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INFEKSI MENULARINFEKSI MENULAR

SEKSUAL PADA KEHAMILANSEKSUAL PADA KEHAMILAN

OLEH:OLEH:Tegar Wibawa RTegar Wibawa R

Pembimbing:Pembimbing:Dr Birza Rizali !S"O#Dr Birza Rizali !S"O#

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Per$a%anan $&b&%Per$a%anan $&b&%

Pen&$&"an '&l'a (le%Pen&$&"an '&l'a (le%

labialabia

E"i$el )ang $ebalE"i$el )ang $ebal

Ba*$eri D(erleinBa*$eri D(erlein

Kelen+ar ,er'i*, )angKelen+ar ,er'i*, )ang

al*ali,al*ali,

Si*l&, men,$r&a,iSi*l&, men,$r&a,i Ramb&$ ge$ar "aaRamb&$ ge$ar "aa

$&ba$&ba

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Raang-In.e*,iRaang-In.e*,i

/(l(r /(l(r

D(l(r D(l(r

R&b(r R&b(r

Pal(r Pal(r

F&n0$i( le,aF&n0$i( le,a

Fl&(r Alb&,Fl&(r Alb&,

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Paa *e%amilan : *(n$ra*,iPaa *e%amilan : *(n$ra*,i

KPDKPD

+anin 0a0a$-$erin.e*,i +anin 0a0a$-$erin.e*,i "rema$&ri$a,"rema$&ri$a,

http://images.google.co.id/imgres?imgurl=http://lh3.google.com/_p163cKQmQ3k/RqCs7OuktQI/AAAAAAAAApM/Iv1iUQKVL9I/s800/saddle%2Bnose%2B(cong%2Bsyphilis).jpg&imgrefurl=http://picasaweb.google.com/lh/photo/1nKKWEinR0t8e8GNWbLIKQ&h=208&w=275&sz=25&hl=id&start=8&tbnid=ucwFxhVhBlOuKM:&tbnh=86&tbnw=114&prev=/images%3Fq%3Dsaddle%2Bnose%26gbv%3D2%26hl%3Did%26sa%3DGhttp://images.google.co.id/imgres?imgurl=http://www.dwarfism.ru/pics/types_dwarfism1.GIF&imgrefurl=http://www.dwarfism.ru/facts2_Eng.htm&h=417&w=600&sz=55&hl=id&start=10&tbnid=joJRVyLqRxC7LM:&tbnh=94&tbnw=135&prev=/images%3Fq%3Dsaddle%2Bnose%26gbv%3D2%26hl%3Did%26sa%3DG

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In.e*,i #eni$alia E*,$ernaIn.e*,i #eni$alia E*,$erna

(Bar$%(lini$i,

(1agini$i,

(1&l'i'agini$i,

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Bar$%(lini$i,Bar$%(lini$i,

E$i(l(gi:E$i(l(gi:

#O2S$re"$(0(00!E K(li#O2S$re"$(0(00!E K(li

Peraangan: R3 RaangPeraangan: R3 Raang

Ter,&mba$ : Ki,$aTer,&mba$ : Ki,$a

Bar$%(linBar$%(lin

Tera"i : An$ibi($i*a anTera"i : An$ibi($i*a an

Mar,&"iali,a,i-e*,$ir"a,iMar,&"iali,a,i-e*,$ir"a,i

http://images.google.com/imgres?imgurl=www.informationdupatient.com/images/bartholin.jpg&imgrefurl=http://www.femiforum.com/sections.php%3Fop%3Dviewarticle%26artid%3D2&h=272&w=213&prev=/images%3Fq%3DBartholin%2B%26svnum%3D10%26hl%3Den%26lr%3D%26ie%3DUTF-8%26oe%3DUTF-8%26sa%3DG

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1&l'a1&l'a

Pen)a*i$ Kelamin :Pen)a*i$ Kelamin :

Si.ili,!Ul*&, M(lle!llSi.ili,!Ul*&, M(lle!ll

T&ber*&l(,i,T&ber*&l(,i,

1&l'i$i, 1ir&, :1&l'i$i, 1ir&, :

Her"e,! HP1Her"e,! HP1

1&l'i$i, DM1&l'i$i, DM

http://images.google.co.id/imgres?imgurl=http://www.riversideonline.com/source/images/image_popup/ans7_vulva.jpg&imgrefurl=http://www.riversideonline.com/health_reference/Womens-Health/DS00159.cfm&h=321&w=400&sz=14&hl=id&start=2&tbnid=Gwh5MqrwCczABM:&tbnh=100&tbnw=124&prev=/images%3Fq%3Dvulva%26gbv%3D2%26hl%3Did%26sa%3DG

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Her"e,Her"e,

HS1 $i"e 4HS1 $i"e 4

STDSTD

567 %ari567 %ariBel&m aa $era"iBel&m aa $era"i

8ang men)emb&%*an8ang men)emb&%*an

Paa ne(na$&,:*era$i$i,Paa ne(na$&,:*era$i$i,%er"e$i*a%er"e$i*a

http://images.google.co.id/imgres?imgurl=http://www.cehjournal.org/images/ts040011_updated2007.jpg&imgrefurl=http://www.cehjournal.org/extra/ts04_11.htm&h=544&w=822&sz=94&hl=id&start=21&tbnid=uvSwzU5_702qCM:&tbnh=95&tbnw=144&prev=/images%3Fq%3Dkeratitis%2Bherpes%26start%3D18%26gbv%3D2%26ndsp%3D18%26hl%3Did%26sa%3DN

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Her"e, ,im"le*, 964Her"e, ,im"le*, 964

Paa *e%amilan:Paa *e%amilan:

6ab(r$&,6ab(r$&,

6IU#R6IU#R 6"rema$&ri$a,6"rema$&ri$a,

6KPD6KPD

Per,alinan S/ +i*a le,i a*$i'Per,alinan S/ +i*a le,i a*$i'

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PenatalaksaanPenatalaksaan

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Dosis asiklovir/valasiklovir yang dianjurkan untuk infeksi

primer:

Asiklovir per oral 5 x 200 mg/hari selama 7 hari padalesi !erat i"v" #$5 mg/kg%%/hari selama 7 & '0 hari( atau

)alasiklovir 2 x 500 mg/hari selama 7 hari

Dosis untuk infeksi rekuren:

Asiklovir 5 x 200 mg/hari selama 5 hari atau

)alasiklovir 2 x 500 mg/hari selama 5 hari

Pengo!atan untuk neonatus dengan infeksi )*+ dapat

di!erikan asiklovir '0 mg/ kg%% i"v" tiap ,jam selama '0 &

2' hari"7

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K(nil(ma A*&mina$&mK(nil(ma A*&mina$&m

1&l'a!"erne&m!"erianal!1&l'a!"erne&m!"erianal!

'agina an ,er'i*'agina an ,er'i*

/a&li.l(wer /a&li.l(wer

Pen)ebab HP1Pen)ebab HP1

#e+ala *e"&$i%an an ga$al#e+ala *e"&$i%an an ga$al

Tera"i P((.ilin anTera"i P((.ilin an

Ka&$eri,a,iKa&$eri,a,i

http://images.google.com/imgres?imgurl=www-nehc.med.navy.mil/hp/images/std_pictures/STD_53.jpg&imgrefurl=http://www-nehc.med.navy.mil/hp/sharp/std_pictures.htm&h=268&w=400&prev=/images%3Fq%3Dcondyloma%2Bacuminata%26svnum%3D10%26hl%3Den%26lr%3D%26ie%3DUTF-8%26oe%3DUTF-8%26sa%3DGhttp://images.google.com/imgres?imgurl=www.rusmedserv.com/proct/cond.jpg&imgrefurl=http://www.rusmedserv.com/proct/cond.htm&h=282&w=229&prev=/images%3Fq%3Dcondyloma%2Bacuminata%26svnum%3D10%26hl%3Den%26lr%3D%26ie%3DUTF-8%26oe%3DUTF-8%26sa%3DG

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1agina1agina

K&man n(rmal :K&man n(rmal :

D(elein!S$re"$(00(0&,!D(elein!S$re"$(00(0&,!

S$a.il(0(0&,! Di.$er(iS$a.il(0(0&,! Di.$er(i

#e+ala : Fl&(r Alb&,!#e+ala : Fl&(r Alb&,!#a$al! Terba*ar #a$al! Terba*ar

1&l'('agini$i,1&l'('agini$i,

Ha$i %a$i "ember,i%Ha$i %a$i "ember,i%wani$awani$a

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1agini$i,1agini$i,

Tri*(m(nia,i,Tri*(m(nia,i,

( Tri*(m(na, 'aginali,Tri*(m(na, 'aginali,

( Para,i$ engan .lagellaPara,i$ engan .lagella

( Fl&(r *e*&ningan an ba&Fl&(r *e*&ningan an ba&

( #a$al an "ana,#a$al an "ana,

http://images.google.co.id/imgres?imgurl=http://herpes-coldsores.com/std/std_images/vaginitis.jpg&imgrefurl=http://www.herpes-coldsores.com/std/vaginitis_pictures.htm&h=288&w=423&sz=22&hl=id&start=7&tbnid=kKBak9hd19fEuM:&tbnh=86&tbnw=126&prev=/images%3Fq%3Dvaginitis%2Bgonorrhea%26gbv%3D2%26ndsp%3D18%26hl%3Did%26sa%3DNhttp://images.google.co.id/imgres?imgurl=http://spiritia.or.id/news/ref/trich.gif&imgrefurl=http://spiritia.or.id/news/bacanews.php%3Fnwno%3D0168&h=145&w=150&sz=10&hl=id&start=46&tbnid=LF4bqkgOErlsQM:&tbnh=93&tbnw=96&prev=/images%3Fq%3Dgonorea%26start%3D36%26gbv%3D2%26ndsp%3D18%26hl%3Did%26sa%3DNhttp://images.google.com/imgres?imgurl=www.aviarybirds.com/images/candidiasis.gif&imgrefurl=http://www.aviarybirds.com/photo.htm&h=232&w=145&prev=/images%3Fq%3DCandidiasis%2B%26svnum%3D10%26hl%3Den%26lr%3D%26ie%3DUTF-8%26oe%3DUTF-8%26sa%3DN

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1agini$i,1agini$i,

/aniia,i,/aniia,i,

( /ania Albi0an,/ania Albi0an,

( am&r am&r

( Fl&(r "&$i%Fl&(r "&$i%

( #a$al an "ana,#a$al an "ana,

( Kemera%an "aa *&li$Kemera%an "aa *&li$

http://images.google.com/imgres?imgurl=www.emedicine.com/ped/images/171candida.jpg&imgrefurl=http://www.emedicine.com/PED/topic312.htm&h=147&w=200&prev=/images%3Fq%3DCandidiasis%2B%26svnum%3D10%26hl%3Den%26lr%3D%26ie%3DUTF-8%26oe%3DUTF-8%26sa%3DN

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/ania albi*an,/ania albi*an,

Paa DMPaa DM

http://images.google.co.id/imgres?imgurl=http://www.mumcu.com/html/images/calbicans.jpg&imgrefurl=http://drsalih.blogcu.com/ENFEKSIYON/&h=294&w=182&sz=16&hl=id&start=2&tbnid=RmrL2EIfdB-6sM:&tbnh=115&tbnw=71&prev=/images%3Fq%3Dcandida%2Balbikans%26gbv%3D2%26hl%3Did%26sa%3DGhttp://images.google.co.id/imgres?imgurl=http://bp2.blogger.com/_JHsl70kwMPw/RmmVAif1cVI/AAAAAAAAAGk/i_It0wAZDPQ/s320/123.jpeg&imgrefurl=http://free-doctor.blogspot.com/2007/06/natural-remedy-for-yeast-infection.html&h=133&w=146&sz=4&hl=id&start=1&tbnid=6melo5VYK97wQM:&tbnh=87&tbnw=95&prev=/images%3Fq%3Dcandida%2Balbikans%26gbv%3D2%26hl%3Did%26sa%3DG

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#ONOREA#ONOREA

9;

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#ONOREA#ONOREA

Ure$ra2 Kel S*ene! Kel Bar$%(lin! ,er'i*,Ure$ra2 Kel S*ene! Kel Bar$%(lin! ,er'i*,

Re*$&mRe*$&m

1agina m&a% $erin.e*,i "aa ana*!%amil!1agina m&a% $erin.e*,i "aa ana*!%amil!an men("a&,ean men("a&,e

T&be a"a$ men+ai "i(,al"ing anT&be a"a$ men+ai "i(,al"ing an

%ir(,al"ing%ir(,al"ing

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g(n(reag(n(rea

http://images.google.co.id/imgres?imgurl=http://www.netterimages.com/images/vpv/000/000/002/2957-0550x0475.jpg&imgrefurl=http://www.netterimages.com/image/2957.htm&h=550&w=475&sz=194&hl=id&start=1&tbnid=FXWRMW2_BE7stM:&tbnh=133&tbnw=115&prev=/images%3Fq%3Dvaginitis%2Bgonorrhea%26gbv%3D2%26ndsp%3D18%26hl%3Did%26sa%3DN

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#ONOREA#ONOREA

Sa*i$ wa*$& BAK an ga$al "aa geni$alSa*i$ wa*$& BAK an ga$al "aa geni$al

Se*re$ "&r&lenSe*re$ "&r&len

N)eriN)eri In.e*,i *r(ni, : $an"a ge+ala a*&$!In.e*,i *r(ni, : $an"a ge+ala a*&$!

gangg&an %ai! emam ringan!gangg&an %ai! emam ringan!

i,"are&niai,"are&niaPerleng*e$an:in.er$ili$a,Perleng*e$an:in.er$ili$a,

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#ONOREA#ONOREA

H&b&ngan ,e*, )ang amanH&b&ngan ,e*, )ang aman

An$ibi($i*a An$ibi($i*a

Dia$ermiDia$ermiTera"i *e&a "a,anganTera"i *e&a "a,angan

Paa ne(na$&, *(n+&ng$i'i$i, g(n(rePaa ne(na$&, *(n+&ng$i'i$i, g(n(re

Tera"i an$ibi($i*Tera"i an$ibi($i*

http://images.google.co.id/imgres?imgurl=http://www.cehjournal.org/images/ceh_15_41_012_f01.jpg&imgrefurl=http://www.cehjournal.org/extra/41_08_05.html&h=548&w=800&sz=130&hl=id&start=3&tbnid=KOEHdWmKGxBcDM:&tbnh=98&tbnw=143&prev=/images%3Fq%3Dgonococcal%2Bconjunctivitis%26gbv%3D2%26hl%3Did%26sa%3DX

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#ONOREA#ONOREA

Peni,ilin # Pr(*ain =!; +&$a IM ! enganPeni,ilin # Pr(*ain =!; +&$a IM ! engan

"r(be,ni,i (ral 9 gram"r(be,ni,i (ral 9 gram

Am"i,ilin 5!> gram (ral Am"i,ilin 5!> gram (ral

Te$ra,i*lin 9!> gram (ral ! =3>?? m ,elamaTe$ra,i*lin 9!> gram (ral ! =3>?? m ,elama

= %ari= %ari

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SIFILISSIFILIS

Tre"(nema Pali&mTre"(nema Pali&m

9?6

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,i.ili,,i.ili,

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SIFILISSIFILIS

Pemeri*,aan "aa l&*aPemeri*,aan "aa l&*aTe, S*rining : 1DRL an .i*,a,,iTe, S*rining : 1DRL an .i*,a,,i

*(m"lemen*(m"lemenTinggi "aa ,e*&ner a"a$ rena% "aaTinggi "aa ,e*&ner a"a$ rena% "aa

$er,ier $er,ier Da"a$ ,ebegai ini*a$(r "eng(ba$anDa"a$ ,ebegai ini*a$(r "eng(ba$an

Da"a$ "(,i$i. "aa le"ra! malaria! %amil!Da"a$ "(,i$i. "aa le"ra! malaria! %amil!*e0an&an (ba$*e0an&an (ba$

Paa *e%amilan : 0a0a$ ,ale n(,ePaa *e%amilan : 0a0a$ ,ale n(,e

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Si.ili, *(neni$alSi.ili, *(neni$al

Di$&lar*an ,elama ma,a *e%amilanDi$&lar*an ,elama ma,a *e%amilan

Paa (rgan lim"a!($a*!$&lang "er,enian!Paa (rgan lim"a!($a*!$&lang "er,enian!

m&*a! ma$a!$elingam&*a! ma$a!$elinga

La%ir ma$iLa%ir ma$i

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,i.ili,,i.ili,

http://images.google.co.id/imgres?imgurl=http://www.medscape.com/content/1998/00/40/88/408881/art-wh3080.fig5.jpg&imgrefurl=http://www.medscape.com/viewarticle/408881_2&h=380&w=288&sz=19&hl=id&start=7&tbnid=U7E-yeFhAVGMSM:&tbnh=123&tbnw=93&prev=/images%3Fq%3Dsaddle%2Bnose%26gbv%3D2%26hl%3Did%26sa%3DGhttp://images.google.co.id/imgres?imgurl=http://lh3.google.com/_p163cKQmQ3k/RqCs7OuktQI/AAAAAAAAApM/Iv1iUQKVL9I/s800/saddle%2Bnose%2B(cong%2Bsyphilis).jpg&imgrefurl=http://picasaweb.google.com/lh/photo/1nKKWEinR0t8e8GNWbLIKQ&h=208&w=275&sz=25&hl=id&start=8&tbnid=ucwFxhVhBlOuKM:&tbnh=86&tbnw=114&prev=/images%3Fq%3Dsaddle%2Bnose%26gbv%3D2%26hl%3Did%26sa%3DG

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Si.ili, *(neni$alSi.ili, *(neni$al

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Si.ili, *(ngeni$alSi.ili, *(ngeni$al

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Pena$ala*,anaanPena$ala*,anaan

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LIMFO#RANULOMA 1ENEREUMLIMFO#RANULOMA 1ENEREUM

Klamiia $ra*(ma$i,Klamiia $ra*(ma$i,

PHS-STD bebera"a %ariPHS-STD bebera"a %ari

Er&",i %ilang ,"(n$an 666 limaeni$i,Er&",i %ilang ,"(n$an 666 limaeni$i,ing&inali,! ab,e,! &l,era,i an .ibr(,i,ing&inali,! ab,e,! &l,era,i an .ibr(,i,

alan lim.e $er$&$&"666ele.an$ia,i, "aaalan lim.e $er$&$&"666ele.an$ia,i, "aa

'&l'a'&l'a

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N)eri %eba$N)eri %eba$

#angg&an e.e*a,i an *(i$&,#angg&an e.e*a,i an *(i$&,

Si*a$ri* an ,$ri*$&r Si*a$ri* an ,$ri*$&r Demam! ,a*i$ *e"ala ! *e+ang ab(minalDemam! ,a*i$ *e"ala ! *e+ang ab(minal

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LIMFO#RANULOMALIMFO#RANULOMA

1ENEREUM1ENEREUM

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Frei $e,$666"(,i$i. alam 946=? %ariFrei $e,$666"(,i$i. alam 946=? %ari

Te, ,&n$i* ibawa% *&li$ lengan bawa%Te, ,&n$i* ibawa% *&li$ lengan bawa%

P(,i$i. +i*a iame$er @ mm $ia* i"a*aiP(,i$i. +i*a iame$er @ mm $ia* i"a*ailagilagi

Te, .i*,a,i *(m"lemenTe, .i*,a,i *(m"lemen

Tera"i engan Te$ra ,i*lin 4 gram (ralTera"i engan Te$ra ,i*lin 4 gram (ral,elama 4 mingg&,elama 4 mingg&

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TOR/HTOR/H

TOCOPLASMOSISTOCOPLASMOSIS

In.e*,i "ara,i$ $(3("la,ma g(niiIn.e*,i "ara,i$ $(3("la,ma g(nii

/ara in.e*,i:/ara in.e*,i:

Ter"a"ar *($(ran *&0ingTer"a"ar *($(ran *&0ing

Ba%an ma*anan )ang $erin.e*,i: ,a)&ranBa%an ma*anan )ang $erin.e*,i: ,a)&ranmen$a%!,&,& men$a%men$a%!,&,& men$a%

http://images.google.co.id/imgres?imgurl=http://www.dpd.cdc.gov/dpdx/images/ParasiteImages/S-Z/Toxoplasmosis/Toxoplasma_LifeCycle.gif&imgrefurl=http://fkunsri.wordpress.com/2007/04/25/hubungan-antara-schizophrenia-dan-toxoplasma-gondii/&h=681&w=435&sz=27&hl=id&start=10&tbnid=1h_GktHtE5HT8M:&tbnh=139&tbnw=89&prev=/images%3Fq%3Dhidrocephalus%26gbv%3D2%26hl%3Did%26sa%3DGhttp://images.google.co.id/imgres?imgurl=http://habinsaran.files.wordpress.com/2007/10/cat_bm10.jpg&imgrefurl=http://habinsaran.wordpress.com/2007/10/19/anjing-dan-kucing/&h=400&w=350&sz=30&hl=id&start=8&tbnid=F74adE_40_OQwM:&tbnh=124&tbnw=109&prev=/images%3Fq%3Dkucing%26gbv%3D2%26hl%3Did%26sa%3DG

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$(3("la,ma$(3("la,ma

H(,$ &$ama: *&0ingH(,$ &$ama: *&0ingH(,$ lain: $i*&,!b&r&ng!,a"i!H(,$ lain: $i*&,!b&r&ng!,a"i!

man&,ia!an+ingman&,ia!an+ingRe,i*(Re,i*(Ke%amilan m&a: ab(r$&, anKe%amilan m&a: ab(r$&, an

*e0a0a$an*e0a0a$an

/a0a$: %ir(,e.al&,!gangg&an/a0a$: %ir(,e.al&,!gangg&an"engli%a$an!re$ara,i men$al!gangg&an"engli%a$an!re$ara,i men$al!gangg&an,)ara.!%e"a$(,"len(megali,)ara.!%e"a$(,"len(megali

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In.e*,i ber&lang:In.e*,i ber&lang:

IgM a"a$ nai*IgM a"a$ nai*

Ig# nai* 9:54??!ba$a, 9: 9@??!*enai*anIg# nai* 9:54??!ba$a, 9: 9@??!*enai*anIg# ili%a$ alam wa*$& 5 mingg&Ig# ili%a$ alam wa*$& 5 mingg&

mening*a$ =3mening*a$ =3

T%era"i: a, .(la$T%era"i: a, .(la$ S"irami,inS"irami,in

*linami,in*linami,in

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Ang*a in.e*,i Ang*a in.e*,i

TS I 9?69>TS I 9?69>

TS II 5?TS II 5?TS III @>TS III @>

Paa TS I 4-5 +anin )ang $erin.e*,i 0a0a$Paa TS I 4-5 +anin )ang $erin.e*,i 0a0a$bera$! > ma$ibera$! > ma$i

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Klini, ,&li$ *arena $ia* *%a,Klini, ,&li$ *arena $ia* *%a,

Lab(ra$(ri, : IgM an Ig#Lab(ra$(ri, : IgM an Ig#

IgM $erben$&* ma,a a*&$! $imb&l alam >IgM $erben$&* ma,a a*&$! $imb&l alam >%ari !mening*a$ alam 4 mingg&! %ilang%ari !mening*a$ alam 4 mingg&! %ilang

alam 4 5 b&lan!alam 4 5 b&lan!

Ig# "&n0a* alam @ ; mingg&! men&r&nIg# "&n0a* alam @ ; mingg&! men&r&nan mene$a" alam bebera"a b&lan-$a%&nan mene$a" alam bebera"a b&lan-$a%&n

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In.e*,i ber&lang:In.e*,i ber&lang:

IgM a"a$ nai*IgM a"a$ nai*

Ig# nai* 9:54??!ba$a, 9: 9@??!*enai*anIg# nai* 9:54??!ba$a, 9: 9@??!*enai*anIg# ili%a$ alam wa*$& 5 mingg&Ig# ili%a$ alam wa*$& 5 mingg&

mening*a$ =3mening*a$ =3

T%era"i: a, .(la$T%era"i: a, .(la$

S"irami,inS"irami,in

*linami,in*linami,in

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RUBELARUBELA

/AMPAK ERMAN/AMPAK ERMAN

Klini, : miri" 0am"a* ra,%mera% +amb&Klini, : miri" 0am"a* ra,%mera% +amb&

i a%i )ang mel&a, *e wa+a% engani a%i )ang mel&a, *e wa+a% engan

emam an n)eri ,eni!lim.aen("a$iemam an n)eri ,eni!lim.aen("a$i

Diagn(,i, *lini, ,&li$Diagn(,i, *lini, ,&li$

Lab: IgM mening*a$ 964 %ari ,e$ela%Lab: IgM mening*a$ 964 %ari ,e$ela%

ra,%!"&n0a* %ari *e 769?!mene$a" ,elamara,%!"&n0a* %ari *e 769?!mene$a" ,elama

= mingg&! lal& $&r&n= mingg&! lal& $&r&n

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RUBELaRUBELa

Ke0a0a$an :"aa ma$a!($a*!+an$&ngKe0a0a$an :"aa ma$a!($a*!+an$&ng

Dan ara%G*(ngeni$alDan ara%G*(ngeni$al

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RUBELARUBELA

TS 9 : TERMINASITS 9 : TERMINASI

95697 : TER#ANTUN# KELUAR#A95697 : TER#ANTUN# KELUAR#A

9; : RESIKO =9; : RESIKO =@ MIN##U SEBELUM KONSEPSI :@ MIN##U SEBELUM KONSEPSI :

RESIKO = RESIKO =

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Pena$ala*,anaanPena$ala*,anaan

Stadium Klinik

WHO

Tidak Tersedia Tes

CD4

Tersedia Tes CD4

1 .idak dio!ati Dio!ati jika jumlah sel D 1200/mm#

2 .idak dio!ati

3 Dio!ati Dio!ati jika jumlah sel D 1 #50/mm#

4 Dio!ati Dio!ati tanpa memandang jumlah sel D

Tabel 2. Syarat Pemberian ART menurut PTCT 2!1!

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Pem!erian A9) !erdasarkan pedoman ;*< 20'0 yaitu:AT/3TC/&0P%0 atau TD%/3TC/&0P%0. .erdapat 2 opsi yangdita=arkan ;*< untuk tindakan profilaksis:#(,('2

Pr#ilaksis O)si A *bu

Antepartum : A. saat ' minggu kehamilan

-ntrapartum : A./#. > 6)P 2 kali sehari

Postpartum : A./#. > 6)P x 7 hari

ayi

%ila di!erikan A+-: 6)P hingga ' minggu lepas A+-

.anpa pem!erian A+-: A. atau 6)P x ? minggu

Pr#ilaksis O)si

*bu : .riple A9) mulai ' minggu hingga ' minggu lepas A+- ayi : )P/A. setiap hari sejak lahir hingga umur $? minggu tanpamemandang pem!erian A+- atau tidak"

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