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Kehamilan Ektopik Dr. H. Azhari SpOG(K) Tutorial Obgin UNSRI 2015

Kehamilan Ektopik

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diagnosa dan tatalaksana kehamilan ektopik

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Kehamilan EktopikDr. H. Azhari SpOG(K)Tutorial Obgin UNS! "#$%De&ni'iKehamilan ektopik a(alah 'uatu kehamilan (imana o)um *ang telah (ibuahi 'perma mengalami implanta'i (an tumbuh (i tempat *ang ti(ak 'eme'tin*a (an bukan (i (alam en(ometrium ka)um uteri. !'tilah kehamilan ektopik lebih tepat (igunakan (aripa(a i'tilah kehamilan ek'trauterin+ karena ter(apat beberapa ,eni' kehamilan ektopik *ang ter,a(i (i (alam uteru' tetapi ti(ak pa(a tempat *ang normal 'eperti kehamilan *ang ter,a(i pa(a par' inter'titiali' tuba (an 'er)ik' uteri. Dur-e .. E/topi/ 0regnan/*. Dalam1 0ernoll 23+ .en'on 4+ pen*unting. 4urrent Ob'teri/' an( G*ne/olog* Digano'i' an( Treatment. E(i'i ke56. 3o' Alto'1 Appleton an( 3ange+ "##78 7#95":. Epi(emiologi "; (ari 'eluruh kehamilan (i (unia.6 5 $#; kematian maternal Angka ke,a(ian kehamilan ektopik< kehamilan ektopik terganggu (i !n(one'ia (=HO) > 6#.### ka'u' Kemungkinan ter 0enatalak'anaanKurati- Non .e(ahPilihan Regimen2ethotreAate2rpkn -oli/ a/i( antagoni't berikatan kuat pa(a (ih*(ro-olate re(u/ta'e blok (ih*(ro-olate pa(a tetrah*(ro-olate (bentuk akti)- -oli/ a/i() DNA+ NA+ @ protein '*nthe'i' berhenti menekan proli-erating ti''ue 'eperti trophobla't+ B# ; e-ekti- OOmeru'ak 'um5'um tulang+ muko'a ga'trointe'tinal+ an( epithel perna-a'antoAi/ pa(a hepato/*te' (iek'kre'ikan ke brea't milk akumula'ipa(a ,aringan anak.edi1al .anagement0enatalak'anaanKurati- .e(ah Kon'er)ati)e ma'ih ingin mempertahankan tuba 'alpingo'tom*.a(i/al 'urger* 'alpinge/tom*pregnan/* rate'6: ; P$;!nkomplit re'ek'i per'i'tent trophobla'ti/ ti''ue 'alpingo'tomi (% 5"# ;) (itan(ai (gnF5h4G le)el' *ang 'tabil < meningkatTerapi me(i' (an pembe(ahan tambahan 'ingle5(o'e methotreAate+ %# mg