morbus hansen dr angel
TRANSCRIPT
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Dr. Angelica,Sp.KK
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Sinonim : Kusta, Lepra
Definisi :
Penyakit infeksi menahun DisebabkanMycobacteriumleprae
Primermenyerang saraf tepi
Sekunder menyerang kulit danorgan lain Bisa menyebabkan kecacatan Menimbulkan masalah psiko-sosial
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Cara penularan :- melalui kulit yg tidak utuh
- saluran nafas
Sumber penularan :penderita kusta yang banyak mengandung
kuman (tipe MB
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GAMBARAN !"N" M#$#
%&B'R(&!)"D B)RD'R!"N' !'PR)MA%)&S
('!!&!A"R"MM&N"%*
$&M)RA!"MM&N"%*
+&M!A$BAS"!&S%A
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!enemuan tanda kardinal (tanda utama
"# $nestesi
%# !embesaran saraf
Lesi kulit
'# Kuman B$
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"# Klinis
%# Bakteriologis
Serologis'# )istopatologis
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Memiliki sifat , A .
Anaesthesi
Anhydrosis
Achromia
Atrophy
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(entralhealing
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BERDASARKAN:KLINIS
BAKTERIOLOGIS
TUJUANJENIS & LAMA TERAI
ENENTUAN R!T
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ipe kusta (*)+ :
- !ausibasiler (!B
- Multibasiler (MB
idley .opling :
, B, BB, BL, LL
TIE KUSTA
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KELAINAN PB MB
Lesi kulit
Kelainan saraf
BTA
Kecil & besar
Unilateral atau bilateralasimetris
Kering/kasarHippigmantasi
Batas tegas
Anestesi selalu a!a
Ti!ak berkeringat
In"ltrat #$%Hi!ung tersumbat #$%
Hana satu
Negatif
Lebi' !ari satu
Bilateral simetris
Halus( berkilatEritematus
Batas ti!ak tegas
Anestesi t!k selalua!a
Ti!ak )elasIn"ltrat #*%/#$%
Hi!ung tersumbat #*%
Lebi' !ari satu
Psitif
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Pitiriasis /ersicolor
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Pitiriasis alba
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Psoriasis /ulgaris
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Dermato-mikosis . %inea
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%uberculosis 0errucosa cutis
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1#P'NG)BA%AN A&SA! . MD%-2$)
ObatObat PBPB (6 bulan)(6 bulan) MBMB (12 bulan)(12 bulan)
RifampicinRifampicin 600mg /bln,600mg /bln,**supervisesupervise
600mg /bln600mg /bln**supervisesupervise
!!"!!" 100mg100mg/#ari/#ari
100mg/#ari100mg/#ari
$amprene$amprene %% &00mg/ bln*&00mg/ bln*
' 0mg/#ari' 0mg/#ari
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A!%'RNA%"3 .Bila salah satu obat MD% tidak bisa diberikan
)flo4acine ,55mg6hari Minocycline 155mg6hari (larithromycine 785mg6hari
(A%A%AN .
!ama pemberian obat ber0ariasi9 semakinlama semakin baik
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7# P'NG)BA%AN S"M%)MA%"S . pengobatan ulkus pengobatan reaksi
:# P'RBA"AN G";"6#
,# R'$AB"!"%AS" M'D"
8# 'D&AS" . keteraturan berobat pencegahan kecacatan
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'rythema Nodosum !eprosum
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P+ 1P+ 1( R+-" R+.+R"$)( R+-" R+.+R"$)
P+ 2P+ 2( + $ )( + $ )
O"+O"+ al terapial terapi(1%& bulan pertama)(1%& bulan pertama)
Pertenga#an / #irPertenga#an / #ir( 3 6 bulan / R4 )( 3 6 bulan / R4 )
P+ M5P+ M5 PB/MBPB/MB MBMB
-$"-$" $esi lama menai$esi lama menai
atif, menebalatif, menebal
imbul n7ule baruimbul n7ule baru
8ang meraang8ang meraang
""+M-""+M- 9arang, febris9arang, febrisringan, 7eemringan, 7eem
"ering, febris,"ering, febris,artralgi, sefalgi llartralgi, sefalgi ll
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Prinsip . obat anti kusta 6 MD%
diteruskan
%4 Reaksi tipe 1 .
- ringan . simtomatis- berat dgn neuritis . anti inflamasi
%4 Reaksi tipe 7 .
- Steroid sistemik
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ALASI SARA!
Sara" #lnari$
Sara" er%ne#$ %''#ni$
Sara" Ti(iali$ p%$)eri%r!UNGSI SARA!
Ra$a ra(a
Ke*#a)an %)%) +'%)%ri*
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L%*a$i: - a)a# )e'pa) a/ri c#ping)elinga a)a# *elainan *#li) 0ang a*)i"+'#*a $e(ai*n0a /i1in/ari
Ben)#* *#'an:S%li/
!rag'en)e/
Gran#la)e/
Gl%(#$cl#'p$
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In/e2 Ba*)eri%l%gi' +IB 3 : 3 BTA /ala' 433 L, 1i)#ng 433 L 45 : 4643 BTA /ala' 433 L, 1i)#ng 433 L -5: 4643 BTA /ala' 43 L, 1i)#ng 433 L 5 : 4643 BTA /ala' ra)a6ra)a 4 L, 1i)#ng -7 L 85 : 436433 BTA /ala' ra)a6ra)a 4 L, 1i)#ng -7
L 75: 43364333 BTA /ala' ra)a6ra)a 4 L, 1i)#ng -7
L 95: 4333 BTA a)a# 7 cl#'p$ /ala' ra)a6ra)a 4
L: 1i)#ng -7 L
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