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7/25/2019 Slide IUFD
1/17
REFERAT
PENYAKIT TROFOBLAS GANAS
Oleh :Mia Maya Aziza
Pembimbing :
Dr F!n"a O#$arianing%ih Shari&' S(OG
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De)ni%i
Penya*i$ $r!+!bla% gana% a"alah%,a$, $,m!r gana% yang bera%al "ari%i$!$r!+!bla% "an %in%i$i!$r!+!bla%yang mengin-a%i mi!me$ri,m'mer,%a* .aringan "i %e*i$arnya "an(emb,l,h "arah %ehingga
menyebab*an (er"arahan
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E(i"emi!l!gi
In%i"en $er.a"i (enya*i$ $r!+!bla% "iAmeri*a Seri*a$ yang (ernah"ila(!r*an an$ara / "ari 012 "an "ari
/ "ari /314 *ehamilan Fa*$!r re%i*!$erbanya* a"alah ri5aya$ *ehamilanm!la %ebel,mnya "an ,m,r 6/7
$ah,n a$a, 849 $ah,n
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E$i!l!gi
E$i!l!gi $er.a"inya Penya*i$ $r!+!bla% gana% bel,m.ela% "i*e$ah,i' nam,n ben$,* *egana%an $,m!rini mer,(a*an *ar%in!ma e(i$el *!ri!n me%*i(,n(er$,mb,han "an me$a%$a%i%nya menyer,(ai
%ar*!ma
T,m!r $r!+!bla%$i* ge%$a%i!nal ham(ir %elal,ber*embang (a"a a$a, %e$elah %,a$, ben$,**ehamilan Kelainan ini m,ng*in m,n#,l %e$elah
*ehamilan m!la a$a, *ehamilan n!rmal' a$a,$imb,l %e$elah ab!r$,%' $erma%,* *ehamilane*$!(i*
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Fa*$!r Re%i*!
m,r
Ka"ar ;h
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Kla%i)*a%i
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Kla%i)*a%inya a"alah %ebagaiberi*,$
Re%i*! ren"ah :S*!r $!$al = 4
Re%i*! %e"ang :
S*!r $!$al 7>3
Re%i*! $inggi :S*!r $!$al ? @
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Ge.ala Klini%
(er"arahan yang $i"a* $era$,r %e$elah bera*hirnya%,a$, *ehamilan "an "imana $er"a(a$ %,bin-!l!%i!,$eri .,ga (er"arahan "a(a$ $er,% mener,% a$a,in$ermi$$en "engan (er"arahan men"a"a* "an ma%i+
Pa"a (emeri*%aan gine*!l!gi% "i$em,*an ,$er,%membe%ar "an lembe* Ki%$a $e*a l,$ein bila$eral
Le%i me$a%$a%e "i-agina a$a, !rgan lain Per"arahan*arena (er+!ra%i ,$er,% a$a, le%i ,$er,% "i$an"ai
"engan Nyeri (er,$' ba$,* "arah' Melena' Peninggian
$e*anan in$ra*ranial ber,(a %a*i$ *e(ala' *e.ang "anhemi(legia
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Pa$!gene%i%
Te!ri missed abortion
Te!riNe!(la%ma
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Diagn!%i%
a Anamne%i%
b Pemeri*%aan Fi%i* "an Gine*!l!gi
# Pemeri*%aan Pen,n.ang
Pemeri*%aan ;h
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Diagn!%a Ban"ing
a M!la In-a%i+
b K!ri!*ar%in!ma
c. Plasental site trofoblastic tumorPSTT
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Pena$ala*%anaan
Pr!$!*!l (eng!ba$an %i$!%$a$i*aber"a%ar*an *la%i)*a%i yang "ian,$yai$, *la%i)*a%i yang m,"ah an$ara lain
*la%i)*a%i Camm!n"' *la%i)*a%i FIGO%$a"i,m FIGO
Penya*i$ $r!+!bla% gana% n!n>me$a%$a%i%
Penya*i$ $r!+!bla% gana% berme$a%$a%i%a Me$a%$a%i% re%i*! ren"ah
b Me$a%$a%i% re%i*! $inggi
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Peng!ba$an
In"i*a%i *em!$era(i yai$, : Mening*a$nya ;h
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Pembe"ahan
a Pembe"ahan hanya "ila*,*an (a"a*a%,%>*a%,% $er$en$, yang ber%i+a$%ele*$i+
b Pembe"ahan le%i (rimer "i ,$er,%,m,mnya "ila*,*an hi%$ere*$!mi%,(ra-aginal bagi ,%ia m,"a "an
hi%$ere*$!mi $!$al bagi ,%ia lan.,$# Pembe"ahan lain a"alah mela*,*an
e*%i%i $,m!r me$a%$a%i%
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Pen#egahan
a Pa"a *a%,% re%i*! $inggi bila .,mlah ana*yang "iingin*an %,"ah men#,*,(i %,(aya"ila*,*an hi%$ere*$!mi Memberi*an
*em!$era(i $erha"a( *a%,%>*a%,% *ehamilane*$!(i* ,n$,* men#egah (enya*i$ $r!+!bla%
b Bila $i$er ;h
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Pr!gn!%a
Ma*in "ini "iagn!%a "ib,a$ "an ma*in "ini (eng!ba$an"im,lai ma*in bai* (r!gn!%anya Pr!gn!%a (enya*i$$r!+!bla% gana% .eni% -ill!%,m lebih bai* "ari (a"a .eni% n!n-ill!%,m
Pr!gn!%a memb,r,* "i.,m(ai (a"a :a Ma%a la$en an$ara m!la "an $imb,lnya *egana%an (an.ang
b ;h
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TERIMAKASIC