A. Obstruksi Usus

7/23/2019 A. Obstruksi Usus

1/20

INTESTINAL OBSTRUCTIONINTESTINAL OBSTRUCTION

SISTEM ALIMENTARISISTEM ALIMENTARI

SUBJEK PEMBEDAHANSUBJEK PEMBEDAHANKOD MAGS 1213KOD MAGS 1213


2/20

OBJEKTIF

1. Menyatakan definisi IO

2. Menerangkan etiologi IO

3. Menerangkan jenis IO4. Menerangkan ciriciri klinikal IO

!. Menerangkan jenisjenis in"estigasi

#. Menyatakan ko$%likasi IO

&. Menerangkan %eng'r'san IO


3/20


** Halangan kepaa pe!ge!akan keHalangan kepaa pe!ge!akan ke "aapan #$%!&a! pa''age( )akanan"aapan #$%!&a! pa''age( )akanan

na+,' an $la-.'/na+,' an $la-.'/

** Seka-an paa .'.' ke0,l a-a. k%l%nSeka-an paa .'.' ke0,l a-a. k%l%n

ang )eng"alang )akanan an 0e0a,!ang )eng"alang )akanan an 0e0a,!

)elal.,na/)elal.,na/


4/20


KLASIIKASIKLASIIKASI

1/ AKUT1/ AKUT KRONIKKRONIK

2/ TINGGI2/ TINGGI RENDAHRENDAH3/ PARTIAL3/ PARTIAL COMPLETECOMPLETE

4/ SIMPLE4/ SIMPLE STRANGULATEDSTRANGULATED


5/20

ETIOLOGIETIOLOGI

#a00%!,ng -% age(#a00%!,ng -% age(

1/1/ NEONATESNEONATES

I)pe!$%!a-e an.' #ke-e!5.kaan(I)pe!$%!a-e an.' #ke-e!5.kaan(

6%l7.l.'6%l7.l.' C%ngen,-al a-!e',a #Pene)p,-an(C%ngen,-al a-!e',a #Pene)p,-an(

Me0%n,.) ,le.'Me0%n,.) ,le.'

H,!'0"'p!.ng' ,'ea'eH,!'0"'p!.ng' ,'ea'e

#k%ngen,-al 8 !ek-.) 9 k%l%n#k%ngen,-al 8 !ek-.) 9 k%l%n

5a&a"5a&a" : 5e!$.ng',(: 5e!$.ng',(


6/20

CHILDRENCHILDREN

Pl%!,0 '-en%','/Pl%!,0 '-en%','/

In-.''.'0ep-,%n #-ele'0%pe(In-.''.'0ep-,%n #-ele'0%pe(

Pa!a',-e'Pa!a',-e'

%!e,gn 5%,e'%!e,gn 5%,e'

;OUNG 9 MIDDLE AGED ADULTS;OUNG 9 MIDDLE AGED ADULTS

P%'-%p A"e',%n' < 5an' P%'-%p A"e',%n' < 5an'

S-!ang.la-e "e!n,aS-!ang.la-e "e!n,a

Pa!al-,0 ,le.'Pa!al-,0 ,le.'

Gall'-%ne'Gall'-%ne'


7/20

ELDERL;ELDERL;

I)pa0-e $ae0e' #ke!a'(I)pa0-e $ae0e' #ke!a'(

S-!ang.la-e "e!n,aS-!ang.la-e "e!n,a

Ca/ 0%l%nCa/ 0%l%n

6%l7.l.' #-&,'-,ng ,ge'-,7e -!a0-(6%l7.l.' #-&,'-,ng ,ge'-,7e -!a0-(

Pa!al-,0 ,le.'Pa!al-,0 ,le.'


8/20

PATHOISOLOGIPATHOISOLOGI

P!%=,)al a!, "alangan #Deka-(P!%=,)al a!, "alangan #Deka-(1/1/ G.- ke)5%ng 0e0a,! )akanan anG.- ke)5%ng 0e0a,! )akanan an

.a!a.a!a

2/2/ K%n-!ak', 5e!le5,"anK%n-!ak', 5e!le5,"an3/3/ Re7e!'e pe!,'-al','Re7e!'e pe!,'-al','

4/4/ Reg.!g,-a',Reg.!g,-a',

>/>/ K.!ang pene!apan gangg.an 0e0a,!K.!ang pene!apan gangg.an 0e0a,!

anan ele0-!%l,-eele0-!%l,-e

?/?/

D,",!a', an ",p%7%le),aD,",!a', an ",p%7%le),a


9/20

D, -e)pa- "alanganD, -e)pa- "alangan

1/1/ Bekalan a!a" kek.!anganBekalan a!a" kek.!angan

2/2/ Nek!%','Nek!%','

3/3/ Ul'e! ).k%'aUl'e! ).k%'a

4/4/ Pe!$%!a',Pe!$%!a',

>/>/ Pe!,-%n,-,'Pe!,-%n,-,'

D,'-al a!, "alangan #Ja."(D,'-al a!, "alangan #Ja."(1. (onsti%ation

2. (irit)irit jika inco$%lete


10/20

MANIESTASI KLINIKALMANIESTASI KLINIKAL

1/1/ Ka!,nalKa!,nal

Sak,- a5%)enSak,- a5%)en

M.al < M.n-a" #N 9 6(M.al < M.n-a" #N 9 6(

D,'-en', a5%)enD,'-en', a5%)en

C%n'-,pa', < 0,!,-5,!,-C%n'-,pa', < 0,!,-5,!,-

2/ Sak,- a5%)en2/ Sak,- a5%)en

T,5a-,5a k%l,k, < ,n-e!),--en-T,5a-,5a k%l,k, < ,n-e!),--en-

Se-e)pa- , pe!,.)5l,kalSe-e)pa- , pe!,.)5l,kal Ra,a-,ng ke 5elakangRa,a-,ng ke 5elakang

Be!-e!.'an 8 gang!eneBe!-e!.'an 8 gang!ene


11/20

3/ M.n-a"3/ M.n-a"

Te!.k an ke!apTe!.k an ke!ap A&al "alangan a-a'A&al "alangan a-a'

Le&a- "alangan 5a&a"Le&a- "alangan 5a&a"

4/ D,'-en', a5%)en4/ D,'-en', a5%)en

K.!ang "alangan a-a'K.!ang "alangan a-a'

Na-a "alangan 5a&a"Na-a "alangan 5a&a"


12/20

PEMERIKSAAN ISIKALPEMERIKSAAN ISIKAL

INSPEKSIINSPEKSI

D,'-en',D,'-en',

Pe!,'-al','Pe!,'-al','

He!n,al p!%-!.',%n'He!n,al p!%-!.',%n'

S.!g,0al '0a!'S.!g,0al '0a!'

AUSKALTASIAUSKALTASI

B%&el '%.n'B%&el '%.n' @@",pe!ak-,$


13/20

PALPASIPALPASI

Ma'' 5e!5en-.k 'a.'age 8Ma'' 5e!5en-.k 'a.'age 8

,n-.''.'0ep-,%n,n-.''.'0ep-,%n

Seg)en- 5%&el 5e!ke)5%ng Seg)en- 5%&el 5e!ke)5%ng "alangan"alangan

0l%'el%%p/0l%'el%%p/

Ke-ene!aan ,!e0- < !e5%.nKe-ene!aan ,!e0- < !e5%.n

G.a!,ng 9 !,g,,- 8 pe!,-%n,-,'/G.a!,ng 9 !,g,,- 8 pe!,-%n,-,'/

PERKUSIPERKUSI

Pe!k.', -,)pan,k/Pe!k.', -,)pan,k/

PER RECTAL EAM/ #DIGITAL(PER RECTAL EAM/ #DIGITAL(

Mengenalpa'-, ,n-.''.'0ep-,%nMengenalpa'-, ,n-.''.'0ep-,%n

pel7,0 )a'' !e0-al 0a!0,n%)apel7,0 )a'' !e0-al 0a!0,n%)a


14/20

IN6ESTIGASIIN6ESTIGASI

1/1/ Da!a"Da!a"

HBHB

TDCTDC

BUSEBUSE

GM/GM/

2/2/ RaRa

A5%)enA5%)en

CRCR

3/3/ ECGECG

4/4/ Ul-!a'%.nUl-!a'%.n

>/ C%)p.-e!,e>/ C%)p.-e!,e

T%)%g!ap" #CTT%)%g!ap" #CT

Skan(Skan(


15/20

DIAGNOSA PERBEAANDIAGNOSA PERBEAAN

1/1/ A0/ C"%le0'-,-,'A0/ C"%le0'-,-,'

2/2/ A0/ Appen,0,-,'A0/ Appen,0,-,'3/3/ A0/ Pan0!ea-,-,'A0/ Pan0!ea-,-,'

4/4/ PGUPGU


16/20

PENGENDALIANPENGENDALIAN

1/1/ K%n'e!7a-,$K%n'e!7a-,$

Kenal pa'-, p.n0a 'e5a5 ke+a,an/ Kenal pa'-, p.n0a 'e5a5 ke+a,an/

Aaka" ,'e5a5ka5 $ak-%! la,n Aaka" ,'e5a5ka5 $ak-%! la,n

'epe!-, "e!n,a -.)%! an 'e5aga,na/'epe!-, "e!n,a -.)%! an 'e5aga,na/


17/20

PENGENDALIAN

2/2/

Ope!a-,7eOpe!a-,7e

N,l 5 )%.-"/N,l 5 )%.-"/

Rle' -.5e a'p,!a-,%nRle' -.5e a'p,!a-,%n

M%n,-%! 7,-al ',gnM%n,-%! 7,-al ',gn

I


18/20

KOMPLIKASIKOMPLIKASI

B%le" )ena-angkan k%)pl,ka', 'e!,.'/B%le" )ena-angkan k%)pl,ka', 'e!,.'/

Apa5,la .'.' )enge)5ang ke.paaanApa5,la .'.' )enge)5ang ke.paaan.n-.k )ene!ap )akanan an 0e0a,!.n-.k )ene!ap )akanan an 0e0a,!5e!k.!ang/5e!k.!ang/

K.!ang pene!apan 0e0a,!K.!ang pene!apan 0e0a,!)en,)5.lkan ge+ala ).n-a" e",!a',)en,)5.lkan ge+ala ).n-a" e",!a',)a'ala" kegagalan g,n+al an ak",!na)a'ala" kegagalan g,n+al an ak",!na

!en+a-an/!en+a-an/ Pen.)5a-an .'.' 5%le"Pen.)5a-an .'.' 5%le")engak,5a-kan pengal,!an a!a")engak,5a-kan pengal,!an a!a"-e!"en-, an ak",!na ,n,ng .'.' )a-,-e!"en-, an ak",!na ,n,ng .'.' )a-,


19/20

KOMPLIKASI

Paa ak",!na )engak,5a-kanPaa ak",!na )engak,5a-kan

pe!,-%n,-,' ,n$ek', 5e!lak.pe!,-%n,-,' ,n$ek', 5e!lak.

1/1/D,",!a',D,",!a',

2/2/Ren+a-anRen+a-an

3/3/Pe!$%!a',Pe!$%!a',4/4/Pe!,-%n,-,'Pe!,-%n,-,'


20/20

TE*IM+ K+,I-

A. Obstruksi Usus

Documents

Transcript of A. Obstruksi Usus