Makalah Tia Final Kel 8

8/13/2019 Makalah Tia Final Kel 8

1/22

MAKALAH MODUL ORGAN SISTEM SARAF

TRANSIENT ISCHEMIC ATTACK (TIA)

KELOMPOK 8

030.06.002 Achma !"ha A"#$a030.06.%2& I'a D$*+,a030.06.23& S-#$a+$030.0/.02% A+$+,a D$+*$1a030.0/.22 R$4, P-'a+a

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030.08.2 ;$$ P"$1aa'$ M$a+030.08.2/3 I+$ N"' Fa1$hah 2 a+"a'$ 20%0


2/22

PENDAHULUAN

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9a+99"a+ :"+9$*+a# 7-'a1 ,a+9 m-+9ha'"4a+ -+-'$1a 1-'" m-+-'" $ 4a"'(%).


3/22

TINJAUAN PUSTAKA

Stroke atau Cerebrovaskular Disease (CVD)

Defiisi Stroke

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a#$'a+ a'ah a+ *4$9-+ 4- *1a4.


4/22

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6/22

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7/22

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8/22

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9/22

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10/22

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m-+a$ -m7*#$ "+1"4 4-m"$a+ ma"4 4- a#am a#$'a+ a'ah *1a4. S-ca'a 4#$+$>

:$7'$#a$ a1'$a# 'a41$ 1$a4 aa1 $-1-4$. F$7'$#a$ a1'$"m $4-1ah"$ a'$

9am7a'a+ -#-41'*4a'$*9'am (EKG). P-m-'$4aa+ EKG aa1 $#a4"4a+ aa

aa1 m-+a#a+$general check-up ma""+ aa aa1 a4$1 1-'1-+1" ,a+9 '*-"'

-m-'$4aa++,a m-m-'#"4a+ -m-'$4aa+ EKG.

$. K*+1'a-$ h*'m*+a#

K*+1'a-$ h*'m*+a# $9"+a4a+ "+1"4 m-+-4a+ -1'*9-+> a#ah a1" :"+9$ a'$

-1'*9-+ m-+"'"+4a+ -+9-#"a'a+ LDL. S-h$+99a aa -+99"+a 4*+1'a-$

*'a# 4aa' -1'*9-+ '-+ah -h$+99a LDL a4a+ m-+$+94a1 ,a9 m-+,-7a74a+

1-'a$+,a h$-'4*#-1-'*#-m$a.

TIA (Trasiet Is'ei' Atta'k) atau Sera!a Iskeik Seetara

Defiisi TIA

Sa'a+9a+ $4-m$4 -aa1 (T'a+$-+1 Ich-m$c A11ac4> TIA) aa#ah 9a+99"a+ :"+9$ *1a4

,a+9 m-'"a4a+ a4$7a1 a'$ 7-'4"'a+9+,a a#$'a+ a'ah 4- *1a4 "+1"4 -m-+1a'a a41". TIA #-7$h

7a+,a4 1-'a$ aa "$a -1-+9ah 7a,a a+ '-$4*+,a m-+$+94a1 -a#a+ -+9a+ 7-'1am7ah+,a

"m"'. Kaa+9?4aa+9 TIA 1-'a$ aa a+a4?a+a4 a1a" -aa m"a ,a+9 m-m$#$4$ -+,a4$1

a+1"+9 a1a" 4-#a$+a+ a'ah.(6)

TIA aa#ah -'a+9a+?-'a+9a+ -:$$1 +-"'*#*9$4 ,a+9 m-+aa4 a+ $+94a1 a4$7a1

$4-m$a *1a4 :*4a# ,a+9 c-7-'"+9 m-m7a$4 -+9a+ 4-c-a1a+ a+ 1$+94a1 -+,-m7"ha+

7-'a'$a$> 1-1a$ 7$aa+,a a#am 2@ am.(3)

Etiolo!i TIA


11/22

E1$*#*9$ TIA 1-'-'$+9 aa#ah a4$7a1 1'*m7*-m7*#$ a'$ a1-'*ma. S-'$ha+ 4-c$# a'$

-+aa+ #-ma4 a+ 4a#$"m aa $+$+9 -m7"#"h a'ah (ateroma) aa1 #-a> m-+9$4"1$

a#$'a+ a'ah a+ m-+,"m7a1 -m7"#"h a'ah 4-c$# ,a+9 m-+"" 4- *1a4> -h$+99a "+1"4

-m-+1a'a a41" m-+,"m7a1 a#$'a+ a'ah 4- *1a4 a+ m-+,-7a74a+ 1-'a$+,a TIA. (6)

"aifestasi kliis TIA

Ta+a 4ha TIA aa#ah h$#a+9+,a :*4a# SSP -ca'a m-+aa4> 9-a#a --'1$ $+4*>

7$+9"+9 a+ "$+9 1$a4 c"4" "+1"4 m-+-9a44a+ $a9+*$. TIA "m"m+,a 7-'#a+9"+9

-#ama 7-7-'aa m-+$1 aa.(3)

Da-'ah a'1-'$ ,a+9 1-'4-+a a4a+ m-+-+1"4a+ 9-a#a ,a+9 1-'a$

3. Ka'*1$ (a#$+9 -'$+9)

H-m$a'-$

H$#a+9+,a -+a$ h-m$-+*'$4

D$:a$a

K-7"1aa+ m*+*4"#a' ,a+9 $-7a74a+ *#-h $4-m$a '-1$+a.

@. ;-'1-7'*7a$#a'

Pa'-$ a1a" h$#a+9+,a -+a$ 7$#a1-'a#

K-7"1aa+ m-+aa4 7$#a1-'a#(aa a$-+ "$a #a+"1)

D$#*$a

A1a4$a

;-'1$9*

D$:a9$a


12/22

a'1-'$ -41'a4'a+$"m ,a+9 m-+99a+99" a#$'a+ a'ah m-#a#" $1-m a'1-'$ -'1-7'*7a$#a'$.

Aa7$#a 7a9$a+ '*4$ma# a'1-'$ "74#a$a 1-'"m7a1> a#$'a+ a'ah 4- a'1-'$a -'1-7'a#$ aa1

7-'7a#$4 -h$+99a a'ah m-+9a#$' m-+a"h$ a'$ a'1-'$a 7a$#a'$ a+ $'4"#" 5$##$$ "+1"4

m-m-'a'ah$ #-+9a+ -+9a+ m-+9*'7a+4a+ $'4"#a$ *1a4. T-ma1 1-'-'$+9 *71'"4$ aa#ah $

a'1-'$ "74#a$a $+$1'a> -4a1 a+94a# a'1-'$a -'1-7'a#$ $+$1'a. Saa1 #-+9a+ 4$'$ 7-'a41$$1a

a'ah $a#$h4a+ a'$ a'1-'$ -'1-7'a#$ -41'a 4- a'1-'$ -'1-7'a#$ $+$1'a 1-ma1 a'ah a#$'a+

'-1'*9'a -h$+99a 1-'a$ $4-m$a -'-7'"m. S"7c#a$a+ 1-a# ,+'*m- $+$ aa1 m-+,-7a74a+

TIA -'1-7'*7a$#a' 1-1a$ a'a+9 m-+,-7a74a+ 1'*4-.(3)


13/22

KASUS

A+a aa#ah maha$a :a4"#1a 4-*41-'a+ ,a+9 -a+9 1"9a $*#$4#$+$4> 4-1$4a am

%0.00> $7" S$1$ a+ "am$+,a a1a+9 a+ m-+c-'$1a4a+ 7aha 1a$ a9$ m-'aa #$ah+,a 4-#" a+

1"7"h -7-#ah 4a+a+ 4--m"1a+ -'1a #-ma -4$1a' %0 m-+$1. M-+"'"1 "am$+,a> 1a$ a9$ $7"S$1$ 7$ca'a+,a -#* a+ 4-#$ha1a+ m"#"1+,a m-+c*+9 > 1-1a$ aa1 $+$ "ah +*'ma# 4-m7a#$.

I7" S$1$> @0 1ah"+ aa#ah -*'a+9 -9aa$ +-9-'$. K-a#a -4*#ah -7"ah SMAN> aa1 $+$

-a+9 m-m-'$a4a+ m"'$+,a "+1"4 UAN> -h$+99a m-+*#a4 aa1 $"'"h c"1$ $1$'aha1 a4$1.

$7" S$1$ m-'*4*4 %?2 7"+94"ha'$.

S-a4 @ 1ah"+ 7-#a4a+9a+ $7" S$1$ m-+-'$1a a'ah 1$+99$> 1a$ ha+,a 4*+1'*# 4-*41-' 7$#a

m-'aa a4$1 4-a#a aa. I7" S$1$ ma#a 7$#a $"'"h m-$ca# ch-c4?" -+9a+ a#aa+ 7$a,a+,a

maha#.

I7" $1$ 7-'7aa+ 9-m"4 -m-+a4 m-m$+"m $# K< 8 1ah"+ ,a+9 #a#"> aa1 $+$ $a

m-+-'$1a 4-+c$+9 ma+$ a+ ha+,a m$+"m *7a1 1'a$$*+a#. T-4a+a+ a'ah+,a -'+ah m-+caa$

%60&0 mmH9> aa1 $+$ 4a1a+,a "ah m-m7a$4> 1$a4 m$+"m *7a1 a'ah 1$+99$ #a9$.

I7" $1$ m-m"+,a$ 3 *'a+9 a+a4 #a4$?#a4$ 7-'"$a %6 1h> %@ 1h> 8 1h. A+a4+,a ,a+9 7-a'

"ah m"#a$ m-'*4*4 -ca'a -m7"+,$?-m7"+,$. A,ah $7" $1$ m-+$+99a# 1ah"+ ,a+9 #a#"

-1-#ah 4*ma 3 ha'$ 4a'-+a -cah -m7"#"h a'ah $*1a4> $-7a74a+ a'ah 1$+99$. I7"+,a

-*'a+9 -+-'$1a 4-+c$+9 ma+$> "ah m-+9a#am$ 1'*4-> aa1 $+$ ha+,a 7$a ""4 $4"'$

'*a> #"m"h $$ 4$'$ a+ 4a+a++,a "ah $am"1a$.

Paa -m-'$4aa+ 1-'haa $7" S$1$ $aa14a+ 4-aaa+ "m"m 7a$4> 9$$ c"4"> 1-4a+a+

a'ah #-+9a+ 4$'$ %60%00 mmH9> #-+9a+ 4a+a+ %%00 mmH9> +a$ 80m-+$1 '-9"#a'> RR

20m-+$1> "h" a:-7'$. S1a1" 9-+-'a#$ #a$+ a#am 7a1a +*'ma#> 1a1" +-"'*#*9$ +*'ma#> 1$a4

$aa14a+ -:$$1 :*4a# +-"'*#*9$4.

Ha$# -m-'$4aa+ #a7*'a1*'$"m $aa14a+ DPL +*'ma#> 9"#a a'a9 -a41" 28&> 4*#-1-'*#

3%2> aam "'a1 6>. -m-'$4aa+ '*-+19-+ 1*'a4 1-'aa1 4a'$*m-9a#$ a+ a'$ ha$# EKG

$aa14a+ aa+,a L;H.

Aaesis

I*etitas Pasie&


14/22

Nama I7" S$1$

U$a @0 1ah"+

-+$ K-#am$+ P-'-m"a+

A#ama1 #. Taa4a# ;I +*.%

P-4-'aa+ P-9aa$ +-9-'$

Aaesis lai %a! $erlu *ita%aka &

Aa4ah -7-#"m+,a -'+ah m-+9a#am$ ha# $+$

P-'a#a+a+ 4-#"ha+> aa4ah m-+-1a a1a" 7-'1am7ah 7-'a1

Aa4ah -'+ah m-+9a#am$ 1'a"ma

Aa4ah $-'1a$ m"a#> m"+1ah a+ a4$1 4-a#a

Aa4ah "$+9 a+ 7-'-+9#$ha1a+ 9a+a

Aa4ah m-'aa 1$a4 ma+1a> "$+9>ca+99"+9 a+ "#$1 7-'a#a+

Kelua Utaa &

? L$ah 4-#"

? T"7"h -7-#ah 4a+a+ 4--m"1a+

? L-ma -4$1a' %0 m-+$1

L$ah 4-#" 4-m"+94$+a+ $-7a74a+ *#-h 4a'-+a aa+,a 4-'"a4a+ aa 9,'"

'-c-+1'a#$. S-a+94a+ aa+,a a'-1-$ aa 1"7"h -7-#ah 4a+a+ 4-m"+94$+a+ 4a'-+a

aa+,a 4-#a$+a+ $ h-m$:-' 4$'$.

Kelua tabaa &

? a+ *1*1 $+1'$+$4

m-+9"7ah?"7ah 7-+1"4 #$ah. I+1$ a'a: $+$ m-+-'$ma -'a7"1 a'$ 4*'1-4 1'a4" $'am$a#$

a'$ a1" $$ ,a$1" $$ 4*+1'a#a1-'a#. D-+9a+ -m$4$a+ -'$+9 1-'4-+a aa 9a+99"a+


15/22

-'-a'a+ a'ah *1a4. $4a 1-'aa1 4-#"m"ha+ aa 4-"a $$> #$ah 1$a4 aa1 $9-'a44a+

a1a" $"#"'4a+. T-'aa1 $a'1'$a (ca-#> -#*) a+ 4-"4a'a+ m-+-#a+.

Sa'a: ;II 1-'"1ama m-'"a4a+ a'a: m*1*'$4 ,a+9 m-+9$+-'a$ *1*1?*1*1 -4'-$ aah.

O1*1?*1*1 7a9$a+ a1a aah m-+aa1 -'a'a:a+ a'$ 2 $$. Ka'-+a $1" 1-'aa1 -'7-aa+

a+1a'a 9-a#a 4-#"m"ha+ a'a: ;II -+$ c-+1'a# a+ -'$:-'. Paa 9a+99"a+ -+1'a#> -4$1a'

ma1a a+ ah$ ,a+9 m-+aa1 -'a'a:a+ a'$ 2 $$ 1$a4 #"m"h> ,a+9 #"m"h aa#ah

7a9$a+ 7aah aah. Paa 9a+99"a+ -'$:-' ma4a -m"a *1*1 -$$ aah #"m"h.

+i,a%at $e%akit *aulu &

? H$-'1-+$ -a4 @ 1ah"+ ,a+9 #a#"

? DM

H$-'1-+$ a+ DM m-'"a4a+ :a41*' '$$4* a'$ 9a+99"a+ -'-a'a+ a'ah *1a4.

+i,a%at kebiasaa &

? M-'*4*4 %?2 7"+94" -'ha'$

K-7$aaa+ m-'*4*4 "9a m-'"a4a+ :a41*' '$$4* a'$ 9a+99"a+ -'-a'a+ a'ah *1a4.

+i,a%at $e%akit keluar!a &

? A,ah $7" S$1$ m-+-'$1a a'ah 1$+99$

? I7" a'$ $7" S$1$ m-+-'$1a DM a+ 1'*4-

Sa#ah a1" :a41*' '$$4* a'$ 9a+99"a+ -'-a'a+ a'ah *1a4 ,a+9 1$a4 aa1 $m*$:$4a$

aa#ah 4-1"'"+a+ (h-'-$1-').

+i,a%at $e!obata &

? T$a4 -'+ah m-$ca# ch-c4?"

? M$+"m *7a1 1'a$$*+a#

? P-+9*7a1a+ 1-'haa h$-'1-+$ 1$a4 $#a+"14a+ 1$a4 1-'a1"'

Peeriksaa #isik

K-aaa+ "m"m 7a$4

G$$ c"4"

Ta+a $1a# T-4a+a+ a'ah L-+9a+ 4$'$ %60%00 mmH9

L-+9a+ 4a+a+ %%00mmH9

Na$ 80m-+$1 (+*'ma#)


16/22

P-'+aaa+ 20m-+$1 (+*'ma#)

S"h" a:-7'$

S1a1" +-"'*#*9$4 N*'ma#> 1$a4 $aa14a+ -:$$1 :*4a# +-"'*#*9$4

K-m"+94$+a+ 4-#a$+a+ -m-'$4aa+ +-"'*#*9$ ,a+9 $aa1 aa7$#a $-'$4a -aa1

-1-#ah -'a+9a+ 1-'a$

%. K-#a$+a+ N.;II (:ac$a#$)> D$1a+a$ -+9a+ #$ah a1'*:$ a+ m-+c*+9 4- $$ #-$

2. K-#a$+a+ N.;II (:ac$a#$)H$#a+9+,a -+9-caa+ 23 #$ah 7a9$a+ -a+

3. K-#a$+a+ N.II (h,*9#*") $4a'-+a4a+ 7$ca'a+,a ,a+9 -#*D$a'1'$a

@. K-#a$+a+ aa 9,'" '-c-+1'a#$ (a'-a m*1*'$4) $4a'-+a4a+ #$ah+,a ,a+9 4-#".

. K-#a$+a+ $ h-m$:-' 4$'$ $4a'-+a4a+ aa+,a a'a1-$ $ 1"7"h 7a9$a+ 4a+a+

Peeriksaa $eu-a!

. P-m-'$4aa+ #a7*'a1*'$"m

DPL N*'ma#

GDS 28& (m-+$+94a1)

K*#-1-'*# 3%2 (m-+$+94a1)

Aam U'a1 6>

? R Th*'a Ca'$*m-9a#$

? EKG L;H

Da'$ ha$# -m-'$4aa+ EKG a+ :*1* 1*'a4 $aa14a+ aa+,a 4-#a$+a+ aa a+1"+9.

K-#a$+a+ a+1"+9 $+$ "9a m-'"a4a+ a#ah a1" :a41*' '-$4* 9a+99"a+ -'-a'a+ a'ah *1a4.

Peeriksaa Peu-a! lai%a %a! asi *i$erluka &

P-m-'$4aa+ -+"+a+9 $1""4a+ "+1"4 m-+-1-4$ -+,-7a7 -h$+99a aa1 m-+c-9ah

'-4"'-+$ ,a+9 #-7$h -'$"> ,a$1" 1'*4-.(/) P-m-'$4aa+ ,a+9 -'#" $#a4"4a+ aa#ah

P-m-'$4aa+ La7*'a1*'$"m ? Da'ah L-+94a 1-'"1ama -#-41*#$1 (Na> K> C#)? K*#-1-'*# 1*1a#

? G"#a Da'ah

CT Sca+


17/22

CT Sca+ m-m-'#$ha14a+ aa+,a --ma > h-ma1*ma> $4-m$a a+ aa+,a $+:a'4. S-#a$+

$1" CT Sca+ "9a 7-'9"+a "+1"4 m-m7-a4a+ 1'*4- h-m*'a9$4 a1a" +*+ h-m*'a9$4>

m-+-1-4$ -+,a4$1 -'-7'*a4"#-' ,a+9 1-#ah aa -7-#"m+,a a+ m-+,$+94$'4a+

4-m"+94$+a+ #-$ 1'"41"'a# --'1$ 1"m*'> ,a+9 m-+"+"4a+ 9-a#a --'1$ TIA.

Sca+$+9 "#1'a*"+ a+ D*#-'

U+1"4 m-+9-1ah"$ "4"'a+ "m7a1a+ a+ "m#ah a'ah ,a+9 m-+9a#$' aa A. ;-'1-7'a#$

A+9$*9'a:$ C-'-7'a#

U+1"4 m-+-+1"4a+ "4"'a+ a+ #*4a$ "m7a1a+ aa A. Ca'*1$. M-m7a+1" m-+-+1"4a+

-+,-7a7 1'*4- -ca'a -$:$4 --'1$ -'a'aha+ a1a" *71'"4$ a'1-'$ > 7$#a aa

"#1'a*"+ ca+ 1-'aa1 1-+*$ 7-'a1.


18/22

Dia!osis

D$a9+*$ K#$+$ H-m$a'-$> H$-'1-+$> D$a7-1- M-##$1"> Pa'-1-$>

H$-'9#$4-m$> H$-'4*#-1-'*#-m$a> L;H.

D$a9+*$ T*$ H-m$h-' K$'$ a+ -+1'$4-# 4$'$

D$a9+$ Pa1*#*9$ A4"1 I4-m$4

D$a9+*$ E1$*#*9$ Em7*#$

Tera$i(/)

Peatalaksaaa Ko$reesif

K*+:$'ma$> I+:*'ma$> E"4a$

M-m7-'$1ah"4a+ 4-aa a$-+ 1-+1a+9 -+,a4$1 ,a+9 -a+9 $ -'$1a a+ -'a#a+a+

-+,a4$1+,a 7aha a'$ 1'*4- '$+9a+ a1a" TIA ,a+9 $a#am$ $7" S$1$ -4a'a+9> 7$#a 1$a4

$1-'a$ -+9a+ -9-'a ma4a a4a+ 7-'#a+"1 m-+a$ 1'*4- ,a+9 #-7$h 7-'a1.

M-m7-'$1ah"4a+ :a41*'?:a41*' '-$4* ,a+9 aa aa a$-+ ,a+9 m-m"+94$+4a+ 1-'a$

1'*4- $ 4-m"$a+ ha'$. M-m7-'$1ah"4a+ '*9+*$ -+,a4$1 4-aa a$-+. E"4a$4a+

4-7$aaa+ 7"'"4 ,a+9 $ #a4"4a+ a$-+ a4a+ 7-'ama4 7"'"4 aa 4--ha1a++,a.

M-+9aa'4a+ *#a h$" -ha1 -+9a+ m-+"'"+4a+ 7-'a1 7aa+> *#ah 'a9a 1-'a1"' a+

c"4" $1$'aha1. M-+9a+"'4a+ 4-aa a$-+ "+1"4 m-+9h-+1$4a+ m-+94*+"m$ $# K $-1 '-+ah 9"#a a+ 9a'am.

M-+94*+"m$ '*1-$+ a+ a,"'?a,"'a+.

M-$4am-+1*a

? H$-'9#$4-m$ K*'-4$ -+9a+ $+"#$+

? H$-'1-+$ ACE I+h$7$1*' ( 4a1*'$#) 2?%00 m9 ha'$

? O7a1 a+1$a9'-9a$ 1'*m7*$1 (A+1$T'*m7*1$4)

A$'$+ 32 m9ha'$ a1a" D$$'$am*# "+1"4 m-+c-9ah 1'*4-

Paa TIA> "+1"4 m-+c-9ah 4am7"h+,a> a1a" "+1"4 m-+c-9ah 1-'a$+,a

1'*4- ,a+9 #-7$h 7-'a1> #ama -+9*7a1a+ -+9a+ a+1$a9'-9a$ 7-'#a+9"+9

% 2 1ah"+ a1a" #-7$h.

Ti*aka Prootif

Saa'a+ I+$$" -ha1 ,a+9 7-#"m m-m"+,a$ :a41*' '-$4*

T""a+ M-+c-9ah 1$m7"#+,a :a41*' '-$4*

Ca'a Ga,a h$" -ha1

Ti*aka Prevetif Prier

Saa'a+ I+$$" ,a+9 "ah m-m"+,a$ :a41*' '-$4*

T""a+ M-+c-9ah 1-'a$+,a TIA a1a" S1'*4-

Ca'a Ga,a h$" -ha1> m-+9-+a#$4a+ :a41*' '-$4*

Ti*aka Prevetif Seku*er

Saa'a+ I+$$" ,a+9 "ah -'+ah m-+-'$1a TIA 1'*4-

T""a+ M-+c-9ah TIA a1a" S1'*4- 7-'"#a+9

Ca'a Ga,a h$" -ha1> m-+9-+a#$4a+ :a41*' '-$4*> 1-'a$

M-$4am-+1*a> 1-'a$ 7-ah.


20/22

Pro!ra Peeliaraa Keseata Keluar!a

%. M-+9h-+1$4a+ m-'*4*4

2. M-+-'a4a+ "a,a '--+1$:

3. Ch-c4 " m$+$ma# -7"#a+ -4a#$

@. M-+9h-+1$4a+ m-+94*+"m$ $# K< -+9a+ m-+99a+1$ -+9a+ IUD a+ -ma4a$a+

4*+*m

. O#ah'a9a ,a+9 1-'a1"'

6. I1$'aha1 ,a+9 c"4"

/. M-+-1a4a+ *#a ma4a+ ,a+9 -ha1

8. M-+9h$+a'$ 1'-

&. K-aa a+a4 a$-+> $-"4a$4a+ "+1"4 m-+a"h$ a#c*h*# a+ +a'4*1$4a a+ m-m"a#$

h$" -ha1 a'$ "$a m"a.

Pro!osis(/)

R-$4* 1'*4- a#am 1ah"+ -'1ama -1-#ah TIA aa#ah / -1 1ah"+> -a+94a+ '-$4*

1-'7-a' aa#ah aa 1ah"+ -'1ama. ma4a '-$4* 9a7"+9a+ 1'*4-> $+:a'4 m$*4a' a1a" -+,a4$1 a4"#a' #a$++,a aa#ah

& -' 1ah"+. H$+99a % a$-+ -+9a+ 1'*4- -'1ama 4a#$ m-m$#$4$ '$a,a1 TIA.


21/22

KESI"PULAN

Da'$ ha$# a+am+-$> -m-'$4aa+ :$$4 a+ -m-'$4aa+ -+"+a+9 $ 4-1ah"$ 7aha $7"

S$1$ m-m$#$4$ :a41*'?:a41*' '$$4* 9a+99"a+ -'-a'a+ a'ah *1a4> c*+1*h+,a --'1$ h$-'1-+$>

DM> h$-'4*#-1-'*#-m$a> a+ 4-#a$+a+ a+1"+9. Da'$ 9-a#a?9-a#a 4#$+$ aa $7" S$1$ ,a$1" #$ah

4-#"> 1"7"h -7-#ah 4a+a+ 4--m"1a+ a+ #-ma> 7$ca'a+,a -#* a+ m"#"1+,a m-+c*+9> ma4a

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Makalah Tia Final Kel 8

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