dermatoterapi
DESCRIPTION
dermatoterapiTRANSCRIPT
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Dr. Lilik Norawati, SpKKDept. Kulit & Kelamin RSPAD Gatot Soebroto
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DERMATOTERAPICara pengobatan :a. Topikalb. Sistemikc. IntralesiLain-lain : - Radioterapi
- Sinar ultraviolet- Laser- Bedah beku
(krioterapi)- Bedah listrik- Bedah skalpel
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PEDOMAN
1. a. Basah dengan basah b. Kering dengan kering
2. Dermatosis makin akut bahan aktif makin lemah
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OBAT TOPIKAL
a. Bahan dasar (Vehikulum)
b. Bahan aktif
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VEHIKULUM
Bedak kocok
Pasta Pendingin
Salap
Cairan
Krim
Bedak
Pastaberlemak
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VEHIKULUM
1. CAIRANTerdiri daria. Tingtura : alkoholb. Solusio : air
Kompres Rendam Mandi
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VEHIKULUMKompres1) Kompres terbuka
Khasiat : - penguapan cairan pendinginan
vasokonstriksi eritema - Absorbsi eksudat
Indikasi : dermatitis madidans
2) Kompres tertutupKhasiat : cegah penguapan, menahan panas, maserasiIndikasi : Inflamasi yang dalam (selulitis, abses)
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VEHIKULUM
2. BEDAKEfek : - mendinginkan
- antiinflamasi ringan- anti proritis lemah- < pergeseran- proteksi mekanis
Indikasi : - dermatosis kering & superfisial
- mempertahankan vesikel & bula
tidak pecahKontra indikasi : dematosis basahBahan : talcum venetum & seng oksida
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VEHIKULUM
3. SALAPBahan: vaselin, lanolin, minyakIndikasi : - dermatosis kering & tebal
(penetrasi paling baik) - dermatitis yg bersisik &
berkrusta - Ulkus yg telah bersih
Kontra indikasi : - dematitis madidans - daerah
berambut/lipatan - tdk boleh utk seluruh
tubuh
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VEHIKULUM
4. KRIM2 macam : 1. Krim W/O (cold cream)
2. Krim O/W (vahishing cream)Bhn tambahan :
a. emulgator (agar dpt bercampur)
b. pengawetIndikasi : - Kosmetik
- dermatosis subakut & luas
- boleh utk daerah berambutKontra indikasi : dermatitis madidans
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VEHIKULUM
5. BEDAK KOCOKBhn tambahan : gliserin
(agar melekat di kulit)
Zat padat max 40%, gliserin 10-15%
Indikasi : - dermatosis kering, superfisial,
agak luas - dermatosis subakut
Kontra indikasi : dematitis madidans, daerah berambut
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VEHIKULUM
6. PASTA BERLEMAK/PASTASifat : protektif & mengeringkan Indikasi : dermatosis agak basahKontra indikasi : dematitis madidans,
daerah berambut
7. PASTA PENDINGIN/LINIMENIndikasi : dematosis sub akutKontra indikasi : dermatosis madidans
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BAHAN AKTIF
1. Aluminium asetat (5%)Contoh : larutan BurowiEfek : antiseptik ringan & ostringen
(mengurangi eksudasi akibat presipitasi protein)
2. Asam asetat (1%)Efek : antiseptik utk infeksi pseudomonas
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BAHAN AKTIF
3. Asam bensoatEfek : antiseptik terutama fungisidalcontoh : AAV I, AAV II, Salam whitfield
4. Asam borat (3%)Tdk dianjurkan
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BAHAN AKTIF
5. Asam salisilatEfek : - keratoplastik (1-2%)
- keratolitik (3-20%) - destruktif (30-60%) - absorbsi zat aktif (3-5%) - Antiseptik (1/1000)
6. Asam undesilinat (5%)Efek : untimikotik
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BAHAN AKTIF
7. Asam Vitamin A (tretinoin-asam retinoat)
Efek : - proliferasi sel-sel epidermis - deskuamasi - merangsang sintesis fibroblast &
kolagen - vaskularisasi lokal
Indikasi : akne, penuaan, iktiosis, liken planus
8. Benzokain (0,5 - 5%)Efek : anestesi
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BAHAN AKTIF
9. Benzil benzoat (20-25%)Efek : skabisid, pedikulosid
10. Camphora (1-2%)Efek : antipruritus
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BAHAN AKTIF
11.KortikosteroidEfek : - anti inflamasi
- anti alergi- anti pruritis- anti mitotik- vasokonstriksi
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BAHAN AKTIF
11.Kortikosteroid4 gol. besar Antiinflamasi
AntimitotikGol I (lemah) + -Gol II (sedang) + sedangGol III (kuat) + kuatGol IV (sangat kuat) + sangat
kuat
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BAHAN AKTIF
11.KortikosteroidPemilihan :• Jenis penyakit• Jenis vehikulum• Kondisi penyakit (stadium, luas,
dalam/dangkal, lokasi)• Umur
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BAHAN AKTIF
11.KortikosteroidEfek samping :• Atropi• Strie atrofise• Telangiektasis• Purpura• Hipertrikosis• Dermatosis
akneiformis
• Hipopigmentas• Hiperpigmentasi• Dermatitis perioral• Mudah infeksi• Hambat
penyembuhan ulkes
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BAHAN AKTIF
12.Mentol (0,25-2%)Efek : antipruritis
13. Podofilin (tingtur 25%)Indikasi : kondiloma akuminatum
14. Selenium disulfid (1%)Indikasi : dermatitis seboroik & tinea versikolor
15.Sulfur (4-20%)Efek : anti seboroik, anti akne, anti skabies, anti bakteri, anti jamur.
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BAHAN AKTIF
16.Tera. Batubara : liantral, likuor karbonis
deterjenb. Kayu : oleum kandini & oleum riskic. Fosil : iktiolEfek : antipruritus,anti radang, anti
ekzema, antiakantosis, keratoplastik
17. Tiosulfas natrikus (25%)Efek : Antimikotik utk tinea versikolor
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BAHAN AKTIF
18. Urea (10%)Efek : emolien
19. Zat antiseptik a. Alkoholb. Gol fenol : fenol, timol, resorsinol,
heksaklorofenc. Halogen : yodiumd. Zat pengoksidasi : permangahas kalikus,
benzoil perokside. Senyawa logam berat : merkuri, perakf. Zat warna : akridin laktat (rivanol), gentian
violet)
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Terima kasih