Makalah Kasus 5 Hpv
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Transcript of Makalah Kasus 5 Hpv
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KELOMPOK X
Seorang Wanita yang Ingin Melakukan Vaksin Kanker Serviks
Modul Organ Sistem Reproduksi
03009030 ARUMTYAS CAHYANING W
03009040 AYUNDA AFDAL
03009060 DELITA SAFIRA DANA
03009070 DIANITA KUSUMA WIJAYA
03009080 EVA MARIS SAHARA
03009090 FIRDHA AQMARINA
03009100 GADISTA P ANNISA
03009110 HEN!A AYU PRIMALITA
03009111 HERJUN" DARPIT"
030091#1 INDRASTITI PRAMITASARI
03009130 KHRISNA PARAMAARTHA
03009131 KIKI HAERA RI!KY
03009138 M EVAN EWALD"
03009140 MADE AYU INTAN WINAYATI "
FK!L"S KE#OK"ER$ !$IVERSI"S "RISK"I
%KR" &' %$!RI ()'(
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** I
PE$#+!L!$
K$%&'( )'(*+&) ,'(-.$&$% &'/$%$)$% .'($,$ $%/ ,'%'($%/ 2$%+$ '(-$,$ +
%'/$($%'/$($ 5'(&',5$%/ K$%&'( )'(*+&) $$- -/$ +&'%$ '%/$% &$%&'( ''( ($+,
,'(-.$&$% &$%&'( $%/ 5'($)$ $(+ )'(*+&) -'(+ :+$)$%$ )'5$/+$% 5')$( &$)-) $$%/
&' (-,$ )$&+ $$, )$+-, $%- &$('%$ .$$ )$+-, +%+ +$& +',-&$% /'$$
/'$$ $%/ ).')+;+&
P'%'5$5 '()'(+%/ $(+ &$%&'( )'(*+&) +%+ $$$ +%;'&)+ $(+ *+(-) HPV T'$.+ +$&
)',-$ *+(-) HPV 5'()+;$ &$()+%'$( ''=+
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** II
LPOR$ KS!S
Sesi '
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3
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+$&-&$% ') IVA $)+ >?
V$/+%$
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PEM*+S$
:'($)$(&$% &$)-) +$.$&$% +%;
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/$$ ($)$ '(5$&$( &','($$% .'(- +=-(+/$+ $.$&$ +)'5$5&$% +%;'&)+
,+&(
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g, Ri0ayat Keluarga
4 A.$&$ $$ &'-$(/$ $%/ ,'%/$$,+ (+2$$ .'%$&+ $%-%/ /+%$ +$5'')
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4 A.$&$ '($.$ (+2$$ &'/$%$)$% $$, &'-$(/$
4 A.$&$ +5- .$)+'% $$- )$-$($ .'(',.-$% '(&'%$ &$%&'( )'(*+&)
-, Ri0ayat Pengo/atan
4 A.$&$
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P'(%$.$)$% @ #0 B,'%+
N
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P$.$)+ &''%$( :'(
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' V$/+%$ T? N"RMAL
&,6 Pemeriksaan Penun7ang
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Pemeriksaan Penun7ang "am/a-an
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$%/ 5+)$ +)'5$5&$%
&$('%$ )'$%/ $$,
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+.4?
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)'(+%/ ,'(.($&$%&'(? )' $5%
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C'-'(
C$%/')
N'/$+; ASCUS LGSIL HGSIL HGSIL C$(=+%(+2$$ .$(-) 4?
MER"K"K >;$&.'&'($$% )-.+( (-&?
R')+&< +%//+ I%;'&)+ HPV
S
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HPV ,'(-.$&$% +=HPV?
15
GEN"ME YANG PALING:ERPERAN DALAM
REPLIKASI VIRUS HPV
DALAM SEL :ASAL
EPITEL CERVI
P$(+&' *+(-) HPV
,'%/+%;'&)+ )' '.+'+$
)'(*+&) ,'$-+ ,+=(L1L#?
T'(5'%-& VIRI"N >$%$& *+(-
$%/ 5$(-?+&'-$(&$% $(.'(,-&$$% )-$,
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P$$ P','(+&)$$% P$.),'$( +$.$&$% $)+ )+
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REPLIKSI VIR!S @@
=sel immatur>
L')+ .($&$%&'( NIS II
>HGSIL? .$$ .$.),'$(
$% IVA >?
T+,5-&$% /'$$ '-&?
S-$ ,'%=$.$+ #B3
5$/+$% $$) '.+'
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'5+ 5')$( $(+.$$ )+
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S-$,+ .$)+'% $%/ ,',++&+ .'&'($$% )'5$/$+ )-.+( (-& $%$( &
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A%+.',5')$($% 640 &$+? K
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E&)+)+
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P(
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c. T+$& 5'('%$%/ )'$,$ 5'5'($.$ ,+%//-
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+$.$&$% ')+ .($ &$%&'( ,=$)) III? $%/ +-%-&&$% '%/$%
$$%$ HSIL $% NIS #
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&5$- $,+)? 5'(2$(%$ &'$5-$5-$%
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5$&'(+ .$'%='( &'%$? '(/$%-%/ $(+ )+&-)
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Pengo/atan dan pen1ega-an
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*+(-) +%+ +$& 5'()'-5-%/ V+(-) +%+ ,'%/+%;'&)+ )' .+.+ '.+'+-, $% ,'%'5$5&$%
&'$$$% +.'(.$)+$ $(+ )' '.+' .+.+
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'%+) 5'(')+&< -%-& &$%&'( S'+%//$ +&$)+;+&$)+&$% )'5$/$+ (+)+&< +%//+
&',-%/&+%$% (+)+&< +%//+ $% (+)+&< ('%$ R+)+&< ('%$ $.$ ,'%'5$5&$% &-+
&'$,+% )'$%/&$% (+)+&< +%//+ ,'%'5$5&$% &$%&'( )'(*+&) *-*$ *$/+%$ $% $%-)
.$$ 2$%+$ )'($ &$%&'( $%-) $% .'%+) .$$ .(+$ P'%'5$5 '(5$%$& C$ )'(*+&) $$$
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T'($.$ 3 &
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S''$ ,'%$+ &$%&'( )'(*+&) '($.$ .',5$/+$% )$+-,%$ )'5$/$+ 5'(+&-@
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A.$5+$ &$%&'( )-$ ,'%'5$( &' .$%//- ,$&$ .$)+'% $&$% ,'%'(+$ &'-$%
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'%/$% )')' %
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P'%/
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)'(*+&) -'(-) P',5'(+$% *$&)+% .$$ $&+$&+ +$.89?%enis vaksin :+*$'% >16 18? $% -$(+*$'% >16 18 6 11? HPV 16 $% HPV
18 ,'(-.$&$% HPV (+)+&< +%//+ >&$()+%%&$()+%+)$($%&$% -)+$ 1# $-%? :'-, =-&-. $$';'&+*+$) .',5'(+$% *$&)+% HPV .$$ $&+$&+
E3ektivitas P$$ .'%'++$% ;$)' II .(HPV +.' 16 $% 18? ,',.-%$+ .(
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(cross protection) '($$. HPV +.' 4 >'%/$% ';'&+*+$) 94? $% HPV +.' 31
>'%/$% ';'&+*+$) ?
Populasi target :'($)$(&$% .-)$&$ *$&)+% +5'(+&$% .$$ .'(',.-$% -)+$ $%$($ 9#6
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** V
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S'$+% +- (+2$$ .$)+'% $%/ ,'$+(&$% )'5$%$& ',.$ &$+ -/$ '(,$)-& $$,
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A=='))' #9 J$%-$( #01#
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