Makalah Seminar 3 Toksoplasmosis Cerebri

7/26/2019 Makalah Seminar 3 Toksoplasmosis Cerebri

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MODUL SUSUNAN SARAF

Laki-laki Mengalami Penurunan Kesadaran dan Kejang

KELOMPOK V

030.06.092 FILDZAH DINI SAFITRI

030.07.094 FRANSISCA YUSTIKA DEWI S

030.07.218 RIFQA WILDAINI

030.08.124 I MADE SURYA DINAJAYA

030.08.22 SHELLA !RATIWI

030.09.026 ANNISA !ARASAYU

030.09.06 CYNTHIA AYU !ERMATASARI

030.09.090 FIRDHA AQMARINA

030.09.126 JESSICA WIRJ"S"ENJ"T"

030.09.14 MICHELLE JANSYE

030.09.188 !UTRI NA#ILAH CHANDRA N

030.09.238 SITI HALIDA Z"RAIDA SDA

030.09.272 YANI NUR INDRASARI

Fakul!as Ked"k!eran Uni#ersi!as $risak!i

%akar!a& '( %anuari ')**

1


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+A+

PENDA,ULUAN

T$%$&'()*$)+) ,-$%$ (/('( +)+ 5( /+)(( $' &(()+- )' -(' 5(

/+)- Toxoplasma gondii. I)+ &('+ ** /+/(&(- /(+ $-( /( :+;:+ /(:) *( (-( /(+ *-( (-( 5( ( *()(. T$%$&'()*( (/('( &(()+- &$-$ )+*-$*(-+ *(&

()+*-$*(-+. D+ I/$)+( &?(')+ -(-( *()5(((- (( "DHA ,"( D( HIBAIDS> -(-( '((

(( ($-( '((5( 5( */+-( HIBAIDS> /( --5( -(-( &/+-(HIBAIDS +- )/++. U- &5(( HIBAIDS )/++> /()(( /(-( D&(-*

K)(-( I/$)+( =*'( &()+ HIBAIDS *('(*+ &+(-( )'(*( (-1997;2001> /+*(( /(+ 46 &()+ ()) HIB &(/( -( 1997 *=(/+ 1904 &()+ &(/( -(2001.

S=( 2 /(/ -(+ )-'( /+-*(5( AIDS> =*'( &/+-( AIDS ):((

/(*(-+) *+(- -(=(*. S(*&(+ /( -( 1997> )+-( 30 =-( $( -+)+ HIB>

/+*(( ()) ( - -( 1997 ))( 6 =-(. S*+'( &' &) +/+?+/ 5(-+)+ ++ -+(' /+ (( *(> -*() I/$)+(. D+ I/$)+( )/++> *-

2
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M) RI> =*'( &/+-( -+)+ HIB -( 2002 /+)-+*()+( )(5( 90.000;130.000

$(. S(+( )( -)(( HIB ++ *&(( &( $(- ($-+( )-+

,Intravenous drug users . L+ /(+ 0 @ &/+-( 5( -+)+ HIB (( *(*=(/+ '(+( $'$+). K'(+( $'$+) 5( )+ -=(/+ &(/( &/+-( 5(

-+)+ HIB (/('( )('+-+) -$%$&'()*(> '+*$*( SS!> *++-+) criptococcal> CMB

)('+-+) /( &$))+? *'-+$:(' '$:&('$&(-5.

I)+ $&$-+)-+ SS! 5( &('+ )+ &(/( &/+-( HIB (/('( )('+-+)-$%$&'()*(.D(+ &'+-+( T(


4/30

+A+

LAPORAN KASUS

L(+;'(+ *('(*+ &( )(/(( /( =(

Lemar *

S$( '(+;'(+ 3 -( /+(( '((5( +)-('()+ ((- /((- *( )(+--*&(- (/( -() )((+ /$- =((> (( )'+- /+(( /( -(*&( -+/ -) )-(

*('(*+ =(;=(.

Lemar '

!()+ -(*&( (5( -+/ )=( (&( (+ 5( '('> (('5( *()+ +()

/+(( (* )(( *=(/+ )'+-. W(- )/( /('(* &=('(( UD &()+-(*&( =(;=( )' -5( )+-( 3 *+-. #'((( ++ 5+ &('( &()+ =(

*(+ )+ (* /( -(*( (-> )/( *+* $(- (* -+/( (/( &(+(>(/(; (/( /+)-(+ ()( *(' /( *-(. !()+ )/( *'( 5 &('( )=( 6'( 5( '('> (* +()(5( ( /( *+* $(- ( /( )=( 1 '(

-(+ '+(-(5( -(*( (-. !()+ =( )((+ &-() (*(( -*&(- +-(

*('(*.

!(/( &*+)(( /+/(&(-( &()+ /( )(/(( )$&$$)> TD 10070 **H>

(/+ 88%*+-> )&+()+ 24%*+-> ) 37 /=(- :':+)> $=-+?( (*+). !*+)((/(/( =(- /( &( $*('. !*+)(( (/$* /('(* (-() $*('. !*+)(( $+)

/+ /(&(-( CS E2M4B2> ( / ,;> '() ;;> + ;;> / &&+'

'(- +)$$ 3 **> ') :((5( GG. F/$)$&+ -(*&( &(&+' /*( +'(-('. D(

()( 5+ )-*+-() (( ( ( /+)(/+ ++> ') +)+$'$+) *+(-

G> ' &(-$'$+) G;. S-(-) '$('+) -(*&( :(/+/+()+) $('. S' 5 &()+ (5(-/(&(- -(--$$.

Lemar .

H()+' &*+)(( '($(-$+*

H 10>

H- 38

L$)+- 4800

T$*$)+- 189.000

LED 60

U* 7

C(-++ 1>1

DS 80

4


5/30

S"T 27 S!T 30

E'-$'+- N( 132 K 44 CL 98

A('+)( () /((

&H 7>426 &C"2 4>9 !"2 88>7 HC"329>8

-C"2 31>2 #E,B- 6>0 #E,B 6>0 "2 96>3

R$ -$( /('(* (-() $*('

CT S:( #(+ /( K$-()

Lemar /

-) *(-$% ,;

ICT T# ,;

T) HIB ,G

CD4 100

IM -$)$&'()*( ,;

I -$)$&'()*( ,G

5


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+A+

S$A$US PASEN

I. IDENTITAS !ASIENN(*(

U* 3 -(J+) '(*+ L(+;'(+

S-(-) !+(( ;

A(*( ;!=(( !-() (*(( -*&(- +( *('(*

A'(*(- ;

A)(' ;

!/+/+( -(+ ;T((' $(- ;

II. ANAMNESIS

K'( U-(*(

!( )(/(( /( =(

R+(5(- !5(+- S((

S$( '(+;'(+ 3 -( /+(( $' '((5( I)-('()+ ((- D((-R*( S(+- (( )'+- /+(( /( -(*&( -+/ -) )-( *('(*+ =(;

=(. !()+ -(*&( (5( -+/ )=( (&( (+ 5( '('> (('5( *()+ +)(

/+(( (* )(( *=(/+ )'+-. W(- /('(* &=('(( UD &()+-(*&( =(;=( )' -5( )+-( 3 *+-. #'((( ++ 5+ &('(

&()+ =( *(+ )+ (* /( -(*( (-> )/( *+* $(- (* -+/(

(/( &(+(> (/(;(/( /+)-(+ *(' /( *-(. !()+ )/( *'(5+ &('( )=( 6 '( 5( '('> (* +()(5( ( /( *+* $(-(> /( )=( 1 '( -(+ '+(-(5( -(*( (-.

R+(5(- !5(+- D(' ;

R+(5(- A'+ ;

R+(5(- !5(+- K'(( ;

R+(5(- !$(-( ;

R+(5(- K+()((

S' - &()+ (5( -/(&(- -(--$$

III. !EMERIKSAAN FISIKS-(-) ('+)

*0 T(/( ?+-('(. N(/+ 88 %*+-

. T(( /(( 10070 **H

:. !(&()( 24 %*+-/. S 370C

. T### ;

6


7/30

'0 S-(-) *-('

(. K)(/(( )$&$$)

. K)( )(+- -(*&( '*(> (*+):. !(*&+'( &()+ ;

.0 K'+-

(. S)++'+-() /+/(&(-( )( (/(5( *++&)-)+ /%-(/0 K'=( -( +

10 K&('( /( (=(

(. K&('( ;. M(-( !&+' '(-> +)$$* 3**> ') :((5( GG

K$=-+?( (*+). F/)$&+ -(*&( &(&+' /*(

+'(-('

:. T'+( ;/. H+/ ;

. M'- -(*&( :(/+/+()+) $('

. !(5% ;

. T$)+' ;20 L

(. T(/( ()( *+(' K( / ,;. #+- :($-+/ ;; ,(-+(-+

30 T$(%

(. J(- $*('. !'*$ $*('

(0 A/$* /('(* (-() $*('

40 U$+-(' ;

*)0 +-('+( )-( ;

**0 A) /( :-* ;

*'0 E)-*+-() /+/(&(-( )( %-*+-() /%-( ( (

/+(/+ ++

!*+)(( N$'$+)

CS E2 M4 B2

K( / -+/( (/(

L() ;;

K+ ;;

#/


8/30

. T)- M(-$%

. ICT T#

. T) HIB. CD4

+. I M -$)$&'()*(

=. I -$)$&'()*(

B. DIAN"SIS KERJA

D+($)+) K'++) C&('+(> ?$*+-+> =( /( &(&+' /*(

D+($)+) T$&+) L$) &(+-('

D+($)+) !(-$'$+) I)+ T$%$&'()*( "&-+)-+

D+($)+) E-+$'$+) HIB> -$%$&'()*( $/++

BI. !ENATALAKSANAAN N$;*/+(*-$)(

1. S-(+'+)()+ &()+

2. T+( (+

3. ")+()+4. N-+)+. !*()(( (--

6. F+)+$-(&+

7. I$*()+ /( /()+

M/+(*-$)(

1. !*+( :(+( +-(?(

2. !*+( +-$+3. !*+( /+-+:

4. !$(-( -$%$&'()*(

. A-+ -$?+(' $*+()+ M= /$- )&)+('+) /( )((

BII. !R"N"SIS

A/ ?+-(* /+( (/ *('(*

A/ )((-+$(* *('(*

A/ -+$(* *('(*

8


9/30

+A+ V

PEM+A,ASAN

0 PEM+A,ASAN MASALA,a0 Permasala5an 6ang dida7a! dari anamnesis

1 R+(5(- &5(+- )((

; Kesadaran yang menurun, sulit dibangunkan:; Kejang kejang:

K=(;=( &(/( &()+ ++ -=(/+ (( (/(5( )'$*&$ $ 5( ):((

+-+)+ **&5(+ '(+( &(/( **(5(. N$ ($*(' -)- ((*=( /&$'(+)()+ '(=-( /( )((- )( */+( *'('+ (

5( +)+ (( *+*() /&$'(+)()+ &(/( )(+( )( $;$ '(+5(

/( (&(+'( &(/( &$)) +++)+5( =( *('(*+ ((> *(( *&'($ 5( ($*(' (( )(*(;)(*( /('(* (- 5( (*& )(*( ((

*'&()( &$-)+(' ()+5(> *(( -=(/+'( =(.1

; Nyeri kepala 6 bulan dan bertamba berat disertai mual munta:

N5+ &('( *+ -=(/+ (( &)( )-- 5( &( -(/(& 5+ /+/('(* ( +-(:(+(' *+)('5(> (-+> ?(> /( )(( $-(. M(' *-( &(/(

&()+ -=(/+ (( ()(( &)(- *-( /+ */''( $'$(-(. !('+ )+

( /( &+(-( -(( +-(:(+(' /( &)( (-( $-(.2

A(*)+) -(*((

; !' /+-(5(( )/( (&( '(*( =(5( '()

; !' /+-(5(( (+( - *((( 5( =( S' - (-( )(+(; !' /+-(5(( (&(( =(5( /+)-(+ /( &( )(/((

; !' /+-(5(( (&(( &()+ )+ )(+- &('(

2 R+(5(- &5(+- /('

A(*)+) -(*((

; !' /+-(5(( (&(( )'*5( &( *('(*+ =(; !' /+-(5(( (&(( &()+ */+-( /+(-) *''+-) /( **+* $(-;

$(-(5(

; !' /+-(5(( (&(( )'*5( &( *('(*+ -(*( &('(

3 R+(5(- !5(+- K'((A(*)+) -(*((

; !' /+-(5(( (&(( (/( +(5(- =( &(/( '((; !' /+-(5(( ((+*(( +-)+-() =(5(

4 R+(5(- !$(-(A(*)+) -(*((

9


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; "(- (&( )(=( 5( -'( /++( &(/( &()+ ,(+ 5( -+/( )*+ *(& 5(

/+)&(

; !' /+-(5(( (&(( &()+ */+-( /+(-) *''+-) /( **+* $(-;$(-(5(

R+(5(- K+()((A(*)+) -(*((

; A&(( &()+ &*+* ('$$'> &$$ (-( &*((+ $(- -'((

; A&(( &()+ +)-+((- /( :&

0 Permasala5an 6ang dida7a! dari 7emeriksaan 8isik

%enis

7emeriksaan,asil N"rmal n!er7re!asi

K(/((U**

; T(*&( -+/( )(+-> -+/( (*+)> /( /(&(- +:((

!()+ '*( /( (*+)/+)(( (( (/(5(

(( )&&'5 $)+.

A*+( =( /(&(- /+)(($' H 5( -.

A()+( *$-$+ /+)((

(( (/( (( &(/( ((

+:(( *$-$+ #$:( 5(-'-( &(/( 5) $-('+)

++$ ,(( #$/*( 44

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K)(/(( S-&$S$&$$ $*( C$*&$) *-+) A/(5( /+)+- -+(-

)(/(( **+ )((/(5( *+&() )('

(-( )+)-* (-+?+-() -+:'(

*('(*+ +=+. !(-+(- )(/(( (

/( &+(-( ((

morbiditas ,:(:(-( /(

mortalitas,*(-+(.3

Kuli!

I)&)+ T(*&( -(-$ )'

-

Ke7ala

M(-( #'(- +)$$ 3**>

'% :((5( GG>

/)$&+ &(&+'/*( +'(-('>

$=-+?( (*+)

N$*(' &&+' '(-> +)$$>

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(/( &(&+' /*( &(/(/)$&+> -+/( (/(

$=-+?( (*+)

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(/(5( '*&(

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*=( -((

+-((+(' *+(-

10


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M'- C(/+/+()+) $(' T+/( (/( A/(5( +)+ =(* 5(

*+ /+)(( $'HIB> /+(-) *''+-) -+/(

-$-$'> (-( 5+ 5(

Le5er

T(/(

()(*+('

K( / ,; K( / ,; M=( (( -+/(

(/(5( &/((()((:$+/

Eks!remi!as

E)-*+-() *+&'+: /%-(

,*$-$+

T+/( (/( *+&'+: D+)(( (( (/(5(

(( &(/( &)(- *$-$+

(+( ++ ,:$-('(-('-&(-5( &(/( 5)

&:-('+) )++)-( (+(&$)-+$ (-( (( #$/*( 4

,(( *$-$+ &+* - )+)+- (+( ((

R')+)+$'$+)

,+:&)-+:&)

&(-''(A:+'')

GGG GG M+(-

R')&(-$'$+)

G; ;; M=( (( (/(5(')+ U&& M$-$ N$

,UMN &(/( (/(( )5$

0 PEMERKSAAN PENUN%AN9

*0 Dara5 Lengka7

J+) !*+)(( H()+' !*+)(( N+'(+ N$*(' H()+' I-&-()+

H *)01 gr: *.-*/gr: $urun A*+(

H*(-$+- .( : /)-1': $urun (( A*+(

L$)+- /());uL 1)))-*)0)));uL $urun&()+ */+-(

HIB

T$*$)+- 189.000L 10.000;400.000L N$*('

LED 2) Naik +)+

$+)(()(

!(/( &*+)(( /(( '(&> /+-*( (/(5( &( H /( *(-$+- &(/(

&()+ 5( *=( (/(5( (*+( (+(- /(+ +&$&)+ /(( )' -.

!( '$)+- ++ /+)(( (( /+-*(5( )(- +)+ $+)> /+*(( &(/( ())

11


12/30

++ &()+ */+-( HIB. K(+( LED /+)(( (/(5( )(- (()( (-( +)+

$+).

'0 Kimia Dara5

J+) !*+)(( H()+' !*+)(( N+'(+ N$*(' H()+' I-&-()+

U* 13 1;40 */' Naik (((( )+ +=('(-

K(-++ *0* 0>7;1> Naik ((

(( )+ +=('

(-

DS 80 70;200 N$*('

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.0 Elek!r"li!

J+) !*+)(( H()+' !*+)(( N+'(+ N$*(' H()+' I-&-()+

N( 132 13;14 N$*('

K 4.4 3>1;4>3 N$*('

C' 98 9;10 N$*('

/0 Analisa 9as Dara5

J+) &*+)(( H()+' &*+)(( N+'(+ N$*(' I-&-()+

&H 7.426 7>3;7>4 N$*(' $*&)()+

()+/$)+) *-($'+

&C"2 /104 38;44 Naik (($*&)()+ ()+/$)+)

*-($'+: /( :((5&?-+'()+ )+(

&C"2

&"2 88.7 80;100 N$*('

#E ,B- 20) -'&1 - D('(* (-() $*('

20 ?$-S@an +rain dengan k"n!ras>

12


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I-&)-()+ (*( / ()+' CT ):( *=( (( -/(&(- ')+ R+

E(:*-> *+/'+ -+/( -'+(- ='() --(&+ /+&+(( '-( /(+ *())( (-( -*$

-)- /+ )+-( L$) !(+-('.

0 DA9NOSS KER%A

D+($)+) ++ /(&(- /+-(( /()(( !namnesis

!()+ * 3 -( 5+ &('( )*=( 6 '( 5( '(' (/( /+)-(+ *('

*-(. K=( )' - )+-( 3 *+-. #=( )((+ &-() (*(( /+-*&(- +( *('(*.

"emeriksaan #isik

$oporous, takipneu, %&$: '()*+(, papil edema bilateral, extremitas kurang bergerak di

bagian kanan, candidiasis oral, seluru tubu terdapat tato. "emeriksaan penunjang

!*+)(( /(( -+ /+-*( (/(5( (*+( (+(- (5( &)+ /(( /(

(/(5( '$&+( /+((( (/(5( +)+ $+) (-( (/(( +*$)&)+?.

!*+)(( (('+)( () /(( *=( (/(5( ('('$)+) *-($'+ -$*&)()+(+(- /(+ +&$&)+ /(( =(+(. !*+)(( +*+( /(( *=( (/(5(

(( +=(' (-. !*+)(( CT ):( &('( /+-*( (/(5( ')+ &( ing

'nancement /+ '$) &(+-('. !*+)(( $- -$(% $*('.

Diagn"sis Klinis C&('+(> ?$*+-+> =( /( &(&+' /*(

Diagn"sis $"7is L$) &(+-(' Diagn"sis Pa!"l"gis I)+ T$%$&'()*( "&$-+)-+

Diagn"sis E!i"l"gis HIB> T gondii

V0 Pa!"8isi"l"gi Kasus

!()+ &(/( (('5( -+)+ -$%$&'()*(> (* )+)-* +* 5( (+ *(+(-(?+) -)- /$*(- /( -+/( *+*'( &5(+-. L(' &()+ -+)+ HIB ,/+/(

/+/(&(-( /(+ -(-$ &(/( '+-5( 5( *5(( AIDS /( *( CD4 G

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14/30

'+*$)+- T. H(' ++ *'*(( )+)-* ('( - /( **+( +)+

$&$-+)-+ )+( ?+) -$%$&'()*( *=(/+ (-+ /( *+)+ &()+ )+(

*+*'( *())( /+ $-( 5( (( **+( (*(( -*$. M())( -)- ((*(+( -(( +-(:(+('> /( **+( =('( '++) )&-+ 5+ &('( $+

&$)+> *-( &$5-+' /( &(&+'/*(.

V0 Pena!alaksanaan N$;*/+(*-$)(

1. S-(+'+)()+ &()+

S-(+'+)()+ &()+ 5( &-(*( /+'(( (/('( -+/(( CA# ,C+:'(-+$> A+(5>

#(-+2. T+( (+

T+( (+ ++ &' /+'(( (( &()+ -)- /('(* &((-(5(

**-( -(&+ )&&$-+ )&-+ +) (-(& (&(+'( /('(* &-+(5( ++

**+( $(-;$(-( ):(( +-(?(. !'+-+( -'( *=( (( -((&)+ )(' /+*()+*('( -+( &()+ /+)'((( /('(* &$)+)+ -'-(.

N(*> (+ /(-( /(&(- )+ - *+(-( -(( +-((+('* =(/+&()+ () /+-*&(-( &(/( -*&(- -+/ /( '?()+ 300 (+( &('(.

3. ")+()+

!*+( $)+ &' /+'(( - *(+ +&$)+( 5( /+('(*+ &()+-)-. !*+( $)+ /+'(( ):(( +-*+-- /( *(( )&

,-+/( *(( ?-+'(-$ *+(- S(-()+ $)+ &()+ =( -+/( ( /(+

93@.'

4. N-+)+!()+ 5( *('(*+ )-$ **+'++ )+$ -++ - ()&+()+. #+'( &()+ )(/(

&> -) *(*&( *'( /(&(- /+'(( /( **+( )(- )/$ - (+&-+ &(/( &()+ /( &$)+)+ (/( )-( // /( &('( '%+ /&()(*&(+ /(5( *5- /(/(. D+&(-+( (&(+'( &()+ -)/( (-( (- /(

(&(( )((5( ( ,(-+?. #+'( -) *'( (-+? (-( &()+ /(

)(/(( *> *((( -(' /++( *'('+ &+&( ()$/$/(' /('(* (:+' /('(* 24 =(* &-(*( )-'( $)- )-$.1

. !*()(( (--

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7. I$*()+ /( /()+

M/+(*-$)(

4

1. !*+( :(+( +-(?(U- *$)+ +&$-)+ /( N(C' 0>9 I.B

2. !*+( +-$+

300;400 *(+ - *(-()+ =( ('+)(-(3. !*+( /+-+:

U- *(-()+ /*(> =( - *( -(( +-(:(+('> &('+ +/(' (/('(

*(+-$'> (* /++( $)*+/ (( &()+ *('(*+ (( +=(' (-.

14


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4. !$(-( -$%$&'()*(

; !++*-(*+ $(' 200 * (+ &-(*(> - (+ )'(=-5( 0;7 *(+

; S'(/+(

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1. I++-$ R?) T():+&-() N'$)+/( ,NRTINRTI =( *(*(- )(- '((

&-+ /('(* &$)) &'+()+ ?+). "(- -+& ++ *( =*'( HIB /('(* /((,?+(' '$(/ /( *+(-( '+*$)+- CD4G.3. I++-$ !$-() ,!I

!I =( *(*(- (-+?+-() &$-() HIB /( *:( &*-)( &$'+&$-+ HIB

5( ))+(' - &*(-(( HIB. Y( (( -- (/('( &(-+' ?+) +*(-5( -+/( *'(.

K'+*('()

$(- -)- /+(-()/++( /('(* /(

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(-+-$?+) /+)-

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,HAART. T=(

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):(( *()+**/(

15

$era7i An!ire!r"#irus 6ang Sanga! Ak!i8 ,AAR$B

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n5ii!"r Re#erse $rans@ri7!ase Nukle"sida NR$B

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!/(( ++ *+ /+)(( $' )-+& HIB /+ I/+(. AIDS *(+( -(+- (/(;

(/( -'+(- &(/( &()+ /( &5(+- HIB '(=-> --(&+ *5(=+( /( '+ */(*(( /( &( $+-+ /( $+( ( /(+ )(- &+)$/ *(+ 5( -(+- /((( +&$'( (. #/( /( $/+)+ -(+ ++> *+ **+'++ &$(* 5(

'+ $+). S+/$* ++ ( )+ -'+(- /( *:'5( -(&+ *'-+;$(-.

EPLEPS2B

D++)+

E&+'&)+ (/('( )+/$*( $-( $+) /( ((+ *(:(* -+$'$+ /( :++;:++-+*'5( )(( &($)+)*(' /( ('( (+(- '&() *(-( '+)-+ $;$ $-(

):(( '+( /( ((+ *(+)-()+ '++ /( '($(-$+.

E-+$'$+

!5( &(/( =( &+'&)+ )(+( )( '* /+-(+ ,+/+$&(-+> )+ -=(/+&(/(

1. T(*( '(+> A)&5%+( $(-$*

2. C/( K&('(> I)+ )+)-* )5((

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3. K(:( C"> +-$)+()+ $(-('$$'

4. D*(*> (( *-($'+ ,+&$'+*+(> +&$(')*+(> +&$(-*+(

. T*$ "-(6. K'(+( &*' /(( ,T($-$> 2007.

F(-$ -+$'$+ &( -(/(& &-( &$$)+). !5( -(*(> +('( &+'&)+

+/$&(-+> *$- )+*-$*(-+ &+'&)+ ,RSE> &+'&)+ )+*-$*(-+ (-> /( &+'&)+ &(/( ((;(( 5( /+/()(+ $' )(( $-( &(/( )((- &+; (-( (-(-('. D('(* '()++()+ -)-

(/( /( =+) &+'&)+ *$=$'> +('( &+'&)+ +/+$&(-+ /( RSE. D(+ /( -)- -/(&(-

(5( -+$'$+ /( )+/$* 5( /(> *()+;*()+ /( &$$)+) 5( (+ /( 5(.

!(-$+)+$'$+

"-( *&(( &)(- &+*( &)( ,+*&') ))$+ /( )('+) *&(( &)(-

&++* &)( ,+*&') *$-$+. "-( +('( ((+( =-(;=-( $. !(/( ((-5(

-() $ +('( *5('( /( *$'( (-+?+-() '+)-+ )(( 5( ( )(-/( 5( '(+ *'('+ )+(&). D('(* )+(&) -/(&(-

5( *( $*$)-(-+) +*+(+ $ )+( -=(/+ '(+( /&$'(+)()+ $.

(( )+*(( ++ *5(( &+(-( '+( $-()*+-- ()+-(-$+(-( /&')+ $-()*+-- +++-$+.

K=( -=(/+ (+(- '&() *(-( &($)+)*(' 5( '+( /(+ )( $) =( (-(

/(+ =(+( $*(' 5( -( (+(- )(- (/(( &(-$'$+. A-+?+-() =( )(+(

(- &(/( '$()+ *(-( 5( '+( -)-. L)+ /+ $-( -(> -('(*)> /($-) )* *+( )( )+(- (&+'&-$+> )/(( ')+ /+ )* /(

(-( $-( **5( -+/( **+: =(.

K'()++()+ =(

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#/()(( &5(5(

(. &+'&)+ +/+$&(-+ +'( -+/( /+ -(+ &5(5(. &+'&)+ )+*-$*(-+ +'( (/( &5(5(

#/()(( '-( $:) &+'&)+ (-( -+& (+-(

a. 'pilepsi partial 1lokal, #okal2

1 E&+'&)+ &()+(' )/((> 5(+- &+'&)+ &()+(' /( )(/(( --(& $*('2 E&+'&)+ &()+(' $*&')> 5(+- =( /+)-(+ (( )(/((.

3 E&+'&)+ !()+(' 5( *( *=(/+ (+-( ** ,-$+;'$+> -$+>

'$+.E&+'&)+ &()+(' )/(( 5( *( *=(/+ (+-( **.

E&+'&)+ &()+(' $*&') 5( *( *=(/+ (+-( **.

E&+'&)+ &()+(' )/(( 5( *=(/+ (+-( &()+(' $*&') '(' *(*=(/+ (+-( **.

b. 'pilepsi umum

1 L( ,():

!(/( &+'&)+ ++> +(-( 5( )/( /+=(( --+> *( -(*&( **$>$'( *(-( /(&(- **-( (-()> -( (/( ()+ +'( /+(=( +:((. #+()(5( &+'&)+ ++

'() )'(*( O V *+- /( +()(5( /+=*&(+ &(/( ((.

H(5( &( )(/((

D( (-$*(-+)*

D( $*&$ (-$$*.

2 M+$'$+

!(/( &+'&)+ *+$'$+ -=(/+ $-()+ */(/(> )-(> /(&(- (- (-( '*(

)(+( $-$- (-( )*( $-$-> )+('+ (-( '(;'(. #(+-( ++ /(&(-/+=*&(+ &(/( )*( *.

3 K'$+

!(/( &+'&)+ ++ -+/( -=(/+ (( *5-(> &-+-+> -(=(*> '(*(-> /( -('

*'-+&' /+ '(> -(+ (-( -$)$. D+=*&(+ --(*( )('+ &(/( ((.

4 T$+!(/( &+'&)+ ++ -+/( (/( $*&$ '$+> $-$-;$-$- (5( *=(/+ ( &(/( (=(

/( (+( - (+( (-()> '()+ '( /( )-)+ -(+. E&+'&)+ ++ =(

-=(/+ &(/( ((.

T$+; '$+

E&+'&)+ ++ )+ /+=*&(+ &(/( * /+ (-() ('+-( 5( -(' /( (*( (/*('. S(( /(&(- /+(('+ /( ((> 5(+- -(/(;-(/( 5( */('+ )(-

&+'&)+. !()+ */(/( =(- &+)(> $-$-;$-$- )' (/( (. K=( ('() +(;+( O V *+- /++--+ =( =( '$=$- )' -.

#(+-( ++ +()(5( -+ )/++. T(+( (&() *=(/+ /('(* (&( )((-

'(*(5(. #+'( &*-( '/( -+( =( *+(-> *'- *=(/+ )((( *)( (&(). M+ &'( &()+ :+ -+( */(&(- )((.

S-'( =( -+ &()+ -+/ (&( '(*(5(> /(&(- &'( ( /(

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)(/(( 5( *()+ /(> (-( '() *=(/+ )(/( /( '( (/(

&(';&('> ''(> 5+ &('(.

A-$+!(/( (/(( ++ $-$-;$-$- )' (/( */(/( *'*() )+( &()+ -=(-.

K)(/(( /(&(- --(& (+ (-( * )-(. E&+'&)+ ++ --(*( )('+ /+=*&(+&(/( ((.

c. 'pilepsi tak tergolongkanT*() $'$( ++ +('( (+-( &(/( (5+ &( (( $'( *(-( 5( +-*+>

*5(> (( )&-+ (> *++'> (-( &(&()( 5( */(/(

-+ )/((.

$um"r dan keganasan

!()+ /( +)+ HIB ):(( ))-()+(' *+(-( +)+/ (&( (. H('

++ --(*( /+)(( $;+)+ /( ?+) DNA $$+> --(*( ?+) E&)-+;#(

,E#B> ?+) &) )($*( K(&$)+ -(+- ,KSHB ,=( /+(' )((+ ?+) &) *()+(;8 /( *( &(&+''$*(?+) ,H!B.

S($*( K(&$)+ ,KS (/('( -*$ 5( &('+ ** &(/( &()+ -+)+ HIB.

K*:'( -*$ ++ &(/( &+( $*$))(' */( &(/( -( 1981 (/('( )('( )(- &-(/(

&-(*( (( AIDS. D+)(( $' ?+) 5( /+)- )($*( (**(&) -(+- K(&$)+?+) &) ,KSHB> )+ *:' )((+ ( $/' &(/( '+-> --(&+ /(&(-

**&(+ $( '(+> --(*( *'-> )('( &:((> /( &(;&(. '+*$*( )' #

-+(- -++ )&-+ '+*$*( #+--> '+*$*( #+--) )&-+> /+) '+*$*( )( #;:'',DL#CL> /( '+*$*( )+)-* )(( &)(- &+* *:' '+ )+ &(/( &()+ -+)+HIB. K( ++ )+('+ &-(/( &$$)+) 5( . B+) E&)-+;#( ,E#B (-( KSHB

*5(( (5( /(+ '+*$*(. !(/( &()+ 5( -+)+ HIB> '+*$*( )+ *:' /+

)+-) )-($/(' )&-+ )('( &:((. K-+( *( -=(/+ &(/( &()+ -+)+ HIB>KS /( ()+ '+*$*( )' # **+( /+($)+) AIDS. I?()+ ( )?+) &(/( (+-(

5( -+)+ HIB =( /+((& -/++)+ AIDS. H(' ++ /+)(( $' *(

&(&+''$*(?+) ,H!B.

S'(+ -/++)+ AIDS -*$ 5( -:(-* /+ (-()> &()+ -+)+ HIB ((*+(-( +)+$ -*$ '(+ ---> ))5( &5(+- H$/+> ()+$*( ((' /(

/> ()+$*( &(-$:'''(> ( &('( /( '> /( ( &(;&(. #(&( ++(/('( &5( $' ?+)> )&-+ &5(+- H$/+ ,E#B> / ( / ,H!B>( &('( /( ' ,H!B> /( ()+$*( &(-$)'' ,&(-+-+) # (-( C. (-$;(-$

'(+5( -*() &(&(( ()+$ ,()(& $$ - ( &(;&(> (-( +/& )'(*(

-(;-( /( :(:(- ('( - (').

M(+5(> =(/+( -*$ 5( **> )&-+ ( &(5/(( (-( ( )) )(>-+/( *+(- &(/( &()+ -+)+ HIB. D+ /(( /+ *(( ART ):(( '() /+(( -

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*$(-+ AIDS> =(/+( ( -(+- AIDS (5( *('(*+ &(> (* &(/( )((-

5( )(*( ( (() ):(( )'( -'( *=(/+ &5( &('+ ** *(-+(

&()+ 5( -+)+ HIB. D('(* (&( -( -(+> &$&$)+ &+(-( /(+ *(-+(-'( /(+ $;( -/++)+ AIDS.

n8eksi lainn6a

!()+ AIDS )+ *('(*+ +)+ $&$-+)-+ 5( (/+ /( =('( $;

)&)++> --(*( /*(* +( /( +'(( (- (/(. I+ -*() +)+ $&$-+)-+/(M5:$(:-+* (?+*;+-(:'''( /( )+-$*('$?+) ,CMB. CMB /(&(-

*5(( $'+-+)> )&-+ /+='()( /+ (-()> /( -++-+) CMB /(&(- *5(( -((.

!+:+''+$)+) (( *(+ !+:+''+*)(( (/('( +)+ $&$-+)-+ -+(

&('+ ** ,)-'( -'$)+) /+ '( &( /( +&-$$$)+) &(/( $( HIB;&$)+-+ /+/(( /*+ A)+( T((.

I)+ 5( )+ =('( '* /+(+ &(/( &()+ AIDS (/('( !(?$?+) #19.$))+ -(*(5( (/('( (*+(> 5( )'+- - **/(( /(+ $(- (-+-$?+('

5( /+(( - *$(-+ AIDS +- )/++.

KESMPULAN

!()+ */+-( -$%$&'()*$)+) :(' 5( (('5( /$*( /( *=(/+ *('+ (-+

(( &()+ */+-( HIB. T$%$&'()*$)+) :(' *+*'( *())( /+ /('(* $-(

)+( *+(-( -(( +-((+(' /( *+*'( =('(;=('( )&-+ 5+ &('($+ &$)+> *-( &$5-+' /( &(&+' /*(> /( =( /(&(- *+*'( =( )&-+

5( /+('(*+ $' &()+. U- &(-('()(((> )-'( *(-('()(( =(> +-(

*(-('()(( -$%$&'()*$)+)> */+( *(-('()(( HIB. !()+ &' /++ /()+*(+ &-+5( *=(( )(-( /( )+( /++ (( /++5( )((- -(

-(/(& ((+ +)+ $&$-+)-+.

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DAF$AR PUS$AKA

1. A'+( A.Kapita $elekta Neurologi. (nded. I H()$$> /+-$. Y$5((-( (/=( M(/(

U+?)+-5 !)). 2007. !.122;3

2. !+: SA> W+')$ LM."ato#isiologi Konsep Klinis "roses3"roses "enyakit. 6-/. B$' 2.

J((-( EC 2006. ! 1187;8

3. !+: SA> W+')$ LM."ato#isiologi Konsep Klinis "roses3"roses "enyakit. 6-/. B$' 1.J((-( EC 2006. ! 238;40

4. D(-$ . S$$ WJ. R+5(-$ #. T(( Y. "anduan "raktis 4iagnosis dan

Tatalaksana "enyakit $ara#. J((-( !+- # K/$-( EC. 2007. & 71;2.

. D(( ES. 5uman Immunode#iciency +irus. I M() JW> /+-$. $'+ A?(+'(' (-

http://www.medicinenet.com/human_immunodefciency_viu!_hiv_aid!/atic"e.htm. A::))/ $ J((5 27-> 2011
http://www.medicinenet.com/human_immunodeficiency_virus_hiv_aids/article.htmhttp://www.medicinenet.com/human_immunodeficiency_virus_hiv_aids/article.htmhttp://www.medicinenet.com/human_immunodeficiency_virus_hiv_aids/article.htmhttp://www.medicinenet.com/human_immunodeficiency_virus_hiv_aids/article.htm

Makalah Seminar 3 Toksoplasmosis Cerebri

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