mioma uteri
DESCRIPTION
Mioma UteriTRANSCRIPT
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MIOMA UTERI
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Identitas
Nama: Ny. Karni Umur: 51 tahun Tempat/tanggal lahir: Gunungkidul, 24.1.1961 Alamat: Purwo 002/005, Karangsari, Semin Agama: Islam Pekerjaan: Ibu RT Pendidikan terakhir: SMP
Nama suami: Sularno Umur: 52 tahun Alamat: urwo 002/005, Karangsari, Semin Pekerjaan: Wiraswasta
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Anamnesis
Pasien umur 51 tahun datang dengan keluhan utama nyeri tusuk-tusuk sejak 6 bulan yang lalu. Nyerti bertambah berat sejak 6 bulan yll, setiap kali mens perdarahannya banyak, nyeri sehingga tidak bisa berjalan, keluhan berkurang sesudah istirahat. Pasien juga mengeluh benjolan dirasakan sejak 7 tahun yll, nyeri ulu hati. Pasien sudah minum obat paracetamol dan asam mefenemat di puskesmas tapi nyerinya masih berulang. BAB sulit tidak lancar sejak beberapa bulan yll.
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RPD: HT, DM, asma, penyakit jantung disangkal.
RPK: HT, DM, asma, penyakit jantung disangkal.
Riw obs: 1. 1999, laki-laki, 3000g, persalinan normal, P1A0
Riw mens: teratur selama ini, siklus 28 hari, 5-6 hari
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Px
KU baik, CM, tidak anemis Palpasi: teraba massa ukuran 12x15cm
di perut, bentuk bulat, kenyal immobile PD: v/u tenang, dinding vagina licin,
serviks utuh mencucu, terasa massa UK 11x15x9cm. Parametrium ka/ki lemas.
Lab: Hb 9.8, HCT 29%
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Dx
Mioma uteri
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Normal uterus
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Gambaran USG mioma subserous, tampak gambaran massa hipoekhoik yang menonjol ke luar dinding uterus
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Gambaran USG mioma intramural, tampak gambaran massa hipoekhoik yang berada di dalam dinding uterus
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Gambaran USG mioma submukosa, tampak gambaran massa hipoekhoik yang menekan endometrial line
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Transabdominal sagittal sonogram shows a heterogeneous but predominately hypoechoic posterior uterine fibroid.
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Pembahasan
Uterine fibroid is the most common benigh tumor of uterus. They often cause excessive menstrual bleeding, pelvic pain and frequent urination.
Fibroid start in muscle tissue of uterus and can grow into submucosal, into thickness of uterine wall (intramural), on surface of uterus (subserosa) into abdominal cavity.
Submucosa (beneath endometrium), subserous (beneath mucosal surface), intramural (most common, in the uterine muscular layers)
Exact reason why women develop fibroid is unknown, grow in response to stimulation by estrogen.
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Terima Kasih.