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DIARE AKUT

(GASTROENTERITIS)STIKes Binawan

2014

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PENDAHULUAN

PENGERTIAN

a. Diare aa!a" e#e$asi en%er !e&i"

ari ' se"ari en*an+,an-a ara"an+a,a !enir a!a/ ,ina

&. Diare a$, ia!a" iare an*

,erai se%ara /enaa$ -aa &aian ana$ an* se&e!/na se"a,

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Pene&a& Diare

30 50 6 -ene&a& iare saa, inisa" a-a, i$e,a"i en*an -as,i

Pene&a& iare a$, a-a, i&a*i/enai a!a/ 2 *7!7n*an

1. Diare Sekresi (secretory

diarrhoea), ise&a&$an 7!e" a. In#e$si 8irs$/an9$/an-a,7*en an a-a,7*en

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Diare se$resi

&. Hi-er-eris,a!,i$ ss "a!s an* a-a,ise&a&$an 7!e" &a"an9&a"an $i/ia/a$anan (/isa! $era%nan /$n /$n *

-eas ,er!a! asa/) *an**an -si$is($e,a$,an **-) *an**an sara# "awain*in a!er*i s&.

%. De:siensi i/n ,er,a/a S I*A (secretory

Immuno-globulin A) an* /en*a$i&a,$an,eraina &er!i-a, *anana &a$,eri+ ;7rass an a/r ,er,a/a Candida

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2. Diare Os/7,i$ (osmoticdiarrhoea)

a.

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Keaaa

n *i=i

H*ine>>

sani,asisani,asi

Ss7sia!

BaaPeneri,a iare

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PEN?EBAB PEN?AKIT DIARE

1.INFEKSI :a. Ba$,eri S"i*e!!a sa!/7ne!!a E.C7!iG7!.i&ri7

Basi!!s %eresC!7s,rii/ -er#ri*es S,a-"i!7%7%%s ares%a/-!7&a%,er

aer7/7nas

&. irs R7,a8irsN7rwa!$ N7rwa!$Li$e a*en,

aen78irs

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In#e$si

%. Parasi, Pr7,7=7a En,a/7e&a "is,7!,i%aG7iaria La/&!ia Ba!an,ii/ %7!i

Ca%in* -er, as%aris Tri%"risS,r7n*!7ies

a/r Cania

2. Malabsorpsi3. Alergi

4. Im!o"e#sie!si

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$. Kera%!a!

Kera%nan &a"an $i/ia

Kera%nan 7!e" ra%n *i$ann* an i-r7$si

9 asa reni$ a!*ae9 i$an &a"9&a"an sar9saran

&. Sebab ' sebab lai!

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Pa,7:si7!7*i

Se&a*ai a$i&a, iare &ai$ a$, /a-n$r7ni$ a$an ,erai

1. De"irasi

2. Gan**an $esei/&an*an asa/9&asa(/e,a&7!i$ asi7sis) "a! ini $arena

a. Ke"i!an*an Na9&i$ar&7na, &ersa/a ,ina

&. Aana $e,7sis $e!a-aran /e,a&7!is/e!e/a$ ,$ se/-rna &ana$ $e,7n,er,i/&n !/ ara"

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-a,7:si7!7*i

%. Terai ,i/&nan asa/ !a$,a,$arena aana an7$sia arin*an

. Pr7$ /e,a&7!is/e * &ersi#a,asa/ /enin*$a, $arena ,$ a-a,i$e!ar$an 7!e" *ina!

e. Pe/ina"an Na ari %airane$s,rase!!er $e a!a/ %airanin,rase!!er

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Pa,7:si7!7*i'. Perna#asan Ksmallna#as

%e-a, an a!a/ aa!a" sa"a ari,&" /e/-er,a9"an$an -H ara"

4. Hi-7*!i$e/ia

Hi-7*!i$e/ia ,erai $arena %aan*an*!i$7*en a!a/ "a,i ,er*an** anaana *an**an a&s7r&si *!$7sa

Gea!a "i-7*!i$e/ia !e/as a-a,is-e$a ran*san* ,re/7r &er$erin*a,-%a, s7$ $ean* sa/-ai $7/a

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Pa,7:si7!7*i

F. Gan**an Gi=ian* serin* ,erai ai, -enrnan BBa!a/ wa$, sin*$a, &iasana $arena

a.

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Gea!a K!inis Diaree*ala Kli!is +i!ga! Se"a!g era-

Kea"aa! mmKesaaranRasa "asSirklasiNai

+espirasiPerna#asanKli-U&n92 &esar,7nsDiresisSe!a-, !enir

Bai$ (%./)

N7r/a!(120)

Biasa

A*a$ %e$n*A*a$ %e$n*

BiasaN7r/a!N7r/a!

Ge!isa"

Ce-a,

A*a$ %e-a,

Ce$n*Ce$n*

A*a$ $ran*O!i*ri

A*a$ $erin*

A-a,is9$7/a

Ce-a, se$a!i

Ks=/a!!

Ce$n* se$a!iCe$n* se$a!iKran* se$a!i

AnriKerin*+asi7si

s

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/a-a laksa!a ii

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/*a! Die-

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/*a! Die-

Pe/&erian =a, *i=i sesai en*an$e/a/-an sa!ran %erna

a-a, &er-a -aren,era! /a-nen,era! isa/-in* -e/&erianse%ara 7ra!

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Sara, Die,

1.Tia$ i-asa$an se*era &eri$an%airan re"irasi 7ra! (CRO)

2. Ener*i n7r/a! sesai en*an

$e&,"an iea! &erasar$an ,in**i&aan

'. Pr7,ein 10 1F 6 ,7,a! ener*i

4. Le/a$ '0 6 ,7,a! ener*iF. Kar&7"ira, F0 FF 6 ,7,a! ener*i

. Cairan sesai $e&,"an re"irasi

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Sara, Die,3. Ke&,"an 8i,a/in an /inera!

sesai AKG

. Bi!a ,erai "i-7$a!e/i i&eri$an

,in**i $a!i/5. S-!e/en n i&eri$an /ini/a!

14 "ari (re$7/enasi JHO)

10. P7rsi $e%i! en*an #re$wensi-e/&erian serin* (/ini/a! $a!ise"ari)

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Sara, ie,

11. 7!/e $e%i! &er,a"a- sesai$e/a/-an

12. Pe/&erian se%ara -aren,era!en,era! 7ra! a,a $7/&inasisesai $e/a/-an an $7nisi

$!inis

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e/ an 7 n e 7/en as,a,a !a$sana iare -aa

ana$1.

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5 P7in Re$7/enasi

. Tia$ i&enar$an /e/&eri$anss an* ien%er$an

3. ASI "ars ,e,a- i&eri$an. S-!e/en en*an CRO

(r/a,an)

5. An,i iare ,ia$ i&enar$an

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sesai sia ana$.

Bai /$n !/a, nasi ,i/ sarin*+ Brea(&&r re#eein* a*in* aa/) /$n!e/&i$ /$n !na$ /$n &iasa

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r e ee n* a* n*Aa/

(B&r Aa/ n,$ Diare) a0a! 1 resep ,e-n* &eras 1F *ra/

,e-n* ,a-i7$a 1F *ra/a* aa/ ,an-a $!i, F0 *ra/

/ina$ $e!a-a 1 *ra/

/ina$ $a%an* 1 *ra/*ara/ 3F 6

Se!eri 1 &,*

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Cara /e/&a, Ti/&an* a*in* aa/ sesai rese- re&s

sa/-ai e/-$ an -7,7n* $e%i!9$e%i! Da*in* an $a"na se&ana$ 200 /L

i&!ener &ersa/a /ina$ $e!a-a an /ina$$a%an* sa/-ai "7/7*en

Ca/-ran ,erse&, i&a, &&r &ersa/a,e-n* &eras an ,e-n* ,a-i7$a sa/-ai /asa$

Ta/&a"$an *ara/ an se!erei $e/ianan*$a, ari a-i.

KE/E+ANAN :Spleme! "e!ga! :

1 ,a&!e, 8i,. B $7/-!e$s an 2F /* 8i,a/in C

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Ni!ai Gi=i 1 rese-

Ener*i 233 $$a!7ri

Pr7,ein 102 *ra/

Le/a$ 14F *ra/ Kar&7"ira, 2F *ra/

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Kass

Se7ran* ana$ !a$i9!a$i /r ' ,a"n 3&!an a,an* $e r/a" sa$i, en*an$e!"an ,a/a #re$wensi BAB !e&i" ari

10 $a!i. Ana$ S ,i*a "ari an* !a! aan$e 2 an* iaa$an e$a, r/a"na&er-a $e -isan* $eri-i$ sin*$7n* anes %en7!. Se,e!a" !e&i" $ran* 2 a/

ana$ S /en*e!" sa$i, -er, iser,ai/n,a" ' $a!i BAB en%er i/ana ,ina&erwarna $nin* &er!enir an &er&sa.

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Kass

O!e" i&na ana$ S ir/a" "ana i&eriair ,e" *!a sei$i, *ara/ &is$i,.Karena $"awa,ir /a$a ana$ S i&awa $eIGD R/a" sa$i, ,ere$a, n,$

/ena-a, -er,7!7n*an. Hasi! -e/eri$saan La&7ra,7ri/

H& 5 /*+L H, '2 87! 6 *!$7sa ara"

100 /*+!. Pe/eri$saan ,ina !a$,7sa in,7!eranse

(,ia$ ,a"an ," !a$,7sa)

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Kass

Pe/eri$saan K!inis ,a/-a$ !e/as -%a,/a,a sa an ,&" -anas. Aa /n,a"() &i&ir ,a/-a$ $e/era"9/era"an.

Te$anan ara" 110+0 //H* s" ,&"

'3 C An,r7-7/e,ri TB 52 %/ BB a$,a! 10F $*

Riwaa,

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Kass

As-an /a$anan se&e!/ sa$i, Ener*i 1040 $$a! -r7,ein 42 *ra/!e/a$ 2 *ra/ $ar&7"ira, 1FF *

@e 5 /* an 8i,a/in A 5'0 IU. Dia*n7sa /eis iare a$,

e"irasi rin*an an ane/ia.

TUGAS Ba, $aian *i=i se%ara!en*$a- en*an #7r/a, SOAP