Download - kondiloma akuminta indonesiasd
![Page 1: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/1.jpg)
KONDILOMA AKUMINATA
![Page 2: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/2.jpg)
Definisi
Kondiloma akuminata (KA)/ genital warts/kutil kelamin/peny.jengger ayam infeksi menular seksual disebabkan olen virus papiloma humanus (VPH) tipe tertentu, kelainan berupa fibroepitelioma pd kulit & mukosa
![Page 3: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/3.jpg)
Manifestasi klinis Masa inkubasi 1-8 bln VPH masuk ke dlm tubuh
mikrolesi pd kulit shg sering tdp pd daerah yg mengalami trauma pd saat berhubungan seksual
Pria glans penis, batang penis, sulkus koronarius, frenulum
Wanita vestibulum
![Page 4: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/4.jpg)
Etiologi
VPH virus DNA epiteliotropik (menginfeksi epitel), famili Papovaviridae.
Tdk dpt dibiak in vitro VPH terbagi mjd 2 tipe b’dasarkan
kemungkinan tjdny displasia epitel & keganasan:- VPH low risk tipe 6 & 11- VPH high risk tipe 16 & 18
![Page 5: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/5.jpg)
Bentuk papul
Bentuk akuminata
![Page 6: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/6.jpg)
Diagnosis
Berdasarkan gambaran klinis Bila ragu, dpt dilakukan :
- Tes asam asetat 5% dioleskan dgn lidi kapas pd lesi yg dicurigai, bila (+) perubahan warna mjd putih (acetowhite), di perianal perlu wkt >> lama- Kolposkopi utk melihat kondiloma subklinis- Histopatologi papilomatosis, akantosis, rete ridges memanjang&menebal, koilositosis
![Page 7: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/7.jpg)
Diagnosis banding
Kondiloma lata
Karsinoma sel skuamosa
![Page 8: kondiloma akuminta indonesiasd](https://reader038.vdokumen.com/reader038/viewer/2022100602/558e634d1a28abd0398b479d/html5/thumbnails/8.jpg)
Penatalaksanaan
Tergantung besar, lokalisasi, jenis, jumlah lesi & keterampilan dokter
Kemoterapi :- Tinktura podofilin 15-25%- Podofilotoksin 0,5% (podofiloks)- TCA 50%- Krim 5-fuorourasil 1-5%
Bedah skalpel, listrik, beku, laser Interferon Imunoterapi