kelainan an dan neoplasia

8
a i s a l p o e N n a d n a g n a b m e k r e P n a n i a l e K x i s a i s n e r e f i d n a d l e s n a h u b m u t r e P g n a t n e t p e s n o K n a d i s i n i f e D : l i c e k h i b e l i d a j n e m l a m r o n i r a d n a g n i r a j n a d n a g r o n a h a b u r e P - A I S E N E G A h a l e t e s g n a b m e k r e b k u t n u l a t i n e g n o c n a g r o n a l a g a g e k : . s i s e n e g o n a g r o - k r e b l a g a g : A I S A L P A h a d u s g n a y l a n o i r b m e t n e m i d u r n a g r o a y n g n a b m e . k u t n e b r e t - i a p a c n e m h a n r e p k a d i t h u b m u t g n a y t n e m i d u r a n a m i d n a a d a e k : A I S A L P O P I H . l i d r e k i d a j n e m t u b e s r e t n a g r o a y n t a b i k a , a s a w e d n a r u k u / f i t i n i f e d g n a y n a r u k u - I F O R T A : m u l e b e s g n a y n a g n i r a j / n a g r o a y n t u i c n e m n a r u k u i a p a c n e m h a l e t a y n . a s a w e d : r a s e b h i b e l i d a j n e m l a m r o n i r a d n a g n i r a j n a d n a g r o n a h a b u r e P - : I F O R T R E P I H p , l e s e m u l o v n a h a b m a n e p a n e r a k h u b u t n a g r o n a r u k u n a r a s e b m e ) i s a r e f i l o r i d a j r e t k a d i t ( p a t e t l e s h a l m u j i n i l a h m a l a d a f i s r e b t a p a d i f o r t r e p i H . t u a t a l a n o i s g n u f n a h u t u b e k n a t a k g n i n e p n a d , s i g o l o t a p u a t a s i g o l o i s i f n a g n a s g n a r l a n o m r o h t o t o i f o r t r e p i H : h o t n o C i s n e t r e p i h a n e r a k i r i k g n u t n a j - : I S A L P R E P I H t a k g n i n e m l e s h a l m u j i n i l a h m a l a d , l e s i s a r e f i l o r p a n e r a k n a g r o n a r a s e b m e P l e s n a r u k u n a g n e d e b m e m / p a t e t r a s n u p u a m s i g o l o i s i f t a f i s r e b t a p a d a i s a l p r e p i H . . s i g o l o t a p t a t s o r p i s a l p r e p i H : h o t n o C : l a m r o n b a i s a i s n e r e f i D - : I S A L P A T E M h a b u r e P n a g n i r a j / l e s i d a j n e m a s a w e d n a g n i r a j / l e s k u t n e b n a n i a l k u t n e b a s a w e d n a k i t n a g i d a i l i s r e b s u b u k l e t i p e : h o t n o C s i p a l r e b l e t i p e h e l o k i n o r k i s a t i r i a n e r a k a s o m a u q s . k o k o r e p a d a p - : A I S A L P S I D l e s n a m a g a r e s e k a y n g n a l i h a p u r e b l e s n a h u b m u t r e p n a u g g n a G ) i s a s i r a l o p ( l a r u t k e t i s r a i s a t n e i r o a y n g n a l i h i a t r e s i d x s a n a G r o m u T n a d k a n i J r o m u T k i t s i r e t k a r a K n a d a m a n a t a T

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Page 1: Kelainan an Dan Neoplasia

aisalpoeN nad nagnabmekreP nanialeK

isaisnerefid nad les nahubmutreP gnatnet pesnoK nad isinifeD

:licek hibel idajnem lamron irad nagniraj nad nagro nahabureP

- AISENEGA haletes gnabmekreb kutnu latinegnoc nagro nalagagek :

.sisenegonagro

- kreb lagag :AISALPA hadus gnay lanoirbme tnemidur nagro ayngnabme

.kutnebret

- iapacnem hanrep kadit hubmut gnay tnemidur anamid naadaek :AISALPOPIH

.lidrek idajnem tubesret nagro ayntabika , asawed naruku / fitinifed gnay naruku

- IFORTA : mulebes gnay nagniraj / nagro ayntuicnem naruku iapacnem halet ayn

.asawed

:raseb hibel idajnem lamron irad nagniraj nad nagro nahabureP

- : IFORTREPIH p ,les emulov nahabmanep anerak hubut nagro naruku narasebme

)isarefilor idajret kadit( patet les halmuj ini lah malad afisreb tapad ifortrepiH . t

uata lanoisgnuf nahutubek natakgninep nad ,sigolotap uata sigoloisif nagnasgnar

lanomroh

toto ifortrepiH : hotnoC isnetrepih anerak irik gnutnaj

- : ISALPREPIH

takgninem les halmuj ini lah malad ,les isarefilorp anerak nagro narasebmeP

les naruku nagned ebmem / patet ras nupuam sigoloisif tafisreb tapad aisalprepiH .

.sigolotap

tatsorp isalprepiH : hotnoC

:lamronba isaisnerefiD

- : ISALPATEM habureP nagniraj/les idajnem asawed nagniraj/les kutneb na

nial kutneb asawed nakitnagid ailisreb subuk letipe :hotnoC sipalreb letipe helo

kinork isatiri anerak asomauqs .kokorep adap

- : AISALPSID les namagaresek ayngnalih apureb les nahubmutrep nauggnaG

)isasiralop( larutketisra isatneiro ayngnalih iatresid

sanaG romuT nad kaniJ romuT kitsiretkaraK nad amanataT

Page 2: Kelainan an Dan Neoplasia

amanataT narihka nagned iamanid kanij romut kutnu aynasaib ,amsalpoen kutnu – amo

aparebeb nagned amas gnay rulaj itukignem sanag romut naamaneP .itni les adap

nikgnum gnay ,amonisrak nakamanid ilsa letipe irad sanag gnay amsalpoeN .isakifidom

abes nakisakifilaukid nahubmutrep alop naktahilrepmem akij( amonisrakoneda iag

les naklisahgnem ( asomauks les amonisrak iagabes uata )rajnelek - .)asomauks les

nakutneneM .amocras tubesid miknesem nagniraj adap lucnum gnay sanag amsalpoeN

akoneda :aynlasim( ilsa nagro akrasadreb urap amonisr - gnay arac nakapurem aguj )urap

.ini ada hadus gnay naruta kutnu nailaucegnep kaynaB .sitkarp ilakgnires

romuT kigolotsiH isakifisalK

lasa nagniraj / leS kanij sanag

asomauks ,sipalreb letipE

rajnealeK

tisonaleM

taki nagniraJ

- asorbiF

- asopidA

- T nawar gnalu

- gnaluT

totO

- soloP

- kiruL

letodnE

- harad hulubmeP

- kitafmiL

faras nagniraJ

- faras gnubuleS

- ailg leS

- negnineM

kiteiopomeh nagniraJ

- gnalut musmuS

- diofmiL nagniraJ

asomauks amolipaP

amonedA

suveN

amorbiF

amopiL

mordnoK a

amoetsO

amoimoieL

amoimodbahR

amoignameH

amoignafmiL

amorbiforueN

amolgnineM

asomauks les amonisraK

amonisrakoneda

amonaleM

amokrasorbiF

amokrasopiL

amokrasordnoK

amokrasoetsO

amokrasoimoieL

amokrasoimodbahR

amokrasoignameH

soignafmiL amokra

amokrasorbiforueN

amotsalboilg ,amokilG

elpiylum amolym ,aimekueL

mungilam amohpmyL

Page 3: Kelainan an Dan Neoplasia

lanoirbme nagniraJ

- netopitot leS

amotaret

amonicracotaret ,mudilos amotareT

negA nad sisenegonisraK - kinegonisraK negA

sisenegonisraK les isamrofsnart utaus lisah nakirebmem gnay sesorp utaus nakapurem

reknak les idajnem lamron nahaB . - reknak aynkutnebret nakbabeynem tapad gnay nahab

:apureb tapad negonisrak aynsinej turuneM .negonisrak tubesid

.1 aimik nahaB

.2 suriV

.3 kisif negonisraK

.4 nomroH

ata hubut raul irad lasareb tapad ini negonisrak akam aynlasa tahileM ,negoske u

malad irad lasareb alup tapaD .kisif negonisrak nad ,suriv ,iwaimik negonisrak itrepes

.xes enomroh itrepes negodne uata hubut

.1 iwaimik negonisraK

taZ - aimik taz :nial aratna ,kinegonisrak ayad iaynupmem gnay

- 3 ayntikides ikilimem gnay nobrakordiH gnires ,fitka gnay nobrak nataki

,ENERYPZNEB adap tapadret ini enertnanehp itnI .ENERTNANEHP tubesid

.ENERHTNALOHC nad ENECARHTNAZNEB

- AONIMALYHTEMID aynlasim ,oza anraw taZ - rettub( ENEZNEBOZ

)wolley

- himek gnudnak reknak babeynep ,enilina anraw taZ

- alyklA taisahk iaynupmem gnay ,dratsum negortin itrepes ,stnega gnit

urap reknak naklubminem ,kokor pasakitemimoidar - urap

- adap tapadret gnay suvalf suligrepsA rumaj irad lasareb gnay ,NIXOTALFA

.hanat gnacak

ata esalyxordyh enerypzneb mizne ikilimem aisunam hubuT gnay mizne u

miznE .nobrakordih negonisrak ayad nakgnalihgnem taisahk ikilimem

.cimsalpodne mulukitker adap adareb tubesret

.2 suriV

Page 4: Kelainan an Dan Neoplasia

:nial aratna ,suriv negonisrak nagnologgnep 4 ada ewoR uruneM

.1 )les itni adap tapadret( surivavopaP

.2 i adap tapadret( surivonedA )les itn

.3 )amsalpotis adap tapadret ( surivxoP

.4 )les naakumrep adap tapadret( surivoxyyM

:nanikgnumek 3 nakakumegnem hcolluCcM

.1 utis id adareb patet nad romut les amsalpotis malad adareb babeynep suriV

tafis aynkutnebret kutnu - romut les tafis

.2 akbabeynem suriV patenem gnay nahaburep nkalubminem ,citamos isatum n

akam amsalpoen kutnebret ilakeS .amsalpoen kutnebret aggnihes les adap

rihkareb suriv nanarep

.3 tahilret kadit ipatet ,les malad adareb suriV

orpoelcun nakapurem mizne itrepes ,suriv awhab tapadnepreb dyoB gnay niet

.mizne nanusus emsinakem uggnaggnem nalaj nagned romut naklubminem tapad

.3 kisif negonisraK

ranis itrepes ,kinegonisrak ayad ikilimem kisif igrene kutneb nakaynabeK

tapad gnay mota mob nad muidar ,x ranis helo naklubmitid gnay fitkaoidar

abeynem amonisrak ,gnalut amocras ,aimekuel ,tiluk reknak aynlubmit nakb

nahaburep nakbabeynem nikgnum tubeset raniS dioryht nad araduyap

.reknak naklubminem tapad aggnihes les mosomork irad nietorpoelcun

.4 nomroH

babeynep utas halas nakapurem nomroH nidajret amatu adap romut ay

iagabes ajrekeb enomroh ,)1691( htruF turuneM .naabocrep gnatanib

tala adap reknak nakbabeynem nomroH .rotomorp - lamron gnay hubut tala

nairebmeP .tatsorp nad muiravo ,suretu,araduyap yanlasim ,aynihuragnepid

d naabocrep gnatanib adap negortse /eammam amonicrac naklubminem tapa

adap reknak nakbabeynem gnay enomroh nairebmeP .iretu sicivrec amonicrac

Page 5: Kelainan an Dan Neoplasia

adap ajrekeb halet aynmulebes gnay suriv aynada helo ihuragnepid hubut tala

.tubesret hubut naigab

amsalpoeN kimetsiS nad lakoL kefE

amsalpoeN pmem kanij amsalpoen aneraK .arac iagabreb iulalem sepsoh ihuragne

lakol tafisreb aynmumu naklubmitid gnay kefe akam ,sitatsatem uata isavni iulalem kadit

halasaM .lataf gnay iapmas nagnir irad rasikreb kol kanij amsalpoen ankbabesid gnay la

abeynem tapad halada .hubut naigab iagabreb natabmuynep nakb tapad amsalpoeN

, aynrihkA .itrareb gnay naharadnep naklubminem tapad nad iskefni nad kakut idajnem

ipatet ,kinakem tafiseb kadit gnay kolocnem kefe nakalubminem upmam kanij romut

lobatem tafis nagned natiakreb hibel les aynlasim ,uti romut les ki - id snahregnaL ualup les

.kanij amsalpoen naklubminem tapad saerkgnap adap gnutnagreb amsalpoen lakol kefE

kimetsi sisorken ,kusamret nad nagnipmadreb gnay rutkurts aratna narutneb nad isalol

iskefni ,nagniraj iserpmok tabika sutkarat ,susu ,sapan nagniraj iskurtsbo ,rednukes

padahret ireyn :harad hulubmep malad ek isore tabika naharadnep ;suiraniru nad sirailib

maladgnalut adap sisatsatem tabika sigolotap hatap nad ;fitisnes gnay rutkurts nanakenep

.sanag amsalpoen susak

aM las a nahubmutrep irad tabika halada amsalpoen helo naktabikaid gnay kimetsis h

nagniraj kasurem kutnu tapec hibel gnay sanag amsalpoen - rabeynem nad lacol nagniraj

gnires tujnal muidats nagneds niesap adaP .huaj gnay sitatsatem kutnebmem kutnu

ednem tahilret naklubminem tpas idajfret suret tubesret naadaek akij ,tareb isirtunlam atir

.naitamek ,)emordnys gnitsaw( aiskekak apureb sanag amsalpoen adap kimetsis kefE

alajeg nad ,)naharadrep / gnalut musmus iserpus tabika( aimena - tabika alajeg iserkes

t gnay enomroh .lamron kadi

romuT gnidarG nad gnignatS

alibapa awhab atkaf helo ignakalebratalid reknak adap gnigats nad gnidarG

romut irad nasanagek okisir naktakgninem naka akam itaboid kadit remirp romut haubes

s nakulrepid reknak adap gnigats nad gnidarG .iridnes uti narakutrep kutnu anaras iagabe

natabognep nakanacnerem kutnu aidem iagabes ,reknak natabognep tasup ratna isamrofni

.sisongorp kutnu kujnutep iagabes aguj nad

Page 6: Kelainan an Dan Neoplasia

- reknak gnigats metsiS

hubmut halet reknak huaj aparebes nakispirksednem reknak gnigats metsiS nad

gnay neisap naktapmenem ahasureb reknak gnigats metsiS .hubut malad rabeynem

metsiS .gnigats kopmolek utas malad amas gnay iparet nad sisongorp iaynupmem

neisap adap iparet nad sisongorP .kinilk tafisreb gnay naialinep nakapurem gnigats

tnagret tagnas .aynatiredid gnay reknak natakgnit adap gnu

ilaucek reknak aumes ripmah ek nakparetid tapad gnigats irad mumu pesnoK

kadit akerem ,harad malad tapadret aimikuel aneraK .aimikuel irad kutneb nakaynabek

kayal itrepes hubut malad simotana araces isasilakolret .nial gnay sinej reknak ayn

reknak gnigats metsis aud tapadret ,dilos romut raseb naigabes kutnu ,mumu araceS

.metsys MNT nad sgnipuorG egatS larevO utiay nagnubuhreb gnilas gnay

rG egatS llarevO .a )gnigatS laremuN namoR( sgnipuo

susak ,ini metsis adaP - sak natakgnit tapme malad ek nakkopmolekid reknak su

I muidats ,aynrasad adaP .)VI .d.s I( iwamor akgna nagned nakgnabmalid )muidats(

nakgnades ,nakhubmesid tapad hisam aynasaib nad lakol ,licek narukureb reknak

apad kadit gnay reknak naktahilrepmem VI muidats epit nakapurem uata isarepoid t

nakapurem aynasaib reknak III nad II muidatS .sitatsatemreb hadus gnay reknak

l reknak irad natujnalek gnay lako fmil sudon narasebmep nagned iatresid a .lanoiger

j adap gnutnagreb muidats paites kutnu nakirebid gnay sisongorP ,aynreknak sine

kutnu sisongorp nagned adebreb naka urap reknak II muidats adap sisongorp aynlasim

gnay muidats adap skivres reknak .amas ,tubesret muidats ikusamem reknak mulebeS

iraj adap ada gnay remirp romut anamid reknak nahubmutrep irad lawa esaf ada nagn

nagniraj isavnignem muleb nad remirp reknak les sata nasipal adap nakumetid aynah

.aynratikes id nial les uata

nalubreb neisap gnareynem igal ilabmek tapad reknak ,aynmumu adaP - uata nalub

nuhatreb - takgnaid romut irad remirp sutis haletes nuhat reknak helo nakbabesid ini laH .

aguj tapad uata aynremirp romut isakol irad huaj gnay tapmet ek ralajnem halet tubesret

nahadebmep taas adap laggnitret gnay remirp romut licek naigabes helo nakbabesid

romut idajnem hubmut tubesret romut aynitnan aggnihes gnay reknaK .raseb hibel gnay

Page 7: Kelainan an Dan Neoplasia

gnay alup ada nad )lakol( amas gnay haread itikgnajnem tapad tubesret hubmut ilabmek

.sisatsatemreb halet

gnigatS MNT .b

nad )gnineb hateg rajnelek( sedoN ,romuT irad natakgnis nakapurem MNT

laisini paiteS .sisatsateM nagned nakisakifisalkid nad hasipret isasirogetakret tubesret

neisap itrareb 0M1N1T ,hotnoc iagabeS .aynnatakgnit satitnedi irebmem kutnu akgna

fmil sudon narasebmep ,1 takgnit romuT iaynupmem tubesret a kadit nad ,1 takgnit

.sisatsatemreb

etsis isairaV .c gnigats m

nad sinej nagned neisap adap iparet nad sisongorp naadebrep tapadret aneraK

tapet gnay gnigats nasumur aynada kadit nakbabeynem adebreb gnay reknak natakgnit

naigabes kutnu iakapid gnay metsis aud nialeS .reknak sinej aumes kutnu mumu nad

metsis tapadret aguj reknak irad sinej raseb - malad iakapid gnay aynnial gnigats metsis

gnigats sekuD ,hotnoc iagabeS .kifiseps gnay reknak sinej aparebeb kutnu sidem ainud

knak kitsiretkarak nagned D .d.s A isakifisalk nagned latkerolok reknak kutnu metsys re

gnisam - .gnisam

- reknak gnidarg metsiS

sisotim halmuj nad romut isaisnerefid tajared adap ucagnem reknak gnidarg metsiS

nakapurem ini metsiS .poksorkim hawab id nakapmanep adap tubesret romut les

ra iaynupmem gnaruk aggnihes sigolotsih naialinep reknak gnidarg metsiS .kinilk it

recnaC no noissimoC tnioJ naciremA helo nakujaid ini mumu araces amiretid gnay

awhab naktahilrepmem ini metsis irad natakgniT .natakgnit tapme itupilem )CCJA(

et reknak les sisotim halmuj ,aynreknak natakgnit iggnit nikames nad kaynab tubesr

dit nakhab uata kurub aynreknak les irad isaisnerefid ipatet nahibelreb isaisnerefidreb ka

.ilakes amas s’nosaelG itrepes ,kifiseps gnay metsys gnidarg sinej aparebeb tapadreT

moolB ,tatsorp reknak kutnu metsys - knak kutnu metsys nosdrahciR nad araduyap re

.lajnig adap reknak kutnu metsys namrhuF

Page 8: Kelainan an Dan Neoplasia

:isnerefeR

.)6002( ,.M .L ,nosliW & .A .S ,ecirP sesorP sinilK pesnoK : igoloisifotaP - sesorP

)jret( tikayneP .CGE : atrakaJ .

.)0991( .IU KFkimotanA igolotaP .gaB rajagneP fatS igolotaP IU :atrakaJ . .sserp