Ppt-ostoeporosis & Gout

7/24/2019 Ppt-ostoeporosis & Gout

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KELOMPOK 4

OSTEOPOROSIS DAN GOUT

LIA DESLIANRI (I21112036)FEMI SYAHPUTRIA (I21112073)


2/18

OSTEOPOROSIS

Asal kata :osteo dan porous,

asteo artinya tulang danporous berarti berlubang-

lubang atau keropos.

jadi, osteoporosis adalahtulang yang keropos,


3/18

DEFINISI KHUSUSOSTEOPOROSIS

penya!" #en$an %!&a"'%!&a" a% e*+pa,a%%a "+-an$ yan$ *en#a. #!%e*"a!

pe*+aan ,!*/a*%!"e"+* "+-an$. #anpen+*+nan +a-!"a% a*!n$an "+-an$.yan$ pa#a a!*nya ,en!,+-an

a!a" ,en!n$a"nya e*ap+an "+-an$#en$an *!%!/ "e*a#!nya pa"a "+-an$

e-a!nan e*an$a. #!"an#a! #en$ane+a"an "+-an$ yan$ ,en$aa"!*an

#an #!pen$a*+! /-e ,en!n$a"nya*!%!/ pa"a "+-an$


4/18


5/18

ETIOLOGI

ee*apa penyea /%"e/p/*/%!%. ya!"+14 O%"e/p/*/%!% pa%5a,en/pa+%e "e*a#! a*ena

+*an$nya /*,/n e%"*/$en (/*,/n +"a,a

pa#a an!"a). yan$ ,e,an"+ ,en$a"+*pen$an$+"an a-%!+, e#a-a, "+-an$4

24 O%"e/p/*/%!% %en!-!% e,+n$!nan ,e*+paana!a" #a*! e+*an$an a-%!+, yan$

e*++n$an #en$an +%!a #ane"!#a%e!,an$an an"a*a e5epa"anan5+*nya "+-an$ (/%"e/-a%) #anpe,en"+an "+-an$ a*+ (/%"e/-a%)4


6/18

34 K+*an$ #a*! pen#e*!"a /%"e/p/*/%!% +$a

,en$a-a,! /%"e/p/*/%!% %e+n#e* yan$#!%eaan /-e ea#aan ,e#!% -a!n a"a+

/a"'/a"an484 O%"e/p/*/%!% +9en!- !#!/pa"! ,e*+paanen!% /%"e/p/*/%!% yan$ penyeanya "!#a#!e"a+!4 Ha- !n! "e*a#! pa#a ana'ana #an

#ea%a ,+#a yan$ ,e,!-!! a#a* #an&+n$%! /*,/n yan$ n/*,a-. a#a* 9!"a,!nyan$ n/*,a-. #an "!#a ,e,!-!! penyeayan$ e-a% #a*! *ap+nya "+-an$


7/18

GEJALA

Nyeri bila ada patah tulang

Patah tulang

Bungkuk atau bentuk tubuhberubah

Tinggi badan berkurang


8/18

PATOGENESIS

Pe*+aan +%!aDen$an e*"a,anya +%!a.

e$!a"an p*/#+%! *ep-!a"!& #an,a"*!% /%"e/-a% %e,a!ne*+*an$4

Fa"/* H/*,/na-Pen+*+nan a#a* e%"*/$en "e*a!"#en$an ,en/pa+%e


9/18

The National Osteporosis Foundation

(NOF),2 kategori:

14 Fa"/* *!%!/ yan$ "!#a #apa"#!en#a-!ana4 R!aya" %e%e/*an$ (pe*na ,en$a-a,!

pa"a "+-an$ %aa" #ea%a)44 Ra% +-!" p+"!454 e*"a,anya +,+*4

#4 :en!% e-a,!n pe*e,p+an4e4 De,en%!a4&4 Ke%ea"annya yan$ -e,a (&*a$!-!"y)4


10/18

2 Faktor ri!iko "a#g $a%at$ike#$a&ika#:

a4 Me*//4 e*a" a#an #!aa MI (;21 $/a" /*"!/%"e*/!#

(/*a- a"a+ !ne%!). %epe*"/ p*e#n!%/n #an/*"!%/n4


11/18

Go't Artriti!

?/+" a*"*!"!% a"a+ a%a, +*a",e*+paan %e+"an /*an$ aan+n"+ *e,a"! p!*a! (goutartritis)4 Se-a!n osteoartritis.a%a, +*a" ,e*+paan en!%*e,a"! a*"!+-e*"e*anya yan$ ,enye*an$pen#+#+ !n#/ne%!a4 Penya!" !n!,e*+paan $an$$+an ,e"a/-!a*ena a%a, +*a" (uric acid),en+,p+ #a-a, a*!n$an"++. yan$ e,+#!an #!+an$,e-a-+! +*!n4


12/18

ASAM URAT

Pa#a ea#aan n/*,a-. +,-a a%a,+*a" "e*a+,+-a%! pa#a -a!'-a!

+*an$ -e! 1200,$ #an pa#ape*e,p+an 600,$4 :+,-a a+,+-a%!!n! ,en!n$a" ee*apa a-! -!pa" pa#apen#e*!"a $/+"4 e*-e!nya a+,+-a%!!n! #apa" e*a%a- #a*! p*/#+%!e*e-e!an a"a+ e%*e%! yan$+*an$4


13/18

P+*!n #a-a, "++ yan$ ,en$a%!-ana%a, +*a". e*a%a- #a*! "!$a %+,e*

p+*!n #a*! ,aanan. /n9e*%! a%a,n+-ea" #a*! a*!n$an. pe,en"+anp+*!n #a*! #a-a, "++4 Ke"!$a'"!$anya,a%+ #a-a, -!n$a*an ,e"a/-!%,e,en$a%!-an #!an"a*anya a%a, +*a"4ee*apa %!%"!, en@!, ,en$a"+*,e"a/-!%,e p+*!n4


14/18

ENIS ASAM URAT

a Go't %rierPa#a $/+" p*!,e*. pe*%en penyeanya e-+, #!e"a+!(!#!/pa"!)4 D!#+$a e*a!"an #en$an /,!na%! &a"/* $ene"!#an &a"/* /*,/na- yan$ ,enyeaan $an$$+an

,e"a/-!%,e yan$ #apa" ,en$a!a"an ,en!n$a"nyap*/#+%! a%a, +*a" a"a+ !%a +$a #!a!a"an a*enae*+*an$nya pen$e-+a*an a%a, +*a" #a*! "++4

* Go't !ek'#$er

Pa#a $/+" %e+n#e* #!%eaan an"a*a an"a*a -a!n a*ena,en!n$a"nya p*/#+%! a%a, +*a" a*ena n+"*!%!. ya!"+,en$/n%+,%! ,aanan #en$an a#a* p+*!n "!n$$!4 P+*!n a#a-a%a-a %a"+ %enyaa a%a /*$an! yan$ ,eny+%+n a%a, n+-ea"(a%a, !n"! #a*! %e-) #an "e*,a%+ a%a, a,!n/. +n%+*pe,en"+ p*/"e!n4


15/18

ETIOLOGI


16/18

PATOGENESIS

Pen+*+nan +*a" %e*+, #apa" ,en5e"+%an pe-epa%an*!%"a- ,/n/%/#!+, +*a" #a*! #ep/%!"nya #a-a, "/=(crystals shedding)4

pe*+aan pH %e5a*a a+" "!#a %!$n!=an ,e,pen$a*+!

pe,en"+an *!%"a- ,/n/%/#!+, +*a" pa#a %en#!4 Te*#apa" pe*anan "e,pe*a"+*e. pH. #an e-a*+"an +*a"

+n"+ "!,+- %e*an$an $/+"4 Men+*+nnya e-a*+"an %/#!+,+*a" pa#a "e,pe*a"+*e -e! *en#a pa#a %en#! pe*!&e*%epe*"! a! #an "an$an. #apa" ,ene-a%an ,en$apa

*!%"a- ,/n/%/#!+, +*a" #!en#apan pa#a e#+a "e,pa""e*%e+"4 P*e#!-e%! +n"+ pen$en#apan *!%"a-,/n/%/#!+, +*a" pa#a ,e"a"a*%/&a-an$ea-'1 (MTP'1)e*++n$an +$a #en$an "*a+,a *!n$an yan$ e*+-an$'+-an$ pa#a #ae*a "e*%e+"4


17/18

FAKTOR RESIKO

S++ Ra%< an$%aK/n%+,%! a-//-

Penya!"Oa"' /a"an


18/18

KOMPLIKASI GOUT

Ba5a"T/=

Penya!" $!na-Ka-+-! a%a, +*a" (10'1)Ne&*/pa"! +*a" yan$ */n!%Ne&*/pa"! +*a" yan$ a+" (!a%anya

a!a" %e+n#e* #a*! e,/"e*ap!)Ne*/%!% yan$ a9a%+-a* #a*! "+-an$

paa (femoral head)

Ppt-ostoeporosis & Gout

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