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ADAPTASI

FISIOLOGISPOST PARTUM

OLEH : Ns. Rogayah, MKep



TEORI POST PARTUM

Post part! a"a#ah Masa ses"ah $era%h&r'yah&'gga p#&h'ya %e!$a#&'ya orga'(orga'

repro"%s& )&'ter'a# "a' e%ster'a#*, Masa &'&

!e!$th%a' +a%t %ra'g #e$&h !&'gg a%a'

tetap& "apat p#&h se!pr'a sepert& %o'"&s&se$e#! ha!&# "a#a! +a%t - $#a'.

Perper&! )N&as* a"a#ah Masa ses"ahpersa#&'a' ya'g "&per#%a' 't% p#&h'ya

%e!$a#& a#at /a#at %a'"'ga' ya'g #a!a'ya

!&'gg.



Tanda- tanda Vital

Sh : Ma0 -1 23 )45 6a! I*

( Ker6a otot !e'&'g%at

( Deh&"ras&

( Per$aha' Hor!o'a# :

FSH, Pro#a%t&',estroge',

progestero'

7reast E'goger!e't



Te%a'a' Darah

H&pote's& !e'r' 48 !!Hg )s&sto#&%*

Per'aasa' Nor!a# Na"& :7ra"&%ar"&

77 a%a' !e'r' 3a&ra' e%stra9as%#er a%a'

"&$a'g.

SISTEM KARDIOVASKULER

Volume Darah

Per$aha' 9o#!e "arah terga't'g pa"a :

( 6!#ah %eh&#a'ga' "arah s#! persa#&'a'

( 6!#ah a&ra' yg $erp&'"ah %e e%stra9as%#er

( 6!#ah pe'ge#ara' a&ra'



Cardiac Output

( Ka#a I ; II 3O !e'&'g%at ters "a'

p'a%'ya pa"a a+a# perpre!

( 7e$erapa sete#ah persa#&'a' 3O

!e'r' <8=

( 3O a%a' 'or!a# sete#ah 4 / - !&'gg PP

Komponen Darah

Ht "a' H$( >4 6a! persa#&'a' Ht !e&'g%at, H$

!e'r' a%&$at %eh&#a'ga' 6!#ah

p#as!a "a' er&tros&t.



( Le%os&t ?8 (?4 6a! perta!a !e'&'g%at

48.888 / 4<.888@!! )6&%a se#a!a har&PP &'"&%as& &'e%s& perpre!*

( Fa%tor pe!$e%a' ; &$r&'oge'

!e'&'g%at pa"a a+a# sete#ah persa#&'a',res&%o tro!$oe!$o#& )%ersa%a'

pe!$."arah ; pe'&'g%ata' a%tor

pe!$e%a'*( Pe!$#h Darah

9ar&ses pa"a e%ster!&tas "a' 9#9a a%a'

$er%ra'g sete#ah persa#&'a', he!oro&".



SISTEM ENDOKRIN

Progestero',estroge', pro#a%t&' !e'r' Pro#a%t&' !e'&'g%at S%&'gB #a%tas&

No' La%tas& Pro#a%t&' !e'r' ,

estroge' !e'&'g%atFase o##&#ar - !gg PP !e'stras&

?4 !gg

La%tas& !e'stras& !gg %e -

)a'a9#atory*



Per$aha' 7ah Da"a

( %o#ostr! Mgg I

)%'&'g %e'ta#,prote&'CC, at g#o$#es ;

a't&$o"& CC.3a&ra' %e#ar ya'g perta!a

"ar& "%ts pay"ara ( ASIhar& %e - $reast e'gorge!e'tB

9as%#ar&sas&

( St&!#as& re#e%s 'eroe'"o%r&'

ra'gsa'ga' !e'gh&sap pa"a ptt&'g

pay"ara.



SISTEM REPRODUKSI I'9o#s& ter& :

a%t Pos&s& TFU 7erat Uters Lohea

?/4 6!

?4 6a!

- har&

har&

4 !gg

<(!gg

Perte'gaha' !$&#&%s ;

s&!p&s&s

? ! "&$a+ah !$&#&%s

- ! "& $a+ah !$&#&%s

T&"a% tera$a "&atas

s&!p&s&s

S&!p&s&s

?888 gr

<88 gr

->< gr

<8 gr

R$ra

R$ra aga%ge#ap

Serosa

A#$a

T&"a% a"a



Pe'gert&a' I'9o#s&

Proses %e!$a#&'ya )%ra';'gs&*

s&ste! repro"%s& %e %o'"&s& sepert&

se$e#! ha!&#.

D&se$a$%a' o#eh proses ato#&s&s pa"a

saat ro'gga prote&' "&'"&'g rah&! peah,

"&a$sor$s& "a' %e!"&a' "&$a'g !e#a#&

7AK



E'"o!etr&!

( rege'eras& epat 4 / - har& )s&sa #ap&sa'"es&"a* #ap&sa' s&s& "&'"&'g ters

!6" 6ar.e'"o!etr&! $ar ; #ap&sa'

%a9! ter& !6" 'e%rot&% %e#ar se$aga&#ohea.

( rege'eras& e'"o!etr&! #e'g%ap %e!$a#&

pa"a !&'gg %et&ga PP.( rege'eras& te!pat per#e'g%eta' p#ase'ta

pa"a ters ya&t !gg %are'a ter6a"&

tro!$s.



( Daerah &!p#a'tas& p#ase'ta !e'ga#a!&

&'9o#s& : 4 / - hr PP Ne%ros&s PP

> hr PP Ter$e't% #ap&sa' $asa#

? hr PP Nor!a# %e!$a#&

!gg PP Per%e!$a'ga' se#(se#

ep&te# e'"o!etr&!.

Lohea

a"a#ah a&ra' !e'ga'"'g s&sa 6ar&'ga'

ters@$ag&a' 'e%rot&% ya'g %e#ar.



Kara%ter&st&% Lohea :

N.Lohea a%t 7. ar'a Kea"aa'a$ )Nor!a#*

R$ra

Serosa

? / - har&

5 / har&

Darah "g$e%a',

$a aga%a'y&r,!e'&'g%atsete#ah

!e'ys&Merah!"a@o%#t

7e%a'$a'ya%,$a

$s%,ga't& sote%ters!e'ers.

I"e!



A#$a Har& ?8

Aga% a'y&r

K'&'g

@pt&h

I"e!, #ohea

serosa,%e!$a#&!erah,pe'ge#ara' #e$&h

4(- !gg.

AGINA

Segera Sete#ah !e#ah&r%a' : E"e!a ; $&r, #%a(#%a, Laseras&, Rgae t&"a% ter#&hat, Rgaet&!$#

%e!$a#& "a' 9ag&'a !e'ge&# sete#ah - !gg.



Per&'e!

( L%a ep&s&oto!& ) t&"a% 'ya!a' ; terasasa%&t* :

7e't% &'s&s&

La!a'ya %a#a II Par&etas

Ee%t&&tas pe'a'ga'a'

Repa&r < / !gg PP REEDA )Re"'es,E"e!a,Eh&!os&s,

D&sharge, Approp&ate* &'e%s&



Sistem urinarius

Ko'tra%s& %a'"'g %e!&h $&asa'ya a%a'

p#&h %e!$a#& "a#a! < sa!pa& > har& sete#ah$ay& #ah&r "e'ga' pe'goso'ga' %a'"'g%e!&h ya'g a"e%at.

Sistem gastrointestinalKo'st&pas& !!'ya $&sa ter6a"& se#a!aper&o"e pasa persa#&'a' a+a#. He!oro&"!erpa%a' !asa#ah ya'g !! "a#a!

per&o"e pasa part! a+a# %are'a te%a'a'"asar pa'gg# "a' !e'ge6a' se#a!apersa#&'a'.



A$"o!e'

D&astas&s rets A$"o!&'a#&s )DRA*

ya&t terega'gg'y otot(otot a$"o!e','or!a# #e$ar 4 / - 6ar&, pa'6a'g ?< / -8

!.

A$"o!e' tetap #'a% "a' !e'ge'"rserta !e'o'6o# "a' !e!$er&%a' $e't%

sepert& ha!&# se#a!a 4 !&'gg perta!a

sete#ah !e#ah&r%a'. D&$th%a'+a%t'ya %&ra(%&ra !&'gg 't%

%e!$a#& %e%ea"aaa' sepert& se!#a



Sistem muskuloskletal

Se$ag&a' $esar +a'&ta !e#a%%a'

a!$#as& 5 sa!pa& 1 6a! sete#ah!e#ah&r%a' Sistem imun

Daya &!' ya'g !e'ga#a!&

pe'r'a'. Sistem neurologi

Ps&'g Sistem integument

H&perp&g!e'tas& pa"a aero#a !a!ae"a' #&'ea '&gra !'g%&' t&"a%!e'gh&#a'g seara %ese#rha'.



La'6ta'.



Pe'ata#a%sa'aa' PP

O$ser9as& per"araha' I!o$&#&sa&

D&et@Ma%a'a'

E#&!&'as& 7AK@7A7

IMD

Pe'%es K7, pera+ata' 77L "##



Ter&!a Kas&h

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