" )$)a/ #a a) #a&/.
o *r"*ra#"%"% -r$)&/" )$)a/ #a a) #a&/.
o "r # -r$)&/" )$)a/ #a a) #a&/.
6II. Geneti=
A'a#,a >ar&a)& ($#$t&! -*"%& "r ) $. >ar&a)& $#;&
$ta+"%&) $
o a)$t&%at"r %a +at
o INH -r$)&/" #$ur"*at&a #a&/.
6III. ESO
$#uru#/a# /ua%&ta) &'u* *$#'$r&ta
$#uru#/a# /$*$r!a,aa# *$#'$r&ta
$#a&//a# *$ +&a,aa# u#tu/ +$r"+at
$#( a +at *$#((u#aa# "+at
I . A*e#gi o0,t
ESO 2,ng te#9,"i me*,* i me=,nisme im no*ogi=
F,=to# mempeng,#
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&& Fa/t"r *$#'$r&ta
&&& Fa/t"r *$#,a/&t
&> Fa/t"r %(/u#(a#
. G,m0,#,n K*inis A*e#gi O0,t
Ma#& $)ta)& )&)t$ &/
Ma#& $)ta)& '$ at"%"(&/
I. M,ni est,si Sistemi= Ma#& $)ta)& )&)t$ &/
A#a %a/)&
S$ru )&!/#$))
$ a "+at
S'r" %u*u)
$r&t$ at")u)
)&)t$ at&/-LES.
K$%aa# $r at"%"(&
K$%aa# *aru
K$%aa# $*ar
/$%aa# r$#a%
K$%a# #$ur"%"(&/
II. M,ni est,si De#m,to*ogi=
Ma#& $)ta)& '$r at"%"(&!
Eru*)& a!u%ar C a/u%"*a*u%ar
Urt&/ar&a
$r at&t&) /"#ta/ a%$r(&
F"t"a%$r(&
Eru*)& /)tu
III. URTIKARIA
SINONIM
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B&'ura#
EFINISI
Urt&/ar&a @ r$a/)& /u%&t '&ta#'a& '$#(a# @
Ra)a (ata% '&)$rta& '$#(a#
U'$ +$r+ata) t$(a) '& $*&'$r &) -urt&/a.
K$ $ra a#
T& +u% !$*at -'a%a +$+$ra*a $#&t.
M$#( &%a#( )$!ara *$r%a a#0%a a# 'a%a +$+$ra*a
$#&t )a *a& 2 a
I6. K#ite#i, 2,ng mem0,nt "i,gnos,
R$a/)& a#,a t$r a'& *a'a )$+a(&a# /$!&% *"*u%a)&
A'a *a*ara# "+at )$+$%u #,a ta#*a ESO
A'a *$r&"'$ %at$#4 *$ +$r&a# "+at ta#*a r$a/)&
Ma#& $)ta),a t&'a/ $ *u#,a& $ $/ ar a/"%"(& "+at
G$ a%a &%a#( +&%a "+at '& $#t&/a#G$ a%a u#!u% %a(& +&%a *$ +$r&a# "+at '&u%a#(
6. O0,t 2,ng menim0 *=,n ene#g2
O+at ,a#( $#& +u%/a# a%$r(&
P$#&!&% M$*r"+a at$
Su% "#a &'$) I#)u% T &a;&'$ =a!!$)
L"!a% A#$)t $t&!)
Sa%&!,%at$)
I+u *r" $#
6I.(en,t,*,=s,n,,n
M$#( $#t&/a# )$ ua "+at ,a#( '&!ur&(a&
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P$#("+ata# )& t" at&/ )$)ua& a#& $)ta)& /%&/ ,a#(
t& +u%
6II. Anti Hist,min A*e#gi
Anti
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Ja# )a#(at *$/a t$r a'a* /$ u#(/a# /$ru)a/a#
,a#( '&)$+a+/a# "+at4 ra'&a)& 'a#Catau $/)& ,a#($#,$ra#( P$#,$+a+ /$ru)a/a# t$r a'a* !a%"# +a,&
t$r)$+ut '&)$+ut t$rat"($#
Tr&)$ $)t$r /$'ua /$ a &%a#
-+u%a# /$0 )a *a& +u%a# /$06.
Or(a# +a,& ,a#( )u'a t$r+$#tu/ $#,ut a#tu#( )u'a
'a*at '&'$#(ar 'a# tu%a#( +$%a/a#( )u'a 'a*at '&%& at
'$#(a# *$ra%ata# ra'&"%"(&B$+$ra*a "+at r&)&/" BBLR
Tr&)$ $)t$r /$t&(a -+u%a# /$tu u ((a +a,& '&%a &r/a#.
R$)&/" t$r+$)ar a'a%a /$)u%&ta# +$r#a a) *a'a +a,& +aru
%a &r
B$+$ra*a "+at 'a*at $ *$#(aru & *$r)a%a# ,a#(
'& a#& $)ta)&/a# +a,& %a &r *r$ atur$ au*u# !a%"# +a,&
%$+& %a a 'a%a /a#'u#(a#
. FDA (food 5 drug association) meng=,tego#i=,n o0,t
p,", =e
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K,tego#i B
o
O+at0"+at ,a#( *$#(a%a a# *$ a/a&a##,a *a'aa#&ta a &% a)& t$r+ata)4 t$ta*& t&'a/ t$r+u/t&
$#(/at/a# r$/u$#)& a% "r a)& atau *$#(aru
+uru/ %a#,a *a'a a#
o B1 @ t&'a/ t$r+u/t& /$ a'&a# /$ru)a/a# a# (fetal
damage) &)a%#,a )& $t&' '&*&r&'a "%4 'a#
)*$/t" &)
o
B2 @ 'ata 'ar& *$#$%&t&a# *a'a $ a# +$%u $ a'a&t$ta*& a'a *$tu# u/ t&'a/ $#(/at#,a /$ a'&a#
/$ru)a/a# a#
o D"#t" @ t&/ar)&% a "t$r&) '"*a $4
a)$t&%)&)t$ 'a# a%/a%"&' +$%%a'"##a
o B3 @ *$#$%&t&a# *a'a $ a# $#u# u//a#
*$#(/ata# /$ a'&a# a# t$ta*& +$%u t$#tu
+$r a/#a *a'a a#u)&ao D"#t" a'a%a /ar+a a;$* *&r& $ta
(r&)$" u%> tr& $t "*r& 'a# $+$#'a;"%
K,tego#i :
o O+at0"+at ,a#( 'a*at $ +$r& *$#(aru +uru/ *a'a
a# ta#*a '&)$rta& a% "r a)& a#at" &! )$ ata0
ata /ar$#a a $/ ar a/"%"(,ao U u #,a +$r)& at r$>$r)&+$% - $ +a&/ /$ +a%&.
o M&)a%#,a @ a#a%($t&/a0#ar/"t&/4 $#"t&a; r& a *&)
a)*&r a#t& a a)& #"#0)t$r"&' 'a# '&ur$t&/a
K,tego#i D
o O+at0"+at ,a#( t$r+u/t& $#,$+a+/a# $#(/at#,a
/$ a'&a# a% "r a)& a# *a'a a#u)&a atau
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$#,$+a+/a# /$ru)a/a# a# ,a#( +$r)& at
&r$>$r)&+$% -t&'a/ 'a*at $ +a&/ /$ +a%&.
o O+at0"+at 'a%a /at$("r& & u(a $ *u#,a& $/$
ar a/"%"(&/ ,a#( $ru(&/a# t$r a'a* a#
o M&)a%#,a @ a#'"($#4 $#&t" *&r& &'"#4 $#"+ar+&t"#4
/ /%"#a;$*a 4 >a%*r"at$4 )t$r"&' a#a+"%&!4 'a#
a#t&/"a(u%a#)&a
K,tego#i o O+at ,a#( t$%a t$r+u/t& $ *u#,a& r$)&/" t((&
t$r a',a *$#(aru +uru/ ,a#( $#$ta*
-&rr$>$)&+$%. *a'a a# &/a '& u *a'a a)a
/$ a &%a#
o O+at 'a%a /at$("r& & $ru*a/a# /"#tra'&/a)&
ut%a/ )$%a a /$ a &%a#
o
D"#t" a'a%a &)"tr$t&"# 'a# '&$t&%)t&%+$)tr"%
(ATOFISIOLOGIS
( Infeksi kulit dan infeksi berbagai 0irus pada kulit )
I0 "#. Siti Amin,&ru) @ $r*$)
Para)&t @ >$)ta)& 'a# (&(&ta# )$ra#((a
a $ #&)& (a#((ua# ),)t$ t$(u $# /ar$#a $/)& @ >&ru)
- $r*$).4 +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur
+ Et&"%"(& (a#((ua# ),)t$ t$(u $# /ar$#a $/)& @ >&ru)
- $r*$).4 +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur! Fa/t"r r$)&/" (a#((ua# ),)t$ t$(u $# /ar$#a $/)& @
>&ru) - $r*$).4 +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur
' Pat" )&"%"(& (a#((ua# ),)t$ t$(u $# /ar$#a $/)& @
>&ru) - $r*$).4 +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur
$ P$#!$(a a# (a#((ua# ),)t$ t$(u $# /ar$#a $/)& @
>&ru) - $r*$).4 +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur
K" *%&/a)& (a#((ua# ),)t$ t$(u $# /ar$#a $/)& @ >&ru)- $r*$).4 +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur
( P$#ata%a/)a#aa# $'&) (a#((ua# ),)t$ t$(u $# /ar$#a
$/)& @ >&ru) - $r*$). +a/t$r& -)$%u%&t&).4 *ara)&t$4 a ur
Ka &a# &)%a 'a%a *$ra ata# *a)&$# '$#(a# (a#((ua#
),)t$ t$(u $# /ar$#a $/)& @ $# a(a /$+$r)& a#
I. INFEKSI CAMUR
In e=si ,m # = *it s pe#3si,* De#m,tomi=osis
a $r at"* ,ta '$r at" t")&)
+ Candida sp /a#'&'&a)&) /ut&)
! Malassezia spa tau pityrosporum sp *&tr&a)&)
In e=si 9,m # p,", = *it p#o n",
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a Mycetoma, Nacardia sp ,!$t" a
+ Fonsecaea pedrosoi, phialophora verrucosa,cladosporium carrionii D r" " ,!"!&)
! Sporothri schenckii )*"r"tr&! ")&)
In e=si 9,m # sistemi= I(D
a Dr,*t"!!")&)4 &)t"*%a) ")&)4 +%a)t" ,!")&)4
!"!!&'&"'" ,!")&)
II. CENIS CAMUR BERDASARKAN SUMBER (ENULARANNYA
1 ANTHRO(O(HILI:
Su +$r *$#u%ara# +$ra)a% 'ar& a#u)&a
2 JOO(HILI:
Su +$r *$#u%ara# +$ra)a% 'ar& +ata#(
3 GEO(HILI:
Su +$r *$#u%ara# +$ra)a% 'ar& ta#a C )a *a
III. DERMATOMIKOSIS
Si ,t 9,m #
Ke#,tino3*i= $
Unt =
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*H ,a#( %$+& t((&
Su u tu+u ? )u u / ar T$ *at t$r%'u#( )ar ata ar&
P&( $#
6. FAKTOR YANG MEM(ENGARUHI (ENULARAN CAMUR
1 Trau a
2 K$%$ +a+a# /u%&t t((&
3 La a#,a /"#ta/R$)&)t$#)& -%$ a .
5 G$#$t&/
6 I/%& /$%$ +a+a#
7 J$#&) a ur ;""* &%&!4 ($"* &%&!
6I. :,#, (en *,#,n
!. L,ngs ng
K"#ta/ %a#()u#( '$#(a# )u +$r *$#u%ara# +a&/
a#u)&a4 +ata#( au*u# ta#a
%. Ti",= *,ngs ng
L$ at a%at0a%at ,a#( t$r/"#ta a)& a ur
6II. DERMATO(HYTA (en2e0,0 in e=si 9,m # p,", = *it
!. Mi)#ospo#on @ $#,$ra#( /u%&t atau ra +ut
%. T#i)
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) ua a *a*u%a
t$r)u)u# $%(/ar (circinate) +a(&a# t$*& a/t& C $r&t$
+a(&a# t$#(a ta *a/ )$ +u
t$ra)a (ata%4 t$ruta a /a%au +$r/$r(at
I. Tine, :,pitis
Tine, :,pitis
P$#,$+a+ @ $#&) &/r")*"r"# -(ra, *at! .
B&a)a t$r'a*at *a'a a#a/0a#a/
G$ a%a @ (ata%
Ta#'a / a) @ *at! -%(/ara#4 ar$a. +$r ar#a /$a+u0a+ua#
'& /$*a%a '$#(a# ra +ut *ata 0*ata 4 *$#'$/ $ +$r&
(a +ara#4 +"ta/ t$rtutu* ) ua a /$r( /$a+u0a+ua#
P$r a%a#a# *$#,a/&t @ *a*u%a4 $%$+ar '$#(a# +a(&a#
t$#(a $#,$ +u 'a# t$ru) $%$+ar /$ara *$r& $r4/a'a#(0/a'a#( )a *a& )$%uru /$*a%a
B&)a )$ +u )*"#ta# *a'a u)&a $# $%a#( '$ a)a
. Tine, :,pitis Ke#ion :e*siTine, :,pitis
Ke#ion :e*si T#i)
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Ta#'a / a) @ 'a$ra ,a#( +"ta/ *a'a /$*a%a '$#(a# ra +ut
r"#t"/ atau *ata 4 '&)$rta& *u)tu%$4 /ru)ta 'a# /a'a#(
+$#(/a/ $'$ a
P$#("+ata# @ a#t& a ur %"!a% atau )&)t$ at&/4 /a%au )$ +u
'a*at $#& +u%/a# +"ta/4 +a /a# *$r a#$#
I. Tine, :o#posis
P$#,$+a+ @ Tr&! "* ,t"# (ru*
Pr$'&%$/)& @ +a(&a# +a'a# ,a#( +$ra +ut a%u)
)$r( '&)$+ut T$a G%a+r")a
G$ a%a @ (ata%4 t$ruta a /a%au +$r/$r(at
Ta#'a / a) @
%$)& t$r)u)u# $%(/ar atau +$r+$#tu/ *"%&)&/%&/
t$r'&r& ata) *a*u%a0*a*u%a '$#(a# 'a)ar $r&t$ atu) *%a/
'$#(a# +a(&a# t$#(a ta *a/ $#,$ +u 4 ) ua a
-+a(&a# t$*& $r&t $ C a/t& +a(&a# t$#(a $#,$ +u .
II. Tine, :# #is
P$#,$+a+ @ E*&'$r "* ,t"#
Pr$'&%$/)& @ (ua%4 *$r$u 4 *a a +a(&a# ata)4 ($#&ta%4
'a# 'a$ra )!r"tu
G$ a%a @ (ata%
Ta#'a / a) @ +&%at$ra%4 %$)& )$+$#ar#,a a#u%ar4 $%&*)4 /a%au
%$)& t$ru) $%$+ar )$r( ta *a/ (a +ara# V %(/ara#
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P$#,$+a+ @ Da#'&'a a%+&!a#)
Da#'&'a a%+&!a#) $ru*a/a# "ra #"r a% *a'a u%ut
ra!tu) '&($)tu>u >a(a4 )$ & a#a$r"+
M$ *u#,a& 2 +$#tu/ @
,!$%&a *a'a )u u /a ar $/)& /r"#&)
,$a)t *a'a )u u 37 " D $/)& a/ut4 t$r'a*at %$)& )at$%&t
-+$ru*a *u)tu%$. '&)$/&tar %$)& uta a
I6. F,=to# Resi=o K$%$ +a+a#
K$ a &%a#
P$ a/a&a# a#t&+&"t&! /"rt&/")t$r"&' a#(/a %a a
P$#,a/&t )&)t$ &/ - M4 /$(a#a)a#.
6. KANDIDIASIS KUTAN
1 Ka#'&'&a)&) I#t$rt&("
I# ra a a4 a &%%a4 (ua%4 *$r$a%4 (%ut$a%4 *a!t
$r&t$ atu)4 a)$ra)& '$#(a# %$)& )at$%&t
6I.KANDIDIASI KUTAN (ADA CARI KAKI
2 Ka#'&'&a)&) I#t$r'&(&ta%
a$ra '& a#a ar& ta#(a# 'a# ar& /a/&
Pu)tu%a '$#(a# $r")& )a *a& )ura4 $ +ra# *ut&$#$+a% -*)$u'" $ +ra#.
6II. KANDIDIASIS KUTAN (ADA AERA GENITAL
3 Ka#'&'&a)&) >u%>a -=u%>&t&) Ka#'&'a.
Er")&4 *u)tu%a4 $r&t$ 4 +$#(/a/4 /$*ut& a# )$*$rt& /$ u
t$ra)a (ata%
Ka#'&'&a)&) *$#&) -Ba%a#&t&).
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Ma/u%a*a*u%ar4 *u)tu%$ '$#(a# $r&t$ '& u)
6III. KANDIDIASIS KUTAN p,", p,nt,t DIA(ER
5 &a*$r '$r at&t&)
P$r&($#&ta%4 *$r&a#a%4 *a a +a(&a# 'a%a 'a# *a#tat
Er&t$ a4 $'$ a *a*u%"*u)tu%$r4 $r")&4 $ +a)a
I .KANDIDIASIS (ADA KUKU
Par"#&/&a
K$ $ra a# 'a# +$#(/a/ )$/&tar /u/u
Ku/u @ "#,! "',)tr"* ,4 "#,! "%,)&)4 '&)!"%"rat&"#
. KANDIDIASIS MUKOSA
=a(&t&) C =u%>">a(&t&) !a#'&'a
K$*ut& a# -'&)!ar *ut& /$#ta% )$*$rt& )u)u C )a#ta# *$!a
atau /$ u.4 +au a)a 4 ra)a (ata%
=u%>a4 >a(a @ $r&t$ 'a# $'$
I.KANDIDIASIS MUKOSA
Or" ar($a% /a#'&'&a)&)
Mu/")a "ra%4 ar( @ *)$u'" $ +ra#"u) !a#'&'&a)&)
-t ru) . ,a#( u'a '&/$%u*a)4 '$#(a# u/")a )$/&tar
$r&t$
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INFEKSI BATERI
I. SELULITIS
ETIOLOGI
De8,s, $
o S aur$u)4 GAS4 a#a/0a#a/ @ H u$#;a$ t&*$ + -H&+.
GAS S aur$u)
Um mn2,
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RISK FA:TOR
o
P$#,a%a (u#aa# "+at 'a# a%/" "%4 /a#/$r 'a# /a#/$r/$ "t$ra*&4 %, * $'$ a /r"#&) -*")t a)t$!t" ,4
(ra t( art$r& *")t!"r"#ar,4 $*&)"'$ )$+$%u #,a
o )$%u&&t&) C $r,)&*$%a).4 )&r")&)4 '&a+$t$) $%&tu)4
)t#'r" #$ r&t&/4 & u#")u*r$)& &atr"($#&/4
#$utr"*$#&a4 )'r" & u#"'$ )&$#)&4 /$/ura#(a#
(&;& 4(a(a% ( a%4 at$r")/%$r")&) )&)t$ &/
I6. (ATOGENESIS
*at "($#$)&)
S$t$%a a)u/4 $/)& $#,$+ar /$ rua#( ar(a# 'a#
*$)a at +$%a a# 'a'a )$+a(a& ,a%ur"#&'a)$) $ $!a
;at *"%&)a/ar&'a ta#a 4 +r"%,)$) $#!$r#a a +ata#
+r %$!&t a)$) $#( a#!ur/a# $ +ra# )$%
$>&ta%&;at&"# ar(a# %"/a%4 &)a%#,a4 trau a4 +&a)a#,a'&*$r%u/a# u#tu/ $ u#(//a# $/)& +a/t$r& a#a$r"+
,a#( )&(#& /a#
Ju %a "r(a#&) $ $#( $/)& +&a)a#,a /$!&%4
$#u# u//a# )$%u&&t&) ,a#( u#(/ %$+& 'ar& r$a/)&
t$r a'a* )&t"/ 'a# )u*$ra#t&($# +a/t$rt 'ar&*a'a
$/)& ar(a# +$)ar
6. SECARAH
INKUBASI PERIO E
B$+$ra*a ar& @ *r"'r" $
o Ma%a&)$4 a#"r$/)&a '$ a 4 $#((&(&% 'a*at
+$r/$ +a#( '$#(a# !$*at4 )$+$%u )$%u&&t&) $%a)
)$!ara /%&) $ a t((& -3845 D. 'a# $#((&(&%
+&a)a#,a +$r u+u#(a# '$#(a# GAS
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STATUS KEKEBALAN
Pa)&$# & u#"!" *r" &)$' r$#ta# t$r a'a* $/)&'$#(a# *at"($# 'ar& *at"($#&)&ta) r$#'a
D$%%u%&t&) " %$()@!" vulni#cus B&%at$ra% $ "rr a(&!
*%a u$) a#' +u%%a$ "# t $ %$()4 a#/%$)4 a#' $$t " a#
"%'$r '&a+$t&! &t !&rr ")&) U#%&/$ "t $r t,*$) "
!$%%u%&t&) &! &!r""r(a#&) ) $#t$rt $ )/ %"!a%%,4
t at &! &) !au)$' +, !" vulni#cus u)ua%%, "%%" ) a*r& ar, $#t$r&t&) &t +a!t$r$ &a a#' '&))$ at&"# t"
t $ )/
(RO(HYLA IS
(#im,#2
Statu) *a)t)a* $#"u) >$ ar>$)t W$)*$!&a%%, &t t$a
*$'&).@
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R$)t4 & "+&%&;at&"#4 $%$>at&"#4 "&)t $at4 a#a%($)&a
(RO(HYLA IS
DRESSINGS D""% )t$r&%$ )a%$ 'r$))() "r r$ ">a% "
*uru%$#t $ u'at$ a#' #$!r"t&! t&))u$
SURGI:AL INTER6ENTION
ra a+)!$))$) $+r&'$ #$!r"t&! t&))u$ Ear&,Ca((r$))&>$
)ur(&!a% $ *%"rat&"#C'$+r&'$ $#t &) %& $)a>( )u)*$!t$'#$!r"t&;( STI) $$* )tru!tur$) ar$ >&)ua%&;$'4 #$!r"t&!
t&))u$ r$ ">$'4 !" *art $#t '$!" *r$))$'4 t&))u$)
"+ta$' "r Gra )ta a#' a$r"+&! a#' a#a$r"+&! !u%tur$)
ANTIMI:ROBIAL THERA(Y
I# t at ")t !a)$) " !$%%u%&t&) ar$ !au)$' +, 54 aureus a#'
)tr$*t"!"!!&4 0%a!ta a#t&+&"t&!) &t a!t&>&t, a(a)t
*$#&!&%%a)$0*r"'u!( S" aureus ar$ t $ u)ua% 'ru() " ! "&!$
In"i),tions o# Initi,* I6 T
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Ma))a4 atau ar(a# '&+a a *$r u/aa# tu+u ,a#(
t$r'&r& 'ar& )$%0)$% a+#"r a%P$rtu +u a# ar(a# +aru ,a#( a+#"r a%4 +$#&(#a
au*u# a%&(#a ,a#( t&'a/ $ &%&/& u#()& t&)&"%"(&) 'a#
+$ra)a% 'ar& *r"%& $ra)& ,a#( t&'a/ t$r/$#'a%&
B$#&(#a tu"r t$r%"/a%&)a)&4 t&'a/ $#>$+ar /! 'a$ra
tu+u &a#,a4 )a#(at +$r$)*"# t$r a'a* *$#("+ata#4
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M$%a# @ *&( $# ($%a* ,a#( '&*r"'u/)& "%$ $%a#")&t
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,a#( %$ a 4 r& a,at /$%uar(a
P$r(ata# ta#'a0ta#'a@ L$)& ,a#( +$ru+a 4 (ata%4
+$r'ara 4 'a# t&'a/ )$ +u
B,s,* :e** :,#)inom, $S$+a(&a# +$)ar t$r a'& *a'a a a 4 /$*a%a4 %$+$r ta#(a#
Er")&4 u%)$ra)&4 *$r'ara a#4 t$ +u)4 t$%a#(&$!ta)&a ata)
*$r u/aa#4 %a +at tu +u - 45 ! 102 ta u#.
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-$ @ t"*&!a% 50 u"r"ura!&%.
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$#((u#a/ ta##( +$'4 %u/a /u%&t ,a#( %a -%u/a +a/ar4
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/u%&t4 *$#,a/&t '$t%)&$#)& & u#4 /$ "t$ra*&4 "+at a#t&0
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ar(a# '& +a a #,a * /$ &%a#(a# &'u#(4 ata atau
t$%(a
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ua /a%& )$+a(a& $ at&/a# 'ar& $%a#" a 'a##"# $%a#" a
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&)$+a+/a# "%$ *a*ara# /u%&t t$r a'a* )ar u%tra>&"%$t
'ar&)ar ata ar& C !a a,a +uata#
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G$# TP53 ($# )u*r$))"r tu "r $#'a)ar& )$%
)/ua ")a4 ,a#( $#,$+a+/a# )$%0)$% '$#(a# NA ,a#(ru)a/ at&
G$#$ PTDH -($# '&ta +a%. a'a%a )u*r!))"r tu "r
,a#( +$ru+a $# a'& "#/"($#4 ,a#( t$r/$#a '& )!% +a)a
(en)eg,&'ua% @ Pa/a&a#4 Ta+&r )ur,a4
$#((u#a/a# t"*&4 /a!a ata &ta
Rut *! $r&/)aa# /u&&t '&r& @ *$ru+a a# ta & %a%at4
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P$r at&/a# ta#'a 'a# ($ a%a )$t$%a [6 a ra'&a)&
'&+$r&/a#4 ,a&tu @ P$ru+a a# *&( $#4 &%a#(#,a ra +utE $/ a#(/a *a# a#( !uta#$u) t" &!&t,
T$%a#(&$!ta)&a
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L"/a)& -/$r(C%$ +a+.
U/ura# ar$a
a)ar %u/a
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K$t&'a/#,a a#a# -t$r+a/ar4 t$rtar&/4 .
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+$#(/a/ '&
)$/&tarar$a ra'&a)&.
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P$r at&/a# ta#'a $/)&4 /u%tur %u/a4 a#t&+a/t$r&a%Ca#t& u#(a%
M,s,*,< Integ men L,in p,", (,sien R,n=e#
1 \ua%&t, " L& $ @ D" "rt Prur&tu)
2 Pr"t$!t&>$ M$! a#&) @
A%t$rat&"#) M"+&%&t, *r$))ur$ u%!$r
A%t$rat&"#) )/ t$(r&t,
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A%t$rat&"# E%& at&"# O)t" , a#' urar, '&>$r)&"#
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(ENYEMBUHAN LUKA
O*e< $ Y ningt2,s8,#i
KULIT
Ku%&t $ru*a/a# "r(a# ,a#( !u/u* %ua) ,a#( t$r'a*at
'&*$r u/aa# tu+u 4 'a# +$r u#()& )$+a(a& *$&'u#( u#tu/
$# a(a ar(a# t$r#a% 'ar& trau a4 +a a,a ra'&a)& u%tra>&"%$t4
t$ *$ratur$ ,a#( $/)tr& 4 t"/) 'a# +a/t$r&
LUKA
Lu/a a'a%a ru)a/#,a )tru/tur 'a# u#()& a#at" &) /u%&t #"r a%
a/&+at *r")$) *at"%"(&) ,a#( +$ra)a% 'ar& t$r#a% au*u#
$/)t$r#a% 'a# $#($#a& "r(a# t$rt$#tu
$ #&)& @ seng,t,n
*ist#i=> ,t, gigit,n
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'&ta#'a& '$#(a# /$ $ra a# ,a#( t& +u% 2 a
)$t$%a %u/a 'a# '&&/ut& '$#(a# $#($%u*a)#,a*$r u/aa# /u%&t
Lu/a *a'a '$ra at )atu a/a# )$ +u ta#*a
$#((a%/a# !a!at
%. De#,9,t D ,
K$ru)a/a# t$r a'& Pa'a )$+a(&a# %a*&)a# '$r &)4
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+&ru 'ar& /$%$# ar se'asea 'a# a/ar ra +ut a/a#u#!u% *a'a ta a* *$#,$ +u a# %u/a
T(/at *$#,$ +u a# %u/a *a'a %u/a +a/ar '$ra at
'ua '&+a(& 'ua $#&) +$r'a)ar/a# /$'a%a a# %u/a
+a/ar ,a/#&
0 %u/a )u*$r )&a% 'a# %u/a *r" u#'a
0 Lu/a )u*$r )&a% a/a# )$ +u )$%a a 'ua ((u
0 *$#,$ +u a# %u/a *r" u#'a '& u%a& 'ar& ar(a#(ra#u%a)&t&*&)4 )$ *&t 'a# '&tutu* '$#(a# $*&t$%
,a#( +$ra)a% 'ar& 'a)ar %u/a )$%a 'ar& t$*& %u/a
&. De#,9,t Tig,
K$ru)a/a# t$r a'& *a'a )$ uru %a*&)a# '$ rr#&) $r &)
,a#( t$r+a/ar a/a# "#($r( 'a# $#!&ut ,a#( '&)$+ut
'$#(a# skar P$#,$ +u a# +$r)& at %a a /ar$#a t&'a/a'a *r")$) $*&t$%&)a)& )*"#ta#
(ENYEMBUHAN LUKA
P$#,$ +u a# %u/a a'a%a *r")$) *$#((a#t&a# 'a# *$r+a&/a#
u#()& ar(a# ,a#( ru)a/ P$#,$ +u a# %u/a $%&+at/a#
t$(ra)& *r")$) )&"%"(&) S& at *$#,$ +u a# *a'a )$ ua %u/a
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)a a4 '$#(a# >ar&a),a +$r(a#tu#(*a'a %"/a)&4 /$*ara a# 'a#
%ua)#,a !$'$ra
FASE UTAMA (ENYEMBUHAN LUKA.
M$#urut M"r&)"#4 MJ @
R$)*"# I# a a)& a/ut t$r a'a* !$'$ra @
H" $")ta)&)
P$%$*a)a# &)ta 'a# $'&at"r %a 'r)$% ,( ru)a/
M&(ra)& %$u/")&t -PMN 'a# Ma/r" a(. /$ t$ *at ,( ru)a/
$)tru/t& @
*$ +$r)& a# ar(a# ,( at& 'a# ,(
$#(a%a &'$>&ta%&)a)& "%$ )$ PMN 'a# Ma/r" a(
Pr"%& $rat& @
*$ +u%u 'ara +aru ,( '&*$r/uat ar(a# &/at$#( %tra)& %u/a
M$#urut M"r&)"#4 MJ @
1 Matura)&@
r$0$*&t$%&)a)&4 /"#tra/)& %u/a 'a# r$"r(a#&)a)& ar(a# &/at
K$#,ataa##,a4 a)$0 a)$ *$#,$ +u a# t$r)$+ut )a%(
tu *a#( t't 4 'ura)& )$t&a* a)$ 'a# a/tu u#tu/*$#,$ +u a# )$ *ur#a +$r(a#tu#( *a'a +$+$ra*a
a/t"r @- U/ura# 'a# t$ *at- K"#'&)& u u )&"%"(&) *a)&$#- I#t$r>$#)& 'r %uar ,( $#'u/u#( *$#,$ +u a#
Pr")$) P$ u%& a# @
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R$a/)& *$ u&& a# ra'a#( ,a#( )$($ra t& +u% )$t$%a $ a)
P$ u%& a# C r$($#$ra)& @ *$#((a#t&a# )$% at& "%$ )$% ,a#(
&'u* K$ u#(/a# *$#((a#t& @
1 S$% *ar$#/& -)$% ,a#( u#()&"#a%. atau
2 Str" a ar(a# &/at - ,a#( t&'a/ / a) . '&/$#a% '$#(a#
*$ +$#tu/a# ar(a# *arut
S$% '&+a(& tu+u $# a'& 3 ("%"#(a# - +$r'a)ar/a#
/$ a *ua# u#tu/ r$($#$ra)&.
!. Se* *,0i*
a*at +$r*r"%& $ra)& t$ru)4 $#((a#t& )$% ,a#( &$*a) C
at& )$!ara a/t&
!"#t" @ $*&'$r &)4 $*&t$% *$%a*&) r"#((a u%ut4 )a%ura#
*$r#a a)a#4 )a&ura# *$#!$r#aa#4 )a% ($#$ta%&a4 $*&t$%
*$%a*&) 'u/tu)4 u/")a u)u)4 )$ 0)$% )u )u tu%a#( 'a#
ar(a# %& "&'
%. Se* st,0i*
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t&'a/ +$rta +a
!"#t" @ S$% $#'"t$% 'a# "t"t *"%")4 S$% *ar$#/& )$r#ua
/$%$# ar tu+u 4 t$r a)u/ at&4 *a#/r$a)4 /$% %&ur4
/$% $#'"/r )$% tu+u%& ( a%4 /$% /u%&t
E/)&)& -*"t"#( +ua#(. 8 : at& 'a*at *u%& 'a%a a/tu
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&. Se* pe#m,nen
0 ru)a/ +$rart& /$ru)a/a# t$ta*
0 )$%a%u '&)u)u% '$#(a# ar(a# *arut
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+$r!"ra/4 )$% "t"t a#tu#( - &"/ar'&u .
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FASE (ENYEMBUHAN LUKA
1 Fa)$ I# a a)&Ct$a/)&
2 Fa)$ Pr"%& $rat& Cr$($#$ra)&
3 Fa)$ Matura) Cr$4 "'$ %(
F,se In ,m,si
I# a a)& $ru*a/a# r$a/)& tu+u t$r a'a* %u/a ,a#(
'& u%a& )$t$%a +$+$ra*a $#&t 'a# +$r&a#()u#( )$%a a )$/&tar
3 ar& )$t$%a !$'$ra
Pr")$) *$r+a&/a# t$r'&r& 'ar& $#("#tr"% *$#'ara a#
- $ ")tat&).4 $#(&r& 'ara 'a# )$% /$ ar$a ,a#( $#(a%a &
!$'$ra - a a).4 'a# $ +$#tu/ )$%)$% $*&t$ *a'a t$ *at
!$'$ra -$*&ta%&)a)&.
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a/a# $#(a%a & /"#)tr&/)& 'a# tr" +")&t +$r/u *u% u#tu/
$#( $#t&/a# *$r'ara a# B$/ua#0+$/ua# 'ara $ +$#tu/
atr&/) +r ,a#( #a#t,a a/a# $# a'& /$ra#(/a u#tu/
*$r+a&/a# )$%
R$)*"#) >a)/u%ar 'a# )$%u%ar t$r a'& /$t&/a ar(a# !$'$ra
6asokonstriksi pem0 * < te#9,"i ",n 0e= ,n
7brinoplatelet t$r+$#tu/ 'a%a u*a,a u#tu/ $#("#tr"%
*$#'ara a# R$a/)& & +$r&a#()u#( 'ar& 5 $#&t )a *a& 1
$#&t 'a# '&&/ut& "%$ >a)"'&%ata)& >$#u%a Mikrosirkulasi
/$ &%a#(a# /$ a *ua# vasokonstriksinya /ar$#a norepinefrin
'&ru)a/ "%$ $#;& tra)$%u%ar Ju(a4 &)ta '&%$*a)/a#4 ,a#(
$#(/at/a# permea'ilitos /a*&%$r
K$t&/a mikrosirkulasi $#(a%a & /$ru)a/a#4 $%$ $# 'ara
)$*$rt& a#t&+"'&4 *%a) a *r"t$ $%$/tr"%&t4 /" *t$ $#4 'a# a&r
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$#$ +u) )*a)&u >a)!u%ar )$%a a 2 )a *a& 3 ar&4
$#,$+a+/a# e"em,> te#,0, =eme#,a)"'&%ata)& )$t$ *at $#,$+a+/a#
t$r a',a e"em,.
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=eme#,&ta)
uta a )$%a a a)$ r$($#$ra)& & a'a%a $#(&)& %u/a '$#(a#
ar(a# *$#,a +u#( atau &ar& #(a# (ra#u%a)& ,a#( +aru 'a#
$#utu* &a(&a# ata) %u/a '$#(a# $*&t$%&)a)& @
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u#tu/ )$%0)$% ,a#( +$r t(ra)&
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F&+r"+%a) +$ra)a% 'ar& sel mesenkim ,a#( +$%u
+$r'& $r$#)&a)&4 $#( a)&%/a# u/"*"%&)a/ar&'a4 a)a a "(%&) 'a# *r"% ,a#( $ru*a/a# +a a# 'a)ar )$rat /"%a($#
,a#( +$r u#()& u#tu/ $r$/at/a# t$*& %u/a
S$rat '&+$#tu/ 'a# '& a#!ur/a# /$ +a%& u#tu/ $#,$)ua&/a#
'&r& '$#(a# t$(a#(a# *a'a %u/a ,a#( !$#'$ru#( $#(/$rut
Pa'a a/ &r#,a /$/uata# t$(a#(a# %u/a $#!a*a& 25:
ar(a# #"r a%4 'a# a/ &r#,a &/ata# tra "%$/u% 'a#
a#tar "%$/ut a/a# $ *$r/uat )$rat /"%a($#a)$ +r"*%a)&a) +$r%a#()u#( 5 )a *a& 2 ar&
Pa'a a)$ & %u/a a/a# '&*$#u & )$% ra'a#(4 +r"+%a) 'a#
/"%a($#4 $ +$#tu/ ar(a# +$r ar#a /$ $ra a# 'a#
*$r u/aa# ,a#( +$r+$# "% a%u) ,a#( '&)$+ut ar(a#
(ra#u%a)& -S a )u &'a at 'a# '$ J"#(4 2 5.
S$%0)$%epitel $ +$#tu/ /u#!u* *a'a *((&ra# %u/a
/u#!u* & +$r/$ +a#( $# a'& /a*&%$r4 ,a#( $ru*a/a#)u +$r #utr&)& +a(& ar(a# (ra#u%a)& ,a#( +aru
E*&t$% )$% +a)a% '&t$*& %u/a t$r%$*a) 'ar& 'a)ar#,a 'a#
+$r*'a $#utu*& 'a)ar %u/a T$ *at ,a#( '&t((a%/a#
/$ u'&a# '&&)& "%$ a)&% &t")&) ,a#( %a Pr")$)
&(ra)t $*&t$& a#,a +$r a%a# /$ *$r u/aa# ,a#( rata
atau %$+& r$#'a Fa)$ +r"*%a)&a) +$r%a#()u#( 5 )a *a& 2
ar&P$ +$#tu/a# ar(a# (ra#u%a)& +$r $#t& )$t$%a
)$%uru *$r u/aa# %u/a t$rtutu* $*&t$% ,a#( #a#t,a $#u u
*r")$) *$#(atura# /$ +a%& 'a# *$#,$ra*a# ,a#( +$r%$+&
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'ar& 7 : )a *a& 8 : /$/uata# '&!a*a& /$ +a%& Ba#,a/
>&ta t$ruta a >&ta D4 $ +a#tu 'a%a *r")$)
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F,se M,t #,si
S$/&tar 3 ((u )$t$%a !$'$ra4 #'ro'last u%a&
$#((a%/a# %u/a Jar(a# *arut ta *a/ +$)ar4 )a *a&
#'ril kolagen $#,u)u# /$ 'a%a *")&)& ,a#( %$+& *a'at
Matura)& ar(a# )$*$rt& & t$ru) +$r%a# ut 'a# $#!a*a&
/$/uata# a/)& u 'a%a 1 atau 12 ((u4 t$ta*&
t&'a/ *$r#a $#!a*a& /$/uata# a)a%#,a 'ar& ar(a#
)$+$%u %u/a +$r%a#()u#( 21 ar& )a *a& )$+u%a# atau
+a /a# ta u#a# Matura)&4 ,a#( $ru*a/a# ta a* a/ &r
*r")$) *$#,$ +u a# %u/a4 'a*at $ $r%u/a# a/tu %$+&
'ar& )atu ta u#4 +$r(a#tu#( *a'a /$'a%a a# 'a# /a%ua)a#
%u/a S$rat /"%a($# $#(a%a & r$ "'$%( atau r$"r(a#&)a)&
)$+$%u $#!a*a& +$#tu/ #"r a%
Ha% &4 )$ a%a# '$#(a# '$ &'ra)&4 $#(ura#(& ar(a# *arut
t$ta*& $#(/at/a# /$/uata##,a Fa)$ r$ "'$%( atau
a)$ r$)"+)&
Fa)$ & 'a*at +$r%a#()u#( )$%a a +$r+u%a#0+u%a#
'a#'&/ata/a# +$ra/ &r +&%a ta#'a ra'a#( )u'a &%a#(4*arut 'a# )$/&tar#,a +$r ar#a *u!at4t&*&)4 %$ a)4 t&'a/ a'a
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