hepatitis dalam kehamilan ptt

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  • 7/24/2019 hepatitis dalam kehamilan ptt

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    PAPER

    HEPATITIS DALAM KEHAMILAN

    OLEH :

    MEUTIA ELFITRI111001176

    PEMBIMBING :

    dr. Yuri Andrin!"#$ S%. OG

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    HEPATITIS

    H&%'i'i! d(# )&(inn #'i *&ru% %&rdn+n ,!&(-

    #'i.

    P&rdn+n ini di'ndi d&n+n &nin+)'n )dr

    &n/i #'i. P&nin+)'n ini di!&**)n dn" +n++un 'u

    )&ru!)n &*rn #'i.

    Ad du )'r %&n"&**n" "i'u )'r in&)!i dn)'r nn in&)!i.

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    H&%'i'i! &ru%)n %&n")i' #&%r "n+ %(in+ !&rin+

    &n+&ni 2ni' #i(.

    H&%'i'i! 3iru! &ru%)n )%(i)!i "n+ &n+&ni

    0$4 5 dri !&(uru# )i(n. K&din *r'u!$ dn %&r!(inn %r&'&r &ru%)n

    )%(i)!i "n+ %(in+ !&rin+ '&rdi %d 2ni' #i(

    d&n+n in&)!i #&%'i'i!.

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    HEPATITIS IRUS A

    HA &ru%)n !&r'i%& 'un++( di!&(uru# duni "n+ !&rin+&ni*u()n in&)!i )u' dn 'id) &n"&**)n in&)!i )rni!

    !&r' n'i*di "n+ '&r*&n'u) &n+#!i()n iuni'! 'u

    )&)&*(n n+) %nn+ '&r#d% )&un+)inn in&)!i HA

    di! "n+ )n d'n+. P&n"&*rn 3iru! ini &((ui feco to oral"i'u &((ui )nn

    dn inun "n+ '&r)n'in!i d&n+n &!&! %&nd&ri'

    #&%'i'i! A.

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    PROFILAKSIS INFEKSI HA SE8ARA UMUM DAPAT DIBAGI 4

    YAITU :

    1. Pri()!i! %r& &)%!ur&

    Di*&ri)n un'u) "n+ *&r&!i) 'in++i un'u) '&rin&)!i HA$ "i'u:

    9n+) %&nd&) : d&n+n I+G 0$04 ()+BB

    9n+) %nn+ : d&n+n I+G 0$06 ()+BB

    4. Pri()!i! %!' &)!%!ur&

    Yi'u d&n+n I+G !in+(& d!& IM 0$004 ()+BB di*&ri)n 'id) (&*i# dri 4

    in++u !&'&(# '&r&)!%!ur&.

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    PENGOBATAN

    P&n+*'n in&)!iHA *&r!i' !i%''i) dnin&)!i *i! !&*u# d&n+n !&ndirin" !in++ 'id)

    d '&r%i "n+ di*u'u#)n )&;u(i un+)in ;irn

    un'u) ridr!i.

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    HEPATITIS VIRUS B

    HB &ru%)n double stranded DNA

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    M! In)u*!i in&)!i #&%'i'i! B d(# 1?0 #ri

    Di%&r)ir)n 4>10 5 in&)!i HB &ndi )rni! dn !&rin+

    *&r!i' !i%''i) din 1=>4= 5 &nin++( !&*&(u

    un;u(n" !ir!i! #&%'i! 'u )n)&r #'i.

    G&( )u' d%' *&ru% u($ un'#$ n!u )n &nurun$

    d&$ n"&ri %&ru' dn i)'&ri)

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    SE8ARA UMUM PENULARAN HB MELALUI 9ALUR :

    Kn') !&)!u( "n+ 'id) n *i) %&r3+in( 'u%un n(

    d&n+n %&nd&ri' d&n+n H*!A+ %!i'i.

    M&((ui r( !&)! d&n+n %&nd&ri' H*!A+ %!i'i "i'u &((ui

    !(i3 "n+ ! in&)!iu!n" d&n+n ;irn (' +&ni'(.

    Kn') dr# d&n+n %&nd&ri' H*!A+ %!i'i !&%&r'i@ ru

    !un'i)$ 'rnu!i dr#$d!*.

    Trn!i!i I*u>n) *i) !&( )i(n$ !' %&r!(inn

    u%un 2)'u &n"u!ui

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    PENGARUH TERHADAP KEHAMILAN DAN BAYI

    Di(%r)n 10>40 5 i*u #i( d&n+n HB!A+ %!i'i

    "n+ 'id) &nd%')n iun%ri()!i! &nu(r)n

    3iru! %d n&n'u!n"

    0 5 2ni' #i( d&n+n !&r%!i'i un'u) HB!A+dn HB&A+ &nu(r)n 3iru! !&;r 3&r'i)&( )&%d

    ninn" d&n+n in!id&n 10 5 %d 'ri&!'&r I dn

    ?0>0 5 %d 'ri&!'&r III

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    PEN8EGAHAN

    P&n;&+#n %&nu(rn HB d%' di()u)n d&n+n &()u)n

    )'ii'! !&)!u( "n+ n$ 'id) &n++un)n *&r! *'>

    *'n "n+ &%&r+un)n (' !&%&r'i ru$ !irin+&$ i('&r$

    !%n!$ ir dn 'urniCu&'$ d!*$ 'id) &)i *&r! ('>('

    "n+ *i! '&r)n'in!i dr# !&%&r'i !i)' +i+i$ +un'in+ )u)u$d!*$ &)i %&n+n 2)'u )&r )n') d&n+n dr#$ dn

    &()u)n 3)!in!i un'u) &n;&+# %&nu(rn.

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    TERAPI

    T&r%i in&)!i )u' HB d(# !u%%r'i.

    T&rd%' < &ni! *' d( &n+*'i #&%'i'i! B )rni) "i'u

    in'&r&rn ,IFN-$

    P&+"('&d>in'&r&rn$

    Li3udin Ad&3ir.

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    HEPATITIS IRUS 8

    M&ru%)n DNA 3iru! "n+ *i! &ni*u()n %&rdn+n #'i "n+ &n+)i*')n

    )&ru!)n #'i !in++ *&r(nu' &ndi !ir!i! dn )n)&r #'i %ri&r.

    H8 &ru%)n 3iru! "n+ !n+' '#n dn d%' #idu% di(ur 'u*u# d( n+)

    2)'u "n+ ;u)u% (.

    M! in)u*!i in&)!i H8 d(# 4 in++u !%i 4 *u(n dn 'id) !&u %&nd&ri'

    &nunu))n +&( )(ini!.

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    GE9ALA KLINIS

    G&( )(ini! "n+ !&rin+ d(# :

    L$

    L&'i#$

    L&!u$

    Ki(n+n n!u )n$ N"&ri %&ru'$

    N"&ri '' dn !&ndi$

    Mu( dn un'#.

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    PEN8EGAHAN IRUS HEPATITIS 8

    M&()u)n )'ii'! !&)!u( "n+ n

    Tid) &n++un)n ('>(' "n+ *i! '&r)n'in!i 3iru! !&%&r'i ru !un'i)$ i('&r$

    !"rin+& d!*.

    Tid) &n++un)n ('>(' "n+ *i! '&r)n'in!i dr# !&%&r'i !i)' +i+i dn

    +un'in+ )u)u.

    M&n++un)n %&n+n )&'i) *&)&r dn )n') d&n+n dr# %&nd&ri'.

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    TERAPI

    P&+"('&d In'&r&rn ,IFN-

    Ri*3irin

    Pd 2ni' u!i r&%rdu)!i "n+ &nd%')n '&r%i #&%'i'i! 8 #ru! &n"&%)'i

    un'u) 'id) #i( !&( %&n+*'n dn 6 *u(n !&!ud#n" d&n+n &n++un)n

    )nr!&%!i "n+ &&)'i$ )r&n '&r%i Ri*3irin *&r!i' '&r'+&ni) "n+ *i!&ni*u()n d&&) %d nin !' (#ir dn *r'u! !%n'n

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    HEPATITIS IRUS D

    Di!&*u' u+ d&n+n d&(' 3iru! &ru%)n small circular RNA virus.

    HD &*u'u#)n HB un'u) *&r&%(i)!i.

    P&nu(rn in&)!i d%' &((ui )n') dr# 'u !&)!u( d&n+n %&nd&ri'.

    S&!&rn+ d%' '&rin&)!i HD *&r!n d&n+n HB "n+ di!&*u' )>in&)!i dn

    !&rn+ "n+ '&(# &nd&ri' H&%'i'i! B d%' '&rin&)!i ( HD "n+ di!&*u'

    !u%&rin&)!i.

    T&r%i :

    A(%# in'&r&rn di+un)n %d %!i&n d&n+n #&%'i'i! B dn D )rni).

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    HEPATITIS IRUS E

    Ad%un ! in)u*!i in&)!i HE d(# 1=>60 #ri.

    HE di'rn!i!i)n !&;r &n'&ri) &((ui ir inu "n+ '&r)n'in!i &!&!

    %&nd&ri' %d d&r# &nd&i).

    G&( )(ini)n" d%' di*+i d( 4 !& "i'u :

    1. F!& Prdr(

    K&(u#nn" *&ru% i(+i$ r'#r(+i$ d&$ nr&)!i$ nu!&$ 3i'u!$

    %&nurunn *&r' *dn 4>< )+$ didr!i$ dn n"&ri %&ru' )nn '!.

    4. F!& I)'&ri)

    K&(u#nn" *&ru% i)'&ri) ,*i(iru*in !&ru + 5-$ urin& +&(%$ &!&! *&r2rn

    '&rn+$ dn +'(>+'(.

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    PENGARUH TERHADAP KEHAMILAN DAN BAYI

    I*u #i( &%un"i r&!i) "n+ (&*i# 'in++i &nd&ri' #&%'i'i! E dn *i!n" d&n+n

    +&( "n+ *&r' )r&n *&r#u*un+n d&n+n !''u! iunn" "n+ r&nd#.

    9i) !&rn+ i*u &nd&ri' in&)!i )u' HE$ nin *i!n" di%&n+ru#i dn 'id) d

    )ri&r )rni) un'u) in&)!i HE.

    iru! H&%'i'i! E d%' di'rn!i!i !&;r 3&r'i)&( dri i*u )&nin dn *&r'n++un+

    2* '&r#d% r'(i'! dn r*idi'! nin. In&)!i HE %d n&n'( di#u*un+)n d&n+n )%(i)!i #&%'i'i! ni)'&ri)$

    #i%+(i)&i$ #i%'&ri$ dn )&'in n&n'(.

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    TERIMAKASIH