diabetes melitus-ida rahayu
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7/23/2019 Diabetes Melitus-Ida Rahayu
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DI SUSUN OLE H :
IDA RAHAYU SET IA DEWI
(P 07133114023 )
D- I I I KESEHATAN L INGKUNGAN REG. A
POLTEK KES KEM ENK ES YOGYAKARTA
DIABETES MELITUS TUGAS MAKUL EPIDEMIOLOGI LINGKUNGAN A
7/23/2019 Diabetes Melitus-Ida Rahayu
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PENDAHULUAN
• D!"#$#% M#&$'% (DM) #'*!+!,%'!$' *#,!+$ !, /$!,/! &#
!/!,! +#,!+!, +!/! '&! /!!(*#&+#!) +,+.
• K#!/!!, *#&+#! +,+$#%#"'$ /!*!$ #,#,! "!,!+
!, *!/! %#'! &!*%!,!%!!+!$ / %#&'' /',!.
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GEALA DIABETES MELITUS
keluhan klasik berupa:
• *&'! ("!,!+ "#+#)
• *&/*%! (!%! !'% %#,! !/ "!,!+
,')• *&!! ("!,!+ !+!, +!#,! *#!%!!, &!*!
$#'%-#,#'%)
keluhan tambahan DM berupa:
•
&#!%5 '/! &#&!5 +#%#'$!,5 !$!&• *#,&!$!, +!"'
• *#,#"'!, &'+! !, "''+
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DIAGNOSIS
• D!,%% DM /$#!++!, !$!% /!%! *##+%!!,+!/! &'+%! /!!.
• G',! *#,#,$'!, /!,%% DM5 *##+%!!,
&'+%! /!! !, /!'+!, !/!&!*##+%!!, &'+%! %#6!! #,!$+ /#,!,"!!, /!! *&!%! 8#,!.
• U,$'+ $''!, *#!,$!'!, !%& *#,"!$!,
/!*!$ /&!+'+!, /#,!, #,',!+!,*##+%!!, &'+%! /!! +!*&#.
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FAKTOR RESIKO DM
• U'5 '%! &!,'$ ('%!9 4 $!',) &#" #,$!, ',$'+$#+#,! DM5 /!*!/! !, '%! '/!.
• #,% K#&!,5 *#,!+$ DM 6#,/#', $#!/ *!/!;!,$! /!*!/! *!.
• G#,#$+. +! /!&! ;!!$ +#&'!! !/! !,#,/#$! DM5 !+! +#$'',!,,! #&+ #%+',$'+ #,/#$! DM '!.
• B#!$ "!/!, &#" (BBR 9 110< !$!' IMT 9 2+=).
•H*#$#,% (9 140=>0 H).
• I"' /#,!, ;!!$ #&!+!, "!9 4000 !.
• K&#%$#& HDL ? 3 =/& !$!' $&%#/!9 20=/&.
•
K'!, !+$8$!% @%+.
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INTERAKSI ANTARA HOST, AGENT DAN ENIRONMENTA!
#en$amu % H&st
• D!"#$#% #&&$'% /!*!$ #,#!, !,'%! /!, #;!,. P!/!!,'%!5 $,+!$ +#!/!, !+!, &#" $, *!/! ,/8/' !,#*',! ;!!$ +#$'',!,5 /!, ,/8/' !, #&+
"#!$ "!/!, "#&#".A'ent
• Y!, /!*!$ #,#"!"+!, /!"#$#% #&&$'% !,$!! &!, *&!!$!' +#"!%!!, "''+ ,/8/'5 !,'!, *!,+#!% !'*',#%%$#,% ,%'&,.
!in'kun'an % En(ir&nment• K#!/!, /!"#$#% #&&$'% &#" $, /!&! &# ,/8/'!, "#!%!& /! +,/% %%!& #+, !, "!+. P#8!&#,%!, $, '! /$','++!, &# *#,/#$! ;!,$! /!*!/!*!5 /!, +*&+!% &#" %#, $#!/ *!/! *#,/#$! '%!
/#;!%! /!*!/! !,!+-!,!+.
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#ER)A!ANAN A!AMIAH #EN*AKITDIA+ETES ME!ITS
• #repat&'enesis
• P!/! +,/% ,5 $#!/ !,%!,!, !,#,"'&+!, *#,!+$ /!, ,/8/' $#%#"'$
"#&' /,!$!+!, /!"#$#%.• M%!&,! +#!/!, "#%$!% !, #,/!'&'
%#"#&' /!"#$#%.
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PERALANAN ALAMIAH DM (2)• #at&'enesis
/"! &! +# "#"#!*! !%#5 !$':
!%# S'"+&,%
• P!/! !%# ,5 "%! /+!$!+!, $"'&,! #!&!
!% #'*!+!, #!&! !, '' !,"#&' /!*!$ /+!$!+!, %!+$. T#!/ *#'"!!,+,/% $'"' ,!', *#'"!!, $' "#&'/!%!+!, &# ,/8/'
!%# K&,%• P!/! $!!* ,5 #!&! !, ',6'& %#!+,
"#%! /!, "#!$ /!, "!%!,! ,/8/' "!'#,!/! *#,!+$,! /!, "!' #&!+'+!,
*#,"!$!,.
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PERALANAN ALAMIAH DM (3)
• #&st #at&'enesis
• U,$'+ DM "#&' /!*!$ /%#"'+!,5 *#,!+$ ,!,! /!*!$ /+,$& /!, /"# *#,!;!%!,
+'%'%. N!',5 "!%!,! ,/8/' /#,!,/!"#$#% !, /%#$! +*&+!% !+!,#,!&! +#6!6!$!,5 %!&,! *!/! /!"#$#%/#,!, +*&+!% %$+#. S#/!,+!, %%!,!
$#$!* !+!, #,!/ 6!# !$!' *#"!;! %!$*#,!+$ /!, /!*!$ #,'&!+!, +#*!/!+#$'',!,,!.
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MODE! E#IDEMIO!OGI NTK DM
O"#%$!%
P&! !+!,
K&#%$#& $/!+ %#!$
$,
K'!, &!!! A+$8$!% @%+
H*#$#,% I%$!!$ +'!, #,%+#&!,
U%! DM
K#$'',!,
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KETERANGAN MODEL EPIDEMIOLOGI
• M#,''$ /#& !,- !, %#"!" !+"!$$#%#"'$ *#'"!!, /! %'!$' !+$ !+!,#,'"! +#%#"!,!, !,$!! ##+!5 !,"#!+"!$ "#$!"! !$!' "#+'!,,! *#,!+$
!, "#%!,+'$!,.
• M/#& , 66+ ',$'+ #,!"!+!, DM5+!#,! DM $/!+ "#!,$', *!/! %!$' %#"!"#&!,+!, %#"!! !+"!$ /! %#!,+!!, *%#%
%#"!" /!, !+"!$.• D#,!, /#+!, !+! $"'&,! *#,!+$ /!*!$
/6#! !$!' /#,$+!, /#,!, #$, !$!!,$! *!/! "#"!! $$+.
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REERENSI
• S/!$!;!5 S#,/ /++. Diabetes MelitusPenatalaksanaan Terpadu. !+!$!: B!&! P#,#"$K U,8#%$!% I,/,#%! !+!$!
•
S/!$!;!5 S#,/5 200. KonsensusPengelolaan dan Pencegahan DiabetesMelitusTipe 2 di Indonesia.
• M.N. B'%$!,5 2007. Epidemiologi Penyakit Tidak
Menular. !+!$!: R,#+! C*$!.• $$*:==$!',!-+12.;#".',!.!6./=