CSS Pap Smear OBGYN

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    PAP SMEAR

    Rahmaniyah Zahra

    Kelompok 9 2010

    SMF ILMU OBGY

    !ROGR"M !#$I$IK" !ROF#SI $OK%#R &!'$(

    RS MU)"MM"$IY") B"$UG FK UISB"

    201*

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    $i+,nakan ,n-,k .e-ek/i .ini kanker /erik/

    $ian,rkan ,n-,k .ilak,kan pa.a /e-iap

    ani-a /eak /e3ara /ek/,al ak-i4 /ampai ,/ia5* -ah,n

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    6ara !emerik/aan

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    !emerik/aan .ilak,kan .il,ar ma/a hai. &a.a

    7aiknya -i.ak .alam kehamilan(8 .en+an -i.ak

    .ilak,kan iri+a/i a+ina /e7el,mnya

    PERSIAPAN

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    !a/ien .alam po/i/i li-o-omi

    !or/io .i-ampilkan .en+an per-olon+an

    /pek,l,m %anpa -in.akan an-i/ep-ik8 .an -anpa

    men++,nakan lar,-an pel,ma/ a-a, pem7ila/8.i a+ina .an por/io .iam7il ap,/an:kerokan

    7ahan ,n-,k pemerik/aan Se.iaanhen.aknya men+an.,n+ //el;/el .ari .aerah/am7,n+an /k,amokol,mner Se7aiknyamen++,nakan /ika- /erik/ kh,/,/ /eper-i8

    cervix brush a-a, cytobrush

    TEKNIK

    PEMERIKSAAN

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    Bahan ap,/an lal, .ihap,/kan pa.a +ela/

    o7yek .an /e+era .i

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    PAPANICOLAOU

    Kela/ I > Sel;/el normal

    Kela/ II > Sel;/el men,n,kkan kelainanrin+an8 7ia/anya .i/e7a7kan oleh in4ek/i

    Kela/ III > Men3,ri+akan ke arah ke+ana/an

    Kela/ I? > San+a- men3,ri+akan a.anya

    ke+ana/an

    Kela/ ? > !a/-i +ana/

    EVALUASI

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    BETHESDA

    Adekuasi Sediaan

    $apa- .ieal,a/i .en+an mem,a/kan

    $apa- .ieal,a/i .en+an 7aik -e-api .i/er-aike-er7a-a/an .en+an ala/an &ela/kan(

    %i.ak .apa- .ieal,a/i .en+an ala/an

    &ela/kan(

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    Kategorisasi Uu

    $alam 7a-a/ normal

    !er,7ahan /el inak

    Kelainan /el epi-el

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    Peru!a"an se# $inak

    %& In'eksi %rikomona/ a+inali/

    Ora+ni/me am,r yan+ /e3ara mor4olo+i /e/,ai .en+anKan.i.a /p

    $i .omina/i oleh 7a/il kok,/8 /e/,ai per+e/eran @oraa+ina

    Bak-eri yan+ /e3ara mor4olo+i /e/,ai .en+anak-inomi/e/

    !er,7ahan /el,ler yan+ 7erkai-an .en+an ir,/ )erpe//implek/

    (& Peru!a"an reakti' [email protected]/i

    "-ro< .an [email protected]/i

    Ra.ia/i

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    Ke#ainan Se# E)ite#

    Se# Skuaosa Sel /k,amo/a a-ipik yan+ -i.ak .apa- .i-en-,kan

    kemaknaannya

    Le/i in-raepi-el 7er.eraa- ren.ah8 men3ak,p .i/pla/iarin+an oleh in4ek/i )!?:IS

    Le/i in-raepi-el 7er.eraa- -in++i8 men3ak,p .i/pla/ia/e.an+ .an 7era-8 kar/inoma in/i-,:IS 2 .an '

    Kar/inoma /el /k,amo/a

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    Se# Ke#en$ar Sel;/el en.ome-ri,m8 /e3ara /i-olo+i inak8 pa.a ani-a

    pa/3a menopa,/e

    Sel;/el kelenar a-ipik yan+ -i.ak .apa- .i-en-,kankemaknaannya

    ".enokar/inoma en.o/erik/

    ".enokar/inoma en.ome-ri,m

    ".enokar/inoma .ari l,ar ,-er,/

    ".enokar/inoma8 -i.ak .ike-ah,i a/alnya

    Neo)#asa ganas #ain

    E*a#uasi "orona# +a)usan *agina sa$a, !ola hormonal yan+ 7erkai-an .en+an ,m,r .an riaya-

    pa/ien

    !ola hormonal yan+ -i.ak 7erkai-an .en+an ,m,r .anriaya- pa/ien

    #al,a/i hormonal -i.ak .apa- .ilak,kan .en+an ala/an

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    B#%)#S$" DISPLASIA-NIS PAPANICULOU

    ormal ormal I

    In4ek/i /el /k,amo/aa7normal

    [email protected]/i II

    Sel Sk,amo/a "-ipik "-ipia Sk,amo/a IIR

    LIS $eraa- Ren.ah )!? "-ipia$i/pla/ia rin+an:IS I

    III

    LIS $eraa- Bera- $i/pla/ia /e.an+:IS 2$i/pla/ia Bera-

    Kar/inoma in /i-, :IS'

    IIII?

    Kar/inoma /el/k,amo/a

    Kar/inoma /el/k,amo/a

    ?

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    ?a+ini-i/ a-a, /eri/i-i/ yan+ ak-i4 .apa-

    men++an++, in-erpre-a/i /i-olo+i Aika

    pera.an+annya he7a-8 pa/ien har,/ .io7a-i.,l, Se-elah in4ek/i .ia-a/i8 .ilak,kanpemerik/aan pap /mear ,lan+ 5 min++,kem,.ian

    Aika ha/il pemerik/aan /i-olo+i -i.akmem,a/kan a-a, -i.ak .apa- .ieal,a/i8 har,/.ilak,kan pap /mear ,lan+ 5 min++,kem,.ian

    INTERPRETASI DAN TINDAK LAN.UTHASIL PEMERIKSAAN SITOLO/I

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    Aika ha/il pemerik/aan /i-olo+i men3,ri+akan

    ke+ana/an &!apa kla/ III;I?(8 /elan,-nya

    .ilak,kan kolpo/kopi .an 7iop/i ,n-,kmene+akkan .ia+no/i/ .e

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    Pa) Sear

    Vaginitis-Ser*isitis 0ang

    engganggu

    Sediaantidak

    adekuat

    Atasi

    In'eksi

    Pa) sear u#angsete#a" 1 inggu

    Men2urigakanatau a!nora#

    Keganasan3

    Ko#)osko)i 4

    Bio)si

    U#angi )a) sear

    seta"un seka#i

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    1 Ciayane+ara )8 S,ar.i "8 !erma.i C8

    A,.i/-iani %$ !e.oman .ia+no/i/ .an -erapi

    o7/-e-ri .an +inekolo+i r/.rha/an /a.ikin7a+ian ke.,a &+inekolo+i( Ba+ian O7/-e-ri.an Ginekolo+i Fak,l-a/ Ke.ok-eranUnier/i-a/ !a.a.aran RS$R)a/an Sa.ikin

    Ban.,n+ 200*

    DA5TAR PUSTAKA