TUGAS Komunitas Bu Dina

8/18/2019 TUGAS Komunitas Bu Dina

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2/18


3/18

%e%.#n/ai -one-#eni /an' an'at i'ni6i-an ter"a&a. .er%aa!a"an e-ono%i bai-

e0ara in&i2i-e!#ar'a %a#.#n %a/ara-at, Strate'i DOTS 4 Dire0t!/ Ober2e&

Treat%ent S"ort0o#re 0"e%ot"era./5 /an' &ire-o%en&ai-an o!e" WHO %er#.a-an

.en&e-atan /an' .a!in' te.at aat ini &an "ar# &ija!an-an e0ara

#n''#"( www.depkes.go.id ). Men#r#t WHO eeoran' /an' %en&erita t#ber-#!oi

a-an -e"i!an'an .en&a.atan r#%a" tan''an/a e-itar ti'a a%.ai e%.at b#!an,

http://www.depkes.go.id/http://www.depkes.go.id/


4/18

BAB II

LANDASAN TEORI

A, Ke.era3atan Ko%#nitaWHO 4 *;


5/18

Pen/ebab #ta%a t#ber0#!oi a&a!a" Mycobacterium tuberculosis1 ejeni

-#%an berbent#- batan' &en'an #-#ran .anjan' *? =@ #% &an teba! )1 ? )1+@#%,

an' ter'o!on' &a!a% -#%an Mycobacterium tuberculosis -o%.!e- a&a!a" :

a. Mycobacterium tuberculosis

b. aria! asam.

c. aria! a"rica! #.

d. aria! a"rica! ##.

e. M. $o%is.

Pe%ba'ian tereb#t a&a!a" ber&aar-an .erbe&aan e0ara epidemologi.

Ke!o%.o- -#%an M. &uberculosae &an Micobacterium other tha! &$ 4 MOTT1

at/.i0a!5 a&a!a" M. Malmacerce , M. 'e!opi.Seba'ian bear -#%an ter&iri ata aa% !e%a- (lipid), -e%#&ian .e.ti&o'!i-an

&an arabi!oma!a!. Li.i& ini!a" /an' %e%b#at -#%an !ebi" ta"an ter"a&a. aa%

4 aa% a!-o"o!5 e"in''a &ieb#t ba-teri ta"an aa% 4BTA5 &an ia j#'a !ebi" ta"an

ter"a&a. 'an''#an -i%ia &an 6ii, K#%an &a.at ta"an "i. .a&a #&ara -erin'

%a#.#n &a!a% -ea&aan &in'in 4 "a! ini terja&i -arena -#%an bera&a &a!a%

-ea&aan &or%ant, Dari i6at &or%ant %enja&i t#ber0#!oi a-ti6 !a'i,Si6at !ain -#%an ini a&a!a" aerob, Si6at ini %en#nj#--an ba"3a -#%an !ebi"

%en/enan'i jarin'an /an' tin''i -ann'an o-i'enn/a, Da!a% "a! ini te-anan

o-i'en .a&a ba'ian a.i0a! .ar#?.ar# !ebi" tin''i &ari .a&a !ain1 e"in''a ba'ian

a.i0a! ini %er#.a-an te%.at .re&i!e-i .en/a-it tuberculosis. 4 Ba"ar1 ())* : 8()

?8(*5, Mani6etai K!ini

a, De%a% 4#b6ebri1 -a&an'?-a&an' =) ? =* C1 e.erti &e%a% in6!#ena, b, Bat#- 4-erin'1 .ro-ti61 -a&an'?-a&an' "e%o.toe 4.e0a"n/a .e%b#!#"

&ara"5,0, Sea- na.a1 ji-a in6i!trai #&a" eten'a" ba'ian .ar#,&, N/eri &a&a1 ji-a in6i!trai #&a" -e .!e#ra,e, Ma!aie 1 anore-ia1 ba&an -#r#1 a-it -e.a!a1 %erian'1 n/eri otot1 -erin'at

%a!a%,=, Cara Pen#!aran

T#ber0o!oi &it#-ar-an &ari oran' -e oran' o!e" tran%ii %e!a!#i #&ara1

in&i2i terin6e-i %e!a!#i berbi0ara1 bat#-1 berin1 terta3a ata# bern/a/i1

%e!e.a-an &ro.!et bear 4!ebi" bear &ari *))%5 &an -e0i! 4*a%.ai 7 %5,

Dro.!et /an' bear %aneta.1 e%entara &ro.!et /an' -e0i! terta"an &i #&ara &an


6/18

terti#. o!e" in&i2i /an' rentan, In&i2i /an' berei-o tin''i #nt#- tert#!ar TB1

%en#r#t S%e!t$er 4 ())*:7;= 5 a&a!a" :a, Mere-a /an' -onta- &en'an eeoran' /an' %e%.#n/ai TB a-ti6,

b, In&i2i i%#no#.rei6 4ter%a#- !ania1 .aien &en'an -an-er %ere-a /an'

&a!a% teta.i -ontri-oteroi& ata# %ere-a /an' terin6e-i &en'an HI5,0, Pen''#naan obat?obat intra2ena 4I5 &an A!-o"o!i-,&, Setia. in&i2i tan.a .era3atan -ee"atan /an' a&e-#at 4 t#na 3i%a1

ta"anan1 etni- &an ra %inorita ter#ta%a ana-?ana- &iba3a" #ia *7 ta"#n

&an &e3aa %#&a antara /an' ber#ia *7?== ta"#n5,e, Setia. in&i2i &en'an 'an''#an %e&i /an' #&a" a&a ebe!#%n/a1 %ia!

diabetes militus 4 DM 5 'a'a! 'inja! -roni rentan e-a!i ter"a&a. -#%an TB,6, I%i'rai &ari ne'ara &en'an ini&en TB /an' tin''i 4Aia Ten''ara1 A6ri-a1

A%eri-a Seri-at &an Latin1 Karibia5, Seeoran' &ari &aera" en&e%i berei-o

tin''i tert#!ar -#%an TB,', Setia. in&i2i /an' tin''a! &i intit#i 4%ia! 6ai!ita .era3atan jan'-a

.anjan'1 .i-iatri-1 .enjara5", Daera" .er#%a"an -#%#",

Sanitai /an' b#r#- %en/ebab-an i%#n b#r#-1 e"in''a %e%.er0e.at

.ere%ban'an -#%an TB, 4S%e!t$er ())* : 7;=5

Da/a .en#!aran &ari eoran' .en&erita &itent#-an o!e" ban/a-n/a -#%an

/an' &i-e!#ar-an &ari .ar#n/a, Ma-in tin''i &erajat .oiti6 "ai! .e%eri-aan&a"a-1 %a-in %en#!ar .en&erita tereb#t, Bi!a "ai! .e%eri-aan "ai! &a"a-

ne'ati6 4ti&a- ter!i"a- -#%an51 %a-a .en&erita tereb#t ti&a- %en#!ar,

Ke%#n'-inan eeoran' teri!"eksi TB .ar# &itent#-an o!e" -onentrai droplet

&a!a% #&ara &an !a%an/a %en'"ir#. #&ara tereb#t, 4De.-e RI ())( : ;5

7, Pato6iio!o'iTe%.at %a#-n/a -#%an Mycobacterium tuberculosis a&a!a" a!#ran

.erna6aan1 a!#ran .en0ernaan &an !#-a terb#-a .a&a -#!it, Keban/a-an in6e-i

t#ber0#!oi terja&i %e!a!#i #&ara 4 air bo!e )1 /ait# %e!a!#i in"a!ai &ro.!et

%en'ann' -#%an9-#%an bai! t#ber-e! /an' beraa! &ari oran' /an'

terin6e-i. T#ber0#!oi a&a!a" .en/a-it /an' &i-en&a!i-an o!e" re.on i%#nita

e!9e! e6e-torn/a a&a!a" %a-ro6a'1 e&an'-an !o%6oi 4biaan/a e! T5 a&a!a"

e! i%#nore.oni6n/a.

Bai! t#ber-e! /an' %en0a.ai .er%#-aan a!2eo!# biaan/a &i in"a!aieba'ai #at# #nit /an' ter&iri &ari at# a%.ai ti'a bai!1 '#%.a!an bai! /an'


7/18

!ebi" bear 0en&er#n' berta"an &ia!#ran "in' &an 0aban' bear bhro!cus,

Sete!a" bera&a &a!a% r#an' a!2eo!# biaan/a &iba'ian ba3a" !ob# ata .ar#9

.ar# ata# &i ba'ian ata lobus ba3a"1 bai! t#ber-e! ini %e%ban'-it-an rea-i

.era&an'an, Le#-oit .a&a %or6on#-!ear ta%.a- .a&a te%.at tereb#t, Se#&a"

"ari9"ari .erta%a %a-a leukosit &i'anti o!e" makro"ag , A!2eo!i /an' tereran'

a-an %en'a!a%i -ono!i&ai &an ti%b#! 'eja!a p!eumo!ia a-#t, $asil j#'a

%en/ebar %e!a!#i 'eta" benin' regio!al , Makro"ag /an' %en'a&a-an i!"iltrasi

%enja&i !ebi" .anjan' &an eba'ian berat# e"in''a %e%bent#- e! tuberkel

epiteloid /an' &i-e!i!in'i o!e" lim"osit.

ekrosis ba'ian entra! !ei %e%beri-an 'a%baran /an' re!ati6 .a&at &an

e.erti -ej# &ieb#t !ekrosis kaseosa, Daera" /an' %en'a!a%i !ekrosis kaseosa&an jarin'an gra!ulasi &ie-itarn/a /an' ter&iri &ari at# e! epiteloid &an

"ibroblas1 %eni%b#!-an re.on berbe&a, Jarin'an gra!ulasi %enja&i !ebi"

"ibrosa1 %e%bent#- jarin'an .ar#t /an' a-"irn/a a-an %e%bent#- #at# -a.#!

/an' %en'!i!in'i tuberkel , esi .ri%er .ar#9.ar# &ina%a-an "okus gho! &an

'ab#n'an tereran'n/a -e!enjar 'eta" benin' regio!al &an lesi .ri%er &ina%a-an

kompleks gho!. Re.on !ain /an' &a.at terja&i .a&a &aera" !ekrosis a&a!a"

.en0airan1 &i%ana ba"an 0air !e.a &ari &in&in' ka%itas a-an %a#- .a&a .er0aban'an trakeobro!chial. Bi!a .era&an'an %ere-a lume!1 bro!kus &a.at

%en/e%.it &an tert#t#. o!e" jarin'an .ar#t /an' ter&a.at &e-at &en'an

.er0aban'an bro!kus ron''a, Ba"an .er-ej#an &an lesi %iri. &en'an lesi

ber-a.#! /an' ti&a- ter!e.a, Kea&aan ini &a.at %eni%b#!-an 'eja!a &a!a%

3a-t# !a%a ata# %e%bent#- !a'i "#b#n'an &en'an bro!kus &an %enja&i te%.at

.era&an'an a-ti6, Or'ani%e /an' !o!o &ari -e!enjar 'eta" benin' a-an %en0a.ai

a!iran &ara" &a!a% j#%!a" -e0i! /an' -a&an'9-a&an' &a.at %eni%b#!-an lesi

.a&a ba'ian or'an !ain, Jeni .en/ebaran ini &i-ena! eba'ai .en/ebaran

lim"ohemotoge!1 /an' biaan/a e%b#" en&iri, Pen/ebaran hematoge!

%er#.a-an #at# 6eno%ena a-#t /an' biaan/a %en/ebab-an tuberculosis

millier ,

Ini ban/a- terja&i a.abi!a "okus !ekrotik %er#a- .e%b#!#" &ara" e"in''a

ban/a- or'ani%e %a#- -e&a!a% system %askuler &an terebar -e or'an 9 or'an

t#b#", 4 .ri0e1 *;;7 :


8/18

Ba-teri &i.in&a"-an %e!a!#i ja!an na6a -e al%eoli te%.at &i%ana %ere-a

ber-#%.#! &an %#!ai #nt#- %e%.erban/a- &iri1 bai- j#'a &i.in&a"-an %e!a!#i

system lim"e &an a!iran &ara" -eba'ian t#b#" !ainn/a 4'inja!1 t#!an' korteks

cerebri5 &an area .ar# !ainn/a 4lobus ata5,

System imum t#b#" bere.on &en'an %e!a-#-an rea-i i!"lamasi "agosit

(!oukro"it &an makro"ag) %ene!an ba-teri1 lim"osit .ei6i- tuberculosis milisis

4%en'"an0#r-an5 basil jarin'an nor%a!, Rea-i jarin'an ini %en'a-ibat-an

.en#%.#-an eksudat &an al%eoli1 %en/ebab-an bro!chop!eumo!ia i!"eksi a3a!

biaan/a terja&i ( a%.ai *) %in''# .e%ajanan,

Maa jarinn'an bar#1 /an' &ieb#t gra!ulomas /an' %er#.a-an '#%.a!an

basil /an' %ai" "i. &an /an' #&a" %ati &i-e!i!in'i o!e" makro"ag /an'

berbent#- &in&in' protekti" , *ra!ulosis &i#ba" %enja&i %aa +ari!ga! "ibrosa,

Ba'ian 0entra! &i%ana %aa "ibrosa ini &ieb#t tuberkel gho!, Ba"an 4ba-teri5

%enja&i dorma!t 1 tan.a .er-e%ban'an .en/a-it a-ti6,

Sete!a" .e%ajanan &an i!"eksi a3a!1 in&i2i &a.at %en'a!a%i .en/a-it

a-ti6 -arena 'an''#an ata# re.on i!adekuat &ari re.on imu!, &uberkel gho!

%e%e0a"1 %e!e.a ba"an e.erti -ej# &a!a% bro!chial 1 ba-teri -e%#&ian terebar -e #&ara, &uberkel /an' %e%e0a" %en/e%b#" %e%bent#- jarin''an .ar#t, Par#t

r#an' teri!"eksi %enja&i !ebi" ban/a- %en'a-ibat-an terja&in/a

bro!chop!eumo!ia !ebi" !anj#t, 4%e!t$er1 ())* : 7875

+, Ko%.!i-ai

Pen/a-it tuberculosis .ar# bi!a ti&a- &itan'ani &en'an benar a-an

%eni%b#!-an komplikasi &ini &an komplikasi !anj#t :

a, omplikasi &ini,

*5 -leuritis : i!"lamasi pleura

(5 "usi pleura : a!ir 0airan -e!#ar &ari &a!a% .e%b#!#" /an' nor%a!

-ejarin'an e-itarn/a,

/) mpiema : ti%b#nan ata# -#%.#!an pus &a!a% #at# ka%itas.

) a!giritis: i!"lamasi lari!g.


9/18

75 Menja!ar -e or'an !ain %e!a!#i .en/ebaran #at# hematoge! -arena

6o-# !ekrotik %er#a- .e%b#!#" &ara" e"in''a ban/a- or'ani%e

%a#- -e &a!a% /te% %askuler &an terebar -e or'an?or'an t#b#"

##,

+5 -a!cet1s athropathy : Setia. .en/a-it en&i,

b, Ko%.!i-ai !anj#t

*5 bstruksi ja!an na6a : SPOT 4Sin&ro% Obtr#-i Pa0a O.erati65,

(5 erusaka! pare!kim berat : SPOT @ "ibrosis .ar#1 orpulmo!al ,

5 3miloidosis ter&a.at ti%b#nan?ti%b#nan amiloid 4$at .ati5 &a!a%

jarin'an t#b#" ata# eba'ai ti%b#nan abnor%a! &a!a% berba'ai or'an,

) arsi!oma -aru.

In6e-i /an' ber-e!anj#tan tan.a .enan'anan &a.at %en/ebab-an

-an-er .ar#,

75 Sin&ro% 'a'a! na6a &e3aa 4ARDS5,

Ker#a-an .ert#-aran 'a &an .en'a!i"an ekste!si" &ara" &a!a% .ar#?

.ar#, 4Ba"ar1 ())* : 8(;5


10/18

0, Pe%eri-aan Ra&io'ra6i- Se0ara patologis, ma!i"estasi di!i tuberculosis a&a!a" ber#.a #at# -o%.!e-

-e!enjar 'eta" benin' pare!kim, Pa&a oran' &e3aa1 segme! a.e- &an

posterior libus ata ata# segme! superior lobus ba3a" /an' %eni%b#!-an lesi

/an' ter!i"at homoge! &en'an de!sitas /an' !ebi" .e-at, Da.at j#'a ter!i"at

a&an/a .e%bent#-an ka%itas &an 'a%baran .en/a-it /an' %en/ebar /an'

bi!atera!,&, Pe%eri-aan ba-terio!o'i

Pe%eri-aan .#t#% &en'an 0ara ielh !eelse!, Se&iaan a.# /an' a-an

&i3arnai %#!a? %#!a &i'enan'i &en'an $at karbol"uksi! /an' &i.ana-an1 !a!#

&i!a-#-an dekolo!isasi &en'an aa% a!-o"o!, Sete!a" it# &i3arnai &en'an

mekeli! bir# ata# brillia!t gree! ete!a" !ar#tan ini %e!e-at .a&a

micobacterium %a-a ti&a- &a.at %e%.er-ira-an j#%!a" basil ta"an aa%

/an' ter&a.at .a&a e&iaan, 4.ri0e1 *;;;:


11/18

T#j#an .en'obatan .a&a .en&erita TB Par# e!ain #nt#- %en0e'a" -e%atian1

%en0e'a" -e-a%b#"an ata# reiteni ter"a&a. OAT erta %e%#t#-an %ata

rantai .en#!aran, Pen'obatan t#ber-#!oi terba'i %enja&i ( 6ae /ait# 6ae

inteni6 4(? b#!an5 &an 6ae !anj#tan 4=?< b#!an5, Panan obat /an'

&i'#na-an ter&iri &ari obat #ta%a &an obat ta%ba"an

ASUHAN KEPERAWATAN

A, Pen'-ajian

*, A-ti2ita @Itira"at

a, Ke!e%a"an #%#% &an -e!e!a"an, b, Na.a .en&e- &'n, Pen'era"an tena'a,0, S#!it tir &'n, De%a%@-er#n'at %a!a%,&, Mi%.i b#r#-,e, Ta-i-ar&ia1 ta-i.nea@&i.nea,6, Ke!e%a"an otot1 n/eri &an -a-#,

(, Inte'rita E'o :

a, Peraaan ta- ber&a/a@.#t# aa, b, a-tor tre : bar#@!a%a,0, Peraaan b#t#" .erto!on'an&, Denia!,e, Ce%a1 iritab!e,

, Ma-anan@Cairan :

a, Ke"i!an'an na.# %a-an,

b, Keti&a-an''#.an %en0erna,

0, Ke"i!an'an BB,

&, T#r'or -#!it b#r#-1 -erin'1 -e!e%a"an otot1 !e%a- #b-#tan ti.i,

=, N/a%an@n/eri :

a, N/eri &a&a aat bat#-, b, Me%e'an' area /an' a-it,0, Peri!a-# &itra-i,

7, Perna.aan :

a, Bat#- 4.ro-ti6@non .ro-ti65 b, Na.a .en&e-,


12/18


13/18

R@ Pen'eta"#an /an' &i"ara.-an a-an %e%bant# %en'e%ban'-an -e.at#"an

-!ien ter"a&a. ren0ana tera#.eti-,

(5 Ajar-an -!ien tentan' %eto&e /an' te.at .en'ontro!an bat#-,

R@ Bat#- /an' ti&a- ter-ontro! a&a!a" %e!e!a"-an &an ti&a- e6e-ti61

%en/ebab-an 6r#tai,

5 Na.a &a!a% &an .er!a"an aat - ete'a- %#n'-in,

R@ Me%#n'-in-an e-.ani .ar# !ebi" !#a,

=5 La-#-an .erna.aan &ia6ra'%a,

R@ Perna.aan &ia6ra'%a %en#r#n-an 6re-, na.a &an %enin'-at-an 2enti!aia!2eo!ar,

75 Ta"an na.a e!a%a ? 7 &eti- -e%#&ian e0ara .er!a"an?!a"an1 -e!#ar-an

eban/a- %#n'-in %e!a!#i %#!#t,

La-#-an na.a -e a 1 ta"an &an bat#--an &ari &a&a &en'an %e!a-#-an (

bat#- .en&e- &an -#at,

R@ Menin'-at-an 2o!#%e #&ara &a!a% .ar# %e%.er%#&a" .en'e!#arane-rei e-ret,

+5 A#-#!tai .ar# ebe!#% &an e#&a" -!ien bat#-,

R@ Pen'-ajian ini %e%bant# %en'e2a!#ai -ee6e-ti6an #.a/a bat#- -!ien,


14/18

R@ Hie'ene %#!#t /an' bai- %enin'-at-an raa -eeja"teraan &an %en0e'a"

ba# %#!#t,

;5 Ko!aborai &en'an ti% -ee"atan !ain :

Den'an &o-ter1 ra&io!o'i &an 6iiotera.i,

Pe%berian e.e0toran,

Pe%berian antibioti-a,

Kon#! ."oto tora-,

R@ E.etorant #nt#- %e%#&a"-an %en'e!#ar-an !en&ir &an %ene2a!#ai

.erbai-an -on&ii -!ien ata .en'e%ban'an .ar#n/a,

(, Dia'noa Ker#a-an .ert#-aran 'a ber"#b#n'an &en'an -er#a-an %e%bran

a!2eo!ar?-a.i!er,

T#j#an : Pert#-aran 'a e6e-ti6,

Kriteria "ai! :

a, Me%.er!i"at-an 6re-#eni .erna.aan /an' e6e-ti6,

b, Men'a!a%i .erbai-an .ert#-aran 'a?'a .a&a .ar#,

0, A&a.ti2e %en'atai 6a-tor?6a-tor .en/ebab,

Ren0ana tin&a-an :

*5 Beri-an .oii /an' n/a%an1 biaan/a &en'an .enin''ian -e.a!a te%.at

tir, Ba!i- -e ii /an' a-it, Doron' -!ien #nt#- - eban/a- %#n'-in,

R@ Menin'-at-an in.irai %a-i%a!1 %enin'-at-an e-.ni .ar# &an

2enti!ai .a&a ii /an' ti&a- a-it,

(5 Ober2ai 6#n'i .erna.aan1 0atat 6re-#eni .erna.aan1 &i.nea ata#

.er#ba"an tan&a?tan&a 2ita!,

R@ Ditre .erna.aan &an .er#ba"an .a&a tan&a 2ita! &a.at terja&i eba'ai

a-ibat tre 6iio!o'i &an n/eri ata# &a.at %en#nj#--an terja&in/a /o0-

e"#b#n'an &en'an "i.o-ia,


15/18

5 Je!a-an .a&a -!ien ba"3a tin&a-an tereb#t &i!a-#-an #nt#- %enja%in

-ea%anan,

R@ Pen'eta"#an a.a /an' &i"ara.-an &a.at %en'#ran'i anieta &an

%en'e%ban'-an -e.at#"an -!ien ter"a&a. ren0ana tera#.eti-,

=5 Je!a-an .a&a -!ien tentan' etio!o'i@6a-tor .en0et# a&an/a ea- ata# -o!a.

.ar#?.ar#,

R@ Pen'eta"#an a.a /an' &i"ara.-an &a.at %en'e%ban'-an -e.at#"an -!ien

ter"a&a. ren0ana tera#.eti-,

75 Perta"an-an .eri!a-# tenan'1 bant# .aien #nt#- -ontro! &iri &ne'an

%en''#na-an .erna.aan !ebi" !a%bat &an &a!a%,

R@ Me%bant# -!ien %en'a!a%i e6e- 6iio!o'i "i.o-ia1 /an' &a.at

&i%ani6etai-an eba'ai -eta-#tan@anieta,

+5 Ko!aborai &en'an ti% -ee"atan !ain :

Den'an &o-ter1 ra&io!o'i &an 6iiotera.i,

Pe%berian antibioti-a,

Pe%eri-aan .#t#% &an -#!t#r .#t#%,

Kon#! ."oto tora-,

R@Men'e2a!#ai .erbai-an -on&ii -!ien ata .en'e%ban'an .ar#n/a,

, Dia'noa Per#ba"an n#trii : -#ran' &ari -eb#t#"an t#b#" ber"#b#n'an &en'an

.enin'-atan .ro-i .#nt#%@bat#-1 &/.nea ata# anore-ia

T#j#an : Keb#t#"an n#trii a&e-#at

Kriteria "ai! :

a, Men/eb#t-an %a-anan %ana /an' tin''i .rotein &an -a!ori

b,Men# %a-anan /an' &iaji-an "abi

0, Penin'-atan berat ba&an tan.a .enin'-atan e&e%a

Ren0ana tin&a-an


16/18

*5 Di-#i-an .en/ebab anore-ia1 &i.nea &an %#a!,

R@ Den'an %e%bant# -!ien %e%a"a%i -on&ii &a.at %en#r#n-an anieta

&an &a.at %e%bant# %e%.erbai-i -e.at#"an tera#.eti-,

(5 Ajar-an &an bant# -!ien #nt#- itira"at ebe!#% %a-an,

R@ Ke!eti"an ber!anj#t %en#r#n-an -ein'inan #nt#- %a-an,

5 Ta3ar-an %a-an e&i-it ta.i erin' 4ena% -a!i e"ari .!# ta%ba"an5,

R@ Penin'-atan te-anan intra ab&o%en &a.at %en#r#n-an@%ene-an a!#ran GI

&an %en#r#n-an -a.aita,

=5 Pe%bataan 0airan .a&a %a-anan &an %en'"in&ari 0airan * ja% ebe!#% &an

e#&a" %a-an,

R@ 0airan &a.at !ebi" .a&a !a%b#n'1 %en#r#n-an na.# %a-an &an %a#-an,

75 At#r %a-anan &en'an .rotein@-a!ori tin''i /an' &iaji-an .a&a 3a-t# -!ien

%eraa .a!in' #-a #nt#- %e%a-ann/a,

R@ Ini %enin'-at-an -e%#n'-inan -!ien %en'-on#%i j#%!a" .rotein &an

-a!ori a&e-#at,

+5 Je!a-an -eb#t#"an .enin'-atan %a#-an %a-anan tin''i e!e%en beri-#t

a, ita%in B*( 4te!#r1 &a'in' a/a%1 -eran'5,

b, Aa% 6o!at 4a/#r ber&a#n "ija#1 -a0an'?-a0an'an1 &a'in'5,

0, T"ia%ine 4-a0an'?-a0an'1 b#n0i1 oran'e5,

&, at bei 4jeroan1 b#a" /an' &i-erin'-an1 a/#ran "ija#1 -a0an' e'ar5,

R@ Ma#-an 2ita%in "ar# &itin'-at-an #nt#- %en'-o%.enai .en#r#nan

%etabo!i%e &an .en/i%.anan 2ita%in -arena -er#a-an jarina'n "e.ar,


17/18


18/18

DATAR PUSTAKA

De.arte%an Kee"atan, Re.#b!i- In&oneia, ())(, Pe&o%an Naiona! Penan''#!an'an

T#ber-#!oi,Ja-arta,

Doen'oe1 4*;;;5, Peren0anaan A#"an Ke.era3atan, Ja-arta : EGC

Manjoer1 Ari6,1 et a!!, 4*;;;5, Ka.ita Se!e-ta Ke&o-teran, a-#!ta Ke&o-teran UI : Me&ia

Ae0#!!a.i#,

M#bara-1Iba! Wa"i&, ());, -e!ga!tar eperawata! omu!itas,Ja-arta, Sa'#n' eto,

Pri0e1 S/!2ia A &an Lorraine M Wi!on, *;;7, Pato6iio!o'i Kone. K!ini Proe?Proe

Pen/a-it, E&ii =, Ja-arta : EGC

S%e!t$er1 S#$anne C, ())*, B#-# Ajar Ke.era3atan Me&i-a! Be&a" Br#nner an& S#&&art"

E&, 8, Ja-arta : EGC

S#&i"arto1 ())

TUGAS Komunitas Bu Dina

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