tag:blogger.com,1999:blog-85604089375282828042024-03-20T10:55:52.597+07:00Jenis Penyakit DalamJenis Penyakit Dalam Dan Cara MengobatinyaAnonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-8560408937528282804.post-64415833012884630452016-12-04T06:00:00.000+07:002018-02-09T01:01:59.753+07:00Distributor Crystal X Original PT. NASA<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor Crystal X</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> adalah tempat resmi dan satu-satunya untuk anda mendapatkan
Crystal X Original PT. Nasa. Benar, hanya disini anda akan mendapatkan Crystal
X yang 100% Original dari PT. Nasa. </span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcvW_uJPLXi9w487wXwkVztmILhkzGheXfD08RMx9_BZaZl-avJknaSCLPV3mC64DM0uyKWgwlwH_16pDY0IfwwrdCyi4Qj7jJwZm6LCvEse5TF3sS_MgfV3Sf3jM8ulFtfSz8QmchLWk/s1600/Crystal+X+Asli+Distributor+Nasa.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Distributor Crystal X Original PT. NASA" border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcvW_uJPLXi9w487wXwkVztmILhkzGheXfD08RMx9_BZaZl-avJknaSCLPV3mC64DM0uyKWgwlwH_16pDY0IfwwrdCyi4Qj7jJwZm6LCvEse5TF3sS_MgfV3Sf3jM8ulFtfSz8QmchLWk/s320/Crystal+X+Asli+Distributor+Nasa.jpg" title="Distributor Crystal X Original PT. NASA" width="236" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Distributor Crystal X Original PT. NASA</b></td></tr>
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<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Ada beberapa alasan kami membuat artikel tentang </span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor Crystal X Original Nasa</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> ini. </span></div>
<div style="text-align: justify;">
<br /></div>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Maraknya Peredaran Crystal X PALSU</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Bahaya Crystal X PALSU</span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Efek Samping Crystal X PALSU</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Penyakit Ganas Yang di timbulakan Crystal X PALSU</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Mengatasi Penjual Yang Tidak Bertanggung Jawab</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Membantu anda untuk mendapatkan Crystal X Yang 100% Original PT. Nasa</span></li>
</ol>
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<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Tentu anda mencari dan membeli Crystal X bertujuan untuk mengatasi penyakit
dan masalah pada organ kewanitaan anda. Bukan malah menambah penyakit dan
masalah baru dengan resiko yang lebih berbahaya. </span></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Cryosurgery (juga disebut cryotherapy atau cryoablation)
kadang-kadang digunakan untuk mengobati kanker prostat stadium awal dengan
membekukan sel sel kanker. Seperti dengan brachytherapy, ini tidak mungkin
menjadi pilihan yang baik untuk pria dengan kelenjar <a href="https://id.wikipedia.org/wiki/Prostat" target="_blank">prostat</a> yang besar.</span>
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<br /></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Dalam proses<span style="mso-spacerun: yes;"> Cryosurgery </span>ini,<span style="mso-spacerun: yes;"> </span>beberapa jarum berongga ditempatkan melalui
kulit antara anus dan skrotum. Dokter menuntun mereka ke prostat menggunakan
USG transrectal (TRUS). Jenis prosedur Cryosurgery memerlukan anestesi spinal atau epidural
(di mana bagian bawah tubuh Anda mati rasa) atau anestesi umum (di mana Anda
sedang tidur).</span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHU8SS9DpEWZt-W0OFhrpSLpX_NpsL0_ILtO2CBCH-WaRQXlBQkin5duazyOM7cs0Dw-T5y6iP4OfIxpBtztbOlUFEoG6wnIbMZuoWpVQ5IwIkHTBmAPMgevNk8mZVVZVOV6KYQisHxsc/s1600/Cryosurgery+Untuk+Pengobatan+Kanker+Prostat.jpg" style="margin-left: auto; margin-right: auto;"><img alt="Cryosurgery Untuk Pengobatan Kanker Prostat" border="0" height="301" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHU8SS9DpEWZt-W0OFhrpSLpX_NpsL0_ILtO2CBCH-WaRQXlBQkin5duazyOM7cs0Dw-T5y6iP4OfIxpBtztbOlUFEoG6wnIbMZuoWpVQ5IwIkHTBmAPMgevNk8mZVVZVOV6KYQisHxsc/s320/Cryosurgery+Untuk+Pengobatan+Kanker+Prostat.jpg" title="Cryosurgery Untuk Pengobatan Kanker Prostat" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif";">C</span>ryotherapy</span></b></td></tr>
</tbody></table>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gas yang sangat dingin kemudian dilewatkan melalui jarum,
menciptakan bola es yang merusak kelenjar prostat dalam proses Cryosurgery ini. Yang pasti prostat hancur
tanpa terlalu banyak kerusakan pada jaringan di dekatnya. Dokter hati-hati
menyaksikan gambar USG selama prosedur Cryosurgery ini. Air asin hangat beredar melalui kateter
pada uretra selama prosedur Cryosurgery untuk menjaga dari membeku. Kateter terpasang di
kandung kemih selama sekitar 3 minggu sesudahnya untuk memungkinkan kandung
kemih untuk mengosongkan sementara pasien pulih.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Setelah prosedur Cryosurgery itu, akan online casino ada beberapa memar dan
nyeri di daerah di mana jarum dimasukkan. Anda mungkin perlu tinggal di rumah
sakit semalam, tapi banyak pasien keluar rumah sakit pada hari yang sama.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<h2 class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Cryosurgery</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> , Menurut Para Dokter</span></h2>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Cryosurgery kurang invasif dibandingkan prostatektomi radikal,
sehingga tidak banyak kehilangan darah, tinggal di rumah sakit lebih pendek,
masa pemulihan lebih pendek, dan tidak terlalu nyeri<span style="mso-spacerun: yes;"> </span>dibandingkan<span style="mso-spacerun: yes;">
</span>dengan operasi.Tetapi Cryosurgery efektifitas jangka panjang </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">cyroterapi</span> kurang baik
apabila dibandingkan dengan operasi / radioterapi.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Untuk alasan Cryosurgery ini, kebanyakan dokter tidak sering menggunakan
cryosurgery sebagai pengobatan pertama untuk kanker prostat. Hal ini
kadang-kadang dianjurkan jika kanker telah kembali setelah perawatan lainnya.</span></div>
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<br /></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Cryosurgery</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> Juga Memiliki Efek Samping</span></h3>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Efek samping dari cyrosurgery cenderung lebih buruk jika dilakukan
pada pria yang telah menjalani terapi radiasi,bila dibandingkan cyroterapi<span style="mso-spacerun: yes;"> </span>sebagai tindakan pengobatan yang pertama kali
dilakukan pada pasien kanker prostat s<span style="font-family: "times new roman" , "serif";">elain Cryosurgery</span>.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kebanyakan pasien terdapat darah dalam urin mereka untuk satu atau
dua hari setelah prosedur, serta nyeri di daerah di mana jarum ditempatkan.
Pembengkakan pada penis atau skrotum juga umum.Darah beku juga dapat
mempengaruhi kandung kemih dan usus, yang dapat menyebabkan rasa sakit, sensasi
terbakar, dan perasaan untuk kencing dan bab yang semakin sering. Kebanyakan
pasien memerlukan waktu agak lama untuk memulihkan fungsi usus dan kandung
kemih.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kusakan saraf dekat prostat yang<span style="mso-spacerun: yes;">
</span>menyebabkan impotensi<span style="mso-spacerun: yes;"> </span>terjadi
pada<span style="mso-spacerun: yes;"> </span>4 pasien dari 5 pasien yang
dilakukan cryoterapi. Disfungsi ereksi sering ditemukan setelah cryosurgery
daripada setelah<span style="mso-spacerun: yes;"> </span>prostatektomi radikal.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Inkontinensia urin jarang pada pria yang memiliki cryosurgery
sebagai pengobatan pertama mereka untuk kanker prostat, tetapi lebih sering
terjadi pada pria yang telah menjalani terapi radiasi.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Setelah cryosurgery, kurang dari 1% dari pasien mengalami<span style="mso-spacerun: yes;"> </span>fistula (koneksi abnormal) antara rektum dan
kandung kemih. Masalah<span style="mso-spacerun: yes;"> </span>ini<span style="mso-spacerun: yes;"> </span>jarang ditemukan, tetapi apabila terjadi akan
mengakibatkan masalah yang serius.<span style="mso-spacerun: yes;">
</span>Menyebabkan<span style="mso-spacerun: yes;"> </span>urin bocor ke rektum
dan seringkali memerlukan operasi untuk memperbaikinya.</span><br />
<br />
</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0cm;">
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Tapi, nyatanya masih banyak membeli Crystal X PALSU. </span><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Kenapa Hal Ini bisa terjadi?</span></span></div>
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"></span></div>
<ol style="text-align: justify;">
<li><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Crystal X PALSU Harganya sangat murah sekali</span><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Ketidak tahuan mereka bahwa Crystal X Original Hanya di jual di Distributor Crystal X saja bukan di toko maupun di tempat lain.</span><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Mereka lupa menayakan Identitas penjual, karena mereka hanya memikirkan soal MURAH tampa mempertimbangkan efek sampinya</span></li>
<li><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Mereka berfikir bahwa Crystal X PALSU memiliki bahan dan manfaat yang sama dengan Crystal X ASLI, padahal tidak sama sekali.</span></span></span></li>
</ol>
<div style="text-align: justify;">
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Tak perlu kami
jelaskan efek samping dari Crystal X PALSU, tentu anda sudah banyak tahu dan
baca tentang bahaya ganasnya Crystal X PALSU.</span></span></span></span></div>
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
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karena kami yakin anda adalah orang bijak yang sangat peduli akan kesehatan
diri anda sendiri. Dan anda adalah salah satu orang yang tahu benar akan
pentingnya kesehatan di bandingkan apapun.</span></span></span></span></div>
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<span style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor Crystal X </span></span><span style="mso-bidi-font-weight: normal;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Original vs Distributor Palsu
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"></span></span></span><br />
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
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<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor </span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Crystal X</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> Original PT. Nasa</span></div>
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<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor PT. Nasa Hanya menjual produk dari PT. Nasa saja</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor Crystal X Original memiliki kartu anggota Distributor</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor Crystal X Original menjual Crystal X dengan Harga Rp. 200.000,-/pcs</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Selalu memberikan identitas diri dan alamat yang jelas</span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Tahu dan paham tentang semua produk PT. Nasa</span></span></span></span></span></span></li>
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<h3>
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Distributor </span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Palsu (</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Abal-</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">A</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">bal</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">)</span></div>
</span></span></span></span></span></span></h3>
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"></span></span></span></span></span></span><br />
<ol>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Produk Crystal X tidak dari PT. Nasa (Walau Kemasan Tertera PT. Nasa)</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Harga lebih MURAH</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Jelas, Bukan Distributor Resmi/Asli PT. Nasa (Karena Tidak Memiliki Kartu Distributor Dari Kami PT. Nasa)</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Uji Produk Tak Jelas (Pasti, Karena Tidak Melewati UJi BPOM dan MUI)</span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"> </span></li>
<li><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Identitas Diri dan PT tak jelas (Benar, karena setelah produk mereka anda beli. Mereka sangat sulit untuk di hubungi tak seperti waktu awal anda akan beli)</span><br /><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"></span></li>
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
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mso-ascii-font-family:Arial;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Arial;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
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<![endif]--></span></span></span></span></span></span></span></div>
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span>
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Nama : Lailatul Khoiriyah</span></span></span></span></span></span></div>
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">No.Distributor : N-379577/AB.491-00039</span></span></span></span></span></span></span><br />
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Alamat : Jl. Gajah No.1, Glagah, Warungboto,Umbulharjo, Yogyakarta</span></span></span></span></span></span></span><br />
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">No Hp : 0856 0000 1071 Atau 0823 2615 7773</span></span></span></span></span></span></span><br />
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">BBM : CXNASA</span></span></span></span></span></span></span><br />
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
<span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">Whatsapp : 0856 0000 6706</span></span></span></span></span></span></span><br />
<div style="text-align: justify;">
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span>
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<o:AllowPNG/>
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<w:WordDocument>
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<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
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<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
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<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
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</span></span></span></span></span></span></div>
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
<div style="text-align: justify;">
<br />
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span>
<br />
<div class="MsoNormal" style="text-align: justify;">
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Saya </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Lailatul
Khoiriyah</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">, sudah lebih dari 1th menjadi Distributor Crystal X Original PT. Nasa
ini. Memberikan info dan melayani pembelian Crystal X merupakan tugas saya yang
telah saya jalani lebih dari 1th. Karena bagi saya kesehatan jauh lebih penting
urusan vinansial.</span></span></span></span></span></span></div>
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span></div>
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<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;">
</span></span></span></span></span>
<br />
<div class="MsoNormal" style="text-align: justify;">
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Semoga artikel ini akan membuat anda lebih
tahu apa itu Crystal X dan di mana tempat resmi untuk mendapatkan Crystal X
Original PT. Nasa. </span></span></span></span></span></span></div>
<br />
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"></span></span></span></span></span><br />
<div class="MsoNormal" style="text-align: justify;">
<span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="FR" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="background-color: #3d85c6;"><b>Baca Selengkapnya, K<span style="font-family: "times new roman" , "serif";">lik Dis<span style="font-family: "times new roman" , "serif";">ini :<span style="background-color: white;"> </span></span></span></b></span></span></span></span></span></span></span><a href="http://www.aylatingting.com/crystal-x/" target="_blank">http://www.aylatingting.com/crystal-x/</a><br />
<br /></div>
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Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-69178309585008841742016-12-03T06:00:00.000+07:002016-12-03T06:00:01.552+07:00Pneumonia<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia adalah peradangan atau cairan pada alveoli, kantung
mikroskopis di paru-paru yang menyerap oksigen. Kondisi ini memiliki banyak
sekali penyebab, baik oleh infeksi bakteri, virus, atau jamur. Pada orang
dewasa, bakteri adalah penyebab paling umum pneumonia, sedangkan pada anak-anak
virus adalah penyebab yang umum. Pneumonia yang disebabkan oleh bakteri
cenderung paling berakibat serius.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEii0qmIaMRXTBnM6z2fWwN8HhkGiXARlL7oy61Nutp8VoWNbrm12C3iUtXja0uuCASZFzsBSPEA1oFq-nKQ5AkPBXH3PqS7Jzjc4BF3CANpN2OqSPviuUtcSlyWuVFU4JS78v92k4KYa5c/s1600/pneumonia.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Pneumonia" border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEii0qmIaMRXTBnM6z2fWwN8HhkGiXARlL7oy61Nutp8VoWNbrm12C3iUtXja0uuCASZFzsBSPEA1oFq-nKQ5AkPBXH3PqS7Jzjc4BF3CANpN2OqSPviuUtcSlyWuVFU4JS78v92k4KYa5c/s320/pneumonia.jpg" title="Pneumonia" width="288" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Pneumonia</b></td></tr>
</tbody></table>
</div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia bakteri/jamur dapat disembuhkan dengan
antibiotik/antijamur. Pengobatan pneumonia virus cukup dengan istirahat, diet
dan perawatan suportif.<span style="mso-spacerun: yes;"> </span>Kebanyakan
pneumonia sembuh tanpa menimbulkan komplikasi. Pada sebagian kecil kasus,
pneumonia dapat berkembang sehingga menimbulkan pleurisi/efusi pleura, abses paru
dan keracunan darah yang mengancam jiwa.</span></div>
<h2 class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia - Penyebabnya</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></h2>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penyebab
pneumonia adalah bakteri, virus dan jamur, yang masuk ke dalam paru-paru dan
menetap di alveoli dan terus berkembang biak. Sistem imunitas tubuh mengirim
sel-sel darah putih untuk menyerang infeksi sehingga alveoli dipenuhi cairan
dan nanah, menyebabkan pneumonia.</span></div>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia bakteri terutama disebabkan oleh Streptococcus pneumoniae. Penderita penyakit paru obstruktif kronik (PPOK) atau alkoholisme paling sering mendapatkan pneumonia dari Klebsiella pneumoniae dan Hemophilus influenzae. Bakteri lain penyebab pneumonia adalah Mycoplasma pneumoniae, Legionella pneumoniae, dan Chlamydia pneumoniae.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia virus terutama disebabkan oleh Adenovirus, rhinovirus, virus influenza, virus RSV, dan virus parainfluenza.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia jamur antara lain disebabkan oleh histoplasmosis, coccidiomycosis, blastomycosis, aspergillosis, dan kriptokokosis. </span></li>
</ol>
<div style="text-align: justify;">
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<h3 style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia - </span>Pemeriksaan
diagnostik:</span></div>
</span></span></span></span></span></h3>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Napas kasar, mengi, suara berderak, atau gemuruh bila didengarkan melalui stetoskop.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Rontgen dada untuk melihat lokasi dan luas peradangan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tes darah untuk mengukur jumlah sel darah putih untuk menentukan keparahan pneumonia</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Analisis sputum (dahak) untuk menentukan organisme bakteri, virus, jamur yang menyebabkan pneumonia.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Bronkoskopi,
sebuah prosedur diagnostik di mana tabung kecil, fleksibel, dan menyala
dimasukkan ke dalam hidung atau mulut untuk langsung memeriksa
bagian-bagian paru yang terinfeksi.</span></span></span></span></span></span></span></li>
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</span></span></span></span></span></span></span></div>
<h3 style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia -</span>Komplikasi</span></div>
</span></span></span></span></span></span></span></h3>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span></span></span><br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Komplikasi
pneumonia yang paling umum:</span></span></span></span></div>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></div>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span></span></span><br />
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pleurisi, radang selaput dada (pleura) yaitu dua lapisan tipis antara paru-paru dan tulang rusuk. Cairan dapat juga berkumpul di ruang antara paru-paru dan dinding dada, disebut efusi pleura. Efusi pleura mempengaruhi sekitar setengah dari orang dirawat di rumah sakit dengan pneumonia. Bila efusi pleura terinfeksi oleh bakteri maka akan menyebabkan penumpukan nanah. Kondisi ini dikenal sebagai empiema yang dapat mengganggu fungsi paru.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Abses paru di mana rongga berisi nanah berkembang dalam jaringan paru-paru. Batuk dengan dahak berbau busuk dan bengkak di jari tangan dan kaki adalah tanda abses paru-paru.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Keracunan
darah, ditandai dengan suhu tinggi (demam) dari 38 º C ke atas, denyut
jantung dan pernapasan cepat, tekanan darah rendah (hipotensi), yang
menyebabkan pusing, perubahan perilaku, gangguan kesadaran seperti
kebingungan atau disorientasi, berkurangnya aliran urin, kulit dingin
dan pucat. Setelah darah terinfeksi, infeksi dapat menyebar ke organ
lain di dalam tubuh Anda, seperti lapisan luar otak (meningitis),
lapisan perut (peritonitis), lapisan dalam jantung (endokarditis) dan
sendi (septic arthritis). </span></span></span></span></span></span></span></span></span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia - </span>Prognosis</span></h3>
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<br /></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pneumonia
virus umumnya sembuh sendiri. Pneumonia bakteri bisa berakibat kematian yang
risikonya tergantung pada kuman penyebab, perawatan yang diberikan dan
kesehatan umum pasien. Risiko tertinggi pada lansia, bayi, dan orang-orang
dengan penyakit lain atau sistem kekebalan yang terganggu.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sekitar
15% pasien pneumonia menerima perawatan di rumah sakit, di mana sekitar 5% di
antaranya meninggal dunia.</span></div>
<ol>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perawatan pneumonia tergantung pada jenis dan keparahan gejala. Pneumonia bakteri biasanya diobati dengan antibiotik (oral atau intravena), sedangkan pneumonia virus dirawat dengan istirahat dan banyak cairan. Pneumonia jamur biasanya diobati dengan obat antijamur.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Obat-obatan untuk mengelola gejala pneumonia seperti menurunkan demam, mengurangi sakit dan nyeri, dan menekan batuk.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ventilator dan oksigen untuk pasien pneumonia berat yang dirawat inap.</span></li>
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Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-49559737933291659232016-12-02T06:00:00.000+07:002016-12-02T06:00:23.226+07:00Peritonitis<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><a href="https://id.wikipedia.org/wiki/Peritonitis" target="_blank">Peritonitis</a> adalah peradangan infeksi pada peritoneum, membran
yang melapisi bagian dalam perut dan mengelilingi dan mendukung organ-organ,
seperti usus dan hati, oleh infeksi bakteri atau jamur.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Peritonitis dapat disebabkan oleh infeksi yang berkembang di
peritoneum (disebut peritonitis sekunder) atau oleh infeksi di tempat lain yang
menyebar ke peritoneum (disebut peritonitis sekunder). Penyebab umum
peritonitis adalah sirosis hati, yang menyebabkan penumpukan cairan di perut
(ascites) yang mengundang bakteri, dan pencucian darah dengan metode dialisisis
peritoneal pada penderita gagal ginjal.</span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhU3d7WajXOM38KXyIFUu_Q1ASJcKWddD7AWqxqXJSndasNve5d6FN6Djc8_U90hydwLgdSyKSqwdu63FLCq3PjqUGrbrR_jSeDOWULWY0mTjmR98P0mKo3d-C6fklWoXQdVyK6rH_duY0/s1600/Peritonitis.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Peritonitis" border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhU3d7WajXOM38KXyIFUu_Q1ASJcKWddD7AWqxqXJSndasNve5d6FN6Djc8_U90hydwLgdSyKSqwdu63FLCq3PjqUGrbrR_jSeDOWULWY0mTjmR98P0mKo3d-C6fklWoXQdVyK6rH_duY0/s320/Peritonitis.jpg" title="Peritonitis" width="286" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Peritonitis</b></td></tr>
</tbody></table>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Peritonitis adalah kedaruratan medis yang harus segera ditangani
untuk menghilangkan infeksi dan mengobati kondisi medis yang mendasari. Bila
tidak ditangani, peritonitis akan menyebabkan berbagai komplikasi yang
mengancam jiwa.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<h2 class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Peritonitis </span></h2>
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<br /></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Peritonitis
dapat disebabkan oleh infeksi yang berkembang pada peritoneum (peritonitis
primer spontan) atau oleh infeksi di bagian lain yang<span style="mso-spacerun: yes;"> </span>menular ke peritoneum (peritonitis sekunder).</span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Periotinitis Primer Spontan , </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penyebab
umum </span>:</span></h3>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sirosis, karena menimbulkan penumpukan cairan perut (ascites) yang mengundang infeksi</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Dialisis peritoneal, metode cuci darah ini mengundang bakteri lewat kateter.</span></li>
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Usus buntu yang pecah.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perforasi usus oleh ulkus peptikum.</span></li>
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</span>Angka kematian karena peritonitis sekunder sekitar 10%.</span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Injeksi antibiotik/antijamur intravena untuk membunuh bakteri/jamur.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pembedahan untuk mengoreksi penyebab infeksi.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perawatan suportif tambahan jika ada kegagalan organ sebagai komplikasi.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perawatan tersebut dapat mencakup cairan intravena, obat-obatan untuk menjaga tekanan darah, dan asupan nutrisi. Pasien dengan tanda-tanda sepsis dan syok septik harus dirawat di unit perawatan intensif. </span></li>
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Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-39931884939113028272016-12-01T06:00:00.000+07:002016-12-01T06:00:11.477+07:00Meningitis Atau Peradangan Membran Otak Dan Sumsum Tulang Belakang<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis adalah peradangan pada meninges yaitu selaput/ membran
yang melindungi otak dan sumsum tulang belakang. Ada banyak sekali penyebab
meningitis, yang mencakup infeksi (bakteri, virus, jamur, parasit) maupun
non-infeksi.</span></div>
<h2 class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis </span>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSa3EC9Ln3bOeBLfmGkqxlzYSz_GjU5cBLg_W5hW9Za_a2yOXce3oX36LFZ0bFroy6KU4EIzv68wqzQQlIzpLubmQPR0ciajNcGAIMGXoAuuldqSrErqYlY_rfy56-obhI3Uxw6H3ByIw/s1600/Meningitis+Atau+Peradangan+Membran+Otak+Dan+Sumsum+Tulang+Belakang.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Meningitis Atau Peradangan Membran Otak Dan Sumsum Tulang Belakang" border="0" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSa3EC9Ln3bOeBLfmGkqxlzYSz_GjU5cBLg_W5hW9Za_a2yOXce3oX36LFZ0bFroy6KU4EIzv68wqzQQlIzpLubmQPR0ciajNcGAIMGXoAuuldqSrErqYlY_rfy56-obhI3Uxw6H3ByIw/s320/Meningitis+Atau+Peradangan+Membran+Otak+Dan+Sumsum+Tulang+Belakang.jpg" title="Meningitis Atau Peradangan Membran Otak Dan Sumsum Tulang Belakang" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Meningitis</b></td></tr>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis bakteri cenderung lebih parah dan dapat menyebabkan
koma dan kematian. Meningitis virus pada umumnya sembuh tanpa komplikasi dalam
beberapa hari.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Karena penyebabnya beragam, perawatan meningitis tergantung pada
sumber penyebabnya.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis
dapat disebabkan oleh bakteri, virus, jamur, parasit, maupun kondisi lain
seperti kanker dan gangguan autoimun:</span></div>
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<br /></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis bakteri disebabkan oleh kelainan anatomi seperti cedera tulang tengkorak atau kelainan bawaan sehingga terjadi kebocoran cairan cerebrospinal. Bakteri penyebab meningitis antara lain: Streptococcus pneumoniae, Neisseria meningitides, Staphylococcus aureus, Escherichia coli, Staphylococcus epidermidis , Listeria monocytogenes, Mycobacterium tuberculosis dan Haemophilus influenzae tipe b .</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis virus terutama oleh kelompok enterovirus (misalnya coxsackievirus, echovirus, atau virus polio, virus gondongan, virus herpes, HIV atau arbovirus yang ditularkan melalui gigitan nyamuk. Meningitis virus umumnya kurang serius daripada meningitis bakteri atau jamur.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis jamur (misalnya Cryptococcus dan Histoplasma) dan parasit (cacing Angiostrongylus cantonensis)</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penyakit non-infeksi: penyebaran kanker (karsinomatosis), lupus eritematosus sistemik (SLE), obat-obatan tertentu, cedera kepala, dan operasi otak.</span></li>
</ol>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam mendadak</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sakit kepala parah</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Leher kaku, nyeri otot</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kehilangan nafsu makan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Mual dan muntah</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sensitivitas terhadap cahaya terang dan suara</span></li>
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meningitis bakteri biasanya hanya dalam beberapa jam setelah infeksi dan
didominasi oleh demam, mual dan muntah, dan kadang-kadang, pilek atau sakit
tenggorokan. Dalam waktu 8 sampai 12 jam, gejala-gejala ini diikuti oleh tangan
dan kaki dingin, kemudian diikuti dengan nyeri kaki. Meningitis bakteri akut
bisa berakibat fatal dalam hitungan jam, sehingga perlu mencari bantuan medis
sesegera mungkin.</span></span></span></span></div>
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beberapa hari atau minggu, tergantung pada virus penyebab dan status kesehatan
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ketidak mampuan untuk menggerakkan leher maju secara pasif, karena peningkatan ketegangan otot leher</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kadang-kadang, batuk kering, pilek dan hidung tersumbat</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kebingungan atau perubahan kesadaran</span></li>
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<br />
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pada bayi,
meningitis dapat sulit untuk diidentifikasi. Bayi penderita meningitis mungkin
mengalami demam, banyak menangis, tidur terus dan menolak makan.<span style="mso-spacerun: yes;"> </span>Pada bayi muda, fontanel (daerah lunak di
antara tulang tengkorak) mungkin terlihat menonjol akibat peningkatan tekanan
intrakranial.</span></span></span></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></div>
<div style="text-align: justify;">
<br /><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></div>
<h3 style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis - </span></span>Diagnosis
klinis:</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></span></span></span></span></div>
</span></span></span></span></span></h3>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tanda Kernig yaitu keterbatasan/rasa sakit untuk menekuk lutut sampai 90 derajat ketika pasien berbaring telentang</span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></span></span></span></span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tanda Brudzinski yaitu bila leher tertekuk pada pasien berbaring telentang maka menyebabkan pinggul dan lutut menekuk paksa.</span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></span></span></span></span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Uji laboratorium: hitung darah lengkap</span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></span></span></span></span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Uji cairan cerebrospinal untuk menentukan penyebab infeksi</span></span></span></span></span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">CT
scan (tomografi komputer) dan / atau MRI (magnetic resonance imaging)
untuk diagnosis banding meningitis, seperti penyakit neurologis lainnya
atau tumor. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis - </span></span>Komplikasi</span></h3>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Bila tidak segera diobati atau dirawat, komplikasi meningitis mencakup:</span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gangguan pembekuan darah yang mengancam jiwa</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ensefalitis (radang jaringan otak)</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sindrom pelepasan berlebihan hormon anti-diuretik yang menghasilkan retensi cairan berlebihan.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></li>
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<h3 style="text-align: justify;">
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</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></h3>
<div style="text-align: justify;">
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis bakteri parah atau onset cepat, penyakit ini dapat menyebabkan koma dan kematian. Mereka yang selamat dapat mengalami kerusakan otak permanen yang menyebabkan perubahan perilaku dan kepribadian, gangguan panca indera, cerebral palsy, ketidakmampuan belajar, keterbelakangan mental, dan kelumpuhan.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis virus umumnya sembuh dalam 7- 10 hari. </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pengobatan
tergantung pada penyebab meningitis, yaitu apakah bakteri, virus, jamur atau
parasit:</span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis bakteri diobati dengan antibiotik yang diberikan secara intravena sesegera mungkin untuk mencegah komplikasi dan kerusakan saraf.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis virus terutama untuk meringankan gejala, termasuk infus untuk peningkatan asupan cairan, penghilang rasa sakit dan penurun demam. Asiklovir dapat digunakan pada meningitis yang disebabkan oleh virus herpes simpleks atau virus Varicella zoster.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meningitis parasit diobati dengan obat antihelmintik seperti benzimidazol atau lainnya.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kortikosteroid
pada kasus komplikasi untuk mengurangi angka kematian, gangguan
pendengaran berat, dan kerusakan saraf akibat infeksi.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></li>
</ol>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; 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font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; 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font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; 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</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>
</div>
Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-90645418939230654202016-11-30T06:00:00.000+07:002016-11-30T06:00:05.311+07:00Hepatitis B Infeksi Hati Akut<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis B adalah infeksi hati akut dan kronis oleh virus.
Kebanyakan orang yang terinfeksi hepatitis B tidak memiliki gejala dan umumnya
sembuh dalam 1-3 bulan. Bila<span style="mso-spacerun: yes;"> </span>ada gejala,
pada umumnya ringan seperti gejala influenza. Pada sebagian orang lain, gejala
lebih jelas, infeksi tidak hilang sepenuhnya dan bahkan berlanjut menjadi
kronis. Seiring waktu, kondisi tersebut dapat merusak hati dan memberikan
berbagai gejala kerusakan fungsi hati. Komplikasi hepatitis B kronis meliputi
sirosis, hepatitis fulminan dan kanker hati.</span>
</div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Meskipun merupakan penyakit berbahaya, hepatitis B tidak mudah
menular. Penyebarannya terbatas melalui kontak dengan darah dan cairan tubuh
orang yang terinfeksi.</span></div>
<h2 class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis B , Ini Penyebabnya</span> </span></h2>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis
B disebabkan oleh virus hepatitis B (HBV) yang ditularkan dari orang ke orang
melalui kontak dengan darah atau produk darah yang terinfeksi atau melalui
cairan tubuh lainnya (misalnya air liur, semen). Ibu hamil yang terinfeksi
dapat menularkan virus ke bayi yang belum lahir. Virus hepatitis B tidak dapat
ditularkan melalui kontak biasa seperti berjabat tangan, batuk atau bersin,
menyusui, memeluk, makan dan minum.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhb1LWq5XR1tEiOAhQV0gzkaegGG3Q-zZiCq_gqjWQ50pUmMnkcrlGB6emKS4Fqn7E5J2KqQZQoPI_32mQU5C-EKjvLQWamCuNUPsMJGNQdZu6BWR0zq8dj0T_E6P7pEWLrnHZjuKB3Mo/s1600/Hepatitis+B+Infeksi+Hati+Akut.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Hepatitis B Infeksi Hati Akut" border="0" height="179" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhb1LWq5XR1tEiOAhQV0gzkaegGG3Q-zZiCq_gqjWQ50pUmMnkcrlGB6emKS4Fqn7E5J2KqQZQoPI_32mQU5C-EKjvLQWamCuNUPsMJGNQdZu6BWR0zq8dj0T_E6P7pEWLrnHZjuKB3Mo/s320/Hepatitis+B+Infeksi+Hati+Akut.jpg" title="Hepatitis B Infeksi Hati Akut" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Hepatitis B</b></td></tr>
</tbody></table>
</div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Karena HBV
bereplikasi dalam sel-sel hati (hepatosit). Selama infeksi HBV aktif, sistem
kekebalan tubuh, terutama yang disebut sitotoksik limfosit-T (CTL) menyerang
virus di dalam sel-sel hati. CTL menghancurkan sel-sel yang terinfeksi dan
menghasilkan sitokin antivirus, yang merupakan protein yang berkomunikasi
dengan sel-sel kekebalan lainnya dan merekrut mereka untuk<span style="mso-spacerun: yes;"> </span>melawan virus patogen. Namun, selama proses
ini CTL dan sel-sel kekebalan lain tidak hanya menghancurkan virus itu sendiri
tetapi juga menghancurkan sel-sel hati yang menjadi inang virus, akibatnya
adalah kerusakan sel-sel hati dan parut jaringan (sirosis).</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Setelah
respon imunitas itu, HBV mungkin menghilang. Namun, beberapa orang akan terus
memiliki HBV setelah infeksi primer. Jika orang-orang itu memiliki gangguan
imunitas di kemudian hari, misalnya karena penyakit serius lainnya seperti HIV
/ AIDS, kanker, maka HBV itu dapat kembali aktif dan menyebabkan kekambuhan.</span></div>
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<span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Masa inkubasi
adalah 30 sampai 180 hari dari paparan virus. Infeksi HBV memiliki dua tahap
yang berbeda:</span></div>
<ol style="text-align: justify;">
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Fase akut (jangka pendek): hepatitis B berkembang tak lama setelah terpapar HBV. Fase akut berlangsung 1-3-bulan, tetapi bisa juga sampai 6 bulan.</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Fase kronis (jangka panjang): hepatitis B yang berlangsung lebih dari enam bulan, dan tidak pernah sembuh sepenuhnya. Sekitar 5% sampai 10% infeksi HBV akan berkembang menjadi infeksi kronis dan pembawa virus yang dapat menularkan virus ke orang lain. Hepatitis kronis dapat mengakibatkan sirosis. </span></li>
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sekitar 50% orang yang terinfeksi, tidak ada gejala khas yang hadir. Karena
hanya ringan, seringkali dianggap sebagai gejala influenza atau penyakit lain
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penyakit kuning (ikterus) yaitu perubahan warna kuning pada kulit dan sklera (bagian putih dari mata)</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gatal kulit lokal atau di seluruh tubuh</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Warna urin berubah menjadi gelap seperti teh</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Feses seperti tanah liat atau abu-abu </span></li>
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<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Retensi cairan, menyebabkan pembengkakan perut (ascites), yang diikuti dengan pembengkakan kaki</span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ikterus persisten</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Nafsu makan menghilang dan berat badan sangat menurun</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Muntah disertai darah</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perdarahan dari mulut, hidung, rektum dan darah dalam tinja</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ensefalopati, yang berakhir pada koma hepatik.</span></li>
</ol>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> <span style="font-family: "times new roman" , "serif";">H</span>epatitis B adalah infeksi hati paling umum dan serius di seluruh dunia. Penyakit ini dapat berkembang menjadi:</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span><ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sirosis, jaringan parut di hati yang semakin lama bisa semakin meluas dan membuat kegagalan fungsi hati.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Karsinoma hepatoseluler (kanker hati). Sekitar 10% sirosis berkembang menjadi kanker hati.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis fulminan, bentuk hepatitis akut di mana sistem kekebalan tubuh menyerang hati dan menyebabkan kerusakan yang luas. </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis fulminan terjadi pada sekitar 1% penderita hepatitis B kronis dewasa (jauh lebih jarang pada anak-anak)</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif";"> </span></span></span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif";"><span style="font-family: "times new roman" , "serif";">Hepatitis B - Prognosis</span></span></span></span><br />
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif";"><span style="font-family: "times new roman" , "serif";">K</span></span>ebanyakan
orang yang terinfeksi HBV sembuh dalam beberapa bulan tanpa berlanjut ke tahap
kronis. Sebagian kecil lainnya berkembang ke tahap kronis. Usia merupakan
faktor penentu penting untuk perkembangan infeksi HBV kronis. Semakin muda pada
saat infeksi, semakin besar kemungkinannya akan mengembangkan infeksi HBV
kronis.</span></span><br />
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Bayi baru lahir, terinfeksi saat lahir, 90% akan berkembang menjadi pasien HBV kronis.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Anak-anak, pertama kali terinfeksi sebelum usia 5 - 30%, akan menjadi pasien HBV kronis.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Anak-anak di atas 5 tahun dan dewasa muda, 6% menjadi pasien HBV kronis.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Dewasa, 5% sampai 10% akan menjadi pasien HBV kronis.</span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Jika
infeksi HBV menjadi berat dengan gejala seperti muntah dan diare yang dapat
menyebabkan dehidrasi, pasien memerlukan terapi suportif untuk mengurangi
gejala dan mengembalikan kehilangan cairan dan elektrolit. Tidak ada pengobatan
khusus yang dapat mencegah infeksi HBV akut berkembang menjadi infeksi kronis.</span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Untuk
infeksi hepatitis B kronis, pengobatan antivirus diperlukan untuk menghentikan
replikasi virus, dan mencegah sirosis hati dan kanker hati. Namun, terapi
antivirus tidak diindikasikan untuk setiap pasien, tergantung pada evaluasi
status penyakit dan risiko individual. Obat antivirus yang digunakan dalam
pengobatan infeksi HBV kronis meliputi:</span></div>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span><br />
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Interferon alfa-2b (juga disebut Intron A) yaitu modulator protein sistem kekebalan tubuh yang diberikan melalui suntikan subkutan untuk memperlambat replikasi virus sembari meningkatkan sistem kekebalan tubuh sendiri. </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Obat-obatan lain untuk mencegah replikasi HBV: Adefovir, Entecavir, Lamivudine, dan Tenofovir.</span></span></span></span></span></span> </span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Transplantasi
hati mungkin diperlukan untuk pasien dengan kerusakan / kegagalan hati parah
oleh infeksi HBV.</span></span></div>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></div>
Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-45327036258129419112016-11-29T06:00:00.000+07:002016-11-29T06:00:13.941+07:00Hepatitis A Musuh Besar Organ Hatimu<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><a href="https://id.wikipedia.org/wiki/Hepatitis_A" target="_blank">Hepatitis A</a> adalah penyakit hati akut oleh virus yang memengaruhi
kemampuan hati untuk melakukan fungsi detoksifikasi dan produksi berbagai macam
enzim, protein dan faktor penting lainnya untuk metabolisme.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Virus hepatitis A adalah jenis yang mudah menular, terutama pada
lingkungan bersanitasi buruk. Penularan dari orang ke orang terjadi melalui
jalur fekal-oral (dari tinja ke mulut). Pada sebagian kecil kasus, penularan
dapat terjadi melalui kontak dengan darah dan cairan tubuh penderita.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis A tidak berkembang menjadi infeksi kronis sehingga tidak
menyebabkan kerusakan hati permanen. Kebanyakan penderitanya pulih sepenuhnya
dalam beberapa bulan. Infeksi hepatitis A bisa menjadi berbahaya bila terjadi
komplikasi seperti hepatitis fulminan dan gagal hati. Namun, kondisi itu
umumnya terjadi pada orang yang telah memiliki masalah hati sebelumnya.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Virus
hepatitis A (HAV) yang tertelan melalui makanan atau minuman yang
terkontaminasi tinja penderita lain. Virus lalu beredar melalui aliran darah ke
hati dan berkembang biak di sel-sel hati (hepatosit) dan memakan sel-sel hati
(sel Kupffer). Partikel virus (virion) kemudian disekresi dalam empedu,
dilepaskan ke saluran usus dan diekskresikan dalam tinja pasien, untuk
ditularkan ke orang lain.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Virus
hepatitis A tahan terhadap deterjen, larutan asam, pelarut seperti kloroform,
pengeringan dan suhu hingga 60 º C dan dapat bertahan hidup di air tawar dan
garam selama beberapa bulan. Kebersihan dan pembuangan limbah yang baik dapat
mencegah wabah penyakit ini. HAV dapat dilemahkan dengan pemberian klorin pada
air minum, atau memanaskan makanan atau air hingga 85 º C .</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSHSGgVMUIUOGz07AzvSMo2swtPrfnW6rp2AKfc9nCb86iCrIOKcekai_5sdFWY7HOl6u-wnDyJLrTZLiUabplCFRHWLqDRTv65qBie9q2p9TGEZz3eY-45MEY9HateuAwDsjO6zEsgqo/s1600/Hepatitis+A.jpeg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Hepatitis A" border="0" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSHSGgVMUIUOGz07AzvSMo2swtPrfnW6rp2AKfc9nCb86iCrIOKcekai_5sdFWY7HOl6u-wnDyJLrTZLiUabplCFRHWLqDRTv65qBie9q2p9TGEZz3eY-45MEY9HateuAwDsjO6zEsgqo/s320/Hepatitis+A.jpeg" title="Hepatitis A" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Hepatitis A</b></td></tr>
</tbody></table>
</div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penularan
melalui darah atau produk darah dapat terjadi, namun sangat jarang. HAV juga
dapat ditularkan melalui hubungan badan dengan orang yang terinfeksi dan
penggunaan jarum suntik bersama antar pengguna narkoba.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Cara
penularan paling banyak adalah melalui air minum yang tercemar (misalnya
meminum air mentah atau mengandung es batu yang tidak dimasak airnya) dan
konsumsi buah, sayuran, dan seafood mentah atau setengah matang (terutama
kerang).</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Masa
inkubasi adalah antara 2-6 minggu, sedangkan penyakitnya sendiri dapat
berlangsung dari beberapa minggu sampai beberapa bulan.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kebanyakan
penderita tidak mengeluhkan gejala yang khas sebagai infeksi hepatitis A aktif.
Jika terjadi gejala, umumnya sangat tidak spesifik dan sering keliru dianggap
penyakit lain, seperti influenza.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis A - Keluhan
pokok:</span></h3>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kelesuan umum dan kelelahan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam ringan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Nyeri perut menyebar dan tidak nyaman</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Mual dan muntah</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kehilangan nafsu makan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kehilangan berat badan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Diare</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sakit kepala, depresi dan mudah tersinggung </span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis A - </span>Tanda
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penyakit kuning dan gatal-gatal kulit</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penurunan frekuensi kencing, urin berwarna gelap</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Nyeri tajam pada kuadran kanan atas perut </span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gejala biasanya
berlangsung selama sekitar 2 bulan, namun bisa datang dan pergi selama 6-9
bulan.<span style="font-family: "times new roman" , "serif";"> </span>Pemeriksaaan
diagnosis:</span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Antibodi imunoglobulin M (IgM) dalam darah untuk mendeteksi infeksi HAV akut dalam waktu sekitar 1-2 minggu setelah infeksi awal. Tes ini dapat tetap positif sampai 14 minggu.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Setelah identifikasi IgM, kehadiran antibodi immunoglobulin G (IgG) menunjukkan bahwa fase akut infeksi berakhir, dan bahwa pasien telah memiliki kekebalan terhadap infeksi di masa depan. Antibodi IgG juga dapat diidentifikasi pada pasien yang telah menerima vaksinasi hepatitis A.</span></li>
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</span></span></span></div>
<h2>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br />
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hepatitis A - </span>Komplikasi</span></div>
</span></span></span></h2>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Berbeda
dengan hepatitis B atau hepatitis C, hepatitis A tidak berkembang menjadi
infeksi kronis, sirosis hati, atau gagal hati permanen.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pada kasus
yang jarang, infeksi hepatitis A akut dapat memburuk menjadi fulminan, biasanya
hanya pada orang yang sudah menderita penyakit hati kronis<span style="mso-spacerun: yes;"> </span>atau transplantasi hati sebelumnya.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Prognosis</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Secara
umum, hati sembuh sepenuhnya tanpa kerusakan permanen dalam satu atau dua bulan
dari fase pemulihan. Karena virus memicu kekebalan alami seumur hidup dalam
tubuh pasien, tidak ada kemungkinan terinfeksi lagi.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tidak ada
terapi khusus untuk infeksi hepatitis A. Sebagian besar pasien tidak memerlukan
pengobatan selain untuk meringankan gejala yang menyertainya.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perawatan
umum mencakup:</span></div>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Cukup istirahat</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Minum banyak cairan untuk mencegah dehidrasi</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Menghindari pengambilan obat yang dapat menyebabkan kerusakan pada hati, misalnya acetaminophen</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Menghindari stres fisik, seperti olahraga yang berat atau lama.</span></span></span></span></span></li>
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<div style="text-align: justify;">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pengobatan
pendukung mencakup:</span></span></span></span></div>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">
</span></span></div>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></span></span></span></span><br />
<ol>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infus cairan jika ada dehidrasi (akibat muntah yang berlebihan)</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pengobatan untuk mengendalikan mual dan muntah</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pereda demam dan sakit kepala.</span></span></span></span></span></span> </span></li>
</ol>
Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-67110326111148245452016-11-28T06:00:00.000+07:002016-11-28T14:48:59.488+07:00Gondongan Atau Parotitis (Mumps) <div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gondongan atau parotitis (mumps) adalah inflamasi pada kelenjar
ludah/parotis karena infeksi virus, yang menyebar melalui tetesan dari hidung
atau tenggorokan orang yang terinfeksi, biasanya ketika batuk atau bersin.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieg-q_rg5Kq2UeDc8GpgbsrTKZWf_zRq8ie54N8dWi2OSYJD2St3uFt0ZMc36YlmsayOAItzrZPlTSNCfGjZJy12QuZkUbjKFeFMi2APczPHjQSSzzBhyqVzLXJs_wZ8KD4xayF0AS9wU/s1600/Gondongan+Atau+Parotitis+%2528Mumps%2529.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Gondongan Atau Parotitis (Mumps) " border="0" height="208" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieg-q_rg5Kq2UeDc8GpgbsrTKZWf_zRq8ie54N8dWi2OSYJD2St3uFt0ZMc36YlmsayOAItzrZPlTSNCfGjZJy12QuZkUbjKFeFMi2APczPHjQSSzzBhyqVzLXJs_wZ8KD4xayF0AS9wU/s320/Gondongan+Atau+Parotitis+%2528Mumps%2529.jpg" title="Gondongan Atau Parotitis (Mumps) " width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Gondongan Atau Parotitis (Mumps) </b></td></tr>
</tbody></table>
</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Seperti infeksi virus pada umumnya, terapi gondongan tidak
memerlukan obat.<span style="mso-spacerun: yes;"> </span>Istirahat yang cukup,
kompres di leher, berkumur air garam, dll dapat membantu mempercepat kesembuhan
dan mengurangi keluhan.</span></div>
<h2 class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gondongan Atau Parotitis (Mumps) </span></h2>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Dalam beberapa kasus, gondongan dapat menyebabkan komplikasi
peradangan di organ-organ lain. Infeksi gondongan pada ibu hamil dapat
menyebabkan keguguran.<span style="font-family: "times new roman" , "serif";"> </span>Gondongan
disebabkan oleh virus yang menyebar melalui tetesan dari hidung atau
tenggorokan orang yang terinfeksi, biasanya ketika dia batuk atau bersin. Virus
juga dapat menyebar melalui kontak langsung dengan air liur dan kotoran hidung
dan tenggorokan orang yang terinfeksi.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Vaksinasi
MMR dapat mencegah gondongan, biasanya pertama kali diberikan pada atau setelah
ulang tahun pertama anak. Vaksinasi kedua dianjurkan pada usia 4-6 tahun.<span style="font-family: "times new roman" , "serif";"> </span>Sekitar 1
dari 3 orang yang terinfeksi virus gondong tidak memiliki tanda-tanda atau
gejala penyakit. Tanda dan gejala<span style="mso-spacerun: yes;">
</span>biasanya muncul 12 - 25 hari setelah paparan.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<h3 class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gondongan - Keluhan
pokok:</span></h3>
<br />
<ol>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam dan kelesuan umum</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sakit menelan </span></li>
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penting:</span></h3>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Bengkak dan nyeri tekan di salah satu atau kedua sisi kelenjar ludah</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pembengkakan testis terjadi pada 20-30% laki-laki yang terinfeksi, namun biasanya tidak menyebabkan kemandulan. </span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gondongan - </span>Komplikasi</span></h3>
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beberapa kasus, gondongan dapat menyebabkan komplikasi yang mempengaruhi otak
(meningitis), testis (orkitis), ovarium (ooforitis), atau pankreas
(pankreatitis). Infeksi gondongan selama trimester pertama kehamilan dapat
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<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Perawatan pendukung untuk meringankan gejala termasuk kompres es atau hangat ke daerah leher yang terkena, dan pereda nyeri.</span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kumur dengan air garam hangat</span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Makanan lunak dan perbanyak minum.</span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hindari jus buah atau makanan asam karena merangsang kelenjar ludah, yang bisa menyakitkan. </span></li>
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<![endif]--><b><span style="background-color: magenta;">Baca Juga Info Tentang Prostat:</span> <a href="http://helloprostat.blogspot.co.id/2016/11/mencegah-kanker-prostat-pada-pria.html" target="_blank">Mencegah Kanker Prostat Pada Pria</a></b><br />
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Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-88897357353606289442016-11-27T06:00:00.000+07:002016-11-27T06:00:08.981+07:00Filariasis Limfatik Atau Kaki Gajah<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Filariasis limfatik, disebut juga elefantiasis atau penyakit kaki
gajah, adalah peradangan atau bendungan saluran dan kelenjar limfa (kelenjar
getah bening) oleh cacing parasit yang menyebar melalui gigitan nyamuk<span style="font-family: "times new roman" , "serif";">.</span> </span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Sistem limfatik bekerja untuk mempertahankan keseimbangan cairan
tubuh dan melawan infeksi. Kumpulan cacing dewasa yang hidup di sistem limfatik
menyebabkan penderita penyakit ini dalam jangka panjang mengalami pembengkakan
limfa (limfedema), pembengkakan kantung pelir (hidrokel) dan penumpukan cairan
yang menjadikan kaki membesar seperti kaki gajah. Filariasis adalah penyebab
utama kecacatan permanen di seluruh dunia.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSMf4uCjY8AEvz8eabbYg4pzB_GlqXFiguL60dsfgeNYDBCEswqN25bc_lqWSmX88xUP6SzUTEZpUa_OokxjFKPNVA85i5E4EsqsDRYiG7zQe8Wn0PzXLfcaYxto7NtLpYaDlXivIlfMA/s1600/Filariasis+Limfatik+Atau+Kaki+Gajah.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Filariasis Limfatik Atau Kaki Gajah" border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSMf4uCjY8AEvz8eabbYg4pzB_GlqXFiguL60dsfgeNYDBCEswqN25bc_lqWSmX88xUP6SzUTEZpUa_OokxjFKPNVA85i5E4EsqsDRYiG7zQe8Wn0PzXLfcaYxto7NtLpYaDlXivIlfMA/s320/Filariasis+Limfatik+Atau+Kaki+Gajah.jpg" title="Filariasis Limfatik Atau Kaki Gajah" width="283" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Filariasis Limfatik Atau Kaki Gajah</b></td></tr>
</tbody></table>
</div>
<h2 class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Filariasis Limfatik</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> <span lang="EN-US">, Ini Penyebabnya</span></span></h2>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Filariasis mudah disembuhkan dengan obat-obatan khusus yang
membunuh cacing parasitnya.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Filariasis
disebabkan oleh cacing parasit Wucheria bancrofti, Brugia malayi atau B.
timori.<span style="mso-spacerun: yes;"> </span></span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penularan dari orang ke orang melalui
perantaraan nyamuk Culex, Anopheles maupun Aedes.</span></div>
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<br /></div>
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<span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ketika nyamuk
yang mengandung larva cacing<span style="mso-spacerun: yes;"> </span>menggigit
manusia, larva-larva itu akan masuk ke dalam tubuh dan bermigrasi ke sistem
limfatik, di mana mereka berkembang menjadi cacing dewasa berukuran 3-4 cm
(jantan) dan 8-10 cm (betina). Mereka hidup selama 6-8 tahun dan selama itu
mereka menghasilkan jutaan mikrofilaria (larva kecil) yang hanya beredar dalam
darah pada malam hari.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infeksi
filariasis limfatik melibatkan kondisi tanpa gejala, akut, dan kronis. Sebagian
besar infeksi tidak menunjukkan gejala/tanda-tanda eksternal. Namun demikian,
infeksi tanpa gejala masih dapat menyebabkan kerusakan pada sistem limfatik dan
ginjal serta mengubah sistem kekebalan tubuh.</span></div>
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<br /></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Episode kronis: limfedema (pembengkakan limfa) atau elefantiasis (penebalan kulit dan jaringan pada tungkai) dan hidrokel (akumulasi cairan).</span></li>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pembengkakan kelenjar limfa tanpa ada luka.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kelenjar limfa meradang, panas, sakit dari pangkal kaki/lengan ke arah ujung.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
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diagnostik:</span></div>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tes darah tebal pukul 22.00-02.00 untuk melihat mikrofilaria. Jumlah filaria berbanding terbalik dengan tanda-tanda klinis karena banyak kerusakan disebabkan oleh respon kekebalan terhadap mikrofilaria daripada mikrofilaria itu sendiri.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tes serologi. Tes serologi sering kurang membantu dalam diagnosis karena kebanyakan orang dari daerah endemik memiliki antibodi terhadap antigen filaria dan ada reaktivitas silang antara filaria dengan nematoda lainnya.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Limfangiografi dan limfoskintigrafi.</span></li>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Filariasis Limfatik - Komplikasi</span></h3>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Masalah psikososial terkait stigma dan kondisi yang melemahkan.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infeksi bakteri sekunder dapat menyebabkan kebutaan dan infeksi sistem kulit dan limfatik. </span></li>
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<span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Filariasis Limfatik - Prognosis</span></div>
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baik bila segera diobati, buruk bila sudah mencapai komplikasi.</span></span></div>
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<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Diethylcarbamazine citrate (DEC) adalah obat lini pertama. Dosis yang memadai akan membunuh cacing dewasa. Bahkan dosis tunggal kecil akan membersihkan darah dari mikrofilaria untuk sementara.</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pasien dengan cacat kronis seperti kaki gajah, limfedema, atau hidrokel disarankan untuk menjaga kebersihan yang ketat dan mengambil tindakan untuk mencegah iritasi dan infeksi sekunder.</span><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hidrokel dapat dihapus dengan pembedahan, dengan prosedur yang sama dengan yang untuk penyakit non-filaria.</span></li>
<li><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="FR" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infeksi sekunder bakteri diatasi dengan antibiotik. </span></span></span></li>
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</span>Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com1tag:blogger.com,1999:blog-8560408937528282804.post-73605311288628297892016-11-26T06:00:00.000+07:002016-11-26T06:00:15.178+07:00Demam Tifoid Penyakit Infeksi Akut Usus Halus<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><a href="https://id.wikipedia.org/wiki/Demam_tifoid" target="_blank">Demam tifoid</a> adalah penyakit infeksi akut usus halus oleh kuman
Salmonella typhi. Bakteri itu memasuki tubuh melalui makanan yang
terkontaminasi feses penderitanya. Karena itu, penyakit ini lebih umum pada
lingkungan yang bersanitasi buruk.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Obat-obatan antibiotik dan perawatan suportif yang tepat dapat
menyembuhkan penyakit ini. Bila tidak diobati, komplikasi serius yang
berpotensi mematikan dapat terjadi baik di usus maupun di luar usus.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infeksi
bakteri Salmonella typhi, yang biasanya ditularkan melalui konsumsi makanan
atau minuman yang terkontaminasi kotoran penderita, misalnya oleh lalat<span style="mso-spacerun: yes;"> </span>yang hinggap di kotoran lalu terbang dan
hinggap di makanan. Pembuangan limbah yang buruk juga bisa membuat kotoran
bercampur dengan air yang dikonsumsi.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWcCbU8e_NNqMHwviU6ECPjUEXRzGWHWTaUFz_3FY_U6DN0w3V0bOT04wkIY057rjc3Pr3twujTqjaaVOSlnkqCs6meu9KppKYN1zQl4YCZWfTqN-XNbl9Hw3Z5epE1erQj5uZa_JrYXM/s1600/Demam+Tifoid+Penyakit+Infeksi+Akut+Usus+Halus.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Demam Tifoid Penyakit Infeksi Akut Usus Halus" border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWcCbU8e_NNqMHwviU6ECPjUEXRzGWHWTaUFz_3FY_U6DN0w3V0bOT04wkIY057rjc3Pr3twujTqjaaVOSlnkqCs6meu9KppKYN1zQl4YCZWfTqN-XNbl9Hw3Z5epE1erQj5uZa_JrYXM/s320/Demam+Tifoid+Penyakit+Infeksi+Akut+Usus+Halus.jpg" title="Demam Tifoid Penyakit Infeksi Akut Usus Halus" width="300" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Stop Tifoid</b></td></tr>
</tbody></table>
</div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Penyakit Demam Tifoid
ini biasa terjadi di negara-negara berkembang, di daerah kumuh dan setelah
bencana alam tertentu, seperti misalnya banjir.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<h2 class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid - Keluhan
utama biasanya pada minggu pertama:</span></h2>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam tinggi hingga 40 C terutama pada sore dan malam hari</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid Sulit BAB atau diare</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Nyeri kepala/pusing, nyeri otot</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid menyebabkan Nafsu makan hilang, mual, muntah, perasaan tidak enak di perut</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid sering Batuk-batuk</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Mimisan </span></li>
</ol>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid - Gejala dan
tanda pada minggu kedua:</span></h3>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Lidah tifoid (tremor, bagian tengah kotor, tepi memerah)</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Nyeri tekan/spontan pada perut bagian kanan bawah</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Denyut nadi lemah (di bawah 60 per menit saat istirahat)</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Gangguan kesadaran berupa somnolen (mengantuk), mengigau, sampai koma</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Diare dengan 6-8 kali BAB atau lebih sehari dapat terjadi, dengan karakteristik feses berwarna hijau dan berbau. Di sisi lain, mungkin juga sembelit</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hati dan limpa membesar (hepatosplenomegali)</span></li>
</ol>
<h3 class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid - </span>Diagnosis
klinis:</span></h3>
<ol style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Tes Widal untuk antibodi spesifik dalam darah terhadap Salmonella typhi. Tes ini biasanya baru efektif setelah minggu kedua</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kultur darah, tinja atau sumsum tulang</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hitung
darah lengkap untuk mengidentifikasi leukopenia (sel darah putih
rendah), dengan disertai eosinopenia (eosinofil rendah) dan limfositosis
(dominasi limfosit)</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pada minggu kedua, enzim hati, seperti AST, ALT dan γGT bisa naik, bersamaan dengan tes Widal sangat positif. </span></li>
</ol>
<h3>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Demam Tifoid -Komplikas<span style="font-family: "times new roman" , "serif";">i</span></span></h3>
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pasien Demam Tifoid yang tidak diobati akan mengembangkan komplikasi serius, kadang-kadang bahkan mematikan, di antaranya:<br /><br />Komplikasi intestinal/ di usus :<br /><br /> Perdarahan usus<br /> Perforasi usus<br /> Perforasi usus kecil jauh (ileum)<br /><br /><br />Komplikasi ekstraintestinal/ di luar usus :<br /><br /> Meningitis (radang selaput otak) <br /> Syok septik<br /> Pneumoni (radang paru)<br /> Hepatitis (radang liver) <br /> Artritis (radang sendi) <br /> Osteitis (radang tulang)<br /> Kolesistitis (radang kandung empedu) <br /> Ensefalitis (radang otak)<br /> Endokarditis (radang kantung jantung)<br /><br />Prognosis<br /><br />Prognosis tergantung umur, keadaan umum, derajat kekebalan tubuh, virulensi Salmonella, dan kecepatan terapi. Pemberian antibiotik biasanya membuat kondisinya membaik dalam 2 sampai 3 hari. Namun, pada orang-orang yang tidak mendapatkan pengobatan, demam dapat berlanjut hingga beberapa minggu atau bulan, dan 20% di antaranya meninggal karena komplikasi infeksi. Angka kematian total pada anak 2,6 % dan pada dewasa 5,6 %.<br /><br />Terapi terdiri dari :</span><br />
<ol>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Istirahat, tirah baring sampai 7 hari bebas panas.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Diet tinggi kalori, bisa diberikan bubur atau makanan padat dini/ nasi asalkan rendah serat.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pemberian antibiotik. Antibiotik yang umum diresepkan adalah ampisilin, trimethoprim-sulfamethoxazole, dan ciprofloxacin.</span></li>
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Anonymoushttp://www.blogger.com/profile/04235694473336799006noreply@blogger.com0tag:blogger.com,1999:blog-8560408937528282804.post-60148724975717196902016-11-24T06:00:00.000+07:002016-11-24T06:00:01.827+07:00Ascariasis Infestasi Cacing Parasit Ascaris Lumbricoides<div style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ascariasis adalah infestasi cacing parasit Ascaris (Ascariasis) lumbricoides
yang menyebabkan iritasi pada alveolus, tekanan mekanis pada mukosa usus dan
gangguan pencernaan.</span></div>
<div style="text-align: justify;">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCAkEf0E1KiZeolb5IFg0b6P7d7_gfWB0fPvkTIr0dy3O2GwLQSIrEbkmwWbDGB-VHz3cGbby0rgaZjouh15iZUqUaJ-7yKCRZPqmortOmMAg_0S9cuPKlJ8bBsyRPVjiXSo_nYJsJhCA/s1600/Ascariasis+Infestasi+Cacing+Parasit+Ascaris+Lumbricoides.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img alt="Ascariasis Infestasi Cacing Parasit Ascaris Lumbricoides" border="0" height="205" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCAkEf0E1KiZeolb5IFg0b6P7d7_gfWB0fPvkTIr0dy3O2GwLQSIrEbkmwWbDGB-VHz3cGbby0rgaZjouh15iZUqUaJ-7yKCRZPqmortOmMAg_0S9cuPKlJ8bBsyRPVjiXSo_nYJsJhCA/s320/Ascariasis+Infestasi+Cacing+Parasit+Ascaris+Lumbricoides.jpg" title="Ascariasis Infestasi Cacing Parasit Ascaris Lumbricoides" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>Penyakit Ascariasis</b></td></tr>
</tbody></table>
<div style="text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ascariasis</span> terutama hidup dan bertelur di dalam usus, yang dilepaskan
ke luar melalui tinja. Jika tinja tersebut mengontaminasi makanan dan minuman
yang diambil orang lain, penularan terjadi. Infestasi Ascaris </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(Ascariasis)<span style="font-family: "times new roman" , "serif";"> </span></span>seringkali tidak
menunjukkan gejala. Jika ada, gejalanya ringan seperti batuk dan
ketidaknyamanan perut. Infestasi berat dapat menyebabkan penyumbatan usus dan
mengganggu pertumbuhan pada anak-anak karena malnutrisi.<span style="font-family: "times new roman" , "serif";"> </span>Ascariasis dapat dengan mudah diobati dengan obat cacing atau
secara tradisional dengan biji buah pepaya.</span></div>
<h2 class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ascariasis</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> , Apa Itu?</span></h2>
<div class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ascariasis
disebabkan oleh cacing gelang Ascaris lumbricoides </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(Ascariasis)</span>. Ascariasis terutama terjadi
di daerah bersanitasi buruk. Sumber penularan utama adalah kontak melalui air,
tanah, dan sayuran/buah-buahan yang terkontaminasi oleh kotoran manusia berisi
telur Ascaris </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(Ascariasis)</span>.</span></div>
<div class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Setelah
tertelan, telur Ascaris </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(Ascariasis)</span> akan menetas menjadi larva dalam usus, kemudian melalui
peredaran darah bermigrasi ke paru-paru dan saluran pernapasan atas, sampai
mereka cukup besar dan keluar menuju tenggorokan untuk kembali tertelan dan
mencapai kedewasaan dalam usus. Ascaris lumbricoides </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(Ascariasis) </span>dewasa bisa mencapai
panjang 30 cm dan melekatkan diri sangat erat pada dinding usus kecil. Cacing
betina dapat hidup 1 -2 tahun dan menghasilkan sekitar 200.000 telur per hari,
yang dikeluarkan melalui feses.</span></div>
<div class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infestasi
ringan bisa terjadi tanpa gejala yang dapat dirasakan. Gejala<span style="mso-spacerun: yes;"> </span>ascariasis larva timbul 4-16 hari setelah
menelan telur cacing.</span></div>
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<br /></div>
<h3 class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ascariasis</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> Memiliki Keluhan Pokok:</span></h3>
<ul style="text-align: justify;">
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Batuk ringan dan sesak napas.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Rasa kembung atau mules pada perut bagian atas.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Nyeri perut seperti tukak lambung (ulkus peptikum).</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Kolik perut.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ada riwayat berak atau muntah cacing.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hilang nafsu makan </span></li>
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<h3 class="MsoNormal" style="margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Ascariasis</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"> <span lang="EN-US">Berikut Tanda Pentingnya:</span></span></h3>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Batuk
kering, sianosis.</span></li>
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ringan tanpa tanda, infestasi berat terlihat dari perut yang membuncit.</span></li>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pemeriksaan sampel tinja untuk menemukan telur-telur Ascaris </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">(Ascariasis)</span>, yang muncul 60-70 hari setelah penularan. </span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Hitung darah mungkin menunjukkan eosinofilia perifer (kenaikan jumlah eosinofil dalam darah yang mengindikasikan respon imunitas terhadap protein parasit)</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pada sinar-X paru, kadang-kadang ada penampilan seperti bola (bolus cacing). </span></li>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Infestasi cacing berat dapat menyebabkan kekurangan gizi, anemia, dan komplikasi lain termasuk obstruksi usus oleh bolus cacing (terutama pada anak), obstruksi empedu atau saluran pankreas. Cacing menyebabkan tekanan dan gangren pada usus kecil, yang dapat menyebabkan kematian. </span></li>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Pengobatan dengan obat cacing Pirantel pamoat, Piperazine, Mebendazole, dll.</span></li>
<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Obstruksi usus akut karena banyaknya jumlah cacing mungkin memerlukan intervensi bedah.</span></li>
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<li><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Dosis dewasa adalah satu sendok makan bubuk biji dalam segelas air gula sekali seminggu selama dua minggu. </span></li>
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