tag:blogger.com,1999:blog-6494499491514116492024-02-07T17:16:24.787-08:00narera, kumpulan LPAnonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.comBlogger173125tag:blogger.com,1999:blog-649449949151411649.post-30954813520143378712017-02-21T07:53:00.000-08:002017-02-21T07:53:54.564-08:00LAPORAN PENDAHULUAN Strabismus (juling)<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 16.0pt; line-height: 115%;">LAPORAN
PENDAHULUAN</span><span style="font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DEFINISI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Strabismus
adalah suatu keadaan dimana kedudukan kedua bola mata tidak ke satu arah.
(Sidarta Ilyas, 2001)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Strabismus
adalah suatu kelainan posisi bola mata dan bisa terjadi pada arah atau jarak
penglihatan tertentu saja. (Tamin Radjamin, dkk. 1984)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Strabismus adalah suatu cabang ilmu penyakit mata yang
mempelajari<span style="mso-spacerun: yes;"> </span>kelainan penglihatan
binokular yang disebabkan oleh tidak adanya satu atau lebih persyaratan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Strabismus
adalah kedudukan kedua bola mata yg bisa berbeda arah satu sama lain pada
defiasi dari posisi sejajar bisa ke segala arah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Strabismus
(mata juling) adalah suatu kondisi dimana kedua mata tidak tertuju pada satu
obyek yang menjadi pusat perhatian secara bersamaan. Keadaan ini bisa menetap
(selalu tampak) atau dapat pula hilang timbul yang muncul dalam keadaan
tertentu saja seperti saat sakit atau stress. Mata yang tampak juling dapat
terlihat lurus dan yang tadinya tampak lurus dapat terlihat juling. (<a href="http://www.klikdokter.com/"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.klikdokter.com</span></a>)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam
ilmu kedokteran khususnya mata, istilah JULING disebut juga
“STRABISMUS/SQUINT/CROSSED-EYE”. JULING adalah keadaan dimana kedua mata tidak
“straight” atau tidak terlihat lurus/posisi yang tidak sama pada kedua sumbu/as
mata. Orang tua sering mengekspresikan atau mengatakan sebagai “mata anak kami
tidak fokus”. (<a href="http://www.anakku.net/forum/mata-julingstrabismus"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.anakku.net/forum/mata-julingstrabismus</span></a>)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ANATOMI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l54 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Otot dan Persyarafan </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Gerakan Mata dikontrol oleh enam otot ekstrim okular
yaitu :</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l26 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Empat
Otot rektus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskulus
Rektus medius, kontraksinya akan menghasilkan aduksi atau menggulirnya bola
mata kearah nasal dan otot ini dipersyarafi oleh saraf ke III {Okulomotor}</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskulus
Rektus lateral, kontaksinya akan menghasilkan abduksi atau menggulirnya bola
mata kearah temporal & otot ini dipersyarafi oleh saraf ke IV {Abdusen}</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskulus
Rektus superior,kontraksinya akan menghasilkan Elevasi, Aduksi & Intorsi
bola mata dan otot ini dipersyarafi ke III</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskulus
rektus Inferior, kontraksinya akan menghasilkan depresi pada abduksi, ekstorsi
dan pada abduksi, dan abduksi 23 pada depresi otot ini dipersyarafi ke III</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l26 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dua
Otot Obligus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l4 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskulus
Obligus superior,kontraksinnya akan menghasilakn depresi intorsi bila berabduksi
39 ,depresi sat abdusi 51 dan bila sedang depresi akan berabduksi .otot ini dipersyarafi
saraf ke IV (troklear)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l4 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskulus
Obligus inferior ,dngn aksi primernya ekstorsi dlm abduksi sekunder oblik<span style="mso-spacerun: yes;"> </span>inferior adlah elevasi dlm abduksi.otot ini
dipersyarafi saraf ke III</span> <span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l54 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fasia</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Otot rektus dan oblik diselubungi fasia.didekat titik
intersi otot-otot ini,</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fasia melanjutkan diri<span style="mso-spacerun: yes;">
</span>menjadi kapsul Tenon yg terdapat diantara sklera & konjungtiva,</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">fasia yg menyatu dengan struktur tulang orbita berfungsi
sebagai ligamen pengontrol otot-otot ekstraokuler dan membatasi rotasi bola
mata.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">FISIOLOGI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aspek
Motorik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Fungsi
masing – masing otot :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l52 level1 lfo49; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Musculus
Ralateralis mempunyai fungsi<span style="mso-spacerun: yes;"> </span>tunggal
untuk abduksi mata </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l52 level1 lfo49; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Musculus
Rektus medialis untk aduksi ,sedang otot yg lain mempunyai fungsi primer &
sekunder tergantung posisi bola mata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 59.4pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 468px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Otot</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kevia
primer</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kerja
sekunder</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rektus lateral</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">abduksi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">-</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rektus medial</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">abduksi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">-</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rektus superior</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">elavasi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aduksi,intorsi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rektus inferior </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">depresi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aduksi,ekstorsi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oblik superior</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">depresi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intorsi,abduksi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oblik inferior</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">elavasi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ekstorsi,abduksi</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoBodyText" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoBodyText" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pergerakan dua bola mata (Binokuler) :</span></div>
<div class="MsoList2" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level2 lfo43; tab-stops: list 54.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Hukum
Hering</span></div>
<div class="MsoList2" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 0cm;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pada setiap arah
gerakan mata secara sadar ,maka otot2 yg berpasangan akan terdapat sejumlah
rangsangan dalam jumlah yg sama </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">besr sehingga menghasilkan
gerakan yg tepat & lancer.</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"></span></div>
<div class="MsoList2" style="line-height: 150%; margin-left: 54.0pt; mso-list: l42 level2 lfo43; tab-stops: list 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Yoke
</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Muscles</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoList2" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada setiap gerakan mata yang
terkoordinir ,otot dari satu mata akan berpasaangan </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">dengan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> otot mata yang lain
untuk menghasilkan gerakan mata dalam 6 arah kordinal</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ganguan pergerakan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bila terdapat satu atau
lebih otot mata yang tidak dapat mengimbabgi gerakan otot mata lainnya maka
akan terjadi gangguan keseimbangan gerakan mata sumbu penglihatan akan
menyilan<span style="mso-spacerun: yes;"> </span>mata menjadi
strabismus,diplopia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l40 level1 lfo47; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tonus
yang berlebihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l40 level1 lfo47; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Paretic
/paralitic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l40 level1 lfo47; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hambatan
mekanik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aspek
Sensorik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
penglihatan binokuler yanag normal bayangan dari objek yang menjadi perhatian
jatuh pada kedua fovea mata, impuls akan berjalan sepanjang optic pathway
menuju cortex talis dan diterima sebagai bayangan tunggal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ETIOLOGI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Keturunan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">“Genetik
Pattern”nya belum diketahui dengan pasti, tetapi akibatnyasudah jelas. Bila
orang tua yang menderita strabismus dengan operasi berhasil baik, maka bila
anaknya menderita strabismus dan operasi akan berhasil baik pula.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan Anatomi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan
otot ekstraokuler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l2 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Over
development</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l2 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Under
development</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l2 level2 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan
letak insertio otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan
pada “vascial structure”</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adanya kelaian hubungan
vascial otot-otot ekstraokuler dapat menyebabkan penyimpangan posisi bola mata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan
dari tulang-tulang orbita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan pembentukan
tulang orbita menyebabkan bentuk dan orbital abnormal, sehingga menimbulkan
penyimpangan bola mata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kelainan
pada saraf pusat yang tidak bisa mensintesa rangsangan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Fovea
tidak dapat menangkap bayangan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kelainan
kwantitas stimulus pada otot bola mata.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan Sensoris</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Defect yang mencegah
pembentukan bayangan di retina dengan baik, antara lain :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.45pt; mso-add-space: auto; mso-list: l49 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kekeruhan
media</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.45pt; mso-add-space: auto; mso-list: l49 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lesi
di retina</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.45pt; mso-add-space: auto; mso-list: l49 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ptosis
berat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.45pt; mso-add-space: auto; mso-list: l49 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anomali
refraksi (terutama yang tidak terkoreksi)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l46 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan Inervasi</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
proses transisi dan persepsi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan ini menyebabkan
tidak berhasilnya proses fusi.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
inervasi motorik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l34 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Insufficiency
atau escessive tonik inervation dari bagian supra nuklear</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l34 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Insufficiency
atau exessive inneration dari salah satu atau beberapa otot.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">KLASIFIKASI</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Arah Deviasi</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Exotropia
(Strabismus Divergen)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l48 level1 lfo18; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Frekuensi
lebih sedikit daripada esotropia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l48 level1 lfo18; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sering
suatu exotropia dimulai dari exoforia yang kemudian mengalami progresifitas
menjadi intermittent exotopia yang pada akhirnya menjadi exotropia yang
konstan, bila tidak diberi pengobatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l48 level1 lfo18; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Paling
sering terjadi monokuler, tetapi mungkin pula alternating.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l48 level1 lfo18; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengobatan
: tergantung penyebabnya, yang sering kasus ini memerlukan tindakan operasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l31 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l31 level2 lfo28; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Non
Paralytic (Comitant)</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Non
Akomodatif Esotropia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dibagi
menjadi :</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia
Infantil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Paling sering dijumpai.
Sesuai kesepakatan agar memenuhi syarat batasan, maka terjadinya esotropia
harus sebelum umur 6 bulan. Penyebab belum diketahui secara pasti.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia
Didapat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 120.5pt; mso-add-space: auto; mso-list: l27 level4 lfo22; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia
Dasar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 120.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Timbulnya pada masa
anak-anak, tetapi tidak ada faktor akomodasi. Sudut strabismusnya mula-mula
lebih kecil daripada esotropia kongenital tetapi akan bertambah besar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 120.5pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 120.5pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 120.5pt; mso-add-space: auto; mso-list: l27 level4 lfo22; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia
Miopia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 120.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Timbulnya pada orang
dewasa muda dan ada diplopia untuk memandang jauh, yang lambat laun akan untuk
memandang dekat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda
klinik :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l32 level3 lfo21; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
yang monokuler : anomali refraksinya sering lebih menyolok pada satu mata
(anisometropia). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l32 level3 lfo21; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
yang alternating : anomali refraksinya hampir sama pada kedua mata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengobatan
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l47 level1 lfo23; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oklusi
: tujuannya adalah menyamakan visus kedua mata yang ditutup ialah mata yang
baik. Oklusi ini dapat dikombinasikan dengan Orthoptica untuk mengembagkan
fungsi binokuler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 106.35pt; mso-add-space: auto; mso-list: l47 level1 lfo23; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l15 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Akomodatif
Esotropia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terjadi bila ada
mekanisme akomodasi fisiologis yang normal, tetapi ada divergensi fusi relatif
yang kurang untuk mempertahankan mata supaya tetap lurus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ada 2 mekanisme
patofisiologi yang terjadi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hiperophia
tinggi yang memerlukan akomodasi kuat agar bayangan menjadi jelas, sehingga
timbul esotropia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rasio
KA/A yang tinggi, yang mungkin disertai kelaina refraksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kedua mekanisme ini dapat
timbul pada satu penderita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l28 level1 lfo24; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia
akomodatif karena hiperophia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hiperophia ini khas,
timbulnya pada usia 2-3 tahun, tetapi dapat juga terjadi pada bayi / usia yang
lebih tua</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l28 level1 lfo24; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Esotropia
akomodatif karena rasio KA/A yang tinggi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terjadi reaksi knvergensi
abnormal sewaktu sinkinesis dekat. Kelainan refraksinya mungkin bukan
hiperophia, meskipun sering ditemukan hiperophia sedang. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Karena penyebabnya
hypermetropia, maka pengobatannya adalah kacamata. Bila pengobatan ditunda
sampai dari 6 bulan dari onsetnya, sering terjadi amblypobia. Untuk amblypobia
pengobatannya dengan oklusi terlebih dahulu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l15 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kombinasi
Keduanya</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Paralytic
(Non-Comitant)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l15 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
strabismus selalu ada salah satu / lebih otot ekstra okuler yang paralitik dan
otot yang paralitik selalu salah satu otot rectus lateral, biasanya sebagai
akibat paralisis syaraf abdusen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l15 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyebabnya
:</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dewasa
: CVA, Tumor (CNS, Nasopharyng), Radang CNS (Central Nervous System), Trauma.</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bayi
atau anak-anak : trauma kelahiran, kelainan kongenital.</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengobatan
:</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi
pada parese yang permanen</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
orang dewasa yang mengalami strabismus tiba-tiba, karena trauma dapat ditunggu
sampai ± 6 bulan, karena kemungkinan ada perbaikan sendiri. Selama periode ini
dapat dilakukan oklusi pada mata yang paralitik untuk menghindari diplopia.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hypotropia
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Deviasi satu mata kebawah
yang nyata dengan pemberian nama deviasi vertical </span><span lang="DE" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">berdasarkan</span><span lang="DE" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="DE" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">kedudukan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> mata mana yang lebih tinggi tanpa
memperhitungkan penyakit spesifik yang menyebabkan arah pandangan satu mata ke bawah
(juling ke bawah).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l31 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hypertropia
: juling ke atas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Deviasi satu mata keatas
yang nyata</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyebab :</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelainan
anatomi congenital</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pelekatan pita fibrosa abnormal</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l30 level1 lfo41; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Cidera ke</span><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">pala
tertutup</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l30 level1 lfo41; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tumor orbita,</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">kerusakan batang otak</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">dan penyakit sistemik seperti miastemia gravis ,sklerosis
multiple</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">dan penyakit grave</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Manifestasinya</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Heterotropia
: strabismus manifes (sudah terlihat)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Suatu
keadaan penyimpangan sumbu bola mata yang nyata dimana kedua penglihatan tidak
berpotongan pada titik fikasasi</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Penyebab</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Herediter</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l9 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Anatomik</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kelainan refraksi</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l9 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kelainan persyarafan,</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">sensorimotorik</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kombinasi
factor diatas</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Heterophoria
: strabismus laten (belum terlihat jelas)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Penyimpangan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
sumbu penglihatan yang tersembunyi yang masih dapat diatasi dengan reflek fusi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l22 level2 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Sudut Deviasi</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Comitant
Strabismus : sudut deviasi tetap konstan pada berbagai posisi</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Non
Comitant Strabismus : sudut deviasi tidak sama, pada kebanyakan kasus
disebabkan kelumpuhan otot ekstraokuler, karenaya sering disebut <i style="mso-bidi-font-style: normal;">“paralytic strabismus”.</i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l22 level2 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Kemampuan Fiksasi Mata</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Unilateral
Strabismus : bila suatu mata yang berdeviasi secara konstan</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alternating
Strabismus : bila kedua mata berdeviasi secara bergantian</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l22 level2 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Waktu Berlangsungnya Strabismus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Permanent
: mata tampak berdeviasi secara konstan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
keadaan tertentu misalnya lelah, demam, dll. Mata kadang-kadang tampak
berdeviasi, kadang-kadang normal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l22 level2 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sindrome
“A” dan “V”</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
pola “A” terlihat lebih banyak esodeviasi / lebih sedikit exodeviasi pada
pandangan keatas dibandingkan dengan pandangan ke bawah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pola
“V” menunjukkan lebih sedikit esodeviasi / lebih banyak exodeviasi pada
pandangan ke atas dibandingan dengan pandangan kebawah.</span></div>
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">WOC</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="height: 861px; left: -83px; mso-ignore: vglayout; position: relative; top: 1px; width: 709px; z-index: 251512832;"><img height="860" src="file:///C:/Users/Randy/AppData/Local/Packages/oice_16_974fa576_32c1d314_12a5/AC/Temp/msohtmlclip1/01/clip_image005.gif" width="709" /></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span><span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="39" width="41"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="595" src="file:///C:/Users/Randy/AppData/Local/Packages/oice_16_974fa576_32c1d314_12a5/AC/Temp/msohtmlclip1/01/clip_image006.gif" width="512" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span><span style="mso-ignore: vglayout; position: relative; z-index: 251587584;"><span style="height: 861px; left: -35px; left: 0px; position: absolute; top: -34px; width: 631px;"><img height="861" src="file:///C:/Users/Randy/AppData/Local/Packages/oice_16_974fa576_32c1d314_12a5/AC/Temp/msohtmlclip1/01/clip_image007.gif" width="631" /></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="height: 786px; left: -2px; mso-ignore: vglayout; position: relative; top: 11px; width: 556px; z-index: 251514880;"><img height="775" src="file:///C:/Users/Randy/AppData/Local/Packages/oice_16_974fa576_32c1d314_12a5/AC/Temp/msohtmlclip1/01/clip_image008.gif" width="556" /></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">MANIFESTASI KLINIS</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mata
lelah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sakit
kepala</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penglihatan
kabur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ambliopia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Fiksasi
silang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipermetropi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diplopia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hyperopia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l19 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Deviasi
pada mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMERIKSAAN
DIAGNOSTIK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">E-chart
/ Snellen Chart</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan dengan
e-chart digunakan pada anak mulai umur 3 - 3,5 tahun, sedangkan diatas umur 5 –
6 tahun dapat digunakan Snellen chart.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
anak dibawah 3 th dapat digunakan cara </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l55 level1 lfo50; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Objektif
dengan optal moschope</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l55 level1 lfo50; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dengan
observasi perhatian anak dengan sekelilingnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l55 level1 lfo50; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dengan
oklusi / menutup cat mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Menentukan anomaly refraksi</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dilakukan retroskopi
setelah antropinisasidengan atropin 0,5 % - 1 %</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Retinoskopi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sampai usia 5 tahun
anomali refraksi dapat ditentukan secara objectif dengan retinoskopi setelah
atropinisasi dengan atropin 0,5 % - 1 %, diatas usia 5 tahun ditentukan secara
subbjektif<span style="mso-spacerun: yes;"> </span>seperti pada orang dewasa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cover
Test : menentukan adanya heterotropia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cover
Uncovertest : menentukan adanya heterophoria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hirsberg
Test</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan reflek cahaya
dari senter pada permukaan kornea.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cara :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l45 level2 lfo51; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penderita
melihat lurus ke depan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l45 level2 lfo51; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Letakkan
sebuah senter pada jarak 1/3 m = 33 cm di depan setinggi kedua mata pederita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l45 level2 lfo51; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perhatika
reflek cahaya dari permukaan kornea penderita.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Prisma
+ cover<span style="mso-spacerun: yes;"> </span>test</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengubah
arah optic garis pandang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uji
Krimsky</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengukur sudut deviasi
pada juling dengan meletakkan ditengah cahaya refleks kornea dengan prisma.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Pemeriksaan gerakan mata</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l51 level1 lfo52; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
pergerakan monokuler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Satu mata ditutup dan
mata yang lainnya mengikuti cahaya yang digerakkan kesegala arah
pandangan,sehingga adanya kelemahan rotasi dapat diketahui .kelemahan seperti
ini biasanya karena para usis otot atau karena kelainan mekanik anatomic.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l51 level1 lfo52; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
pergerakan binokuler </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada tiap-tiap mata
,bayangan yang ditangkap oleh fovea secara subjektif terlihat seperti terletak
lurus didepan .apabila ada 2 objek yang berlainan ditangkap oleh 2 fovea ,kedua
objek akan terlihat seperti terletak lurus didepan .apabila ada 2 objek akan
terlihat saling tindih,tetapi jika ada ketidak samaan menyebabkan fusi tidak
memberikan kesan tunggal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENATALAKSANAAN</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l50 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Orthoptic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l8 level1 lfo53; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oklusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mata yang sehat ditutup
dan diharuskan melihat dengan mata yang ambliop.oklusi sebagian juga harus bisa
dilakukan dengan membrane plastik, pita, lensa, atau mata ditutup dengan
berbagai cara.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l8 level1 lfo53; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pleotic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l8 level1 lfo53; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Obat-obatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l8 level1 lfo53; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latihan
dengan synoptophone</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l50 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memanipulasi akomodasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l50 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lensa
plus / dengan miotik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurunkan beban
akomodasi dan konvergensi yang menyertai</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l50 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lensa
minus dan tetes siklopegik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Merangsang akomodasi pada
anak-anak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l50 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penutup
Mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
anak menderita </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">strabismus</span></strong><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> dengan </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">ambliopia</span></strong><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">, dokter akan merekomendasikan untuk </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">melatih mata yang lemah</span></strong><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
dengan cara </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">menutup</span></strong><strong><span style="font-size: 12.0pt; line-height: 150%;"> </span></strong><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">mata yang normal</span></strong><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
dengan </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">plester mata khusus (eye patch)</span></strong><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">. Penggunaan plester mata </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">harus dilakukan sedini mungkin</span></strong><span class="contentstd"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></b></span><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">dan </span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">mengikuti
petunjuk dokter</span></strong><span class="contentstd"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">. Sesudah berusia
8 tahun biasanya dianggap terlambat karena<b style="mso-bidi-font-weight: normal;">
</b></span></span><strong><span style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">penglihatan yang terbaik
berkembang sebelum usia 8 tahun</span></strong><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Prisma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l50 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Suntikan
toksin botulin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l50 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operatif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l57 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Recession
: memindahkan insersio otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l57 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Resertion
: memotong otot ekstraokuler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l58 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">KOMPLIKASI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Supresi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Usaha
yang tidak disadari dari penderita untuk menghindari diplopia yang timbul
akibat adanya deviasinya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Amblyopia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurunnya
visus pada satu atau dua mata dengan atau tanpa koreksi kacamata dan tanpa
adanya kelainan organiknya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anomalus
Retinal Correspondens</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Suatu
keadaan dimana favea dari mata yang baik (yang tidak berdeviasi) menjadi sefaal
dengan daerah favea dari mata yang berdeviasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Defect
otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan-perubahan
sekunder dari striktur konjungtiva dan jaringan fascia yang ada di sekeliling
otot menahan pergerakan normal mata.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adaptasi
posisi kepala</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keadaan
ini dapat timbul untuk mengindari pemakaian otot yang mengalami efecyt atau
kelumpuhan untuk mencapai penglihatan binokuler. Adaptasi posisi kepala
biasanya kearah aksi dari otot yang lumpuh.</span></div>
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 16.0pt; line-height: 150%;">DAFTAR PUSTAKA</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 128.25pt; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Brunner & Suddarth. 2001. <i style="mso-bidi-font-style: normal;">Keperawatan Medikal Bedah. </i>Jakarta : EGC</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Doenges, Marilyyn E. 2000. <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan. </i>Jakarta :
EGC</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://www.anakku.net/forum/mata-julingstrabismus"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.anakku.net/forum/mata-julingstrabismus</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://www.babyshare.wordpress.com/2008/06/01/strabismus-mata-juling/"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.babyshare.wordpress.com/2008/06/01/strabismus-mata-juling/</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://www.jec-online.com/"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.jec-online.com</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://www.klikdokter.com/"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.klikdokter.com</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://www.klinikmatanusantara.com/"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.klinikmatanusantara.com</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://lensaprofesi.blogspot.com/"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.lensaprofesi.blogspot.com</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://www.optiknisna.info/strabismus-memandang-tak-bisa-lurus.html"><span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 150%;">http://www.optiknisna.info/strabismus-memandang-tak-bisa-lurus.html</span></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ilyas, Sidarta. 2001. <i style="mso-bidi-font-style: normal;">Ilmu Penyakit Mata.</i> Jakarta : FKUI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kuncoro. <i>Fungsi Sensorineural</i>,
Unit 14.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Linda Jual, Carpenito. 1987. <i>Buku
Diagnosa Keperawatan</i><i style="mso-bidi-font-style: normal;"> Edisi 6</i>.
Jakarta : Buku Kedokteran. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Radjamin, Tamin. 1984. <i style="mso-bidi-font-style: normal;"><span style="mso-spacerun: yes;"> </span>Ilmu
Penyakit Mata. </i><span style="mso-spacerun: yes;"> </span>Surabaya : Airlangga
University Press.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Vaughan, Daniel. 1995. <i style="mso-bidi-font-style: normal;"><span style="mso-spacerun: yes;"> </span>Oftalmologi Umum. </i><span style="mso-spacerun: yes;"> </span>Jakarta : Medika</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 16.0pt; line-height: 150%;">LAPORAN KASUS</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DATA UMUM</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nama<span style="mso-tab-count: 1;"> </span>: Tn. M</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-tab-count: 1;"> </span>: 18 tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis
kelamin<span style="mso-tab-count: 1;"> </span>: Laki-laki</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alamat<span style="mso-tab-count: 1;"> </span>: Ds. Sugih Waras</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pekerjaan<span style="mso-tab-count: 1;"> </span>: Buruh Tani</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Status<span style="mso-tab-count: 1;"> </span>: Belum kawin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l14 level1 lfo4; mso-text-indent-alt: -14.2pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DATA DASAR</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keluhan
Utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
mengeluh matanya sering merasa lelah dan penglihatannya berkurang. </span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
Penyakit Sekarang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
mengatakan akhir-akhir ini dirinya susah memfokuskan penglihatannya dan klien
merasa susah jika melihat sesuatu pada jarak dekat. Keluarga mengatakan bahwa
mata klien seperti juling kedalam. Klien juga sering merasa nyeri pada mata
ketika memaksakan waktu melihat jarak dekat. Klien mengatakan malu atas
penyakit yang dideritanya.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
Penyakit Dahulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
mengatakan bahwa dirinya sejak kecil susah melihat dengan jarak dekat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
Penyakit Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien mengatakan bahwa
tidak ada keluarga yang menderita penyakit yang sama.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
Pengobatan Sebelumnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
tidak pernah memeriksakan matanya dan tidak pernah memakai kacamata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold;">Riwayat Psikososial</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Hubungan pasien dengan keluarga, perawat dan orang lain
baik. Pasien kooperatif terhadap tindakan keperawatan dan tindakan pengobatan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l14 level1 lfo4; mso-text-indent-alt: -14.2pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMERIKSAAN FISIK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keadaan
Umum</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Baik,
kesadaran composmentis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l31 level2 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Koordinasi
gerak bagus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l31 level2 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
tampak gelisah, sulit mengidentifikasi benda di sekitarnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l31 level2 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
tampak menyeringai dan mengatakan sakit, klien memegangi matanya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
psikososial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l36 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
terlihat menarik diri, apatis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l36 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Emosi
labil, gampang marah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l36 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bertanya
tentang penyakitnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
head to toe</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l35 level3 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepala
dan leher</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bentuk
kepala simetris</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keadaan
kulit bersih, lembab, tidak pucat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak
ada lesi dan tonjolan pada kulit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mata
tidak simetris, OS menyimpang ke dalam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak
ada pembesaran vena jugularis dan kelenjar getah bening</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
tampak mengedip-ngedipkan matanya setiap berusaha memfokuskan pandangan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level2 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Hidung simetris, tidak ada hipersekresi, dan kepatenannya
baik.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l35 level3 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Thoraks</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">RR
20 x/mnt, reguler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bentuk
dada simetris</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri
dada tidak ada</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bunyi
perkusi paru resonan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Suara
nafas vesikuler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ekspansi
dada maksimal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nadi
88 x/mnt, reguler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l38 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">TD
120/80 mm Hg</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l35 level3 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Abdoment</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l17 level1 lfo38; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak
ada tonjolan dan lesi pada perut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l17 level1 lfo38; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kulit
bersih, lembab</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l17 level1 lfo38; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perkusi
suara timpani</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l17 level1 lfo38; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bising
usus 8 x/mnt</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l35 level3 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ekstremitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-border-between: .5pt solid windowtext; mso-list: l53 level1 lfo39; mso-padding-between: 1.0pt; mso-padding-top-alt: 0cm; padding-top: 1.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tonus
otot dalam batas normal</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 63.8pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 18.75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.75pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border: none; height: 18.75pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4</span></div>
</td>
</tr>
<tr style="height: 18.75pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-right: solid windowtext 1.0pt; border: none; height: 18.75pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4</span></div>
</td>
<td style="border: none; height: 18.75pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-border-between: .5pt solid windowtext; mso-padding-between: 1.0pt; mso-padding-top-alt: 0cm; padding-top: 1.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l53 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak
ada tonjolan atau lesi di kulit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l53 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Akral
hangat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l53 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">CRT
< 2 detik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l14 level2 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Penunjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l58 level2 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cover
test : OS bergulir ke temporal untuk memfiksasi pada saat tertutup</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l58 level2 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cover
Uncover Test : pada saat okluder dilepas, OS bergulir ke temporal untuk
fiksasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l58 level2 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hisberg
test : satu refleks cahaya jatuh tepat di pinggir pupil. Besar penyimpangan ±
15º</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l58 level2 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengindraan
:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 19.35pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 19.35pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Pemeriksaan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 19.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">OD</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 19.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">OS</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Visus</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Gerakan bola
mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Segmen
anterior :</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Palpebra</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Konjunctiva</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Kornea</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Pupil</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Lensa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Segmen
posterior :</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Retina</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Lain-lain</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">6/40</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Simetris</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Bleparospasme
tidak ada</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Hiperemi tidak
ada</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Kuning
kecoklatan</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Iris shadow +</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Agak keruh</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Tidak ada tear,
hole, blast</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Lapang pandang
kabur relatif</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">1/300</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Simetris</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Bleparospasme
tidak ada</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Hiperemi tidak
ada</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Kuning
kecoklatan</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Iris shadow –</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Keruh</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Tidak ada tear,
hole, blast</span></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Kabur seluruh
lapang pandang</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l14 level1 lfo4; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ANALISA DATA</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 21.3pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.4pt;" width="178">
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Analisa Data</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" width="178">
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Etiologi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" width="178">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Masalah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.4pt;" valign="top" width="178">
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DS
: Klien mengatakan penglihatannya berkurang dan tidak fokus, susah melihat
pada jarak dekat.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DO
:</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">OD
: visus 2,5 Dgerakan bola mata tidak simetris,lapang pandang kabur. </span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">OS
: visus 2,5 D, <span style="mso-spacerun: yes;"> </span>lapang pandang kabur,
Cover Test bergulir ke temporal, Cover Uncover Test bergulir ke temporal.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Strabismus</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kehiangan
persepsi jarak, ukuran dan kedalaman</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan
persepsi sensori : penglihatan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan persepsi sensori : penglihatan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.4pt;" valign="top" width="178">
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DS
: Klien mengatakan sering merasa nyeri terutama ketika berusaha melihat pada
jarak dekat.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DO
:</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; mso-list: l35 level5 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Klien
tampak mengedipkan matanya setiap berusaha memfokuskan pandangan</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; mso-list: l35 level5 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">TTV
: RR: 20 x/mnt</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">TD: 120/80mmHg</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Nadi: 88 x/mnt</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Suhu: 36,5 ºC </span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; mso-list: l35 level5 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Klien
gampang marah, emosi labil</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 14.15pt; mso-list: l35 level5 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Klien
tampak menyeringai dan mengatakan sakit, klien memegangi matanya.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Daya
akomodasi mata ↑</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terus-menerus,
tidak dikoreksi</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyimpangan
otot mata</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">strabismus</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tidak
dikoreksi</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">TIO
↑</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Nyeri</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan
rasa nyaman : Nyeri</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan rasa nyaman : Nyeri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.4pt;" valign="top" width="178">
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DS
: Klien mengatakan malu atas penyakit yang dideritanya</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DO
: Klien terlihat menarik diri, apatis, Emosi labil, gampang marah</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">strabismus</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan
fungsi dan struktur mata</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perasaan
negatif terhadap diri sendiri</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
harga diri</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan harga diri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.4pt;" valign="top" width="178">
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DS
: klien mengatakan tidak mengetahui kelainan pada matanya dan tidak pernah
memeriksakan matanya.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DO:
klien banyak bertanya tentang penyakitnya, klien tampak gelisah, klien tidak
memakai kacamata.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">hipermetropi</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Akomodasi
mata ↑</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terus
menerus, tidak dikoreksi</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Penyimpangan
bola mata</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">strabismus</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak
dikoreksi</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kurang
pengetahuan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kurang Pengetahuan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.4pt;" valign="top" width="178">
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DS
: Klien mengatakan penglihatannya berkurang dan tidak fokus, susah melihat
pada jarak dekat dan klien mengatakan tidak pernah memeriksakan matanya</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">DO
: Klien tampak gelisah, sulit mengidentifikasi benda di sekitarnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">OD
: visus 2,5 Dgerakan bola mata tidak simetris,lapang pandang kabur. </span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">OS
: visus 2,5 D, <span style="mso-spacerun: yes;"> </span>lapang pandang kabur,
Cover Test bergulir ke temporal, Cover Uncover Test bergulir ke temporal</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Strabismus</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pandangan
mata kabur</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kehilangan
persepsi jarak, ukuran, kedalaman</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Disorientasi
lingkungan</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">↓</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Resiko
cidera</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.55pt;" valign="top" width="178">
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Resiko Cidera</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l14 level1 lfo4; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DIAGNOSA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; mso-list: l25 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
persepsi sensori : penglihatan b/d hilangnya persepsi jarak, ukuran, dan
kedalaman yang ditandai dengan penglihatan berkurang dan tidak fokus, susah
melihat pada jarak dekat. OD : visus 2,5 Dgerakan bola mata tidak
simetris,lapang pandang kabur. OS : visus 2,5 D, <span style="mso-spacerun: yes;"> </span>lapang pandang kabur, Cover Test bergulir ke
temporal, Cover Uncover Test bergulir ke temporal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; mso-list: l25 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
rasa nyaman : Nyeri b/d peningkatan TIO yang ditandai dengan Klien mengatakan
sering merasa nyeri terutama ketika berusaha melihat pada jarak dekat. Klien
tampak mengedipkan matanya setiap berusaha memfokuskan pandangan. TTV : RR: 20
x/mnt, TD: 120/80mmHg, Nadi: 84 x/mnt, Suhu: 36,5 ºC K, gampang marah, emosi
labil, lklien tampak menyeringai dan mengatakan sakit, klien memegangi matanya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 35.45pt; mso-list: l25 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
harga diri b/d perubahan fungsi dan struktur mata yang ditandai dengan klien
mengatakan malu atas penyakit yang dideritanya, klien terlihat menarik diri,
apatis, emosi labil, gampang marah.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l25 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kurang
pengetahuan b/d kurangnya pajanan informasi yang ditandai dengan klien
mengatakan memeriksakan dirinya, klien banyak bertanya tentang penyakitnya, klien
tampak gelisah, klien tidak memakai kacamata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l25 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Resiko
cedera b/d hilangnya persepsi jarak, ukuran dan kedalaman yang ditandai dengan klien
mengatakan penglihatannya berkurang dan tidak fokus, susah melihat pada jarak
dekat dan klien mengatakan tidak pernah memeriksakan matanya klien tampak
gelisah, sulit mengidentifikasi benda di sekitarnya, OD : visus 2,5 Dgerakan
bola mata tidak simetris,lapang pandang kabur. OS : visus 2,5 D, <span style="mso-spacerun: yes;"> </span>lapang pandang kabur, Cover Test bergulir ke
temporal, Cover Uncover Test bergulir ke temporal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l14 level1 lfo4; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">INTERVENSI</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
: Gangguan sensori penglihatan b/d lapang pandang yang menurun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
panjang : setelah dilakukan perawatan selama 2x24 jam diharapkan tidak terjadi cedera
yang dapat menyebabkan infeksi maupun komplikasi penyakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
pendek : pandangan klien tidak begitu kabur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kriteria
Hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien berpartisipasi dalam pengobatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak terjadi kehilangan ketajaman penglihatan
lebih lanjut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengenal gangguan sensori dan
berkompensasi terhadap perubahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak terjadi infeksi ataupun komplikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bina
hubungan saling percaya dengan cara mengobrol dengan klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: menjalin hubungan
yang meyakinkan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tentukan
ketajaman penglihatan, catat apakah satu atau kedua mata terlibat dengan
menggunakan snellen chart</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: -24.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/:
perkembangan penurunan visus mata berbeda sehingga dapat menentukan bagian mata
yang ditangani lebih dulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Berikan patch mata pada klien.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Membantu memfokuskan pandangn klien.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Motivasi klien untuk latihan melihat dengan menggunakan
patch mata.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Membiasakan klien, membantu mengurangi derajat deviasi
bola mata.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Observasi
tanda dan gejala disorientasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: dapat meningkatkan
kecemasan dan resiko cedera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ingatkan
klien menggunakan kacamata katarak dan tetes mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: untuk mempertajam
penglihatan dan penurunan resiko infeksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kolaborasi
dalam pemberian obat medriasis (atropine, skopalamin).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: mempercepat
penyembuhan dan memastikan ketepatan terapi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
: Gangguan rasa nyaman nyeri b/d peningkatan TIO</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
panjang : setelah diakukan perawatan selama 2x24 jam TIO berkurang sehingga
nyeri terkontrol</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
pendek : klien menyatakan nyeri berkurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kriteria Hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien tampak tenang dan tidak gelisah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien menyatakan nyeri berkurang /
terkontrol</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l40 level2 lfo47; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kaji skala nyeri (1-10) </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>R/: membantu menentukan tindakan perawatan
yang tepat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l40 level2 lfo47; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anjurkan klien istirahat dalam ruangan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: -24.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>R/: ketenangan dapat meningkatkan kenyamanan
dan waktu istirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l40 level2 lfo47; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">P</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">osisikan fowler</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>R/: meningkatkan kenyamanan</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l40 level2 lfo47; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IT" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Kolaborasi</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
dalam </span><span lang="IT" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">pemberian obat anti nyeri</span><span lang="IT" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
</span><span lang="IT" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">(analgesik)</span><span lang="IT" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">dan
pemberian obat mual (anti emetik)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>R/: mempercepat penyembuhan dan memastikan
ketepatan terapi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
: Gangguan harga diri b/d perubahan fungsi dan struktur mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
panjang : </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Setelah mendapatkan
tindakan keperawatan dalam waktu 2x24 jam diharapkan klien mampu mengembalikan
konsep diri yang stabil.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
pendek : klien kembali memiliki kepercayaan diri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kriteria Hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien tampak tenang dan tidak gelisah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien tidak menarik diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien kembali bergaul dengan lingkungan
sekitar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l43 level1 lfo59; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Memberikan perhatian yang lebih pada klien.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>R/: </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Membantu mengembalikan kepercayaan diri klien</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l43 level1 lfo59; tab-stops: list 18.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tidak
membiarkan klien mengisolasi diri</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>R/: </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Membantu agar klien dapat meningkatkan konsep dirinya</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l43 level1 lfo59; tab-stops: list 18.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Bantu
klien untuk mengekspresikan pikiran</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>R/: </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Membantu klien menyalesaikan masalah yang dialaminya.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l43 level1 lfo59; tab-stops: list 18.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Bantu
klien dalam mengurangi ansietas yang ada.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.35pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/:
</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dengan penurunan ansietas, klien akan merasa bebannya
terkurangi</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
: Kurang pengetahuan b/d kurangnya pajanan informasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
panjang : setelah diakukan perawatan selama 2x24 jam klien bisa melakukan
prosedur yang didinstruksikan dengan benar dan dapat menjelaskan alasan
tindakan tesebut.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
pendek : klien menyatakan pemahamannya terhadap kondisi, prognosis dan
pengobatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kriteria Hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Melakukan instruksi / anjuran dengan
benar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dapat menjawab dan bertanya kepada pemberi
pelayanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aktif dan rutin melakukan pengobatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ingat selalu akan informasi yang didapat
dan dijadikan sebagai ilmu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak melakukan pengobatan diluar nalar
(seperti ke dukun, dll).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IT" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Memberi info secara lisan pada<span style="mso-spacerun: yes;"> </span>klien dan keluarga.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: info lisan lebih
mudah diingat dan keluarga bisa mengingatkan jika klien lupa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diskusi
dengan klien, menanyakan pengetahuan klien tentang penyakitnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: mengetahui tingkat
pengetahuan da penurunan resiko menerima obat yang dikontraindikasikan (dari
tempat kebiasaanya berobat).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tunjukkan
cara yang benar tentang cara pemberian obat seperti tetes mata / salep mata.
Izinkan klien mengulang tindakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: meningkatkan
keefektifan pengobatan. Memberikan kesempatan kepada klien untuk menunjukkan
kompetensi dirinya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dorong
klien merubah pola hidup menjadi lebih sehat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: pola hidup sehat
membuat hidup lebih tenang, jauh dari infeksi tambahan dan menurnkan respon
emosi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tekankan
periksa rutin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: penting untuk
mengawasi perkembangan penyakit dan kemajuan penyembuhan, memungkinkan
intervensi dini, dan mencegah kehilangan penglihatan lebih lanjut.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
: Resiko cedera b/d lapang pandang yang menurun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
panjang : setelah dilakukan perawatan selama 2x24 jam diharapkan tidak terjadi
cedera (kecacatan).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l56 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jangka
pendek : klien tidak mengalami disorientasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kriteria Hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dapat mengenali sumber-sumber bahaya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pola hidup yang melindungi diri dari
cedera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menyatakan pemahaman faktor yang terlibat
dalam kemungkinan cedera.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
:</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beri
posisi yang nyaman bagi klien dan tidak berbahaya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: memberikan kenyamanan
sekaligus menurunkan resiko cedera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batasi
aktivitas pada area yang berbahaya dan area yang silau</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: menekan resiko klien
terjatuh / cedera karena pandangan yang kabur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Observasi
tanda dan gejala disorientasi seperti kebingungan mengenali benda dan situasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: meningkatkan
kecemasan dan resiko cedera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pertahankan
perlindungan mata sesuai indikasi dengan memakai kacamata katarak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: digunakan untuk
mencegah dan melindungi dari cedera kecelakaan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kolaborasi
dalam pemberian obat.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">R/: mempercepat penyembuhan dan
memastikan ketepatan terapi</span></div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-32085021924989420132016-06-13T00:00:00.000-07:002016-06-13T02:03:48.395-07:00LAPORAN PENDAHULUAN TUBERKULOSIS PARU PADA ANAK<!--[if !mso]>
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<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="52"
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<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="52"
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<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
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<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
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<w:LsdException Locked="false" Priority="52"
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<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
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<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
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<w:LsdException Locked="false" Priority="52"
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<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
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<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
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<w:LsdException Locked="false" Priority="52"
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</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
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mso-style-noshow:yes;
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mso-ascii-font-family:Calibri;
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mso-hansi-theme-font:minor-latin;
mso-ansi-language:EN-US;
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<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1103"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
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<br />
<div class="WordSection1">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 14.0pt; line-height: 150%;">LAPORAN
PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 14.0pt; line-height: 115%;">TUBERKULOSIS
PARU PADA ANAK</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">KONSEP DASAR PENYAKIT</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengertian</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tuberculosis
paru adalah penyakit infeksi yang disebabkan oleh mycobacterium tuberculosis
dengan gejala yang sangat bervariasi. (Mansjoer, 1999)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tuberculosis
paru adalah penyakit yang disebabkan oleh mycobacterium tuberculosis yang
biasanya ditularkan melalui inhalasi percikan ludah (droplet), orang ke orang
dan mengkolonisasi bronkiolus atau alveolus. (Corwin, 2001)</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 35.45pt; text-indent: 1.0cm;">
<span lang="EN-GB">Tuberculosis paru adalah : penyakit
infeksius terutama menyerang parenchim paru dapat juga ditularkan ke bagian
tubuh lain, termasuk meningen, ginjal, tulang, dan nodus limfe.</span><span lang="EN-GB" style="mso-ansi-language: IN;"> </span><span lang="EN-GB">( Brunner
& Suddart</span><span style="mso-ansi-language: IN;">, </span><span lang="EN-GB">2002 )</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tuberculosis
adalah penyakit menular yang disebabkan oleh kuman TBC (Mycobacterium Tuberculosis).
Sebagian besar kuman TBC menyerang paru, tetapi juga dapat mengenai organ tubuh
lainnya.</span><br />
<a name='more'></a></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 35.45pt; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Anatomi
dan Fisiologi Paru-Paru</span></b></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Anatomi Paru-paru</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Paru-paru terletak sedemikian rupa sehingga setiap
paru-paru berada di samping mediastinum. Oleh karenanya, masing-masing
paru-paru dipisahkan satu sama lain oleh jantung dan pembuluh-pembuluh besar
serta struktur-struktur lain dalam mediastinum. Masing-masing paru-paru
berbentuk konus dan diliputi oleh pleura viseralis. Paru-paru terbenam bebas
dalam rongga pleuranya sendiri, dan hanya dilekatkan ke mediastinum oleh radiks
pulmonalis. Masing-masing paru-paru mempunyai apeks yang tumpul, menjorok ke
atas dan masuk ke leher sekitar 2,5 cm di atas klavikula. Di pertengahan
permukaan medial, terdapat hilus pulmonalis, suatu lekukan tempat masuknya
bronkus, pembuluh darah dan saraf ke paru-paru untuk membentuk radiks
pulmonalis.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Paru-paru kanan sedikit lebih besar dari paru-paru
kiri dan dibagi oleh fisura oblikua dan fisura horisontalis menjadi 3 lobus, yaitu
lobus superior, medius dan inferior. Sedangkan paru-paru kiri dibagi oleh
fisura oblikua menjadi 2 lobus, yaitu lobus superior dan inferior. </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Setiap bronkus lobaris, yang berjalan ke lobus
paru-paru, mempercabangkan bronkus segmentalis. Setiap bronkus segmentalis yang
masuk ke lobus paru-paru secara struktural dan fungsional adalah independen,
dan dinamakan segmen bronkopulmonalis. Segmen ini berbentuk piramid, mempunyai
apeks yang mengarah ke radiks pulmonalis dan basisnya mengarah ke permukaan
paru-paru. Tiap segmen dikelilingi oleh jaringan ikat, dan selain bronkus juga
diisi oleh arteri, vena, pembuluh limfe dan saraf otonom.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Asinus adalah unit respiratori fungsional dasar,
meliputi semua struktur dari bronkhiolus respiratorius sampai ke alveolus. Dalam
paru-paru manusia, terdapat kira-kira 130.000 asini, yang masing-masing terdiri
dari tiga bronkhiolus respiratorius, tiga duktus alveolaris dan 17 sakus
alveolaris.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Alveolus adalah kantong udara terminal yang
berhubungan erat dengan jejaring kaya pembuluh darah. Ukurannya bervariasi,
tergantung lokasi anatomisnya, semakin negatif tekanan intrapleura di apeks,
ukuran alveolus akan semakin besar. Ada dua tipe sel epitel alveolus. Tipe I
berukuran besar, datar dan berbentuk skuamosa, bertanggungjawab untuk
pertukaran udara. Sedangkan tipe II, yaitu pneumosit granular, tidak ikut serta
dalam pertukaran udara. Sel-sel tipe II inilah yang memproduksi surfaktan, yang
melapisi alveolus dan mencegah kolapnya alveolus.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi pulmonal memiliki aliran yang tinggi
dengan tekanan yang rendah (kira-kira 50 mmHg). Paru-paru dapat menampung
sampai 20% volume darah total tubuh, walaupun hanya 10% dari volume tersebut
yang tertampung dalam kapiler. Sebagai respon terhadap aktivitas, terjadi
peningkatan sirkulasi pulmonal. Yang paling penting dari sistem ventilasi
paru-paru adalah upaya terus menerus untuk memperbarui udara dalam area
pertukaran gas paru-paru. Antara alveoli dan pembuluh kapiler paru-paru terjadi
difusi gas yang terjadi berdasarkan prinsip perbedaan tekanan parsial gas yang
bersangkutan.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sebagian udara yang dihirup oleh seseorang tidak
pernah sampai pada daerah pertukaran gas, tetapi tetap berada dalam saluran
napas di mana pada tempat ini tidak terjadi pertukaran gas, seperti pada
hidung, faring dan trakea. Udara ini disebut udara ruang rugi, sebab tidak
berguna dalam proses pertukaran gas. Pada waktu ekspirasi, yang pertama kali
dikeluarkan adalah udara ruang rugi, sebelum udara di alveoli sampai ke udara
luar. Oleh karena itu, ruang rugi merupakan kerugian dari gas ekspirasi
paru-paru. Ruang rugi dibedakan lagi menjadi ruang rugi anatomik dan ruang rugi
fisiologik. Ruang rugi anatomik meliputi volume seluruh ruang sistem pernapasan
selain alveoli dan daerah pertukaran gas lain yang berkaitan erat. Kadang-kadang
sebagian alveoli sendiri tidak berungsi atau hanya sebagian berfungsi karena
tidak adanya atau buruknya aliran darah yang melewati kapiler paru-paru yang
berdekatan. Oleh karena itu, dari segi fungsional, alveoli ini harus juga
dianggap sebagai ruang rugi dan disebut sebagai ruang rugi fisiologis. </span></div>
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<span style="font-family: "times new roman" , "serif";">Gambar
1. Anatomi Paru-paru</span></div>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh60dZ3PH3gPuSydM1TM9jwoLkd9OGXd_yd4_niXcDUOwdTqUJtm1x32McNLHDb5nMw894ATKsauH89oImEo7Mim6iNFPUqkyx8IPZoAnfpVSwDLa60qmlrh8OFaqBYHn4s99CdvjNbmv8/s1600/1.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh60dZ3PH3gPuSydM1TM9jwoLkd9OGXd_yd4_niXcDUOwdTqUJtm1x32McNLHDb5nMw894ATKsauH89oImEo7Mim6iNFPUqkyx8IPZoAnfpVSwDLa60qmlrh8OFaqBYHn4s99CdvjNbmv8/s1600/1.jpeg" /></a></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">
</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fisiologi
Paru-paru</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fungsi paru-paru adalah pertukaran gas oksigen dan
karbon dioksida. Pada pernapasan melalui paru-paru atau pernapasan eksterna,
oksigen dipungut melalui hidung dan mulut. Pada waktu bernapas, oksigen masuk
melalui trakea dan pipa bronkhial ke alveoli, dan dapat erat hubungan dengan
darah di dalam kapiler pulmonaris.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hanya satu lapisan membran, yaitu membran
alveoli-kapiler, memisahkan oksigen dari darah. Oksigen menembus membran ini
dan dipungut oleh hemoglobin sel darah merah dan dibawa ke jantung. Dari sini
dipompa ke dalam arteri ke semua bagian tubuh. Darah meninggalkan paru-paru
pada tekanan oksigen 100 mmHg dan pada tingkat ini hemoglobinnya 95 persen
jenuh oksigen.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Di dalam paru-paru, karbon dioksida adalah salah
satu hasil buangan metabolisme, menembus membran alveoler-kapiler dari kapiler
darah ke alveoli dan setelah melalui pipa bronkhial dan trakhea, dinafaskan
keluar melalui hidung dan mulut. </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Empat proses yang berhubungan dengan pernafasan
pulmoner atau pernafasan eksterna : </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ventilasi pulmoner, atau gerak
pernafasan yang menukar udara dalam alveoli dengan udara luar.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Arus darah melalui paru-paru</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Distribusi arus udara dan arus darah
sedemikian sehingga jumlah tepat dari setiapnya dapat mencapai semua bagian
tubuh</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Difusi gas yang menembusi membran
pemisah alveoli dan kapiler. CO2 lebih mudah berdifusi daripada oksigen.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Semua proses ini diatur sedemikian sehingga darah
yang meninggalkan paru-paru menerima jumlah tepat CO2 dan O2. Pada waktu gerak
badan lebih banyak darah datang di paru-paru membawa terlalu banyak CO2 dan
terlampau sedikit O2. Jumlah CO2 itu tidak dapat dikeluarkan, maka
konsentrasinya dalam arteri bertambah. Hal ini merangsang pusat pernapasan
dalam otak untuk memperbesar kecepatan dan dalamnya pernapasan, dengan penambahan
ventilasi maka terjadi pengeluaran CO2 dan memungut lebih banyak O2.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Etiologi</span></b></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tuberculosis
paru disebabkan oleh Mycobacterium tuberculosis, sejenis kuman berbentuk batang
dengan ukuran panjang 1 – 4 um dan tebal 0,3 – 0,6 um. Sebagian besar kuman
terdiri dari asam lemak (lipid). Lipid inilah yang membuat kuman lebih tahan
terhadap asam sehingga disebut bakteri tahan asam. Sifat lain kuman ini adalah
aerob yaitu kuman lebih menyenangi jaringan yang tinggi kandungan O<sub>2 </sub>nya.
Dalam hal ini tekanan O<sub>2</sub> pada bagian apikal paru-paru lebih tinggi
dari bagian lain sehingga bagian apikal ini merupakan tempat predileksi
penyakit tuberculosis. (Soeparman, 1999)</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mereka yang paling
beresiko tertular basil adalah mereka yang tinggal berdekatan dengan orang yang
terinfeksi aktif khususnya individu yang sistem imunnya tidak adekuat. (Corwin,
2001)</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanda
dan Gejala</span></b></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Gejala utama TB
paru menurut Mansjoer (1999) adalah : </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Demam</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Biasanya
subfebril menyerupai demam influenza, tapi kadang-kadang panas badan dapat
mencapai 40 – 41<sup>o</sup>C,</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Batuk</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Batuk terjadi
karena adanya iritasi pada bronkus. Batuk ini diperlukan untuk membuang
produk-produk radang keluar, sifat batuk dimulai dari batuk kering
(non-produktif) kemudian setelah muncul peradangan menjadi produktif
(menghasilkan sputum). Keadaan yang lanjut adalah berupa batuk darah karena
terdapat pembuluh darah yang pecah.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sesak
nafas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 22.35pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada penyakit
yang ringan (baru tumbuh) belum dirasakan sesak nafas. Sesak nafas akan
ditemukan pada penyakit yang sudah lanjut, dimana infiltrasinya sudah setengah
bagian paru-paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l68 level3 lfo20; tab-stops: list 36.0pt left 49.65pt; text-align: justify; text-indent: -.55pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
dada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 22.35pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Nyeri dada
timbul bila infiltrasi radang sudah sampai ke pleura sehingga menimbulkan
pleuritis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l68 level3 lfo20; tab-stops: list 36.0pt left 49.65pt; text-align: justify; text-indent: -.55pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Malaise
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 22.35pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Gejala maleise
sering ditemukan berupa anoreksia, tidak ada nafsu makan, berat badan turun,
sakit kepala, meriang, nyeri otot, dan keringat malam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 52.9pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pasien TB paru
menampakkan gejala klinis yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l104 level1 lfo21; tab-stops: list 36.0pt left 49.65pt; text-align: justify; text-indent: -.55pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap
asimtomatis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l104 level1 lfo21; tab-stops: list 36.0pt left 49.65pt; text-align: justify; text-indent: -.55pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Gejala
TB paru yang khas, kemudian stagnansi dan regresi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l104 level1 lfo21; tab-stops: list 36.0pt left 49.65pt; text-align: justify; text-indent: -.55pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Eksaserbasi
yang memburuk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l104 level1 lfo21; tab-stops: list 36.0pt left 49.65pt; text-align: justify; text-indent: -.55pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Gejala
berulang dan menjadi kronik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 52.9pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada pemeriksaan
fisik dapat ditemukan tanda-tanda :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l62 level1 lfo22; tab-stops: list 49.65pt; text-align: justify; text-indent: -14.2pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda infiltrat (redup, bronchial,
ronchi basah, dan lain-lain).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l62 level1 lfo22; tab-stops: list 49.65pt; text-align: justify; text-indent: -14.2pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda penarikan paru diafragma,
dan mediastrium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l62 level1 lfo22; tab-stops: list 49.65pt; text-align: justify; text-indent: -14.2pt; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sekret di saluran nafas dan ronchi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l62 level1 lfo22; tab-stops: list 49.65pt left 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Suara nafas amforik karena adanya
kavitas yang berhubungan langsung dengan bronkus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 78.0pt; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fatofisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mycobacterium
tuberculosis yang biasanya ditularkan melalui inhalasi percikan ludah
(droplet), orang ke orang dan mengkolonisasi bronkiolus atau alveolus. Apabila
bakteri tuberculin dalam jumlah yang bermakna berhasil menembus mekanisme
pertahanan sistem pernapasan dan berhasil menempati saluran napas bawah, maka
pejamu akan melakukan respons imun dan peradangan yang kuat. Karena respons
yang hebat ini, akibat diperantarai oleh sel T, maka hanya sekitar 5 % orang
yang terpajan basil tersebut menderita tuberculosis aktif. Penderita TBC yang
bersifat menular bagi orang lain adalah mereka yang mengidap infeksi tuberculosis
aktif dan hanya pada masa infeksi aktif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Basil
mycobacterium tuberculosis sangat sulit dimatikan apabila telah mengkolonisasi
saluran nafas bawah, maka tujuan respons imun adalah lebih untuk mengepung dan
mengisolasi basil bukan untuk mematikannya. Respons selular melibatkan sel T
serta makrofag. Makrofag mengelilingi basil diikuti oleh sel T dan jaringan
fibrosa membungkus kompleks makrofag basil tersebut. Tuberkel akhirnya
mengalami kalsifikasi dan disebut kompleks Ghon, yang dapat dilihat pada pemeriksaan
sinar-x toraks. Sebelum ingesti bakteri selesai, bahan mengalami perlunakan
(perkijuan). Mikro-organisme hidup dapat memperoleh akses ke sistem
trakeobronkus dan menyebar melalui udara ke orang lain. Bahkan walaupun telah
dibungkus secara efektif, basil dapat bertahan hidup dalam tuberkel.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Apabila partikel
infeksi terisap oleh orang sehat, akan menempel pada jalan nafas atau
paru-paru. Kuman menetap di jaringan paru akan bertumbuh dan berkembang biak
dalam sitoplasma makrofag. Di sini kuman dapat terbawa masuk ke organ tubuh
lainnya. Kuman yang bersarang di jaringan paru-paru akan membentuk sarang
tuberkulosis pneumonia kecil dan disebut sarang primer.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Basil tuberkel
yang mencapai permukaan alveolus biasanya diinhalasi sebagai suatu unit yang
terdiri dari satu sampai tiga basil. Gumpalan basil yang lebih besar cenderung
tertahan di salurang hidung dan cabang besar bronkus. Basil tuberkel ini
membangkitkan reaksi peradangan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: kashida; text-kashida: 0%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan pada
paru akibat infeksi adalah disebabkan oleh basil serta reaksi imun dan
peradangan yang hebat. Edema interstisium dan pembentukan jaringan parut
permanen di alveolus meningkatkan jarak untuk difusi oksigen dan karbondioksida
sehingga pertukaran gas menurun. (Corwin, 2001)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pathway
Tuberculosis Paru</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Droplet nucler/dahak yang mengandung</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">basil
TBC (Mycobacterium Tuberculosis</span>)</div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
</div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Batuk, bersin</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 10.0pt;">Faktor dari luar:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Faktor toksik
(alkohol, rokok)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Sosial
ekonomi rendah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Terpapar
penderita TBC</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Lingkungan
buruk</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 10.0pt;">Faktor dari dalam:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l107 level1 lfo24; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Usia
muda/bayi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l107 level1 lfo24; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Gizi buruk</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l107 level1 lfo24; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt;">Lanjut usia</span></div>
</div>
</td>
</tr>
</tbody></table>
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center;">
</div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Bronchus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 9.0pt; line-height: 115%;">Pleura</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Membentuk sarang TB</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
Premonia
Kecil/sarang primer</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Infiltrasi
setengah bagian paru</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Kurang pengetahuan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Kurang informasi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Resiko
tinggi</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Penyebaran
kuman</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Imunitas tubuh menurun</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
<span style="font-size: 10.0pt; line-height: 115%;">Mycobacterium
menetap/dormant</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
<span style="font-size: 10.0pt; line-height: 115%;">Dihirup
masuk paru</span></div>
</div>
</td>
</tr>
</tbody></table>
<span style="mso-fareast-language: IN; mso-no-proof: yes;">
</span>
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center;">
</div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Menyebabkan
infiltrasi pleura</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Sesak napas</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Iritasi</span></div>
</div>
</td>
</tr>
</tbody></table>
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center;">
</div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Nutrisi
kurang dari kebutuhan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Anoreksia</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Pembuluh
darah pecah</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Terjadi
gesekan inspirasi dan eksperasi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div align="center" class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Nyeri dada</span></div>
</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Resiko kerusakan pertukaran gas</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 115%;">Distres
pernapasan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Peradangan
pada bronkus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Batuk</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Skret kental</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Batuk darah</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 115%;">Malaise</span></div>
</div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; text-align: justify; text-justify: kashida; text-kashida: 0%;">
</div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Bersihan
jalan napas tidak efektif</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Gangguan
tumbuh kembang</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-size: 10.0pt;">Penurunan
status gizi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 9.0pt; line-height: 115%;">Sumber : (Corwin, 2001; Soeparman,
1998 & Doengoes, 2000)</span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Penunjang</span></b></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan dignostik pada
penderita tuberkulosis antara lain :</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level2 lfo22; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Uji Tuberkulin</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Uji tuberkulin merupakan uji paling penting untuk
menentukan apakah anak sudah terinfeksi tuberkel basilus atau tidak. Prosedur
yang dianjurkan adalah <span style="mso-bidi-font-weight: bold;">Uji
Mantoux, </span>yang menggunakan derifat protein murni (PPD, Purified
protein derifatif). Dosis standar adalah 5 unit tuberkulin dalam 0,1 ml
larutan, di injeksi secara intradermal. Pembacaan uji tuberkulin dilakukan
48-72 jam setelah penyuntikan dan di ukur diameter melintang dari indurasi yang
terjadi. Hasil dianggap positif bila terdapat indurasi dengan 5 mm keatas, bila
4 mm negatif, 5-9 mm masih dianggap meragukan, tetapi jika 10 mm keatas jelas
positif.</span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Radiologis</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada anak dengan uji
tuberkulin positif dilakukan pemeriksaan radiologis. Secara rutin dilakukan
foto rontgen paru, dan untuk diagnosis tidak cukup hanya pemeriksaan radiologis
tetapi diperlukan juga data klinis.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan bakteriologis</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ditemukannya basil
tuberkulosis akan memastikan diagnosis tuberkulosis. Bahan-bahan yang digunakan
untuk pemeriksaan bakteriologis ialah :</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bilasan lambung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sekret bronkus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sputum (pada anak yang besar)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Cairan pleura</span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Uji BCG</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Di Indonesia BCG
diberikan secara langsung tanpa didahului uji tuberkulin. Bila ada anak yang
mendapat BCG langsung terdapat reaksi lokal yang besar dalam waktu kurang dari
7 hari setelah penyuntikan berarti perlu dicurigai adanya tuberkulosis. Pada
anak dengan tuberkulosis BCG akan menimbulkan reaksi lokal yang lebih cepat dan
besar oleh karena itu, reaksi BCG dapat dijadikan alat diagnostik.</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Vaksin BCG diletakkan
pada ruang/tempat bersuhu 20<sup>0</sup>C-8<sup>0</sup>C serta pelindung dari
cahaya. Pemberian vaksin BCG biasanya dilakukan secara injeksi intradermal atau
intrakutan pada lengan bagian atas atau injeksi perkutan sebagai alternatif
bayi usia muda yang mungkin sulit menerima injeksi terdermal. Dosis yang
digunakan sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l49 level2 lfo27; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Untuk infant atau anak-anak kurang dari 12 bulan
diberikan satu dosis vaksin BCG sebanyak 0,05 mg.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l49 level2 lfo27; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Untuk anak-anak di atas 12 bulan dan dewasa diberikan
satu dosis vaksin BCG sebanyak 0,1 mg.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<span style="color: black; font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Tabel 1. Diagnosis
TBC pada anak dengan sistem skoring (scoring system)</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 63.8pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Parameter</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">0</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">1</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">2</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">3</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Kontak TB</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Tidak jelas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Laporan keluarga, BTA (-) atau
tidak tahu, BTA tidak jelas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">BTA (+)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Uji tuberkulin</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Negatif</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Positif (> 10 mm, atau > 5
mm pada keadaan imunosupresi)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Berat badan/keadaan gizi (menurut
KMS)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bawah garis merah (KMS) atau BB/U
< 80%</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Klinis gizi buruk (Bb/U < 60%)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Demam tanpa sebab jelas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">≥</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> 2 minggu</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Batuk</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">≥</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> 3 minggu</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Pembesaran kelenjar limfe leher.
Axila, inguinal</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">≥</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> 1cm ,
jumlah </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">≥</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> 1, tidak
nyeri</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Pembengkakan tulang/sendi,
panggul, lutut, palang</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Ada pembengkakan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.05pt;" valign="top" width="112"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Poto rontgen thorak</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.1pt;" valign="top" width="100"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Normal/tidak jelas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.35pt;" valign="top" width="95"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Kesan TB</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.25pt;" valign="top" width="112"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.65pt;" valign="top" width="96"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 23.65pt; mso-yfti-irow: 9; mso-yfti-lastrow: yes;">
<td colspan="5" style="border-top: none; border: solid black 1.0pt; height: 23.65pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 386.4pt;" width="515"><div align="center" class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Ket : Anak didiagnosis TB jika
jumlah scor </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">≥</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> 6, ( scor
maksimal 13)</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi</span></b></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyakit paru primer
pogresif</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi infeksi
tuberkulosis serius tetapi jarang terjadi pada anak bila fokus primer membesar
dengan mantap dan terjadi pusat perkejuan yang besar. Pencarian dapat
menyebabkan pembentukan kaverna primer yang disertai dengan sejumlah besar
basili. Pembesaran fokus dapat melepaskan debris nekrotik kedalam bronkus yang
berdekatan, menyebabkan penyebaran intrapulmonal lebih lanjut.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Efusi pleura</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Efusi pleura
tuberkulosis yang dapat lokal dan menyeluruh, mula-mula keluarnya basili
kedalam sela pleura dari fokus paru sub pleura atau limfonodi.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perikarditis</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perikarditis biasanya
berasal dari infasi langsung atau aliran limfe dari limponodi subkranial.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Meningitis</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Meningitis
tuberkulosa mengkomplikasi sekitar 0,3% infeksi primer yang tidak diobati pada
anak. Kadang-kadang meningitis tuberkulosa dapat terjadi beberapa tahun setelah
infeksi primer, bila robekan satu atau lebih tuberkel subependimal
menegeluarkan basil tuberkel kedalam ruang subarakhnoid.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis Tulang</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Infeksi tulang dan
sendi yang merupakan komplikasi tuberkulosis cenderung menyerang vetebra.
Manifestasi klasik spondilitis tuberculosa berkembang menjadi penyakit Pott,
dimana penghancuran corpus vertebra menyebabkan gibbus dan kifosis.
Tuberkulosis skeletona adalah komplikasi tuberkulosis lambat dan menjadi
perwujudan yang jarang sejak terapi antituberkulosis tersedia.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Farmakologi</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level2 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Rifampisin, dengan
dosis 10-15 mg/kgBB/hari, diberikan satu kali sehari per oral, diminum dalam
keadaan lambung kosong, diberikan selama 6-9 bulan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level2 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">INH (isoniazid),
bekerja bakterisidal terhadap basil yang berkembang aktif ekstraseluler dan
basil didalam makrofag. Dosis INH 10-20/kgBB/hari per oral, lama pemberian
18-24 bulan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level2 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pirazinamid, bekerja
bakterisidal terhadap basil intraseluler, dosis 30-35 mg/kgBB/hari per oral, 2
kali sehari selama 4-6 bulan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level2 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Etambutol, dosis 20
mg/kgBB/hari dalam keadaan lambung kosong, 1 kali sehari selama 1 tahun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level2 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kortikosteroid,
diberikan bersama-sama dengan obat antituberkulosis yang masih sensitif,
diberikan dalam bentuk kortison dengan dosis 10-15 mg/kgBB/hari. Kortikosteroid
di berikan sebagai antiflogistik dan ajuvan pada tuberkulosis milier,
meningitis serosa tuberkulosa, pleuritis tuberkulosa, penyebaran bronkogen,
atelektasis, tuberkulosis berat atau keadaan umum yang buruk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Non farmakologi</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l96 level2 lfo31; text-align: justify; text-indent: -22.35pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Melakukan postural
drainase</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l96 level2 lfo31; text-align: justify; text-indent: -22.35pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Melakukan suction
untuk mengeluarkan dahak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l96 level2 lfo31; text-align: justify; text-indent: -22.35pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">pemberian nutrisi
yang adekuat, untuk menjaga daya tahan tubuh klien agar tidak terjadi
penyebaran infeksi ke organ tubuh yang lainnya</span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l96 level2 lfo31; text-align: justify; text-indent: -22.35pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">memantau kepatuhan
ibu dalam memberikan obat kepada anaknya</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l110 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tumbuh
Kembang Anak</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengertian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 70.9pt; text-align: justify; text-autospace: none; text-indent: 14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tumbuh<span style="mso-spacerun: yes;">
</span>kembang<span style="mso-spacerun: yes;"> </span>adalah<span style="mso-spacerun: yes;"> </span>proses<span style="mso-spacerun: yes;">
</span>yang<span style="mso-spacerun: yes;"> </span>kontinyu<span style="mso-spacerun: yes;"> </span>sejak<span style="mso-spacerun: yes;">
</span>dari<span style="mso-spacerun: yes;"> </span>konsepsi sampai<span style="mso-spacerun: yes;"> </span>maturitas/dewasa<span style="mso-spacerun: yes;"> </span>yang<span style="mso-spacerun: yes;">
</span>dipengaruhi<span style="mso-spacerun: yes;"> </span>oleh<span style="mso-spacerun: yes;"> </span>faktor<span style="mso-spacerun: yes;">
</span>bawaan<span style="mso-spacerun: yes;"> </span>dan lingkungan.<span style="mso-spacerun: yes;"> </span>Ini<span style="mso-spacerun: yes;">
</span>berarti<span style="mso-spacerun: yes;"> </span>bahwa<span style="mso-spacerun: yes;"> </span>tumbuh<span style="mso-spacerun: yes;">
</span>kembang<span style="mso-spacerun: yes;"> </span>anak<span style="mso-spacerun: yes;"> </span>sudah<span style="mso-spacerun: yes;">
</span>terjadi sejak<span style="mso-spacerun: yes;"> </span>di<span style="mso-spacerun: yes;"> </span>dalam<span style="mso-spacerun: yes;">
</span>kandungan<span style="mso-spacerun: yes;"> </span>dan<span style="mso-spacerun: yes;"> </span>setelah <span style="mso-spacerun: yes;"> </span>kelahiran<span style="mso-spacerun: yes;">
</span>merupakan<span style="mso-spacerun: yes;"> </span>suatu masa<span style="mso-spacerun: yes;"> </span>dimana<span style="mso-spacerun: yes;">
</span>mulai<span style="mso-spacerun: yes;"> </span>saat<span style="mso-spacerun: yes;"> </span>itu<span style="mso-spacerun: yes;">
</span>tumbuh<span style="mso-spacerun: yes;"> </span>kembang<span style="mso-spacerun: yes;"> </span>anak<span style="mso-spacerun: yes;">
</span>dapat<span style="mso-spacerun: yes;"> </span>dengan mudah dipahami. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 70.9pt; text-align: justify; text-autospace: none; text-indent: 14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pertumbuhan adalah bertambahnya ukuran dan
jumlah sel serta jaringan interseluler, yang berarti bertambahnya ukuran fisik
dan struktur tubuh sebagian atau keseluruhan, sehingga dapat diukur dengan
satuan panjang dan berat. Perkembangan adalah bertambahnya struktur dan fungsi
tubuh yang lebih kompleks dalam kemampuan gerak kasar, gerak halus, bicara dan
bahasa serta sosialisasi dan kemandirian. (Depkes RI, 2005)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 70.9pt; text-align: justify; text-autospace: none; text-indent: 14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pertumbuhan terjadi secara simultan dengan
perkembangan. Berbeda dengan pertumbuhan, perkembangan merupakan hasil
interaksi kematangan susunan syaraf pusat dengan organ yang dipengaruhinya,
misalnya perkembangan sistem neuromusculer, kemampuan bicara, emosi dan
sosialisasi. Kesemua fungsi tersebut berperan penting dalam kehidupan manusia
yang utuh.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap-tahap
tumbuh kembang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Walaupun
terdapat variasi yang sangat besar, akan tetapi setiap anak akan<span style="mso-spacerun: yes;"> </span>melalui<span style="mso-spacerun: yes;">
</span>suatu<span style="mso-spacerun: yes;"> </span>"milestone"<span style="mso-spacerun: yes;"> </span>yang<span style="mso-spacerun: yes;"> </span>merupakan<span style="mso-spacerun: yes;"> </span>tahapan<span style="mso-spacerun: yes;">
</span>dari<span style="mso-spacerun: yes;"> </span>tumbuh kembang<span style="mso-spacerun: yes;"> </span>anak<span style="mso-spacerun: yes;">
</span>dan<span style="mso-spacerun: yes;"> </span>setiap<span style="mso-spacerun: yes;"> </span>tahapan<span style="mso-spacerun: yes;">
</span>mempunyai<span style="mso-spacerun: yes;"> </span>ciri-ciri<span style="mso-spacerun: yes;"> </span>tersendiri.<span style="mso-spacerun: yes;">
</span>adapun tahap-tahap tumbuh kembang anak (Cecily, 2002) : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 14.15pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l111 level1 lfo9; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
pranatal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l73 level1 lfo10; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: 9.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
mudigah / embrio<span style="mso-tab-count: 1;"> </span>: Konsepsi – 8
minggu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l73 level1 lfo10; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: 9.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
janin / fetus<span style="mso-tab-count: 2;"> </span>: 9 minggu
– lahir <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l111 level1 lfo9; mso-pagination: none; tab-stops: 63.8pt; text-align: justify; text-autospace: none; text-indent: -36.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa bayi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l88 level1 lfo11; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
neonatal <span style="mso-tab-count: 2;"> </span>: 0 – 28
hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l88 level1 lfo11; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
neonatal dini <span style="mso-tab-count: 2;"> </span>: 0 – 7 hari </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l88 level1 lfo11; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
neonatal lanjut <span style="mso-tab-count: 1;"> </span>: 8 – 28 hari </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l88 level1 lfo11; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
pasca neonatal<span style="mso-tab-count: 2;"> </span>: 29 hari – 1
tahun </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l88 level1 lfo11; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
prasekolah<span style="mso-tab-count: 2;"> </span>: 1 – 6
tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l111 level1 lfo9; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
sekolah <span style="mso-tab-count: 3;"> </span>: 6 –
10/20 tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l67 level1 lfo12; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: 9.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
praremaja <span style="mso-tab-count: 2;"> </span>: 6 – 10 tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l67 level1 lfo12; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: 9.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
remaja </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l78 level1 lfo13; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
remaja dini : Wanita, usia 8-13 tahun </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l78 level1 lfo13; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa<span style="mso-spacerun: yes;"> </span>remaja<span style="mso-spacerun: yes;">
</span>lanjut<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Wanita,<span style="mso-spacerun: yes;">
</span>usia<span style="mso-spacerun: yes;"> </span>13-18<span style="mso-spacerun: yes;"> </span>tahun<span style="mso-spacerun: yes;">
</span>dan<span style="mso-spacerun: yes;"> </span>Pria,<span style="mso-spacerun: yes;"> </span>usia 15-20 tahun </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 78.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut Sigmund Freud, periodesasi
perkembangan dibagi 5 fase : </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fase<span style="mso-spacerun: yes;"> </span>oral<span style="mso-spacerun: yes;">
</span>(0-1<span style="mso-spacerun: yes;"> </span>tahun)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Anak memperoleh kepuasan dan kenikmatan yang
bersumber pada mulutnya. Hubungan sosial lebih bersifat fisik, seperti makan
atau minum susu. Objek sosial terdekat adalah ibu, terutama saat menyusu. <span style="mso-spacerun: yes;"> </span></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fase<span style="mso-spacerun: yes;"> </span>anal<span style="mso-spacerun: yes;">
</span>(1-3<span style="mso-spacerun: yes;"> </span>tahun)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada fase ini pusat kenikmatannya terletak di anus,
terutama saat buang air besar. Inilah saat yang paling tepat untuk mengajarkan
disiplin pada anak termasuk toilet training. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l97 level1 lfo14; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fase<span style="mso-spacerun: yes;"> </span>falik<span style="mso-spacerun: yes;">
</span>(3-5<span style="mso-spacerun: yes;"> </span>tahun)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Anak memindahkan pust
kenikmatannya pada daerah kelamin. Anak mulai tertarik dengan perbedaan
anatomis antara laki-laki dan perempuan. Pada anak laki-laki kedekatan dengan
ibunya menimbulkan gairah sexual perasaan cinta yang disebut Oedipus Complex.
Sedangkan pada anak perempuan disebut Electra Complex.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fase<span style="mso-spacerun: yes;"> </span>laten<span style="mso-spacerun: yes;">
</span>(5-12<span style="mso-spacerun: yes;"> </span>tahun)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ini adalah masa tenang, walau anak mengalami
perkembangan pesat pada aspek motorik dan kognitif.. Anak mencari figure ideal
diantara orang dewasa berjenis kelamin sama dengannya.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fase
genital (12 ke atas)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Alat-alat reproduksi sudah mulai masak, pusat
kepuasannya berada pada daerah kelamin. Energi psikis (libido) diarahkan untuk
hubungan-hubungan heteroseksual. Rasa cintanya pada anggota keluarga dialihkan
pada orang lain yang berlawan jenis.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Menurut
Erik H. Erikson perkembangan anak dibagi dalam 8 tahap : </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
oral-sensorik yaitu masa kepercayaan vs ketidakpercayaan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap ini berlangsung pada masa oral, kira-kira
terjadi pada umur 0-1 atau 1 ½ tahun. Tugas yang harus dijalani pada tahap ini
adalah menumbuhkan dan mengembangkan kepercayaan tanpa harus menekan kemampuan
untuk hadirnya suatu ketidakpercayaan. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo15; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa<span style="mso-spacerun: yes;"> </span>anal-muskular<span style="mso-spacerun: yes;"> </span>yaitu<span style="mso-spacerun: yes;">
</span>kebebasan<span style="mso-spacerun: yes;"> </span>vs<span style="mso-spacerun: yes;"> </span>perasaan<span style="mso-spacerun: yes;">
</span>malu-malu<span style="mso-spacerun: yes;"> </span>atau ragu-ragu. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada tahap kedua adalah tahap anus-otot
(anal-mascular stages), masa ini biasanya disebut masa balita yang berlangsung
mulai dari usia 18 bulan sampai 3 atau 4 tahun. Tugas yang harus diselesaikan
pada masa ini adalah kemandirian (otonomi) sekaligus dapat memperkecil perasaan
malu dan ragu-ragu. </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
genital-locomotor yaitu inisiatif vs rasa bersalah </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap ketiga adalah tahap kelamin-lokomotor
(genital-locomotor stage) atau yang biasa disebut tahap bermain. Tahap ini pada
suatu periode tertentu saat anak menginjak usia 3 sampai 5 atau 6 tahun, dan
tugas yang harus diemban seorang anak pada masa ini ialah untuk belajar punya
gagasan (inisiatif) tanpa banyak terlalu melakukan kesalahan. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo15; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
laten yaitu ada gairah vs rendah diri </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap keempat adalah tahap laten yang terjadi pada
usia sekolah dasar antara umur 6 sampai 12 tahun. Salah satu tugas yang
diperlukan dalam tahap ini ialah mengembangkan kemampuan bekerja keras dan
menghindari perasaan rasa rendah diri. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo15; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
remaja yaitu identitas vs kekaburan peran </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap kelima merupakan tahap adolesen (remaja), yang
dimulai pada saat masa puber dan berakhir pada usia 18 atau 20 tahun. melalui
tahap ini orang harus mencapai tingkat identitas ego, dalam pengertiannya
identitas pribadi berarti mengetahui siapa dirinya dan bagaimana cara seseorang
terjun ke tengah masyarakat.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo15; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
dewasa yaitu kemesraan vs keterasingan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">yaitu pada masa dewasa
awal yang berusia sekitar 20-30 tahun. Adalah ingin mencapai kedekatan dengan
orang lain dan berusaha menghindar dari sikap menyendiri.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo15; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
dewasa muda yaitu generativitas vs kehampaan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa dewasa (dewasa tengah) berada pada posisi ke
tujuh, dan ditempati oleh orang-orang yang berusia sekitar 30 sampai 60 tahun.
salah satu tugas untuk dicapai ialah dapat mengabdikan diri guna keseimbangan
antara sifat melahirkan sesuatu (generativitas) dengan tidak berbuat apa-apa
(stagnasi).</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l10 level1 lfo15; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa
kematangan yaitu integritas ego vs kesedihan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap terakhir dalam teorinya Erikson disebut tahap
usia senja yang diduduki oleh orang-orang yang berusia sekitar 60 atau 65 ke
atas. Yang menjadi tugas pada usia senja ini adalah integritas dan berupaya
menghilangkan putus asa dan kekecewaan. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none; text-indent: 21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif";">Tabel
1. Ringkasan Kemajuan<span style="mso-spacerun: yes;"> </span>Perkembangan<span style="mso-spacerun: yes;"> </span>Anak<span style="mso-spacerun: yes;">
</span>dari<span style="mso-spacerun: yes;"> </span>Lahir Sampai 5 </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-autospace: none; text-indent: 21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif";"><span style="mso-spacerun: yes;"> </span>Tahun (Sacharin, 1996</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-autospace: none; text-indent: 21.25pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 42.55pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 23.15pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" width="71"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Umur</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" width="127"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Motorik/Sensorik</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" width="121"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Sosial</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" width="111"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bahasa</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" width="114"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Manipulatif</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Sampai 1 bulan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l72 level1 lfo78; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -12.3pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Reflek-reflek primitif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l72 level1 lfo78; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -12.3pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">D</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">apat enghisap</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l72 level1 lfo78; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -12.3pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">enggenggam, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l72 level1 lfo78; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.7pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">emberikan
respon terhadap suara-suara mengejutkan </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">1-3 bulan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l53 level1 lfo79; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Menegakkan </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">k</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">epala </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">s</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">ebentar, </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l53 level1 lfo79; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engadakan gerakan-gerakan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">merangkak
jika</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">tengkurap</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l15 level1 lfo80; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.4pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memberikan </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">r</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">espon
senyum </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">3-4 bulan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l12 level1 lfo81; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.95pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengangkat kepala
dari posisi </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">t</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engkurap dalam</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">waktu
yang singkat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l12 level1 lfo81; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.95pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memalingkan kepala ke
arah suara. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l12 level1 lfo81; mso-pagination: none; text-autospace: none; text-indent: -11.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Tersenyum. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l60 level1 lfo82; mso-pagination: none; text-autospace: none; text-indent: -13.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bersuara jika diajak
bicara</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 9.5pt;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l98 level1 lfo83; mso-pagination: none; text-autospace: none; text-indent: -14.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mulai </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">m</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engamati
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">tangan sendiri </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l98 level1 lfo83; mso-pagination: none; text-autospace: none; text-indent: -14.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mampu untuk </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">memegang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">kerincingan. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="height: 23.15pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Umur</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" width="127"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Motorik/Sensorik</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" width="121"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Sosial</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" width="111"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bahasa</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" width="114"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Manipulatif</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">5-9 bulan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l90 level1 lfo84; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -16.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Berguling dari sisi
ke sisi ketika terlentang. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l90 level1 lfo84; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -16.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memalingkan kepala
pada </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">orang yang berbicara.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -13.15pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l55 level1 lfo85; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memperlihatkan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">kegembiraan dengan
berlagak dan tersipu- </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">sipu. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l35 level1 lfo86; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bervokalisasi<span style="mso-spacerun: yes;"> </span>suara-suara bergumam, suaraseperti
"da", "ma". </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo87; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mulai memindahkan
benda dari satu tangan ke tangan lainnya. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo87; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">ampu memanipulasi benda-benda</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 9.5pt;">.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">9-10 bulan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l29 level1 lfo88; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Duduk dari posisi berbaring
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l29 level1 lfo88; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">erpindah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l29 level1 lfo88; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">erangkak. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l51 level1 lfo89; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengenal dan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">menolak orang asing </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l51 level1 lfo89; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">eniru </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l51 level1 lfo89; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">erteriak untuk menarik perhatian. </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l64 level1 lfo90; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.75pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Ngoceh dan bervokalisasi
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l64 level1 lfo90; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.75pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engatakan kata-kata seperti da-da, mam-
mam. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -13.75pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l8 level1 lfo91; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -16.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memungut benda
diantara jari-jari</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">dan ibu jari. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -16.15pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">1 tahun</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l44 level1 lfo92; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Merangkak </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">d</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engan
baik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l44 level1 lfo92; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">menarik badan sendiri
untuk berdiri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l44 level1 lfo92; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">D</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">apat berjalan dengan dibimbing. </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo93; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Menurut </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">p</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">erintah
sederhana</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo93; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">meniru orang dewasa. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo93; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -13.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memperlihatkan
berbagai emosi.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l54 level1 lfo94; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -15.55pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengucapkan kata-kata
tunggal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l52 level1 lfo95; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.25pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Memegang gelas untuk
minum. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -17.25pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">1 ½ </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">tahun </span></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l7 level1 lfo96; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Berjalan tanpa
ditopang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l7 level1 lfo96; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">enaiki tangga atau peralatan rumah tangga
(kursi) </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l92 level1 lfo97; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Ingin bermain dekat
anak-anak lain. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l92 level1 lfo97; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Meminta minum. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l92 level1 lfo97; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengenal gambar-
gambar binatang. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l92 level1 lfo97; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -11.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengenal beberapa
bagian tubuhnya</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l27 level1 lfo98; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Telah </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">m</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">enggunakan
20 kata-kata yang dapat dimengerti. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l69 level1 lfo99; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mencoret-coret, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l69 level1 lfo99; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">embalik-balik halaman, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l69 level1 lfo99; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">ermain dengan balok-balok bangunan ecara
konstruktif. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">2 tahun</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l40 level1 lfo100; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mampu berlari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l40 level1 lfo100; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">emanjat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l40 level1 lfo100; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">enaiki tangga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l40 level1 lfo100; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">embuka pintu. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l40 level1 lfo100; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mulai bernain dengan anak-anak lain</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l40 level1 lfo100; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -15.85pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mulai menggunakan dua atau tiga kata secara
bersamaan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l106 level1 lfo101; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Berpakaian sendiri,
tidak mampu untuk</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">mengikat atau memasang kancing. </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">3 tahun</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l65 level1 lfo102; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Berlari bebas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l65 level1 lfo102; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">elompat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l65 level1 lfo102; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engendari sepeda roda tiga. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -17.9pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l101 level1 lfo103; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengetahui nama dan
jenis kelaminnya</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">sendiri<span style="mso-spacerun: yes;">
</span>dapat diberi pengertian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l101 level1 lfo103; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">ermain secara konstruktif dan imitatif. </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo104; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Berbicara </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">d</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engan
kalimat-</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">k</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">alimat pendek. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo105; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.5pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Menggambar</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">lingkaran </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo105; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.5pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">enggambar gambar-</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">g</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">ambar
yang dapat dikenal. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -18.5pt;">
<br /></div>
</td>
</tr>
<tr style="height: 23.15pt; mso-yfti-irow: 11;">
<td style="border-top: none; border: solid black 1.0pt; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Umur</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" width="127"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Motorik/Sensorik</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" width="121"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Sosial</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" width="111"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bahasa</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 23.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" width="114"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Manipulatif</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.95pt;" valign="top" width="71"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: center; text-autospace: none;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">4-5 tahun</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.3pt;" valign="top" width="127"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.05pt;" valign="top" width="121"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l39 level1 lfo106; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Mengetahui banyak
huruf-huruf dari alphabet </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l39 level1 lfo106; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">M</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">engetahui lagu kanak-kanak <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l39 level1 lfo106; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">D</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">apat menghitung sampai 10. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.0pt;" valign="top" width="111"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l16 level1 lfo107; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -16.35pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">Bernyanyi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l16 level1 lfo107; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none; text-indent: -16.35pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;">erdendang</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.35pt;" valign="top" width="114"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; tab-stops: 78.0pt; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Faktor
yang mempengaruhi tumbuh kembang</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keturunan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Jenis kelamin dan determinan keturunan lain secara
kuat mmpengaruhi hasil akhir pertumbuhan dan laju perkembangan untuk
mendapatkan hasil akhir tersebut. Terdapat hubungan yang besar antara orangtua
dan anak dalam hal sifat seperti tinggi badan, berat badan, dan laju
pertumbuhan.. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Neuroendokrin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Beberapa hubungan fungsional diyakini ada diantara
hipotalamus dan system endokrin yang memengaruhi pertumbuhan.Kemungkinan semua
hormone memengaruhi pertumbuhan dan beberapa cara. Tiga hormon-hormon
pertumbuhan, hormone tiroid, dan endrogen. Tampak bahwa setiap hormone yang
mempunyai pengaruh bermakna pada pertumbuhan memanifestasikan efek utamanya pa
periode pertumbuhan yang berbeda.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi mungkin merupakan satu-satunya pengaruh
paling pentng pada pertumbuhan. Faktor diet mengatur pertumbuhan pada semua
tahap perkembangan, dan efeknya ditujukan pada cara beragam dan rumit. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hubungan
Interpersonal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hubungan dengan orang terdekat memainkan peran
penting dalam perkembangan, terutama dalam perkembangan emosi, intelektual, dan
kepribadian. luasnya rentang kontak penting untuk pembelajaran dan perkembangan
kepribadian yang sehat.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
Sosioekonomi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Riset menunjukkan bahwa tingkat sosioekonomi
keluarga anak mempunyai dapak signifikan pada pertumbuhan dan perkembangan. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Banyak penyakit kronik dan Gangguan apapun yang
dicirikan dengan ketidakmampuan untuk mencerna dan mengabsorbsi nutrisi tubuh
akan member efek merugikan pada pertumbuhan dan perkembangan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bahaya
lingkungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bahaya dilikungan adalah sumber kekhawatiran pemberi
asuhan kesehatan dan orang lain yang memerhatikan kesehatan dan keamanan.
Bahaya dari residu kimia ini berhubungan dengan potensi kardiogenik, efek
enzimatik, dan akumulasi. (Baum dan Shannon, 1995) </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Stress
pada masa kanak-kanak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Stress adalah ketidakseimbagan antara tuntutan
lingkungan dan sumber koping individu yang menggangggu ekuiibrium individu
tersebut. ( mastern dkk, 1998)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Usia anak, temperamen situasi hidup, dan status
kesehatan mempengaruhi kerentanan, reaksi dan kemampuan mereka untuk mengatasi
stress. Koping adalah tahapan khusus dari reaksi individu terhadap stressor.
Strategi koping adalah cara khusus anak mengatasi stersor ang dibedakan dari
gaya koping yang relative tidak mengubah karakteristik kepribdian atau hasil
koping. ( Ryan-wengger, 1992)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo16; tab-stops: 63.8pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengaruh
media masa </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Terdapat peningkatan kekhawatiran mengenai berbagai
pengaruh media pada perkembangan anak. (Rowitz, 1996)</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo61; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Dampak
Hospitalisasi</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level1 lfo63; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengertian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut Wong (2000), hospitalisasi
adalah suatu proses yang karena suatu alasan yang berencana atau darurat
mengharuskan anak untuk tinggal di RS, menjalani terapi dan perawatan sampai
pemulangannya kembali ke rumah. Perasaan yang sering muncul pada anak adalah cemas,
marah, sedih, takut dan rasa bersalah. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyebab timbul reaksi
hospitalisasi pada anak (Wong, 2000) :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo62; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menghadapi sesuatu yang baru dan belum pernah
dialaminya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo62; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Rasa tidak aman dan nyaman</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo62; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perasaan kehilangan sesuatu yang biasa dialaminya dan
sesuatu yang dirasakan menyakitkan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level1 lfo63; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Reaksi anak terhadap
hospitalisasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l84 level1 lfo64; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa bayi ( 0 -
1 tahun )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l103 level1 lfo65; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perpisahan dengan orang tua : gangguan pembentukan
rasa percaya dan kasih sayang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l103 level1 lfo65; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Terjadi
stranger anxiety ( usia 6 bulan ) : cemas apabila berhadapan dengan orang asing
dan perpisahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l103 level1 lfo65; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Reaksinya :
menangis, marah, banyak melakukan gerakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l75 level1 lfo66; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa toddler ( 2
– 3 tahun )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo67; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sumber stress yang utama : cemas akibat perpisahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo67; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Respon : tahap protes, putus asa dan pengingkaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo67; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap protes : menangis kuat, menjerit memanggil orang
tua atau menolak perhatian yang diberikan orang lain</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo67; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap putus asa : menangis berkurang,anak tidak aktif,
kurang menunjukkan minat bermain dan makan, sedih dan apatis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo67; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tahap pengingkaran : mulai menerima perpisahan,membina
hubungan secara dangkal, anak mulai terlihat menyukai lingkungannya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo68; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa prasekolah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perawatan di RS : anak untuk berpisah dari lingkungan
yang dirasakannya aman, penuh kasing sayang dan menyenagkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Reaksi terhadap perpisahan : menolak makan, sering
bertanya, menagis secara perlahan dan tidak kooperatif terhadap petugas
kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l80 level1 lfo70; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa sekolah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l105 level1 lfo71; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Timbul kecemasan : berpisah dengan lingkungan yang
dicintainya<br />
<span style="mso-spacerun: yes;"> </span>Kehilangan kontrol karena adanya
pembatasan aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l105 level1 lfo71; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kehilangan kontrol : perubahan peran dalam keluarga, kehilangan
kelompok sosialnya karena ia biasa melakukan kegiatan bermain atau pergaulan
sosial, perasaan takut mati dan adanya kelemahan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l105 level1 lfo71; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Reaksi terhadap perlukaan atau rasa nyeri : ekspresi
baik secara verbal maupun nonverbal : anak sudah mampu mengkomunikasikannya, sudah
mampu mengontrol perilaku jika merasa nyeri : menggigit bibir/menggigit dan
memegang sesuatu dengan erat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo72; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masa remaja</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo73; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Timbul perasaan cemas : harus berpisah dengan teman
sebayanya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo73; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pembatasan aktivitas di RS : anak kehilangan kontrol
terhadap dirinya dan menjadi tergantung pada keluarga atau pertugas kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo73; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Reaksi yang sering muncul : menolak perawatan atau
tindakan yang dilakukan, anak tidak mau kooperatif dengan petugas kesehatan
atau menarik diri dari keluarga, sesama pasien dan petugas kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo73; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perasaan sakit : respon anak bertanya-tanya, menarik
diri dari lingkungannya / menolak kehadiran orang lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level1 lfo63; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Reaksi orang tua
terhadap hospitalisasi anak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l108 level1 lfo74; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perasaan cemas
dan takut </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo75; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perasaan cemas dan takut : mendapat prosedur
menyakitkan</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo75; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Cemas paling tinggi : menunggu informasi tentang
diagnosa penyakit anaknya.</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo75; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Takut muncul : takut kehilangan anak pada kondisi
sakit terminal</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo75; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perilaku : sering bertanya/bertanya tentang hal yang
sama secara berulang-ulang pada orang yang berbeda, gelisah, ekspresi wajah
tegang dan marah.</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l108 level1 lfo74; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perasaan sedih</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo76; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Muncul pada saat anak dalam kondisi terminal</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo76; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perilaku : isolasi, tidak mau didekati orang lain,
tidak kooperatif terhadap petugas kesehatan.</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l108 level1 lfo74; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perasaan
frustasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l87 level1 lfo77; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Putus asa dan frustasi : anak yang telah dirawat cukup
lama dan tidak mengalami perubahan, tidak adekuatnya dukungan psikologis.</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l87 level1 lfo77; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perilaku : tidak kooperatif, putus asa, menolak
tindakan, menginginkan pulang paksa.</span><span style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">DAMPAK PENYAKIT TERHADAP KEBUTUHAN
DASAR MANUSIA</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Oksigenasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Reaksi
inflamasi/peradangan alveoli mengakibatkan produksi mukus meningkat, upaya
batuk (-), terjadi penumpukan secret pada alveoli, mengakibatkan bersihan jalan
napas tidak efektif. Jika infiltrasi meluas mengakibatkan terjadinya gangguan
pertukaran gas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Nutrisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Respon
gastrointestinal terhadap reaksi inflamasi terjadi mual dan anoreksia,
menyebabkan terjadinya gangguan pemenuhan kebutuhan nutrisi kurang dari
kebutuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Aktifitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kelemahan fisik
mengakibatkan terjadinya keterbatasan dalam beraktifitas. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Rasa Aman</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kurangnya
informasi mengakibatkan kurangnya pengetahuan keluarga tentang pengelolaan
penyakit TBC. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo17; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pertumbuhan
dan Perkembangan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Adanya mual dan
anoreksia menyebabkan terjadinya penurunan status gizi, dan penurunan imunitas yang
mengakibatkan klien menjadi rentan terhadap infeksi, sehingga merupakan salah
satu faktor yang mempengaruhi terhadap pertumbuhan dan perkembangan anak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 33.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Identitas</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Selain identitas klien : nama tempat tanggal lahir,
usia, agama, jenis kelamin, juga identitas orangtuanya yang meliputi : nama
orangtua, pendidikan, dan pekerjaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level3 lfo5; text-align: justify; text-indent: -15.8pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo32; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Saat masuk Rumah
Sakit</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluhan utama penyebab klien
sampai dibawa ke rumah sakit.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo32; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Saat pengkajian</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluhan yang dialami pasien saat
dilakukan pengkajian meliputi PQRST (palliative, quantitatif, region, scale,
timing)</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo32; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluhan penyerta</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluhan yang dialami oleh pasien
selain keluhan utama. Tanda dan gejala klinis TB serta terdapat benjolan/bisul
pada tempat-tempat kelenjar <span style="mso-spacerun: yes;"> </span>seperti :
leher, inguinal, axilla dan sub mandibula</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level3 lfo5; text-align: justify; text-indent: -15.8pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Kehamilan</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo33; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pre Natal</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Prenatal : kurang asupan nutrisi
, terserang penyakit infeksi selama hamil.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l79 level1 lfo34; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Intra Natal</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Intranatal : Bayi terlalu lama di
jalan lahir, terjepit jalan lahir, bayi menderita caput sesadonium, bayi
menderita cepal hematom.</span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l102 level1 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Post Natal</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kurang asupan nutrisi, bayi
menderita penyakit infeksi, asfiksia, icterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 66.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level3 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Masa Lalu</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo36; tab-stops: 78.0pt; text-align: justify; text-indent: -8.2pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.</span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
waktu kecil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penyakit yang pernah diderita (tanyakan, apakah klien
pernah sakit batuk yang lama dan benjolan bisul pada leher serta tempat
kelenjar yang lainnya dan sudah diberi pengobatan antibiotik tidak
sembuh-sembuh? Tanyakan, apakah pernah berobat tapi tidak sembuh? Apakah pernah
berobat tapi tidak teratur?)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 78.0pt; text-align: justify; text-indent: 27.8pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pernah di rawat di Rumah Sakit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanyakan apakah sakit yang dialami di waktu kecil
sampai membuat pasien dirawat dirumah sakit, jika ia, apakah keadaannya parah
atau seperti apa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 70.9pt 78.0pt; text-align: justify; text-indent: 27.8pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan yang pernah digunakan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan yang pernah diberikan sangat penting untuk
diketahui, agar kerja obat serta efek samping yang timbul dapat di ketahui.
Pemberian antibiotik dalam jangka panjang perlu diidentifikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 70.9pt 78.0pt; text-align: justify; text-indent: 27.8pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tindakan (operasi)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Apakah sebelumnya pernah melakukan tindakan operasi,
pada bagian apa, atas indikasi apa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 78.0pt; text-align: justify; text-indent: 27.8pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Alergi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Apakah mempunyai riwayat alergi terhadap obat-obatan,
udara atau makanan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 78.0pt 3.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kecelakaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pernah mengalami kecelakaan ringan sampai hebat sebelumnya,
apabila mengalami kecelakaan apakah langsung di beri tindakan, atau di bawa
berobat ke dokter atau hanya di diamkan saja.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo36; tab-stops: 78.0pt; text-align: justify; text-indent: 27.8pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l76 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi aktif : merupakan imunisasi yang dilakukan
dengan cara menyuntikkan antigen ke dalam tubuh sehingga tubuh anak sendiri
yang akan membuat zat antibody yang akan bertahan bertahun-tahun lamanya.
Imunisasi aktif ini akan lebih bertahan lama daripada imunisasi pasif</span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l76 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi pasif : disini tubuh tidak membuat sendiri
zat anti akan tetapi tubuh mendapatkannya dari luar dengan cara penyuntikkan
bahan atau serum yang telah mengandung zat anti. Atau anak tersebut
mendapatkannya dari ibu pada saat dalam kandungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
fisik</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l86 level2 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keadaan umum : pada
umumnya pasien tuberkulosis anak yang berobat sering ditemukan sudah dalam
keadaan lemah, pucat, kurus dan tidak bergairah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l86 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda vital :
sering demam walaupun tidak terlalu tinggi, demam dapat lama atau naik turun,
nafas cepat dan pendek, saat badan demam atau panas biasanya tekanan nadi anak
menjadi tachicardi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l86 level1 lfo38; tab-stops: 2.0cm 70.9pt; text-align: justify; text-indent: 13.65pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Antropometri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mengukur
lingkar kepala, lengan, dada dan panjang badan serta berat badan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l86 level1 lfo38; text-align: justify; text-indent: 13.65pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level5 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kepala : kaji bentuk
kepala, kebersihan rambut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level5 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mata : kaji bentuk
mata, konjungtiva, sklera, pupil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hidung : terdapat
cuping hidung atau tidak, ada penumpukkan sekret atau tidak, simetris tidak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mulut : kaji
kebersihan mulut, apakah ada stomatitis, gigi yang tumbuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Telinga : kaji
kebersihan telinga, bentuk sejajar dengan mata, ada cairan atau tidak, uji
pendengaran anak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Leher :
Benjolan/pembesaran kelenjar pada leher (servikal), axilla, inguinal dan sub
mandibula.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Dada : Batuk: terjadi
karena adanya iritasi pada bronkus; batuk ini membuang/ mengeluarkan produksi
radang, dimulai dari batuk kering sampai batuk purulen (menghasilkan sputum).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sesak nafas: terjadi bila sudah lanjut, dimana
infiltrasi radang sampai setengah paru.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Nyeri dada: ini jarang ditemukan, nyeri timbul bila
infiltrasi radang sampai ke pleura.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Malaise: ditemukan berupa anoreksia, berat badan
menurun, sakit kepala, nyeri otot dan kering diwaktu malam hari.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada tahap dini sulit diketahui.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ronchi basah, kasar dan nyaring.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hipersonor/timpani bila terdapat kavitas yang cukup
dan pada auskultasi memberi suara limforik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Atropi dan retraksi interkostal pada keadaan lanjut
dan fibrosis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l95 level3 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bila mengenai pleura terjadi efusi pleura (perkusi
memberikan suara pekak)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perut : kaji bentuk
perut, bising usus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ekstermitas : kaji
kekuatan ekstermitas atas dan bawah, apakah ada kelemahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kulit : Pembesaran
kelenjar biasanya multipel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo41; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Benjolan/pembesaran kelenjar pada leher (servikal),
axilla,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo41; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">inguinal dan sub mandibula. Kadang terjadi abses.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Genetalia : kaji
apakah ada disfungsi pada alat genitalia, kaji bentuk, skrotum sudah turun atau
belum, apakah lubang ureter ditengah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l86 level1 lfo38; tab-stops: 70.9pt; text-align: justify; text-indent: 13.65pt;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan tingkat
perkembangan anak usia 18-24 bulan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l83 level1 lfo42; tab-stops: 70.9pt; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Motorik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Berjalan tanpa ditopang, menaiki tangga/peralatan
rumah tangga (seperti kursi)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l83 level1 lfo42; tab-stops: 70.9pt; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sosial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ingin bermain dengan anak-anak lain, meminta minum,
mengenal gambar-gambar binatang, mengenal beberapa bagian tubuhnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l83 level1 lfo42; tab-stops: 70.9pt; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bahasa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Telah menggunakan 20 kata-kata yang dapat dimengerti.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l83 level1 lfo42; tab-stops: 70.9pt; text-align: justify; text-indent: -14.75pt;">
<span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Manipulatif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<span style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mencoret-coret, membali-balik halaman, bermain dengan
balok-balok bangunan secara konstruktif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l99 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">k</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">eperawatan</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">
yang sering muncul</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bersihan jalan napas tidak efektif berhubungan
dengan secret kental, upaya batuk buruk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Hiperthermia berhubungan dengan proses
peradangan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perubahan nurisi kurang dari kebutuhan tubuh berhubungan
dengan anoreksia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Resiko tinggi penyebaran infeksi pada diri
sendiri maupun orang lain berhubungan dengan virulensi kuman, pertahanan primer
tidak adekuat, kurang pengetahuan untuk menghindari pemajanan pathogen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kurang pengetahuan keluarga mengenai kondisi,
aturan tindakan dan pencegahan penyakit berhubungan dengan kurang/tidak lengkap
informasi yang ada.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
proses keluarga berhubungan dengan hospitalisasi anak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<br />
<div class="WordSection2">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l93 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Intervensi k</span></b><b style="mso-bidi-font-weight: normal;"><span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">eperawatan</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 31.3pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 160; width: 882px;">
<tbody>
<tr style="height: 28.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" width="145"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Diagnosis</span></b><b><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> Keperawatan</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Tujuan</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" width="236"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Rasional</span></b></div>
</td>
</tr>
<tr style="height: 16.35pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145"><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Bersihan
jalan napas tidak efektif berhubungan dengan secret kental, upaya batuk
buruk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Setelah dilakukan tindakan keperawatan
selama .......x24 jam, bersihan jalan napas efektif</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> dengan </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">k</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">riteria</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l109 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Sekret berkurang sampai dengan hilang</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l109 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">P</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ernafasan
dalam batas normal </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l77 level1 lfo45; text-align: justify; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">0-2 bulan : 50 s/d < 60
x/menit</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l77 level1 lfo45; text-align: justify; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">2 bln-12 bln : 40 s/d < 50
x/menit</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l77 level1 lfo45; text-align: justify; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">12 bln-60bln : 30 s/d < 40
x/menit</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" valign="top" width="236"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l82 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kaji
fungsi pernapasan: bunyi napas, kecepatan, kedalaman dan penggunaan otot
aksesori.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l82 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Catat
kemampuan untuk mengeluarkan secret atau batuk efektif, catat karakter,
jumlah sputum, adanya hemoptisis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l82 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Berikan
pasien posisi semi atau fowler, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l82 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Bersihkan
sekret dari mulut dan trakea, suction bila perlu.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l82 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Berikan
obat</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">: agen
mukolitik, bronkodilator</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">sesuai indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.1pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l85 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">U</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ntuk
mengetahui tingkat sakit dan tindakan apa yang harus dilakukan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l85 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">U</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ntuk
mengetahui perkembangan kesehatan pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l85 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">S</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">emi fowler
memudahkan pasien untuk bernafas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l85 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">U</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ntuk
mencegah penyebaran infeksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l85 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Untuk membantu mengencerkan
secret sehingga mudah untuk dikeluarkan.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
</tr>
<tr style="height: 16.35pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Hiperthermia
berhubungan dengan proses peradangan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Setelah dilakukan tindakan keperawatan
selama ......x24 jam, suhu tubuh kembali normal,</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> den</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">g</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">an kriteria hasil</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> :</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Suhu tubuh 36-37,5 <sup>o</sup> C</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" valign="top" width="236"><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l81 level1 lfo48; mso-pagination: none; text-align: justify; text-indent: -14.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Monitor suhu tubuh setiap 2 jam</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l81 level1 lfo48; mso-pagination: none; text-align: justify; text-indent: -14.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Berikan kompres hangat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l81 level1 lfo48; mso-pagination: none; text-align: justify; text-indent: -14.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kolaborasi pemberian antipirektik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.6pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo49; mso-pagination: none; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Deteksi dini terjadinya perubahan abnormal fungsi tubuh ( adanya
infeksi)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo49; mso-pagination: none; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">merangsang pusat pengatur panas untuk menurunkan produksi panas tubuh</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo49; mso-pagination: none; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kolaborasi pemberian antipirektik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-pagination: none; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-pagination: none; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.6pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="height: 28.4pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" width="145"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Diagnosis</span></b><b><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> Keperawatan</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Tujuan</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" width="236"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Intervensi</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Rasional</span></b></div>
</td>
</tr>
<tr style="height: 16.35pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145"><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Perubahan
nurisi kurang dari kebutuhan tubuh berhubungan dengan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">anoreksia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.15pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">setelah dilakukan<span style="mso-spacerun: yes;"> </span>tindakan
perawatan selama </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">........x 24 jam, </span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">kebutuhan nutrisi terpenuhi</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">,
dengan kriteria hasil :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo50; mso-pagination: none; text-align: justify; text-indent: -13.05pt;">
<span lang="EN-US" style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Nafsu makan meningkat</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo50; mso-pagination: none; text-align: justify; text-indent: -13.05pt;">
<span lang="EN-US" style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">BB meningkat atau normal sesuai umur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" valign="top" width="236"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l89 level1 lfo51; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">U</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">kur dan
catat </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">berat
badan</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> pasein</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l89 level1 lfo51; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">S</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ajikan
makanan dalam porsi kecil tapi sering</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l89 level1 lfo51; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">S</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ajikan
makanan yang dapat menimbulkan selera makan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l89 level1 lfo51; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">erikan
makanan tinggi TKTP (tinggi kalori tinggi protein)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo52; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Jelaskan
kepada keluarga tentang penyebab malnutrisi, kebutuhan nutrisi pemulihan,
susunan menu dan pengolahan makanan sehat seimbang, tunjukkan contoh jenis
sumber makanan ekonomis sesuai status sosial ekonomi klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo53; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Laksanakan
pemberian roborans</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ia</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> sesuai
program terapi.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo54; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">BB
menggambarkan status gizi pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo54; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Sebagai
masukan makanan sedikit-sedikit dan mencegah muntah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo54; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Sebagai
alternatif meningkatkan nafsu makan pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo54; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Protein
mempengaruhi tekanan osmotik pembuluh darah</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo54; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Meningkatkan
pemahaman keluarga tentang penyebab dan kebutuhan nutrisi untuk pemulihan
klien sehingga dapat meneruskan upaya terapi diet yang telah diberikan selama
hospitalisasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo54; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Roborans,
meningkatkan nafsu makan, proses absorbsi dan memenuhi defisit yang menyertai
keadaan malnutrisi.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
</tr>
<tr style="height: 16.35pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145"><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Resiko
tinggi penyebaran infeksi pada diri sendiri maupun orang lain berhubungan
dengan virulensi kuman, pertahanan primer tidak adekuat, kurang pengetahuan
untuk menghindari pemajanan pathogen</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.15pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Setelah dilakukan tindakan perawatan
selama .........x24 jam, penyebaran infeksi tidak terjadi,</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> dengan kriteria hasil</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l91 level1 lfo56; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Klien</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">/keluarga</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> dapat mengidentifikasi tindakan untuk
mencegah/menurunkan resiko infeksi. </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l91 level1 lfo56; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Klien</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">/keluarga
</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">menunjukkan perubahan pola hidup untuk
meningkatkan lingkungan yang aman.</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" valign="top" width="236"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kaji
patologi penyakit dan potensial penyebaran infeksi melalui droplet </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Identifikasi
orag lain yang beresiko (anggota keluarga/teman) </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Anjurkan
klien untuk batuk / bersin pada tisu dan menghindari meludah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Lakukan
tindakan isolasi sebagai pencegahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Pertahankan
teknik aseptic saat melakukan tindakan perawatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Beritahu
klien dan keluarga tentang pentingnya pengobatan yang tuntas</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l112 level1 lfo55; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kolaborasi
pemberian obat anti tuberculosis </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.6pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Membantu
klien</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">/keluarga</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> agar mau mengerti dan menerima terhadap terapi yang diberikan untuk
mencegah komplikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Pengetahuan
dan terapi dapat meminimalkan kerentanan terjadinya penyebaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kebiasaan
ini untuk mencegah terjadinya penularan infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Mencegah infeksi yang bersumber dari susceptible
host</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Mencegah terjadinya cross infection</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Pengobatan tuntas sangat penting untuk mencegah
resistensi kuman terhadap abat</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l59 level1 lfo57; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Untuk membunuh kuman TBC</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="height: 16.35pt; mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kurang pengetahuan mengenai kondisi, aturan tindakan
dan pencegahan penyakit berhubungan dengan kurang/tidak lengkap informasi
yang ada.</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Setelah dilakukan tindakan perawatan
selama .........x24 jam, pengetahuan klien/keluarga meningkat,</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> dengan kriteria hasil</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo58; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">K</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">lien</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">/keluarga
</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">memahami proses penyakit dan kebutuhan
pengobatan </span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo58; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">K</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">lien</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">/keluarga
</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>melakukan perubahan pola hidup untuk memperbaiki
kesehatan <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" valign="top" width="236"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo59; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">K</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">aji
tingkat pengetahuan keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo59; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">B</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">erikan
pendidikan kesehatan berkaitan dengan penyakit pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo59; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">J</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">elaskan
setiap tindakan keperawatan yang akan dilakukan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo60; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">U</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ntuk
mengetahui tingkat pengetahuan keluarga pasien sampai mana</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo60; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">A</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">gar
keluarga pasien mengetahui dan tidak cemas</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo60; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">U</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ntuk
mengurangi kecemasan kelua</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">r</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">ga pasien</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 31.3pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 160; width: 882px;">
<tbody>
<tr style="height: 28.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" width="145"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Diagnosis</span></b><b><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> Keperawatan</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Tujuan</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" width="236"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 28.4pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" width="274"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Rasional</span></b></div>
</td>
</tr>
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<td style="border-top: none; border: solid black 1.0pt; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Perubahan proses keluarga berhubungan dengan hospitalisasi anak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.15pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Setelah dilakukan tindakan perawatan
selama .........x24 jam, terjadi pengurangan ansietas keluarga,</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> dengan kriteria hasil</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"> :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l100 level5 lfo111; text-align: justify; text-indent: -14.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kecemasan keluarga berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l100 level5 lfo111; text-align: justify; text-indent: -14.8pt;">
<span lang="EN-US" style="font-family: "symbol"; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Secara verbal keluarga mengatakan cemas berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.15pt;" valign="top" width="236"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo112; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Kenali kekhawatiran dan kebutuhan orang tua untuk informasi dan
dukungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo112; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Gali perasaan dan masalah seputar hospitalisasi dan penyakit anak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo112; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Berikan informasi seputar kesehatan anak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo112; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Berikan dukungan sesuai kebutuhan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l43 level1 lfo112; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Anjurkan perawatan yang berpusat pada keluarga dan anjurkan anggota
keluarga agar terlibat dalam perawatan.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo113; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Dapat menurunkan stress</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo113; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Memudahkan dalam pemilihan intervensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo113; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Untuk menurunkan ansietas yang dialami k</span><span style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">eluarga</span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo113; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Meningkatkan kemampuan koping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo113; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 10.0pt; line-height: 150%;">Meningkatkan pemahaman keluarga</span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 14.0pt; line-height: 200%;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<br />
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 14.0pt; line-height: 200%;">DAFTAR
PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Corwin, E.J. <i style="mso-bidi-font-style: normal;">Handbook of pathophysiology</i>. Alih bahasa
: Pendit, B.U. Jakarta: EGC; 2001.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Doengoes,
M.E., Moorhouse, M.F., Geissler, A.C. <i style="mso-bidi-font-style: normal;">Nursing
care plans: Guidelines for planning and documenting patients care</i>. Alih
bahasa: Kariasa,I.M. Jakarta: EGC; 1999.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Reeves,
C.J., Roux, G., Lockhart, R. <i style="mso-bidi-font-style: normal;">Medical-surgical
nursing</i>. Alih bahasa : Setyono, J. Jakarta: Salemba Medika; 2001.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Smeltzer,
S.C. & Bare, B.G.<span style="mso-spacerun: yes;"> </span><i style="mso-bidi-font-style: normal;">Brunner and Suddarth’s textbook of
medical-surgical nursing</i>. 8th Edition. Alih bahasa : Waluyo, A. Jakarta:
EGC; 2000.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Suyono, S, et al. <i style="mso-bidi-font-style: normal;">Buku ajar ilmu penyakit dalam</i>. Edisi
ketiga. Jakarta: Balai Penerbit FKUI; 2001. </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-55142897634958121902016-03-29T04:07:00.001-07:002016-03-29T04:07:36.902-07:00link jurnal indosenia<span class="short_text" id="result_box" lang="en"><span class="">http://pmb.stikestelogorejo.ac.id/e-journal/index.php/ilmukeperawatan/index</span></span><br />
<span class="short_text" id="result_box" lang="en"><span class="">http://ejournal.unsrat.ac.id/index.php/jkp/index </span></span>Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-14146760757715067382016-01-31T05:38:00.001-08:002016-01-31T05:56:12.196-08:00LAPORAN PENDAHULUAN DEFISIT PERAWATAN DIRI<!--[if gte mso 9]><xml>
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">LAPORAN PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">DEFISIT PERAWATAN DIRI</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masalah Utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Proses Terjadinya Masalah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pengertian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: 25.65pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> Perawatan
diri adalah salah satu kemampuan dasar manusia dalam memenuhi kebutuhannya guna
memepertahankan kehidupannya, kesehatan dan kesejahteraan sesuai dengan kondisi
kesehatannya, klien dinyatakan terganggu keperawatan dirinya jika tidak dapat
melakukan perawatan diri ( Depkes 2000).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: 25.65pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Defisit
perawatan diri adalah gangguan kemampuan untuk melakukan aktifitas perawatan
diri (mandi, berhias, makan, toileting) (Nurjannah, 2004).</span></div>
<a name='more'></a><br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: 25.65pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut Poter.
Perry (2005), Personal hygiene adalah suatu tindakan untuk memelihara
kebersihan dan kesehatan seseorang untuk kesejahteraan fisik dan psikis, kurang
perawatan diri adalah kondisi dimana seseorang tidak mampu melakukan perawatan
kebersihan untuk dirinya ( Tarwoto dan Wartonah 2000 ).</span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Faktor Predisposisi dan Faktor Presivitasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut Depkes
(2000: 20), penyebab kurang perawatan diri adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto; mso-list: l7 level1 lfo3; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Factor predisposisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l24 level1 lfo4; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perkembangan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluarga
terlalu melindungi dan memanjakan klien sehingga perkembangan inisiatif
terganggu.</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l24 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Biologis<br />
Penyakit kronis yang menyebabkan klien tidak mampu melakukan perawatan diri.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l24 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kemampuan
realitas turun</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Klien dengan gangguan jiwa dengan kemampuan realitas yang
kurang menyebabkan ketidakpedulian dirinya dan lingkungan termasuk perawatan
diri.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l24 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Sosial<br />
Kurang dukungan dan latihan kemampuan perawatan diri lingkungannya. Situasi
lingkungan mempengaruhi latihan kemampuan dalam perawatan diri.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Faktor
presipitasi</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Yang merupakan faktor presiptasi deficit perawatan diri
adalah kurang penurunan motivasi, kerusakan kognisi atau perceptual, cemas,
lelah/lemah yang dialami individu sehingga menyebabkan individu kurang mampu
melakukan perawatan diri.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut Depkes (2000: 59) Faktor –
faktor yang mempengaruhi personal hygiene adalah:</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Body Image</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Gambaran individu terhadap dirinya sangat mempengaruhi
kebersihan diri misalnya dengan adanya perubahan fisik sehingga individu tidak
peduli dengan kebersihan dirinya.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Praktik Sosial</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada anak – anak selalu dimanja dalam kebersihan diri,
maka kemungkinan akan terjadi perubahan pola personal hygiene.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Status Sosial
Ekonomi</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Personal hygiene memerlukan alat dan bahan seperti sabun,
pasta gigi, sikat gigi, shampo, alat mandi yang semuanya memerlukan uang untuk
menyediakannya.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"> Pengetahuan<br />
Pengetahuan personal hygiene sangat penting karena pengetahuan yang baik dapat
meningkatkan kesehatan. Misalnya pada pasien penderita diabetes mellitus ia
harus menjaga kebersihan kakinya.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Budaya</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Di sebagian masyarakat jika individu sakit tertentu tidak
boleh dimandikan.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan
seseorang</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ada kebiasaan orang yang menggunakan produk tertentu
dalam perawatan diri seperti penggunaan sabun, sampo dan lain – lain.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kondisi fisik
atau psikis</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pada keadaan tertentu / sakit kemampuan untuk merawat
diri berkurang dan perlu bantuan untuk melakukannya.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanda dan Gejala</span></div>
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<span lang="EN-GB" style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Depkes (2000: 20) Tanda dan gejala klien dengan defisit perawatan diri adalah:</span></div>
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<span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Fisik</span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Badan bau,
pakaian kotor</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Rambut dan
kulit kotor</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kuku panjang
dan kotor</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Gigi
kotor disertai mulut bau</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">P</span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">enampilan tidak
rapi</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
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<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Psikologis</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Malas,
tidak ada inisiatif</span></div>
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<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menarik diri,
isolasi diri</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l19 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Merasa tak
berdaya, rendah diri dan merasa hina.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 64.35pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-indent: -.25in;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Social</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Interaksi
kurang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kegiatan kurang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tidak mampu
berperilaku sesuai norma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Cara makan
tidak teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span style="font-family: "symbol"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">BAK dan BAB di
sembarang tempat, gosok gigi dan mandi tidak mampu mandiri.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Rentang Respon</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 46.35pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.85pt;" valign="top" width="181"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Adaptif</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Maladaptif</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.85pt;" valign="top" width="181"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pola perawatan diri seimbang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">kadang perawatan diri kadang tidak</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tidak melakukan perawatan saat stress</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pasien
dengan gangguan<span style="mso-spacerun: yes;"> </span>defisit<span style="mso-spacerun: yes;"> </span>perawatan<span style="mso-spacerun: yes;">
</span>diri tidak<span style="mso-spacerun: yes;"> </span>membutuhkan perawatan
medis karena hanya mengalami gangguan jiwa, pasien lebih membutuhkan terapai<span style="mso-spacerun: yes;"> </span>kejiwaan melalui komunikasi terapeutik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Pohon Masalah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Effect<span style="mso-spacerun: yes;"> </span></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Isolasi Sosial: menarik diri</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">↑</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Core Problem<span style="mso-spacerun: yes;"> </span></span><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Defisit Perawatan Diri: mandi,
berdandan</span></b><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">↑</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Causa<span style="mso-spacerun: yes;"> </span></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Harga Diri Rendah</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">
Kronis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Masalah Keperawatan yang Mungkin Muncul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l21 level1 lfo10; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l21 level1 lfo10; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Isolasi sosial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l21 level1 lfo10; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Harga diri rendah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Data yang Perlu Dikaji</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Data Subyektif:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Klien
mengatakan malas mandi, tak mau menyisir rambut, tak mau menggosok gigi, tak
mau memotong kuku, tak mau berhias, tak bisa menggunakan alat mandi /
kebersihan diri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Data Obyektif:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Badan
bau, pakaian kotor, rambut dan kulit kotor, kuku panjang dan kotor, gigi kotor,
mulut bau, penampilan tidak rapih, tak bisa menggunakan alat mandi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Diagnosis Keperawatan Jiwa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo12; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penurunan kemampuan dan motivasi merawat diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo12; text-indent: -.25in;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">G.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Rencana Tindakan Keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="background: white; color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penurunan kemampuan dan motivasi merawat diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Untuk Klien</span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umun: Klien
dapat meningkatkan minat dan motivasinya untuk memperhatikan kebersihan diri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l11 level1 lfo19; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Klien dapat membina hubungan saling
percaya dengan perawat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Kriteria evaluasi:
Dalam berinteraksi klien menunjukan tanda-tanda percaya pada perawat:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Wajah cerah, tersenyum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mau berkenalan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Ada kontak mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Menerima kehadiran perawat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Bersedia menceritakan perasaannya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Berikan salam setiap berinteraksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Perkenalkan nama, nama panggilan perawat
dan tujuan perawat berkenalan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanyakan nama dan panggilan kesukaan
klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tunjukan sikap jujur dan menepati janji
setiap kali berinteraksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tanyakan perasaan dan masalah yang
dihadapi klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Buat kontrak interaksi yang jelas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Dengarkan ungkapan perasaan klien dengan
empati.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Penuhi kebutuhan dasar klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 78.0pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; color: black; font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Untuk</span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">
Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo20; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Beri pendidikan kesehatan tentang
merawat klien d</span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">a</span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">n
memotivasi klien untuk kebersihan diri melalui pertemuan keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo20; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Beri reinforcement positif atas
partisipasi aktif keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Defisit
<span style="background: white; color: black;">Perawatan</span> Diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Untuk Klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Tujuan: Klien mampu
melakukan aktivitas perawatan diri secara mandiri seperti mandi, berpakaian,
makan, dan BAB/BAK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Intervensi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Mengkaji kemampuan melakukan perawatan
diri secara mandiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Memberikan cara melakukan
mandi/membersihkan diri, berhias, makan/minum, BAB/BAK secara mandiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Keluarga mampu merawat anggota keluarga
yang mengawali masalah kurang perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Untuk Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan dengan keluarga tentang
fasilitas kebersihan diri yang dibutuhkan oleh klien agar dapat menjaga
kebersihan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan keluarga untuk terlibat dalam
merawat dan memantau klien dalam merawat klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
klien untuk memberikan pujian atas keberhasilan klien dalam merawat diri.</span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">H.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Strategi Pelaksanaan Tindakan</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: .5in; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184; width: 488px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205"><div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP
Pada Pasien</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283"><div align="center" class="MsoListParagraphCxSpLast" style="margin-left: 0in; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP
Pada Keluarga</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205"><div class="MsoListParagraphCxSpFirst" style="margin-left: 0in; mso-add-space: auto;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP
1</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan
pentingnya kebersihan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan
cara menjaga kebersihan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Melatih
pasien cara menjaga kebersihan diri</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Membimbing
pasien memasukkan dalam jadwal kegiatan harian.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283"><div class="MsoNormal">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP I k</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Mendiskusikan
masalah yang dirasakan keluarga dalam merawat pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan
pengertian, tanda dan gejala defisit perawatan diri, dan jenis defisit
perawatan diri yang dialami pasien beserta proses terjadinya</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan
cara-cara merawat pasien defisit perawatan diri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205"><div class="MsoNormal">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP 2 p</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Memvalidasi
masalah dan latihan sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan
cara makan yang baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Melatih pasien
cara makan yang baik </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Membimbing
pasien memasukkan dalam jadwal kegiatan harian.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283"><div class="MsoNormal">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP 2 k</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l13 level1 lfo25; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Melatih
keluarga mempraktekkan cara merawat pasien dengan defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l13 level1 lfo25; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Melatih
keluarga melakukan cara merawat langsung kepada pasien defisit perawatan diri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205"><div class="MsoNormal">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP 3 p</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Memvalidasi
masalah dan latihan sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan
cara eliminasi yang baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Melatih
cara eliminasi yang baik.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Membimbing
pasien memasukkan dalam jadwal kegiatan harian.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283"><div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">SP
3 k</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 22.95pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Membantu
keluarga membuat jadual aktivitas di rumah termasuk minum obat<span style="mso-spacerun: yes;"> </span>(<i style="mso-bidi-font-style: normal;">discharge
planning</i>)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 22.95pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Menjelaskan<span style="mso-spacerun: yes;"> </span>follow up pasien setelah pulang</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in; text-align: center;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">Daftar Pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Depkes. 2000. Standar Pedoman
Perawatan jiwa</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Nurjanah, Intansari S.Kep.
2001. Pedoman Penanganan Pada Gangguan Jiwa. Yogyakarta : Momedia</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Perry, Potter. 2005 . Buku Ajar
Fundamental Keperawatan. Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Tarwoto dan Wartonah. 2000.
Kebutuhan Dasar Manusia. Jakarta.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-58859884365814817082016-01-31T05:32:00.001-08:002016-01-31T05:32:11.422-08:00LAPORAN PENDAHULUAN DEFISIT PERAWATAN DIRI<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">LAPORAN PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">DEFISIT PERAWATAN DIRI</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Masalah Utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Proses Terjadinya Masalah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pengertian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: 25.65pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> Perawatan
diri adalah salah satu kemampuan dasar manusia dalam memenuhi kebutuhannya guna
memepertahankan kehidupannya, kesehatan dan kesejahteraan sesuai dengan kondisi
kesehatannya, klien dinyatakan terganggu keperawatan dirinya jika tidak dapat
melakukan perawatan diri ( Depkes 2000).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: 25.65pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Defisit
perawatan diri adalah gangguan kemampuan untuk melakukan aktifitas perawatan
diri (mandi, berhias, makan, toileting) (Nurjannah, 2004).</span></div>
<a name='more'></a><br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify; text-indent: 25.65pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menurut Poter.
Perry (2005), Personal hygiene adalah suatu tindakan untuk memelihara
kebersihan dan kesehatan seseorang untuk kesejahteraan fisik dan psikis, kurang
perawatan diri adalah kondisi dimana seseorang tidak mampu melakukan perawatan
kebersihan untuk dirinya ( Tarwoto dan Wartonah 2000 ).</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Faktor Predisposisi dan Faktor Presivitasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Menurut Depkes
(2000: 20), penyebab kurang perawatan diri adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto; mso-list: l7 level1 lfo3; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Factor predisposisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; mso-add-space: auto; mso-list: l24 level1 lfo4; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perkembangan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga
terlalu melindungi dan memanjakan klien sehingga perkembangan inisiatif
terganggu.</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l24 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Biologis<br />
Penyakit kronis yang menyebabkan klien tidak mampu melakukan perawatan diri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l24 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kemampuan
realitas turun</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Klien dengan gangguan jiwa dengan kemampuan realitas yang
kurang menyebabkan ketidakpedulian dirinya dan lingkungan termasuk perawatan
diri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l24 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Sosial<br />
Kurang dukungan dan latihan kemampuan perawatan diri lingkungannya. Situasi
lingkungan mempengaruhi latihan kemampuan dalam perawatan diri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Faktor
presipitasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Yang merupakan faktor presiptasi deficit perawatan diri
adalah kurang penurunan motivasi, kerusakan kognisi atau perceptual, cemas,
lelah/lemah yang dialami individu sehingga menyebabkan individu kurang mampu
melakukan perawatan diri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 20.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menurut Depkes (2000: 59) Faktor –
faktor yang mempengaruhi personal hygiene adalah:</span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Body Image</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Gambaran individu terhadap dirinya sangat mempengaruhi
kebersihan diri misalnya dengan adanya perubahan fisik sehingga individu tidak
peduli dengan kebersihan dirinya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Praktik Sosial</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pada anak – anak selalu dimanja dalam kebersihan diri,
maka kemungkinan akan terjadi perubahan pola personal hygiene.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Status Sosial
Ekonomi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Personal hygiene memerlukan alat dan bahan seperti sabun,
pasta gigi, sikat gigi, shampo, alat mandi yang semuanya memerlukan uang untuk
menyediakannya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> Pengetahuan<br />
Pengetahuan personal hygiene sangat penting karena pengetahuan yang baik dapat
meningkatkan kesehatan. Misalnya pada pasien penderita diabetes mellitus ia
harus menjaga kebersihan kakinya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Budaya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Di sebagian masyarakat jika individu sakit tertentu tidak
boleh dimandikan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kebiasaan
seseorang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ada kebiasaan orang yang menggunakan produk tertentu
dalam perawatan diri seperti penggunaan sabun, sampo dan lain – lain.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kondisi fisik
atau psikis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 92.15pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pada keadaan tertentu / sakit kemampuan untuk merawat
diri berkurang dan perlu bantuan untuk melakukannya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tanda dan Gejala</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Depkes (2000: 20) Tanda dan gejala klien dengan defisit perawatan diri adalah:</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 64.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l14 level1 lfo6; text-indent: -.25in;">
<span lang="IN" style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fisik</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Badan bau,
pakaian kotor</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Rambut dan
kulit kotor</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kuku panjang
dan kotor</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Gigi
kotor disertai mulut bau</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">P</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">enampilan tidak
rapi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 64.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l14 level1 lfo6; text-indent: -.25in;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Psikologis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l19 level1 lfo8; text-indent: -21.25pt;">
<span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Malas,
tidak ada inisiatif</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l19 level1 lfo8; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menarik diri,
isolasi diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 85.05pt; margin-right: 0in; margin-top: 0in; mso-list: l19 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Merasa tak
berdaya, rendah diri dan merasa hina.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 64.35pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-indent: -.25in;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Social</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Interaksi
kurang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kegiatan kurang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tidak mampu
berperilaku sesuai norma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span lang="IN" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Cara makan
tidak teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; mso-add-space: auto; mso-list: l9 level1 lfo9; text-indent: -.25in;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">BAK dan BAB di
sembarang tempat, gosok gigi dan mandi tidak mampu mandiri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rentang Respon</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 46.35pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.85pt;" valign="top" width="181">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Adaptif</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Maladaptif</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.85pt;" valign="top" width="181">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pola perawatan diri seimbang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">kadang perawatan diri kadang tidak</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 135.9pt;" valign="top" width="181">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak melakukan perawatan saat stress</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Penatalaksanaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pasien
dengan gangguan<span style="mso-spacerun: yes;"> </span>defisit<span style="mso-spacerun: yes;"> </span>perawatan<span style="mso-spacerun: yes;">
</span>diri tidak<span style="mso-spacerun: yes;"> </span>membutuhkan perawatan
medis karena hanya mengalami gangguan jiwa, pasien lebih membutuhkan terapai<span style="mso-spacerun: yes;"> </span>kejiwaan melalui komunikasi terapeutik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pohon Masalah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Effect<span style="mso-spacerun: yes;"> </span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Isolasi Sosial: menarik diri</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">↑</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Core Problem<span style="mso-spacerun: yes;"> </span></span><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Defisit Perawatan Diri: mandi,
berdandan</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">↑</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Causa<span style="mso-spacerun: yes;"> </span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Harga Diri Rendah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">
Kronis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Masalah Keperawatan yang Mungkin Muncul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l21 level1 lfo10; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l21 level1 lfo10; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Isolasi sosial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l21 level1 lfo10; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Harga diri rendah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Data yang Perlu Dikaji</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -.25in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Data Subyektif:</span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Klien
mengatakan malas mandi, tak mau menyisir rambut, tak mau menggosok gigi, tak
mau memotong kuku, tak mau berhias, tak bisa menggunakan alat mandi /
kebersihan diri.</span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Data Obyektif:</span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Badan
bau, pakaian kotor, rambut dan kulit kotor, kuku panjang dan kotor, gigi kotor,
mulut bau, penampilan tidak rapih, tak bisa menggunakan alat mandi.</span></div>
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<br /></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diagnosis Keperawatan Jiwa</span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Penurunan kemampuan dan motivasi merawat diri</span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Defisit perawatan diri</span></div>
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<br /></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">G.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rencana Tindakan Keperawatan</span></div>
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<span lang="EN-GB" style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan kemampuan dan motivasi merawat diri</span></div>
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<span lang="EN-GB" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk Klien</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umun: Klien
dapat meningkatkan minat dan motivasinya untuk memperhatikan kebersihan diri.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klien dapat membina hubungan saling
percaya dengan perawat.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kriteria evaluasi:
Dalam berinteraksi klien menunjukan tanda-tanda percaya pada perawat:</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wajah cerah, tersenyum</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mau berkenalan</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada kontak mata</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menerima kehadiran perawat</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersedia menceritakan perasaannya</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan salam setiap berinteraksi.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkenalkan nama, nama panggilan perawat
dan tujuan perawat berkenalan.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanyakan nama dan panggilan kesukaan
klien.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tunjukan sikap jujur dan menepati janji
setiap kali berinteraksi.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanyakan perasaan dan masalah yang
dihadapi klien.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buat kontrak interaksi yang jelas.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengarkan ungkapan perasaan klien dengan
empati.</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penuhi kebutuhan dasar klien.</span></div>
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<br /></div>
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<span lang="EN-GB" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo20; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beri pendidikan kesehatan tentang
merawat klien d</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">a</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n
memotivasi klien untuk kebersihan diri melalui pertemuan keluarga</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beri reinforcement positif atas
partisipasi aktif keluarga</span></div>
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<br /></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisit
<span style="background: white; color: black;">Perawatan</span> Diri</span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk Klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan: Klien mampu
melakukan aktivitas perawatan diri secara mandiri seperti mandi, berpakaian,
makan, dan BAB/BAK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengkaji kemampuan melakukan perawatan
diri secara mandiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan cara melakukan
mandi/membersihkan diri, berhias, makan/minum, BAB/BAK secara mandiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga mampu merawat anggota keluarga
yang mengawali masalah kurang perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 42.55pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan dengan keluarga tentang
fasilitas kebersihan diri yang dibutuhkan oleh klien agar dapat menjaga
kebersihan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan keluarga untuk terlibat dalam
merawat dan memantau klien dalam merawat klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
klien untuk memberikan pujian atas keberhasilan klien dalam merawat diri.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 46.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -25.05pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">H.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Strategi Pelaksanaan Tindakan</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: .5in; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184; width: 488px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205">
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP
Pada Pasien</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-left: 0in; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP
Pada Keluarga</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0in; mso-add-space: auto;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP
1</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
pentingnya kebersihan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
cara menjaga kebersihan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Melatih
pasien cara menjaga kebersihan diri</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l17 level2 lfo22; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Membimbing
pasien memasukkan dalam jadwal kegiatan harian.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP I k</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mendiskusikan
masalah yang dirasakan keluarga dalam merawat pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
pengertian, tanda dan gejala defisit perawatan diri, dan jenis defisit
perawatan diri yang dialami pasien beserta proses terjadinya</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo23; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
cara-cara merawat pasien defisit perawatan diri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205">
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP 2 p</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Memvalidasi
masalah dan latihan sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
cara makan yang baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Melatih pasien
cara makan yang baik </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l6 level2 lfo21; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Membimbing
pasien memasukkan dalam jadwal kegiatan harian.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP 2 k</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l13 level1 lfo25; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Melatih
keluarga mempraktekkan cara merawat pasien dengan defisit perawatan diri</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 15.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l13 level1 lfo25; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Melatih
keluarga melakukan cara merawat langsung kepada pasien defisit perawatan diri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 153.7pt;" valign="top" width="205">
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP 3 p</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Memvalidasi
masalah dan latihan sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
cara eliminasi yang baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Melatih
cara eliminasi yang baik.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 20.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo24; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Membimbing
pasien memasukkan dalam jadwal kegiatan harian.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 107%;">SP
3 k</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 22.95pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Membantu
keluarga membuat jadual aktivitas di rumah termasuk minum obat<span style="mso-spacerun: yes;"> </span>(<i style="mso-bidi-font-style: normal;">discharge
planning</i>)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 22.95pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -.25in;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan<span style="mso-spacerun: yes;"> </span>follow up pasien setelah pulang</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 28.35pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Daftar Pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 3.3pt; margin-right: 0in; margin-top: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Depkes. 2000. Standar Pedoman
Perawatan jiwa</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Nurjanah, Intansari S.Kep.
2001. Pedoman Penanganan Pada Gangguan Jiwa. Yogyakarta : Momedia</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Perry, Potter. 2005 . Buku Ajar
Fundamental Keperawatan. Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Tarwoto dan Wartonah. 2000.
Kebutuhan Dasar Manusia. Jakarta.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-28885105888766034712015-11-08T23:42:00.000-08:002015-11-10T01:50:17.962-08:00LP dan Askep ca ovarium<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ca Ovarium</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.
Pengertian</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kanker
indung telur adalah terjadinya pertumbuhan sel-sel yang tidak lazim (kanker)
pada satu atau dua bagian indung telur (Conectique.com, 2008, diakses tanggal
28 Mei 2009).</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kanker
indung telur atau kanker ovarium adalah tumor ganas pada ovarium (indung telur)
yang paling sering ditemukan pada wanita berusia 50 – 70 tahun. Kanker<span style="mso-spacerun: yes;"> </span>ovarium bisa menyebar ke bagian lain,
panggul, dan perut melalui sistem getah bening dan melalui sistem pembuluh
darah menyebar ke hati dan paru-paru. Kanker ovarium sangat sulit di diagnosa
dan kemungkinan kanker ovarium ini merupakan awal dari banyak kanker primer.
(Wingo, 1995).</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.
Klasifikasi</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jenis
kanker ovarium meliputi:</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; tab-stops: .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a. <i style="mso-bidi-font-style: normal;">Epithelial</i> (65% dari semua kanker
ovarium). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tumor epiteal ovarium berkembang
dari permukaan luar ovarium,</span><br />
<a name='more'></a><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> pada umumnya jenis tumor yang berasal dari
epitelial adalah jinak, namun jika terjadi keganasan maka disebut epitelial
ovarium carcinomas yang merupakan jenis tumor yang paling sering dan penyebab
kematian terbesar dari jenis kanker ovarium. Gambaran tumor epitelial secara
mikrokopis tidak jelas teridentifikasi sebagai kanker, dinamakan sebagai tumor
borderline atau tumor yang berpotensi ganas. (Ari, 2008)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikut adalah beberapa kanker
epithelial :</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1) Serosa
(20%-50%, kebanyakan ganas)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2) <i style="mso-bidi-font-style: normal;">Muscinosa</i> (15%-25%, dapat tumbuh hingga
ukuran besar, histologinya bervariasi)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3) Endometrioid
(5%, sekitar 10% berhubungan dengan endometriosisi)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4) <i style="mso-bidi-font-style: normal;">Clear cell </i>(5%, prognosisnya sangat
buruk)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5) <i style="mso-bidi-font-style: normal;">Brenner</i> (2%-3%, kebanyakan jinak)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. <i style="mso-bidi-font-style: normal;">Germ cell</i> (25% dari semua kanker
ovarium).</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 29.45pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tumor
sel germinal berasal dari sel yang menghasilkan ovum, umumnya tumor germinal
adalah jinak meskipun beberapa menjadi ganas, bentuk keganasan sel germinal
adalah teratoma, disgermioma dan tumor sinus endodermal (Ari, 2008).</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Germ cell</span></i><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> terdiri atas :</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Disgermioma</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><i style="mso-bidi-font-style: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mixed
germ cell tu</span></i><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">mor</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teratoma imatur</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Koriokarsinoma</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Endodermal sinus tumor</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Embrional karsinoma</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.
<i style="mso-bidi-font-style: normal;">Sex cord stromal</i> (5% dari semua
kanker ovarium) terdiri atas sel granulosa tumor. Tipe lainnya adalah
sertoli-leydig.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 29.45pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tumor
ovarium stromal berasal dari jaringan penyokong ovarium yang memproduksi hormon
estrogen dan progesteron, jenis tumor ini jarang ditemukan (Ari, 2008).</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klasifikasi
stadium kanker ovarium berdasarkan FIGO (International Federation of Gynecology
and Obstetrics</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-cellspacing: 0in; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 497px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 411.6pt;" width="549"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Stadium
I terbatas pada 1 / 2 ovarium</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I A</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Mengenai 1 ovarium, kapsul utuh, ascites (-)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I B</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Mengenai 2 ovarium, kapsul utuh, ascites (-)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I C</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Kriteria I A / I B disertai 1 > lebih
keadaan sbb :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l0 level1 lfo1; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengenai
permukaan luar ovarium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l0 level1 lfo1; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kapsul
rupture</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l0 level1 lfo1; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ascites
(+)</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-cellspacing: 0in; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 497px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 411.6pt;" width="549"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Stadium
II perluasan pada rongga pelvis</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">II A</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" valign="top" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Mengenai uterus / tuba fallopi / keduanya</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">II B</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" valign="top" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Mengenai organ pelvis lainnya</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">II C</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" valign="top" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Kriteria II A / II B disertai 1 / >
keadaan sbb :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l2 level1 lfo2; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengenai
permukaan ovarium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l2 level1 lfo2; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kapsul
ruptur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l2 level1 lfo2; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ascites
(+)</span></div>
</td>
</tr>
<tr style="height: 28.6pt; mso-yfti-irow: 4;">
<td colspan="2" style="border: solid windowtext 1.0pt; height: 28.6pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 411.6pt;" width="549"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Stadium
III kanker meluas mengenai organ pelvis dan intraperitoneal</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">III A</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" valign="top" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Makroskopis : terbatas 1 / 2 ovarium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Mikroskopis : mengenai intraperitoneal</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">III B</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" valign="top" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Makroskopis : mengenai intraperitoneal
diameter < 2 cm, KGB (-)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 67.2pt;" width="90"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">III C</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 344.4pt;" valign="top" width="459"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.
Meluas mengenai KGB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.
Makroskopis mengenai intraperitoneal diameter > 2 cm</span></div>
</td>
</tr>
<tr style="height: 26.7pt; mso-yfti-irow: 8;">
<td colspan="2" style="border: solid windowtext 1.0pt; height: 26.7pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 411.6pt;" width="549"><div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Stadium IV pertumbuhan mengenai 1
/ 2 ovarium dengan metastasis jauh.</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9; mso-yfti-lastrow: yes;">
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 0in 0in 0in; width: 411.6pt;" width="549"><div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Bila efusi pleura dan hasil sitologinya
positif dalam stadium 4, begitu juga metastasis ke permukaan liver.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Derajat
keganasan kanker ovarium</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">► Derajat 1 :
differensiasi baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">► Derajat 2 :
differensiasi sedang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">► Derajat 3 :
differensiasi buruk</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dengan derajat differensiasi semakin
rendah pertumbuhan dan prognosis akan lebih baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Etiologi</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tidak jelas apa yang menyebabkan
kanker ovarium. Secara umum, kanker dimulai ketika sel-sel sehat mengalami
mutasi genetik yang mengubah sel normal menjadi sel abnormal. Sel sehat tumbuh
dan berkembang biak pada tingkat yang ditetapkan, akhirnya mati pada waktu yang
ditetapkan. Sel-sel kanker tumbuh dan berkembang di luar kendali, dan mereka
tidak mati. Adanya akumulasi sel abnormal akan membentuk suatu massa (tumor).
Sel kanker menginvasi jaringan terdekat dan dapat pecah dari tumor awal untuk
menyebar ke tempat lain dalam tubuh (metastasis). Akan tetapi banyak teori yang
menjelaskan tentang etiologi kanker ovarium, diantaranya:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l3 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipotesis incessant ovulation</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teori menyatakan bahwa terjadi
kerusakan pada sel-sel epitel ovarium untuk penyembuhan luka pada saat terjadi
ovulasi. Proses penyembuhan sel-sel epitel yang terganggu dapat menimbulkan
proses transformasi menjadi sel-sel tumor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l1 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: "symbol"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipotesis androgen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Androgen mempunyai peran penting
dalam terbentuknya kanker ovarium. Hal ini didasarkan pada hasil percobaan
bahwa epitel ovarium mengandung reseptor androgen. Dalam percobaan in-vitro,
androgen dapat menstimulasi pertumbuhan epitel ovarium normal dan sel-sel
kanker ovarium.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.
Tanda dan Gejala</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Gejala umum bervariasi dan tidak spesifik. Pada stadium
awal berupa :</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Haid tidak
teratur</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ketegangan
menstrual yang terus meningkat</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menoragia</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nyeri tekan
pada payudara</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menopause dini</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Rasa tidak
nyaman pada abdomen</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Dispepsia</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tekanan pada
pelvis</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Sering berkemih</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Flatulenes</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Rasa begah
setelah makan makanan kecil</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span lang="IN" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Lingkar abdomen
yang terus meningkat</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada
stadium dini gejala-gejala kanker ovarium tidak khas, lebih dari 70% penderita
kanker ovarium sudah dalam stadium lanjut. Gejala kanker ovarium yang sering
ditemukan :</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri perut </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perut buncit </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Gangguan fungsi saluran cerna </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berat badan turun secara nyata </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan pervaginam yang tidak
normal </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan saluran kencing </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasa tertekan pada rongga panggul</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri punggung </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penderita bisa meraba sendiri tumor
di bagian bawah perut </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Faktor Resiko Tejadinya
Kanker Ovarium</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l4 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat kesuburan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l4 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pernah menderita kanker payudara</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l4 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat keluarga yang menderita kanker payudara dan/atau
kanker ovarium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l4 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat keluarga yang menderita kanker kolon, paru-paru,
prostat dan rahim (menunjukkan adanya <i>sindroma Lynch II</i>).</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: .5in; mso-add-space: auto; mso-list: l4 level1 lfo5; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Wanita di atas usia 50 tahun</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: .5in; mso-add-space: auto; mso-list: l4 level1 lfo5; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Wanita yang tidak memilki anak (nullipara)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.
Patofisiologi</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebanyakan
teori patofisiologi kanker ovarium meliputi konsep yang dimulai dengan
dedifferentiation dari sel-sel yang melapisi ovarium. Selama ovulasi, sel-sel
ini dapat dimasukkan ke dalam ovarium, di mana mereka kemudian berkembang biak.
Kanker ovarium biasanya menyebar ke permukaan peritoneum dan omentum.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Karsinoma
ovarium bisa menyebar dengan ekstensi lokal, invasi limfatik, implantasi
intraperitoneal, penyebaran hematogen, dan bagian transdiaphragmatic.
Penyebaran intraperitoneal adalah karakteristik yang paling umum dan diakui
dari kanker ovarium. Sel-sel ganas dapat implan di mana saja dalam rongga
peritoneal tetapi lebih cenderung untuk menanamkan di situs statis sepanjang
sirkulasi cairan peritoneum. Seperti dibahas selanjutnya, mekanisme penyebaran
mewakili pemikiran untuk melakukan pementasan bedah, operasi debulking, dan
administrasi kemoterapi intraperitoneal. Sebaliknya, penyebaran hematogen secara
klinis yang tidak biasa pada awal proses penyakit, meskipun tidak jarang
terjadi pada pasien dengan penyakit lanjut.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. Pathway</span></b><br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. Manifestasi Klinis</span></b></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: -.25in;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala
kanker ovarium tidak spesifik dan lebih mirip gejala-gejala umum seperti gejala
gangguan pencernaan atau kandung kemih. Seorang wanita dengan kanker ovarium
dapat didiagnosis dengan cara membandingkan dengan kondisi lain sebelum
akhirnya memahami dia menderita kanker.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kunci
utama untuk memahami kanker ovarium adalah tanda-tanda dan gejala yang terus
memburuk. Gejala tersebut meliputi gangguan pencernaan, yang cenderung untuk
datang dan hilang atau terjadi dalam situasi tertentu atau setelah makan
makanan tertentu. Kanker ovarium, biasanya fluktuatif, konstan, dan secara
bertahap memburuk.</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Studi
terbaru menunjukkan bahwa wanita dengan kanker ovarium lebih mungkin
dibandingkan perempuan lain untuk secara konsisten mengalami gejala berikut:</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala awalnya berupa rasa tidak enak yang samar-samar di
perut bagian bawah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tekanan pada perut, merasa kenyang, bengkak atau kembung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Urinary urgensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasa tidak nyaman atau sakit panggul</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mual</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sembelit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sering buang air kecil</span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehilangan nafsu makan atau cepat merasa kenyang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Peningkatan ketebalan perut atau pakaian ketat pas di
pinggang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sakit saat hubungan seksual (dispareunia)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kekurangan energi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Punggung sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perubahan menstruasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Panggul terasa berat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l6 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan pervaginam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: 24.55pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ovarium yang membesar pada wanita
pasca <i>menopause</i> bisa merupakan pertanda awal dari kanker ovarium. Di
dalam perut terkumpul cairan dan perut membesar akibat ovarium yang membesar
ataupun karena penimbunan cairan. Pada saat ini penderita mungkin akan
merasakan nyeri panggul, <i>anemia</i> dan berat badannya menurun. Kadang kanker
ovarium melepaskan hormon yang menyebabkan pertumbuhan berlebih pada lapisan
rahim, pembesaran payudara atau peningkatan pertumbuhan rambut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: 24.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9. Pemeriksaan Diagnostik</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan yang biasa dilakukan:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksan darah lengkap</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan kimia darah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Serum HCG</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Alfa fetoprotein</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Analisa air kemih</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan saluran pencernaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <i>Laparatomi</i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">CT scan atau MRI perut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan panggul.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">USG menggunakan frekuensi tinggi gelombang suara untuk
menghasilkan gambar dari bagian dalam tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pembedahan untuk mengangkat contoh jaringan untuk pengujian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in; mso-list: l11 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -22.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">CA 125 tes darah. CA 125 adalah protein yang ditemukan pada
permukaan sel kanker ovarium dan beberapa jaringan sehat. Banyak wanita dengan
kanker ovarium memiliki tingkat abnormal tinggi CA 125 dalam darah mereka.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10. <span style="mso-bidi-font-weight: bold;">Penatalaksanaan</span></span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">Ø </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pengobatan</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: .25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada umumnya, pengobatan kanker
ovarium dilakukan dengan tindakan operasi, lalu dilanjutkan dengan pengobatan
tambahan seperti kemoterapi, radioterapi, dan imunoterapi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l5 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 27.0pt; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Operasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada umumnya dilakukan:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; text-indent: -13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Histerektomi total yaitu mengangkat rahim dengan organ
sekitarnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; text-indent: -13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Salpingo ooporekmitomi yaitu mengangkat kedua ovarium dan
kedua saluran tuba fallopii</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; text-indent: -13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;">ü </span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Omentektomi yaitu mengangkat lipatan selaput pembungkus
perut yang memanjang dari lambung ke alat-alat perut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 27.0pt; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Radioterapi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 27.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teleterapi pelvis dan abdomen dan
penetesan isotop radioaktif pada rongga peritoneal digunakan pada wanita dengan
kanker ovarium tahap awal (stadium I dan II). Isotop radioaktik (P32) digunakan
sebagai terapi residual kanker pada rongga peritoneum. Pasien yang memiliki
residu penyakit yang terbatas, kurang dari 2cm, merupakan kandidat utama terapi
P32 ini.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; mso-list: l2 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 27.0pt; text-indent: 0in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemoterapi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggunaan melphana, 5-FU, thiotepa
dan siklosfosfamid secara sistematik menunjukkan aktivitas yang baik.
Altretamine, sisplastin, karboplatin, doksorubisin, ifosfamid, dan etoposid
juga menunjukkan hasil yang bervariasi dari 27% sampai 78%. Secara keseluruhan,
kombinasi terapi sistematik dengan takson, sisplatin, siklofosfamid
meningkatkan respon terapi, angka kesembuhan atau kemungkinan hidup.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11. Pencegahan</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa faktor muncul untuk
mengurangi risiko kanker indung telur, termasuk:</span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontrasepsi oral(pil KB).
Dibandingkan dengan wanita yang tidak pernah menggunakan mereka, para
wanita yang menggunakan kontrasepsi oral selama lima tahun atau lebih
mengurangi risiko kanker ovarium sekitar 50 persen, sesuai dengan ACS.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan dan menyusui.
Memiliki paling tidak satu anak menurunkan risiko mengalami kanker
ovarium. Menyusui anak-anak juga dapat mengurangi risiko kanker ovarium.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tubal ligasi atau histerektomi.
Setelah tabung Anda diikat atau memiliki histerektomi dapat mengurangi
risiko kanker ovarium.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perempuan yang berada pada risiko
yang sangat tinggi mengalami kanker ovarium dapat memilih untuk memiliki indung
telur mereka diangkat sebagai cara untuk mencegah penyakit. Operasi ini,
dikenal sebagai profilaksis ooforektomi, dianjurkan terutama bagi perempuan
yang telah dites positif untuk mutasi gen BRCA atau wanita yang mempunyai
sejarah keluarga yang kuat payudara dan kanker ovarium, bahkan jika tidak ada
mutasi genetik yang telah diidentifikasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.5pt; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12. <span style="mso-bidi-font-weight: bold;">Komplikasi</span></span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebaran kanker ke organ lain</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Progressive function loss of
various organs Fungsi progresif hilangnya berbagai organ</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ascites (fluid in the abdomen)
Ascites (cairan di perut)</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intestinal Obstructions Usus
Penghalang</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sel-sel dapat implan di lain perut
(peritoneal) struktur, termasuk rahim, kandung kemih, usus, lapisan dinding
usus (omentum) dan, lebih jarang, ke paru-paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: .5in;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0in; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">KONSEP
KEPERAWTAN<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></b></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l12 level1 lfo8; text-align: left; text-indent: -27.35pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">PENGKAJIAN</span></b></div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Data diri klien</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Data biologis/fisiologis<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>keluhan utama, riwayat keluhan utama</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat kesehatan masa lalu</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat kesehatan keluarga</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat reproduksi<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>siklus haid, durasi haid</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat obstetric <span style="mso-tab-count: 3;"> </span>:<span style="mso-spacerun: yes;"> </span>kehamilan, persalinan, nifas.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Data psikologis/sosiologis<span style="mso-spacerun: yes;">
</span><span style="mso-tab-count: 1;"> </span>: reaksi emosional setelah <a href="http://www.akperppni.ac.id/campak-measles-rubeola.html" title="See also CAMPAK, MEASLES, RUBELA">penyakit</a> diketahui</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Aktifitas/istrahat</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
Gejala<span style="mso-tab-count: 1;"> </span>: Kelemahan dan/keletihan</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -4.5pt;">
<span style="mso-spacerun: yes;"> </span>Perubahan pada pola istrahat dan jam
kebiasaan tidur pada malam hari; adanya faktor-faktor yang mempengaruhi tidur
misalnya nyeri, ansietas.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Eliminasi</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
Gejala<span style="mso-tab-count: 1;"> </span>: Perubahan pada pola defekasi, misalnya
nyeri pada defekasi</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
Perubahan eliminasi
urinarius, misalnya nyeri saat berkemih, sering berkemih.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
Tanda<span style="mso-tab-count: 1;"> </span>: Perubahan pada bising usus,
distensi Abdomen</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<br /></div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nyeri/Keamanan</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
Gejala<span style="mso-spacerun: yes;"> </span>: Tidak ada nyeri, atau derajat bervariasi,
misalny ketidaknyamanan<span style="mso-spacerun: yes;"> </span>ringan<span style="mso-spacerun: yes;"> </span>sampai nyeri berat.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Integritas ego</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 1.0in; text-align: justify;">
Gejala<span style="mso-tab-count: 1;"> </span>: Faktor stress ( keuangan, pekerjaan,
perubahan peran) dan cara<span style="mso-spacerun: yes;"> </span>mengatasi
stress (mis, merokok, minum alcohol, menunda mencari pengobatan, keyakinan
religious/spiritual.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 1.0in; text-align: justify;">
<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;">
</span>Masalah tentang perubahan dalam penampilan, misalnya pembesaran<span style="mso-spacerun: yes;"> </span>pada daerah pelvis</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Seksualitas</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 1.0in; text-align: justify;">
Gejala<span style="mso-tab-count: 1;"> </span>: Masalah pada seksualitas mis, dampak
pada hubungan, perubahan<span style="mso-spacerun: yes;"> </span>pada tingkat
kepuasan</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -.25in;">
<span style="font-family: "wingdings"; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Makanan/Cairan</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 1.0in; text-align: justify;">
Gejala<span style="mso-tab-count: 1;"> </span>: Kebiasaan diet buruk (mis.rendah
serat, tinggi lemak, aditif, bahan pengawet.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 1.0in; text-align: justify;">
<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Anoreksia, mual/muntah</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 76.5pt; text-align: justify;">
<span style="mso-tab-count: 1;"> </span>Intoleransi terhadap makanan</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 76.5pt; text-align: justify;">
<span style="mso-tab-count: 1;"> </span>Perubahan pada berat badan;
penurunan berat badan hebat, berkurangnya masa otot.</div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; tab-stops: 76.5pt; text-align: justify;">
Tanda<span style="mso-tab-count: 1;"> </span>: Perubahan pada kelambanan/turgor kulit,
edema</div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 27.0pt;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l12 level1 lfo8; text-align: left; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">DIAGNOSA<br />
</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">1.<span style="mso-spacerun: yes;"> </span>Nyeri berhubungan dengan kompresi serabut
saraf daerah pelvis.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: left; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Nutrisi kurang
dari kebutuhan tubuh berhubungan dengan mual, muntah akibat penekanan usus.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: left; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Gangguan eliminasi
BAB/BAK berhubungan dengan penekanan pada daerah pelvis</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: left; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Ansietas
berhubungan dengan stress akibat kurangnya pengetahuan tentang penyakit dan
pengobatannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l12 level1 lfo8; text-align: left; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">INTERVENSI<br />
</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">1.<span style="mso-spacerun: yes;"> </span>Diagnosa 1</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; text-indent: .25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Nyeri berhubungan
dengan kompresi serabut saraf daerah pelvis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 45.0pt; mso-add-space: auto;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Tujuan : nyeri
dapat terkontrol</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 45.0pt; mso-add-space: auto;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Intervensi :</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;"></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list .5in; text-align: left; text-indent: -13.5pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Kaji derajat nyeri dalam menggunakan skala 1-10, karakter
nyeri, dan lokasinya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list .5in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional
: pengkajian membantu dalam penepatan tindakan yang tepat.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list .5in; text-align: left; text-indent: -13.5pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Kaji ulang factor-faktor yang meningkatkan atau
menghilangkan nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Rasional : dapat
menunjukan factor pencetus/pemberat.</span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;"></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list .5in; text-align: left; text-indent: -13.5pt;">
<span lang="FI" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Bantu pasien mendapatkan posisi yang nyaman.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list .5in;">
<span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Rasional
: posisi yang tidak menekan abdomen menghindari terjadinya nyeri.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list .5in; text-align: left; text-indent: -13.5pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Ajarkan
pasien teknik relaksasi/napas dalam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Rasional : efektif
untuk meminimalkan nyeri.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list .5in; text-align: left; text-indent: -13.5pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Jelaskan
pembatasan aktivitas pada pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Rasional : pemahaman
pasien membantu dalam upaya untuk bekerja sama.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list .5in; text-align: left; text-indent: -13.5pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Kolaborasi
pemberian analgetik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list .5in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional
: analgetik dapat menghilangkan nyeri.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: left; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Diagnosa 2</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: .75in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Nutrisi kurang dari
kebutuhan tubuh berhubungan dengan mual, muntah akibat penekanan usus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: .75in;">
<span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Tujuan
: klien akan menunjukkan kebutuhan nutrisi yang adekuat Intervensi :</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt; text-indent: -13.5pt;">
<span lang="FI" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Anjurkan pemberian makanan atau nutrisi dengan porsi
kecil tapi sering</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list 31.5pt left .75in;">
<span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Rasional : porsi kecil tapi sering akan lebih memberikan
banyak kesempatan bagi pasien untuk memenuhi kebutuhan nutrisinya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt; text-indent: -13.5pt;">
<span lang="FI" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Jelaskan pentingnya asupan nutrisi yang adekuat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list 31.5pt left .75in;">
<span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Rasional : pendidikan kesehatan mengenai nutrisi akan
mendorong pasien untuk lebih memperhatikan pemenuhan kebutuhan nutrisinya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt; text-indent: -13.5pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Timbang berat badan dengan frekuensi sering</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list 31.5pt left .75in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional : merupakan indikasi pemantauan adanya
perkembangan asupan nutrisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt; text-indent: -13.5pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Kolaborasikan pemberian nutrisi dengan ahli gizi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: list 31.5pt left .75in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional : kolaborasi asupan nutrisi dapat membantu
peningkatan nutrisi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: list 31.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: list 31.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: list 31.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l10 level1 lfo10; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Diagnosa
3</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Gangguan eliminasi BAB/BAK berhubungan
dengan penekanan pada daerah pelvis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<span lang="FI" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: FI;">Tujuan : pola
eliminasi pasien kembali normal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Intervensi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt left .5in; text-indent: -9.0pt;">
<span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="ES" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: ES;">Kaji pola eliminasi
pasien, bandingkan dengan pola eliminasi sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional : memberikan pedoman dalam penentuan tindakan. </span><span lang="ES" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: ES;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt left .5in; text-indent: -9.0pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Kaji factor
pencetus gangguan saat berkemih/BAB.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; tab-stops: list 31.5pt left .5in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional : nyeri saat tertekannya kista dapat menjadi
factor penyebab kesulitan berkemih/BAB.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt left .5in; text-indent: -9.0pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Anjurkan pasien
untuk tidak terlalu mengedan saat berkemih/BAB.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; tab-stops: list 31.5pt left .5in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional : mengedan menimbulkan tekanan pada abdomen dan
mencetus nyeri yang justru mengganggu pola berkemih pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt left .5in; text-indent: -9.0pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Lakukan
kateterisasi jika diinstruksikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; tab-stops: list 31.5pt left .5in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Rasional
: merupakan alternative pengeluaran urine yang tertahan dalam kandung kemih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l0 level1 lfo11; tab-stops: list 31.5pt left .5in; text-indent: -9.0pt;">
<span lang="SV" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Kolaborasi tentang
diet rendah serat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; tab-stops: list 31.5pt left .5in;">
<span lang="SV" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Rasional : makan rendah serat tidak memperberat kerja
usus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: left; text-indent: -.25in;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Diagnosa 4</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Ansietas berhubungan dengan stress
akibat kurangnya pengetahuan tentang penyakit dan pengobatannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Tujuan</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">:
Klien akan melaporkan ansietas berkurang sampai tingkat dapat diatasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Intervensi</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-indent: -9.0pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Observasi
tingkah laku yang menunjukan tingkat ansietas </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Rasional</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">: ansietas ringan<span style="mso-spacerun: yes;"> </span>dapat ditunjukan dengan peka rangsang dan
insomnia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-indent: -9.0pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Bicara
singkat dengan kata yang sederhana </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Rasional</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">: rentang perhatian
mgkn menjadi pendek, konsentrasi berkurang, yang membatasi kemampuan untuk
mengasimilasi informasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-indent: -9.0pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Jelaskan
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Rasional</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">: Memberikan informasi
yang akurat yang dapat menurunkan kesalahan presepsi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-indent: -9.0pt;">
<span style="font-family: "wingdings"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">Kurangi
stimulasi dari luar </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-style: italic;">Rasional</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%;">: Menciptakan lingkunag
yang terapeutik </span></div>
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<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Daftar Pustaka</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">- Anonim, 2008, <i style="mso-bidi-font-style: normal;">A-Z Kanker Indung Telur</i> , </span><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><a href="http://www.conetique.com/"><span style="color: windowtext; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%;">http://www.Conetique.com</span></a></span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"> diakses 28 Mei 2008</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">- </span><span style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">Busmar,
Boy, 2006, <i style="mso-bidi-font-style: normal;">Kanker ovarium</i> dalam Aziz,
M. Farid, dkk., <i style="mso-bidi-font-style: normal;">Buku Acuan Nasional
Onkologi Ginekologi,</i> Cetakan I. Yayasan Bina Pustaka Sarwono. Jakarta.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">- </span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Hartini. 2008. <i style="mso-bidi-font-style: normal;">Kista, Tumor, dan Kanker Ovarium Berhubungan Erat dengan Tingkat
Kesuburan yang Rendah</i>. </span><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><a href="http://www.berbagisehat.com/"><span style="color: windowtext; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%;">http://www.berbagisehat.com</span></a></span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"> diakses 4 November 2015</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">- Ari. 2008. <i style="mso-bidi-font-style: normal;">Karsinoma</i> <i style="mso-bidi-font-style: normal;">Ovarium</i>. </span><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><a href="http://www.detak.org/"><span style="color: windowtext; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%;">http://www.detak.org</span></a></span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"> diakses tanggal 4 November 2015</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">- </span><span style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">Manuaba,
Ida Bagus Gde. 2005. Dasar-dasar Teknik Operasi Ginekologi. Penerbit Buku
Kedokteran ECG. Jakarta</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">- Rasjidi,
Imam, 2007,<i style="mso-bidi-font-style: normal;"> Panduan Penatalaksanaan Kanker
Ginekologi Berdasarkan Evidence Base,</i>Penerbit Buku Kedokteran EGC. Jakarta.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">- Yatim,
Faisal, 2008, <i style="mso-bidi-font-style: normal;">Penyakit</i> <i style="mso-bidi-font-style: normal;">Kandungan</i>, Edisi II. Pustaka Popouler
Obor. Jakarta.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-left: 27.0pt; mso-add-space: auto; tab-stops: 203.25pt; text-align: left;">
<span style="font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">- Abeloff,
Martin MD, dkk. 2004. <i style="mso-bidi-font-style: normal;">Clinical Oncology</i>
,Third Edition. Elsevier Churchill Livingstone. United States of America.</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<![endif]-->Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-49984402989968507462014-05-28T22:30:00.003-07:002014-05-28T22:30:56.195-07:00Makalah Askep Parkinson <!--[if gte mso 9]><xml>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 115%;">BAB
1</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 115%;">pendahuluan</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo1; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pendahuluan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br />
<span style="background: white;">Penyakit Parkinson adalah penyakit
neurodegeneratif yang bersifat kronis progresif, merupakan penyakit terbanyak
kedua setelah demensia Alzheimer. Penyakit ini memiliki dimensi gejala yang
sangat luas sehingga baik langsung maupun tidak langsung mempengaruhi kualitas
hidup penderita maupun keluarga.1 Pertama kali ditemukan oleh seorang dokter
inggris yang bernama James Parkinson pada tahun 1887. Penyakit ini merupakan
suatu kondisi ketika seseorang mengalami ganguan pergerakan yang memiliki
karakteristik yang khas yakni tremor, kekakuan </span></span></div>
<div class="MsoListParagraphCxSpMiddle">
<span style="background: white; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">dan
gangguan dalam cara berjalan (gait difficulty).2</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
<span style="background: white;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br />
<span style="background: white;">Penyakit Parkinson bisa menyerang laki-laki dan
perempuan. Rata-rata usia mulai terkena penyakit Parkinson adalah 61 tahun,
tetapi bisa lebih awal pada usia 40 tahun atau bahkan sebelumnya. Jumlah orang
di Amerika Serikat dengan penyakit Parkinson diperkirakan antara 500.000 sampai
satu juta, dengan sekitar 50.000 ke 60.000 terdiagnosa baru setiap tahun. Angka
tersebut meningkat setiap tahun seiring dengan populasi umur penduduk Amerika.
Sementara sebuah sumber menyatakan bahwa Penyakit Parkinson menyerang sekitar 1
diantara 250 orang yang berusia diatas 40 tahun dan sekitar 1 dari 100 orang
yang berusia diatas 65 tahun.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<br /></div>
<a name='more'></a><br />
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="background: white; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tujuan penulisan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Adapun
tujuan penulisan makalh ini adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Untuk
memberikan pengetahuan kepada pembaca tentang Parkinson</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Untuk
mengetahui apa-apa saja yang dapt menyebabkan Parkinson</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Rumusan masalah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
pengertian Parkinson ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
yang menyebabkan Parkinson ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
saja tanda dan gejalanya ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bagaimana
penatalaksanaannya ?</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Seperti
apa asuhan keperawatannya ?</span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-outline-level: 3; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">BAB 2 </span></b></div>
<div align="center" class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-outline-level: 3; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">pembahasan</span></b></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">ASKEP
PARKINSON</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DEFINISI<br />
Penyakit Parkinson adalah penyakit saraf progresif yang berdampak terhadap
respon mesenfalon dan pergerakan regulasi. Penyakit ini ini bersifat lambat
yang menyerang usia pertengahan atau lanjut, dengan onset pada umur 50 sampai
60an.Tidak ditemukan sebab genetik yang jelas dan </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">tidak ada pengobatan yang dapat
menyembuhkannya</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Penyakit
Parkinson adalah penyakit neurodegeneratif progresif yang berkaitan erat dengan
usia. Penyakit ini mempunyai karakteristik terjadinya degenerasi dari neuron
dopaminergik pas substansia nigra pars kompakta, ditambah dengan adanya inklusi
intraplasma yang terdiri dari protein yang disebut dengan Lewy Bodies.
Neurodegeneratif pada parkinson juga terjadi pasa daerah otak lain termasuk
lokus ceruleus, raphe nuklei, nukleus basalis Meynert, hipothalamus, </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">korteks cerebri, motor nukelus <br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
ETIOLOGI<br />
<br />
Parkinson disebabkan oleh rusaknya sel-sel otak, tepatnya di substansi nigra.
Suatu kelompok sel yang mengatur gerakan-gerakan yang tidak dikehendaki
(involuntary). Akibatnya, penderita tidak bisa mengatur/menahan gerakan-gerakan
yang tidak disadarinya. Mekanis-me bagaimana kerusakan itu belum jelas benar.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
Penyakit Parkinson sering dihubungkan dengan kelainan neurotransmitter di otak
faktor-faktor lainnya seperti :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
1. Defisiensi dopamine dalam substansia nigra di otak memberikan respon gejala
penyakit <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -4.5pt; margin-right: 0in; margin-top: 0in; text-indent: 13.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Parkinson,<br />
2. Etiologi yang mendasarinya mungkin berhubungan dengan virus, genetik,
toksisitas, atau <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -4.5pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 13.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">penyebab
lain yang tidak diketahui.<br />
<br />
PATOFISIOLOGI<br />
</span><span style="background: white; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt;">Secara umum dapat dikatakan bahwa Penyakit
Parkinson terjadi karena penurunan kadar dopamin akibat kematian neuron di pars
kompakta substansia nigra sebesar 40 – 50% yang disertai adanya inklusi
sitoplasmik eosinofilik ( Lewy bodies ) .Lewy bodies adalah inklusi sitoplasmik
eosinofilik konsentrik dengan halo perifer dan dense cores . Adanya Lewy bodies
dengan neuron pigmen dari substansia nigra adalah khas , akan tetapi tidak
patognomonik untuk PP , karena terdapat juga pada beberapa kasus parkinsonism
atipikal. Untuk lebih memahami patofisiologi yang terjadi perlu diketahui lebih
dahulu tentang ganglia basalis dan sistem ekstrapiramidal. 8</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
Dua hipotesis yang disebut juga sebagai mekanisme degenerasi neuronal ada
penyakit Parkinson ialah: hipotesis radikal bebas dan hipotesis
neurotoksin. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
1.Hipotesis Radikal Bebas</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Diduga
bahwa oksidasi enzimatik dari dopamine dapat merusak neuron nigrotriatal,
karena proses ini menghasilkan hidrogren peroksid dan radikal oksi lainnya.
Walaupun ada mekanisme pelindung untuk mencegah kerusakan dari stress
oksidatif, namun pada usia lanjut mungkin mekanisme ini gagal.</span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -4.5pt; margin-right: 0in; margin-top: 0in; text-indent: 13.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
2.Hipotesis Neurotoksin</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Diduga
satu atau lebih macam zat neurotoksik berpera pada proses neurodegenerasi pada
Parkinson.Pandangan saat ini menekankan pentingnya ganglia basal dalam menyusun
rencana neurofisiologi yang dibutuhkan dalam melakukan gerakan, dan bagian yang
diperankan oleh serebelum ialah mengevaluasi informasi yang didapat sebagai
umpan balik mengenai pelaksanaan gerakan. Ganglia basal tugas primernya adalah
mengumpulkan program untuk gerakan, sedangkan serebelum memonitor dan melakukan
pembetulan kesalahan yang terjadi seaktu program gerakan diimplementasikan.
Salah satu gambaran dari gangguan ekstrapiramidal adalah </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">gerakan involunter.<br />
<br />
<br />
TANDA DAN GEJALA<br />
<br />
Penyakit Parkinson memiliki gejala klinis sebagai berikut:<br />
1.Bradikinesia (pergerakan lambat), hilang secara spontan,<br />
2.Tremor yang menetap ,<br />
3.Tindakan dan pergerakan yang tidak terkontrol,<br />
4.Gangguan saraf otonom (sulit tidur, berkeringat, hipotensi ortostatik,<br />
5.Depresi, demensia,<br />
6.Wajah seperti topeng.<br />
<br />
PEMERIKSAAN DIAGNOSTIK<br />
<br />
Diagnosis berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang.
Pada setiap kunjungan penderita :<br />
1.Tekanan darah diukur dalam keadaan berbaring dan berdiri, hal ini untuk
mendeteksi hipotensi <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">ortostatik.<br />
2.Menilai respons terhadap stress ringan, misalnya berdiri dengan tangan
diekstensikan, </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">menghitung
surut dari angka seratus, bila masih ada tremor dan rigiditas yang sangat,
berarti </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">belum
berespon terhadap medikasi.<br />
3.Mencatat dan mengikuti kemampuan fungsional, disini penderita disuruh menulis
kalimat </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">sederhana
dan menggambarkan lingkaran-lingkaran konsentris dengan tangan kanan dan kiri </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">diatas
kertas, kertas ini disimpan untuk perbandingan waktu follow up berikutnya.</span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
EEG (biasanya terjadi perlambatan yang progresif)<br />
-CT Scan kepala (biasanya terjadi atropi kortikal difus, sulki melebar,
hidrosefalua eks vakuo)<br />
<br />
<br />
KOMPLIKASI<br />
<br />
Komplikasi terbanyak dan tersering dari penyakit Parkinson yaitu demensia,
aspirasi, dan trauma karena jatuh.<br />
<br />
FAKTOR RESIKO<br />
<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
PENATALAKSANAAN<br />
Penatalaksanaan medis dapat dilakukan dengan medikamentosa seperti:<br />
1.Antikolinergik untuk mengurangi transmisi kolinergik yang berlebihan ketika
kekurangan </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">dopamin.<br />
2.Levodopa, merupakan prekursor dopamine, dikombinasi dengan karbidopa,
inhibitor </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">dekarboksilat,
untuk membantu pengurangan L-dopa di dalam darah dan memperbaiki otak.<br />
3.Bromokiptin, agonis dopamine yang mengaktifkan respons dopamine di dalam
otak.<br />
4.Amantidin yang dapat meningkatkan pecahan dopamine di dalam otak.</span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
Menggunakan monoamine oksidase inhibitor seperti deprenil untuk menunda
serangan ketidakmampuan dan kebutuhan terapi levodopa.<br />
<br />
<br />
<br />
ASUHAN KEPERAWATAN<br />
<br />
PENGKAJIAN<br />
1.Kaji saraf kranial, fungsi serebral (koordinasi) dan fungsi motorik.<br />
2.Observasi gaya berjalan dan saat melakukan aktivitas.<br />
3.Kaji riwayat gejala dan efeknya terhadap fungsi tubuh.<br />
4.Kaji kejelasan dan kecepatan bicara.<br />
5.Kaji tanda depresi.<br />
<br />
DIAGNOSA<br />
1.Hambatan mobilitas fisik berhubungan dengan kekakuan dan kelemahan otot.<br />
2.Defisit parawatan diri berhubungan dengan kelemahan neuromuskular,menurunya </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">kekuatan,kehilangan
kontrol otot/koordinasi.<br />
3.Gangguan komunikasi verbal yang berhubungan dengan penurunan kemampuan bicara
dan </span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 9.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">kekakuan
otot wajah<br />
<br />
INTERVENSI<br />
I. Diagnosis dan Intervensi Keperawatan.<br />
1. Hambatan mobilitas fisik berhubungan dengan kekakuan dan kelemahan otot.<br />
Tujuan : dalam waktu 2 x 24 jam klien mampu melakukan aktivitas fisik sesuai
dengan kemampuannya.<br />
Kriteria : klien dapat ikut srta dalam program latihan, tidak terjadi
kontraktur sendi,bertambahnya kekuatan otot dan klien menunjukkan tidakan untuk
meninktkan mobilitas<br />
Intervensi<br />
1. kaji mobilitas yang ada dan observasi terhadap peningkatan kerusakan<br />
2. lakukan program latihan meningkatkan kekuatan otot.<br />
3. anjurkan mandi hangan dan masase otot<br />
4. bantu klien melakukan latihan ROM,perawatan diri sesuai toleransi<br />
5. kolaborasi ahli fisioterapi untuk latihan fisik<br />
<br />
2. Defisit parawatan diri berhubungan dengan kelemahan neuromuskular,menurunya
kekuatan,kehilangan kontrol otot/koordinasi.<br />
Tujuan : dalam waktu 2 x 24 jam keperawatan diri klien terpenuhi<br />
Kriteria : klien dapat menunjukkan perubahan hidup untuk kebutuhan merawat
diri, klien mampu melakukan aktivitas perawatan diri sesuai dengan tingkat
kemampuan ,dan mengidentifikasi personal/masyarakat yang dapat membantu.<br />
Intervensi<br />
1. kaji kemampuan dan tingkat penurunan dan skala 0 – 4 untuk melakukan ADL<br />
2. hindari apa yang tidak dapat dilakukan klien dan bantu bila perlu.<br />
3. kolaborasi pemberian pencahar dan konsul ke dokter terapi okepasi<br />
4. ajarkan dan dukung klien selama klien aktifitas<br />
5. modifikasi lingkungan<br />
6. harga didri yang negatif.<br />
<br />
<br />
<br />
3. Gangguan komunikasi verbal yang berhubungan dengan penurunan kemampuan
bicara dan kekakuan otot wajah ditandai dengan : DS: klien/keluarga mengatakan
adanya kesulitan dalam berbicara DO: kata-kata sulit dipahami, pelo, wajah
kaku.<br />
Intervensi:<br />
Tujuan: memaksimalkan kemampuan berkomunikasi.<br />
• Jaga komplikasi pengobatan.<br />
• Rujuk ke terapi wicara.<br />
• Ajarkan klien latihan wajah dan menggunakan metoda bernafas untuk memperbaiki
kata-kata, volume, dan intonasi.<br />
•Nafas dalam sebelum berbicara untuk meningkatkan volume suara dan jumlah kata
dalam kalimat setiap bernafas.<br />
•Latih berbicara dalam kalimat pendek, membaca keras di depan kaca atau ke
dalam perekam suara (tape recorder) untuk memonitor kemajuan.<br />
<br />
<br />
<br />
<br />
DAFTAR PUSTAKA<br />
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"><br />
http // :www.askep Parkinson blogspot.com<br />
Doengoes, Marylin,1999. Rencana Asuhan Keperawatan, EGC, Jakarta.<br />
<br />
Elizabeth, J.Corwin. 2001. Buku Saku Patofisiologi. Cetakan I. Penerbit : EGC,
Jakarta.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><a href="http://medicanie.blogspot.com/2010/08/penatalaksaan-parkinson.html"><span style="color: windowtext;">http://medicanie.blogspot.com/2010/08/penatalaksaan-parkinson.html</span></a></span></div>
<div class="MsoNormal" style="background: white; line-height: 22.35pt; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><a href="http://medicalstudentdate.blogspot.com/2012/03/penyakit-parkinson.html?zx=c029060dea1892b"><span style="color: windowtext;">http://medicalstudentdate.blogspot.com/2012/03/penyakit-parkinson.html?zx=c029060dea1892b</span></a></span></div>
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Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com1tag:blogger.com,1999:blog-649449949151411649.post-37897988277234533122014-05-28T22:18:00.001-07:002014-05-28T22:18:39.685-07:00Makalah Askep Ruptur Uteri<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB I</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENDAHULUAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Latar Belakang</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebab kematian janin dalam rahim paling tinggi yang
berasal dari faktor ibu adalah penyulit kehamilan seperti ruptur uteri dan
diabetes melitus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan
masih merupakan trias penyebab kematian maternal tertinggi, di samping
preeklampsi/eklampsi dan infeksi. Perdarahan dalam bidang obstetri dapat
dibagi menjadi perdarahan pada kehamilan muda (<22 minggu), perdarahan
pada kehamilan lanjut dan persalinan, dan perdarahan pasca persalinan.</span></div>
<a name='more'></a><br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur uteri merupakan salah satu bentuk perdarahan yang
terjadi pada kehamilan lanjut dan persalinan, selain plasenta previa,
solusio plasenta, dan gangguan pembekuan darah. Batasan perdarahan pada
kehamilan lanjut berarti perdarahan pada kehamilan setelah 22 minggu sampai
sebelum bayi dilahirkan, sedangkan perdarahan pada persalinan adalah perdarahan
intrapartum sebelum kelahiran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebuah kajian deskriptif tentang profil kematian janin dalam
rahim di RS Hasan Sadikin, Bandung periode 2000-2002 mendapatkan 168 kasus
kematian janin dalam rahim dari 2974 persalinan. Penyebab kematian janin
dalam rahim paling tinggi oleh karena faktor ibu yaitu ibu dengan penyulit
kehamilan ruptur uteri dan penyulit medis diabetes melitus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lebih lanjut, dilakukan pula evaluasi kasus ruptur uteri di
RS Hasan Sadikin dan 3 rumah sakit jejaringnya pada periode 1999-2003.
Hasilnya, insiden kasus ruptur uteri di RS Hasan Sadikin 0,09% (1 : 1074).
Insiden di rumah sakit jejaring sedikit lebih tinggi yaitu 0,1% (1:996). Di
RSHS, tidak didapatkan kematian ibu, sedangkan di 3 rumah sakit jejaring didapatkan
sebesar 0,4%. Sebaliknya, kematian perinatal di RSHS mencapai 90% sedangkan
di rumah sakit jejaring 100%. Maka dari itu dapat disimpulkan, kasus ruptur
uteri memberi dampak yang negatif baik pada kematian ibu maupun bayi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa kondisi yang berhubungan dengan ruptur uteri,
diantaranya adalah adanya jaringan parut pada uterus (biasanya akibat
melahirkan cesar) dan penggunaan obat-obat penginduksi persalinan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelahiran spontan pasca kelahiran cesar pada kehamilan
sebelumnya (vaginal birth after cesarean/VBAC) dituding berperan besar
terhadap kasus ruptur uteri. Dahulu pada tahun 1916, Cragin EB dalam New York
Medical Journal melontarkan satu kalimat kutipan yang terkenal saat itu, “Once
a cesarean, always a cesarean.” Kutipan itu dilatarbelakangi metode bedah
cesar yang saat itu menggunakan insisi vertikal (klasik). Insisi klasik
menyebabkan risiko tinggi terjadinya ruptur uteri bila wanita tersebut hendak
melahirkan spontan pada kehamilan berikutnya. Lama kelamaan, metode insisi
klasik ditinggalkan dan diganti dengan insisi lintang rendah (low-transverse).
Metode terakhir ini lebih aman dan mulai menggeser metode klasik. Sejak itu,
permintaan bedah cesar terus meningkat. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada tahun 1970, hanya 5% kelahiran yang dilakukan lewat
bedah cesar. Angka itu meroket menjadi 24,7% tahun 1988. Saat ini diperkirakan
terdapat 1 juta bedah cesar tiap tahunnya di Amerika. Pada kenyataannya, risiko
yang mungkin terjadi pada kelahiran lewat bedah cesar lebih besar daripada
pervaginam. Selain itu, biaya yang dikeluarkan juga jauh lebih banyak. Oleh
karena itu, American College of Obstetrician and Gynecologist (ACOG) mulai
gencar mempromosikan kembali VBAC. Sejak itu, angka bedah cesar menurun
menjadi 20,8% tahun 1995.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Akhir-akhir ini, VBAC mulai dipertanyakan menyusul adanya
laporan outcome ibu dan bayi yang buruk. ACOG melaporkan insiden ruptur uteri
pada wanita dengan riwayat satu kali bedah cesar insisi lintang rendah adalah
0,2-1,5 %. Studi lain yang melibatkan lebih dari 130.000 wanita menemukan
rata-rata insiden ruptur uteri adalah 0,6 % (1 dari 170 wanita). Insiden akan
meningkat 3-5 x menjadi 3,9 % pada wanita dengan riwayat 2 atau lebih bedah
cesar (1 dari 26 wanita). Ruptur uteri pada insisi klasik dan T-shaped 4-9 %
sedangkan insisi lintang rendah 1-7 %. Sebagai perbandingan, studi selama 10
tahun oleh Gardeil F dkk, seperti termuat dalam Eur J Obstet Gynecol Reprod
Biol 1994, menunjukkan bahwa rata-rata insiden ruptur uteri pada uterus yang tidak
memiliki jaringan parut adalah 1 per 30.764 kelahiran (0,0033 %); pun tidak ada
kasus ruptur uteri pada 21.998 primigravida dan hanya 2 kasus pada 39.529
multigravida. Melihat fakta-fakta tersebut, ACOG mulai merevisi kembali
kriteria VBAC.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list .25in; text-align: justify; text-indent: -.5in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan Penulisan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: .25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. <span style="mso-tab-count: 1;"> </span>Tujuan umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa
keperawtan mampu memahami asuhan keperawatan pada klien dengan penyakit
konjungtivitis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.
<span style="mso-tab-count: 1;"> </span>Tujuan khusus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: .55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa keperawatan mampu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.
Menjelaskan pengertian Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.
Menyebutkan penyebab Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.
Menyebutkan gambaran klinis dari Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.
Menjelaskan patofisiologi dan patway Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.
Menjelaskan pemeriksaan penunjang dan diaonostik Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.
Mengetahui danmampu<span style="mso-spacerun: yes;"> </span>melaksanakan Askep
tentang Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Manfaat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagi Akademi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Bermanfaat untuk menambah referensi
pustaka dan literatur dalam pendokumentasian materi kuliah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagi Mahasiswa / i</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berguna dalam menambah pengetahuan
mahasiswa tentang asuhan keperawatan pada klien Ruptur Uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Melatih mahasiswa dalam mencari
bahan referensi untuk melengkapi makalah yang pada akhirnya terbiasa dalam
penyusunan tugas akhir. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TINJAUAN TEORITIS</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENGERTIAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 37.4pt; text-align: justify; text-indent: -18.7pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur
Uteri adalah robekan atau diskontinuita dinding rahim akibat dilampauinya daya
regang miomentrium. ( buku acuan nasional pelayanan kesehatan maternal dan
neonatal )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 37.4pt; text-align: justify; text-indent: -18.7pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rupture
uteri adalah robeknya dinding uterus pada saat kehamilan atau dalam persalinan
dengan atau tanpa robeknya perioneum visceral. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(
Obstetri dan Ginekologi )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ETIOLOGI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">riwayat pembedahan terhadap fundus
atau korpus uterus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">induksi dengan oksitosin yang
sembarangan atau persalinan yang lama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">presentasi abnormal ( terutama
terjadi penipisan pada segmen bawah uterus ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">( Helen, 2001 )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TANDA
DAN GEJALA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala ruptur uteri dapat terjadi secara dramatis
atau tenang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dramatis</span></i></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri
tajam, yang sangat pada abdomen bawah saat kontraksi hebat memuncak</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penghentian
kontraksi uterus disertai hilangnya rasa nyeri</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan
vagina ( dalam jumlah sedikit atau hemoragi )</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terdapat
tanda dan gejala syok, denyut nadi meningkat, tekanan darah menurun dan
nafas pendek ( sesak )</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Temuan
pada palpasi abdomen tidak sama dengan temuan terdahulu</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagian<span style="mso-spacerun: yes;"> </span>presentasi dapat digerakkan diatas
rongga panggul</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Janin
dapat tereposisi atau terelokasi<span style="mso-spacerun: yes;">
</span>secara dramatis dalam abdomen ibu</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagian
janin lebih mudah dipalpasi</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan
janin dapat menjadi kuat dan kemudian menurun menjadi tidak ada gerakan
dan DJJ sama sekali atau DJJ masih didengar</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lingkar
uterus dan kepadatannya ( kontraksi ) dapat dirasakan disamping janin (
janin seperti berada diluar uterus ).</span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tenang</span></i></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan
terjadi muntah</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri
tekan meningkat diseluruh abdomen</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri
berat pada suprapubis</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontraksi
uterus hipotonik</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perkembangan
persalinan menurun</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perasaan
ingin pingsan</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hematuri
( kadang-kadang kencing darah )</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan
vagina ( kadang-kadang )</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanda-tanda
syok progresif</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontraksi
dapat berlanjut tanpa menimbulkan efek pada servik atau kontraksi mungkin
tidak dirasakan</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DJJ
mungkin akan hilang</span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KLASIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur uteri dapat dibagi menurut beberapa cara :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut waktu terjadinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list .75in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R. u.<span style="mso-spacerun: yes;"> </span>Gravidarum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Waktu
sedang hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sering
lokasinya pada korpus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list .75in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R. u. Durante Partum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Waktu
melahirkan anak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ini
yang terbanyak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut lokasinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Korpus uteri, ini biasanya terjadi
pada rahim yang sudah pernah mengalami operasi<span style="mso-spacerun: yes;">
</span>seperti seksio sesarea klasik ( korporal ), miemoktomi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Segmen bawah rahim ( SBR ), ini
biasanya terjadi pada partus yang sulit dan lama tidak maju, SBR tambah lama
tambah regang dan tipis dan akhirnya<span style="mso-spacerun: yes;">
</span>terjadilah ruptur uteri yang sebenarnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Serviks uteri ini biasanya terjadi
pada waktu melakukan<span style="mso-spacerun: yes;"> </span>ekstraksi forsipal
atau versi dan ekstraksi sedang pembukaan belum lengkap</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kolpoporeksis, robekan-robekan di
antara serviks dan vagina</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut robeknya peritoneum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a). R. u. Kompleta : robekan pada dinding uterus berikut
peritoneumnya ( perimetrium ) ; dalam hal ini<span style="mso-spacerun: yes;">
</span>terjadi hubungan langsung antara rongga perut dan rongga uterus dengan
bahaya peritonitis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R. u. Inkompleta : robekan otot
rahim tanpa ikut robek peritoneumnya. Perdarahan terjadi subperitoneal dan bisa
meluas ke lig.latum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut etiologinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur uteri spontanea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut
etiologinya dibagi 2 :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Karena dinding rahim yang lemah dan
cacat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">bekas seksio sesarea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">bekas miomectomia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">bekas perforasi waktu keratase</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">bekas histerorafia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">bekas pelepasan plasenta secara
manual</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pada gravida dikornu yang rudimenter
dan graviditas interstitialis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kelainan kongenital dari uterus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">penyakit pada rahim</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">dinding rahim tipis dan regang (
gemelli & hidramnion )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Karena peregangan yang luarbiasa
dari rahim</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pada panggul sempit atau kelainan
bentuk dari panggul</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">janin yang besar</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kelainan kongenital dari janin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kelainan letak janin</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">malposisi dari kepala</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">adanya tumor pada jalan lahir</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">rigid cervik</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">retrofleksia uteri gravida dengan
sakulasi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">grandemultipara dengan perut gantung
( pendulum )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pimpinan partus salah</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur uteri violenta</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Karena
tindakan dan trauma lain :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ekstraksi forsipal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Versi dan ekstraksi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Embriotomi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Braxton hicks version</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sindroma tolakan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Manual plasenta</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kuretase</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ekspresi kristeller atau crede</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Trauma tumpul dan tajam dari luar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberian piton tanpa indikasi dan
pengawasan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut simtoma klinik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 83.45pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R. u. Imminens ( membakat =
mengancam )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 83.45pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur Uteri ( sebenarnya )</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DATA
SUBYEKTIF DAN DATA OBYEKTIF</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. DataSsubyektif</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala Saat Ini </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 9.05pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri Abdomen</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> dapat tiba-tiba, tajam dan seperti
disayat pisau. Apabila terjadi rupture sewaktu persalinan, konstruksi uterus
yang intermitten, kuat dapat berhenti dengan tiba-tiba. Pasien mengeluh nyeri
uterus yang menetap. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan Per Vaginam</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> dapat simptomatik karena perdarahan
aktif dari pembuluh darah yang robek.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala-gejala lainnya</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> meliputi berhentinya persalinan dan
syok, yang mana dapat di luar proporsi kehilangan darah eksterna karena
perdarahan yang tidak terlihat. Nyeri bahu dapat berkaitan dengan perdarahan
intraperitoneum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat Penyakit Dahulu</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rupture uteri harus selalu diantisipasi bila pasien
memberikan suatu riwayat paritas tinggi, pembedahan uterus sebelumnya, seksio
sessaria, miomektomi atau reseksi koruna. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Data Obyektif</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.5in;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol;">
</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Umum</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 11.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Takikardi dan hipotensi merupakan indikasi dari kehilangan
darah akut, biasanya perdarahan eksterna dan perdarahan intra abdomen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.5in;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Abdomen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 11.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sewaktu persalinan, kontur uterus yang abnormal atau
perubahan kontur uterus yang tiba-tiba dapat menunjukkan adanya ekstrusi janin.
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Fundus uteri
dapat terkontraksi dan erat dengan bagian-bagian janin yang terpalpasi dekat
dinding abdomen diatas fundus yang berkontraksi. Kontraksi uterus dapat
berhenti dengan mendadak dan bunyi jantung janin tiba-tiba menghilang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 11.05pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Sewaktu atau segera melahirkan, abdomen
sering sangat lunak, disertai dengan nyeri lepas mengindikasikan adanya
perdarahan intraperitoneum.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.5in;">
<span lang="SV" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: Symbol;">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Pelvis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 1.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Menjelang kelahiran, bagian presentasi
mengalami regresi dan tidak lagi terpalpasi melalui vagina bila janin telah
mengalami ekstrusi ke dalam rongga peritoneum. Perdarahan pervaginam mungkin
hebat. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 1.95pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ruptur uteri setelah melahirkan
dikenali melalui eksplorasi manual segmen uterus bagian bawah dan kavum uteri.
Segmen uterus bagian bawah merupakan tempat yang paling lazim dari ruptur.
Apabila robekannya lengkap, jari-jari pemeriksa dapat melalui tempat ruptur
langsung ke dalam rongga peritoneum, yang dapat dikenali melalui :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 56.1pt; text-align: justify; text-indent: -18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Permukaan
serosa uterus yang halus dan licin </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 56.1pt; text-align: justify; text-indent: -18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Adanya usus dan
ommentum </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 56.1pt; text-align: justify; text-indent: -18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">jari-jari dan
tangan dapat digerakkan dengan bebas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 56.1pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">F.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">TES
LABORATORIUM</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 35.45pt; text-align: justify; text-indent: -122.7pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hitung Darah
lengkap dan Apusan Darah </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Batas dasar hemoglobin dan nilai hematokrit dapat tidak
menjelaskan banyaknya kehilangan darah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 35.45pt; text-align: justify; text-indent: -122.7pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Urinalisis :</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hematuria sering menunjukkan adanya hubungan denga
perlukaan kandung kemih.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 35.45pt; text-align: justify; text-indent: -122.7pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Golongan Darah
dan Rhesus </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">4 sampai 6 unit darah dipersiapkan
untuk tranfusi bila diperlukan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">G.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">PENATALAKSANAAN
</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tindakan pertama adalah memberantas
syok, memperbaiki keadaan umum penderita dengan pemberian infus cairan dan
tranfusi darah, kardiotinika, antibiotika, dsb. Bila keadaan umum mulai baik,
tindakan selanjutnya adalah melakukan laparatomi dengan tindakan jenis operasi
: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">histerektomi
baik total maupun sub total</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">histerorafia,
yaitu luka di eksidir pinggirnya lalu di jahit sebaik-baiknya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">konserfatif :
hanya dengan temponade dan pemberian antibiotika yang cukup.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tindakan yang akan dipilih tergantung
pada beberapa faktor, diantaranya adalah :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">keadaan umum
penderita</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">jenis ruptur
incompleta atau completa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">jenis luka
robekan : jelek, terlalu lebar, agak lama, pinggir tidak rata dan sudah banyak
nekrosis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">4.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">tempat luka :
serviks, korpus, segmen bawah rahim</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">5.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">perdarahan dari
luka : sedikit, banyak </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">6.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">umur dan jumlah
anak hidup</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 54.7pt; text-align: justify; text-indent: -.25in;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">7.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">kemampuan dan
ketrampilan penolong</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">H. MANAJEMEN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Segera hubungi
dokter, konsultan, ahli anestesi, dan staff kamar operasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Buat dua jalur
infus intravena dengan intra kateter no 16 : satu oleh larutan elektrolit,
misalnya oleh larutan rimger laktat dan yang lain oleh tranfusi darah. ( jaga
agar jalur ini tetap tebuka dengan mengalirkan saline normal, sampai darah
didapatkan ).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hubungi bank
darah untuk kebutuhan tranfusi darah cito, perkiraan jumlah unit dan plasma
beku segar yang diperlukan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">4.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berikan oksigen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">5.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Buatlah
persiapan untuk pembedahan abdomen segera ( laparatomi dan histerektomi )</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">6.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pada situasi
yang mengkhawatirkan berikan kompresi aorta dan tambahkan oksitosin dalam
cairan intra vena.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB III</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ASUHAN KEPERAWATAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A. PENGKAJIAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Identitas : Sering terjadi pada ibu usia dibawah 20 tahun
dan diatas 35 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Keluhan utama : Perdarahan dari jalan lahir, badan lemah,
limbung, keluar<span style="mso-spacerun: yes;"> </span>keringat dingin,
kesulitan nafas, pusing, pandangan berkunang-kunang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Riwayat kehamilan dan persalinan : Riwayat hipertensi
dalam kehamilan, preeklamsi / eklamsia, bayi besar, gamelli, hidroamnion,
grandmulti gravida, primimuda, anemia, perdarahan saat hamil. Persalinan dengan
tindakan, robekan jalan lahir, partus precipitatus, partus lama/kasep,
chorioamnionitis, induksi persalinan, manipulasi kala II dan III.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -23.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Riwayat kesehatan : Kelainan darah dan hipertensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -23.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Pengkajian fisik : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Tanda vital</span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">v</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
: </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Tekanan darah : Normal/turun ( kurang dari 90-100 mmHg)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Nadi : Normal/meningkat ( 100-120 x/menit)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Pernafasan : Normal/ meningkat ( 28-34x/menit )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Suhu : Normal/ meningkat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Kesadaran : Normal / turun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: .5in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Fundus uteri/abdomen : lembek/keras, subinvolusi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -10.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Kulit : Dingin,</span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">v</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> berkeringat, kering, hangat, pucat,
capilary refill memanjan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -10.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Pervaginam : Keluar darah, robekan, lochea ( jumlah dan
jenis )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: .5in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Kandung kemih : distensi, produksi urin menurun/berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: .5in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
<b style="mso-bidi-font-weight: normal;">B. Diagnosa Keperawatan</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 9.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Kekurangan volume cairan b/d perdarahan pervaginam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 9.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Gangguan perfusi jaringan b/d perdarahan pervaginam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 9.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Cemas/ketakutan b/d perubahan keadaan atau ancaman
kematian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 9.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Resiko infeksi b/d perdarahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 9.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Resiko shock hipovolemik b/d perdarahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C. Rencana tindakan keperawatan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 14.2pt; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kekurangan volume cairan b/d perdarahan pervaginam</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
: Mencegah disfungsional bleeding dan memperbaiki volume cairan<br />
Rencana tindakan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tidurkan pasien dengan posisi kaki
lebih tinggi sedangkan badannya tetap terlentang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Dengan kaki lebih tinggi akan meningkatkan venous return
dan memungkinkan darah keotak dan organ lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 35.45pt; text-align: justify; text-indent: -50.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Monitor tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/
Perubahan tanda vital terjadi bila perdarahan semakin hebat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="mso-spacerun: yes;"> </span>Monitor intake dan
output setiap 5-10 menit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 26.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Perubahan output merupakan tanda adanya gangguan fungsi
ginjal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Evaluasi kandung kencing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Kandung kencing yang penuh menghalangi kontraksi uterus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lakukan masage uterus dengan satu
tangan serta tangan lainnya diletakan diatas simpisis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Massage uterus merangsang kontraksi uterus dan membantu
pelepasan placenta, satu tangan diatas simpisis mencegah terjadinya inversio
uteri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="mso-spacerun: yes;"> </span>Batasi pemeriksaan
vagina dan rectum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Trauma yang terjadi pada daerah vagina serta rektum
meningkatkan terjadinya perdarahan yang lebih hebat, bila terjadi laserasi pada
serviks / perineum atau terdapat hematom</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila
tekanan darah semakin turun, denyut nadi makin lemah, kecil dan cepat, pasien
merasa mengantuk, perdarahan semakin hebat, segera kolaborasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g. Berikan infus atau cairan intravena</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Cairan intravena dapat meningkatkan volume intravaskular </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -33.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan uterotonika ( bila perdarahan
karena atonia uteri )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -1.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Uterotonika merangsang kontraksi uterus dan mengontrol
perdarahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 35.45pt; text-align: justify; text-indent: -33.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan antibiotic</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 26.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Antibiotik mencegah infeksi yang mungkin terjadi karena
perdarahan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 35.45pt; text-align: justify; text-indent: 11.95pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 35.45pt; text-align: justify; text-indent: 11.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="mso-spacerun: yes;">
</span>Berikan transfusi whole blood ( bila perlu )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 7.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Whole blood membantu menormalkan volume cairan tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -9.35pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 7.1pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Gangguan perfusi jaringan b/d
perdarahan pervaginam</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan:
Tanda vital dan gas darah dalam batas normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rencana
keperawatan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -6.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Monitor tanda vital tiap 5-10 menit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/
Perubahan perfusi jaringan menimbulkan perubahan pada tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -6.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Catat perubahan warna kuku, mukosa
bibir, gusi dan lidah, suhu kulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Dengan vasokontriksi dan hubungan keorgan vital,
sirkulasi di jaingan perifer berkurang sehingga menimbulkan cyanosis dan suhu
kulit yang dingin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kaji ada / tidak adanya produksi ASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Perfusi yang jelek menghambat produksi prolaktin dimana
diperlukan dalam produksi ASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tindakan kolaborasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Monitor kadar gas darah dan PH ( perubahan
kadar gas darah dan PH merupakan tanda hipoksia jaringan )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Berikan terapi oksigen ( Oksigen diperlukan
untuk memaksimalkan transportasi sirkulasi jaringan ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Cemas/ketakutan berhubungan dengan perubahan keadaan atau
ancaman kematian</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan : Klien dapat mengungkapkan secara verbal rasa
cemasnya dan mengatakan perasaan cemas berkurang atau hilang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 19.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rencana tindakan : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 19.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a. Kaji respon psikologis klien terhadap perdarahan paska
persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 33.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Persepsi klien mempengaruhi intensitas cemasnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 19.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. Kaji respon fisiologis klien ( takikardia, takipnea,
gemetar )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Perubahan tanda vital menimbulkan perubahan pada respon
fisiologis<br />
c. Perlakukan pasien secara kalem, empati, serta sikap mendukung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 33.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Memberikan dukungan emosi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 19.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d. Berikan informasi tentang perawatan dan pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Informasi yang akurat dapat mengurangi cemas dan takut
yang tidak diketahui</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bantu klien mengidentifikasi rasa
cemasnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 33.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/
Ungkapan perasaan dapat mengurangi cemas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: 1.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kaji mekanisme koping yang digunakan
klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/
Cemas yang berkepanjangan dapat dicegah dengan mekanisme koping yang tepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -2.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Resiko infeksi sehubungan dengan
perdarahan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan : Tidak terjadi infeksi (lokea tidak berbau dan TV
dalam batas normal)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rencana
tindakan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -6.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Catat perubahan tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 26.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Perubahan tanda vital ( suhu ) merupakan indikasi
terjadinya infeksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Catat adanya tanda lemas,
kedinginan, anoreksia, kontraksi uterus yang lembek, dan nyeri panggul</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Tanda-tanda tersebut merupakan indikasi terjadinya
bakterimia, shock yang tidak terdeteksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -6.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Monitor involusi uterus dan
pengeluaran lochea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Infeksi uterus menghambat involusi dan terjadi
pengeluaran lokea yang berkepanjangan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perhatikan kemungkinan infeksi di
tempat lain, misalnya infeksi saluran nafas, mastitis dan saluran kencing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 26.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Infeksi di tempat lain memperburuk keadaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan perawatan perineal,dan
pertahankan agar pembalut <br />
jangan sampai terlalu basah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/
pembalut yang terlalu basah menyebabkan kulit iritasi dan<br />
dapat menjadi media untuk pertumbuhan bakteri,peningkatan <br />
resiko infeksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -6.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tindakan kolaborasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">•<span style="mso-spacerun: yes;"> </span>Berikan zat besi ( Anemi memperberat keadaan
)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">• Beri antibiotika ( Pemberian antibiotika yang tepat
diperlukan untuk keadaan infeksi ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
<b style="mso-bidi-font-weight: normal;">5. Resiko shock hipovolemik s/d
perdarahan.</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan: Tidak terjadi shock(tidak terjadi penurunan
kesadaran <br />
dan tanda-tanda dalam batas normal)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rencana tindakan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -10.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Anjurkan pasien untuk banyak minum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Peningkatan intake cairan dapat meningkatkan volume
intravascular sehingga dapat meningkatkan volume intravascular yang dapat meningkatkan
perfusi jaringan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.
Observasitanda-tandavital tiap 4 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Perubahan tanda-tanda vital dapat merupakan indikator
terjadinya dehidrasi secara dini.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.
Observasi terhadap tanda-tanda dehidrasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Dehidrasi merupakan terjadinya shock bila dehidrasi tidak
ditangani secara baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.
Observasi intake cairan dan output.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Intake cairan yang adekuat dapat menyeimbangi pengeluaran
cairan yang berlebihan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e. Kolaborasi dalam : - Pemberian cairan infus / transfusi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Cairan intravena dapat meningkatkan volume intravaskular
yang dapat meningkatkan perfusi jaringan sehingga dapat mencegah terjadinya
shock.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.
Pemberian koagulantia dan uterotonika.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">R/ Koagulan membantu dalam proses pembekuan darah dan
uterotonika merangsang kontraksi uterus dan mengontrol perdarahan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D. Evaluasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Semua
tindakan yang dilakukan diharapkan memberikan hasil : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="mso-spacerun: yes;"> </span>Tanda vital dalam batas normal :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a. Tekanan darah : 110/70-120/80 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. Denyut nadi : 70-80 x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c. Pernafasan : 20 – 24 x/menit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d. Suhu : 36 – 37 oc</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.
Kadar Hb : Lebih atau sama dengan 10 g/dl</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.
Gas darah dalam batas normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Klien dan keluarganya mengekspresikan bahwa dia mengerti
tentang komplikasi dan pengobatan yang dilakukan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Klien dan keluarganya menunjukkan kemampuannya dalam
mengungkapkan perasaan psikologis dan emosinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.
Klien dapat melakukan aktifitasnya sehari-hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.
Klien tidak merasa nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.
Klien dapat mengungkapkan secara verbal perasaan cemasnya</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">BAB
III</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">PENUTUP</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 14.2pt; text-indent: -.5in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesimpulan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur
Uteri merupakan suatu robekan atau diskontinuita dinding rahim akibat
dilampauinya daya regang miomentrium. ( buku acuan nasional pelayanan kesehatan
maternal dan neonatal ) dimana yang menjadi penyebabnya adalah riwayat pembedahan
terhadap fundus atau korpus uterus, induksi dengan oksitosin yang sembarangan
atau persalinan yang lama serta presentasi abnormal ( terutama terjadi
penipisan pada segmen bawah uterus ) ( Helen, 2001 ) dengan Tanda dan gejala
ruptur uteri dapat terjadi secara dramatis atau tenang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruptur
uteri dapat dibagi menurut beberapa cara yaitu : Menurut waktu terjadinya,
Menurut lokasinya, Menurut robeknya peritoneum, Menurut etiologinya, dan
Menurut simtoma klinik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 14.2pt; text-align: justify; text-indent: -.5in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Saran</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -39.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk Akademi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 28.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diharapkan kepada akademi agar dapat lebih memperbanyak
buku-buku yang dapat menunjang perkuliahan, khususnya mata kuliah Keperawatan
Maternitas<span style="mso-spacerun: yes;"> </span>dan mata kuliah lainnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk Mahasiswa /i</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Untuk dapat
membaca dan memberikan masukan tentang makalah ini serta dapat mempergunakan
makalah ini sebagai bahan penunjang materi pembelajaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 28.35pt; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk pembaca</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 28.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Agar dapat membaca makalah dan menggunakan makalah ini
sebagai bahan bacaan yang bermanfaat bagi si pembaca dan juga yang lainnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;">
<br /></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Brunner
& Suddart,s (1996), Textbook of Medical Surgical Nursing –2, JB.
Lippincot Company, Pholadelpia.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klein.
S (1997), A Book Midwives; The Hesperien Foundation, Berkeley, CA.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lowdermilk.
Perry. Bobak (1995), Maternity Nuring , Fifth Edition, Mosby Year Book,
Philadelpia.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Prawirohardjo
Sarwono ; EdiWiknjosastro H (1997), Ilmu Kandungan, Gramedia, Jakarta.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">RSUD
Dr. Soetomo (2001), Perawatan Kegawat daruratan Pada Ibu Hamil, FK. UNAIR,
Surabaya</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Subowo
(1993), Imunologi Klinik, Angkasa, Bandung.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tabrani
Rab 9 1998), Agenda Gawat Darurat, Alumni, Bandung.</span></li>
</ol>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-53911948319331336442013-08-28T04:04:00.001-07:002015-11-10T02:31:33.268-08:00Nutrisi kurang adekuat, <h3 class="post-title entry-title" itemprop="name" style="font-family: Georgia, Utopia, 'Palatino Linotype', Palatino, serif; font-size: 30px; font-weight: normal; margin: 0px; position: relative;">
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<span style="font-family: "Georgia","serif"; font-size: 19.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">ASUHAN KELUARGA<o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB I<o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">PENDAHULUAN<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-line-height-alt: 13.15pt; mso-outline-level: 1;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">A.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Latar Belakang<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kesehatan
keluarga merupakan hal yang penting dalam kehidupan bermasyarakat, dimana untuk
meningkatkan derajat kesehatan masyarakat dimulai dari keluarga. Oleh karena
itu perlu dilakukannya perawatan keluarga itu tindakan atau penyuluhan
kesehatan</span><br />
<a name='more'></a><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga
bersama dengan individu, kelompok dan komunitas adalah klien atau resipien
keperawatan. dari hasil keluarga yang telah dikaji, maka diambil salah satu
keluarga sebagai keluarga binaan yaitu keluarga Tn. S karena di dalam keluarga
didapat beberapa masalah kesehatan yang perlu diketahui dan dicegah oleh
keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<br />
<div class="MsoNormal" style="background: white; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-line-height-alt: 13.15pt; mso-outline-level: 1;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">B.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Tujuan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan
umum<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
mendapat pemahaman dan pengalaman yang realitas dalam memberikan asuhan
keperawatan pada keluarga di RT 13 Kelurahan Sungai Bilu Kecamatan Banjarmasin
Timur.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan
khusus<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
memperoleh gambaran tentang pelaksanaan pengkajian pada asuhan keperawatan
keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
memperoleh gambaran tentang penyusunan rencana asuhan keperawatan keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
memperoleh gambaran tentang pelaksanaan tindakan asuhan keperawatan keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
memperoleh gambaran tentang pelaksanaan evaluasi terhadap asuhan keperawatan
keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">C.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Metode
Penulisan</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Metode
deskriptif yaitu metode yang bersifat menggambarkan suatu keadaan secara
obyektif dimulai dengan mengumpulkan data, menganalisa dan menarik kesimpulan
yang selanjutnya disajikan dalam bentuk naratif.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Metode
pengumpulan data primer yaitu penulis melakukan pengkajian baik data umum,
lingkungan, struktur keluarga, sosial ekonomi, fisik, mental dan spiritual.
Melakukan wawancara dengan menggunakan format yang telah disajikan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">D.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sistematika
Penulisan</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sistematika
penulisan dari asuhan keperawatan keluarga ini adalah :<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagian
Pembuka, terdiri dari :<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Halaman
Judul<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Halaman
Pengesahan<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kata
Pengantar<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Daftar
Isi<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagian
Isi, terdiri dari :<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB I,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pendahuluan<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Latar
Belakang<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan
Umum<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan
Khusus<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Metode
Penulisan<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sistematika
Penulisan<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB II
LAPORAN PENDAHULUAN<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB
II, </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Asuhan
Keperawatan Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1)Pengkajian Keperawatan Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2)Analisa Data<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3)Diagnosa Keperawatan Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4)Prioritas Masalah<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5)Rencana Asuhan Keperawatan Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6)Implementasi dan Evaluasi<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB
III,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Satuan Acara Pembelajaran
(SAP)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -74.8pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB IV,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penutup<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kesimpulan<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Saran<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagian
Penutup<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Lampiran<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Daftar Pustaka<o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">LAPORAN PENDAHULUAN</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TUBERKULOSIS PARU (TB PARU)</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">A.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Definisi Tuberkulosis Paru (TB Paru)</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Paru adalah penyakit menular yang disebabkan oleh basil
mikobakterium tuberkulosa tipe humanus ( jarang oleh tipe M. Bovinus).</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB paru merupakan
penyakit infeksi penting saluran napas bagian bawah. Basil mikobakterium
tuberculosa tersebut masuk kedalam jaringan paru melalui saluran napas (droplet
infeksion) sampai alveoli, terjadilah infeksi primer (ghon). Selanjutnya
menyebar ke kelenjar getah bening setempat dan terbentuklah primer kompleks
(ranke). (ilmu penyakit paru, muhammad Amin).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: 28.35pt;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tb paru adalah</span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">penyakit infeksi pernafasan, menular yang menyerang
parengkim paru yang disebabkan oleh kuman yaitu</span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> <i>mycobacterium tuberculosis</i></span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">dengan gejala yang sangat bervariasi.<o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">B.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Etiologi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis disebabkan oleh kuman yaitu</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">mycobacterium tuberculosis</span></i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">. Kuman ini berbentuk
batang dan tahan asam, serta banyak mengandung lemak yang tinggi pada membran
selnya sehingga menyebabkan kuman ini tahan asam dan pertumbuhannya sangat
lambat, kuman ini tidak tahan terhadap sinar ultraviolet karena itu
penularannya terutama terjadi pada malam hari. Ukuran dari kuman
tuberkulosiss ini kurang lebih 0,3 x 2 sampai 4 mm, ukuran ini lebih kecil dari
pada ukuran sel darah merah (Sumantri, 2008).<o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">C.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Patofisiologi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Penularan TB Paru
terjadi karena kuman <i>mycobacterium tuberculosis</i>. dibatukkan atau
dibersinkan keluar menjadi <i>droplet nuclei</i> dalam udara.
Partikel infeksi ini dapat hidup dalam udara bebas selama kurang lebih 1-2 jam,
tergantung pada tidaknya sinar ultraviolet, ventilasi yang buruk dan
kelembaban. Suasana lembab dan gelap kuman dapat tahan berhari– hari sampai
berbulan–bulan. Bila partikel ini terhisap oleh orang sehat maka ia akan
menempel pada jalan nafas atau paru–paru.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Partikel dapat masuk ke dalam alveolar, bila ukuran vartikel
kurang dari 5 mikrometer. Kuman akan dihadapi terlebih dulu oleh neutropil,
kemudian baru oleh makrofag. Kebanyakan partikel ini akan dibersihkan oleh
makrofag keluar dari cabang trakea bronkhial bersama gerakan sillia dengan
sekretnya. Bila kuman menetap di jaringan paru maka ia akan tumbuh dan
berkembang biak dalam sitoplasma makrofag. Di sini ia dapat terbawa masuk
ke organ tubuh lainnya.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kuman yang bersarang ke jaringan paru akan berbentuk sarang
tuberkulosis pneumonia kecil dan disebut sarang primer atau efek primer atau
sarang</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">ghon</span></i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">(fokus).
Sarang primer ini dapat terjadi pada semua jaringan paru, bila menjalar sampai
ke pleura maka terjadi efusi pleura. Kuman dapat juga masuk ke dalam
saluran gastrointestinal, jaringan limfe, orofaring, dan kulit. Kemudian
bakteri masuk ke dalam vena dan menjalar keseluruh organ, seperti paru, otak,
ginjal, tulang. Bila masuk ke dalam arteri pulmonalis maka terjadi penjalaran
keseluruh bagian paru dan menjadi TB milier.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sarang primer akan timbul peradangan getah bening menuju hilus
(limfangitis lokal), dan diikuti pembesaran getah bening hilus
(limfangitis regional). Sarang primer limfangitis lokal serta regional
menghasilkan komplek primer (range). Proses sarang paru ini memakan waktu
3–8 minggu. Berikut ini menjelaskan skema tentang perjalanan penyakit TB Paru
hingga terbentuknya tuberkel ghon.<o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">D.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Anatomi Fisiologi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">E.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="SV" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Manifestasi
Klinis</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Batuk disertai dahak lebih dari 3 minggu</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sesak napas dan nyeri dada</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Badan lemah, kurang enak badan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berkeringat pada malam hari walau tanpa kegiatan berat badan
menurun (Penyakit infeksi TB paru dan ekstra paru, Misnadiarly)</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -28.35pt;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">F.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="SV" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Jenis-Jenis
Penyakit Tbc</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penyakit tuberkulosis ( TBC ) terdiri atas 2 golongan
besar,yaitu :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FR" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FR; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB paru ( TB pada organ patu-paru )</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FR" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FR; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB ekstra paru (TB pada organ tubuh selain paru )</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis milier</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis sistem saraf pusat ( TB neningitis )</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis empyem dan Bronchopleural fistula</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Pericarditis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Skelet / Tulang</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">f. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Benitourinary / Saluran Kemih</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">g. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Peritonitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">h. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Gastriontestinal (Organ Cerna)</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">i. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Iymphadenitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">j. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Catan / Kulit</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">k. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Laringitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">l. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis Otitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<b><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -28.35pt;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">G.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="FI" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1. </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pembesaran kelenjar sevikalis yang superfisial</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pleuritis tuberkulosa</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Efusi pleura</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosa milier</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5. </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Meningitis tuberkulosa</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -28.35pt;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">H.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="FI" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Penunjang</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kultur Sputum adalah Mikobakterium Tuberkulosis Positif
pada tahap akhir penyakit</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tes Tuberkalin adalah Mantolix test reaksi positif (area
indurasi 10-15 mm terjadi 48-72 jam)</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Poto Thorak adalah Infiltrasi lesi awal pada area paru
atas : pada tahap dini tampak gambaran bercak-bercak seperti awan dengan batas
tidak jelas : pada kavitas bayangan, berupa cincin : pada klasifikasi tampak
bayangan bercak-bercak padat dengan densitas tinggi.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bronchografi adalah untuk melihat kerusakan bronkus atau
kerusakan paru karena Tb paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Darah adalah peningkatan leukosit dan laju Endap darah
(LED)</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Spirometri adalah Penurunan fungsi paru dengan kapasitas
vital menurun</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -28.35pt;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">I.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="FI" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: 28.35pt;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengobatan tuberkulosis terbagi menjadi 2
fase yaitu : Fase Intensif (2-3 bulan) dan Fase Lanjutan (4-7 bulan). Paduan
obat yang digunakan terdiri dari obat utama dan obat tambahan. Jenis obat utama
yang digunakan sesuai dengan rekomendasi WHO adalah Rifampisin, INH,
Pirasinamid, Streptomisin dan Etambutol. Sedangkan jenis obat tambahan adalah
Kanamisin, Kulnolon, Makvolide, dan Amoksilin ditambah dengan asam klavulanat,
derivat rifampisin / INH.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: 28.35pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -28.35pt;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">J.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="FI" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Diagnosa
Keperawatan</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bersihan jalan napas tidak efektif berhubungan dengan
sekret kental atau sekret darah.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria hasil :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mempertahankan jalan nafas pasien</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mengeluarkan sekret tanpa bantuan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Intervensi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji fungsi pernapasan contoh : Bunyi nafas, kecepatan,
irama, kedalaman dan penggunaan otot aksesori</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Catat kemampuan untuk mengeluarkan mukosa / batuk efektif
: catat karakter, jumlah sputum, adanya emoptisis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan pasien posisi semi atau fowler tinggi. Bantu
pasien untuk batuk dan latihan napas dalam</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bersihkan sekret dari mulut dan trakea : penghisapan
sesuai keperluan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kolaborasi dengan tim medis dalam pemberian obat-obatan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rasionalisasi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penurunan bunyi napas dapat menunjukkan atelektasis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengeluaran sulit bila sekret sangat tebal. Sputum
berdarah kental atau darah cerah diakibatkan oleh kerusakan paru atau luka
bronkal dan dapat memerlukan evaluasi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Posisi membantu memaksimalkan ekspansi paru dan
menurunkan upaya pernapasan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mencegah obstruksi / aspirasi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pertukaran gas, kerusakan dan resiko.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Nutrisi kurang dari kebutuhan tubuh berhubungan dengan
sering batuk atau produksi sputum meningkat.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria hasil :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BB meningkat</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Intervensi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Catat status nutrisi pasien</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pastikan pola diet biasa pasien, yang disukai / tidak
disukai</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan makanan sedikit tapi sering</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan keluarga klien untuk membawa makanan dari rumah
dan berikan pada klien kecuali kontra indikasi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kolaborasi dengan ahli gizi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rasionalisasi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berguna dalam mendefinisikan derajat / luasnya masalah
dan pilihan intervensi yang tepat</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pertimbangan keinginan dapat memperbaiki masukan diet</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memaksimalkan masukan nutrisi tanpa kelemahan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Membantu memenuhi kebutuhan personal dan kultural</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kurang pengetahuan mengenai kondisi, aturan tindakan dan
pencegahan berhubungan dengan tidak akurat dan tidak lengkap informasi yang
ada.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria hasil :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menyatakan pemahaman proses penyakit / prognosis dan
kebutuhan pengobatan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Intervensi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji kemampuan pasien untuk belajar</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Identifikasi gejala yang harus dilaporkan ke perawat</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan instruksi dan informasi tertulis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan klien untuk tidak merokok</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji bagaimana TB ditularkan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rasionalisasi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Belajar tergantung pada emosi dan kesiapan fisik dan
ditingkatkan pada tahapan individu</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dapat menunjukkan kemajuan atu pengaktifan ulang penyakit
atau efek obat yang memerlukan evaluasi lanjut</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Infomasi tertulis menurunkan hambatan pasien untuk
mengingat sejumlah besar informasi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Meskipun merokok tidak merangsang berulangnya TB tetapi
meningkatkan disfungsi pernapasan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -21.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Resiko tinggi terjadinya infeksi berhubungan dengan
kurang pengetahuan untuk menghindari pemajanan patogen.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria hasil :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menurunkan resiko penyebaran infeksi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Intervensi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji patologi penyakit</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Identifikasi orang lain yang berisiko</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan pasien untuk batuk / bersin dan mengeluarkan
pada tisu dan menghindari meludah</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji tindakan kontrol infeksi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Awasi suhu sesuai indikasi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">¨</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kolaborasi dengan tim medis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rasionalisasi :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">§</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Membantu
pasien menyadari / menerima perlunya mematuhi program pengobatan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">§</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Orang-orang
yang terpajan ini perlu program terapi obat untuk mencegah penyebaran /
terjadinya infeksi</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">§</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dapat
membantu menurunkan rasa terisolasi pasien</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">§</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Reaksi
demam indikator adanya infeksi lanjut</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">§</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Membantu
mengidentifikasi lembaga yang dapat dihubungi untuk menurunkan penyebaran
infeksi.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB III</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 13.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">ASUHAN
KEPERAWATAN KELUARGA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 6pt;">
<span style="color: #336600; font-family: "Georgia","serif"; font-size: 12.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A.</span><span style="color: #336600; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #336600; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #336600; font-family: "Georgia","serif"; font-size: 12.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengkajian
Keperawatan Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Hari /
tanggal pengkajian </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Selasa, 20 September 2011<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Metode </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Wawancara,
pemeriksaan fisik, observasi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Praktikan </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Data Umum<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Nama kepala
keluarga </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny.
Erli<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -.25in;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Umur </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">40
tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -182.4pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Alamat </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">jln
sungai bilu laut Gg melati putih Banjarmasin timur<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -.25in;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pekerjaan </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ibu
Rumah Tangga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -.25in;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pendidikan </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">SD<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -.25in;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">f.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Komposi
keluarga </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: <o:p></o:p></span></div>
<div align="center">
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: -11.5pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 548px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; page-break-inside: avoid;">
<td rowspan="3" style="background: #E6E6E6; border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 21.05pt;" width="28"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">No</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="3" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 75.05pt;" width="100"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">NAMA</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td colspan="2" rowspan="2" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 47.2pt;" width="63"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Umur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="3" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" width="36"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Hub dgn kelg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="3" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 28.95pt;" width="39"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Pen-didi-kan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="3" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.9pt;" width="43"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Pe-ker-jaan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td colspan="12" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 220.9pt;" width="295"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">STATUS IMUNISASI</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="3" style="background: #E6E6E6; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 39.85pt;" width="53"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">KET</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; page-break-inside: avoid;">
<td rowspan="2" style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 21.85pt;" width="29"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">BCG</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td colspan="4" style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 66.8pt;" width="89"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Polio</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td colspan="3" style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 48.8pt;" width="65"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">DPT</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td colspan="3" style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 48.3pt;" width="64"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Hepatitis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="2" style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 35.15pt;" width="47"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Campak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; page-break-inside: avoid;">
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" width="31"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">L</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" width="31"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">P</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">4</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.3pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 21.05pt;" valign="top" width="28"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 75.05pt;" valign="top" width="100"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Tn. Samad W.H</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">40th</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">KK</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.95pt;" valign="top" width="39"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">SD</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 31.9pt;" valign="top" width="43"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Buruh</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 21.85pt;" width="29"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.3pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 35.15pt;" width="47"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 39.85pt;" width="53"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">TAK ADA</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 21.05pt;" valign="top" width="28"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 75.05pt;" valign="top" width="100"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Ny. Erli</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">40th</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Istri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.95pt;" valign="top" width="39"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 31.9pt;" valign="top" width="43"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">IRT</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 21.85pt;" width="29"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.3pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 35.15pt;" width="47"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 39.85pt;" width="53"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">TAK ADA</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 21.05pt;" valign="top" width="28"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 75.05pt;" valign="top" width="100"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Bunga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">11th</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.95pt;" valign="top" width="39"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">SD</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 31.9pt;" width="43"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 21.85pt;" width="29"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.3pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 35.15pt;" width="47"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 39.85pt;" width="53"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">LENGKAP</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 21.05pt;" valign="top" width="28"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">4</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 75.05pt;" valign="top" width="100"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">M.Jepri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">7th</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.95pt;" valign="top" width="39"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">SD</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 31.9pt;" width="43"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 21.85pt;" width="29"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.3pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 35.15pt;" width="47"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 39.85pt;" width="53"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">LENGKAP</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 21.05pt;" valign="top" width="28"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">5</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 75.05pt;" valign="top" width="100"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Safa Yunida</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">5bln</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 23.6pt;" valign="top" width="31"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 26.8pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">Anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.95pt;" valign="top" width="39"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 31.9pt;" width="43"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 21.85pt;" width="29"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.7pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.25pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">V</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.3pt;" width="22"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 16.1pt;" width="21"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 35.15pt;" width="47"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">v</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 39.85pt;" width="53"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-fareast-font-family: "Times New Roman";">LENGKAP</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
</div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -37.4pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keterangan
:</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 8.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">V</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">=</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">mendapat imunisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">- </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">=</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">tidak mendapat imunisasi<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center; text-indent: -37.4pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel 2.1 Data Umum Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">g. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Genogram keluarga<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable">
<tbody>
<tr>
<td style="padding: 0in 0in 0in 0in;"></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><br clear="all" />
<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center; text-indent: -37.4pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Gambar 2.1 Genogram Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<u><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keterangan</span></u><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Laki-laki<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perempuan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Laki-laki
meninggal<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perempuan
meninggal<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Suami
klien<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tinggal
serumah<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">klien
yang menderita TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">h. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tipe
keluarga </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Extended
Family (Keluarga Besar)<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">i. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Suku
bangsa </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Banjar<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">j.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Agama </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Islam<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">k.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Status
sosial ekonomi keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penghasilan
dari kepala keluarga (Tn.S) sebagai buruh bangunan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">±</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rp
450.000,00 /bln. Menurut mereka penghasilan itu cukup untuk kebutuhan
sehari-hari.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">l.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Aktivitas
rekreasi keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">klien
dan keluarga tidak pernah rekreasi, klien hanya kumpul-kumpul dirumah saja
bersama keluarganya, karena biaya lebih diprioritaskan pada hal-hal yang lebih
penting (untuk makan, biaya sekolah anak-anak, dan lain-lain)<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">m.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Riwayat
dan Tahap Perkembangan Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tahap
perkembangan keluarga saat ini<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perkembangan
keluarga pada saat ini dalam tahap perkembangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tahap
perkembangan keluarga yang terpenuhi<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tahap perkembangan keluarga yang belum terpenuhi masih banyak,
tugas keluarga yang belum dicapai adalah dalam merawat kesehatan keluarga Ny.E
yang mempunyai penyakit TB Paru,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> yang
memerlukan perhatian khusus baik keadaan lingkungan maupun kondisi fisik dan
mental, serta anak klien An.S yang mempunyai penyakit pneumonia yang perlu
perawatan khusus.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Riwayat
kesehatan keluarga inti<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kesehatan keluarga saat ini dalam keadaan yang kurang bagus,
karena Ny.E yang mempunyai penyakit TB Paru yang.tingal serumah dengan
anak-anaknya serta suami, yang berpotensi akan tertularnya penyakit tersebut.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Riwayat
kesehatan keluarga sebelumnya<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Saat dikaji keluarga Ny. E mengatakan bahwa dalam keluarganya
ada yang menderita penyakit asma yaitu orang tuanya (ayahnya) dan anak klien
nomor 3 (tiga) juga menderita pneumonia.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> 2. Pengkajian
Lingkungan<b><o:p></o:p></b></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Karakteristik Rumah<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rumah
ditempati oleh Ny E adalah rumah kontrakan. Ventilasi rumah meliputi pintu
saja. Pencahayaan pada rumah kurang, sinar matahari kurang dapat masuk kerumah,
kebersihan rumah kurang terjaga. Jumlah kamar tidur dan dapur 1 (satu), </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">pintu 2(dua) , tidak terdapat jendela dan tempat buang air
besar/buang air kecil di sungai di belakang rumah jaraknya</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: Symbol; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">±</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">20
meter, sumber air minum dari PDAM yang dibeli per deregen, untuk mandi kliendan
keluarga mandi disungai. Keadaan lingkungan kurang bersih, lembab, dan sampah
tampak tidak dibuang pada tempatnya.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable">
<tbody>
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<td style="padding: 0in 0in 0in 0in;"><div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<i><u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keterangan :</span></u></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ruang 1: (tempat yang serba guna, yaitu dapur, mencuci
pring, tempat makan, dan ruang tamu)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ruang 2: tempat tidur, tempat nonton TV\<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">PINTU :<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">J<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">A<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">L<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">A<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">N<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">JALAN<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ruang 1<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ruang 2<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Gambar 2.2 Denah Rumah Tn. H<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><br clear="all" />
<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Karakteristik
tetangga dan komunitas RW<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Klien
tidak memiliki kegiatan dalam lingkungan tetangga seperti (yasinan, pengajian,
dan lainnya). Kalau ada masalah kesehatan menurut Tn. S dapat ditangani tanpa
meminta bantuan tetangga karena masing-masing sibuk dengan urusan sendiri.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mobilitas geografis keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga
Ny.E sudah lama tinggal di jalan melati putih, selama tinggal disana klien
kurang berinteraksi dengan tetangga sekitar. Karena klien merasa kurang percaya
diri dengan keadaannya.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perkumpulan
keluarga dan interaksi dengan masyarakat<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga
Ny. E kurang berinteraksi dengan keluarga lain, Ny.E termasuk kurang aktif
dalam kegiatan masyarakat seperti kerja bakti karena penyakit yang dideritanya,
begitu juga </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">dengan
Tn.S. M beliau jarang ada dirumah, beliau sibuk dengan pekerjaannnya.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sistem
pendukung keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anggota
keluarga Ny. E terdiri dari 4 orang, anak Ny.E yang terakhir menderita
pneumonia, yang pertama dan kedua sering batuk-batuk, dan Ny.e sendiri
menderita TB Paru, hanya suami Ny.E yang jarang sakit.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3. Struktur
Keluarga<b><o:p></o:p></b></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pola
komunikasi keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Komunitas
keluarga atau antar anggota keluarga dilakukan secara terbuka.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Struktur
kekuatan keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengambilan keputusan dalam keluarga adalah Tn. S selaku kepala
keluarga.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Struktur
Peran<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tn. S
berperan sebagai </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">kepala
keluarga dan pengambil keputusan utama dalam keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -.25in;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E
berperan sebagai istri dan ibu rumah tangga yang baik yang bertanggung jawab
dalam mendidik dan membimbing anak-anak serta mengatur rumah tangga.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Nilai
atau norma keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Apabila
ada keluarga yang sakit segera mengunjungi petugas kesehatan untuk memeriksakan
kesehatan tetapi apabila penyakit yang bisa diatasi sendiri, maka keluarga Ny.
E mengatasi sendiri dengan meminum obat-obatan yang dijual di pasaran.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: 18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
afektif<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sikap
dan hubungan anggota keluarga baik dan harmonis, antar satu keluarga yang lain
saling mengasihi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: .7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
sosialisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
sosial dijalankan kurang begitu baik . Ny. E</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> kurang
bergaul akrab dan baik dengan warga sekitar.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
perawatan kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -61.6pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kemampuan
keluarga mengenal masalah kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E
sudah mengetahui bahwa dia menderita penyakit TB Paru tetapi tidak mengerti apa
pengertian, tanda dan gejala serta faktor penyebabnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kemampuan
mengambil keputusan mengenai tindakan kesehatan yang tepat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Apabila
anggota keluarga ada yang sakit segera dibawa berobat ke puskesmas dan bila
sekedar sakit biasa hanya menggunakan obat-obatan yang dibeli di warung.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -61.6pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kemampuan
keluarga merawat anggota keluarga yang sakit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bila
ada anggota keluarga Ny. E yang sakit biasanya Ny.E membawanya kepuskesmas.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kemampuan
keluarga memelihara lingkungan rumah yang sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rumah
tampak kurang bersih, perabotan kurang tertata rapi dan lingkungan tampak
kotor, di halaman rumah sampah banyak yang tidak dibuang pada tempatnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5)</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kemampuan
keluarga menggunakan fasilitas/pelayanan kesehatan di masyarakat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bila
ada anggota keluarga yang sakit keluarga pergi </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">puskesmas untuk memeriksakan kesehatan apalagi untuk berobat.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
reproduksi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
reproduksi keluarga terpenuhi. Ny.E memiliki 3 (tiga) orang anak.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: .7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
ekonomi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fungsi
ekonomi dijalankan oleh anak-anak Tn. S, yaitu sebagai buruh bangunan yang
penghasilannnya kurang dari pas pasan, akan tetapi Ny.E mengaturnya keuangannya
sehingga keperluan untuk dapat memenuhi kebutuhan pokok, yaitu sandang, pangan
dan papan dapat terpenuhi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: 18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Stress dan Koping Keluarga <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: .7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Stressor
jangka pendek dan panjang<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga
Ny.E</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> kuatir dengan
penyakit penyakit TB parunya ini, takut kalau penyakitnya ini malah bisa
menular dengan anggota keluarganya yang lain juga atau tetangga sekitarnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: .7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kemampuan
keluarga berespon terhadap stressor<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
menghindari hal yang tidak diinginkan Ny.E edikit mengurangi jarak berinteraksi
dengan anaknya serta suami, dan Ny.E jarang berinteraksi dengan tetangga
sekitarnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Strategi
koping yang digunakan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny.E
mengatakan selalu membawa dirinya kepuskesmas untuk melakukan pengobatan, dan
Ny.E sudah menjalani pengobatan 6 bulan berturut-turut dan tidak putus.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-top: 12.0pt; mso-background-themecolor: background1; mso-margin-bottom-alt: auto; mso-outline-level: 5;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> 6. Pemeriksaan
Fisik<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -37.4pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Melakukan pemeriksaan fisik pada setiap anggota keluarga
terutama yang diidentifikasi sebagai klien atau sasarn pelayanan asuhan
keperawatan keluarga, yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -37.4pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -37.4pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny.E<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tanggal
20 september 2011 dilakukan pemeriksaan tekanan darah pada Ny.E yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TD </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">100/60
mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">N </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">80
kali/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">RR </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">16
kali/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keadaan
umum Ny.E tampak kurang sehat, tampak batuk-batuk, badan tampak lemas.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tn.S<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tidak
dikaji (tidak ada di rumah saat pengkajian).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">An.B<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tidak
dikaji (tidak ada di rumah saat pengkajian).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">An. J<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tidak dikaji (tidak ada di rumah saat pengkajian).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">An.s<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keadaan
umum tampak batuk-batuk, pilek, tampak retraksi dining dada terangkat.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">RR </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">24
kali/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">N </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">= </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">90
kali/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-top: 12.0pt; mso-background-themecolor: background1; mso-margin-bottom-alt: auto; mso-outline-level: 5;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> 7. Harapan
Keluarga<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga
Tn. H berharap anggota keluarganya dalam keadaan sehat dan dapat berperan
masing-masing tanpa ada yang mengalami gangguan kesehatan, sehingga smeua dapat
berjalan lancar tanpa hambatan. Dan bagi petugas kesehatan, klien dan keluarga
berharap bahwa petugas kesehatan bisa meningkatkan mutu pelayanan sesuai
keadaan dan keinginan.<o:p></o:p></span></div>
<span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.5pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-left: 1.0in; mso-background-themecolor: background1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 6; text-indent: -1.0in;">
<b><span style="font-family: "Georgia","serif"; font-size: 7.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">B.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="font-family: "Georgia","serif"; font-size: 7.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Analisa Data<span style="color: #333333;"><o:p></o:p></span></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 33.45pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 24.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: double windowtext 1.5pt; height: 24.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 28.05pt;" width="37"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">No</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: double windowtext 1.5pt; height: 24.0pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 149.4pt;" width="199"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: double windowtext 1.5pt; height: 24.0pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 102.95pt;" width="137"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Etiologi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: double windowtext 1.5pt; height: 24.0pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 102.95pt;" width="137"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Masalah</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.05pt;" valign="top" width="37"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 149.4pt;" valign="top" width="199"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -32.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DS : Ny.E
me-ngatakan ia dan keluarga tidak be-gitu mengerti tentang penyakit
Tuberculosis Paru.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -32.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DO : Klien
tidak dapat menjelaskan me-ngenai tanda dan gejala Tuberculosis
Paru.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -32.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DS : Klien /
keluarga mengatakan tidak tahu bagaimana kriteria lingkungan yang sehat.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -41.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DO : - Sanitasi
air ku-rang baik (mandi dan minum meng-gunakan air su-ngai)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -41.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> - Membuang
sam-pah di sungai<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -41.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> - Ventilasi
kurang terbuka sehingga ruangan terasa pengap<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 102.95pt;" valign="top" width="137"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kurangnya infor-masi atau pe-ngetahuan yang didapat tentang
penyakit terse-but.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga kurang memahami pe-ngaruh lingkung-an terhadap
pe-nyembuhan pe-nyakit Tuberculo-sis paru.<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 102.95pt;" valign="top" width="137"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan keluarga untuk menegnal ten-tang / mengenai
masalah Tuber-culosis paru.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan keluarga dalam memodifikasi lingkungan yang
menunjang pe-nyembuhan pe-nyakit Tubercu-losis paru.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel 2.2 Analisa
Data<span style="color: #333333;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-left: 1.0in; mso-background-themecolor: background1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 6; text-indent: -1.0in;">
<b><span style="font-family: "Georgia","serif"; font-size: 7.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">C.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="font-family: "Georgia","serif"; font-size: 7.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan
Keluarga<span style="color: #333333;"><o:p></o:p></span></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan
keluarga untuk mengenal tentang/mengenai masalah Tuberculosis paru berhubungan
dengan kurangnya informasi atau pengetahuan yang didapat tentang penyakit
tersebut.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan
keluarga dalam memodifikasi rumah yang dapat menunjang penyembuhan penyakit
Tuberculosis paru berhubungan dengan kurangnya keluarga memahami pengaruh
lingkungan terhadap penyembuhan penyakit Tuberculosis paru.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Skala
Penentuan Prioritas Asuhan Keperawatan Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.Diagnosa
keperawatan 1<o:p></o:p></span></div>
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<thead>
<tr style="height: 22.8pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #E6E6E6; border: double windowtext 1.5pt; height: 22.8pt; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">No</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.5pt;" width="131"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kriteria</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.15pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Skala</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Bobot</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Skor</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 127.95pt;" width="171"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pembenaran</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</thead>
<tbody>
<tr>
<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" valign="top" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.5pt;" valign="top" width="131"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sifat masalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -16.05pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tidak / ku-rang sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kemungkinan masalah dapat diubah :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -42.7pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sebagian <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Potensial masa-lah untuk di-rubah / dicegah:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -42.7pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tinggi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Menonjolnya masalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -12.85pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Segera di-tangani<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.15pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3/3 x 1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">½ x 2<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3/3 x 1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2/2 x 1<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 127.95pt;" valign="top" width="171"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga Ny.E me-ngetahui bahwa Ny.E menderita
Tuber-culosis paru dan berupaya mengobati penyakit yang di-derita Ny.E.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga Ny.E me-ngobati penyakitnya dengan obat yang
diberikan dokter.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Penyelesaian masa-lah melalui pengobat-an dan pendidikan
kesehatan yang terus-menerus.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Karena pengetahuan dan informasi yang sangat kurang, maka
Ny.E mengabaikan penyakitnya dapat menular kepada ang-gota keluarga lain.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 19.5pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td colspan="2" style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Total<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.15pt;" width="66"></td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"></td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 127.95pt;" width="171"></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel 2.3 </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria
Skor Diagnosa 1<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Diagnosa keperawatan 2<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 24.1pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184;">
<thead>
<tr style="height: 22.8pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #E6E6E6; border: double windowtext 1.5pt; height: 22.8pt; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">No</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.5pt;" width="131"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kriteria</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.15pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Skala</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Bobot</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Skor</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.8pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 127.95pt;" width="171"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pembenaran</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</thead>
<tbody>
<tr>
<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" valign="top" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.5pt;" valign="top" width="131"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sifat masalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -16.05pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tidak / ku-rang sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kemungkinan masalah dapat diubah :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -42.7pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sebagian <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Potensial masa-lah untuk di-rubah / dicegah:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -42.7pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tinggi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Menonjolnya masalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -12.85pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Masalah tidak dirasakan<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.15pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3/3 x 1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">½ x 2<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3/3 x 1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">0/2 x 1<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">0<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 127.95pt;" valign="top" width="171"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sanitasi air yang ku-rang baik, kurangnya pemanfaatan
venti-lasi serta jendela kurang terbuka se-hingga sirkulasi uda-ra terhambat.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Melalui penyuluhan kesehatan dengan menghimbau keluar-ga
tersebut dapat memanfaatkan ven-tilasi udara di dalam rumah.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Berhubungan dengan lingkungan rumah yang agak luas
memudahkan sirku-lasi udara menjadi lancar.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga Ny.E mem-buang sampah di sungai sedangkan minum
dan mandi menggunakan air sungai serta peman-faatan ventilasi ku-rang akan
memper-parah proses penya-kit Tuberculosis paru dan memungkinkan menghentikan
penu-larannya pada ang-gota keluarga.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 19.5pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td colspan="2" style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Total<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.15pt;" width="66"></td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"></td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; height: 19.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 127.95pt;" width="171"></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel 2.4 </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria
Skor Diagnosa 2<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -35.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">D.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Prioritas Masalah<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan
keluarga untuk mengenal tentang/mengenai masalah Tuberculosis paru berhubungan
dengan kurangnya informasi atau pengetahuan yang didapat tentang penyakit
tersebut<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan
keluarga dalam memodifikasi rumah yang dapat menunjang penyembuhan penyakit
Tuberculosis paru berhubungan dengan kurangnya keluarga memahami pengaruh
lingkungan terhadap penyembuhan penyakit Tuberculosis paru<o:p></o:p></span></div>
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<br /></div>
<span style="background: #66BB33; color: #333333; font-family: "Times New Roman","serif"; font-size: 24.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-font-kerning: 18.0pt;"><br clear="all" style="page-break-before: always;" />
</span>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">E.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Perencanaan Asuhan Keperawatan Keluarga<o:p></o:p></span></b></div>
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<td rowspan="2" style="border: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 105.8pt;" width="141"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
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<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Tujuan Umum</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<td rowspan="2" style="border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 85.2pt;" width="114"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Tujuan Khusus</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<td colspan="2" style="border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 120.25pt;" width="160"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Kriteria Evaluasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<td rowspan="2" style="border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.65pt;" width="100"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Rencana Intervensi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<td rowspan="2" style="border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 82.0pt;" width="109"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Implementasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="2" style="border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 72.95pt;" width="97"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Evaluasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; page-break-inside: avoid;">
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 60.1pt;" width="80"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Kriteria</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 60.15pt;" width="80"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman";">Standar</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</thead>
<tbody>
<tr>
<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 105.8pt;" valign="top" width="141"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan keluarga untuk mengenal ten-tang / mengenai
masalah Tuber-culosis paru ber-hubungan de-ngan kurangnya informasi atau
pengetahuan yang didapat tentang penyakit tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan keluarga dalam memodifikasi ru-mah yang
dapat menunjang pe-nyembuhan pe-nyakit Tubercu-losis paru berhu-bungan dengan
kurangnya ke-luarga memaha-mi pengaruh ling-kungan terhadap penyembuhan
penyakit Tuber-culosis paru.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 85.15pt;" valign="top" width="114"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Setelah di-berikan pe-nyuluhan tentang pe-nyakit TB Paru
diha-rapkan ke-luarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ny.E</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">mampu
mencegah anggota ke-luarganya dari penu-laran pe-nyakit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Diharapkan agar keluar-ga menge-tahui bagai-mana cara
penataan ventilasi dan ling-kungan ru-mahnya untuk me-nunjang pe-nyembuhan
penyakit TB Paru.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 85.2pt;" valign="top" width="114"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Setelah kun-jungan, keluar-ga dapat men-jelaskan seca-ra
verbal me-ngenai :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.4pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pengertian Tuberculosis paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.4pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala penya-kit Tubercu-losis paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.4pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Penyebab dari penyakit Tuberculosis paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Setelah diada-kan kunjungan rumah, dapat :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.4pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menyebutkan secara verbal lingkungan yang menun-jang
penyem-buhan pe-nyakit Tuber-culosis paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.4pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menciptakan lingkungan yang menun-jang penyem-buhan
pe-nyakit Tuber-culosis paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.4pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengetahui syarat mini-mal ventilasi yang sehat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 60.1pt;" valign="top" width="80"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Respon verbal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Respon verbal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 60.15pt;" valign="top" width="80"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga da-pat menyebut-kan kembali dengan benar minimal
3 ten-tang arti, pe-nyebab dan tanda dan ge-jala penyakit TB Paru.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga Tn. K dapat me-ngetahui tata cara penga-turan
ling-kungan yang sehat sehing-ga mendu-kung proses penyembuhan dan dapat
melakukannya sesuai de-ngan apa yang telah di-berikan pada saat kunjung-an
rumah.<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 74.65pt;" valign="top" width="100"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.95pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Jelaskan ke-pada keluar-ga tentang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -8.8pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pengertian TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -8.8pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Penyebab TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -8.8pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.95pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Beri kesem-patan kepa-da keluarga untuk ber-tanya
me-ngenai apa yang telah dijelaskan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.95pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Beri motivasi keluarga un-tuk menje-laskan kem-bali
menge-nai pengert-ian, penye-bab, tanda dan gejala TB Paru.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.95pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Beri pujisan pada keluar-ga atas ke-mampuan menjelaskan
arti, penye-bab, tanda dan gejala TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Kaji tentang tingkat pe-ngetahuan keluarga tentang
ling-kungan pe-rumahan yang sehat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Observasi keadaan lingkungan perumahan keluarga Ny.E</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Jelaskan pada kelu-arga me-ngenai ling-kungan yang dapat
menunjang proses pe-nyembuhan penyakit, seperti :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">- </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tata ru-ang dan ventilasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">- </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Lingkung-an di se-kitar ru-mah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">- </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pembu-angan sampah pada tem-patnya </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Diskusikan dengan ke-uarga ten-tang cara menata
ling-kungan baik di dalam maupun di luar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">5.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ajak seluruh keluarga untuk selalu menjaga lingkungan agar
penye-baran ku-man TB Paru tidak menular</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">6.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Sarankan kepada ke-luarga agar Ny.E ber-obat rutin di
puskesmas untuk pro-ses pengo-batan dan penyembuhan penyakit TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 82.0pt;" valign="top" width="109"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">8 Desember 2005</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.9pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menjelaskan pada keluarga tentang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pengertian TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Penyebab TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.2in;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Memberikan ke-sempatan kepa-da keluarga untuk
bertanya mengenai apa yang telah di-jelaskan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.2in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.2in;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">3. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Memberikan motivasi keluar-ga untuk men-jelaskan
pe-ngertian, pe-nyebab, tanda dan gejala TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.2in;">
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<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.2in;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">4. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Memberikan pujian kepada keluarga atas kemampuan menjelaskan
arti, penyebab, tanda dan gejala TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.2in;">
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<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center; text-indent: -14.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">8
Desember 2005</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengkaji ting-kat pengeta-huan keluarga tentang
ling-kungan peru-mahan yang sehat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Observasi kea-daan lingkung-an perumahan keluarga Ny.E</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Jelaskan pada keluarga me-ngenai ling-kungan yang dapat
menun-jang proses penyembuhan penyakit, se-perti :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tata ruang dan ventilasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Lingkungan di sekitar rumah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -9.35pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pembuangan sampah pda tempatnya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mendiskusikan dengan keluar-ga tentang ca-ra menata
ling-kungan baik di dalam maupun di luar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengajak selu-ruh keluarga untuk selalu menjaga
ling-kungan agar penyebaran kuman TB Paru tidak me-nular</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -17.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">5.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menyarankan kepada kelu-arga agar Ny.E berobat rutin di
puskesmas un-tuk proses pe-ngobatan dan penyembuhan penyakit TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">8 Desember “05</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Setelah satu kali kunjungan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga mampu menje-laskan menge-nai :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">PengertianTB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Penyebab TB Paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala TB Pa-ru seperti ba-tuk berdahak, demam,
ke-ringat pada malam hari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga te-lah menge-tahui tentang cara penata-an
lingkung-an yang se-hat dan men-dukung pro-ses penyakit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga me-ngatakan me-ngetahui bahwa mere-ka akan
me-laksanakan untuk menata ventilasi dan lingkungan sebisa mung-kin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -6.3pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga ber-janji akan se-lalu mengi-ngatkan dan
mengantar Tn. K untuk rutin berobat ke Puskes-mas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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</tbody></table>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel 2.5 Rencana Asuhan Keperawatan Keluarga<o:p></o:p></span></div>
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<span style="background: #66BB33; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<td style="background: #E6E6E6; border: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 28.05pt;" width="37"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">No<b><o:p></o:p></b></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Catatan
Perkembangan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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</tbody></table>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Implementasi<b><o:p></o:p></b></span></div>
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<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 177.65pt;" width="237"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Evaluasi<b><o:p></o:p></b></span></div>
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<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.05pt;" valign="top" width="37"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1<b><o:p></o:p></b></span></div>
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<br /></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2<o:p></o:p></span></div>
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<br /></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">7<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 205.7pt;" valign="top" width="274"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-outline-level: 4; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mengkaji tingkat pendidikan keluarga Ny. E<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mengkaji pengetahuan keluarga Ny. E mengenai TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjelaskan pada keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengertian TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Proses penularan TB
Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengobatan TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pencegahan TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan kesempatan keluarga apa yang telah dijelaskan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan motivasi keluarga Ny. E agar dapat menjelaskan
kembali apa yang telah disampaikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan pujian pada keluarga atas kemampuannya untuk
menjelaskan kembali apa yang sudah disampaikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menganjurkan keluarga Ny. E untuk menggunakan fasilitas pelayanan
kesehatan bila bermasalah dengan kesehatannya<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 177.65pt;" valign="top" width="237"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-outline-level: 4; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">S :<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E dan keluarga
mengata-kan bahwa mereka sudah banyak mengetahui mengenai penyakit TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E mengatakan bahwa
ia sudah berobat ke Puskesmas<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E mengeluh sakit
ulu hati bila makan-minum<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E mengeluh sesak
nafas di pagi hari dan bila hari dingin<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny.E mengeluh
batuk-batuknya sudah sembuh-sembuh juga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Konjungtiva masih
tampak anemis<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TD = 110/70 mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Nadi = 82 kali/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Respirasi = 26
kali/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB = 148 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BB = 45 kg<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Hasil pemeriksaan dari
Puskesmas Selat II mengatakan Suspect TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A : Masalah teratasi sebagian<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">P : Intervensi dilanjutkan<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel
2.7 Catatan Perkembangan 1<b><o:p></o:p></b></span></div>
<span style="background: #66BB33; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">CATATAN
PERKEMBANGAN<o:p></o:p></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: #66BB33; border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="background: #E6E6E6; border: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 28.05pt;" width="37"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">No<b><o:p></o:p></b></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 205.7pt;" width="274"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Implementasi<b><o:p></o:p></b></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 177.65pt;" width="237"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Evaluasi<b><o:p></o:p></b></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 28.05pt;" valign="top" width="37"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 205.7pt;" valign="top" width="274"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mendiskusikan dengan keluarga tentang pentingnya rumah bersih
dan sehat<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjelaskan
pada keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengertian
rumah sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Syarat-syarat
rumah sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">c.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kriteria
rumah sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">d.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Akibat
dari keadaan rumah yang tidak sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">e.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tindakan
yang dilakukan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
kesempatan keluarga untuk bertanya apa yang telah dijelaskan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
motivasi keluarga Ny. E agar dapat menjelaskan kembali apa yang telah
disampaikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
pujian pada keluarga atas kemampuannya untuk menjelaskan kembali apa yang
sudah disampaikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menganjurkan
keluarga Ny. E untuk menyapu/membersihkan rumah dan lingkungannya serta
membuang sampah pada tempatnya atau dibakar<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 177.65pt;" valign="top" width="237"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">S :<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E
mengatakan akan menyapu rumahnya 3 kali sehari<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E
mengatakan bahwa ia akan meluangkan waktu untuk membersihkan rumahnya<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E
mengatakan mengerti tentang rumah sehat setelah mendapat penjelasan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ny. E
mengatakan akan membuang sampah atau membakarnya<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rumah
tampak rapi dan teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.3pt;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">«</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Isi
dapur atau perabotan rumah terletak rapi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A :
Masalah teratasi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">P :
Intervensi dilanjutkan<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tabel 2.8 Catatan Perkembangan 2<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<span style="background: #66BB33; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB IV</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">SATUAN ACARA PEMBELAJARAN (SAP)</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pokok
bahasan </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB Paru<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sub
pokok
bahasan </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan
TB Paru<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Hari/Tanggal </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Jumat/
23 September 2011<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Waktu </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">60
menit<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tempat </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Rumah
keluarga Tn. S<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sasaran </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">: </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ny.E</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">A.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Latar Belakang<o:p></o:p></span></b></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB Paru ialah suatu penyakit infeksi kronik jaringan paru yang
disebabkan oleh basil M<i>ycobacterium tuberculosae.</i>11 Sebagian besar basil</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mycobacteriumtuberculosae</span></i><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span></i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">masuk
ke dalam jaringan paru melalui</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">airborne
infection</span></i><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span></i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">dan
selanjutnya mengalami proses yang dikenal sebagai focus primer dari ghon.<o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin: 12pt 0in 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">B.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">selanjutnya mengalami proses yang dikenal sebagai
fokus primer dari Ghon.</span></b><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Tujuan<o:p></o:p></span></b></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan
Umum<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">Setelah dilakukan tindakan keperawatan/pendidikan kesehatan maka
keluarga<span style="letter-spacing: .85pt;">mampu mengetahui dan merawat anggota
keluarga yang sakit dalam hal perawatan pasien TB Paru pada Ny.E untuk
mencegah terjadinya</span>penularan dan komplikasi lebih lanjut.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tujuan
Khusus<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">Setelah dilakukan tindakan keperawatan / pendidikan kesehatan
selama 1 x 45menit Tn. C dan keluarga mampu:</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">1. Mengetahui pengertian TB Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">2. Mengetahui penyebab TB Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">3. Mengetahui tanda dan gejala TB
Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">4. Mengetahui cara penularan TB Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">5. Mengetahui akibat TB Paru bila tidak
diobati</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">6. Mengetahui siapa penderita TB Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">7. Mengetahui cara pengeluaran dahak </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; letter-spacing: .85pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">8. Mengetahui pencegahan penularan TB Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">9. Mengetahui tentang penatalaksanaan pada pasien TB
Paru</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin: 12pt 0in 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">C.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Materi<o:p></o:p></span></b></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Terlampir.<o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin: 12pt 0in 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">D.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Metode<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -177.75pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ceramah<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -177.75pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Diskusi<o:p></o:p></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin: 12pt 0in 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">E.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Media<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Leaflet.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin: 12pt 0in 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">F.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Proses Kegiatan Belajar Mengajar<o:p></o:p></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: #66BB33; border-collapse: collapse; margin-left: 18.7pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184;">
<thead>
<tr style="height: 22.85pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #E6E6E6; border: double windowtext 1.5pt; height: 22.85pt; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" width="34"><div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; mso-outline-level: 4;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">No<o:p></o:p></span></b></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.85pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 73.4pt;" width="98"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kegiatan</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.85pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 56.1pt;" width="75"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Waktu</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.85pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 124.1pt;" width="165"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mahasiswa</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="background: #E6E6E6; border-left: none; border: double windowtext 1.5pt; height: 22.85pt; mso-border-left-alt: double windowtext 1.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 124.1pt;" width="165"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keluarga</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</thead>
<tbody>
<tr>
<td style="border-bottom: double windowtext 1.5pt; border-left: double windowtext 1.5pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 25.5pt;" valign="top" width="34"><div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 73.4pt;" valign="top" width="98"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Persiapan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pelaksanaan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penutup<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 56.1pt;" valign="top" width="75"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5
menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">45
menit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10
menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 124.1pt;" valign="top" width="165"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perkenalan
/ mem-beri salam<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjelaskan
mak-sud dan tujuan dari kegiatan yang akan dilakukan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjelaskan
materi penyuluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberi
kesempat-an keluarga untuk bertanya<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberi
tanggapan atas pertanyaan keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
moti-vasi pada keluarga untuk mengung-kapkan hal-hal yang diperoleh dari
hasil penyuluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menanyakan
kem-bali tentang penyu-luhan yang telah disampaikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
pujian atas jawaban yang benar<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberi
kesim-pulan materi yang telah disampaikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberi
leaflet<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mengakhiri
kegi-atan dengan mengu-capkan salam<o:p></o:p></span></div>
</td>
<td style="border-bottom: double windowtext 1.5pt; border-left: none; border-right: double windowtext 1.5pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 124.1pt;" valign="top" width="165"><div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjawab
salam<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mengajukan
per-tanyaan jika ada hal-hal yang kurang jelas<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memperhatikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menyimak
penje-lasan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mengemukakan
pertanyaan / penda-pat<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menyimak
per-tanyaan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjawab
per-tanyaan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mendengar
kesim-pulan yang disam-paikan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -13.45pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menjawab
salam<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin: 6pt 0in 0.0001pt; text-align: center;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Tabel 2.6 Kegiatan Belajar Mengajar<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background-color: white; background-position: initial initial; background-repeat: initial initial; margin-bottom: 0.0001pt;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">G.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Evaluasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tes
lisan :<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Apa
penyebab TB Paru?<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Apa
tanda dan gejala TB Paru?<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Apa
Faktor-faktor yang mempengaruhi TB Paru?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -18.7pt;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Apa
Pencegahan bagi penderita TB Paru?<o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">H.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-font-kerning: 18.0pt;">Sumber Pustaka<o:p></o:p></span></b></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Effendy,
Nasrul, 1998,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keperawatan
Kesehatan Masyarakat</span></i></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">, EGC, Jakarta.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Heru,
Adi, 1995,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kader
Kesehatan Masyarakat</span></i></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">, EGC, Jakarta.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ismudiati,
R, Lily, 1996,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Buku
Ajar Kardiologi</span></i></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">, FKUI, Jakarta.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">MATERI PENYULUHAN<span style="color: #333333;"><o:p></o:p></span></span></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">HIPERTENSI</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengertian
Hipertensi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: 28.35pt;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tb paru adalah</span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">penyakit infeksi
pernafasan, menular yang menyerang parengkim paru yang disebabkan oleh kuman
yaitu</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> <i>mycobacterium tuberculosis</i></span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">dengan gejala yang sangat bervariasi.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.15pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penyebab
Hipertensi Berdasarkan Penggolongan</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">kuman yaitu</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">mycobacterium
tuberculosis</span></i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">. Kuman ini berbentuk batang dan tahan asam, serta banyak
mengandung lemak yang tinggi pada membran selnya sehingga menyebabkan kuman ini
tahan asam dan pertumbuhannya sangat lambat, kuman ini tidak tahan terhadap
sinar ultraviolet karena itu penularannya terutama terjadi pada malam hari.
Ukuran dari kuman tuberkulosiss ini kurang lebih 0,3 x 2 sampai 4 mm,
ukuran ini lebih kecil dari pada ukuran sel darah merah (Sumantri, 2008).<o:p></o:p></span></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tanda
dan Gejala Hipertensi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Webdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Batuk
disertai dahak lebih dari 3 minggu</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Webdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sesak
napas dan nyeri dada</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Webdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Badan
lemah, kurang enak badan</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Webdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berkeringat
pada malam hari walau tanpa kegiatan berat badan menurun (Penyakit
infeksi TB paru dan ekstra paru, Misnadiarly)</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -28.35pt;">
<b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">K.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="SV" style="color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Jenis-Jenis
Penyakit Tbc</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Penyakit tuberkulosis ( TBC ) terdiri atas 2 golongan
besar,yaitu :</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FR" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FR; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB
paru ( TB pada organ patu-paru )</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FR" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FR; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TB
ekstra paru (TB pada organ tubuh selain paru )</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
milier</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
sistem saraf pusat ( TB neningitis )</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
empyem dan Bronchopleural fistula</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Pericarditis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Skelet / Tulang</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Benitourinary / Saluran Kemih</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Peritonitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Gastriontestinal (Organ Cerna)</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Iymphadenitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Catan / Kulit</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Laringitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosis
Otitis</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify;">
<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">4.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">@</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pembesaran kelenjar sevikalis yang superfisial</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">@</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pleuritis tuberkulosa</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 17.55pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-background-themecolor: background1; text-align: justify; text-indent: -.25in;">
<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">@</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Efusi pleura</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">@</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tuberkulosa milier</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">@</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Meningitis tuberkulosa</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">5.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pencegahan
Hipertensi</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">M</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">munisasi
BCG pada anak balita, Vaksin BCG sebaiknya diberikan sejak anak masih kecil
agar terhindar dari penyakit tersebut.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">M</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bila
ada yang dicurigai sebagai penderita TBC maka harus segera diobati sampai
tuntas agar tidak menjadi penyakit yang lebih berat dan terjadi penularan.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">M</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Jangan
minum susu sapi mentah dan harus dimasak<o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">M</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagi
penderita untuk tidak membuang ludah sembarangan.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">M</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pencegahan
terhadap penyakit TBC dapat dilakukan dengan tidak melakukan kontak udara
dengan penderita, minum obat pencegah dengan dosis tinggi dan hidup secara
sehat. Terutama rumah harus baik ventilasi udaranya dimana sinar matahari pagi
masuk ke dalam rumah.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: Wingdings; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">M</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tutup
mulut dengan sapu tangan bila batuk serta tidak meludah/mengeluarkan dahak di
sembarangan tempat dan menyediakan tempat ludah yang diberi lisol atau bahan
lain yang dianjurkan dokter dan untuk mengurangi aktivitas kerja serta
menenangkan pikiran.Cek tensi teratur per bulan (bila umur > 40 tahun)<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">BAB V<o:p></o:p></span></b></div>
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<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">PENUTUP</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kesimpulan<o:p></o:p></span></b></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dari
hasil pengkajian yang dilakukan pada keluarga Ny.E didapatkan masalah-masalah
sebagai berikut :<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan
keluarga mengenal masalah TB Paru serta resiko komplikasi TB Paru berhubungan
dengan kurangnya pengetahuan keluarga tentang pengertian, penyebab, dan
pencegahan penderita TB Paru.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ketidakmampuan
keluarga menggunakan fasilitas pelayanan kesehatan untuk perawatan dan
pengobatan penyakit TB Paru berhubungan dengan kurangnya pengtahuan/informasi
keluarga tentang :<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
penyakit TB Paru i<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perawatan
penyakit TB Paru<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">-</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pengobatan
serta penatalaksanaan<o:p></o:p></span></div>
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<br /></div>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">B.</span></b><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Saran</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagi
mahasiswa<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dalam
melakukan Asuhan Keperawatan Keluarga yang paling penting adalah membina
hubungan saling percaya dengan anggota keluarga karena setiap anggota keluarga
mempunyai karakter yang berbeda-beda.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagi
institusi<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">a.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Untuk
mencapai hasil yang diinginkan terutama dalam memberikan Asuhan Keperawatan
Keluarga, pembimbing diharapkan lebih spesifik menjelaskan dan memberi
bimbingan kepada mahasiswa/mahasiswi yang dibimbingnya.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">b.</span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dengan
Asuhan Keperawatan Keluarga yang telah dilakukan oleh penulis dapat kiranya
menjadi bahan pertimbangan dan evaluasi dari pendidikan dalam mencetak perawat
profesional pemula.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3. </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bagi
Keluarga<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">diharapkan setelah dilakukan pendidikan kesehatan melalui Asuhan
Keperawatan Keluarga, keluarga dapat lebih meningkatkan pemahaman tentang
masalah TB Paru.<o:p></o:p></span></div>
<span style="background: #66BB33; color: #333333; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
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<b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA</span></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Effendy, Nasrul, 1998,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Keperawatan
Kesehatan Masyarakat</span></i></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">, EGC, Jakarta.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Heru, Adi, 1995,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kader
Kesehatan Masyarakat</span></i></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">, EGC, Jakarta.<o:p></o:p></span></div>
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<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Ismudiati, R, Lily, 1996,</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><i><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Buku
Ajar Kardiologi</span></i></b><span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">, FKUI, Jakarta.<o:p></o:p></span></div>
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</h3>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-34073402463615746952013-06-09T22:08:00.002-07:002013-06-09T22:08:10.775-07:00MOLA HIDATIOSA<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
A. <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Pengertian</span></div>
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Menurut beberapa ahli pengertian mola hidatidosa adalah sebagai berikut :</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Mola hidatidosa adalah chorionic villi (jonjotan/gantungan) yang tumbuh berganda berupa gelembung-gelembung kecil yang mengandung banyak cairan sehingga menyerupai buah anggur atau mata ikan. Karena itu disebut juga hamil anggur atau mata ikan. (Mochtar, Rustam, dkk, 1998 : 23).<a name='more'></a></div>
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• Mola hidatidosa adalah kehamilan abnormal, dengan ciri-ciri stoma villus korialis langka, vaskularisasi dan edematus. Janin biasanya meninggal akan tetapi villus-villus yang membesar dan edematus itu hidup dan tumbuh terus, gambaran yang diberikan adalah sebagai segugus buah anggur. (Wiknjosastro, Hanifa, dkk, 2002 : 339).</div>
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• Mola hidatidosa adalah perubahan abnormal dari villi korionik menjadi sejumlah kista yang menyerupai anggur yang dipenuhi dengan cairan. Embrio mati dan mola tumbuh dengan cepat, membesarnya uterus dan menghasilkan sejumlah besar <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">human chorionic gonadotropin</span> (hCG) (Hamilton, C. Mary, 1995 : 104).</div>
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• Mola hidatidosa adalah kehamilan abnormal di mana hampir <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">seluruh</span> villi kariolisnya mengalami perubahan hidrofobik. (Mansjoer, Arif, dkk, 2001 : 265).</div>
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• Mola hidatidosa adalah kelainan villi chorialis yang terdiri dari berbagai tingkat proliferasi tropoblast dan edema stroma villi. (Jack A. Pritchard, dkk, 1991 : 514).</div>
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• Mola hidatidosa adalah pembengkakan kistik, hidropik, daripada villi choriales, sdisertai proliperasi hiperplastik dan anaplastik epitel chorion. Tidak terbentuk fetus ( Soekojo, Saleh, 1973 : 325).</div>
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• Mola hidatidosa adalah perubahan abnormal dari villi korionik menjadi sejumlah kista yang menyerupai anggur yang dipenuhi dengan cairan. Embrio mati dan mola tumbuh dengan cepat, membesarnya uterus dan menghasilkan sejumlah besar human chorionic gonadotropin (hCG) (Hamilton, C. Mary, 1995 : 104).</div>
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Berdasarkan beberapa pengertian diatas yang dimaksud dengan mola hidatidosa adalah kehamilan abnormal dimana hampir seluruh villi kariolisnya mengalami perubahan hidrofobik yang menyerupai anggur yang dipenuhi dengan cairan dengan ciri-ciri stoma villus korialis langka, vaskularisasi dan edematous. Embrio mati dan mola tumbuh dengan cepat, membesarnya uterus dan menghasilkan sejumlah besar human chorionic gonadotropin (hCG).</div>
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B. Penyebab</div>
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Penyebab mola hidatidosa belum diketahui secara pasti, namun faktor penyebabnya adalah</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Faktor ovum : ovum memang sudah patologik sehingga mati , tetapi terlambat dikeluarkan.</div>
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• Imunoselektif dari tropoblast</div>
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• Keadaan sosio-ekonomi yang rendah</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Kekurangan protein dan asam folat, infeksi virus dan faktor kromosom yang belum jelas</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Kekurangan gizi pada ibu hamil.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Kelainan rahim.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Wanita dengan usia dibawah 20 tahun atau diatas 40 tahun.</div>
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C. Tanda dan Gejala</div>
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Kecurigaaan biasanya terjadi pada minggu ke 14 – 16, dimana kita dapat melihat adanya tanda-tanda seperti dibawah ini :</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Ukuran rahim lebih besar dari kehamilan biasa</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Pembesaran rahim yang terkadang diikuti perdarahan</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Bercak berwarna merah darah beserta keluarnya materi seperti anggur pada pakaian dalam.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
Adapun gejala dari mola hidatidosa adalah :</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Mual dan muntah yang parah yang menyebabkan 10% pasien masuk RS.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Pembesaran rahim yang tidak sesuai dengan usia kehamilan (lebih besar).</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Gejala – gejala hipertitoidisme seperti intoleransi panas, gugup, penurunan berat badan yang tidak dapat dijelaskan, tangan gemetar dan berkeringat, kulit lembab.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
• Gejala – gejala preeklampsi seperti pembengkakan pada kaki dan tungkai, peningkatan tekanan darah, proteinuria.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
D. Patofisiologi</div>
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E. Klasifikasi</div>
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Klasifikasi mola hidatidosa berdasarkan ada atau tidaknya janin yaitu :</div>
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• Mola Hidatidosa Komplit (Klasik)</div>
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Villi korion berubah menjadi massa vesikel dengan ukuran bervariasi dari sulit terlihat sehingga diameter beberapa centimeter. Histologinya memiliki karakteristik yaitu :</div>
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• Tidak ada pembuluh pada vili yang membengkak</div>
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• Prolifersi dari epitel trofoblas dengan bermacam-macam ukuran</div>
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• Tidak adanya janin atau amnion</div>
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• Mola Hidatidosa Inkomplit (Parsial)</div>
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Masih tampak gelembung yang disertai janin atau bagian dari janin. Umumnya janin masih hidup dalam bulan pertama. Tetapi ada juga yang hidup sampai aterm. Pada pemeriksaan histopatologik tampak di beberapa tempat villi yang edema dengan sel trofoblas yang tidak begitu berproliferasi, sedangkan tempat lain masih banyak yang normal.</div>
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F. Manifestasi <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Klinik</span></div>
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Gambaran klinik yang biasanya timbul pada klien dengan ”mola hidatidosa” adalah :</div>
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• Amenore dan tanda-tanda kehamilan</div>
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• Perdarahan pervaginam berulang. Darah cenderung berwarna coklat. Pada keadaan lanjut kadang keluar gelembung mola.</div>
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• Pembesaran uterus lebih besar dari usia kehamilan.</div>
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• Tidak terabanya bagian janin pada palpasi dan tidak terdengarnya BJJ sekalipun uterus sudah membesar setinggi pusat atau lebih. Preeklampsia atau eklampsia yang terjadi sebelum kehamilan 24 minggu.</div>
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• Pemeriksaan Penunjang</div>
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• Pemeriksaan Fisik</div>
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• Mola lengkap (<em>Complete mole</em>)</div>
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• Tanda klasik: pembesaran uterus lebih besar dari usia kehamilan yang diharapkan, atau dengan kata lain, ukuran (uterus) inkonsisten dengan usia kehamilan.<br />Pembesaran yang tidak diharapkan ini disebabkan oleh pertumbuhan trofoblas yang berlebihan (excessive<em> </em>trophoblastic<em></em>growth) dan darah yang tertahan (retained blood)<em></em></div>
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• Preeclampsia (Preeklamsia)</div>
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Sekitar 27% pasien mola lengkap disertai toksemia, yang<br />ditandai dengan:</div>
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• hipertensi (tekanan darah>140/90 mmHg)</div>
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• proteinuria (>300 mg/hari)</div>
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• edema dengan hyperreflexia, kejang (<em>convulsion</em>) jarang terjadi.</div>
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• Kista teka lutein (<em>Theca lutein <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">cysts</span></em>)</div>
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Kista ini merupakan kista ovarium yang berdiameter lebih dari 6 cm dan menyertai pembesaran ovarium. Karena meningkatnya ukuran ovarium, dapat berisiko terjadi puntiran (<em>torsion</em>). Kista ini tidak terdeteksi dengan palpasi bimanual namun teridentifikasi dengan USG (<em>ultrasonography</em>). Selain itu, kista ini berkembang sebagai respon (tanggapan) atas tingginya kadar beta-HCG, dan mengecil spontan setelah mola dievakuasi (diangkat).</div>
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• Mola parsial (<em>Partial mole</em>)</div>
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• Pembesaran uterus dan <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">preeclampsia</span> dilaporkan terjadi hanya pada 3% pasien.</div>
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• Jarang disertai kista teka lutein, hiperemesis, dan hipertiroidisme.<br />Kembar (<em>Twinning</em>).</div>
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• Kembar dengan mola lengkap dan janin (<em>fetus</em>) dengan plasenta normal telah dilaporkan. Kasus bayi sehat pada keadaan seperti ini telah dilaporkan pula.</div>
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• Wanita dengan <em>coexistent molar</em> dan kehamilan (<em><span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">gestation</span></em>) normal berisiko tinggi untuk berkembang menjadi persistent disease dan metastasis. Tindakan mengakhiri kehamilan (<span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">termination of pregnancy</span>) merupakan pilihan yang direkomendasikan.</div>
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• Kehamilan dapat dilanjutkan selama status maternal stabil, tanpa perdarahan (<em><span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">hemorrhage</span></em>), <em>thyrotoxicosis</em>, atau hipertensi berat. Pasien haruslah diberitahu tentang tingginya risiko morbiditas maternal (kematian ibu) ari komplikasi yang mungkin terjadi.</div>
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• Diagnosis genetika prental melalui sampel <em>chorionic villus</em> atau amniocentesis direkomendasikan untuk mengevaluasi karyotype janin (fetus).</div>
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• Pemeriksaan Laboratorium</div>
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• <em><span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Quantitative</span> beta-HCG</em></div>
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Kadar HCG lebih dari 100,000 mIU/mL mengindikasikan pertumbuhan trofoblas yang berlebihan (exuberant trophoblastic growth) dan dugaan adanya kehamilan mola haruslah disingkirkan. Kadar HCG pada kehamilan mola biasanya normal.</div>
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• Hitung darah lengkap dengan trombosit (complete <em><span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">blood cell count</span> with platelets</em>)<br />Anemia merupakan komplikasi medis yang umum terjadi, sebagai perkembangan (development) dari proses koagulopati.</div>
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• Fungsi pembekuan (<em>clotting function)</em></div>
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Tes ini dilakukan untuk menyingkirkan dugaan adanya komplikasi akibat proses perkembangan koagulopati.</div>
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• Tes fungsi hati (<em><span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Liver function test</span></em>)</div>
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• Blood urea nitrogen (BUN) dan kreatinin</div>
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• Thyroxin</div>
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Meskipun wanita dengan kehamilan mola secara klinis biasanya euthyroid, namun kadar plasma thyroxin biasanya naik di atas nilai normal wanita dengan kehamilan normal. Di samping itu, gejala hyperthyroidism dapat terjadi.</div>
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• Serum inhibin A dan activin A</div>
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Serum inhibin A dan activin A menjadi 7-10 kali lipat lebih tinggi pada kehamilan mola dibandingkan dengan kehamilan normal pada usia kehamilan (gestational) yang sama.</div>
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• Komplikasi</div>
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Komplikasi yang terjadi pada pasien dengan gangguan mola hidatidosa adalah :</div>
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• Perforasi uterus saat melakukan tindakan kuretase (<em>suction curettage</em>) terkadang terjadi karena uterus luas dan lembek (<em>boggy</em>). Jika terjadi perforasi, harus segera diambil tindakan dengan bantuan laparoskop.</div>
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• Perdarahan (<em>hemorrhage</em>) merupakan komplikasi yang sering terjadi saat pengangkatan (<em>evacuation</em>) mola. Oleh karena itu, oksitosin intravena harus diberikan sebelum evakuasi mola. Methergine dan atau Hemabate juga harus tersedia. Selain itu, darah yang sesuai dan cocok dengan pasien juga harus tersedia.</div>
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• Penyakit trofoblas ganas (<em>malignant trophoblastic disease</em>) berkembang pada 20% kehamilan mola. Oleh karena itu, quantitative HCG sebaiknya dimonitor terus-menerus selama satu tahun setelah evakuasi (<em>postevacuation</em>) mola sampai hasilnya negatif.</div>
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• Pembebasan faktor-faktor pembekuan darah oleh jaringan mola memiliki aktivitas fibrinolisis. Oleh karena itu, semua pasien harus diskrining untuk disseminated intravascular coagulopathy (DIC).</div>
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• Emboli trofoblas dipercaya menyebabkan <em>acute respiratory</em> <em>insufficiency</em>. Faktor risiko terbesar adalah ukuran uterus yang lebih besar dibandingkan usia kehamilan (<em>gestational age</em>) 16 minggu. Kondisi ini dapat menyebabkan kematian.</div>
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• Penatalaksanaan</div>
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Penatalaksanaan yang biasa dilakukan pada mola hidatidosa adalah :</div>
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• Diagnosis dini akan menguntungkan prognosis</div>
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• Pemeriksaan USG sangat membantu diagnosis. Pada fasilitas kesehatan di mana sumber daya sangat terbatas, dapat dilakukan : Evaluasi klinik dengan fokus pada : Riwayat haid terakhir dan kehamilan Perdarahan tidak teratur atau spotting, pembesaran abnormal uterus, pelunakan serviks dan korpus uteri. Kajian uji kehamilan dengan pengenceran urin. Pastikan tidak ada janin (Ballottement) atau DJJ sebelum upaya diagnosis dengan perasat Hanifa Wiknjosastro atau Acosta Sisson</div>
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• Lakukan pengosongan jaringan mola dengan segera</div>
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• Antisipasi komplikasi (krisis tiroid, perdarahan hebat atau perforasi uterus)</div>
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• Lakukan pengamatan lanjut hingga minimal 1 tahun. Selain dari penanganan di atas, masih terdapat beberapa penanganan khusus yang dilakukan pada pasien dengan mola hidatidosa, yaitu : Segera lakukan evakuasi jaringan mola dan sementara proses evakuasi berlangsung berikan infus 10 IU oksitosin dalam 500 ml NaCl atau RL dengan kecepatan 40-60 tetes per menit (sebagai tindakan preventif terhadap perdarahan hebat dan efektifitas kontraksi terhadap pengosongan uterus secara tepat). Pengosongan dengan Aspirasi Vakum lebih aman dari kuretase tajam. Bila sumber vakum adalah tabung manual, siapkan peralatan AVM minimal 3 set agar dapat digunakan secara bergantian hingga pengosongan kavum uteri selesai. Kenali dan tangani komplikasi seperti tirotoksikasi atau krisis tiroid baik sebelum, selama dan setelah prosedur evakuasi. Anemia sedang cukup diberikan Sulfas Ferosus 600 mg/hari, untuk anemia berat lakukan transfusi. Kadar hCG diatas 100.000 IU/L praevakuasi menunjukkan masih terdapat trofoblast aktif (diluar uterus atau invasif), berikan kemoterapi MTX dan pantau beta-hCG serta besar uterus secara klinis dan USG tiap 2 minggu.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com1tag:blogger.com,1999:blog-649449949151411649.post-48839003335783023742013-06-09T22:07:00.002-07:002013-06-09T22:07:28.771-07:00FISIOLOGI KEHAMILAN<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
<strong style="font-style: inherit;">a. </strong><strong style="font-style: inherit;"><span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Proses</span> terjadinya kehamilan:</strong></div>
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i. fertilisasi</div>
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Dalam keadaan normal in vivo, pembuahan terjadi di daerah tuba Falopii umumnya di daerah ampula / infundibulum. <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Spermatozoa</span> bergerak cepat dari vagina ke dalam rahim, masuk ke dalam tuba. Gerakan ini mungkin dipengaruhi juga oleh peranan kontraksi miometrium dan dinding tuba yang juga terjadi saat sanggama.</div>
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<strong style="font-style: inherit;">Hasil utama pembuahan :<a name='more'></a></strong></div>
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· penggenapan kembali jumlah kromosom dari penggabungan dua paruh haploid dari ayah dan dari ibu menjadi suatu bakal <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">individu</span> baru dengan jumlah kromosom diploid.</div>
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· penentuan jenis kelamin bakal individu baru, tergantung dari kromosom X atau Y yang dikandung sperma yang membuahi ovum tersebut.</div>
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· permulaan pembelahan dan stadium-stadium pembentukan dan perkembangan embrio (embriogenesis)</div>
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ii. Pembelahan awal embrio</div>
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Zigot mulai menjalani pembelahan awal mitosis sampai beberapa kali. Setelah 3-4 kali pembelahan : zigot memasuki tingkat 16 sel, disebut stadium morula (kira-kira pada hari ke-3 sampai ke-4 pascafertilisasi). Morula terdiri dari inner cell mass (kumpulan sel-sel di sebelah dalam, yang akan tumbuh menjadi jaringan-jaringan embrio sampai janin) dan outer cell mass (lapisan sel di sebelah luar, yang akan tumbuh menjadi trofoblas sampai plasenta).</div>
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Kira-kira pada hari ke-5 sampai ke-6, di rongga sela-sela inner cell mass merembes cairan menembus zona pellucida, membentuk ruang antar sel. Ruang antar sel ini kemudian bersatu dan memenuhi sebagian besar massa zigot membentuk rongga blastokista. Inner cell mass tetap berkumpul di salah satu sisi, tetap berbatasan dengan lapisan sel luar. Pada stadium ini zigot disebut berada dalam stadium blastula atau pembentukan blastokista.</div>
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Inner cell mass kemudian disebut sebagai embrioblas, dan outer cell mass kemudian disebut sebagai trofoblas.</div>
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iii. implantasi</div>
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Pada akhir minggu pertama (hari ke-5 sampai ke-7) zigot mencapai cavum uteri. Pada saat itu uterus sedang berada dalam fase sekresi lendir di bawah pengaruh progesteron dari korpus luteum yang masih aktif. Sehingga lapisan <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometrium</span> dinding rahim menjadi kaya pembuluh darah dan banyak muara kelenjar selaput lendir rahim yang terbuka dan aktif.</div>
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Kontak antara zigot stadium blastokista dengan dinding rahim pada keadaan tersebut akan mencetuskan berbagai reaksi seluler, sehingga sel-sel trofobas zigot tersebut dapat menempel dan mengadakan infiltrasi pada lapisan epitel endometrium uterus (terjadi implantasi).</div>
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Setelah implantasi, sel-sel trofoblas yang tertanam di dalam endometrium terus berkembang , membentuk jaringan bersama dengan sistem pembuluh darah maternal untuk menjadi plasenta yang kemudian berfungsi sebagai sumber nutrisi dan oksigenasi bagi jaringan embrioblas yang akan tumbuh menjadi janin.</div>
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<strong style="font-style: inherit;">b. </strong><strong style="font-style: inherit;">Organ-organ</strong></div>
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a. <span style="text-decoration: underline;">Uterus</span></div>
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- Bertambah besar dengan penambahan volume dan berat uterus (dari 70 gr/10 ml – 1100 gr/5 liter) sebagai adaptasi untuk menerima kehamilan,</div>
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o Pembesaran primer (awal – 12 mgg gestasi)</div>
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o Pembesaran sekunder (> 12 mgg gestasi)</div>
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Taksiran perbesaran uterus pada perabaan tinggi fundus:</div>
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- - tidak hamil / normal : telur ayam (+ 30 g)</div>
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- - 8 minggu : telur bebek</div>
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- - 12 minggu : telur angsa</div>
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- - 16 minggu : pertengahan simfisis-pusat</div>
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- - 20 minggu : pinggir bawah pusat</div>
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- - 24 minggu : pinggir atas pusat</div>
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- - 28 minggu : sepertiga pusat-xyphoid</div>
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- - 32 minggu : pertengahan pusat-xyphoid</div>
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- - 36-42 minggu : 3 sampai 1 jari bawah xyphoid</div>
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- Peningkatan kekuatan dinding uterus (perenggangan dan penebalan sel-sel otot, akumulasi jaringan ikat dan elastic, terutama pada lapisan otot luar akibat stimulasi <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">estrogen</span> dan sedikit progesterone).</div>
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- Penebalan korpus uteri pada awal kehamilan, tetapi kemudian akan menipis seiring dengan bertambahnya usia kehamilan, pada akhir kehamilan ketebalannya hanya berkisar 1,<span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">5 cm</span> bahkan kurang.</div>
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- Muncul tanda <em>Piscaseck</em> (penebalan uterus yang lebih pada tempat perlekatan plasenta).</div>
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- Muncul tanda <em>Hegar</em> (hipertrofi ismus uteri menjadi lebih panjang dan lunak).</div>
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- Muncul <span style="text-decoration: underline;">lingkaran retraksi fisiologis</span> (batas segmen atas yg tebal dgn segmen bawah yg tipis).</div>
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- Terjadi kontraksi <em><span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Braxton Hicks</span></em> (dari bulan pertama dan menurun hingga bulan terakhir, namun meningkat pada satu atau dua minggu sebelum persalinan, hal ini erat kaitannya dengan meningkatnya jumlah reseptor oksitosin dan gap junction di antara sel-sel endometrium).</div>
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b. <span style="text-decoration: underline;">Serviks</span></div>
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- Serviks <em>livide</em> (lunak dan kebiruan) akibat hipervaskularisasi.</div>
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- Hipertrofi dan hiperplasi kelenjar serviks.</div>
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- <em>Remodeling</em> serviks (pengaktifan kolagenase intra-ekstra secular untuk melemahkan matriks kolagen agar persalinan dapat berlangsung).</div>
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c. <span style="text-decoration: underline;">Ovarium</span></div>
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- Penghentian proses ovulasi dan pematangan folikel (fase istirahat)</div>
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- Korpus luteum berfungsi selama ± 11 minggu kehamilan sbg penghasil progesterone sebelum plasenta terbentuk.</div>
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- Sekresi relaksin oleh korpus luteum, desidua, plasenta, dan hati. Aksi <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">biologi</span> utamanya adalah dalam proses <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">remodeling</span> jaringan ikat pada saluran reproduksi, yang kemudian akan mengakomodasi kehamilan dan keberhasilan persalinan. Perannya belum diketahui secara menyeluruh, tetapi diketahui mempunyai efek pada perubahan struktur biokimia serviks dan kontraksi miometrium yang akan berimplikasi pada kehamilan preterm.</div>
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d. <span style="text-decoration: underline;">Vagina & Perineum</span></div>
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- Peningkatan vaskularisasi dan hyperemia pada kulit dan otot-otot perineum dan vulva, sehingga vagina terlihat keungu-unguan (<em><span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Chadwick</span> sign</em>) akibat pengarih hormone estrogen dan progesterone.</div>
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- Dinding vagina mengalami peningkatan ketebalan mukosa, mengendornya jaringan ikat, dan hipertrofi sel otot polos. Perubahan mengakibatkan dinding vagina bertambah panjang dan siap sebagai jalan lahir.</div>
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- Papila mukosa akan mengalami hipertrofi dengan gambaran seperti paku sepatu.</div>
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- Sekresi vagina meningkat dengan cairan berwarna keputihan, menebal, dan dengan pH 3,5 – 6 yang merupakan hasil dari peningkatan produksi asam laktat glikogen yang dihasilkan oleh epitel vagina sebagai aksi dari<em><span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">lactobacillus</span> acidophilus.</em></div>
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e. <span style="text-decoration: underline;">Kulit</span></div>
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- Muncul <em>striae gravidarum</em> (perubahan warna menjadi kemerahan, kusam pada dinding perut, payudara dan paha).</div>
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- Muncul <em><span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Linea nigra</span></em> (garis pertengahan perut akan berubah menjadi hitam kecoklatan).</div>
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- <em>Chloasma / melasma gravidarum</em> (perubahan warna kehitaman pada wajah dan leher).</div>
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- Pigmentasi yang berlebihan pada areola dan daerah genital.</div>
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</div>
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f. <span style="text-decoration: underline;">Payudara</span></div>
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- Payudara menjadi lebih lunak (pada awal kehamilan) dan kemudian menegang akibat pengaruh estrogen.</div>
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- Payudara membesar akibat hyperplasia sistem duktus dan jaringan interstisial payudara oleh pengaruh estrogen dan hormone laktogenik plasenta.</div>
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- Kolustrum dapat keluar (setelah bulan pertama).</div>
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- Nipple membesar, hitam, tegak.</div>
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- Terjadi hiperpigmentasi kulit serta hipertrofi kelenjar Montgomery, terutama daerah areola dan papilla akibat pengaruh melanofor.</div>
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- Air susu tidak bisa keluar (akibat <em>prolactin inhibiting hormone</em>).</div>
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</div>
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g. <span style="text-decoration: underline;">Metabolik</span></div>
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- Berat badan ibu akan naik seiring dengan umur kehamilan (pada 30 mgg terjadi penambahan 8,5 kg).</div>
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</div>
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Normal berat badan meningkat sekitar 6-16 kg, terutama dari pertumbuhan isi konsepsi dan volume berbagai organ / cairan intrauterin:</div>
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· Berat janin + 2.5-3.5 kg</div>
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· Berat plasenta + 0.5 kg</div>
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· Cairan amnion + 1.0 kg</div>
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· Berat uterus + 1.0 kg</div>
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· Penambahan volume sirkulasi maternal + 1.5 kg</div>
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· Pertumbuhan mammae + 1 kg</div>
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· Penumpukan cairan interstisial di pelvis dan ekstremitas + 1.0-1.5 kg.</div>
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Rekomendasi Pertambahan Berat Badan Ibu Hamil</div>
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<strong style="font-style: inherit;">BMI prahamil</strong></div>
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<strong style="font-style: inherit;">Pertumbuhan Berat Badan</strong></div>
</td></tr>
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Rendah (BMI < 19,8)</div>
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12,5 kg – 18 kg</div>
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Normal (BMI 19,8 -26)</div>
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11,5 kg – 16 kg</div>
</td></tr>
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Tinggi (BMI 26-29 )</div>
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7 kg -11,5 kg</div>
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Kegemukan ( BMI > 29)</div>
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< 7 kg</div>
</td></tr>
</tbody></table>
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</div>
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- Peningkatan cairan tubuh hingga 6,5 liter.</div>
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- Peningkatan kebutuhan akan makro-mikro nutrient untuk janin.</div>
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- Terjadi hipoglikemia puasa yang disebabkan oleh kenaikan kadar insulin (hiperinsulinemia), dan hiperglikemia postprandial.</div>
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</div>
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h. <span style="text-decoration: underline;">Sistem Kardiovaskular</span></div>
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- <em>Cardiac Output</em> basal meningkat (± 22 %) pada kehamilan</div>
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- Penurunan resistensi vaskuler oleh peran estrogen dan progesterone yang menyebabkan vasodilatasi vascular.</div>
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- Terjadi hipertrofi dan dilatasi ventrikel kiri</div>
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- Denyut jantung meningkat (± 10 -15 denyut/menit), namun kontraktilitas tidak berubah.</div>
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- Hati-hati <em>sindrom hipotensi supine</em>.</div>
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- Penambahan vol darah scr progresif pada mgg 6 – 8 dengan puncak mgg 32 – 34.</div>
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- Vol plasma meningkat kira-kira 40 – 45%.</div>
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- Terjadi hipervolemia & hemodilusi.</div>
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</div>
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i. <span style="text-decoration: underline;">Sistem Respirasi</span></div>
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- Kebutuhan oksigen meningkat ± 20% akibat peningkatan metabolisme, namun peningkatan ini dikompensasi peningkatan konduktasi saluran udara dan penurunan resistensi paru total oleh kerja progesterone yang akibatnya<span style="text-decoration: underline;">meningkatkan volume tidal dan <em>oksigen intake</em></span></div>
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- Sirkumferensi torak bertambah ± 6 cm, namun diafragma naik ± 4 cm sehingga menekan paru-paru, sehingga :</div>
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o Terjadi penurunan kapasitas residu fungsional & volume residu paru-paru,</div>
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o Namun vol tidal, <em>oksigen intake</em> bertambah secara signifikan pada kehamilan lanjut,</div>
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j. <span style="text-decoration: underline;">Traktus Digestivus</span></div>
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- Pergeseran organ-organ digetive akibat pembesaran uterus, cont: apendiks bergeser kearah atas dan lateral.</div>
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- Penurunan motilitas otot polos.</div>
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- Penurunan sekresi asam hidroklorid (hcl) dan peptin di lambung.</div>
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- Peningkatan hCG dan estrogen memiliki efek samping mual-mual dan muntah</div>
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- Epulis muncul dalam kehamilan, dan menghilang setelah persalinan.</div>
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- Hemorrhoid dapat muncul akibat konstipasi dan peningkatan tekanan vena pada bagian bawah karena pembesaran uterus.</div>
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- Fungsi hati kadar alkalin fosfatase meningkat hampir 2 kali lipat.</div>
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- Serum aspartat transamin, alani transamin, gama-glutamil transferase, albumin, bilirubin akan menurun.</div>
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k. <span style="text-decoration: underline;">Traktus Urinarius</span></div>
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- Penekanan Vesica Urinaria oleh uterus menyebabkan sering berkemih</div>
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- Ginjal membesar dengan GFR dan <em>renal plasma flow</em> meningkat.</div>
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- Pada ekskresi akan dijumpai kadar asam amino dan vitamin yang larut air dalam jumlah yang lebih banyak.</div>
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- Glikuosuria merupakan hal yang umum, tetapi kemungkina DM tetap harus diperhitungkan.</div>
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- Creatinine clearance akan meningkat > 30 %.</div>
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l. <span style="text-decoration: underline;">Sistem Endokrin</span></div>
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- Hipofisis membesar ± 135 %, namun tidak begitu mempunyai arti penting dlm kehamilan.</div>
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- Hormon prolaktin akan meningkat 10x pada saat kehamilan aterm. Setelah persalinan konsentrasinya pada plasma akan menurun</div>
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- Kelenjar tiroid akan mengalami pembesaran hingga 15 ml akibat hyperplasia kelenjar dan peningkatan vaskularisasi</div>
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- Konsentrasi hormone PTH akan menurun pada trimester I dan kemudian meningkat secara progressive.</div>
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- Kelenjar adrenal akan mengecil, sedangkan hormone androstenedion, testosterone, dioksikortikosteron, aldosteron, dan kortisol akan meningkat. Sementara itu, dehidroepiandrosteron sulfat menurun.</div>
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m. <span style="text-decoration: underline;">Sistem Muskuloskeletal</span></div>
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Lordosis progresif akibat kompensasi dari pembesaran uterus ke posisi anterior</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-43011001097025566832013-06-09T22:06:00.003-07:002013-06-09T22:06:43.615-07:00KEHAMILAN EKTOPIK TERGANGGU<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
1.Definisi</div>
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Kehamilan ektopik adalah kehamilan yang tempat implantasi/ nidasi/ melekatnya buah kehamilan di luar tempat yang normal, yakni di luar rongga rahim Sedangkan yang disebut sebagai kehamilan ektopik terganggu adalah suatu kehamilan ektopik yang mengalami abortus ruptur pada dinding tuba (Wibowo, 2007). Pembagian menurut lokasi:<br />a. Kehamilan ektopik tuba: pars interstisialis, isthmus, ampulla, infundibulum, fimbria.<br />b.Kehamilan ektopik uterus: kanalis servikalis, divertikulum, kornu, tanduk rudimenter.<br />c.Kehamilan ektopik ovarium:</div>
<a name='more'></a><br />d.Kehamilan ektopik intraligamenter<br />e.Kehamilan ektopik abdominal<br />f.Kombinasi kehamilan dalam dan luar uterus<br />Kehamilan ektopik yang paling banyak terjadi adalah di tuba, hal ini disebabkan oleh adanya hambatan perjalanan ovum yang telah dibuahi ke kavum uteri, hal ini dapat disebabkan karena :<br />a.Adanya sikatrik pada tuba<br />b.Kelainan bawaan pada tuba<br />c.Gangguan fisiologis pada tuba karena pengaruh hormonal ((Prawirohardjo, 2005).<br />
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2.Epidemiologi<br />Sebagian besar wanita yang mengalami kehamilan ektopik berumur antara 20-40 tahun dengan umur rata-rata 30 tahun. Lebih dari 60% kehamilan ektopik terjadi pada wanita 20-30 tahun dengan sosio-ekonomi rendah dan tinggal didaerah dengan prevalensi gonore dan prevalensi tuberkulosa yang tinggi (Wibowo, 2007).</div>
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3.Etiologi<br />Semua faktor yang menghambat migrasi embrio ke kavum uteri menyebabkan seorang ibu semakin rentan untuk menderita kehamilan ektopik, yaitu :<br />a.Faktor dalam lumen tuba:<br />-Endosalpingitis, menyebabkan terjadinya penyempitan lumen tuba<br />-Hipoplasia uteri, dengan lumen tuba menyempit dan berkelok-kelok<br />-Operasi plastik tuba dan sterilisasi yang tidak sempurna<br />b.Faktor pada dinding tuba:<br />-<span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Endometriosis</span>, sehingga memudahkan terjadinya implantasi di tuba<br />-Divertikel tuba kongenital, menyebabkan retensi ovum.<br />c.Faktor di luar dinding tuba:<br />-Perlekatan peritubal dengan distorsi atau lekukan tuba<br />-Tumor yang menekan dinding tuba<br />- <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Pelvic Inflammatory Disease</span> (PID)<br />d.Faktor lain:<br />-Hamil saat berusia lebih dari 35 tahun<br />-Fertilisasi in vitro<br />-Penggunaan Alat Kontrasepsi Dalam Rahim (AKDR)<br />-Riwayat kehamilan ektopik sebelumnya<br />-Infertilitas<br />-Mioma uteri<br />-Hidrosalping (Rachimhadhi, 2005).</div>
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4.Patofisiologi<br />Tempat-tempat implantasi kehamilan ektopik antara lain ampulla tuba (lokasi tersering), isthmus, fimbriae, pars interstitialis, kornu uteri, ovarium, rongga abdomen, serviks dan ligamentum kardinal. Zigot dapat berimplantasi tepat pada sel kolumnar tuba maupun secara interkolumnar.<br />Pada keadaan yang pertama, zigot melekat pada ujung atau sisi jonjot endosalping yang relatif sedikit mendapat suplai darah, sehingga zigot <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">mati</span> dan kemudian diresorbsi. Pada implantasi interkolumnar, zigot menempel di antara dua jonjot. Zigot yang telah bernidasi kemudian tertutup oleh <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">jaringan</span> endosalping yang menyerupai desidua, yang disebut pseudokapsul. Villi korialis dengan mudah menembus endosalping dan mencapai lapisan miosalping dengan merusak integritas pembuluh darah di tempat tersebut. Selanjutnya, hasil konsepsi berkembang, dan perkembangannya tersebut dipengaruhi oleh beberapa faktor, yaitu tempat implantasi, ketebalan tempat implantasi dan banyaknya perdarahan akibat invasi trofoblas.<br />Seperti kehamilan normal, uterus pada kehamilan ektopik pun mengalami hipertrofi akibat pengaruh hormon estrogen dan progesteron, sehingga <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tanda</span>-tanda kehamilan seperti tandaHegar dan <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Chadwick</span> pun ditemukan. <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Endometrium</span> pun berubah menjadi desidua, meskipun tanpa trofoblas. Sel-sel epitel endometrium menjadi hipertrofik, hiperkromatik, intinya menjadi lobular dan sitoplasmanya bervakuol. Perubahan selular demikian disebut sebagai reaksi Arias-Stella.<br />Karena tempat implantasi pada kehamilan ektopik tidak ideal untuk berlangsungnya kehamilan, suatu saat kehamilan ektopik tersebut akan terkompromi. Kemungkinan-kemungkinan yang dapat terjadi pada kehamilan ektopik adalah:<br />1) hasil konsepsi mati dini dan diresorbsi,<br />2) abortus ke dalam lumen tuba, dan<br />3) ruptur dinding tuba.<br />Abortus ke dalam lumen tuba lebih sering terjadi pada kehamilan pars ampullaris, sedangkan ruptur lebih sering terjadi pada kehamilan pars isthmica. Pada abortus tuba, bila pelepasan hasil konsepsi tidak sempurna atau tuntas, maka perdarahan akan terus berlangsung. Bila perdarahan terjadi sedikit <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">demi</span> sedikit, terbentuklah mola kruenta. Tuba akan membesar dan kebiruan (hematosalping), dan darah akan mengalir melalui ostium tuba ke dalam rongga abdomen hingga berkumpul di kavum Douglas dan membentuk hematokel retrouterina.<br />Pada kehamilan di pars isthmica, umumnya ruptur tuba terjadi lebih awal, karena pars isthmica adalah bagian tuba yang paling sempit. Pada kehamilan di pars interstitialis ruptur terjadi lebih lambat (8-16 minggu) karena lokasi tersebut berada di dalam kavum uteri yang lebih akomodatif, sehingga sering kali kehamilan pars interstitialis disangka sebagai kehamilan intrauterin biasa.<br />Perdarahan yang terjadi pada kehamilan pars interstitialis cepat berakibat fatal karena suplai darah berasal dari arteri uterina dan ovarika. Oleh sebab itu kehamilan pars interstitialis adalah kehamilan ektopik dengan angka mortalitas tertinggi. Kerusakan yang melibatkan kavum uteri cukup besar sehingga histerektomi pun diindikasikan.<br />Ruptur, baik pada kehamilan fimbriae, ampulla, isthmus maupun pars interstitialis, dapat terjadi secara spontan maupun akibat trauma ringan, seperti koitus dan pemeriksaan vaginal. Bila setelah ruptur janin terekspulsi ke luar lumen tuba, masih terbungkus selaput amnion dan dengan plasenta yang masih utuh, maka kehamilan dapat berlanjut di rongga abdomen. Untuk memenuhi kebutuhan janin, plasenta dari tuba akan meluaskan implantasinya ke jaringansekitarnya, seperti uterus, usus dan ligamen (Rachimhadhi, 2005).</div>
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5. Manifestasi klinis<br />Trias gejala dan tanda dari kehamilan ektopik adalah riwayat keterlambatan haid atau<span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">amenorrhea</span> yang diikuti perdarahan abnormal (60-80%), nyeri abdominal atau pelvik (95%). Biasanya kehamilan ektopik baru dapat ditegakkan pada usia kehamilan 6 – 8 minggu saat timbulnya gejala tersebut di atas. Gejala lain yang muncul biasanya sama seperti gejala pada kehamilan muda, seperti mual, rasa <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">penuh</span> pada payudara, lemah, nyeri bahu, dan dispareunia. Selain itu pada pemeriksaan fisik didapatkan pelvic tenderness, pembesaran uterus dan massa adneksa. (Saifiddin, 2002; Cunningham et al, 2005).</div>
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6.Diagnosis<br />a.Anamnesis dan gejala klinis<br />Riwayat terlambat haid, gejala dan tanda kehamilan muda, dapat ada atau tidak ada perdarahan per vaginam, ada nyeri perut kanan / <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">kiri</span> bawah. Berat atau ringannya nyeri tergantung pada banyaknya darah yang terkumpul dalam peritoneum.<br />b.Pemeriksaan fisik<br />i.Didapatkan rahim yang juga membesar, adanya tumor di daerah adneksa.<br />ii.Adanya tanda-tanda syok hipovolemik, yaitu hipotensi, pucat dan ekstremitas dingin, adanyatanda-tanda abdomen akut, yaitu perut tegang bagian bawah, nyeri tekan dan nyeri lepas dinding abdomen.<br />iii. Pemeriksaan ginekologis<br />Pemeriksaan dalam: seviks teraba lunak, nyeri tekan, nyeri pada uteris kanan dan kiri.<br />c. Pemeriksaan Penunjang<br />i. Laboratorium : Hb, Leukosit, urine B-hCG (+).<br />Hemoglobin menurun setelah 24 jam dan jumlah sel darah merah dapat meningkat.<br />ii. USG : – Tidak ada kantung kehamilan dalam kavum uteri<br />- Adanya kantung kehamilan di luar kavum uteri<br />- Adanya massa komplek di rongga panggul<br />iii. Kuldosentesis : suatu <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">cara</span> pemeriksaan untuk mengetahui apakah dalam kavum Douglas ada darah.<br />iv. Diagnosis pasti hanya ditegakkan dengan laparotomi.<br />v. Ultrasonografi berguna pada 5 – 10% kasus bila ditemukan kantong gestasi di luar uterus (Mansjoer, dkk, 2001).<br />7. Diagnosis banding<br />a. Infeksi pelvik<br />b. Abortus iminens atau insipiens<br />c. Torsi kista ovarium<br />d. Ruptur korpus luteum<br />e. Appendisitis akut (Wibowo, 2007; Cunningham et al, 2005).</div>
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8. Penatalaksanaan<br />Seorang pasien yang terdiagnosis dengan kehamilan tuba dan masih dalam kondisi baik dan tenang, memiliki 2 pilihan, yaitu penatalaksanaan medis dan penatalaksanaan bedah.<br />a. Penatalaksanaan Medis<br />Pada penatalaksanaan medis digunakan zat-zat yang dapat merusak integritas jaringan dan sel hasil konsepsi. Tindakan konservativ medik dilakukan dengan pemberian methotrexate. Methotrexate adalah obat sitotoksik yang sering digunakan untuk terapi keganasan, termasuk penyakit trofoblastik ganas. Pada penyakit trofoblastik, methotrexate akan merusak sel-sel trofoblas, dan bila diberikan pada pasien dengan kehamilan ektopik, methotrexate diharapkan dapat merusak sel-sel trofoblas sehingga menyebabkan terminasi kehamilan tersebut.<br />Methotrexate dapat diberikan dalam dosis tunggal maupun dosis multipel. Dosis tunggal yang diberikan adalah 50 mg/m2 (intramuskular), sedangkan dosis multipel yang diberikan adalah sebesar 1 mg/kg (intramuskular) pada hari pertama, ke-3, 5, dan hari ke-7. Pada terapi dengan dosis multipel leukovorin ditambahkan ke dalam regimen pengobatan dengan dosis 0.1 mg/kg (intramuskular), dan diberikan pada hari ke-2, 4, 6 dan 8. Terapi methotrexate dosis multipel tampaknya memberikan efek negatif pada patensi tuba dibandingkan dengan terapi methotrexate dosis tunggal 9. Methotrexate dapat pula diberikan melalui injeksi per laparoskopi tepat ke dalam massa hasil konsepsi. Terapi methotrexate dosis tunggal adalah modalitas terapeutik paling ekonomis untuk kehamilan ektopik yang belum terganggu.<br />Kandidat-kandidat penerima tatalaksana medis harus memiliki syarat-syarat berikut ini: 1) keadaan hemodinamik yang stabil dan tidak ada tanda robekan dari tuba, 2) tidak ada aktivitas jantung janin, 3) diagnosis ditegakkan tanpa memerlukan laparaskopi, 4) diameter massa ektopik < 3,5 cm, 5) kadar tertinggi β-hCG < 15.000mIU/ ml, 6) harus ada informed consent dan mampu mengikuti follow up, serta 7) tidak memiliki kontraindikasi terhadap pemberian methotrexate..<br />b. Penatalaksanaan Bedah<br />Penatalaksanaan bedah dapat dikerjakan pada pasien-pasien dengan kehamilan tuba yang belum terganggu maupun yang sudah terganggu. Tentu saja pada kehamilan ektopik terganggu, pembedahan harus dilakukan secepat mungkin.<br />i. Salpingostomi<br />Salpingostomi adalah suatu prosedur untuk mengangkat hasil konsepsi yang berdiameter kurang dari 2 cm dan berlokasi di sepertiga distal tuba fallopii. Pada prosedur ini dibuat insisi linear sepanjang 10-15 mm pada tuba tepat di atas hasil konsepsi, di perbatasan antimesenterik. Setelah insisi hasil konsepsi segera terekspos dan kemudian dikeluarkan dengan hati-hati. Perdarahan yang terjadi umumnya sedikit dan dapat dikendalikan dengan elektrokauter. Insisi kemudian dibiarkan terbuka (tidak dijahit kembali) untuk sembuh per sekundam. Prosedur ini dapat dilakukan dengan laparotomi maupun laparoskopi. Metode per laparoskopi saat ini menjadi gold standard untuk kehamilan tuba yang belum terganggu.<br />ii. Salpingotomi<br />Pada dasarnya prosedur ini sama dengan salpingostomi, kecuali bahwa pada salpingotomi insisi dijahit kembali. Beberapa literatur menyebutkan bahwa tidak ada perbedaan bermakna dalam hal prognosis, patensi dan perlekatan tuba pascaoperatif antara salpingostomi dan salpingotomi.</div>
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iii. Salpingektomi<br />Salpingektomi diindikasikan pada keadaan-keadaan berikut ini: 1) kehamilan ektopik mengalami ruptur (terganggu), 2) pasien tidak menginginkan fertilitas pascaoperatif, 3) terjadi kegagalan sterilisasi, 4) telah dilakukan rekonstruksi atau manipulasi tuba sebelumnya, 5) pasien meminta dilakukan sterilisasi, 6) perdarahan berlanjut pascasalpingotomi, 7) kehamilan tuba berulang, <img alt="8)" class="wp-smiley" src="http://emirzanurwicaksono.blog.unissula.ac.id/wp-includes/images/smilies/icon_cool.gif" style="border: 0px; height: auto; margin: 0px; max-width: 511px;" />kehamilan heterotopik, dan 9) massa gestasi berdiameter lebih dari 5 cm. Reseksi massa hasil konsepsi dan anastomosis tuba kadang-kadang dilakukan pada kehamilan pars ismika yang belum terganggu. Metode ini lebih dipilih daripada salpingostomi, sebab salpingostomi dapat menyebabkan jaringan parut dan penyempitan lumen pars ismika yang sebenarnya sudah sempit. Pada kehamilan pars interstitialis, sering kali dilakukan pula histerektomi untuk menghentikan perdarahan masif yang terjadi. Pada salpingektomi, bagian tuba antara uterus dan massa hasil konsepsi diklem, digunting, dan kemudian sisanya (stump) diikat dengan jahitan ligasi. Arteria tuboovarika diligasi, sedangkan arteria uteroovarika dipertahankan. Tuba yang direseksi dipisahkan dari mesosalping.<br />iv. Evakuasi Fimbrae dan Fimbraektomi<br />Bila terjadi kehamilan di fimbrae, massa hasil konsepsi dapat dievakuasi dari fimbrae tanpa melakukan fimbraektomi. Dengan menyemburkan cairan di bawah tekanan dengan alat aquadisektor atau spuit, massa hasil konsepsi dapat terdorong dan lepas dari implantasinya. Fimbraektomi dikerjakan bila massa hasil konsepsi berdiameter cukup besar sehingga tidak dapat diekspulsi dengan cairan bertekanan (Chalik, 2004).</div>
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9.Prognosis<br />a.Bagi kehamilan berikutnya<br />Umumnya penyebab kehamilan ektopik (misalnya penyempitan tuba atau pasca penyakit radang panggul) bersifat bilateral. Sehingga setelah pernah mengalami kehamilan ektopik pada tuba satu sisi, kemungkinan pasien akan mengalami kehamilan ektopik lagi pada tuba sisi yang lain.<br />b.Bagi ibu<br />Bila diagnosis cepat ditegakkan umumnya prognosis baik, terutama bila cukup penyediaan darah dan fasilitas operasi serta narkose</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-55619464600642651802013-06-09T22:05:00.002-07:002013-06-09T22:05:43.394-07:00SECTIO CAESARIA<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
<strong style="font-style: inherit;">1. </strong><strong style="font-style: inherit;"><span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Pengertian</span></strong></div>
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Wiknjosastro, 2006; Hecker, 2001; Kasdu, 2003 menyatakan bahwa seksio caesaria atas indikasi cefalopelvik disproporsi adalah persalinan atau lahirnya janin dan plasenta melalui sayatan dinding abdomen dan uterus, karena disebabkan antara ukuran kepala dan panggul atau ukuran lingkar panggul ibu tidak sesuai dengan ukuran lingkar kepala janin yang dapat menyebabkan ibu tidak dapat melahirkan secara alami.</div>
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<strong style="font-style: inherit;">2. </strong><strong style="font-style: inherit;">Indikasi Seksio Caesaria</strong></div>
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Menurut Hecker (2001) indikasi seksio caesaria di bagi menjadi tiga yaitu :</div>
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1) Ibu/ janin : distosia (ketidakseimbangan cefalopelvik, kegagalan induksi persalinan, kerja rahim yang abnormal).</div>
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2) Ibu : penyakit ibu (eklamsia/ preeklamsi yang berat, DM, penyakit jantung, kanker cervikal), pembedahan rahim sebelumnya (riwayat seksio caesaria, ruptur rahim yang sebelumnya, miomektomi), sumbatan jalan lahir .</div>
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3) Janin : gangguan pada janin, prolaps tali pusat, malpresentasi janin.</div>
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<strong style="font-style: inherit;">3. </strong><strong style="font-style: inherit;">Mekanisme Persalinan Seksio Caesaria dengan CPD</strong></div>
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Menurut Winknjosastro (2006) ada beberapa mekanisme persalinan yang berkaitan dengan posisi panggul yaitu :</div>
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a. Kesempitan pada pintu panggul atas : apabila konjugata vera kurang dari 10 cm, atau diameter trasversa kurang dari 12 cm. Panggul sempit mungkin menyebabkankepala tertahan oleh pintu atas panggul, maka dalam hal ini serviks uteri kurang mengalami tekanan kepala. Hal ini mengakibatkan inersia uteri serta lamanya pendataran dan pembukaan serviks.</div>
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b. Kesempitan panggul tengah : apabila ukuran panggul kurang dari 9,<span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">5 cm</span>, perlu kita waspadai terhadap kemungkinan kesulitan pada persalinan, biasanya pada posisi oksipitalis posterior persisten atau presentasi kepala dalam posisi lintang tetap.</div>
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c. Kesempitan pintu bawah panggul : pintu bawah panggul bukan merupakan bagian yang datar, tetapi terdiri atas segitiga depan dan segitiga belakang yang mempunyai dasar yang sama, yakni distansia tuberum. Apabila ukuran yang terakhir ini lebih kecil dari pada biasa, maka sudut arkus pubis mengecil (<></div>
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<strong style="font-style: inherit;">4. </strong><strong style="font-style: inherit;">Dampak Persalinan Cefalopelvik Disproporsi</strong></div>
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Wiknjosastro (2006) Apabila persalinan dengan disproporsi sefalopelvik dibiarkan berlangsung sendiri tanpa ada tindakan yang tepat, dapat timbul bahaya bagi ibu dan janin.</div>
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a. Bahaya bagi ibu dapat menyebabkan partus <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">lama</span> yang sering kali disertai pecahnya ketuban pada pembukaan kecil sehingga menimbulkan dehidrasi, asidosis dan infeksi intrapartum, rupture uteri, persalinan tidak maju dan mengalami tekanan lebih lama dapat menimbulkan gangguan sirkulasi akibatnya terjadi iskemia dan nekrosis.</div>
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b. Janin dapat menyebabkan partus lama dapat meningkatkan kematian, moulase kepala janin, terjadi robekan tentorium dan perdarahan intrakranial.</div>
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<strong style="font-style: inherit;">5. </strong><strong style="font-style: inherit;">Adaptasi Fisiologi dan Psikologi Post Seksio Caesaria</strong></div>
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a. Adaptasi Fisiologi</div>
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Menurut Bobak (2005) & Cuningham (2006) adaptasi fisiologi dibagi menjadi beberapa sistem diantaranya yaitu :</div>
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1) Sistem reproduksi.</div>
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a) Uterus</div>
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1. Involusi merupakan <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">proses</span> kembalinya uterus ke keadaan sebelum hamil setelah melahirkan, akibatnya otot-otot polos uterus berkontraksi pada waktu 12 jam, tinggi <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">fundus uteri</span> mencapai ± 1 cm diatas umbilicus. Dalam beberapa hari mencapai ± 1 cm diatas umbilicus. Dalam beberapa hari kemudian, perubahan fundus uteri turun kira-kira 1-2 cm setiap 24 jam.</div>
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2. Kontraksi uterus meningkat setelah bayi lahir, terjadi karena hormon oksitosin yang dilepas oleh kelenjar hipofisis posterior.</div>
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3. After Pains rasa nyeri setelah melahirkan lebih nyata ditempat uterus yang teregang, menyusui dan oksitosin tambahan biasanya meningkatkan nyeri ini karena keluarnya merangsang kontraksi uterus.</div>
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4. Tempat plasenta terjadi pertumbuhan <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometrium</span>, regenerasi pada tempat ini biasanya tidak selesai sampai enam minggu setelah melahirkan.</div>
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5. Lokia. Menurut Huliana (2003) lokhea dibagi menjadi tiga jenis sesuai dengan warnanya sebagai berikut :</div>
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(a) Lokia rubra terdiri dari darah, sisa penebalan dinding rahim, dan sisa-sisa pemahaman plasenta. Lochea rubra berwarna kemerah-merahan dan keluar sampai hari ke-3 atau ke-4.</div>
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(b) Lokia serosa mengandung cairan darah, berupa serum dan lekosit. Lochea serosa berwarna kekuningan dan keluar antara hari ke-5 sampai ke-9.</div>
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(c) Lokia alba terdiri dari leukosit, lendir leher rahim (serviks), dan jaringan-jaringan <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">mati</span> yang lepas dalam proses penyembuhan. Loshea alba berwarna putih dan keluar selama 2-3 minggu.</div>
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b) Serviks</div>
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Serviks menjadi lunak segera setelah ibu melahirkan, 18 jam pasca partum, serviks memendek dan konsentrasinya menjadi lebih padat dan kembali ke bentuk semula.</div>
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c) Vagina dan Perineum</div>
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<span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Estrogen</span> pasca partum yang menurun berperan dalam penipisan mukosa vagina dan hilangnya rugae vagina yang semula sangat teregang akan kembali secara bertahap ke ukuran sebelum hamil, 6-8 minggu setelah bayi lahir. Rugae akan kembali terlihat pada sekitar minggu ke-4, walaupun tidak akan semenonjol pada wanita nulipara.</div>
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d) Payudara</div>
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Setelah bayi lahir terjadi penurunan konsentrasi hormone yang menstimulasi perkembangan payudara estrogen, progesterone, human chorionik, gonadotropin, prolaktin, dan insulin), oksitosin merangasang refleksi let-dowm (mengalirkan) menyebabkan ejeksi ASI.</div>
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e) Abdomen</div>
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Setelah melahirkan dinding perut longgar karena direngang begitu lama, sehingga otot-otot dinding abdomen memisah, suatu keadaan yang dinamai diastasis rektus abdominalis. Apabila menetap, efek ini dapat dirasa mengganggu pada wanita, tetapi seiring perjalanan waktu, efek tersebut menjadi kurang terlihat dan dalam enam minggu akan pulih kembali.</div>
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2) Sistem Endokrin</div>
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a) Hormon plasenta <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">kadar</span> estrogen dan progesterone menurun secara signifikan dan saat terendah adalah 1 minggu post partum.</div>
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b) Hormon Hipofisis dan Fungsi Ovarium</div>
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Hipofisis dibagi menjadi dua, yaitu hipofisis <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">anterior</span> dan posterior. Hipofisis anterior mengsekresi hormon prolaktin untuk meningkatkan kelenjar mamae pembentukan air susu. Sedangkan hipofisis posterior Sangat penting untuk diuretik. Oksotosin mengkontraksi alveolus mamae sehingga membntu mengalirkan ASI dari kelenjar mamae ke puting susu.</div>
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3) Sistem Urinarius</div>
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a) Komponen Urine</div>
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BUN (<span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Blood Urea Nitrogen</span>), yang meningkat selama masa pascapartum, merupakan akibat otolisis uterus yang berinvolusi selama 1-2 hari setelah wanita melahirkan .</div>
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b) Diuresis Pascapartum</div>
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Dalam 12 jam setelah melahirkan, mulai membuang kelebihan cairan yang tertimbun dijaringan selama hamil. Salah satu mekanisme untuk mengurangi cairan yang teretensi selama masa hamil ialah diaforesis luas, terutama pada malam hari, selama 2-3 hari pertama setelah melahirkan.</div>
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c) Uretra dan Kandung Kemih</div>
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Dinding kandung kemih dapat mengalami hiperemesis dan edema, sering kali disertai daerah-daerah kecil hemorargi. Pada pasa pacapartum tahap lanjut, distensi yang berlebihan dapat menyebabkan kandung kemih lebih peka terhadap infeksi sehingga mengganggu prosesberkemih normal.</div>
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4) Sistem Pencernaan</div>
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Anestesi bisa memperlambat pengambilan tonus otot dan motilitas otot saluran cerna ke keadaan normal sehingga defekasi bisa tertunda 2-3 hari, keadaan ini bisa juga karena pemberian analgesia sebelum operasi. Biasanya bising usus belum terdengar pada hari pertama setelah pembedahan, pada hari kedua bising usus makin masih lemah, dan usus baru aktif kembali pada hari ke-3 post operasi.</div>
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5) Sistem Kardiovaskuler</div>
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Denyut nadi dan jantung meningkat setelah melahirkan karena darah yang biasanya melintasi uretroplasma tiba-tiba kembali ke sirkulasi umum. Namun, klien dengan anestesi spinal cenderung akan mengalami hipotensi yang disebabkan melebarnya pembuluh nadi sehingga darah berkurang.<span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">volume</span> darah menurun ke kadar sebelum hamil pada 4 mingu setelah melahirkan. Hematokrit meningkat pada hari ke 3-7 pasca partum. Leukositosis normal pada kehamilan rata-rata sekitar 12.000 /mm³. Selama 10 sampai 12 hari pertama setelah bayi lahir, nilai leukosit antara 20.000 dan 25.000 /mm. Varises ditungkai dan disekitar anus akan mengecil dengan cepat setelah bayi lahir.</div>
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6) Sistem Neurologi</div>
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Pengaruh neurologi post operasi biasanya nyeri kepala, pusing, keram disebabkan pengaruh anestesi.. Lama nyeri kepala bervariasi dari 1-3 hari sampai beberapa minggu, tergantung pada penyebab dan efektifitas pengobatan.</div>
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7) Sistem Muskuloskeletal</div>
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Adaptasi sistem muskuloskeletal ibu terjadi selama masa hamil berlangsung secara lebih baik pada masa pascapartum. Sebagian besar wanita melakukan ambulasi 4-8 jam setelah melahirkan Adaptasi ini mencakup hal-hal yang membantu relaksasi dan hipermobilitas sendi dan perubahan pusat berat ibu akibat pembesaran rahim. Stabilisasi sendi lengkap pada minggu ke-6 – ke-8 setelah melahirkan.</div>
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8) Sistem Integumen</div>
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Hiperpigmentasi di areola dan linea nigra tidak menghilang seluruhnya setelah bayi lahir. Kulit meregang pada payudara, abdomen, paha, dan panggul mungkin memudar, serta adanya diaforesis. Ciri yang paling khas adanya bekas luka sayatan operasi sesar di sekitar abdomen.</div>
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b. Adaptasi<strong style="font-style: inherit;"> </strong>Psikologi<strong style="font-style: inherit;"></strong></div>
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Menurut Mellyna (2003) adaptasi psikologi pada maternal meliputi :</div>
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1) Fase Taking In (1-2 hari). Fase ini merupakan periode ketergantungan yang biasanya ditunjukkan dengan prilaku sebagai berikut : fokus perhatian ibu pada dirinya sendiri, mudah tersinggung, ibu menjadi pasif terhadap lingkungannya dan nafsu makan ibu meningkat.</div>
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2) Fase Taking Hold (3-10 hari). Pada fase taking hold, ibu merasa khawatir akan ketidakmampuan dan rasa tanggung jawabnya dalam merawat bayi. Selain itu perasaanya sangat sensitive sehingga mudah tersinggung jika komunikasinya kurang hati-hati. Oleh karena itu, ibu memerlukan dukungan karena saat ini merupakan kesempatan yang baik untuk menerima berbagai penyuluhan dan merawat diri dan bayinya sehingga tumbuh rasa percaya diri.</div>
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3) Fase Letting Go</div>
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Fase ini merupakan fase menerima tanggung jawab akan peran barunya yang berlangsung 10 hari setelah melahirkan. Ibu sudah mulai menyesuaikan diri dari ketergantungan bayinya. Keinginan untuk merawat diri dan bayinya meningkat pada fase ini.</div>
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<strong style="font-style: inherit;">6. </strong><strong style="font-style: inherit;">Komplikasi Post Seksio caesaria</strong></div>
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Menurut Hanifa (2003) komplikasi yang mungkin akan ditemukan pada post seksio caesaria diantaranya :</div>
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a. Infeksi Puerperal (nifas)</div>
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1) Ringan, seperti kenaikan suhu selama beberapa hari dalam masa nifas.</div>
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2) Sedang; dengan kenaikan suhu yang lebih tinggi, disertai dehidrasi dan perut sedikit kembung (Mochtar, Rustam, 1998; 121).</div>
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3) Berat, seperti peritonitis dan sepsis.</div>
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b. Perdarahan disebabkan karena banyak pembuluh darah yang terputus dan terbuka atau atonia uteri (kurangnya tonus otot pada dinding uteri).</div>
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c. Luka kandung kemih dan embolisme paru-paru.</div>
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d. Rupture uteri.</div>
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<strong style="font-style: inherit;">7. </strong><strong style="font-style: inherit;">Pemeriksaan Penunjang</strong></div>
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Menurut Marilynn E.(2001) data yang menunjangmeliputi :</div>
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a) Hemoglobin, hematokrit, mengkaji perubahan dari kadar pra operasi dan mengevaluasi efek kehilangan darah pada pembedahan.</div>
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b) Urinalisis : kultur urine. Pemeriksaan tambahan didasarkan pada kebutuhan individual.</div>
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<strong style="font-style: inherit;">8. </strong><strong style="font-style: inherit;">Penatalaksanaan Post Seksio Sesarea</strong></div>
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Menurut Cunningham (2006) penatalaksanaan untuk klien post seksio sesarea meliputi :</div>
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a. Analgesik</div>
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Untuk wanita dengan ukuran tubuh rata-rata dapat suntik 75 mg meperidin IM setiap 3 jam sekali bila perlu untuk mengatasi rasa sakit atau dapat disuntikan dengan cara serupa 10-15 mg morfin sulfat. Obat-obatan antiemetik, misalnya prometasin 25 mg biasanya diberikan bersama-sama dengan pemberian preparat narkotik</div>
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b. Tanda-tanda Vital</div>
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Setelah dipindahkan ke ruang rawat, maka tanda-tanda vital pasien harus di evaluasi setiap 4 jam sekali. Jumlah urin dan jumlah darah yang hilang serta keadaan fundus uteri harus diperiksa, adanya abnormalitas harus dilaporkan. Selain itu suhu juga perlu diukur.</div>
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c. Terapi cairan dan diet</div>
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Untuk pedoman umum, pemberian 3 liter larutan, termasuk Ringer Laktat, terbukti sudah cukup selama pembedahan dan dalam 24 jam pertama berikutnya. Meskipun demikian, jika output urin di bawah 30 ml perjam, pasien harus dievaluasi kembali. Bila tidak ada manipulasi intra abdomen yang ekstensif atau sepsis, pasien seharusnya sudah dapat menerima cairan per oral satu hati setelah pembedahan. Jika tidak, pemberian infuse boleh diteruskan. Paling lambat pada hari kedua setelah operasi, sebagian besar pasien sudah dapat menerima makanan biasa.</div>
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d. Vesika urinaria dan usus</div>
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Kateter sudah dapat dilepas dari vesika urinaria setelah 12 sampai 24 jam post operasi. Kemampuan mengosongkan urinaria harus dipantau sebelum terjadi distensi. Gejala kembung dan nyeri akibat inkoordinasi gerak usus dapat menjadi gangguan pada hari ke-2 dan ke-3 post operasi. Pemberian supositoria rectal akan diikuti dengan defekasi atau jika gagal, pemberian enema dapat meringankan keluhan pasien.</div>
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e. Ambulasi</div>
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Pada hari pertama post operasi, pasien dengan bantuan perawat dapat bangun dari tempat tidur sebentar sekurang-kurangnya sebanyak 2 kali. Ambulasi dapat ditentuka waktunya sedemikian rupa sehingga preparat analgesik yang baru saja diberikan akan mengurangi rasa nyeri. Pada hari kedua, pasien dapat berjalan ke kamar mandi dengan pertolongan. Dengan ambulasi dini, trombosit vena dan emboli pulmoner jarang terjadi.</div>
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f. Perawatan luka</div>
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Luka insisi diinspeksi setiap hari, sehingga pembalut luka yang relative ringan tampak banyak plester sangat menguntungkan. Secara normal jahitan kulit diangkat pada hari ke empat setelah pembedahan. Paling lambat pada hari ke tiga post partum, pasien sudah dapat mandi tanpa membahayakan luka insisi.</div>
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g. Laboratorium</div>
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Secara rutin Ht diukur pada pagi hari setelah operasi, Ht harus segera dicek kembali bila terdapat kehilangan darah atau bila terdapat oliguri atau keadaan lain yang menunjukan hipovolemia. Jika Ht stabil, pasien dapat melakukan ambulasi tanpa kesulitan apapun dan kemungkinan kecil jika terjadi kehilangan darah lebih lanjut.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-65054912237216880082013-06-09T21:42:00.002-07:002013-06-09T21:42:15.342-07:00HIPEREMESIS GRAVIDARUM<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
A. <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Pengertian</span><br />Hiperemesis Gravidarum adalah mual dan muntah berlebihan pada wanita hamil sampai mengganggu <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">pekerjaan</span> sehari-hari karena pada umumnya menjadi buruk karena terjadi dehidrasi (Rustam Mochtar, 1998).<br />Hiperemesis Gravidarum (vomitus yang merusak dalam kehamilan) adalah nousea dan vomitus dalam kehamilan yang berkembang sedemikian luas sehingga menjadi efek sistemik, dehidrasi dan penurunan berat badan (Ben-Zion, MD, Hal:232).<br />Hiperemesis Gravidarum diartikan sebagai muntah yang terjadi secara berlebihan selama kehamilan (Hellen Farrer, 1999, hal:112).<a name='more'></a><div style="margin-bottom: 18px; padding: 0px;">
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B. Etiologi<br />Penyebab hiperemesis gravidarum belum diketahui secara pasti. Frekuensi kejadian adalah 2 per 1000 kehamilan. Faktor-faktor predisposisi yang dikemukakan (Rustam Mochtar, 1998).<br />o Umumnya terjadi pada primigravida, mola hidatidosa, diabetes dan kehamilan ganda akibat peningkatan kadar HCG<br />o Faktor organik, yaitu karena masuknya viki khoriales dalam sirkulasi maternal dan perubahan metabollik akibat kehamilan serta resitensi yang menurun dari pihak ibu terhadap perubahan–perubahan ini serta adanya alergi yaitu merupakan salah satu respon dari jaringan ibu terhadap janin.<br />o Faktor ini memegang peranan penting pada penyakit ini. Rumah tangga yang retak, kehilangan pekerjaan, takut terhadap kehamilan dan persalinan, takut terhadap tanggungan sebagai ibu dapat menyebabkan konflik mental yang dapat memperberat mual dan muntah sebagai ekspresi tidak sadar terhadap keengganan menjadi hamil atau sebagai pelarian kesukaran hidup.<br />o Faktor endokrin lainnya : hipertyroid, diabetes dan lain-lain.</div>
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C. Patofisiologi<br />Perasaan mual adalah akibat dari meningkatnya kadar <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">estrogen</span> yang biasa terjadi pada trimester I. bila perasaan terjadi terus-menerus dapat mengakibatkan cadangan karbohidrat dan lemak habis terpakai untuk keperluan energi. Karena oksidasi lemak yang tak sempurna, terjadilah ketosis dengan tertimbunnya asam aseto-asetik, asam hidroksida butirik dan aseton darah. Muntah menyebabkan dehidrasi, sehingga caira ekstraseluler dan plasma berkurang. Natrium dan klorida darah turun. Selain itu dehidrasai menyebabkan hemokonsentrasi, sehingga aliran darah ke jaringan berkurang. Hal ini menyebabkan jumlah zat makanan dan oksigen ke jaringan berkuang pula tertimbunnya zat metabolik yang toksik. Disamping dehidrasi dan gangguan keseimbangan elektrolit. Disamping dehidraasi dan gangguan keseimbangan elektrolit, dapat terjadi robekan pada selaput lendir esofagus dan lambung (sindroma mollary-weiss), dengan akibat perdarahan <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">gastrointestinal</span>.</div>
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D. Tanda dan gejala<br />Batas mual dan muntah berapa banyak yang disebut hiperemesis gravidarum tidak ada kesepakatan. Ada yang mengatakan bila lebih dari sepuluh kali muntah. Akan tetapi apabila keadaan umum ibu terpengaruh dianggap sebagai hiperemesis gravidarum. Menurut berat ringannya gejala dibagi menjadi tiga tingkatan, yaitu :</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;"> Tingkatan I (ringan)</li>
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- Mual muntah terus-menerus yang mempengaruhi keadaan umum penderita<br />- Ibu merasa lemah<br />- Nafsu makan tidak ada<br />- Berat badan menurun<br />- Merasa nyeri pada epigastrium<br />- Nadi meningkat sekitar 100 per menit<br />- Tekanan darah menurun<br />- Turgor kulit berkurang<br />- Lidah mengering<br />- Mata cekung</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;"> Tingkatan II (sendang)</li>
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- Penderita tampak lebih lemah dan apatis<br />- Turgor kulit mulai jelek<br />- Lidah mengering dan tampak kotor<br />- Nadi kecil dan cepat<br />- Suhu badan naik (dehidrasi)<br />- Mata mulai ikterik<br />- Berat badan turun dan mata cekung<br />- Tensi turun, hemokonsentrasi, oliguri dan konstipasi<br />- Aseton tercium dari hawa pernafasan dan terjadi asetonuria</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;"> Tingkatan III (berat)</li>
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- Keadaan umum lebih parah (kesadaran menurun dari somnolen sampai koma)<br />- Dehidrasi hebat<br />- Nadi kecil, cepat dan halus<br />- Suhu badan meningkat dan tensi turun<br />- Terjadi komplikasi fatal pada susunan saraf yang dikenal dengan enselopati wernicke dengan gejala nistagmus, diplopia dan penurunan mental<br />- Timbul ikterus yang menunjukkan adanya payah hati.<div style="margin-bottom: 18px; padding: 0px;">
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E. Penatalaksanaan<br />1. Pencegahan<br />Pencegahan terhadap hiperemesis gravidarum diperlukan dengan jalan memberikan penerapan tentang kehamilan dan persalinan sebagai suatu proses yang fisiologis. Hal itu dapat dilakukan dengan cara :<br />a. Memberikan keyakinan bahwa mual dan muntah merupakan gejala yang fisiologik pada kehamilan muda dan akan hilang setelah kehamilan berumur 4 bulan.<br />b. Ibu dianjurkan untuk mengubah pola makan sehari-hari dengan makanan dalam jumlah kecil tetapi sering.<br />c. Waktu bangun pagi jangan segera turun dari tempat tidur, tetapi dianjurkan untuk makan roti kering arau biskuit dengan teh hangat<br />d. Hindari makanan yang berminyak dan berbau lemak<br />e. Makan makanan dan minuman yang disajikan jangan terlalu panas atau terlalu dingin<br />f. Usahakan defekasi teratur.</div>
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2. Terapi <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">obat</span>-obatan<br />Apabila dengan cara diatas keluhan dan gejala tidak berkurang maka diperlukan pengobatan<br />a. Tidak memberikan obat yang terotogen<br />b. Sedativa yang sering diberikan adalah phenobarbital<br />c. <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Vitamin</span> yang sering dianjurkan adalah vitamin B1 dan B6<br />d. Antihistaminika seperti dramamine, avomine<br />e. Pada keadaan berat, anti emetik seperti diklomin hidrokhoride atau khlorpromazine<div style="margin-bottom: 18px; padding: 0px;">
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Hiperemesis gravidarum tingkatan II dan III harus dirawat inap di rumah sakit. Adapun terapi dan perawatan yang diberikan adalah sebagai berikut :</div>
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a. Isolasi<br />Penderita disendirikan dalam <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">kamar</span> yang tenang, tetapi cerah dan peredaran udara baik. Jangan terlalu banyak tamu, kalau perlu hanya perawat dan dokter saja yang boleh masuk. Catat cairan yang keluar dan masuk. Kadang-kadang isolasi dapat mengurangi atau menghilangkan gejala ini tanpa pengobatan</div>
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b. Terapi psikologik<br />Berikan pengertian bahwa kehamilan adalah suatu hal yang wajar,normal dan fisiologik. Jadi tidak perlu takur dan khawatir. Yakinkan penderita bahwa penyakit dapat disembuhkan dan dihilangkan masalah atu konflik yang kiranya dapat menjadi latar belakang penyakit ini.</div>
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c. Terapi mental<br />Berikan cairan parenteral yang cukup elektrolit, karbohidrat dan protein dengan glukosa 5 %, dalam cairan gram fisiologis sebanya 2-3 liter sehari. Bila perlu dapat ditambah dengan kalium danvitamin khususnya vitamin B kompleks dn vitamin C dan bila ada kekurangan protein, dapat diberikan pula asam amino esensial secara intravena. Buat dalam daftar kontrol cairan yang amsuk dan dikeluarkan. Berikan pula obat-obatan seperti yang telah disebutkan diatas.</div>
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d. Terminasi kehamilan<br />Pada beberapa kasus keadaan tidak menjadi baik, bahkan mundur. Usahakan mengadakan pemeriksaan medik dan psikiatrik bila keadaan memburuk. <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Delirium</span>, kebutaan, takikardia, ikterik, anuria, dan perdarahan merupakan manifestasi komplikasi organik.<br />Dalam keadaan demikian perlu dipertimbangkan untuk mengakhiri kehamilan. Keputusan untuk melakukan abortus terapeutik sering sulit diambil, oleh karena disatu pihak tidak boleh dilakukan terlalu capat dan dipihal lain tidak boleh menunggu sampai terjadi irreversible pada organ vital.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-13359989920471807052013-06-09T21:40:00.005-07:002013-06-09T21:40:40.801-07:00AMENNORHEA<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
A. DEFINISI<br />Amennorhea adalah tidak ada atau terhentinya haid secara abnormal. (kamus istilah kedokteran ) Amenorea adalah keadaaan tidak terjadinya menstruasi pada seorang wanita.Hal tersebut normal terjadi pada <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">masa</span> sebelum pubertas, kehamilan dan menyusui, dan setelah <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">menopause</span>.Siklus menstruasi normal meliputi interaksi antara komplek hipotalamus-hipofisi-aksis indung telur serta organ reproduksi yang sehat (lihat artikel menstruasi<br /><span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Amenorrhea</span> dapat diklasifikasikan menjadi :<br />1. Amenorrhea fisiologik<br />Terjadi pada masa sebelum pubertas, kehamilan, laktasi dan sesudah menopause.<br />2. Amenorrhea Patologik<br />a) Amenorrhea Primer<br />Wanita umur 18 tahun keatas pernah haid.<br />Penyebab : kelainan congenital dan kelainan genetic.<br />b) Amenorrhea Sekunder</div>
<a name='more'></a><br />Penderita pernah mendapat haid, tetapi kemudian tidak dapat lagi.<br />Penyebab : hipotensi, anemia, gangguan gizi, metabolism, tumor, penyakit infeksi, kelemahan kondisi tubuh secara umum dan stress psikologis.<br />
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Pembagian berdasarkan penyebabnya sesuai dengan fisiologi haid, maka ada empat kompartemen yang mengalami gangguan sehingga terjadi amenorea, yaitu :</div>
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<strong style="font-style: inherit;">I. </strong><strong style="font-style: inherit;">Kompartemen IV susunan saraf pusat</strong></div>
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<strong style="font-style: inherit;">a. Amenorea hipotalamik</strong></div>
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Adalah suatu sindroma klinis yang ditandai dengan amenorea, hipoestrogenisme dan serum gonadotropin normal atau rendah.. Kelainan ini ditandai dengan pola sekresi berdenyut GnRH endogen yang abnormal oleh karena gangguan fungsional mekanisme saraf (sistim neurotransmiter pusat). Neurotransmiter yang turut mempengaruhi sekresi GnRH adalah opioid endogen seperti beta endorphin. Selama siklus menstruasi yang normal terbukti terjadi peningkatan kadar beta endorphin mencapai maksimal pada saat pre ovulasi dan akan mengalami penurunan segera setelah terjadi ovulasi. Peningkatan sekresi opioid diduga menyebabkan terjadi amenorea hipotalamik pada beberapa wanita, karena blokade pada reseptor opiat terbukti meningkatkan frekuensi dan amplituda sekresi LH. Penelitian dengan <em>immortalized human GnRH-secreting neuron cell lines </em>menunjukkan sel neuron yang mensekresi GnRH memiliki reseptor opiat dan penelitian lain pada hewan <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">coba</span> menunjukkan bahwa blokade pada reseptor tersebut dapat merangsang terjadinya amenorea. Timbulnya amenorea hipotalamik yang ditandai dengan perubahan sekresi LH yang berfluktuasi tersebut menggambarkan hipersensitivitas neuron yang mensekresi GnRH terhadap perubahan kadar opioid. Pada wanita dengan amenorea hipotalamik, sekresi LH yang berfluktuasi tersebut tidak cukup untuk merangsang terjadinya ovulasi maupun folikulogenesis.. Sekresi GnRH dipengaruhi juga oleh norepinephrine. Diduga opiat endogen menekan rangsangan norepinephrine pada neuron hipotalamus untuk mensekresi GnRH.</div>
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Gaya hidup yang sering dihubungkan dengan terjadinya amenorea hipotalamik seperti olah raga, stres dan penurunan berat badan terbukti merangsang perubahan kadar beta endorphin plasma yang akan mempengaruhi neuron yang mensekresi GnRH pada hipotalamus. Di <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Amerika</span> Serikat amenorea hipotalamik ini diperkirakan 48% sebagai penyebab amenorea sekunder dan mempunyai makna klinis yang penting karena hipoestrogenisme yang terjadi dihubungkan dengan penurunan densitas tulang atau osteoporosis.</div>
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Penanganan amenorea hipotalamik tergantung dari faktor penyebab yang mendasarinya. Penyebab organik diobati dengan mengkoreksi penyebabnya, sedangkan kelainan fungsional dapat diobati dengan konseling, psikoterapi, misalnya dengan miminimalkan stresor lingkungan dan mengubah gaya hidup serta penggunaan <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">obat</span>-obat psikofarmaka. Pemberian <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">estrogen</span> dan progesteron siklik dapat diberikan agar wanita tersebut tetap berfungsi sebagai wanita.</div>
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<strong style="font-style: inherit;">b. </strong><strong style="font-style: inherit;">Anoreksia Nervosa</strong></div>
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Suatu gangguan tingkah laku yang berat dimana terjadi perubahan endokrin sekunder sebagai akibat gangguan psikologis dan gizi, ditandai oleh malnutrisi yang berat dan hipogonadotropisme. Penanganan psikiatrik dengan psikoterapi dan obat-obatan antidepresan serta perawatan di rumah sakit.</div>
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<strong style="font-style: inherit;">c. </strong><strong style="font-style: inherit;">Amenorea pada atlet</strong></div>
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Amenorea terjadi oleh karena aktifitas fisik yang berat dan terjadi kehilangan berat badan. Umumnya kelainan menstruasi ini akan hilang dengan mengurangi aktifitas fisik dan kembali keberat badan alami.</div>
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II. Kompartemen III Hipofisis (Amenorea hipofisis)</div>
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Kecurigaan adanya gangguan pada kompartemen III terlebih dahulu harus difokuskan pada adanya tumor hipofise. Kecurigaan adanya tumor hipofise meningkat bila dalam pemeriksaan dijumpai tanda klinis akromegali (karena sekresi hormon pertumbuhan yang berlebihan) dan penyakit Cushing’s (karena sekresi ACTH yang berlebihan). Amenorea dan atau galaktorea dapat mengawali tanda klinis akromegali dan penyakit Cushing’s. Sebagian besar penderita dengan<span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">adenoma</span> hipofise mengalami penurunan kadar gonadotropin karena tekanan tumor pada hipofise dan peningkatan sekresi prolaktin (akibat ketidakmampuan dopamin mencapai hipofise<span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">anterior</span>).</div>
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Penyebab lain amenorea hipofisis adalah adanya guma, tuberkuloma dan deposit lemak pada hipofise, serta insufisiensi hipofise akibat iskemia dan infark karena perdarahan (sindroma Sheehan).</div>
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Adenoma Hipofisis yg Mensekresi Prolaktin</div>
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Merupakan adenoma hipofise yang paling seringditemukan. Hanya 1/3 wanita dengan kadar prolaktin tingi akan mengalami galaktorea. Amenorea karena kadar prolaktin yang tinggi terjadi karena hambatan sekresi pulsatil GnRH oleh prolaktin. Terapi yang diberikan adalah pengangkatan tumor atau supresi sekresi prolaktin dengan pemberian dopamin agonis (bromokriptin). Bromokriptin akan berikatan dengan reseptor dopamin dan akan bekerja menyerupai fungsi dopamin menghambat sekresi prolaktin.</div>
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Penanganan amenorea hupofisis dengan memberikan hormon yang kurang dan pemberian <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">steroid</span> seks secara siklik.</div>
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Sindroma Amenore Galaktore</div>
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Merupakan kumpulan gejala klinis berupa amenorea dengan atau tanpa galaktorea sebagai akibat peningkatan kadar prolaktin. Prolaktin dihasilkan di anterior hipofisis dan pengeluaranya dipengaruhi oleh <em>prolactin inhibiting <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">factor</span> </em>(PIF). Hiperprolaktinemia terajadi karena PIF tidak berfungsi pada keadaan-keadaan sebagai berikut : sekresi PIF berkurang karena gangguan hipotalamus, obat-obatan yang menghambat kerja PIF (fenotiazin, transquilizer atau psikofarmaka lain), estrogen, domperidone, simetidin, kerusakan system vena portal hipofisis, prolaktinoma dan hipertiroid. Sebagai akibat hiperprolaktinemia menyebabkan sekresi FSH dan LH berkurang, berkurangnya sensitivitas ovarium terhadap FSH dan LH, memicu produksi air susu dan sintesis androgen di suprarenal serta osteoporosis. Hiperprolaktinemia yang berkepanjangan akan menyebabkan atrofi sel-sel hipofisis penghasil gonadotropin<span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;">1,2,3</span>.</div>
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Diagnosis sindroma amenorea galaktorea adalah berdasarkan timbulnya gejala klinis amenorea dengan atau tanpa galaktorea, keluhan sakit kepala dan gangguan penglihatan. Pada pemeriksaan laboratorium dijumpai serum prolaktin diatas normal( > 5 – 25 <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">ng</span>/ml), apabila serum prolaktin > 100 ng/ml kemungkinan dijumpai prolaktinoma. Bila diduga prolaktinoma maka dapat dilakukan uji provokasi, antara lain :</div>
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1. Uji dengan TRH : pemberian 100 – 500 ug TRH intravena tidak menunjukkan perubahan kadar prolaktin maka kemungkinan suatu prolaktinoma.</div>
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2 Uji dengan simetidin : apabila pemberian 200 mg simetidin IV tidak menimbulkan peningkatan prolaktin.</div>
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3 Uji dengan domperidon : pemberian domperidon 10 mg iv tidak menyebabkan peningkatan prolaktin.</div>
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<strong style="font-style: inherit;">Jenis Pemeriksaan</strong></div>
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<strong style="font-style: inherit;">Kadar Prolaktin</strong></div>
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Prolaktinoma</h4>
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<strong style="font-style: inherit;">Tanpa prolaktinoma</strong></div>
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Uji TRH</div>
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Tidak meningkat</div>
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Meningkat 4-14 kali</div>
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Uji Simetidin</div>
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Tidak meningkat</div>
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Meningkat di atas kadar normal</div>
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Uji Domperidon</div>
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Tidak meningkat</div>
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Meningkat 8-11 kali</div>
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Pada prolaktinoma sebaiknya dilakukan pemeriksaan CT – scan atau MRI.</div>
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Obat yang paling banyak digunakan pada sindroma amenorea galaktorea adalah bromokriptin dengan dosis 1 x 2,5 mg pada kadar prolaktin 25 – 40 ng/ml atau 2 x 5 mg pada kadar prolaktin 50 ng/ml. Pemberiaan bromokriptin harus dilakukan pengawasan yang baik sehingga kadar prolaktin serum tidak berada dibawah nilai normal yang dapat mengganggu fungsi korpus luteum. Efek samping bromokriptin yang sering timbul adalah mual, pusing dan hipotensi. Pada penderita hiperprolaktinemia tanpa galaktorea maka pemberian bromokriptin tidak akan memberi efek apapun.</div>
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<strong style="font-style: inherit;">Amenorea hipogonadotrop dengan atau tanpa tumor hipofisis</strong></div>
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Bila hormon FSH, LH dan prolaktin normal, penyebabnya adalah insufisiensi hipotalamus – hipofisis yang bisa disebabkan tumor hipofisis dan untuk membuktikannya perlu pemeriksaan radiologik.</div>
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<strong style="font-style: inherit;">Amenorea hipergonadotrop</strong></div>
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Bila hormon FSH dan LH tinggi, prolaktin normal maka penyebab amenorea adalah di ovarium oleh karena insufisiensi ovarium, misalnya pada menopause prekok. Selanjutnya perlu dilakukan biopsi ovarium melalui laparoskopi.</div>
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III< KOMPARTEMEN II : AMENORE OVARIUM</div>
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Penyebab amenorea pada ovarium adalah tidak terbentuknya kedua ovarium atau hipogenesis ovarium seperti pada sindroma Turner, pengangkatan kedua ovartium, ovarium polikistik, insufisiensi ovarium karena radiasi, sindroma ovarium resisten gonadotropin, folikel persisten, tumor ovarium dan beberapa gangguan ekstragonad yang mengganggu fungsi ovarium, seperti : gangguan fungsi tiroid, diabetes mellitus, kekurusan (underweight), kegemukan (overweight), trauma psikogen. Penderita amenorea ovarium umumnya infertile dengan gambaran seks sekunder kurang terbentuk.</div>
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Pengobatan untuk menekan sekresi FSH dapat diberikan estrogen dan progesteron atau estrogen saja secara siklik, bisa juga dengan pemberian GnRH analog selama 6 bulan.</div>
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IV. Kompartemen I : Amenorea akibat gangguan di saluran keluar kelamin wanita atau uterus (amenorea uteriner)</div>
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Penyebab amenorea uteriner adalah aplasia uteri dan vagina, uterus hipoplasi, kelainan congenital, atresia serviks, atresia cavum uteri, kerusakan endometrium akibat kuretase, infeksi dan obat-obatan. Pada kasus atresia himen darah haid tidak dapat keluar, sehingga dapat terjadi pengumpulan darah haid di vagina (hematokolpos) atau di uterus (hematometra) atau di tuba (hematosalping).</div>
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<strong style="font-style: inherit;"> Asherman Syndrome</strong></div>
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Sindroma yang terjadi karena destruksi endometrium serta tumbuhnya perlekatan pada dinding kavum uteri sebagai akibat kerokan yang berlebihan, biasanya pada abortus atau postpartum. Penderita biasanya menderita amenorea sekunder, selain dapat terjadi abortus, dismenorea, hipomenorea dan infertilitas dan untuk diagnosis pasti dapat dipastikan dengan histerogram. Diagnosis dengan histeroskopi lebih akurat dan dapat mendeteksi perlekatan minimal pada dinding kavum uteri yang tidak terdeteksi dengan histerogram.</div>
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Penanganan sindroma asherman adalah melepaskan perlekatan dengan dilatasi serta kuretase atau histeroskopi dengan menghilangkan perlekatan memberi hasil yang lebih baik dan untuk mencegah perlekatan berulang dengan pemasangan IUD atau <em>pediatric foley catether</em> <em>,</em> serta pemberian antibiotika spectrum luas dan estrogen selama dua bulan.</div>
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<strong style="font-style: inherit;">Mullerian anomali atau agenesis</strong></div>
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Kelainan perkembangan tuba mulleri baik total atau sebagian. Keadaan ini perlu difikirkan pada penderita amenorea tanpa riwayat perdarahan pervaginam.</div>
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<strong style="font-style: inherit;"> Feminisasi testikular </strong></div>
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Suatu pseudohermafrodit pria dengan testis dan kariotipe XY. Ditandai amenorea primer, tidaka ada uterus dan tidak adanya rambut pubis dan aksila.</div>
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B. ETIOLOGI<br />Penyebab Amenorrhea secara umum adalah:<br />1. Hymen Imperforata<br />Selaput dara tidak berlubang sehingga darah menstruasi terhambat untuk keluar.<br />2. Menstruasi Anavulatori<br />Rangsangan hormone – hormone yang tidak mencukupi untuk membentuk lapisan dinding rahim sehingga tidak terjadi haid atau hanya sedikit.<br />3. Disfungsi Hipotalamus : kelainan organik, psikologis, penambahan berat badan .<br />• Disfungsi hipofise : tumor dan peradangan<br />• Disfungsi Ovarium : kelainan congenital, tumor<br />• Endometrium tidak bereaksi<br />• Penyakit lain : penyakitmetabolik, penyakit kronik, kelainan gizi, kelainan hepar dan ginjal.</div>
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Secara fisiologi ada empat kompartemen yang berperan dalam proses haid dan keempat kompartemen inilah yang menjadi dasar untuk mengevaluasi terjadinya amenorea, yaitu :</div>
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I. Kompartemen I : kelainan di saluran keluar kelamin sebagai target organ (uterus dan vagina).</div>
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II. Kompatemen II : kelainan di ovarium</div>
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III. Kompartemen III : kelainan di anterior hipofisis</div>
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IV. Kompaetemen IV : kelainan karena faktor susunan sarap pusat (hipotalamus)</div>
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Etiologi amenorea adalah sangat kompleks, selain disebabkan kelainan endokrinologi bisa juga disebabkan faktor psikis atau penyakit sistemik lain. Secara umum penyebeb amenorea dibagi dalam sebelas bentuk :</div>
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No</div>
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Kelompok</div>
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Penyebab</div>
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I</div>
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Penyebab secara umum</div>
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Pubertas tarda</div>
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Insufisiensi kelenjar hipofisis</div>
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Penyakit Non endokrinologik</div>
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Penyakit kronik</div>
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Intoksikasi</div>
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Kurang gizi</div>
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Kerja berat</div>
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II</div>
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Penyebab di vagina</div>
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Tidak ada uterus (total/partial)</div>
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Atresia himen</div>
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III</div>
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Penyebab di uterus</div>
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Tidak ada uterus</div>
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Kelainan congenital</div>
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Uterus hipoplasi</div>
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Atresia serviks</div>
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Atresia cavum uteri</div>
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Kerusakan endometrium akibat : kuretase, infeksi dan obat-obatan</div>
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IV</div>
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Penyebab di ovarium</div>
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Tidak ada ovarium</div>
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Hipogenesis ovarium</div>
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Pengangkatan ovarium</div>
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Ovarium polikistik</div>
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Insufisiensi ovarium (penyinaran)</div>
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Folikel persisten</div>
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Tumor ovarium</div>
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V</div>
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Penyebab di hipofisis</div>
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Insufisiensi sekunder : tumor, trauma, post partum (Sindrom Sheehan)</div>
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VI</div>
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Penyebab di ensefal</div>
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Insufisiensi sekunder : tumor , trauma, kegemukan, kekurusan (anoreksia nervosa)</div>
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VII</div>
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Penyebab di korteks</div>
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Trauma psikis</div>
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VIII</div>
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Penyebab di adrenal</div>
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Sindrom adrenogen akibat insufisiensi suprarenal dan tumor</div>
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IX</div>
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Penyebab di kelenjar tiroid</div>
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Hipotiroid/hipertiroid</div>
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X</div>
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Penyebab di pancreas</div>
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Kekurangan insulin</div>
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XI</div>
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Obat-obatan</div>
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Steroid seks atau obat yang meningkatkan kadar PRL</div>
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C. MANIFESTASI KLINIS<br />Tanda dan gejala yang muncul diantaranya :<br />1) Tidak terjadi haid<br />2) Produksi hormone estrogen dan progesterone menurun.<br />3) Nyeri kepala<br />4) Lemah badan</div>
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D. PATOFISIOLOGI<br />Disfungsi hipofise terjadi gangguan pada hipofise anterior gangguan dapat berupa tumor yang bersifat mendesak ataupun menghasilkan hormone yang membuat menjadi terganggu. Kelainan kompartemen IV (lingkungan) gangguan pada pasien ini disebabkan oleh gangguan mental yang secara tidak langsung menyebabkan terjadinya pelepasan neurotransmitter seperti serotonin yang dapat menghambat pelepasan gonadrotropin.Kelainan ovarium dapat menyebabkan amenorrhea primer maupun sekuder. Amenorrhea primer mengalami kelainan perkembangan ovarium ( gonadal disgenesis ). Kegagalan ovarium premature dapat disebabkan kelainan genetic dengan peningkatan kematian folikel, dapat juga merupakan proses autoimun dimana folikel dihancurkan. Melakukan kegiatan yang berlebih dapat menimbulkan amenorrhea dimana dibutuhkan kalori yang banyaksehingga cadangan kolesterol tubuh habis dan bahan untuk pembentukan hormone steroid seksual ( estrogen dan progesterone ) tidak tercukupi. Pada keadaaan tersebut juga terjadi pemecahan estrogen berlebih untuk mencukupi kebutuhan bahan bakar dan terjadilah defisiensi estrogen dan progesterone yang memicu terjadinya amenorrhea.Pada keadaan latihan berlebih banyak dihasilkan endorphin yang merupakan derifat morfin.Endorphin menyebabkan penurunan GnRH sehingga estrogen dan progesterone menurun.Pada keadaan tress berlebih cortikotropin realizinghormone dilepaskan.Pada peningkatan CRH terjadi opoid yang dapat menekan pembentukan GnRH<br />E. KOMPLIKASI<br />Komplikasi yang paling ditakutkan adalah infertilitas. Komplikasi lainnya adalah tidak percaya dirinya penderita sehingga dapat mengganggu kompartemen IV dan terjadilah lingkaran setan terjadinya amenorrhea.Komplikasi lainnya muncul gejala-gejala lain akibat hormone seperti osteoporosis.<br />F. PEMERIKSAAN PENUNJANG<br />Pada amenorrhea primer : apabila didapatkan adanya perkembangan seksual sekunder maka diperlukan pemeriksaan organ dalam reproduksi (indung telur, rahim, perekatan dalam rahim). Melalui pemeriksaan USG, histerosal Pingografi, histeroskopi dan Magnetic Resonance Imaging (MRI), apabila tidak didapatkan tanda-tanda perkembangan seksualitas sekunder maka diperlukan pemeriksaan kadar hormone FSH dan LH setelah kemungkinan kehamilan disingkirkan pada amenorrhea sekunder maka dapat dilakukan pemeriksaan Thyroid Stimulating Hormon (TSH) karena kadar hormone thyroid dapat mempengaruhi kadar hprmone prolaktin dalam tubuh.</div>
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Anamnesis</div>
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Apabila dijumpai amenorea yang pertama adalah menyingkirkan kemungkinan adanya kehamilan. Selanjutnya dilakukan anamnesis umur, usia menars, menstruasi terakhir, riwayat kelainan genetik dalam keluarga, gangguan psikis atau stress emosional, aktifitas fisik berlebihan, menderita penyakit diabetes mellitus, gangguan fungsi hati, gangguan fungsi tiroid, diet, penambahan atau pengurangan berat badan, penggunaan psikofarmaka, obat-obatan untuk menurunkan atau menaikkan berat badan dan obat-obatan tradisional. Selain itu ditanyakan perubahan dan timbulnya tanda-tanda seks sekunder serta keluarnya air susu ibu diluar masa purperium.</div>
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PEMERIKSAAN FISIK</div>
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Meliputi pemeriksaan berat badan, tinggi badan, status gizi, pertumbuhan payudara, tanda-tanda seks sekunder seperti pertumbuhan rambut pubis dan ketiak, perut membesar, jerawat, ketombe, pembesaran klitoris, deformitas toraks, bukti adanya penyakit SSP dan galaktorea (keluarnya air susu diluar masa purperium)<span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;"> </span>.</div>
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Px. GINEKOLOGI</div>
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<strong style="font-style: inherit;"> </strong>Pada pemeriksaan penderita amenorea sangat penting disingkirkan kemungkinan kehamilan. Pemeriksaan meliputi pemeriksaan genitalia eksterna dan interna, termasuk tanda-tanda seks sekunder.</div>
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Langkah pertama untuk mencari penyebab amenorea, setelah kemungkinan kehamilan dapat disingkirkan adalah melakukan pemeriksaaan hormon TSH, prolaktin, dan uji progesteron. Apabila dijumpai galaktorea maka perlu dilakukan pemeriksaan hormon TSH, prolaktin dan rongent sella tursica. Tujuan pemeriksaan uji progesteron adalah untuk mengetahui kadar estrogen endogen dan saluran keluar alat reproduksi wanita. Bila kadar TSH meningkatkan maka segera dapat ditegakkan diagnosis hipotiroidisme. Kadar TSH dan prolaktin yang normal disertai adanya perdarahan withdrawal mengarah pada diagnosis tidak adanya ovulasi. Kadar prolaktin yang normal dapat menyingkirkan kemungkinan adanya tumor hipofise.</div>
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Langkah kedua bertujuan mencari penyebab perdarahan <em>withdrawal</em> negatif yaitu : dengan pemberian estrogen konjugasi diikuti dengan uji progesteron. Bila tidak ada perdarahan withdrawal maka diagnosis adanya defek pada kompartemen I (endometrium dan saluran keluar) dapat ditegakkan.</div>
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Langkah ketiga bertujuan mencari penyebab ketidakmampuan pasien memproduksi estrogen yang memadai berasal dari defek pada kompartemen II (ovarium) atau kompartemen III dan IV (aksis SSP-hipofise). Untuk memproduksi estrogen, diperlukan ovarium yang mengandung folikel normal dan gonadotropin dalam jumlah yang memadai untuk merangsang folikel. Pengambilan darah untuk menentukan kadar gonadotropin harus dilakukan 2 minggu setelah pemberian estrogen konjugat dan uji progesteron. Kadar FSH dan LH rendah sampai normal dihubungkan dengan amenorea hipotalamik sedangkan kadar FSH dan LH yang tinggi dihubungkan dengan kegagalan ovarium.</div>
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<strong style="font-style: inherit;">Kondisi Awal</strong></div>
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<strong style="font-style: inherit;">FSH serum</strong></div>
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<strong style="font-style: inherit;">LH serum</strong></div>
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Wanita dewasa normal</div>
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5 – 30 IU/L, dengan kadar puncak saat ovulasi mencapai 2X kadar basal</div>
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5 – 20 IU/L dengan kadar puncak saat ovulasi mencapai 3X kadar basal</div>
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Pada keadaan hipogonadotropik :</div>
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- masa pubertas</div>
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- disfungsi hipotalamus-hipofise</div>
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< 5 IU/L</div>
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< 5 IU/L</div>
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Pada keadaan hipergonadotropik :</div>
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- masa postmenopause</div>
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- oophorektomi dan kegagalan ovarium</div>
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> 30 IU/L</div>
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> 40 IU/L</div>
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<strong style="font-style: inherit;">Uji hMG</strong></div>
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Dilakukan bila FSH dan LH sangat rendah, maka dilakukan uji hMG untuk memicu fungsi ovarium, dimana ovarium yang normal akan memproduksi estrogen yang dapat diperiksa melalui urin atau darah.</div>
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Hasil uji hMG positif : amenorea terjadi karena kurangnya produksi gonadotropin di hipofisis atau produksi LH-RH di hipotalamus atau gangguan sentral.</div>
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Hasil uji hMG negatif : ovarium tidak memiliki folikel atau memiliki folikel tetapi tidak sensitip terhadap gonadotropin, seperti pada sindroma ovarium resisten.</div>
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Bila FSH, LH normal sampai rendah dan prolaktin tinggi, maka diagnosis adalah amenorea hiperprolaktinemia dengan salah satu penyebab adalah tumor hipofisis (prolaktinoma). Pada amenorea normoprolaktin kadar prolaktin, FSH dan LH normal, maka selanjutnya dilakukan uji stimulasi dengan klomifen sitrat (uji klomifen) dengan memberikan 100 mg/ hari selama 5 – 10 hari. Uji klomifen positif bila setelah hari ketujuh pemberiaan klomifen terjadi peningkatan kadar FSH,LH dan estradiol. Hal ini menunjukkan fungsi hipofisis normal. Uji klomifen negatif selanjutnya dilakukan uji stimulasi dengan LH-RH untuk mengetahui fungsi parsial adenohipofisis, apakah sel-sel yang memproduksi FSH dan LH mampu mengeluarkan FSH dan LH bila diberikan LH-RH dari luar. Uji LH-RH dikatakan positif bila dijumpai kadar FSH dan LH normal atau tinggi setelah pemberian LH-RH dari luar. Hal ini berarti amenorea terjadi karena gangguan di hipotalamus, sedangkan apabila uji LH – RH negatip berarti gangguan terjadi di hipofisis.</div>
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G. PENATALAKSANAAN<br />Pengelolaan pada pasien ini tergantung dari penyebab. Bila penyebab adalah kemungkinan genetic, prognosa kesembuhan buruk.Menurut beberapa penelitian dapat dilakukan terapi sulih hormone, namun fertilitas belum tentu dapat dipertahankan.<br />Terapi<br />Pengobatan yang dilakukan sesuai dengan penyebab dari amenorrhea yang dialami, apabila penyebabnya adalah obesitas maka diit dan olahraga adalah terapinya, belajar untuk mengatasi stress dan menurukan aktivitas fisik yang berlebih juga dapat membantu.<br />Pembedahan atau insisi dilakukan pada wanita yang mengalami Amenorrhea Primer.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-52653501884314578552013-06-09T21:39:00.002-07:002013-06-09T21:39:28.186-07:00OLIGOMENOREA<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
A. Pengertian</div>
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Oligomenorea merupakan suatu keadaan dimana siklus menstruasi memanjang lebih dari 35 hari, sedangkan jumlah perdarahan tetap sama. Wanita yang mengalami oligomenorea akan mengalami menstruasi yang lebih jarang daripada biasanya. Namun, jika berhentinya siklus menstruasi ini berlangsung selama lebih dari 3 bulan, maka kondisi tersebut dikenal sebagai amenorea sekunder.<a name='more'></a></div>
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Oligomenorea biasanya terjadi akibat adanya gangguan keseimbangan hormonal pada aksis hipotalamus-hipofisis-ovarium. Gangguan hormon tersebut menyebabkan lamanya siklus menstruasi normal menjadi memanjang, sehingga menstruasi menjadi lebih jarang terjadi.</div>
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Oligomenorea sering terjadi pada 3-5 tahun pertama setelah haid pertama ataupun beberapa tahun menjelang terjadinya menopause. Oligomenorea yang terjadi pada masa-masa itu merupakan variasi normal yang terjadi karena kurang baiknya koordinasi antara hipotalamus, hipofisis dan ovarium pada awal terjadinya menstruasi pertama dan menjelang terjadinya menopause, sehingga timbul gangguan keseimbaangan hormon dalam tubuh. Pada kebanyakan kasus oligomenorea kesehatan wanita tidak terganggu, dan fertilitas cukup baik. Siklus haid biasanya juga ovulatoar dengan masa proliferasi lebih panjang dari biasanya</div>
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Oligomenore yang terjadi pada remaja, seringkali disebabkan karena kurangnya sinkronisasi antara hipotalamus, kelenjar pituari & indung telur. Hipotalamus mengatur pengeluaran hormon yang mengatur kelenjar pituari. Kemudian kelenjar pituari akan merangsang produksi hormon yang mempengaruhi pertumbuhan & reproduksi. Pada awal & akhir masa reproduksi wanita, beberapa hormon tersebut dapat menjadi kurang tersinkronisasi, sehingga akan menyebabkan terjadinya haid yang tidak teratur.</div>
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B. Etiologi</div>
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Oligomenore biasanya berhubungan dengan anovulasi atau dapat juga disebabkan kelainan endokrin seperti kehamilan, gangguan hipofise-hipotalamus, dan menopouse atau sebab sistemik seperti kehilangan berat badan berlebih.</div>
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Oligomenore dapat juga terjadi pada wanita dengan sindrom ovarium polikistik dimana pada keadaan ini dihasilkan androgen yang lebih tinggi dari kadara pada wanita normal.</div>
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Oligomenore dapat juga terjadi pada stress fisik dan emosional, penyakit kronis, tumor yang mensekresikan estrogen dan nutrisi buruk. Oligomenorrhe dapat juga disebabkan ketidakseimbangan hormonal seperti pada awal pubertas.</div>
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Oligomenore yang menetap dapat terjadi akibat perpanjangan stadium folikular, perpanjangan stadium luteal, ataupun perpanjang kedua stadium tersebut. Bila siklus tiba-tiba memanjang maka dapat disebabkan oleh pengaruh psikis atau pengaruh penyakit.</div>
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Disamping itu, oligomenorea dapat juga terjadi pada :</div>
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1. Gangguan indung telur, misal : <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Sindrome</span> Polikistik Ovarium (PCOS)Ø<br />Stress dan depresi</div>
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2. Sakit kronik</div>
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3. Pasien dengan gangguan makan (seperti anorexia nervosa, bulimia)</div>
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4. Penurunan berat badan berlebihan</div>
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5. Olahraga berlebihan, misal atlit</div>
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6. Adanya tumor yang melepaskan estrogen</div>
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7. Adanya kelainan pada struktur rahim atau serviks yang menghambat pengeluaran darah menstruasi</div>
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8. Penggunaan obat-obatan tertentu, dsb.</div>
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C. Manifestasi Klinis</div>
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Periode siklus menstruasi yang lebih dari 35 hari sekali, dimana hanya didapatkan 4-9 periode dalam 1 tahun.</div>
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Haid yang tidak teratur dengan jumlah yang tidak tentu. Pada beberapa wanita yang mengalami oligomenore terkadang juga mengalami kesulitan untuk hamil.</div>
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Bila kadar estrogen yang menjadi penyebab, wanita tersebut mungkin mengalami osteoporosis dan penyakit kardiovaskular. Wanita tersebut juga memiliki resiko besar untuk mengalami kanker uterus.</div>
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D. Pengobatan</div>
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Pengobatan oligomenore tergantung dengan penyebab, berikut uraiannya :</div>
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Pada oligomenore dengan anovulatoir serta pada remaja dan wanita yang mendekati menopouse tidak memerlukan terapi.</div>
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Perbaikan status gizi pada penderita dengan gangguan nutrisi dapat memperbaiki keadaan oligomenore.</div>
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Oligomenore sering diobati dengan pil KB untuk memperbaiki ketidakseimbangan hormonal. Terapi ini disesuaikan dengan hormon apa yang lebih dibutuhkan. Contoh : Pada oligomenore yang disebabkan estrogen yang terlalu rendah maka terapi yang dapat diberikan adalah KB Hormonal yang mengandung estrogen, seperti : Lynoral, Premarin, Progynova, dll.</div>
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Pada oligomenore yang disebabkan progesteron yang terlalu rendah maka terapi yangdapat diberikan adalah KB Hormonal yang mengandung estrogen, seperti : postinor. Pada oligomenore yang disebabkan keduanya memiliki ketidakseimbangan hormonal yang sama untuk jumlah estrogen dna progesteron yang kurang, maka dapat dilakukakn terapi dengan pil kombinasi yang mengandung estrogen dan progesteron dengan jumlah seimbang seperti : Mycrogynon 50, Ovral, Neogynon, Norgiol, Eugynon, Microgynon 30, Mikrodiol, Nordette, dll.</div>
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Bila gejala terjadi akibat adanya tumor, operasi mungkin diperlukan. Adanya tumor yang mempengaruhi pengeluaran hormon estrogen, maka tumor ini perlu di tindak lanjuti seperti dengan operasi, kemoterapi, dll</div>
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E. Komplikasi</div>
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Komplikasi yang paling menakutkan adalah terganggunya fertilitas dan stress emosional pada penderita sehingga dapat meperburuk terjadinya kelainan haid lebih lanjut. Prognosa akan buruk bila oligomenore mengarah pada infertilitas atau tanda dari keganasan.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-80845415094497921962013-06-09T21:37:00.005-07:002013-06-09T21:37:59.960-07:00DISMENORE (NYERI HAID)<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
<strong style="font-style: inherit;"><span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">PENGERTIAN</span> DISMENORE</strong><br />Dismenore adalah nyeri haid menjelang atau selama haid, sampai wanita tersebut tidak dapat bekerja dan harus tidur. Nyeri bersamaan dengan rasa mual, sakit kepala, perasaan mau pingsan, lekas marah .</div>
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Dismenore adalah nyeri selama menstruasi yang di sebabkan oleh kejang otot uterus. Nyeri ini terasa di perut bagian bawah dan atau di daerah bujur sangkar Michaelis . Nyeri dapat terasa sebelum dan sesudah haid. Dapat bersifat kolik atau terus menerus.</div>
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Nyeri haid yang merupakan suatu gejala dan bukan suatu penyakit. Istilah dismenorea biasa dipakai untuk nyeri haid yang cukup berat dimana penderita mengobati sendiri dengan analgesik atau sampai memeriksakan diri ke dokter.</div>
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Dismenore adalah nyeri haid yang sedemikian hebatnya, sehingga memaksa penderita untuk istirahat dan meninggalkan <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">pekerjaan</span> atau <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">cara</span> hidup sehari-hari untuk beberapa jam atau beberapa hari. Patofisiologi dismenore sampai saat ini masih belum jelas, tetapi akhir-akhir ini teori <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">prostaglandin</span> banyak digunakan, dikatakan bahwa pada keadaan dismenore kadarprostaglandin meningkat. Kram, nyeri dan ketidaknyamanan lainnya yang dihubungkan dengan menstruasi disebut juga dismenore. Kebanyakan wanita mengalami tingkat kram yang bervariasi; pada beberapa wanita, hal itu muncul dalam bentuk rasa tidak nyaman ringan dan letih, dimana beberapa yang lain menderita rasa sakit yang mampu menghentikan aktifitas sehari-hari. Dismenore dikelompokkan sebagai dismenore primer saat tidak ada sebab yang dapat dikenali dan dismenore sekunder saat ada kelainan jelas yang menyebabkannya. Wanita yang tidak berovulasi cenderung untuk tidak menderita kram menstruasi; hal ini sering terjadi pada mereka yang baru <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">saja</span> mulai menstruasi atau mereka yang menggunakan pil KB. Kelahiran bayi sering merubah gejala-gejala menstruasi seorang wanita, dan sering menjadi lebih baik.</div>
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Istilah dismenorea atau nyeri haid hanya dipakai jika nyeri haid demikian hebatnya, sehingga memaksa penderita untuk istirahat dan meninggalkan pekerjaannya untuk beberapa jam atau beberapa har. Ada 2 jenis dismenorea, yaitu dismenorea primer dan dismenorea sekunder. Pembagian dismenorea adalah sebagai berikut : pertama dismenorea primer atau esensial, intrinsik, idiopatik, yang pada jenis ini tidak ditemukan atau didapati adanya kelainan ginekologik yang nyata; yang kedua dismenorea sekunder atau ekstrinsik, yaitu rasa nyerinya disebabkan karena adanya kelainan pada daerah pelvis, misalnya <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometriosis</span>, mioma uteri, stenosis serviks, malposisi uterus atau adanya IUD. menstruasi yang menimbulkan rasa nyeri pada remaja hampir semuanya disebabkan dismenorea primer.</div>
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Dismenorea primer disebabkan karena gangguan keseimbangan fungsional, bukan karena penyakit organik pelvis, sedangkan dismenorea sekunder berhubungan dengan kelainan organik di pelvis yang terjadi pada masa remaja<br /><strong style="font-style: inherit;"></strong></div>
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<strong style="font-style: inherit;">ETIOLOGI</strong><br />Diduga faktor psikis sangat berperan terhadap timbulnya nyeri. Dismenore primer umumnya dijumpai pads wanita dengan siklus berovulasi. Penyebab tersering dismenore sekunder adalahendometriosis dan infeksi kronik genitalia interns. Dismenore sekunder lebih jarang ditemukan dan terjadi pada 25% wanita yang mengalami dismenore. Penyebab dari dismenore sekunder adalah: endometriosis, <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">fibroid</span>, adenomiosis, peradangan tuba falopii, perlengketan abnormal antara organ di dalam perut, dan pemakaian IUD, faktor psikologis yaitu stres.</div>
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a. Dysmenorrhea primer</div>
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Penyebab dari nyeri haid ini belum di temukan secara pasti meski telah banyak penelitian dilakukan untuk mencari penyebabnya. Etiologi dari dysmenorrhea primer tersebut adalah:</div>
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- Faktor Psikologis</div>
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Biasanya terjadi pada remaja dengan emosi yang tidak stabil, mempunyai ambang nyeri yang rendah, sehingga dekat sedikit rasa nyari dapat merasakan kesakitan.</div>
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- Faktor Endokrin</div>
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Pada umumnya hal ini dihubungankan dengan kontraksi usus yang tidak baik. Hal ini sangat erat kaitannya dengan pengaruh hormonal. Peningkatan produksi prostaglandin akan menyebabkan terjadinya kontraksi uterus yang tidak terkoordinasi sehingga menimbulkan nyeri.</div>
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b. Dysmenorrhea sekunder</div>
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Dalam dysmenorrhea sekunder, etiologi yang mungkin terjadi adalah:</div>
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- Faktor konstitusi seperti anemia, pemakaian kontrasepsi IUD, benjolan yang menyebabkan pendarahan, tumor atau fibroid.</div>
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- Anomali uterus konginental, seperti : rahim yang terbalik, peradangan selaput lendir rahim.</div>
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- Endometriosis, penyakit yang ditandai dengan adanya pertumbuhan jaringan<span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometrium</span> di luar rongga rahim. Endometrium adalah jaringan yang membatasi bagian dalam rahim. Saat siklus mentruasi, lapisan endometrium ini akan bertambah sebagai persiapan terjadinya kehamilan. Bila kehamilan tidak terjadi, maka lapisan ini akan terlepas dan dikeluarkan sebagai menstruasi.</div>
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<strong style="font-style: inherit;">KLASIFIKASI</strong></div>
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Dysmenorrhea dapat di klasifikasikan menjadi dua, yaitu berdasarkan adanya atau tidaknya kelainan ginekologis dan berdasarkan intensitas nyerinya.</div>
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1. Berdasarkan ada tidaknya kelainan ginekologis.</div>
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a. Dysmenorrhea primer yaitu dysmenorrhea yang terjadi tanpa disertai adanya kelainan ginekologis. Pada wanita yang secara emosional tidak stabil, dysmenorrhea primer mudah terjadi.</div>
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Dysmenorrhea primer timbul sejak menarche (pertama kali menstruasi), biasanya di tahun pertama atau kedua menstruasi. Dysmenorrhea ini terjadi pada usia antara 15-25 tahun dan kemudia akan hilang pada usia akhir 20an atau di awal 30an. Rasa nyeri biasanya terjadi beberapa jam sebelum dan sesudah periode menstruasi dan dapat berlanjut hingga 48-72 jam. Rasa nyeri di deskripsikan sebagai mirip kejang, spasmodik, berlokasi di perut bagian bawah (area suprapubik), dapat menjalar ke paha dan pinggang bawah. Tidak itu saja, terkadang juga disertai rasa mual, muntah, diare, sakit kepala, nyeri pinggang bawah, rasa lelah dan sebagainya.</div>
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b. Dysmenorrhea sekunder yaitu rasa nyeri yang berkaitan dengan kelainan ginekologis, baik secara anatomi maupun <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">proses</span> patologis dan pelvis. Dysmenorrhea sekunder biasa terjadi beberapa saat setelah menarche. Dapat juga dimulai setelah usia 25 tahun. Rasa nyeri dimulai sejak 1-2 minggu sebelum menstruasi dan terus berlangsung hingga beberapa hari setelah menstruasi. Pada dysmenorrhea sekunder ditemui kelainan ginekologis seperti endometritis, adenomiosis, kista ovarium, mioma uteri, radang pelvis dan lain-lain.</div>
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2. Berdasarkan intensitas nyeri.</div>
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a. Dysmenorrhea ringan, yakni dysmenorrhea dengan rasa nyeri yang berlangsung beberapa saat sehingga perlu istirahat sejenak untuk menghilangkan rasa nyeri, tanpa pemakaian <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">obat</span>-obatan.</div>
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b. Dysmenorrhea sedang, yakni dysmenorrhea yang memerlukan obat untuk menghilangkan rasa nyeri tanpa perlu men inggalkan aktivitas sehari-hari.</div>
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c. Dysmenorrhea berat, yakni dysmenorrhea yang memerlukan istirahat sedemikian lama dengan akibat meninggalkan aktivitas sehari-hari selama satu hari bahkan lebih.</div>
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<strong style="font-style: inherit;">PATOFISIOLOGI</strong></div>
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<em>1. Dismenorea primer</em></div>
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(primary dysmenorrhea) biasanya terjadi dalam 6-12 bulan pertama setelah menarche (haid pertama) segera setelah siklus ovulasi teratur (regular ovulatory cycle) ditetapkan/ditentukan. Selama menstruasi, sel-sel endometrium yang terkelupas (sloughing <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometrial</span> cells) melepaskan prostaglandin, yang menyebabkan iskemia uterus melalui kontraksi miometrium dan vasokonstriksi. Peningkatan kadar prostaglandin telah terbukti ditemukan pada cairan haid (menstrual fluid) pada wanita dengan dismenorea berat (severe dysmenorrhea). Kadar ini memang meningkat terutama selama dua hari pertama menstruasi. Vasopressin juga memiliki peran yang sama. Riset terbaru menunjukkan bahwa patogenesis dismenorea primer adalah karena prostaglandin F2alpha (PGF2alpha), suatu stimulan miometrium yang kuat (a potent myometrial <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">stimulant</span>) dan vasoconstrictor, yang ada di endometrium sekretori. Respon terhadap inhibitor prostaglandin pada pasien dengan dismenorea mendukung pernyataan bahwa dismenorea diperantarai oleh prostaglandin (prostaglandin mediated). Banyak bukti kuat menghubungkan dismenorea dengan kontraksi uterus yang memanjang (prolonged uterine contractions) dan penurunan aliran darah ke miometrium. Kadar prostaglandin yang meningkat ditemukan di cairan endometrium (endometrial fluid) wanita dengan dismenorea dan berhubungan baik dengan derajat nyeri.</div>
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Peningkatan endometrial prostaglandin sebanyak 3 kali lipat terjadi dari fase folikuler menuju fase luteal, dengan peningkatan lebih lanjut yang terjadi selama menstruasi. Peningkatan prostaglandin di endometrium yang mengikuti penurunan progesterone pada akhir fase luteal menimbulkan peningkatan tonus miometrium dan kontraksi uterus yang berlebihan Leukotriene juga telah diterima (postulated) untuk mempertinggi sensitivitas nyeri serabut (pain fibers) di uterus . Jumlah leukotriene yang bermakna (significant) telah dipertunjukkan di endometrium wanita dengan dismenorea primer yang tidak berespon terhadap pengobatan dengan antagonis prostaglandin. Hormon pituitari posterior, vasopressin, terlibat pada hipersensitivitas miometrium, mereduksi (mengurangi) aliran darah uterus, dan nyeri (pain) pada penderita dismenorea primer. Peranan vasopressin di endometrium dapat berhubungan dengan sintesis dan pelepasan prostaglandin.</div>
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<em>2. Dismenorea Sekunder</em></div>
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Dismenorea sekunder (secondary dysmenorrhea) dapat terjadi kapan saja setelah menarche (haid pertama), namun paling sering muncul di usia 20-an atau 30-an, setelah tahun-tahun normal, siklus tanpa nyeri (relatively painless cycles). Peningkatan prostaglandin dapat berperan pada dismenorea sekunder, namun, secara pengertian (by definition), penyakit pelvis yang menyertai (concomitant pelvic pathology) haruslah ada. Penyebab yang umum termasuk: endometriosis, leiomyomata (fibroid), adenomyosis, polip endometrium, chronic pelvic inflammatory disease, dan penggunaan peralatan kontrasepsi atau IUD (intrauterine device). sejumlah faktor yang terlibat dalam patogenesis dismenorea sekunder. Kondisi patologis pelvis berikut ini dapat memicu atau mencetuskan dismenorea sekunder :</div>
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a. Endometriosis</div>
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b. Pelvic inflammatory disease</div>
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c. Tumor dan kista ovarium</div>
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d. Oklusi atau stenosis servikal</div>
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e. Adenomyosis</div>
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f. Fibroids</div>
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g. Uterine polyps</div>
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h. Intrauterine adhesions</div>
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i. Congenital malformations (misalnya: bicornate uterus, subseptate uterus)</div>
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j. Intrauterine contraceptive device</div>
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k. Transverse vaginal septum</div>
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l. Pelvic congestion syndrome</div>
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m. Allen-Masters syndrome</div>
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<strong style="font-style: inherit;">DIAGNOSA</strong><br />Diagnosa dismenore didasari atas ketidaknyamanan saat menstruasi. Perubahan apapun pada kesehatan reproduksi, termasuk hubungan badan yang sakit dan perubahan pada jumlah dan lama menstruasi, membutuhkan pemeriksaan ginekologis, perubahan-¬perubahan seperti itu dapat menandakan sebab dari dismenore sekunder.</div>
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<strong style="font-style: inherit;">Perbedaan antara dismenore primer dan sekunder menurut riwayat dan pemeriksaan fisik.</strong></div>
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<em>1. Riwayat</em></div>
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a. Riwayat menstruasi</div>
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· Awitan menarke</div>
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· Awitan dismenore yang berkaitan dengan minarke</div>
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· Frekuensi dan keteraturan siklus</div>
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· Lama dan jumlah aliran menstruasi</div>
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· Hubungan antara dismenore dengan siklus dan aliran menstruasi.</div>
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b. Deskripsi nyeri</div>
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· Awitan yang terkait dangan masa menstruasi</div>
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· Rasa kram spasmodic atau menetap</div>
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· Lokasi menyeluruh atau spesifik</div>
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· Unilateral atau seluruh abdomen bagian bawah</div>
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· Lokasi pada abdomen bagian bawah, punggung atau paha.</div>
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· Memburuk saat palpasi atau bergerak</div>
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c. Gejala yang berkaitan</div>
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· Gejala ekstragenetalia</div>
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· Dispareunia- konstan atau bersiklus yang berhubungna dengan silus menstruasi.</div>
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d. Riwayat obstetri-paritas</div>
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e. Pemasangan AKDR</div>
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f. Riwayat kondisi yang mungkin mengakibatkan dismenore sekunder.</div>
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<em>2. Pemeriksaan fisik</em></div>
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a. Pencatatan usia dan berat badan</div>
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b. Pemeriksaan speculum</div>
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· Observasi ostiumm uteri untuk mendeteksi polip.</div>
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· Catat warna atau bau yang tidak biasa dari rabas vagina , lakukan pemeriksaan sediaan basah.</div>
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· Persiapkan uji kultur serviks, kultur IMS, dan uji darah bila perlu, berdasarkan riwayat pasien.</div>
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c. Pemeriksaan bimanual</div>
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· Catat nyeri tekan akibat gerakan serviks</div>
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· Catat ukuran bentuk dan konsestensi uterus, periksa adanya fibroid.</div>
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· Catat setiap masa atau nodul pada adneksa, terutama nyeri unilateral.</div>
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· Catat bila terdapat sistokel atau prolaps uterus.</div>
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Pemerikasaan Penunjang Pemeriksaan laboratorium dapat dilakukan untuk menunjang penegakan diagnosa bagi penderita Dismenorea atau mengatasi gejala yang timbul,<br />Pemeriksaan berikut ini dapat dilakukan untuk menyingkirkan penyebab organik dismenorea:</div>
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1. Cervical culture untuk menyingkirkan sexually transmitted diseases.</div>
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2. Hitung leukosit untuk menyingkirkan infeksi.</div>
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3. Kadar human chorionic gonadotropin untuk menyingkirkan kehamilan ektopik.</div>
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4. Sedimentation rate.</div>
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5. Cancer antigen 125 (CA-125) assay: ini memiliki nilai klinis yang terbatas dalam mengevaluasi wanita dengan dismenorea karena nilai prediktif negatifnya yang relatif rendah.</div>
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6. Laparoscopy</div>
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7. Hysteroscopy</div>
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8. Dilatation</div>
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9. Curettage</div>
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10. Biopsi Endomentrium</div>
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<strong style="font-style: inherit;">FAKTOR RISIKO</strong><br />Biasanya dismenore primer timbul pada masa remaja, yaitu sekitar 2-3 tahun setelah menstruasi pertama. Sedangkan dismenore sekunder seringkali mulai timbul pada usia 20 tahun.<br />Faktor lainnya yang bisa memperburuk dismenore adalah:</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Rahim yang menghadap ke belakang (retroversi)</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Kurang berolah raga</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Stres psikis atau stres sosial.</li>
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faktor-faktor risiko yang berhubungan dengan terjadinya dismenorea yang berat (severe episodes of dysmenorrhea) :</div>
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· Menstruasi pertama pada usia amat dini (earlier age at menarche)</div>
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· Periode menstruasi yang lama (long menstrual periods)</div>
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· Aliran menstruasi yang hebat (heavy menstrual flow)</div>
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· Merokok (smoking)</div>
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· Riwayat keluarga yang positif (positive family history)</div>
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<strong style="font-style: inherit;">MANIFESTASI KLINIS</strong></div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Dismenore primer; usia lebih muda, timbul setelah terjadinya siklus haid yang teratur, sering pada nulipara, nyeri sering terasa sebagai kejang uterus dan spesifik, nyeri timbul mendahului haid dan meningkat pada hari pertama atau kedua haid.</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Dismenore sekunder yakni; usia lebih tua, cenderung timbul setelah 2 tahun siklus haid teratur, tidak berhubungan dengan siklus paritas, nyeri sering terasa terus menerus dan tumpul, nyeri dimulai dari haid dan meningkat bersamaan dengan keluarnya darah.</li>
</ul>
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A. Dismenore Primer</div>
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1. Deskripsi perjalanan penyakit</div>
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a. Dismenore muncul berupa serangan ringan, kram pada bagian tengah, bersifat spasmodis yang dapat menyebar ke punggung atau paha bagian dalam.</div>
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b. Umumnya ketidaknyamanan di mulai 1-2 hari sebelu menstruasi, namun nyeri yang paling berat selama 24 jam pertama menstruasi dan mereda pada hari kedua.</div>
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c. Dismenore kerpa di sertai efek samping seperti :</div>
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· Muntah</div>
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· Diare</div>
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· Sakit kepala</div>
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· Sinkop</div>
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· Nyeri kaki</div>
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2. Karakteristik dan faktor yang berkaitan :</div>
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a. Dismenore primer umumnya di mulai 1-3 tahun setelah menstruasi.</div>
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b. Kasus ini bertambah berat setelah beberapa tahun samapai usia 23- 27 tahun, lalu mulai mereda.</div>
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c. Umumnya terjadi pada wanita nulipara , kasus ini kerap menuntun signifikasi setelah kelahiran anak.</div>
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d. Lebih sering terjadi pada wanita obesitas.</div>
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e. Dismenore berkaitan dengan aliran menstruai yang lama.</div>
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f. Jarang terjadi pada atlet.</div>
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g. Jarang terjadi pada wanita yang memiliki siklus menstruasi yang tidak teratur.</div>
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h. Nulliparity (belum pernah melahirkan anak)</div>
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i. Usia saat menstruasi pertama <12 tahun</div>
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B. Dismenore sekunder</div>
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1. Indikasi</div>
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a. Dismenore di mulai setelah usia 20 tahun</div>
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b. Nyeri berdifat unilateral.</div>
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2. Faktor yang berhubungan sebagai penyebab</div>
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a. PRP</div>
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· Awitan akut</div>
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· Dispraurenia</div>
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· Nyeri tekan asala palpasi dan saat bergerak</div>
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· Massa adneksia yang dapat teraba</div>
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b. Endometriosis</div>
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· Dispsreunia siklik</div>
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· Intensitas nyeri samakin meningkat sepanjang menstruasi (tidak terjadi sebelum menstruasi dan tidak berakhior dalam beberapa jam, seperti pada kasus dismenore primer).</div>
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· Nyeri yangh menetap bukannya kram dan mungkin spesifik pada sisi lesi.</div>
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· Kadang di temukan nodul yang mungkin teraba selama pemeriksaan.</div>
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c. Fibriliomioma dan polip uterus</div>
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· Awitan dismenore sekunder lebih lambat pada tahun reproduksi dari npada dismenore primer.</div>
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· Disertai perubahan dalam aliran menstruasi.</div>
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· Nyeri kram</div>
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· Fibroleimioma yang dapat teraba</div>
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· Polip yang bisa atau menonjol pada serviks.</div>
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d. Prolaps uterus</div>
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· Awitan dismenore sekunder lebih lambat pada tahun-tahu reproduktif dari pada dismenore primer.</div>
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· Lebih umum terjadi pada pasian multipara.</div>
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· Nyeri punggung awalnya di mulai saat pramenstruasi dan menetap sepanjang menstruasi.</div>
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· Disertai disparunia dan nyeri panggul yang dapata di pulihkan dengan posisi terlentang, atau lutut-dada.</div>
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· Sistokel dan inkontennesia urine terjadi bersamaan.</div>
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Tanda gejala umum yang paling sering muncul yaitu :</div>
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· Nyeri pada daerah supra pubis seperti cram, menyebar sampai area lumbrosacral.</div>
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· Sering disertai nausea, muntah</div>
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· Diare</div>
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· Kelelahan</div>
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· Nyeri kepala</div>
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· Emosi labil</div>
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Perbandingan gejala Dismenore Primer dengan Dismenore Sekunder :</div>
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1. Dismenore Primer</div>
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· usia lebih muda</div>
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· timbul segera setelah terjadinya siklus haid yang teratur</div>
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· sering pada nulipara</div>
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· nyeri sering terasa sebagai kejang uterus dan spastik</div>
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· nyeri timbul mendahului haid, meningkat pada dan meningkat bersamaan hari pertama dan kemudian dengan keluarnya darah haid</div>
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· sering memberikan respons – sering memerlukan tindakan terhadap pengobatan medika dakan operatif mentosa</div>
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· sering disertai mual, muntah, – tidak diare, kelelahan dan nyeri kepala</div>
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2. Dismenore Sekunder</div>
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· usia lebih tua</div>
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· tidak tentu</div>
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· tidak berhubungan dengan paritas</div>
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· nyeri terus-menerus</div>
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· nyeri mulai pada saat haid menghilang bersamaan haid dengan keluarnya darah haid.</div>
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<strong style="font-style: inherit;">GEJALA DAN TANDA</strong></div>
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Gejala-gejala nyeri haid di antaranya yaitu: rasa sakit datang secara tidak teratur, tajam dan kram di bagian bawah perut yang biasanya menyebar ke bagian belakang, terus ke kaki, pangkal paha dan vulva (bagian luar alat kelamin wanita). Biasanya nyeri mulai timbul sesaat sebelum atau selama menstruasi, mencapai puncaknya dalam waktu 24 jam dan setelah 2 hari akan menghilang. Gejala-gejala tersebut meliputi tingkah laku seperti kegelisahan, defresi, iritabilitas/sensitif, lekas marah, gangguan tidur, kelelahan, lemah, mengidam makanan dan kadang-kadang perubahan suasana hati yang sangat cepat. Selain itu juga keluhan fisik seperti payudara terasa sakit atau membengkak, perut kembung atau sakit, sakit kepala, sakit sendi, sakit punggung, mual, muntah, diare atau sembelit, dan masalah kulit seperti jerawat.</div>
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Nyeri haid primer, timbul sejak haid pertama dan akan pulih sendiri dengan berjalannya waktu, dengan lebih stabilnya hormon tubuh atau perubahan posisi rahim setelah menikah atau melahirkan. Nyeri haid ini adalah normal, namun dapat berlebihan apabila dipengaruhi oleh faktor fisik dan psikis seperti stress, shock, penyempitan pembuluh darah, penyakit yang menahun, kurang darah, kondisi tubuh yang menurun, atau pengaruh hormon prostaglandine. Gejala ini tidak membahayakan kesehatan. Nyeri haid sekunder biasanya baru muncul kemudian, yaitu jika ada penyakit yang datang kemudian. Penyebabnya adalah kelainan atau penyakit seperti infeksi rahim, kista atau polip, tumor sekitar kandungan, atau bisa karena kelainan kedudukan rahim yang menetap. Ada juga yang disebut dengan endometriosis, yaitu kelainan letak lapisan dinding rahim yang menyebar keluar rahim, sehingga apabila menjelang menstruasi, pada saat lapisan dinding rahim menebal, akan dirasakan sakit yang luar biasa. Selain itu, endometriosis ini juga bisa mengganggu kesuburan</div>
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<strong style="font-style: inherit;">JENIS NYERI HAID</strong><br />Nyeri spasmodik terasa, di bagian bawah perut dan berawal sebelum masa, haid atau segera setelah masa haid mulai. Banyak wanita terpaksa, harus berbaring karena terlalu menderita nyeri itu sehingga ia tidak dapat mengerjakan apapun. Ada di antara yang pingsan, merasa, sangat mual, bahkan ada yang benar-benar muntah.<br />Dismenore spasmodik dapat diobati atau paling tidak dikurangi dengan lahirnya bayi pertama, walaupun banyak pula wanita yang tidak mengalami hat seperti itu.<br />Penderita dismenore kongestif biasanya akan tahu sejak berhari-hari sebelumnya, bahwa masa haidnya akan segera tiba. Mengalami pegal, sakit pada bush darts, perut kembung tidak menentu, beha terasa terlalu ketat, sakit kepala, sakit punggung, pegal pada paha, merasa, lelah atau sulit dipahami, mudah tersinggung, kehilangan keseimbangan, menjadi ceroboh, terganggu tidur, atau muncul memar di paha dan lengan atas. Semua itu merupakan simptom pegal menyiksa yang berlangsung antara 2 dan 3 hari sampai kurang dari 2 minggu. Proses menstruasi mungkin tidak terlalu menimbulkan nyeri jika sudah berlangsung. Bahkan setelah hari pertama masa haid, orang yang menderita dismenore kongestif akan merasa lebih baik.</div>
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<strong style="font-style: inherit;">MEKANISME NYERI HAID</strong><br />Nyeri haid berpangkal pada mulainya proses menstruasi itu sendiri yang merangsang otot-otot rahim untuk berkontraksi. Kontraksi otot-otot rahim tersebut membuat aliran darah ke otot-otot rahim menjadi berkurang yang berakibat meningkatnya aktivitas rahim untuk memenuhi kebutuhannya akan aliran darah yang lancar, juga otot-otot rahim yang kekurangan darah tadi akan merangsang ujung-ujung syaraf sehingga terasa nyeri. Nyeri tersebut tidak hanya terasa di rahim, namun juga terasa di bagian-bagian tubuh lain yang mendapatkan persyarafan yang sama dengan rahim. Oleh karma itulah maka rasa tidak nyaman juga dirasakan di bagian-bagian tubuh yang digunakan untuk buang air besar, buang air kecil, maupun otot¬-otot dasar panggul dan daerah di sekitar tulang belakang sebelah bawah. Hal ini disebut juga sebagai nyeri rujukan (referred pain).<br />Peningatan kadar prostaglandin (PG) penting peranannya sebagai penyebab terjadinya dismenore. PG alfa sangat tinggi dalam endometrium, miometrium dan darah haid wanita yang menderita dismenore primer. PG menyebabkan peningkatan aktivitas uterus dan serabut-serabut syaraf terminal rangsang nyeri. Kombinasi antara pemngkatan kadar PG dan peningkatan kepekaan miometrium menimbulkan tekanan infra uterus sampai 400 mm Hg dan menyebabkan kontraksi miometrium yang hebat. Atas dasar itu disimpulkan bahwa PS yang dihasilkan uterus berperan dalam menimbulkan hiperaktivitas miometrium. Selanjutnya kontraksi miometrium yang disebabkan oleh PG akan mengurangi aliran darah, sehingga terjadi iskemia sel-sel miometrium yang mengakibatkan timbulnya nyeri spasmodik. Jika PG dilepaskan dalam jumlah berlebihan ke dalam peredaran darah, maka selain dismenore timbul pula pengaruh umum lainnya seperti diare, mual, muntah</div>
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<strong style="font-style: inherit;">PENGOBATAN</strong></div>
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<em>A. Dismenore primer</em></div>
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1. Latihan</div>
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a. Latihan moderat, seperti berjalan atau berenang</div>
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b. Latihan menggoyangkan panggul</div>
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c. Latihan dengan posisi lutut di tekukkan ke dada, berbaring telentang atau miring.</div>
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2. Panas</div>
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a. Buli-buli panas atau botol air panas yang di letakkan pada punggung atau abdomen bagian bawah</div>
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b. Mandi air hangat atau sauna</div>
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3. Orgasme yang mampu menegakkan kongesti panggul.(peringatan : hubungan seksual tanpa orgasme, dapat meningkatkan kongesti panggul.</div>
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4. Hindari kafein yang dapat meningkatkan pelepasan prostaglandin</div>
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5. Pijat daerah punggung, kaki , atau betis.</div>
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6. Istirahat</div>
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7. Obat-obatan</div>
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a. Kontrasepsi oral menghambat ovulasi sehingga meredakan gejala</div>
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b. Mirena atau progestasert AKDR dapat mencegah kram.</div>
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c. Obat pilhan adalah ibuprofen, 200-250 mg, diminum peroral setiap 4-12 jam, tergantung dosis, namun tidak melebihi 600 mg dalam 24jam.</div>
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d. Aleve (natrium naproksen) 200mg juga bisa di minum peroral setiap 6 jam.</div>
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8. Terapi Komplementer</div>
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a. Biofeedback</div>
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b. Akupuntur</div>
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c. Meditasi</div>
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d. Black cohos</div>
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<em>B. Dismenore sekunder</em></div>
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1. PRP</div>
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a. PRP termasuk endometritis, salpoingitis, abses tuba ovarium, atau peritonitis panggul.</div>
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b. Organisme yang kerap menjadi penyebab meliputi Neisseria Gonnorrhoea dan C. thrachomatis, seperti bakteri gram negative, anaerob, kelompok B streptokokus, dan mikoplasmata genital. Lakukan kultur dengan benar.</div>
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c. Terapi anti biotic spectrum-luas harus di berikan segera saat diagnosis di tegakkan untuk mencegah kerusakan permanen (mis, adhesi, sterilitas). Rekomendasi dari center for disease control and prevention (CDC) adalah sebagai berikut :</div>
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· Minum 400 mg oflaksasin per oral 2 kali/hari selama 14 hahri, di tambah 500 mg flagyl 2 kali/hari selama 14 hari.</div>
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· Berikan 250mg seftriakson IM 2 g sefoksitin IM, dan 1g probenesid peroral di tambah 100 mg doksisiklin per oral , 2 kali/ hari selama 14 hari.</div>
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· Untuk kasus yang serius konsultasikan dengan dokter spesialis mengenai kemungkinan pasien di rawat inap untuk di berikan antibiotic pe IV.</div>
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d. Meskipun efek pelepasan AKDR pada respons pasien terhadap terpi masih belum di ketahui, pelepasan AKDR di anjurkan.</div>
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<br /></div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
2. Endometriosis</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
a. Diagnosis yang jelas perlu di tegakkan melalui laparoskopi</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
b. Pasien mungkin di obati dengan pil KB, lupron, atau obat-obatan lain sesuai anjuran dokter.</div>
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3. Fibroid dan polip uterus</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
a. Polip serviks harus di angkat</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
b. Pasien yang mengalami fibroleomioma uterus simtomatik harus di rujuk ke dokter.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
4. Prolaps uterus</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
a. Terapi definitive termasuk histerektomi</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
b. Sistokel dan inkonmtenensia strees urine yang terjadi bersamaan dapat di ringankan dengan beberapa cara berikut :</div>
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· Latihan kegel</div>
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· Peralatan pessary dan introl untuk reposisi dan mengangkat kandung kemih.</div>
<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-38960026524086626682013-06-09T21:32:00.005-07:002013-06-09T21:32:52.739-07:00CONTOH ASUHAN KEPERAWATAN KELUARGA <div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; mso-line-height-alt: 12.65pt; text-align: center; vertical-align: baseline;">
<b><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ASUHAN KEPERAWATAN PADA
KELUARGA TN. M</span></b><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; mso-line-height-alt: 12.65pt; text-align: center; vertical-align: baseline;">
<b><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DI DESA SITIMULYO</span></b><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -18.7pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">I.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">DATA UMUM<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Nama
kepala keluarga </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Alamat </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Sitimulyo </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Usia </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">52 Tahun</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Pendidikan
kepala keluarga </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">SMP</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Agama</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Islam</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">6.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Pekerjaan </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">:</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> Satpam</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">7.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Suku
Bangsa </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">:</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> Jawa/Indonesia</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">8.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Susunan
Keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: 8.65pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 406px;">
<tbody>
<tr style="height: 35.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0; page-break-inside: avoid;">
<td style="border: solid windowtext 1.0pt; height: 35.4pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" width="24">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">No</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Nama</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" width="36">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">JK</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 58.5pt;" width="78">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Hub.dgn</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">kepala</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">kluarga</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Umur</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 49.5pt;" width="66">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Pendidikan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Peker</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Jaan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Agama</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 35.4pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Kondisi Kesehatan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ny. M</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">L</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 58.5pt;" valign="top" width="78">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Suami</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -5.35pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">52 Thn</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 49.5pt;" valign="top" width="66">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">SMP</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Satpam</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Islam</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Baik</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
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<br /></div>
<a name='more'></a><br />
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">9.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Genogram</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: 8.65pt; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
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<table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="margin-bottom: 9.25pt; mso-cellspacing: 0in; mso-padding-alt: 0in 0in 0in 0in; mso-table-anchor-horizontal: column; mso-table-anchor-vertical: paragraph; mso-table-bspace: 11.5pt; mso-table-left: left; mso-table-lspace: 2.25pt; mso-table-rspace: 2.25pt; mso-yfti-tbllook: 1184; width: 465px;">
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<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">10.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> Aktivitas
dan Kebersihan Diri</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Keluarga Tn. M tidak mempunyai kebiasaan
berolahraga dikarenakan kesibukan masing masing. Keluarga mempunyai kebiasaan
mandi 3x/hari menggunakan sabun, menyikat gigi 3x/hari, mencuci rambut
3x/minggu, dan mengganti pakaian 1x/hari. </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">11.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Spiritual Keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M taat beribadah. Tn. M juga mengikuti
kegiatan keagamaan seperti pengajian, yasinan, dll. Tidak ada kegiatan atau
nilai agama yang menurut keluarga bertentangan dengan kesehatan. Kegiatan atau
nilai agama yang menurut Tn. M mendukung kesehatan diantaranya ialah puasa dan
sholat.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">12.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Pendidikan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tidak ada anggota keluarga yang sedang
mengikuti pendidikan di luar pendidikan formal (kursus, pelatihan, dll). Semua
anggota keluarga dapat membaca dan menulis. Anggota keluarga tidak memiliki
keterampilan khusus. </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">13.</span><span style="border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 7pt; padding: 0in;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 7pt;"> </span><span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">Tipe keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Keluarga Tn. M termasuk keluarga single parent
yang mempunyai seorang anak, sudah menikah dan tinggal bersama suaminya. Istri
Tn. M sudah meninggal karena kanker lidah.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">14.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Status sosial ekonomi keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M yang mempunyai penghasilan sendiri dan
menjadi sumber penghasilan keluarga utama. Penghasilan tersebut digunakan untuk
kepentingan keluarga dan belum mencukupi untuk biaya hidup sehari hari.
Sehingga Tn. M</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> mempunyai pekerjaan sampingan yaitu
sebagai petani. Tn. M </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">juga menyiapkan dana khusus untuk kesehatan.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> 12 .</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">Aktivitas
Rekreasi Keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Setiap hari Tn. M dalam memenuhi kebutuhan
akan rekreasi dan hiburan biasanya menonton TV. Dan setiap sebulan sekali Tn. M
pergi jalan-jalan ke pantai.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">II. RIWAYAT TAHAP PERKEMBANGAN KELUARGA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tahap
perkembangan keluarga saat ini</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Keluarga Tn. M mempunyai satu orang anak
perempuan. Anak tersebut berumur 22 tahun. Maka keluarga Tn M berada pada tahap
perkembangan keluarga dengan anak dewasa.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tahap
perkembangan keluarga yang belum terpenuhi</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Saat ini Tn. M telah memenuhi tugas
perkembangan yaitu memperluas keluarga inti menjadi keluarga besar dengan anak
satu-satunya sudah menikah dan memiliki satu anak.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Riwayat
keluarga inti</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Saat ini Tn. M sedang mengalami sakit gigi.
Penyakit yang sering diderita oleh keluarga Tn. M diantaranya masuk angin dan
pusing. Tidak terdapat penyakit menular dan tidak mempunyai penyakit menurun.
Tidak ada anggota keluarga yang cacat. Ketika sakit, Tn. M berusaha untuk
merawat sendiri, akan tetapi jika sudah tidak dapat diatasi, Tn. M langsung
memeriksakan diri ke puskesmas.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Riwayat kesehatan Tn. M adalah
sebagai berikut :</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -89.25pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Kepala
keluarga </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: Tn. M adalah perokok aktif. Tetapi karena
Tn, M sedang menderita sakit gigi untuk sementara Tn. M berhenti merokok.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -89.25pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">4.</span><span style="border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 7pt; padding: 0in;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 7pt;"> </span><span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">Riwayat keluarga sebelumnya</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M tidak pernah menderita penyakit parah
sebelumnya. Biasanya hanya mengalami pusig-pusing dan masuk angin. Istri Tn. M
telah meninggal karena menderita kanker lidah.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">III.<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"> </span></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">LINGKUNGAN<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Karakteristik
rumah dan denah rumah</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Luas tanah : 200 m<sup>2</sup> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Luas Rumah : 150 m<sup>2</sup></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 17.3pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tipe Rumah Tn. M adalah
permanent, dengan status rumah milik pribadi. Rumah Tn. M menggunakan atap
genting, dan menggunkan lantai semen dan tanah. Memiliki beberapa ruang yaitu 2
kamar tidur, 1 ruang tamu, 1 dapur, 1 ruang makan, 1 kamar mandi dan 1 WC
dengan jenis jamban leher angsa, kondisinya tidak terurus. Jumlah jendela ± 5
buah, memiliki ventilasi yang baik, cahaya yang cukup, dan penerangan dengan
lampu listrik. Peletakan perabot rumah tangga kurang rapi. Keluarga mempunyai
tempat pmbuangan sampah terbuka, dan saluran kotoran septictank, akan tetapi
tidak terlihat. Keluarga mempunyai sumber air sendiri, yaitu sumur, kualitas
air jernih, tidak berbau dan tawar. Jarak antara septictank dan sumber air lebih
dari 10 m. Sumber air minum yang digunakan adalah dari sumur tersebut. Factor
risiko bahaya fisik yaitu tangga yang tidak ada pegangan sampingnya, sehingga
dapat membahayakan Tn. M<span style="color: red;">.</span></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">Denah Rumah :</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgorPcLPfbFeoav_AkXwyUYu_cSBR8K7kUSYNokVZwC_BQ0TF_q5gzwC5R7kYI_KBUEJCbxlru_9ky4BYb8uxBTV_2acKRW_dtIJVUkGrK1QP4x7o_Bfic1OqcgcVwCNfBZgi34c8qaQN8B/s1600/geno1.JPG"><span style="color: #0d86cc; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes; text-decoration: none; text-underline: none;"><!--[if gte vml 1]><v:shape
id="Picture_x0020_3" o:spid="_x0000_i1031" type="#_x0000_t75" alt="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgorPcLPfbFeoav_AkXwyUYu_cSBR8K7kUSYNokVZwC_BQ0TF_q5gzwC5R7kYI_KBUEJCbxlru_9ky4BYb8uxBTV_2acKRW_dtIJVUkGrK1QP4x7o_Bfic1OqcgcVwCNfBZgi34c8qaQN8B/s1600/geno1.JPG"
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o:button="t">
<v:imagedata src="file:///C:\DOCUME~1\GIGABY~1\LOCALS~1\Temp\msohtmlclip1\01\clip_image003.jpg"
o:title="geno1"/>
</v:shape><![endif]--><!--[if !vml]--><img alt="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgorPcLPfbFeoav_AkXwyUYu_cSBR8K7kUSYNokVZwC_BQ0TF_q5gzwC5R7kYI_KBUEJCbxlru_9ky4BYb8uxBTV_2acKRW_dtIJVUkGrK1QP4x7o_Bfic1OqcgcVwCNfBZgi34c8qaQN8B/s1600/geno1.JPG" border="0" height="221" src="file:///C:\DOCUME~1\GIGABY~1\LOCALS~1\Temp\msohtmlclip1\01\clip_image003.jpg" v:shapes="Picture_x0020_3" width="405" /><!--[endif]--></span></a></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Karakteristik
tetangga dan komunitas RW</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tetangga klien yang di sekitar
rumah ramah-ramah. Klien tinggal di wilayah pedesaan, jarak rumah satu dengan
yang lain dekat. Warga memiliki kebiasaan dan tradisi mengadakan pengajian,
yasinan setiap malam jumat dan perkumpulan RT sebulan sekali di rumah warga
secara bergiliran.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> Mobilitas
geografis keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Sejak Tn. M menikah dengan istrinya keluarga
Tn. M tinggal di Sitimulyo dan tidak pernah pindah.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Perkumpulan
keluarga dan interaksi dengan masyarakat</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Meskipun anak Tn. M sudah menikah ia selalu
meluangkan waktu untuk berkunjung ke rumah Tn. M di siang hari. Tn. M juga
berinteraksi baik dengan masyarakat di sekitar.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Sistem
pendukung keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Keluarga klien memiliki fasilitas kesehatan
meliputi tempat tidur yang nyaman, sumber air bersih, motor sebagai alat trans.
portasi. Fasilitas layanan kesehatan di wilayah Tn. P berupa Puskesmas
dan </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">klinik. Jarak fasilitas kesehatan terdekat
kurang dari 500 m dan dapat dijangkau dengan jalan kaki atau menggunakan motor.
Keluarga Tn. M menggunakan fasilitas kesehatan tersebut dan yang sering
digunakan ialah puskesmas. Sedangkan fasilitas sosialnya berupa mengikuti
penyuluhan kesehatan misalnya penyuluhan tentang DBD dan Cikungunya.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">IV.<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"> </span></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">STRUKTUR KELUARGA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Pola
komunikasi keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Bahasa komunikasi yang digunakan dalam
keluarga dan dengan masyarakat adalah bahasa Jawa, dan Indonesia. </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Struktur
kekuatan keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Klien selalu memberi nasehat kepada anaknya
bagaimana cara menjaga hubungan baik dengan suami ataupun mertua serta orang
lain, dan bagaimana cara menyikapi masalah dengan baik. Untuk kekuatan keluarga
masih tetap berada pada Tn. M.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Struktur
peran</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 18.7pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M :</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">§</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Peran Formal </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: Tn. M hanya menjadi anggota
masyarakat.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">§</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Peran Informal : menjadi kepala keluarga,
menantu, suami, ayah</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Nilai
dan norma keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 35.3pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Nilai nilai yang dianut oleh
keluarga tidak ada yang bertentangan dengan kesehatan. Keluarga meyakini bahwa
kesehatan merupakan hal yang penting.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: 35.3pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M mempunyai kebiasaan
mencuci tangan sebelum makan dan menggosok gigi sebelum tidur.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">V.<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"> </span></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">FUNGSI KELUARGA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1. </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Fungsi Biologis</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Jumlah anak yang dimiliki Tn. M ada 1 orang
anak perempuan.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Fungsi
Psikologis</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">tn. M merasa kesepian karna ia tinggal sendiri
dirumah. Istrinya telah meninggal karena kanker lidah dan anaknya telah menikah
dan tinggal bersama suaminya.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Fungsi
Sosialisasi</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Interaksi Tn. M dan anaknya terjalin dengan
sangat baik, saling mendukung, bahu membahu, dan saling ketergantungan Masing
masing anggota keluarga masih memperhatikan dan menerapkan sopan santun dalam
berperilaku.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Fungsi
Ekonomi</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M mampu memenuhi kebutuhan hidup sehari
hari dari pendapatan yang diterima. Tn. M menyediakan dana khusus untuk
kesehatan dan mampu menyisihkan pendapatan untuk keperluan yang tidak terduga.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Fungsi
Pendidikan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Klien hanya mampu menyekolahkan anaknya sampai
tingkat SMP.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">VI.<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"> </span></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">STRES DAN KOPING
KELUARGA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">1.</span><span style="border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 7pt; padding: 0in;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 7pt;"> </span><span style="border: 1pt none windowtext; font-family: inherit, serif; font-size: 8.5pt; padding: 0in;">Stresor jangka pendek dan
jangka panjang</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<i><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Stresor jangka pendek</span></i><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: Gempa Bantul 2006, Gunung
merapi meletus</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> 2011, krisis uang</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<i><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Stresor jangka panjang</span></i><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">: Tn. M mengatakan tidak pernah
mengalami stressor jangka panjang.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Kemampuan
keluarga berespon terhadap situasi / stressor</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Untuk stress jangka pendek, keluarga mengaku
cemas, tidak bisa tidur, dan merasa gelisah, khawatir dengan adanya gempa
susulan. Selain itu kadang Tn. M merasa bingung ketika penghasilan tidak
mencukupi kebutuhan.</span><span style="color: red; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Meskipun demikian Tn. M
berusaha untuk tetap tenang. Strategi koping yang digunakan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Bila ada permasalahan, Tn. M berusaha untuk
selalu menyelesaikan sendiri..</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Strategi
adaptasi disfungsional</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Keluarga tidak pernah menggunakan kekerasan,
perlakuan kejam kepada anaknya dan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> memberikan ancaman
ancaman dalam menyelesaikan masalah.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Harapan
keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M berharap ia dan anaknya, serta
keluarganya sehat wal’afiat. Dan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Keluarga juga berharap petugas kesehatan dapat
memberikan pelayanan yang baik, tepat, dan cepat kepada siapa saja yang
membutuhkan. Tidak membeda bedakan seseorang dalam memberikan pelayanan
kesehatan, miskin maupun kaya.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: 8.65pt; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">VII<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">.</span></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">RIWAYAT KESEHATAN SEKARANG<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 350px;">
<tbody>
<tr style="height: 77.8pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 77.8pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"><!--[if gte vml 1]><v:shape id="_x0000_i1025" type="#_x0000_t75"
alt="" style='width:343.5pt;height:1.5pt'/><![endif]--><!--[if !vml]--><img border="0" height="2" src="file:///C:\DOCUME~1\GIGABY~1\LOCALS~1\Temp\msohtmlclip1\01\clip_image004.gif" v:shapes="_x0000_i1025" width="458" /><!--[endif]-->No</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 77.8pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Nama organ</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tanda-Tanda Vital</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 77.8pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 2.25in;" valign="top" width="216">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tn. M</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">TD : 120/90</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">N : 90 x/menit</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">RR : 20x/mnt</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">S : 37°C</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
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<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
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<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
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<br /></div>
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<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
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</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 2.0in;" valign="top" width="192">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Kepala:</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">a.Rambut</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">b. Mata</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">c. Hidung</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">d. Mulut </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">dan gigi</span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">e. Leher</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Thorax</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">a. Paru</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Abdomen</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
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<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ekstremitas</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Integumen</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 2.25in;" valign="top" width="216">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Lurus, hitam, pendek, halus, bersih</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Simetris, konjungtiva ananemis, pupil isokor, sclera anikterik</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Lubang hidung simetris, tidak ada secret, tidak ada lesi</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Bibir lembab, bibir hitam</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Gigi sedikit kuning, gigi berlubang.</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Warna coklat, tidak ada pembesaran kelenjar tyroid, tidak ada
distensi vena jugularis</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> Bentuk dada simetris, ekspansi dada simetris</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Warna kulit coklat, tidak ada acites, dinding perut lebih rendah
dari dinding dada</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Anggota gerak lengkap, Tidak ada luka/bekas luka, tidak ada
edema pada ekstremitas atas dan bawah, kekuatan otot</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"><!--[if gte vml 1]><v:shape id="_x0000_i1026" type="#_x0000_t75"
alt="" style='width:1.5pt;height:31.5pt'/><![endif]--><!--[if !vml]--><img border="0" height="42" src="file:///C:\DOCUME~1\GIGABY~1\LOCALS~1\Temp\msohtmlclip1\01\clip_image005.gif" v:shapes="_x0000_i1026" width="2" /><!--[endif]--> 5 </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">5</span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"><!--[if gte vml 1]><v:shape id="_x0000_i1027" type="#_x0000_t75"
alt="" style='width:36.75pt;height:1.5pt'/><![endif]--><!--[if !vml]--><img border="0" height="2" src="file:///C:\DOCUME~1\GIGABY~1\LOCALS~1\Temp\msohtmlclip1\01\clip_image006.gif" v:shapes="_x0000_i1027" width="49" /><!--[endif]--> 5 </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">5</span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Warna Kulit coklat, sedikit kering,</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: 8.65pt; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">VIII.
ANALISA DATA<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 464px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.5pt;" width="234">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DATA</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 97.25pt;" width="130">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">MASALAH KESEHATAN</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 129.65pt;" width="173">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">MASALAH KEPERAWATAN</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 55.75pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 55.75pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.5pt;" valign="top" width="234">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DS : pasien mengatakan
merokok</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Pasien mengatakan sering
sakit gigi</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DO : bibir hitam, gigi
kekuningan, gigi berlubang</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 55.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 97.25pt;" valign="top" width="130">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
mengenal masalah kesehatan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 55.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 129.65pt;" valign="top" width="173">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perilaku hidup tidak sehat<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 62.5pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 62.5pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.5pt;" valign="top" width="234">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DS</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">: Pasien mengatakan terdapat tangga yang cukup tinggi</span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DO : Tangga tinggi dan tidak terdapat pegangan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 62.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 97.25pt;" valign="top" width="130">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 62.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 129.65pt;" valign="top" width="173">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Risiko Jatuh</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 44.5pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 44.5pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 175.5pt;" valign="top" width="234">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DS</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> <span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">: </span> <span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;">Pasien mengatakan tidak
mempunyai kebiasaan berolahraga</span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -28.05pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">DO : -</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 44.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 97.25pt;" valign="top" width="130">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 44.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 129.65pt;" valign="top" width="173">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Gaya hidup kurang gerak<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">IX. SKORING<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: 12.0pt; text-align: justify; vertical-align: baseline;">
<span style="font-family: "Trebuchet MS","sans-serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Trebuchet MS","sans-serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Trebuchet MS","sans-serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> Perilaku hidup tidak sehat berhubungan
dengan ketidaksanggupan mengenal masalah kesehatan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "Trebuchet MS","sans-serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Trebuchet MS","sans-serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Trebuchet MS","sans-serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZycBpmxESrO3-YolLILW335wHsZydEN49pi0hYBeuboCTB4p8xIzhOYoZstT2kww1M-IQTGx4I-XXp_W6nzd0EoqKHpGehj7ako5XpnfLYm73t6y-Zt_tdMXxfqeToWwxHCjssgR-V9_h/s1600/ta.JPG"><span style="color: #0d86cc; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes; text-decoration: none; text-underline: none;"><!--[if gte vml 1]><v:shape
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<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<i><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span></i><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2. Risiko jatuh berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLIVtptMbM0RykpGMLXgvJsVues1p-Dwz_CRB6lNtBfgKBRxgHQhKKX_1qFs9G8rEpFkkFAtXqZJdmd6njxT34BRwiVgbW0Inyfg-k_CWJXrMxQi6QH0D_4qoQrLg23PnW-pu0f8S-HYjR/s1600/ta1.JPG"><span style="color: #0d86cc; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes; text-decoration: none; text-underline: none;"><!--[if gte vml 1]><v:shape
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<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3. Gaya hidup kurang gerak berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; mso-border-alt: none windowtext 0in; padding: 0in;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijpvYzV44r42UwrRT1B-wg23yjATngCdvLKfKsFIBAl_5syb9Uzpm-9_LkfK3-znXw84iGJS9lIEcfEkVbejv2GBGntHRoOyCQ3LP0-6w2KvWjhzpaFj2XBbuCtDYAF2GUiYQmv2So_j-R/s1600/ta2.JPG"><span style="color: #0d86cc; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes; text-decoration: none; text-underline: none;"><!--[if gte vml 1]><v:shape
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<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">X.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">PRIORITAS MASALAH<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Perilaku
hidup tidak sehat berhubungan dengan ketidaksanggupan mengenal masalah
kesehatan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Risiko
jatuh berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan pribadi
anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Gaya
hidup kurang gerak berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">XI. DIAGNOSA KEPERAWATAN<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Perilaku
hidup tidak sehat berhubungan dengan ketidaksanggupan mengenal masalah
kesehatan.</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Risiko
jatuh berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Gaya
hidup kurang gerak berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; text-indent: -.5in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">XII.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">RENCANA ASUHAN KEPERAWATAN KELUARGA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 21.6pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: 8.65pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 465px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; page-break-inside: avoid;">
<td rowspan="2" style="border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 112.5pt;" valign="top" width="150">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Diagnosa Keperawatan Keluarga</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Tujuan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174">
<div class="MsoNormal">
<i><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Intervensi</span></i><b><i><span style="font-family: "Open Sans","serif"; font-size: 10.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></i></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; page-break-inside: avoid;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Umum</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Khusus</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 71.5pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 71.5pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 112.5pt;" valign="top" width="150">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Perilaku hidup tidak sehat
berhubungan dengan ketidaksanggupan mengenal masalah kesehatan.</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Risiko jatuh berhubungan dengan</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Setelah dilakukan pertemuan selama 1x 45 menit, klien
dapat mengenal masalah kesehatan yang dialami<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Setelah dilakukan pertemuan selama 1x30 hari, masalah</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga dapat teratasi</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pasien mengetahui
bahaya merokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pasien (Tn.M) mau
mengurangi konsumsi rokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pasien dapat
mengetahui tentang zat zat berbahaya dalam rokok<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Klien mau membuat
pegangan pada tangga<o:p></o:p></span></div>
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<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tidak ada anggota
keluarga yang jatuh akibat tidak adanya pegangan pada tangga<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Klien mampu
mencegah lantai tangga licin<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji gaya hidup
klien<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan edukasi
mengenai bahaya merokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan informasi
mengenai zat zat berbahaya yang terkandung dalam rokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bantu pasien untuk
mengurangi konsumsi rokok secara bertahap<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -0.25in; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan pasien
mengganti kebiasaaan merokok dengan mengkonsumsi permen<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji lingkungan
rumah klien<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji kondisi rumah
klien<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kaji factor
penyebab lantai tangga menjadi licin<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan informasi
mengenai bahaya tangga tidak ada pegangannya<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Beri informasi
mengenai kemungkinan cedera fisik karena jatuh akibat tangga yang tidak
memiliki pegangan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">6.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan informasi
mengenai penataan lingkungan rumah yang baik<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">7.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Diskusikan dengan
keluarga mengenai peletakan perabotan yang baik<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -17.1pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">8.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan klien
untuk membuat pegangan pada tangga.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 71.5pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 71.5pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 112.5pt;" valign="top" width="150">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Gaya hidup kurang gerak berhubungan dengan</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Setelah dilakukan tindakan keperawatan selama 1x45 menit,
masalah</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan keluarga dalam melaksanakan
tugas-tugas kesehatan & keperawatan ( tidak olahraga) dapat teratasi</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Klien mau
berolahraga paling sedikit 1x seminggu<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Klien mengetahui
manfaat olahraga<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">6.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Klien mengetahi
akibat jarang olahraga<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">1.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan pendidikan
kesehatan mengenai manfaat olahraga.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">2.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan klien
untuk berolahraga minimal 1x seminggu<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">3.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Berikan informasi
akibat tidak melakukan olahraga<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">4.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan pasien
untuk lari-lari kecil setiap pagi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.5pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">5.</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Motivasi klien
untuk berolahraga<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: 8.65pt; text-align: justify; text-indent: -.5in; vertical-align: baseline;">
<b><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">XIII.</span></b><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">IMPLEMENTASI</span></b><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 442px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tgl<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" valign="top" width="54">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">No.
Dx<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Diagnosa<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">TTD<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 162.4pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 162.4pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9
Juni 2012<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 162.4pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" valign="top" width="54">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 162.4pt; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Perilaku hidup tidak sehat berhubungan dengan ketidaksanggupan
mengenal masalah kesehatan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 162.4pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.45pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan edukasi mengenai bahaya merokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.45pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan informasi mengenai zat zat berbahaya yang
terkandung dalam rokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.45pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Membantu pasien untuk mengurangi konsumsi rokok secara
bertahap<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -13.45pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menganjurkan pasien mengganti kebiasaaan merokok dengan
mengkonsumsi permen<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 162.4pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60"></td>
</tr>
<tr style="height: 220.0pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 220.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10 Juni 2012<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 220.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" valign="top" width="54">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 220.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Risiko jatuh berhubungan dengan</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 220.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -16.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
informasi mengenai bahaya tangga tidak ada pegangannya<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -16.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberi informasi
mengenai kemungkinan cedera fisik karena jatuh akibat tangga yang tidak
memiliki pegangan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -16.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
informasi mengenai penataan lingkungan rumah yang baik<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -16.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mendiskusikan
dengan keluarga mengenai peletakan perabotan yang baik<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -16.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menganjurkan klien
untuk membuat pegangan pada tangga.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 220.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60"></td>
</tr>
<tr style="height: 161.5pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 161.5pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">11 Juni 2012<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 161.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" valign="top" width="54">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 161.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Gaya hidup kurang gerak berhubungan dengan</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 161.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -15.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
pendidikan kesehatan mengenai manfaat olahraga.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -15.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menganjurkan klien
untuk berolahraga minimal 1x seminggu<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -15.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memberikan
informasi akibat tidak melakukan olahraga<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -15.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Menganjurkan pasien
untuk lari-lari kecil setiap pagi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -15.85pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Memotivasi klien
untuk berolahraga<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 161.5pt; padding: 0in 5.4pt 0in 5.4pt; width: 45.0pt;" valign="top" width="60"></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.65pt; margin-bottom: 8.65pt; text-align: justify; text-indent: -.5in; vertical-align: baseline;">
<b><span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">XIV.</span></b><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">EVALUASI</span></b><span style="font-family: "inherit","serif"; font-size: 8.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 452px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">No<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tgl<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Diagnosa<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Evaluasi<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
<div class="MsoNormal" style="margin-bottom: 11.5pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">12-6-12<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Perilaku hidup tidak sehat berhubungan dengan ketidaksanggupan
mengenal masalah kesehatan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">S : Pasien mengatakan akan mulai mengurangi konsumsi rokok<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A : Masalah teratasi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">P : pertahankan kondisi<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2<o:p></o:p></span></div>
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">12-6-12<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Risiko jatuh berhubungan dengan</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Ketidaksanggupan
memelihara lingkungan rumah yg dpt mempengaruhi kesehatan dan perkembangan
pribadi anggota keluarga</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">S : Pasien mengatakan akan membuat pegangan pada tangga
dan menata perabotan dengan baik.<o:p></o:p></span></div>
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A : Masalah teratasi sebagian<o:p></o:p></span></div>
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">P : Pertahankan kondisi<o:p></o:p></span></div>
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">3<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: .75in;" valign="top" width="72">
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">12-6-12<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198">
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<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">Gaya hidup kurang gerak berhubungan dengan</span><span lang="EN-GB" style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">ketidakmampuan
keluarga dalam melaksanakan tugas-tugas kesehatan & keperawatan ( tidak
olahraga)</span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">S : Pasien mengatakan sudah memahami tentang manfaat
olahraga.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; vertical-align: baseline;">
<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A : Masalah teratasi sebagian<o:p></o:p></span></div>
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<span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">P : Lanjutkan intervensi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: -12.6pt; vertical-align: baseline;">
<span style="border: none windowtext 1.0pt; font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;">·</span><span style="border: none windowtext 1.0pt; font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-border-alt: none windowtext 0in; mso-fareast-font-family: "Times New Roman"; padding: 0in;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "inherit","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Anjurkan pasien untuk lari-lari kecil setiap pagi<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-11370900929334986472013-06-06T03:15:00.000-07:002013-06-06T03:15:05.060-07:00ENDOMETRIOSIS<strong style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px;"> </strong><strong style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px;">Definisi</strong><br />
<div class="entry-content" style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; min-height: 20px; padding: 30px 15px 10px;">
<div style="margin: 0px; padding: 0px;">
<span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Endometriosis</span> adalah suatu keadaan dimana jaringan endometrium yang masih berfungsi terdapat cavum uteri</div>
<div style="margin: 0px; padding: 0px;">
Endometriosis adalah suatu penyakit dimana bercak-bercak jaringan <em>endometrium</em> tumbuh di luar rahim, padahal dalam keadaan normal endometrium hanya ditemukan di dalam lapisan rahim.<a name='more'></a></div>
<div style="margin: 0px; padding: 0px;">
Endometriosis dikatakan terkait dengan <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">estrogen</span> sebab perkembangan dan simptom yang ditimbulkan akan hilang seiring datangnya menopouse, oleh karena itu perawatan paling umum bagi penderita radang ini adalah penggunaan terapi hormonal yang menginduksi kondisi hipoestrogenik. Estrogen merupakan kelompok hormon steroid yang disekresi ovarium setelah distimulasi oleh FSH dan/atau LH yang disekresi oleh kelenjar hipofise. Lebih lanjut sekresi FSH dan LH dihambat oleh hormon GnRH yang disekresi oleh Hipotalamus.</div>
<div style="margin: 0px; padding: 0px;">
Biasanya endometriosis terbatas pada lapisan rongga perut atau permukaan organ perut. Endometrium yang salah <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tempat</span> ini biasanya melekat pada ovarium dan <a href="http://id.wikipedia.org/w/index.php?title=Ligamen&action=edit&redlink=1" style="color: #b58a00; text-decoration: none;" title="Ligamen (halaman belum tersedia)">l</a>igamentum penyokong rahim. Endometrium juga bisa melekat pada lapisan luar usus halus dan colon, Vesika urinaria, ureter,vagina, vulva, serviks, kelenjar limfe, umbilikus, luka lapataromi.</div>
<div style="margin: 0px; padding: 0px;">
Endometriosis bisa diturunkan dan lebih sering ditemukan pada keturunan pertama (ibu, anak perempuan, saudara perempuan). <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Faktor</span> lain yang meningkatkan risiko terjadinya endometriosisadalah memiliki rahim yang abnormal, melahirkan pertama kali pada usia di atas 30 tahun dan kulit putih.</div>
<div style="margin: 0px; padding: 0px;">
Endometriosis diperkirakan terjadi pada 10-15% wanita subur yang berusia 25-44 tahun, 25-50% wanita mandul dan bisa juga terjadi pada usia remaja. Endometriosis yang berat bisa menyebabkan madul karena menghalangi jalannya ovarium ke rahim. Insiden endometriosis sulit dipastikan, karena pada banyak kejadian kejadian ini baru ditemukan pada laparoskopi ketika pasien mengeluh infertilitas atau nyeri abdomen yang samar-samar.</div>
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<strong style="font-style: inherit;">b. </strong><strong style="font-style: inherit;">Etiologi</strong></div>
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Penyebabnya tidak diketahui, tetapi beberapa ahli mengemukakan teori berikut:</div>
<ol start="1" style="margin: 0px 0px 10px 15px; padding: 0px;">
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Teori menstruasi regurgitasi trans tubal ( sampson ).</li>
</ol>
<div style="margin: 0px; padding: 0px;">
Sel-sel endometrium yang dilepaskan pada saat menstruasi bergerak mundur ketuba uterina lalu masukkedalam panggul atau perut dan tumbuh di dalam rongga panggul/perut.</div>
<ol start="2" style="margin: 0px 0px 10px 15px; padding: 0px;">
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Teori Celomic Metaplasia <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Doctrine</span></li>
</ol>
<div style="margin: 0px; padding: 0px;">
Secara embriologis epitel germinal dan peritoneum pelvis berasal dari epitel coelom. Oleh karena suatu <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">perubahan</span> yang abnormal jaringan-jaringan tersebut berubah menjadi jaringan yang menyerupai endometrium.</div>
<ol start="3" style="margin: 0px 0px 10px 15px; padding: 0px;">
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Teori Dissminasi Limfatik</li>
</ol>
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Jaringan endometrium masuk kedalam sistem limfatik dari uterus pada waktu haid, kemudian menyebar ke daerah panggul</div>
<div style="margin: 0px; padding: 0px;">
4. Hematogen</div>
<div style="margin: 0px; padding: 0px;">
Untuk keadaan endometriosis masuk kedalam sistem limfatik yang tidak dapat diterangkan dengan teori-teori yang sebelumnya.</div>
<div style="margin: 0px; padding: 0px;">
Setiap bulan ovarium menghasilkan hormon yang merangsang sel-sel pada lapisan rahim untukmembengkak dan menebal (sebagai persiapan terhadap kemungkinan terjadinya kehamilan). Endometriosisjuga <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">memberikan</span> respon yang sama terhadap sinyal ini, tetapi mereka tidak mampumemisahkan dirinya dari jaringan dan terlepas selama menstruasi. Kadang terjadi perdarahan ringantetapi akan segera membaik dan kembali dirangsang pada siklus menstruasi berikutnya.</div>
<div style="margin: 0px; padding: 0px;">
<span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Proses</span> yang berlangsung terus menerus ini menyebabkan pembentukan jaringan parut danperlengketan di dalam tuba dan ovarium, serta di sekitar fimbrie tuba. Perlengketan ini bisamenyebabkan pelepasan sel telur dari ovarium kedalam tuba falopii terganggu atau tidak terlaksana.Selain itu, perlengketan juga bisa menyebabkan terhalangnya perjalanan sel telur yang telah dibuahimenuju ke rahim.</div>
<div style="margin: 0px; padding: 0px;">
Resiko tinggi terjadinya endometriosis ditemukan pada:</div>
<div style="margin: 0px; padding: 0px;">
- Wanita yang ibu atau saudara perempuannya menderita endometriosis</div>
<div style="margin: 0px; padding: 0px;">
- Siklus menstuasi 27 hari atau kurang</div>
<div style="margin: 0px; padding: 0px;">
- <em>Menarche</em> (menstruasi yang pertama) terjadi lebih awal</div>
<div style="margin: 0px; padding: 0px;">
- Menstruasi berlangsung selama 7 hari atau lebih</div>
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</div>
<div style="margin: 0px; padding: 0px;">
<strong style="font-style: inherit;">c. </strong><strong style="font-style: inherit;">Patofisiologi</strong></div>
<div style="margin: 0px; padding: 0px;">
Dimanapun lokasinya, endometrium ektopik, dikelilingi stroma, mengadakan implantasi dan membentuk kista kecil, yang berespon terhadap sekresi estrogen dan progesteron secara siklik, sama yang terjadi didalam endometrium uteri. Selama menstruasi terjadi perdarahan didalam kista. Darah, jaringan endometrium dan cairan jaringan terperangkap dalam kista tersebut. Pada siklus berikutnya, cairan jaringan dan plasma darah diabsorpsi sehingga meninggalkan darah kental berwarna gelap.</div>
<div style="margin: 0px; padding: 0px;">
Siklus ini terjadi berulang setiap bulan dan lambat laun kista membesar berisikan darah kental berwarna coklat seperti ter. Ukuran maksimal kista bervariasi menurut tempat lokasinya. Kista kecil mungkin tetap kecil atau diserang makrofag dan menjadi lesi fibrotik kecil. Kista ovarium (endometriomata) cenderung lebih besar daripada kista yang lain namun tidak akan lebih besar dari ukuran jeruk sedang. Ketika kista tumbuh, tekanan internal mungkin merusak dinding endometrium yang aktif, sehingga kista tidak berfungsi lagi.</div>
<div style="margin: 0px; padding: 0px;">
</div>
<div style="margin: 0px; padding: 0px;">
<strong style="font-style: inherit;">d. </strong><strong style="font-style: inherit;">Tanda dan gejala</strong></div>
<div style="margin: 0px; padding: 0px;">
o Nyeri di perut bagian bawah dan di daerah panggul</div>
<div style="margin: 0px; padding: 0px;">
Nyeri kram abdomen bawah yang khas mulai pada premenstruasi, mencapai puncak beberapa hari terakhir menstruasi dan lambat laun menghilang. Gejala ini sering disebut sebagai ‘dismenore didapat’. Jika kista endometriumnya besar dan terdapat perlengketan , atau jika lesinya melibatkan peritonium usus, keluhan dapat berupa nyeri abdomen bawah atu pelvis yang konstan dengan intensitas yang berbeda-beda.</div>
<div style="margin: 0px; padding: 0px;">
o Gangguan menstruasi</div>
<div style="margin: 0px; padding: 0px;">
Menstruasi tidak teratur terdapat pada 60% wanita penderita. Pasien mungkin mengeluhkan ‘bercak merah’ atau spooting premenstruasi, perdarahan menstruasi dalam jumlah banyak (menoragia), atau frekuensi menstruasi yang lebih sering.</div>
<div style="margin: 0px; padding: 0px;">
o Kemandulan</div>
<div style="margin: 0px; padding: 0px;">
Kelainan ini apakah bisa menyebabkan infertil masih diperdebatkan, kecuali lesinya sangat berat dan menimbulkan distorsi anatomi. Endometriosis biasnya tidak diduga sampai dilakukan laparoskopi untuk menyelidiki infertilitas. Endometriosis ringan yang disertai dengan infertilitas diobati dengan hormon oleh beberapa spesialis, tetapi tidak oleh spesialis lain. Pada tahun 1992 beberapa ahli dari Eropa menyimpulkan tidak ada data yang dapat dipercaya dan mendukung pengobatan endometriosis ringan dengan obat-obatan.</div>
<div style="margin: 0px; padding: 0px;">
o <em>Dispareunia</em> (nyeri ketika melakukan hubungan seksual).</div>
<div style="margin: 0px; padding: 0px;">
Jika lesi endometrium mengenai cul de sac, terutama jika uterusnya retroversi dan terfiksir karena perlengketan, pasien dapat mengeluh dispareunia dalam penetrasi penis yang dalam.</div>
<div style="margin: 0px; padding: 0px;">
o Sakit ketika buang air besar</div>
<div style="margin: 0px; padding: 0px;">
Sakit ketika defekasi terjadi <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">bila</span> lesi kista mengenai peritoneum usus.</div>
<div style="margin: 0px; padding: 0px;">
</div>
<div style="margin: 0px; padding: 0px;">
Jaringan endometrium yang melekat pada usus besar atau kandung kemih bisa menyebabkan pembengkakan perut, nyeri ketika buang air besar, perdarahan melalui rektum selama menstruasi atau nyeri perut bagian bawah ketika berkemih.<br />Jaringan endometrium yang melekat pada ovarium atau struktur di sekitar ovarium bisa membentuk massa yang terisi darah (<em>endometrioma</em>).<br />Kadang endometrioma pecah dan menyebabkan nyeri perut tajam yang timbul secara tiba-tiba.<br />.<strong style="font-style: inherit;">e. </strong><strong style="font-style: inherit;">Diagnosis</strong><div style="margin-bottom: 18px; padding: 0px;">
</div>
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Diagnosis biasanya dibuat berdasarkan anamnesa dan pemeriksaan fisik, dipastikan dengan laparoskopi. Kuldoskopi kurang bermanfaat terutama jika Cavum Doglas ikut serta dalamEndometriosis. Pada endometriosis yang ditemukan pada lokasi seperti forniks vaginae <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">posterior</span>, perineum, parut laparotomi, dan sebagainya, biopsi dapat memberi kepastian mengenai dignosis. Pemeriksaan laboratorium pada endometriosis tidak memberi tanda yang khas, hanya apabila ada darah dalam tinja atau ada darah dalam air kencing pada waktu haid dapat menjadi petunjuk tentang adanya endometriosis pada rektosigmoid atau kandung kencing. Sigmoidoskopi dan sistoskopi dapat memperhatikan perdarahan pada waktu haid. Pembuatan <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">foto</span> rontgen dengan memasukan barium pada kolom dapat memberi gambaran dengan filling defect pada rectosigmoid dengan batas – batas yang jelas dan mukosa yang utuh. Laparoskopi merupakan pemeriksaan yang sangat berguna untuk membedakan endometriosis dari kelainan di pelvis. Untuk menentukan berat ringan endometriosis digunakan klasifikasi dari <em>American Fertility Society.</em><em></em></div>
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<strong style="font-style: inherit;">f. </strong><strong style="font-style: inherit;">Pencegahan</strong></div>
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Meigs berpendapat bahwa kehamilan adalah salah satu pencegahan yang dapat dilakukan untuk mencegah endometriosis. Gejala endometriosis memang berkurang atau hilang pada waktu dan sesudah kehamilan karena regresi endometrium dalam sarang – sarang endometriosis. Oleh karena itu perkawinan disarankan untuk dilakukan segera dan segera merencanakan kehamilan dalam waktu yang diinginkan tanpa menunda – nunda. Sikap demikian bukan hanya profilaksis yang baik terhadap endometriosis tetapi juga mencegah infertilitas sesudah endometriosis timbul. Selain itu jangan melakukan pemeriksaan yang kasar atau melakukan kerokan pada waktu haid karena akan menyebabkan mengalirnya darah haid dari uterus ke rongga panggul.</div>
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<strong style="font-style: inherit;">g. </strong><strong style="font-style: inherit;">Penatalaksanaan secara medis</strong></div>
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Penatalaksanaan endometriosis</div>
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Ciri-ciri stadium</div>
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diagnosis</div>
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pengobatan</div>
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I minimal dan II ringan: Nodul-nodul kecil pada bagian permukaan tanpa jaringan parut atau perlengketan perituba</div>
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Hanya dengan laparoskopi pada pemeriksaan infertilitas</div>
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Paling sering dilakukan elektokauter atau laser CO2 terhadap lesi</div>
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Jangan memberika hormon</div>
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III sedang :</div>
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Lesi kecil yang tersebar dipermukaan dengan jaringan parut , sedikit perlengketan</div>
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Sering bergejala tetapi diperlukan konfirmasi dengan laparoskopi</div>
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Elektrokauter</div>
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Hormon</div>
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Pembedahan konservatif jika pengobatan hormon tidak berhasil</div>
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IV berat :</div>
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Endometriomata ovarium > 2.5 cm, perlengketan yang nyata pada ovarium</div>
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Didapati gejala dan tanda dan dikonfirmasi dengan laparoskopi</div>
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Pembedahan konservatif</div>
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Hormon</div>
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Histerektomi san salfingo-ooforektoomi</div>
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V sangat berat :</div>
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Stadium III plus keterlibatan usus, bladder dan lain-lain</div>
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Laparotomi</div>
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Barium enema</div>
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IVP</div>
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Pembedahan</div>
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Hormon, jika pembedahan tidak sempurna</div>
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<strong style="font-style: inherit;">Pembedahan secara medis</strong></div>
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Pada endometriosis sedang atau berat mungkin perlu dilakukan pembedahan. Endometriosis diangkat sebanyak mungkin, yang sering kali dilakukan pada prosedur laparoskopi. Pembedahanbiasanya dilakukan pada kasus berikut:</div>
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· Bercak jaringan endometrium memiliki garis tengah yang lebih besar dari 3,8-5 cm</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Perlengketan yang berarti di perut bagian bawah atau panggul</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Jaringan endometrium menyumbat salah satu atau kedua tuba</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Jaringan endometrium menyebabkan nyeri perut atau panggul yang sangat hebat, yang tidak dapat diatasidengan obat-obatan.</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Untuk membuang jaringan endometrium kadang digunakan elektrokauter atau sinar laser. Tetapipembedahan hanya merupakan tindakan sementara, karena endometriosis sering berulang.</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Ovarektomi dan histerektomi hanya dilakukan jika nyeri perutatau panggul tidak dapat dihilangkan dengan obat-obatan dan penderita tidak ada rencana untuk hamil lagi.</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Setelah pembedahan, diberikan terapi sulih esterogen. Terapi bisa dimulai segera setelah pembedahan ataujika jaringan endometrium yang tersisa masih banyak, maka terapi baru dilakukan 4-6 bulan setelahpembedahan.</li>
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<strong style="font-style: inherit;">Pilihan</strong><strong style="font-style: inherit;"> </strong><strong style="font-style: inherit;">pengobatan</strong></div>
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<strong style="font-style: inherit;">Obat-obatan yang biasa</strong><strong style="font-style: inherit;"> </strong><strong style="font-style: inherit;">digunakan</strong><strong style="font-style: inherit;"> </strong><strong style="font-style: inherit;">untuk</strong><strong style="font-style: inherit;"> </strong><strong style="font-style: inherit;">mengobati endometriosis</strong></div>
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Obat</div>
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Efeksamping</div>
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Kontrasepsi oral nonsiklik</div>
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Pembengkakan perut, nyeri payudara, peningkatan nafsu makan, pembengkakanpergelangan kaki, mual, perdarahan diantara 2 siklus menstruasi, trombosis vena dalam</div>
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Progestin</div>
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Perdarahan diantara 2 siklus menstruasi, perubahan suasana hati, depresi, vaginitis atrofika</div>
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Danazole</div>
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Penambahan berat badan, suara lebih berat, pertumbuhan rambut, hot flashes, vagina kering, pembengkakan pergelangan kaki, kram otot, perdarahan diantara 2 siklus, payudara mengecil, perubahan suasana hati, kelainan fungsi hati, sindromaterowongan karpal</div>
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AgonisGnRH</div>
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Hot flashes, vagina kering, pengeroposan tulang, perubahan suasana hati</div>
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Terapi hormon dan laparoskopi tidak dapat menyembuhkan endometriosis. Namun, perawatanini dapat membantu meringankan beberapa atau semua gejala pada banyak wanita selama bertahun-tahun. Pengangkatan rahim (uterus), saluran telur, dan kedua ovarium (histerektomi) memberikankesempatan terbaik untuk penyembuhan.</div>
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<strong style="font-style: inherit;">Radiasi</strong></div>
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Pengobatan ini yang bertujuan untuk menghentikan fungsi ovarium tidak dilakukan lagi, kecualiada kontraindikasi terhadap pembedahan.</div>
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Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-39358765014454402332013-06-06T03:13:00.002-07:002013-06-06T03:13:47.206-07:00SOLUSIO PLASENTA<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
<strong style="font-style: inherit;">DEFINISI</strong></div>
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<strong style="font-style: inherit;">Solusio Plasenta</strong> atau pelepasan prematur plasenta, ablasio plasenta, atau perdarahan aksidental didefinisikan sebagai pelepasan plasenta <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">dari</span> <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tempat</span> implantasi normal sebelum kelahiran janin. Terjadi pada 1:86 sampai 1:206 kehamilan lanjut, tergantung kriteria diagnosis yang digunakan dan menyebabkan kira-kira 30% dari semua perdarahan antepartum lanjut. Sekitar 50% solusio terjadi sebelum persalinan <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tetapi</span> 10%-15% tidak terdiagnosis sebelum kala dua persalinan.</div>
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<strong style="font-style: inherit;">ETIOLOGI</strong><br />Penyebab pasti lepasnya plasenta biasanya tidak diketahui meskipun ada sejumlah asosiasi umum. Adanya riwayat pelepasan prematur plasenta sebelumnya mempunyai angka kekambuhan 10%-47%; setelah dua kali pelepasan prematur sebelumnya, insidennya menjadi >20%. Kehamilan dengan hipertensi mempunyai insiden solusio plasenta sebesar 2,5%4-7,9%. Namun, dari kasus-kasus yang cukup berat untuk menyebabkan kematian janin, kira-kira 50% terkait dengan hipertensi dalam kehamilan (separuh terkait dengan hipertensi kronis dan separuh terkait dengan hipertensi dipicu kehamilan). Predisposisi pelepasan plasenta lainnya yang sering adalah merokok, peregangan uterus berlebihan(misalnya kehamilan multipel,hidramnion),penyakit vaskular (misal, diabetes melitus, kelainan kolagen), anemia hemolitik mikroangiopati dan anomali atau tumor uterus. Terdapat penyebab yang memicu langsung (hanya pada 1%-5%) terjadinya solusio plasenta, yaitu plasenta sirkumvalata, trauma uterus langsung (misal, versi luar, kecelakaan mobil dan kecclakaan lainnya), pengurangan mendadak cairan amnion atau tali pusat yang pendek.</div>
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Penyebab primer belum diketahui pasti, namun ada beberapa <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">faktor</span> yang menjadi predisposisi</div>
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1. Faktor kardio-reno-vaskuler</div>
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Glomerulonefritis kronik, hipertensi essensial, sindroma preeklamsia dan eklamsia. Pada penelitian di Parkland, ditemukan bahwa terdapat hipertensi pada separuh kasus solusio plasenta berat, dan separuh dari <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">wanita</span> yang hipertensi tersebut mempunyai penyakit hipertensi kronik, sisanya hipertensi yang disebabkan oleh kehamilan</div>
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2. Faktor trauma</div>
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a. Dekompresi uterus pada hidroamnion dan gemeli.</div>
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b. Tarikan pada tali pusat yang pendek akibat pergerakan janin yang banyak/bebas, versi luar atau tindakan pertolongan persalinan</div>
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c. Trauma langsung, seperti jatuh, kena tendang, dan <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">lain</span>-lain.</div>
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3. Faktor paritas ibu</div>
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Lebih banyak dijumpai pada multipara dari pada primipara. Beberapa penelitian menerangkan bahwa makin tinggi paritas ibu makin kurang baik keadaan endometrium</div>
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4. Faktor usia ibu</div>
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Makin tua umur ibu, makin tinggi frekuensi hipertensi menahun.</div>
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5. Leiomioma uteri (<em>uterine leiomyoma</em>) yang hamil dapat menyebabkan solusio plasenta apabila plasenta berimplantasi di atas bagian yang mengandung leiomioma</div>
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6. Faktor pengunaan kokain</div>
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Penggunaan kokain mengakibatkan peninggian tekanan darah dan peningkatan pelepasan katekolamin yang bertanggung jawab atas terjadinya <em>vasospasme</em> pembuluh darah uterus dan berakibat terlepasnya plasenta. Namun, hipotesis ini belum terbukti secara definitif</div>
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7. Faktor kebiasaan merokok</div>
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Ibu yang perokok juga merupakan penyebab peningkatan kasus solusio plasenta sampai dengan 25% pada ibu yang merokok ≤ 1 (satu) bungkus per hari. Ini dapat diterangkan pada ibu yang perokok plasenta menjadi tipis, diameter lebih luas dan beberapa abnormalitas pada mikrosirkulasinya</div>
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8. Riwayat solusio plasenta sebelumnya</div>
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Hal yang sangat penting dan menentukan prognosis ibu dengan riwayat solusio plasenta adalah bahwa resiko berulangnya kejadian ini pada hamil berikutnya jauh lebih tinggi dibandingkan dengan ibu hamil yang tidak memiliki riwayat solusio plasenta</div>
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9. Pengaruh lain, seperti anemia, malnutrisi/defisiensi gizi, tekanan uterus pada vena cava inferior dikarenakan pembesaran ukuran uterus oleh adanya kehamilan, dan lain-lain<span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;">.</span></div>
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<strong style="font-style: inherit;">KLASIFIKASI</strong></div>
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a. Trijatmo Rachimhadhi membagi solusio plasenta menurut derajat pelepasan plasenta</div>
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1. Solusio plasenta totalis, plasenta terlepas seluruhnya.</div>
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2. Solusio plasenta partialis, plasenta terlepas sebagian.</div>
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3. Ruptura sinus marginalis, sebagian kecil pinggir plasenta yang terlepas.</div>
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b. Pritchard JA membagi solusio plasenta menurut bentuk perdarahan</div>
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1. Solusio plasenta dengan perdarahan keluar</div>
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2. Solusio plasenta dengan perdarahan tersembunyi, yang membentuk <em>hematoma retroplacenter</em></div>
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3. Solusio plasenta yang perdarahannya masuk ke dalam kantong amnion .</div>
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c. Cunningham dan Gasong masing-masing dalam bukunya mengklasifikasikan solusio plasenta menurut tingkat gejala klinisnya, yaitu:</div>
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1. Ringan : perdarahan <100-200 cc,uterus tidak tegang, belum ada <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tanda</span> renjatan, janin hidup,pelepasan plasenta <1/6 bagian permukaan,kadar fibrinogen plasma >150 mg%</div>
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2. Sedang : Perdarahan lebih 200 cc, uterus tegang, terdapat tanda pre renjatan, gawat janin atau janin telah <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">mati</span>, pelepasan plasenta 1/4-2/3 bagian permukaan, kadar fibrinogen plasma 120-150 mg%.</div>
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3. Berat : Uterus tegang dan berkontraksi tetanik, terdapat tanda renjatan, janin mati, pelepasan plasenta dapat terjadi lebih 2/3 bagian atau keseluruhan</div>
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<strong style="font-style: inherit;">GAMBARAN KLINIS</strong></div>
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1. Solusio plasenta ringan</div>
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Solusio plasenta ringan ini disebut juga <em>ruptura sinus marginalis</em>, dimana terdapat pelepasan sebagian kecil plasenta yang tidak berdarah banyak. Apabila terjadi perdarahan pervaginam, warnanya akan kehitam-hitaman dan sedikit sakit. Perut terasa agak sakit, atau terasa agak tegang yang sifatnya terus menerus. Walaupun demikian, bagian-bagian janin masih mudah diraba. Uterus yang agak tegang ini harus selalu diawasi, karena dapat <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">saja</span> menjadi semakin tegang karena perdarahan yang berlangsung.</div>
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2. Solusio plasenta sedang</div>
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Dalam hal ini plasenta terlepas lebih dari 1/4 bagian, tetapi belum 2/3 luas permukaan Tanda dan gejala dapat timbul perlahan-lahan seperti solusio plasenta ringan, tetapi dapat juga secara mendadak dengan gejala sakit perut terus menerus, yang tidak <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">lama</span> kemudian disusul dengan perdarahan pervaginam. Walaupun perdarahan pervaginam dapat sedikit, tetapi perdarahan sebenarnya mungkin telah mencapai 1000 ml. Ibu mungkin telah jatuh ke dalam syok, demikian pula janinnya yang <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">jika</span> masih hidup mungkin telah berada dalam keadaan gawat. Dinding uterus teraba tegang terus-menerus dan nyeri tekan sehingga bagian-bagian janin sukar untuk diraba.Jika janin masih hidup, bunyi jantung sukar didengar. Kelainan pembekuan darah dan kelainan ginjal mungkin telah terjadi,walaupun hal tersebut lebih sering terjadi pada solusio plasenta berat</div>
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3. Solusio plasenta berat</div>
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Plasenta telah terlepas lebih dari 2/3 permukaannnya. Terjadi sangat tiba-tiba. Biasanya ibu telah jatuh dalam keadaan syok dan janinnya telah meninggal. Uterus sangat tegang seperti papan dan sangat nyeri. Perdarahan pervaginam tampak tidak sesuai dengan keadaan syok ibu, terkadang perdarahan pervaginam mungkin saja belum sempat terjadi. Pada keadaan-keadaan di atas besar kemungkinan telah terjadi kelainan pada pembekuan darah dan kelainan/gangguan fungsi ginjal</div>
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<strong style="font-style: inherit;">DIAGNOSIS</strong></div>
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Tanda dan gejala bervariasi dan dapat diperkirakan berdasarkan besarnya masalah. Namun, gejala solusio plasenta yang umum adalah perdarahan per vaginam berwarna merah gelap (80%), iritabilitas uteri (dua pertiga) dan nyeri punggung atau perut bagian bawab (dua pertiga). Kesalahan diagnosis persalinan prematur kira-kira 20%. Gawat janin terdapat pada >50% kasus.</div>
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Karena adanya faktor-faktor pelindung pada ibu hamil yang sehat, mungkin sudah terjadi kehilangan darah akut yang cukup banyak sebelum terjadi anemia. Karena itu, pada solusio plasenta, jumlah perdarahan seringkali jauh melebihi derajat anemia. Apusan darah perifer mungkin menunjukkan skistosit (mendukung ke koagulasi intravaskular diseminata, DIC). Penurunan jumlah trombosit dan depresi fibrinogen umum terjadi pada kasus-kasus yang lebih berat. Pada DIC, akan ada peningkatan kadar produk pemecahan fibrin.</div>
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1. Anamnesis</div>
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- Perasaan sakit yang tiba-tiba di perut</div>
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- Perdarahan pervaginam yang sifatnya dapat hebat dan sekonyong-konyong<em>(non-recurrent) </em>terdiri dari darah segar dan bekuan-bekuan darah yang berwarna kehitaman</div>
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- Pergerakan anak mulai hebat kemudian terasa pelan dan akhirnya berhenti</div>
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- Kepala terasa pusing, lemas, muntah, pucat, mata berkunang-kunang.</div>
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- Kadang ibu dapat menceritakan trauma dan faktor kausal yang lain.</div>
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2. Inspeksi</div>
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- Pasien gelisah, sering mengerang karena kesakitan.</div>
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- Pucat, sianosis dan berkeringat dingin.</div>
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- Terlihat darah keluar pervaginam (tidak selalu).</div>
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3. Palpasi</div>
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- Tinggi fundus uteri (TFU) tidak sesuai dengan tuanya kehamilan</div>
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- Uterus tegang dan keras seperti papan yang disebut <em>uterus in bois (wooden uterus) </em>baik waktu his maupun di luar his.</div>
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- Nyeri tekan di tempat plasenta terlepas.</div>
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- Bagian-bagian janin sulit dikenali, karena perut (uterus) tegang.</div>
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4. Auskultasi</div>
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Sulit dilakukan karena uterus tegang, bila DJJ terdengar biasanya di atas 140, kemudian turun di bawah 100 dan akhirnya hilang bila plasenta yang terlepas lebih dari 1/3 bagian.</div>
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5. Pemeriksaan dalam</div>
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a. Serviks dapat telah terbuka atau masih tertutup.</div>
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b. Kalau sudah terbuka maka plasenta dapat teraba menonjol dan tegang</div>
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c. Apabila plasenta sudah pecah dan sudah terlepas seluruhnya, plasenta ini akan turun ke bawah dan teraba pada pemeriksaan, disebut <em>prolapsus placenta</em></div>
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6. Pemeriksaan umum</div>
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Tekanan darah semula mungkin tinggi karena pasien sebelumnya menderita penyakit vaskuler, tetapi akan turun dan pasien jatuh dalam keadaan syok. Nadi cepat dan kecil</div>
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7. Pemeriksaan laboratorium</div>
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a. Urin : Albumin (+), pada pemeriksaan sedimen dapat ditemukan silinder dan leukosit.</div>
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b. Darah : Hb menurun, periksa golongan darah, lakukan <em>cross-match test. </em>Karena pada solusio plasenta sering terjadi kelainan pembekuan darah hipofibrinogenemia</div>
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8. Pemeriksaan plasenta.</div>
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Plasenta biasanya tampak tipis dan cekung di bagian plasenta yang terlepas (kreater) dan terdapat koagulum atau darah beku yang biasanya menempel di belakang plasenta, yang disebut <em>hematoma retroplacenter</em>.</div>
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9. Pemeriksaaan Ultrasonografi (USG)</div>
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Pada pemeriksaan USG yang dapat ditemukan antara lain :Terlihat daerah terlepasnya plasenta, Janin dan kandung kemih ibu, Darah, Tepian plasenta</div>
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<strong style="font-style: inherit;">PATOLOGI DAN PATOFISIOLOGI</strong><br />Berbagai mekanisme patofisiologi yang terjadi pada solusio plasenta sudah diusulkan, termasuk trauma vaskular setempat yang menyebabkan gangguan pembuluh darah desidua basalis, peningkatan mendadak tekanan vena uteri yang menyebahkan pembesaran dan pemisahan ruang intervilosa, faktorfaktor mekanis (misal, tali pusat pendek, trauma, kehilangan mendadak cairan amnion) dan kemungkinan permulaan ekstrinsik kaskade koagulasi (misal, trauma dengan pelepasan tromboplastin jaringan).</div>
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Perdarahan dapat terjadi ke dalam desidua basalis atau langsung retroplasenta dari arteri spiralis yang ruptur. Pada kedua kasus ini terjadi perdarahan, terbentuk bekuan darah, dan permukaan plasenta tidak memungkinkan terjadinya pertukaran antara ibu dan placenta. Bekuan darah akan menekan plasenta yang berdekatan dan darah yang tidak membeku mengalir dari tempat tersebut. Pada perdarahan tersembunyi ataupun tampak (eksternal), darah dapat keluar melalui selaput ketuban atau plasenta. Keadaan ini memberikan makna penting karena mungkin menunjukkan perdarahan ibu-janin, perdarahan fetomaternal, perdarahan ibu ke dalam cairan amnion atau emboli cairan amnion.</div>
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Kadang-kadang perdarahan hebat dalam miometrium menyebabkan uterus berwarna keunguan, ekimotik dan berindurasi (apopleksi uteroplasenta, uterus Couvelaire) dan kehilangan kontraktilitas.</div>
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Pada pelepasan plasenta berat mungkin terjadi DIC. Secara klinis, diatesis perdarahan terdiri atas petekie meluas, perdarahan aktif, syok hipovolemik dan kegagalan mekanisme pembekuan darah. Meskipun tidak dapat diamati secara langsung, fibrin tertumpuk dalam kapiler kecil, menyebabkan komplikasi yang menakutkan, misalnya: nekrosis tubular dan korteks ginjal, kor pulmonale akut dan nekrosis hipofisis anterior (sindrom Sheehan).</div>
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<strong style="font-style: inherit;">DIAGNOSIS BANDING</strong><br />A. Penyebab perdarahan nonplasenta. Biasanya tidak nyeri. Ruptur uterus dapat menyebabkan perdarahan per vaginam tetapi, jika banyak, disertai dengan rasa nyeri, syok dan kematian janin.<br />B. Penyebab perdarahan plasenta. Plasenta previa disertai perdarahan tanpa rasa nyeri dan biasanya terdiagnosis dengan ultrasonografi.<br />C. Penyebab perdarahan yang tidak dapat ditentukan. Pada paling sedikit 20% kasus, penyehab perdarahan antepartum tidak dapat ditentukan. Namun, jika masalah-masalah serius dapat disingkirkan, perdarahan tidak terdiagnosis ini jarang berbahaya.</div>
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<strong style="font-style: inherit;">PENGOBATAN</strong></div>
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<strong style="font-style: inherit;"></strong>1) Solusio plasenta ringan</div>
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Bila usia hamil kurang dari 36 minggu dan bila ada perbaikan (perdarahan berhenti, perut tidak sakit, uterus tidak tegang, janin hidup) dengan tirah baring dan observasi ketat, kemudian tunggu partus spontan.Bila ada perburukan (perdarahan berlangsung terus, gejala solusio plasenta makin jelas, pada pemantauan dengan USG daerah solusio plasenta bertambah luas), maka kehamilan harus segera diakhiri. Bila janin hidup, lakukan seksio sesaria, bila janin mati lakukan amniotomi disusul infus oksitosin untuk mempercepat persalinan</div>
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2) Solusio plasenta sedang dan berat</div>
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Apabila tanda dan gejala klinis solusio plasenta jelas ditemukan, penanganan di rumah sakit meliputi transfusi darah, amniotomi, infus oksitosin dan jika perlu seksio sesaria</div>
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Apabila diagnosis solusio plasenta dapat ditegakkan berarti perdarahan telah terjadi sekurang-kurangnya 1000 ml. Maka transfusi darah harus segera diberikan. Amniotomi akan merangsang persalinan dan mengurangi tekanan intrauterin.</div>
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Dengan melakukan persalinan secepatnya dan transfusi darah dapat mencegah kelainan pembekuan darah. <a href="http://jurnalbidandiah.blogspot.com/2012/04/materi-asuhan-kebidanan-ii-persalinan.html" style="color: #b58a00; text-decoration: none;">Persalinan</a> diharapkan terjadi dalam 6 jam sejak berlangsungnya solusio plasenta. Tetapi jika tidak memungkinkan, walaupun sudah dilakukan amniotomi dan infus oksitosin, maka satu-satunya cara melakukan persalinan adalah seksio sesaria</div>
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Apoplexi uteroplacenta tidak merupakan indikasi histerektomi. Tetapi jika perdarahan tidak dapat dikendalikan setelah dilakukan seksio sesaria maka histerektomi perlu dilakukan</div>
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A. Tindakan darurat. Jika terjadi defisiensi, mekanisme pembekuan harus dipulihkan sebelum melakukan upaya apapun untuk melahirkan bayi. Berikan kriopresipitat, FFP atau darah segar. Berikan terapi anti syok. Pantau keadaan janin terus menerus.<br />Pecahkan selaput ketuban, jika mungkin, terlepas dari kemungkinan cara pelahiran yang akan dipakai.</div>
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B. Tindakan spesifik.<br />Derajat 1. Jika pasien tidak dalam persalinan, tindakan menunggu dengan pengawasan ketat merupakan indikasi, karna pada banyak kasus perdarahan akan berhenti secara spontan. Jika persalinan mulai terjadi, siapkan persalinan per vaginam jika tidak ada komplikasi lebih lanjut.<br />Derajat 2. Siapkan pelahiran per vaginam jika persalinan diperkirakan akan terjadi dalam waktu sekitar 6 jam, terutama jika janin mati. Seksio sesarea sebaiknya dilakukan jika terdapat bukti kuat adanya gawat janin dan bayi mungkin hidup.</div>
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Derajat 3. Pasien selalu dalam keadaan syok, janin sudah mati, uterus tetanik dan mungkin terdapat defek koagulasi. Setelah memperbaiki koagulopati, lahirkan per vaginam jika dapat dikerjakan dalam waktu sekitar 6 jam. Persalinan per vaginam tampaknya paling baik untuk pasien multipara. Jika tidak, kerjakan seksio sesarea.</div>
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<strong style="font-style: inherit;">Tindakan-Tindakan Bedah</strong><br />Seksio sesarea merupakan indikasi jika persalinan diperkirakan akan berlangsung lama (lebih dari 6 jam), jika perdarahan tidak memberi respons terhadap amniotomi dan pemberian oksitosin encer secara hati-hati, dan jika terjadi gawat janin dini (tidak berkepanjangan) dan janin mungkin hidup.<br />Histerektomi jarang diperlukan. Uterus Couvelaire sekalipun akan berkontraksi, dan perdarahan hampir akan selalu berhenti jika defek koagulasi sudah diperbaiki.</div>
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<strong style="font-style: inherit;">PROGNOSIS</strong><br />Angka kematian ibu di seluruh dunia akhir-akhir ini antara 0,5% dan 5%. Sebagian besar wanita meninggal karena perdarahan (segera atau tertunda), gagal jantung atau gagal ginjal. Diagnosis dini dan terapi yang tepat akan menurunkan angka kematian ibu sampai 0.3%-1%. Angka kematian janin berkisar 50% sampai 80%. Sekitar 30% janin dengan pelepasan prematur plasenta dilahirkan cukup bulan. Pada hampir 20% pasien dengan solusio plasenta tidak didapati adanya denyut jantung janin ketika dibawa ke rumah sakit, dan pada 20% lainnya akan segera terlihat adanya gawat janin. Jika diperlukan transfusi ibu segera, angka kematian janin mungkin paling sedikit 50%. Kelahiran kurang bulan terjadi pada 40%-50% kasus pelepasan prematur plasenta. Bayi meninggal karena hipoksia, prematuritas atau trauma persalinan.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-50599992487018949422013-06-06T03:12:00.002-07:002013-06-06T03:12:48.906-07:00PLASENTA RESTAN<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
<strong style="font-style: inherit;">I. <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">PENGERTIAN</span></strong><br />Plasenta Restan adalah tertinggalnya sebagian plasenta (satu atau lebih lobus) dan uterus tidak dapat berkontraksi secara efektif dan keadaan ini menimbulkan perdarahan.<br />Plasenta Restan adalah adanya sisa plasenta yang sudah lepas tapi belum keluar ini akan menyebabkan perdarahan banyak. Sebabnya bisa karena atonia uteri, karena adanya lingkaran konstriksi pada bagian bawah rahim akibat kesalahan penanganan kala III, yang akan menghalang plasenta keluar</div>
<a name='more'></a><br />Plasenta Restan adalah tertinggalnya bagian plasenta dalam uterus yang dapat menimbulkan perdarahan post partum primer atau perdarahan post partum sekunder.<br />Tertinggalnya sebagian plasenta yang sudah lepas tapi belum keluar dan uterus tidak dapat berkontraksi sehingga menyebabkan perdarahan banyak disebabkan karena atonia uteri, lingkaran konstriksi pada bagian bawah rahim akibat kesalahan penanganan kala III yang menghalangi plasenta keluar dan menimbulkan perdarahan post partum primer dan sekunder.<br />
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<strong style="font-style: inherit;">II. ETIOLOGI</strong><br />Sebab-sebab plasenta belum lahir adalah kontraksi uterus kurang kuat untuk melepaskan plasenta, plasenta melekat erat pada dinding uterus, karena atonia uteri atau salah penanganan pada kala III sehingga menyebabkan lingkaran konstriksi pada bagian bawah uterus yang menghalangi keluarnya plasenta.</div>
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<strong style="font-style: inherit;">III. TANDA DAN GEJALA</strong><br />Pada perdarahan post partum dan akibat sisa plasenta ditandai dengan perdarahan <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">dari</span> rongga rahim setelah plasenta lahir dan kontraksi baik. Pada perdarahan post partum lambat gejalanya sama dengan subinvolusi rahim yaitu perdarahan yang berulang atau berlangsung terus dan berasal dari rongga rahim. Perdarahan akibat sisa plasenta jarang menimbulkan syok.<br />Gejala yang lain adalah uterus berkontraksi tetapi tinggi fundus tidak berkurang.<br />Gejala dan <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tanda</span> yang selalu ada :<br />1.Plasenta atau selaput yang mengandung pembuluh darah tidak lengkap<br />2.Perdarahan segera<br />Perdarahan sedikit dalam waktu lama tanpa disadari <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">proses</span> telah banyak kehilangan darah.</div>
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<strong style="font-style: inherit;">IV. DIAGNOSA</strong><br />Penilaian klinis sulit untuk memastikan adanya sisa plasenta, kecuali apabila penolong persalinan memeriksa lengkapan plasen ta setelah plasenta lahir. Apabila kelahiran plasenta dilakukan oleh orang lain atau terdapat keraguan akan sisa plasenta maka untuk memastikannnya dengan eksplorasi dengan tangan, kuret, atau alat bantu diagnostik yang ultrasonografi. Pada umumnya perdarahan dari rongga rahim setelah plasenta lahir dan kontraksi rahim dianggap baik sebagai sisa plasenta yang yang tertinggal dalam rahim.</div>
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A. Anamnesis, meliputi <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">pertanyaan</span> tentang periode prenatal, meminta <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">informasi</span> mengenai<span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">episode</span> perdarahan postpartum sebelumnya, paritas, serta riwayat multipel fetus dan polihidramnion. Serta riwayat pospartum sekarang dimana plasenta tidak lepas secara spontan atau timbul perdarahan aktif setelah bayi dilahirkan.</div>
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B. Pada pemeriksaan pervaginam, plasenta tidak ditemukan di dalam kanalis servikalis tetapi secara parsial atau lengkap menempel di dalam uterus.</div>
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C. Hitung darah lengkap: untuk menentukan tingkat hemoglobin (Hb) dan hematokrit (Hct), melihat adanya trombositopenia, serta jumlah leukosit. Pada keadaan yang disertai dengan infeksi, leukosit biasanya meningkat.</div>
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D. Menentukan adanya gangguan koagulasi dengan hitung protrombin time (PT) dan activated Partial Tromboplastin Time (aPTT) atau yang sederhana dengan Clotting Time (CT) atau Bleeding Time (BT). Ini penting untuk menyingkirkan perdarahan yang disebabkan oleh <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">faktor</span>lain.<br /><strong style="font-style: inherit;">V. KOMPLIKASI</strong></div>
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<strong style="font-style: inherit;"></strong>Komplikasi yang dapat terjadi meliputi:<br />1. Komplikasi yang berhubungan dengan transfusi darah yang dilakukan.<br />2. Multiple organ failure yang berhubungan dengan kolaps sirkulasi dan penurunan perfusi organ.<br />3. Sepsis<br />4. Kebutuhan terhadap histerektomi dan hilangnya potensi untuk memiliki anak selanjutnya.</div>
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Sisa plasenta dalam nifas menyebabkan<br />• perdarahan<br />• Infeksi<br />Perdarahan yang banyak dalam nifas hampir selalu disebabkan oleh sisa plasenta.</div>
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<strong style="font-style: inherit;">VI. PATOFISIOLOGI</strong></div>
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Setelah bayi dilahirkan, uterus secara spontan berkontraksi. Kontraksi dan retraksi otot-otot terus menyelesaikan proses ini pada akhir persalinan. Sesudah berkontraksi, sel miometrium tidak relaksasi, melainkan menjadi lebih pendek dan lebih tebal. Dengan kontraksi yang berlangsung kontinyu, miometrium menebal secara progresif, dan kavum uteri mengecil sehingga ukuran juga mengecil. Pengecian mendadak uterus ini disertai mengecilnya daerah<span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tempat</span> perlekatan plasenta.</div>
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Ketika jaringan penyokong plasenta berkontraksi maka plasenta yang tidak dapat berkontraksi mulai terlepas dari dinding uterus. Tegangan yang ditimbulkannya menyebabkan lapis dan desidua spongiosa yang longgar memberi <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">jalan</span>, dan pelepasan plasenta terjadi di tempat itu. Pembuluh darah yang terdapat di uterus berada di antara serat-serat oto miometrium yang saling bersilangan. Kontraksi serat-serat otot ini menekan pembuluh darah dan retaksi otot ini mengakibatkan pembuluh darah terjepit serta perdarahan berhenti.</div>
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Pengamatan terhadap persalinan kala tiga dengan menggunakan pencitraan ultrasonografi secara dinamis telah membuka perspektif baru tentang mekanisme kala tiga persalinan. Kala tiga yang normal dapat dibagi ke dalam 4 fase, yaitu:</div>
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1. Fase laten, ditandai oleh menebalnya duding uterus yang bebas tempat plasenta, namun dinding uterus tempat plasenta melekat masih tipis.</div>
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2. Fase kontraksi, ditandai oleh menebalnya dinding uterus tempat plasenta melekat (dariketebalan kurang dari 1 cm menjadi > 2 cm).</div>
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3. Fase pelepasan plasenta, fase dimana plasenta menyempurnakan pemisahannya dari dinding uterus dan lepas. Tidak ada hematom yang terbentuk antara dinding uterus dengan plasenta. Terpisahnya plasenta disebabkan oleh kekuatan antara plasenta yang pasif dengan otot uterus yang aktif pada tempat melekatnya plasenta, yang mengurangi permukaan tempat melekatnya plasenta. Akibatnya sobek di lapisan spongiosa.</div>
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4. Fase pengeluaran, dimana plasenta bergerak meluncur. Saat plasenta bergerak turun, daerah pemisahan tetap tidak berubah dan sejumlah kecil darah terkumpul di dalam rongga rahim. Ini menunjukkan bahwa perdarahan selama pemisahan plasenta lebih merupakan akibat, bukan sebab. Lama kala tiga pada persalinan normal ditentukan oleh lamanya fase kontraksi. Dengan menggunakan ultrasonografi pada kala tiga, 89% plasenta lepas dalam waktu satu menit daritempat implantasinya.</div>
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Tanda-tanda lepasnya plasenta adalah sering ada pancaran darah yang mendadak, uterus menjadi globuler dan konsistensinya semakin padat, uterus meninggi ke arah abdomen karena plasenta yang telah berjalan turun masuk ke vagina, serta tali pusat yang keluar lebih panjang.</div>
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Sesudah plasenta terpisah dari tempat melekatnya maka tekanan yang diberikan oleh dinding uterus menyebabkan plasenta meluncur ke arah bagian bawah rahim atau atas vagina. Kadang-kadang, plasenta dapat keluar dari lokasi ini oleh adanya tekanan inter-abdominal. Namun, wanita yang berbaring dalam posisi terlentang sering tidak dapat mengeluarkan plasenta secara spontan. Umumnya, dibutuhkan tindakan artifisial untuk menyempurnakan persalinan kala tinggi. Metode yang biasa dikerjakan adalah dengan menekan dan mengklovasi uterus, bersamaan dengan tarikan ringan pada tali pusat.</div>
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Faktor-faktor yang Mempengaruhi Pelepasan Plasenta :</div>
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1. Kelainan dari uterus sendiri, yaitu anomali dari uterus atau serviks; kelemahan dan tidak efektifnya kontraksi uterus; kontraksi yang tetanik dari uterus; serta pembentukan constriction ring.</div>
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2. Kelainan dari plasenta, misalnya plasenta letak rendah atau plasenta previa; implantasi di cornu; dan adanya plasenta akreta.</div>
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3. Kesalahan <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">manajemen</span> kala tiga persalinan , seperti manipulasi dari uterus yang tidak perlu sebelum terjadinya pelepasan dari plasenta menyebabkan kontraksi yang tidak ritmik; pemberian uterotonik yang tidak tepat waktunya yang juga dapat menyebabkan serviks kontraksi dan menahan plasenta; serta pemberian anestesi terutama yang melemahkan kontraksi uterus.</div>
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<strong style="font-style: inherit;">VII.PENANGANAN</strong><br />1. Penemuan secara dini hanya mungkin dengan melakukan pemeriksaan kelengkapan plasenta setelah dilahirkan. Pada kasus sisa plasenta dengan perdaraahan post partum, sebagian pasien akan kembali lagi ke tempat persalinan dengan keluhan perdarahan.<br />2. Berikan antibiotika, ampisilin, dosis awal 19 IV dilanjutkan dengan 3×1 gram oral dikombinasikan dengan metronidazol 1 gram supositoria dilanjutkan dengan 3×500 mg oral.<br />3. Lakukan eksplorasi (bila servik terbuka) dan mengluarkan bekuan darah, atau jaringan. Bila servik hanya dapat dilalui oleh instrument lakukan evaluasi sisa plasenta dengan AMV atau dilatasi dan kuretase.<br />4. Bila kadar Hb < 8 mg % berikan tranfusi darah. Bila kadar Hb > 8 gr % , berikan sulfas ferosus 600 mg/ hari selama 10 hari<br /><strong style="font-style: inherit;">VII.PENATALAKSANAAN</strong><br />1. Lakukan periksa dalam, keluarkan selaput ketuban dan bekuan darah yang masih tertinggal<br />2. Lakukan masase uterus<br />3. Jika ada perdarahan hebat, ikuti langkah-langkah pelaksanaan atonia uteri<br />Penatalksanaan Atonia Uteri</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-86952957463110585712013-06-06T03:10:00.000-07:002013-06-06T03:10:10.496-07:00KEHAMILAN GEMELI (KEMBAR)<h1 class="entry-title" style="background-color: white; color: #b58a00; font-family: Candara, Verdana, sans-serif; font-size: 26px; font-weight: normal; line-height: 1.123em; margin: 0px; padding: 5px 10px 14px;">
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<strong style="font-style: inherit;">A. </strong><strong style="font-style: inherit;"><span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">PENGERTIAN</span></strong></div>
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Kehamilan kembar ialah suatu kehamilan dengan dua janin atau lebih. Kehamilan tersebut selalu menarik perhatian <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">wanita</span> itu sendiri, dokter dan masyarakat. Bahaya bagi ibu tidak begitu besar, tetapi wanita dengan kehamilan kembar memerlukan perhatian dan pengawasan khusus <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">bila</span>diinginkan hasil yang memuaskan bagi ibu janin.</div>
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Kehamilan kembar adalah dua atau lebih janin yang ada didalam kandungan selama <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">proses</span>kehamilan.<a name='more'></a></div>
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<strong style="font-style: inherit;">B. </strong><strong style="font-style: inherit;">FREKUENSI</strong></div>
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Frekuensi menurut hukum Hellin antara kehamilan ganda dan tunggal :</div>
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1. gemelli (2) 1 : 89</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">triplet (3) 1 : 89<span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;">2</span></li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">duadruplet (4) 1 : 89 <span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;">3</span></li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">duintuplet (5) 1 : 89 <span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;">4</span></li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">sextuplet (6) 1 : 89 <span style="bottom: 1ex; height: 0px; line-height: 1; position: relative; vertical-align: baseline;">5</span></li>
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Menurut penelitian Ereulich (1930) pada 120 juta persalinanmemperoleh angka kejadian kehamilan ganda : gemelli 1 : 85 ; <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">triplet</span> 1 : 7.629 ; duardriplet 1 : 670.743 dan duantuplet 1 : 41.600.000.</div>
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Bangsa mempengaruhi kehamilan ganda ; di Amerika Serikat lebih banyak dijumpai pada wanitanegro dibandingkan kulit putih. Angka tertinggi kehamilan ganda dijumpai di Finlandai dan terendah di Jepang.</div>
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<span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Faktor</span> umur : makin tua umur makin tinggi angka kejadian kehamilan kembar dan munurun lagi setelah berumur 40 tahun.</div>
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Paritas : pada primipara 9,8 per 1000 dan pada multipara (oktipara) baik jadi 18,9 per 1000 persalinan.</div>
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Keturunan : <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">keluarga</span> tertentu akan cenderung melahirkan anak kembar yang biasanya diturunkan secara paternal,namun dapat pula secara maternal.</div>
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<strong style="font-style: inherit;">C. </strong><strong style="font-style: inherit;">JENIS GEMELLI</strong></div>
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· Gemelli dizigotik = kembar dua telur , heterolog, biovuler dan praternal :</div>
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Kedua telur berasal dari :</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">ovarium dan dari dua folikel de graff</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">ovarium dan dari 1 folikel de graff</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">dari ovarium kanan dan satu lagi dari ovarium kiri.</li>
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<span style="font-size: small;">Kira-kira dua pertiga kehamilan kembar adalah dizigotik yang berasal dari 2 telur; disebut juga heterolog, binovuler, atau <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; font-size: 16px !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">fraternal</span>. Jenis kelamin sama atau berbeda, mereka berbeda seperti anak-anak lain dalam keluarga. Kembar dizigotik mempunyai 2 plasenta, 2 korion dan 2 amnion. Kadang-kadang 2 plasenta menjadi satu.</span></div>
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· Gemelli monozigotik = kembar satu telur, homolog, uniovuler, identik dapat terjadi karena :</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Satu telur dengan 2 inti,hambatan pada tingkat blastula :</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Hambatan pada tibgkat segmentasi</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Hambatan setelah amnian dibentuk,tetapi sebelum <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">primitive</span> steak.</li>
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Pada pembelahan pertama akan terjadi diamniotik yaitu rahim mempunyai dua selaput ketuban dan dikorionik atau rahim mempunyai dua plasenta.</div>
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Sedangkan pada pembelahan kedua, selaput ketuban tetap dua, tapi rahim hanya punya satu plasenta. Pada kondisi ini, bisa saja salah satu bayi mendapat banyak makanan, sementara bayi satunya tidak. Akibatnya perkembangan bayi bisa terhambat.</div>
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Lalu pada pembelahan ketiga selaput ketuban dan plasenta masing-masing hanya sebuah, tapi bayi masih membelah dengan baik</div>
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Pada pembelahan ke empat, rahim hanya punya satu <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">placenta</span> dan satu selaput ketuban, sehingga kemungkinan terjadi kembar siam cukup besar. Pasalnya waktu pembelahan telalu lama sehingga sel telur berdempet. Jadi biasanya kembar siam terjadi pada monozigot yang pembelahannya lebih dari 13 hari. Kira-kira sepertiga kehamilan kembar adalah monozigotik. Jenis kehamilan kedua anak sama, rupanya sama atau bayangan cermin, mata, kuping, gigi, rambut, kulit dan ukuran antropologik pun sama. Sidik jari dan telapak sama, atau terbalik satu terhadap lainnya. Satu bayi kembar mungkin kidal dan lainnya biasa karena lokasi daerah motorik di korteks serebri pada kedua bayi itu berlawanan. Kira-kira satu pertiga kehamilan kembar monozigotik mempunyai 2 amnion, 2 korion, dan 2 plasenta; kadang-kadang 2 plasenta tersebut menjadi satu. Keadaan ini tak dapat dibedakan dengan kembar dizigotik. Dua pertiga mempunyai 1 plasenta, 1 korion, dari 1 atau 2 amnion.</div>
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Perbedaan ciri, sifat dan lain-lainnya antara kembar monozigotik dan zigotik (satu telur dan dua telur):</div>
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Perbedaan</div>
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kembar monozigot</div>
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kembar dizigot</div>
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Plasenta</div>
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1 (70%)2 (30%)</div>
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2 (_+ 100%)</div>
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Khorium</div>
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1(70%)2 (30%)</div>
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2 (_+ 100%)</div>
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Amnion</div>
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1 (70%)2 (30%)</div>
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2 (_+ 100%)</div>
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Tali pusat</div>
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2</div>
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2</div>
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Sirkulasi darah janin</div>
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Bersekutu</div>
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Terpisah</div>
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Jenis kelamin</div>
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Sama</div>
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Sama atau tidak</div>
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Kupa dan sifat</div>
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Sama</div>
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Agak berlainan</div>
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Mata, kuping, gigi, kulit</div>
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Sama</div>
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Berbeda</div>
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Ukuran antropologik</div>
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Sama</div>
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Berbeda</div>
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Sidik jari</div>
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Sama</div>
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Berbeda</div>
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Cara pegangan</div>
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bisa samaBisa satu kidalYang lain kanan</div>
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sama,bisa duaduanya kanan</div>
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Kira-kira sepertiga kembar adalah monozigotik,dan dua pertiga lainnya adalah dizigotik.</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Conjoined twins, superfekkundasi 2 superfetasi</li>
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Conjoined twins atau kembar siam adalah kembar dimana janin melengket satu dengan yang lainnya.misalnya torakopagus (dada dengan dada),abdominopagus (perlengketan antara kedua abdomen)kraniopagus (kedua kepala)dan sebagainya.banyak kembar siam telah dapat dipisahkan setara operatif dengan berhasil.</div>
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Superfekundasi adalah pembuahan dua telur yang dikeluarkan dalam ovulasi yang sama pada dua kali koitus yang dilakukan pada jarak waktu yang pendek.hal ini dilaporkan oleh archer (1910)seorang wanita kulit putihmelakukan koitus berturut-turut dengan seorang kulit putih dan kemudian dengan pria negro melahirkan bayi kembar : satu bayi putih dan satu bayi negro (mulato).</div>
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Superfetasi adalah kehamilan kedua yang terjadi beberapa mingguatau bulan setelah kehamilan pertama.belum pernah dibuktikan pada manusia,namun dapat ditemukan pada kuda.</div>
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<strong style="font-style: inherit;">Superfekundasi dan superfetasi</strong></div>
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Superfekundasi adalah pembuahan dua telur yang dikeluarkan pada ovulasi yang sama pada 2 koitus yang dilakukan dengan jarak waktu pendek. Kehamilan demikian ini sulit dibedakan dengan kembar dizigotik. Pada tahun 1910 oleh Archer dilaporkan bahwa seorang wanita berkulit putih yang melakukan koitus berturut-turut dengan seorang kulit putih dan kemudian dengan seorang negro melahirkan bayi kembar dengan satu bayi berwarna putih dan yang lainnya berupa mullato.</div>
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Superfetasi adalah kehamilan kedua yang terjadi beberapa mingggu atau beberapa bulan setelah kehamilan pertama terjadi. Keadaan ini pada manusia belum pernah dibuktikan, akan tetapi dapat ditemukan pada kuda.</div>
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<strong style="font-style: inherit;">D. </strong><strong style="font-style: inherit;">ETIOLOGI</strong></div>
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Faktor-faktor yang mempengaruhi : bangsa, umur, dan paritas, sering mempengaruhi kehamilan kembar 2 telur. pada kembar yang berasal dari satu telur, faktor bangsa, hereditas, umur dan paritas tidak atau sedikit sekali mempengaruhi terjadinya kehamilan kembar itu. Diperkirakan disini penyebabnya adalah faktor penghambat dalam masa pertumbuhan dini hasil konsepsi.Faktor penghambat yang mempengaruhi segmentasi sebelum blastula terbentuk, menghasilkan kehamilan kembar dengan dua amnion, dua korion, dan dua plasenta seperti pada kehamilan kembar dizigotik. Bila faktor penghambat terjadi setelah blastula tetapi sebelum amnion terbentuk, maka akan terjadi kehamilan kembar dengan 2 amnion, sebelum<em>primitivestreak </em> tampak, maka akan terjadi kehamilan kembar dengan 1 amnion. Setelah <em>primitivestreak</em> terbentuk, maka akan terjadi kembar dempet dengan berbagai bentuk.</div>
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2. Faktor <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">obat</span>-obat induksi ovulasi: Profertil, Clomid, dan hormon gona dotropin dapat menyebabkan kehamilan dizigotik dan kembar lebih dari dua.</div>
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3. faktor lain dengan mekanisme tertentu menyebaabkan matangnya 2 atau lebih folikel de graaf atau terbentuknya 2 ovum atau lebih dalam 1 folikel.. kemungkinan pertama dibuktikan dengan ditemukannya 21 korpora lutea pada kehamilan kembar. Pada fertilisasi in vitro dapat pula terjadi kehamilan kembar, jika telur-telur yang diperoleh dapat dibuahi lebih dari satu dan jika semua embrio yang kemudian dimasukkan ke dalam rongga rahim ibu tumbuh dan berkembang lebih dari satu.</div>
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4. Faktor keturunan.</div>
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5. Faktor lain yang belum diketahui</div>
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1. Faktor-faktor yang mempengaruhi adalah : bangsa, umur dan paritas sering mempengaruhi kehamilan 2 telur.</div>
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2. Faktor obat-obat induksi ovulasi profertil, domid dan hormon gonadotropin dapat menyebabkan kehamilan dizigotik dan kembar lebih dari dua.</div>
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3. Faktor keturunan.</div>
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4. Faktor yang lain belum diketahui.</div>
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Bangsa, hereditas, umur dan paritas hanya mempunyai pengaruh terhadap kehamilan kembar yang berasal dari 2 telur, juga obat klomit dan hormon gonadotropin yang dipergunakan untuk menimbulkan ovulasi dilaporkan menyebabkan kehamilan dizigotik. Faktor-faktor tersebut dan mungkin pula faktor lain dengan mekanisme tertentu menyebabkan matangnya 2 atau lebih folikel de graff atau terbentuknya 2 ovum atau lebih dalam satu folikel. Kemungkinan pertama dibuktikan dan ditemukan 21 korpora lutea pada kehamilan kembar. Pada fertilisasi in vitro dapat pula terjadi kehamilan kembar, jika telur-telur yang diperoleh dapat dibuahi lebih dari satu, jika semua embrio yang kemudian dimasukan kedalam rongga rahim ibu tumbuh berkembang lebih dari satu. Pada kembar yang berasal dari satu telur, faktor bangsa, hereditas, umur dan paritas tidak atau sedikit sekali mempengaruhi kehamilan kembar itu. Diperkirakan disini sebabnya ialahfaktor penghambat pada masa pertumbuhan dini hasil konsepsi.</div>
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Faktor penghambat yang mempengaruhi segmentasi sebelum blastula terbentuk,menghasilkan kehamilan kembar dengan 2 amnion, 2 korion, dan 2 plasenta seperti pada kehamilan kembar dizigotik.</div>
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<strong style="font-style: inherit;">E. </strong><strong style="font-style: inherit;">TANDA DAN GEJALA</strong></div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Pada kehamilan kembar distensi uterus berlebihan, sehingga melewati batas toleransinya dan seringkali terjadi partus prematurus. Usia kehamilan makin pendek dan makin banyaknya janin pada kehamilan kembar.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Kebutuhan ibu akan zat-zat makanan pada kehamilan kembar bertambah sehingga dapat menyebabkan anemia dan penyakit defisiensi lain.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Frekuensi hidramnion kira-kira sepuluh kali lebih besar pada kehamilan kembar daripada kehamilan tunggal.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Frekuensi pre-eklamsia dan eklamsia juga dilaporkan lebih sering pada kehamilan kembar.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Solusio plasenta dapat terjadi, seperti sesak nafas, sering kencing, edema dan varises pada tungkai bawah dan vulva.</li>
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Pada kehamilan kembar dengan peregangan uterus yang berlebihan dapat terjadi persalinan prematuritas.</div>
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Kebutuhan ibu akan zat-zat makanan pada kehamilan kembar bertambah sehingga terjadi difisiensi nutrisi seperti anemia yang dapat mengganggu pertumbuhan janin. Frekuensi hidramnion pada hamil kembar sebesar 10 kali lipat lebih besar daripada kehamilan normal. Keregangan otot rahim yang menyebabkan iskemia uteri dapat meningkatkan kemungkinan pre-eklampsia dan eklampsia.</div>
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Solusio plasenta dapat terjadi setelah persalinan anak pertama karena retraksi otot rahim berlebihan. Perjalanan persalinan dapat terjadi lebih lama. Setelah persalinan terjadi gangguan kontraksi otot rahim yang menyebbakan atonia uteri menimbulkan perdarahan</div>
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Keluhan yang sering terjadi pada kehamilan kembar diantranya sesak nafas sering ingin kencing / edema tungkai, pembesaran pembuluh darah (varises)</div>
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Dengan janin (bayi) yang relatif berat badannya rendah menyebabkan morbiditas dan kematian yang tinggi.</div>
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Kemungkinan penyulit pada kehamilan kembar</div>
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Ibu</div>
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Bayi</div>
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Anemia</div>
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Hipertensi</div>
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Partus Prematurus</div>
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Atonia Uteri</div>
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Perdarahan pasca persalinan</div>
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Hidramnion</div>
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Malpresentasi</div>
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Plasenta previa</div>
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Solusio plasenta</div>
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Ketuban pecah dini</div>
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dan toksemia gravi darum</div>
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Pertumbuhan janin terhambat</div>
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Kelainan bawaan</div>
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Morbiditas dan mortalitas perinatal meningkat</div>
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<strong style="font-style: inherit;">F. </strong><strong style="font-style: inherit;">PATOFISIOLOGI</strong></div>
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Secara garis besar, kembar dibagi menjadi dua. Monozigot, kembar yang berasal dari satu telur dan dizigot kembar yang berasal dari dua telur. Dari seluruh jumlah kelahiran kembar, sepertiganya adalah monozigot. Kembar dizigot berarti dua telur matang dalam waktu bersamaan, lalu dibuahi oleh sperma. Akibatnya, kedua sel telur itu mengalami pembuahan dalam waktu bersamaan. Sedangkan kembar monozigot berarti satu telur yang dibuahi sperma, lalu membelah dua. Masa pembelahan inilah yang akan berpengaruh pada kondisi bayi kelak.</div>
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Masa pembelahan sel telur terbagi dalam empat waktu, yaitu 0-72 jam, 4-8 hari, 9-12 dan 13 hari atau lebih. Pada pembelahan pertama, akan terjadi diamniotik yaitu rahim punya dua selaput ketuban, dan dikorionik atau rahim punya dua plasenta. Sedangkan pada pembelahan kedua, selaput ketuban tetap dua, tapi rahim hanya punya satu plasenta. Pada kondisi ini, bisa saja terjadi salah satu bayi mendapat banyak makanan, sementara bayi satunya tidak. Akibatnya, perkembangan bayi bisa terhambat. Lalu, pada pembelahan ketiga, selaput ketuban dan plasenta masing-masing hanya sebuah, tapi bayi masih membelah dengan baik.</div>
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Pada pembelahan keempat, rahim hanya punya satu plasenta dan satu selaput ketuban, sehingga kemungkinan terjadinya kembar siam cukup besar. Pasalnya waktu pembelahannya terlalu lama, sehingga sel telur menjadi berdempet. Jadi kembar siam biasanya terjadi pada monozigot yang pembelahannya lebih dari 13 hari.</div>
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Dari keempat pembelahan tersebut, tentu saja yang terbaik adalah pembelahan pertama, karena bayi bisa membelah dengan sempurna. Namun, keempat pembelahan ini tidak bisa diatur waktunya. Faktor yang mempengaruhi waktu pembelahan, dan kenapa bisa membelah tidak sempurna sehingga mengakibatkan dempet, biasanya dikaitkan dengan infeksi, kurang gizi, dan masalah lingkungan</div>
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<strong style="font-style: inherit;">G. </strong><strong style="font-style: inherit;">PERTUMBUHAN JANIN KEMBAR</strong></div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Berat badan satu janin kehamilan kembar rata-rata 1000 gr lebih ringan dari janin tunggal.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Berat badan baru lahir biasanya pada kembar dibawah 2500 gr triplet dibawah 2000 gr, duadriplet dibawah 1500 gr dan duintuplet dibawah 1000 gr.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Berat badan masing-masing janin dari kehamilan kembar tidak sama umumnya berselisih antara 50 – 100 gr, karena pembagian sirkulasi darah tidak sama, maka yang satu kurang bertumbuh dari yang lainnya.</li>
</ol>
</ol>
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· Pembuluh darah janin yang satu beranastomosis dengan pembuluh darah janin yang lain, karena itu setelah bayi satu lahir tali pusat harus diikat untuk menghindari perdarahan.</div>
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· Karena itu janin yang satu daapt terganggu pertumbuhannya dan menjadi monstrum seperti akardiakus, dan kelainan lainnya.</div>
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d. Dapat terjadi sondroma transfusi fetal : pada janin yang dapt darah lebih banyak terjadi hidramnion, polisitemia, edema dan pertumbuhan yang baik. Sedangkan janin kedua kurang pertumbuhannya terjadilah bayi kecil, anemia, dehidrasi, oligohidrami dan mikrokardia.</div>
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e. Pada kehamilan kembar dizigotik</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Dapat terjadi satu janin meninggal dan yang satu tumbuh sampai cukup bulan.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Janin yang mati dapat diresorbsi (kalau pada kehamilan muda) atau pada kehamilan agak tua janin jadi gepeng disebut fetus papyraseus atau kompresus.</li>
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<strong style="font-style: inherit;">H. </strong><strong style="font-style: inherit;">LETAK DAN PRESENTASI JANIN</strong></div>
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Pada hamil kembar sering terjadi kesalahan presentasi dan posisi kedua janin. Begitu pula letak janin kedua dapat berubah setelah janin pertama lahir, misalnya dari letak lintang berubah jadi letak sungsang atau letak kepala. Berbagai kombinasi letak, presentasi dan posisi bisa terjadi ; yang paling sering dijumpai adalah :</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Kedua janin dalam letak membujur, presentasi kepala ; (44-47 %).</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Letak membujur, presentasi kepala bokong (37-38 %).</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Keduanya presentasi bokong (8-10 %).</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Letak lintang dan presentasi kepala (5-5,3 %).</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Letak lintang dan presentasi bokong (1,5-2 %).</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Keduanya letak lintang (0,2-0,6 %).</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Letak dan presentasi 69 adalah letak yang berbahaya karena dapat terjadi kunci-mengunci (interlocking).</li>
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<strong style="font-style: inherit;">I. </strong><strong style="font-style: inherit;">DIAGNOSIS</strong></div>
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1. Anamnesa</div>
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a. Perut lebih buncit dari semestinya tua kehamilan</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Gerakan janin lebih banyak dirasakan ibu hamil</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Uterus terasa lebih cepat membesar</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Pernah hamil kembar atau ada sejarah keturunan.</li>
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2. Inspeksi dan palpasi</div>
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a. Pada pemeriksaan pertama dan ulang ada kesan uterus lebih besar dan cepat tumbuhnya dari biasa.</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Teraba gerakan-gerakan janin lebih banyak</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Banyak bagian-bagian kecil teraba</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Teraba 3 bagian besar janin</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Teraba 2 balotemen</li>
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</ol>
</ol>
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3. Auskultasi</div>
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Terdengar 2 denyut jantung janin pada 2 tempat yang agak berjauhan dengan perbedaan kecepatan sedikitnya 10 denyut per menit atau sama-sama dihitung dan berselisih 10.</div>
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a. Rontgen foto abdomen, kelihatan 2 janin.</div>
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b. Ultrasonografi: kelihatan 2 janin, 2 jantung yang berdenyut telah dapat ditentukan pada triwulan I.</div>
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c. Elektrokardiogram fetal : diperoleh dua EKG yang berbeda dari kedua janin.</div>
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d. Reaksi kehamilan : karena pada hamil kembar umumnya plasenta besar atau ada 2 plasenta, maka HCE akan tinggi ; jadi reaksi kehamilan titrasi bisa positif kadang-kadang sampai 1/200. hal ini dapat meragukan dengan malahidatidosa.</div>
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</div>
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<strong style="font-style: inherit;">J. </strong><strong style="font-style: inherit;">PENANGANAN DALAM KEHAMILAN</strong></div>
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Untuk kepentingan ibu dan janin perlu diadakan pencegahan terhadap pre-eklamsia dan eklamsia, partus prematurus dan anemia. Pemeriksaan antenatal perlu diadakan lebih sering. Kehamilan 24 minggu pemeriksaan dilakukan tiap 2 minggu, sesudah kehamilan 36 minggu tiap minggu ; sehingga tanda-tanda pre-eklamsia dapat diketahui dini dan penanganan dapat dikerjakan dengan segera.</div>
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Istirahat baring dianjurkan lebih banyak karena hal itu menyebabkan aliran darah ke plasenta meningkat, sehingga pertumbuhan janin lebih baik.</div>
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Penanganan dalam Kehamilan</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Perawatan prenatal yang baik untuk mengenal kehamilan kembar dan mencegah komplikasi yang timbul, dan bila diagnosis telah ditegakkan pemeriksaan ulangan harus lebih sering (1× seminggu pada kehamilan lebih dari 32 minggu)</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Setelah kehamilan 30 minggu, koltus dan perjalanan jauh sebaiknya dihindari, karena akan merangsang partus prematurus.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Pemakaian korset gurita yang tidak terlalu ketat diperbolehkan, supaya terasa lebih ringan.</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Periksa darah lengkap, Hb, dan golongan darah.</li>
</ol>
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<strong style="font-style: inherit;">K. </strong><strong style="font-style: inherit;">PENANGANAN DALAM PERSALINAN</strong></div>
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1. Bila anak pertama letaknya membujur, kala I diawasi seperti biasa, di tolong seperti biasa dengan episiotomi mediolateralis.</div>
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2. Setelah itu baru waspada, lakukan periksa luar, periksa dalam untuk me nentukan keadaan anak kedua. Tunggu, sambil memeriksa tekanan darah dan lain-lain.</div>
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3. Biasanya dalam 10-15 menit his akan kuat lagi. Bila anak kedua terletak membujur, ketuban dipecahkan pelan-pelan supaya air ketuban tidak mengalir deras keluar. Tunggu dan pimpin persalinan anak kedua seperti biasa.</div>
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4. Waspadalah atas kemungkinan terjadinya perdarahan postpartum, maka sebaiknya pasang infus profilaksis.</div>
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- Bila ada kelainan letak pada anak kedua, misalnya melintang atau terjadi prolaps tali pusat dan solusio plasenta, maka janin dilahirkan dengan cara operatif obstetrik</div>
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- Pada letak lintang coba versi luar dulu, atau lahirkan dengan cara versi dan ekstraksi.</div>
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- Pada letak kepala, persalinan dipercepat dengan ekstraksi vakum atau forseps.</div>
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- Pada letak bokong atau kaki, ekstraksi bokong atau kaki.</div>
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5. Indikasi seksio caesarea hanya pada:</div>
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- Janin pertama letak lintang</div>
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- Bila terjadi prolaps tali pusat</div>
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- Plasenta previa</div>
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- Terjadi interlocking pada letak janin 69, anak pertama letak sungsang dan anak kedua letak kepala.</div>
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Kala IV diawasi terhadap kemungkinan terjadinya perdarahan postpar tum: berikan suntikan sinto-metrin yaitu 10 satuan sintosinon tambah 0,2 mg methergin intravena.</div>
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Mekanisme Persalinan Kepala-kepala</div>
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Saat kepala bayi membuka vulva 5-6 cm. Lakukan penahan perineum dengan tangan kanan, tangan kiri menahan kepala bayi agar tidak defleksi maksimal hingga sub oksipito lahir sebagai hipomoklion, lalu tunggu kepala putar paksi luar dan lakukan biparietal serta sangga susur. Lahirkan bayi kedua dengan jarak waktu 10-15 menit dari anak pertama, lakukan pertolongan persalinan seperti anak pertama.</div>
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</div>
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Mekanisme Persalinan Letak Bokong Kepala</div>
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Bila kepala yang masuk PAP terlebih dahulu, Saat kepala bayi membuka vulva 5-6 cm. Lakukan penahan perineum dengan tangan kanan, tangan kiri menahan kepala bayi agar tidak defleksi maksimal hingga sub oksipito lahir sebagai hipomoklion, lalu tunggu kepala putar paksi luar dan lakukan biparietal serta sangga susur. Lalu anak kedua dilahirkan secara bracht :</div>
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· Pertolongan dimulai setelah bokong anak lahir.</div>
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· Bokong dipegang dengan kedua tangan sedemikian rupa sehingga kedua ibu jari pada permukaan belakang pangkal paha dan emapat jari lainnya pada permukaan bokong.</div>
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· Kalau kaki sudah lahir, maka bokong dipegang sedemikian rupa, sehingga kedua ibu jari terletak pada lipat paha dan jari lainnya menggenggam bokong</div>
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· Bokong dibawa ke atas kerah perut ibu, dan sedikit kekiri dan ke kanan sesuai dengan letk punggung anak.</div>
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· Sama sekali tidak boleh dilakukan tarikan karena dengan tarikan , lengan dapat menjungkit</div>
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· Bokong terus dibawa ke atas ke arah perut ibu sampai kepala lahir</div>
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Mekanisme Persalinan bokong-bokong</div>
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Pertolongan Persalinan dilakukan menggunakan cara Bracht :</div>
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· Pertolongan dimulai setelah bokong anak lahir.</div>
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· Bokong dipegang dengan kedua tangan sedemikian rupa sehingga kedua ibu jari pada permukaan belakang pangkal paha dan emapat jari lainnya pada permukaan bokong.</div>
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· Kalau kaki sudah lahir, maka bokong dipegang sedemikian rupa, sehingga kedua ibu jari terletak pada lipat paha dan jari lainnya menggenggam bokong</div>
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· Bokong dibawa ke atas kerah perut ibu, dan sedikit kekiri dan ke kanan sesuai dengan letk punggung anak.</div>
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· Sama sekali tidak boleh dilakukan tarikan karena dengan tarikan , lengan dapat menjungkit</div>
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· Bokong terus dibawa ke atas ke arah perut ibu sampai kepala lahir</div>
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Mekanisme Persalinan Lintang Kepala</div>
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Jika anak pertama lintang, maka tidak dapat dilakukan pertolongan secara spontan, maka dilakukan persiapan SC.</div>
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Bila anak pertama presentasi kepala maka lakukan pertolongan persalinan, saat kepala bayi membuka vulva 5-6 cm. Lakukan penahan perineum dengan tangan kanan, tangan kiri menahan kepala bayi agar tidak defleksi maksimal hingga sub oksipito lahir sebagai hipomoklion, lalu tunggu kepala putar paksi luar dan lakukan biparietal serta sangga susur. Lalu anak kedua dilahirkan dengan versi ekstraksi :</div>
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· Jika ada lengan menumbung, tangan diulas dengan yodium dan di beri jerat. Jerat ini ditarik dengan ringan ke arah kepala anak dan waktu anak berputar diulur. Maksudnya supaya anak ini tetap menunjuk ke bawah, jadi tidak menjungkit, yang sangat menyukarkan lahirnya bahu.</div>
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· Yang menjadi tangan dalam ialah tangan yang sepihak dengan kaki.</div>
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· Setelah labia dibeberkan, tangan di masukkan kedalam vagina, tangan luar pindah ke fundus.</div>
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· Tangan luar mendekatkan bokong ke tangan dalam; tangan dlam mencari kaki. Yang dicari aialah : jika punggung sebelah depan yaitu kaki bawah, jika punggung sebelah belakang yaitu kaki atas karena kaki tersebut akan menjadi kaki depan. Mencarinya adalah dari punggung, ke bokong, kepaha dan ke kaki, yang dijepit antara jari tengah dan telunjuk.</div>
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· Tangan luar menolak kepala kefundus; tangan dalam menarik kaki keluar sampai lutut</div>
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· Kaki dilepaskan sebentar</div>
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· Ekstraksi : kita pegang tungkai bawah dengan kedua tangan sedemikian rupa sehingga kedua ibu jari berdampingan. Arah tarikan ke bawah ialah kearah kaki kita sendiri. Kemudian kita pindahkan pegangan setinggi-tingginya tapi jangan memegang pada persendian. Kita tarik terus kebawah sampai trochantor depan ada dibawah sympisis; kemudian kita tarik ke atas untuk melahirkan pantan belakang. Pegang panggul anak dengan dua tangan sehingga ibu jari terletak berdampingan atau bersilang pada sacrum, sedangkan jari telunjuk tangan kiri pada crista iliaca kiri dan telunjuk kanan pada crista iliaca kanan. Jari lainnya menggenggam bokong dan paha. Kita tarik lagi ke arah kaki kita. Waktu pusat lahir, Tali pusat dilonggarkan. Kita tarik sampai menjumpai rintangan biasanya waktu bahu akan lahir. Bahu dilahirkan secara muller atau deventer (klasik). Kepala dilahirkan secara Mauriceau.</div>
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Mekanisme Persalinan Lintang Bokong</div>
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Jika anak pertama lintang, maka tidak dapat dilakukan pertolongan secara spontan, maka dilakukan persiapan SC.</div>
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Jika anak pertama bokong lakukan pertolongan persalinan secara Bracht dan anak kedua dilakukan dengan cara versi ekstraksi.</div>
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</div>
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Mekanisme Persalinan Lintang-lintang dan interlocking</div>
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Tidakm dapat dilakukan pertolongan persalinan secara spontan, harus melakukan SC</div>
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</div>
</div>
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<strong style="font-style: inherit;">L. </strong><strong style="font-style: inherit;">PENGARUH TERHADAP IBU DAN JANIN</strong></div>
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1. Terhadap Ibu</div>
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- Kebutuhan akan zat-zat bertambah, sehingga dapat menyebabkan ane mia dan defisiensi zat-zat lainnya.</div>
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- Kemungkinan terjadinya hidramnion bertambah 10 kali lebih besar.</div>
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- Frekuensi pre-eklamsi dan eklamsi lebih sering.</div>
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- Karena uterus yang besar, ibu mengeluh sesak napas, sering miksi, serta terdapat edema dan varises pada tungkai dan vulva.</div>
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- Dapat terjadi inersia uteri, perdarahan postpartum, dan solusio plasenta sesudah anak pertama lahir.</div>
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2. Terhadap Janin</div>
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- Usia kehamilan tambah singkat dengan bertambahnya jumlah janin pada kehamilan kembar: 25% pada gemeli; 50% pada triplet; dan 75% pada quadruplet, yang akan lahir 4 minggu sebelum cukup bulan. Jadi kemungkinan terjadinya bayi prematur akan tinggi.</div>
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- Bila sesudah bayi pertama lahir terjadi solusio plasentae, maka angka kematian bayi kedua tinggi.</div>
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- Sering terjadi kesalahan letak janin, yang juga akan mempertinggi angka kematian janin.</div>
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</div>
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<strong style="font-style: inherit;">M. </strong><strong style="font-style: inherit;">PROGNOSIS</strong></div>
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Ibu : – Partus lama</div>
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- Taruma jalan lahir</div>
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- Perdarahan post partum</div>
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<strong style="font-style: inherit;"> </strong>Prognosis untuk ibu lebih jelek bila dibandingkan pada kehamilan tunggal, karena seringnya terjadi toksemia gravidarum, hidramnion, anemia, pertolongan obstetri operatif, dan perdarahan pospartum.</div>
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Angka kematian perinatal tinggi terutama karena prematur, prolaps tali pusat, solusio plasenta dan tindakan obstetrik karena kelainan letak janin.</div>
</div>
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Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-58308465759623518262013-06-06T03:08:00.003-07:002013-06-06T03:08:42.954-07:00SALPINGITIS<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin-bottom: 18px; padding: 0px;">
<strong style="font-style: inherit;">Definisi</strong><br />Salpingitis adalah terjadinya inflamasi pada tuba fallopi. Tuba fallopi perpanjangan <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">dari</span> uterus, salpingitis adalah salahsatu penyebab umum terjadinya infertilitas pada <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">wanita</span>. Hal ini sering digunakan secara sinonim dengan penyakit radang panggul (PID), meskipun PID tidak memiliki definisi yang akurat dan dapat merujuk pada beberapa penyakit pada saluran kelamin bagian atas perempuan, seperti endometritis, ooforitis, myometritis, parametritis dan infeksi pada panggul peritoneum. Sebaliknya, salpingitis hanya merujuk infeksi dan peradangan di saluran tuba.<br />Ketika peradangan terjadi, ekstra cairan sekresi atau nanah terkumpul di dalam tabung tuba. Infeksi dari salah satu tabung tuba biasanya menyebabkan infeksi lain. Hal ini terjadi karena bakteri bermigrasi melalui pembuluh getah </div>
<a name='more'></a>bening di dekatnya.<br />Salpingitis adalah salah satu penyebab <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">paling</span> umum infertilitas wanita. <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Jika</span> salpingitis tidak segera diobati, infeksi dapat menyebabkan kerusakan permanen pada tuba falopi sehingga telur dilepaskan setiap siklus mestruasi tidak bisa bertemu dengan sperma.Apabila salpingitis tidak ditangani dengan segera, maka infeksi iniakan menyebabkan kerusakan pada tuba fallopi secara permanen sehingga sel telur yang dikeluarkan dari ovarium tidakdapat bertemu dengan sperma. Tanpa penanganan yang cepat infeksi bisa terjadi secara permanen merusak tuba fallopisehingga sel telur yang dikeluarkan pada <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">proses</span> menstruasi tidak bisa bertemu dengan sperma<br />Ada dua jenis dari salpingitis :<br />1. Salpingitis akut : pada salpingitis akut, tuba fallopi menjadi merah dan bengkak, dan keluar cairan berlebihsehingga bagian dalam dinding tuba sering menempel secara menyeluruh. Tuba bisa juga menempel padabagian intestinal yang terdekat.Kadang-kadang tuba fallopi penuh dengan pus. Hal yang jarang terjadi, tuba rupture dan menyebabkan infeksi yang sangat berbahaya pada kavum abdominal (Peritonitis).<br />2. Salpingitis Kronis : Biasa nyamengikuti gejala akut. Infeksi terjadi ringan, dalam waktu yang panjang dantidak menunjukan banyak tanda dan gejala.<br />
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Salpingitis atau radang tuba fallopi merupakan bagian dari penyakit radang panggul atau pelviksitis. Sejarah salpingitis (radang tuba fallopi) adalah yang tertinggi terkait dengan relatif risiko ketidaksuburan. Kira-kira satu sampai tiga perempuan menunjukkan hasil evaluasi ketidaksuburan yang memperlihatkan tanda-tanda dan gejala bahwa masalah itu disebabkan berkenaan dgn kandungan atau tuba fallopi yang abnormal. Tuba fallopi yang mengalami penyumbatan atau menjadi rusak dapat mengurangi kesuburan dengan mencegah sperma mencapai telur atau mencegah telur mencapai rahim.<br />Ketidaksuburan pada tuba fallopi juga dapat timbul setelah terjadinya infeksi keguguran, infeksi pada saat melahirkan anak, radang selaput perut atau operasi. Kemandulan yang disebabkan oleh beberapa <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">faktor</span>-faktor ini sebagian dapat dicegah. Ketidaksuburan pada tuba fallopi kadang-kadang dapat ditindak dengan melakukan operasi, tetapi jika hal ini tidak memungkinkan, ataujika operasi ini gagal, IVF (In Vitro Fertilisation) atau program bayi tabung mungkin merupakan sebuah solusi. Operasi tuba fallopi merupakan prosedur yang melibatkan anestesi secara umum dan seringkali berlangsung selama beberapa jam. Operasi biasanya dilakukan dengan bantuan mikroskop. Keberhasilan dari operasi sekitar 45% kalau masalahnya ada pada akhir saluran tuba, tetapi hanya 20-25% <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">bila</span> masalahnya pada penyumbatan fimbrial di ujung saluran tuba fallopi, dekat dengan <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">ovaries</span>.<br />Salpingitis akut dapat segera didiagnosis jika semua tanda dan gejala objektif terdapat dan sesuai. Tetapi, sejumlah keadaan lain dapat menyerupai keseluruhan atau sebagian <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">spektrum</span>manifestasi yang biasa ditemui. Adalah kesalahan serius mendiagnosis selpingitis pada wanitayang sebenarnya tidak menderitanya. Hal ini tidak hanya menempatkan wanita pada regimen terapi antibiotik yang <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">lama</span> dengan resiko dan biayanya, terapi memperlambat penemuan diagnosis yang sebenarnya dan penatalaksanaanya. Selain itu, dokter cenderung menganggap tiap gangguan pelvis di masa mendatang disebabkan karena infeksi ini. Carilah riwayat pemaparan penyakit menular seksual yang terjadi sekarang atau di masa lampau terutama infeksi gonokokus atau klamidia, penyakit peradangan pelvis yang tercatat baik, penggunaan alat kontrasepsi dalam rahim atau infeksi pasca abortus atau pasca persalinan.</div>
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<strong style="font-style: inherit;">Insiden</strong><br />Lebih dari satu juta kasus salpingitis akut dilaporkan setiap tahun di AS, namun jumlah insiden ini mungkin lebih besar, karena metode pelaporan tidak lengkap dan terlalu dini dan bahwa banyak kasus dilaporkan pertama ketika penyakit itu telah pergi begitu jauh bahwa mereka telah mengembangkan kronis komplikasi. Bagi wanita berusia 16-25, salpingitis adalah infeksi serius yang paling umum.Ini mempengaruhi sekitar 11% dari wanita usia reproduktif. Salpingitis memiliki insiden yang lebih tinggi di antara anggota kelas-kelas sosial ekonomi rendah. Namun, hal ini dianggap sebagai akibat dari debut seks sebelumnya, beberapa mitra dan kemampuan rendah untuk menerima perawatan <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">kesehatan</span> yang layak bukan karena faktor resiko independen untuk salpingitis. Sebagai akibat dari peningkatan risiko karena beberapa mitra, prevalensi salpingitis tertinggi untuk orang yang berusia 15-24 tahun. Penurunan kesadaran gejala dan kurang kemauan untuk menggunakan alat kontrasepsi juga umum dalam kelompok ini, meningkatkan terjadinya salpingitis.<br />Organisasi Kesehatan Dunia telah menerbitkan data tentang jumlah kasus tentang gonore dan klamidia di seluruh dunia tahun 1995. Pada tahun itu, sekitar 31 juta kasus infeksi gonore dan 22,5 juta kasus infeksi clamydia, merupakan organism penyebab utama salpingitis dan terjadi padawanita di seluruh dunia. Secara geografis sebagian besar kasus ini berada di Negara berkembang. Prevalensi tertinggi berada di sub-Sahara Afrika dan Asia Tenggara, dengan terendah di Asia Timur dan Pasifik. Selain itu, komplikasi penyakit menular seksual, termasuk salpingitis lebih umum di Negara-negara dengan sumber daya yang lebih miskin.</div>
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<strong style="font-style: inherit;">Etiologi</strong><br />Kondisi ini tidak diketahui, kemungkinan penyebabnya adalah karena seperti proses pasca-inflamasi distorsi dan adenomiosis . Pemeriksaan mikroskopis menunjukkan nodul tersebar kelenjar epitel tuba dikelilingi oleh area – area muskularis. Pada hysterosalpingography, diagnosis mungkin bingung dengan <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometriosis</span> tuba, bagaimanapun, adanya epitel tuba yang melapisi kelenjar pada aturan pemeriksaan histopatologi yang keluar adalah endometriosis . hiperplasia endometrium kompleks terlihat pada kasus dapat yang dikaitkan dengan pengobatan hormonal yang digunakanuntuk infertilitas. Komplikasi salpingitis isthmica nodosa adalah infertilitas dan berulang kehamilan ektopik dan karenanya, salpingitis isthmica nodosa merupakan penyebab penting untuk dikesampingkan dalam kasus tersebut<br />Salpingitis disebabkan oleh bakteri penginfeksi. Jenis-jenis bakteri yang biasanya menyebabkan Salpingitis : Mycoplasma, staphylococcus, dan steptococus. Selain itu salpingitis bisa juga disebabkan penyakit menular seksualseperti gonorrhea, Chlamydia, infeksi puerperal dan postabortum. Kira-kira 10% infeksi disebabkan oleh tuberculosis. Selanjutnya biasa timbul radang adneksa sebagai akibat tindakan (keroksn, laparatomi, pemasangan IUD, dan sebagainya) dan perluasan radang dari alat yang letaknya tidak jauh seperti appendiks . Kira-kira 10% infeksi disebabkan oleh <em>Tuberculosis</em>. Selanjutnya bisa timbul radang adneksa sebagai akibat tindakan ( laparatomi, pemasangan IUD, dan sebagainya) dan perluasan radang dari alat yang letaknya tidak jauh seperti appendiks. Salpingitis adalah salah satu penyebab terjadinya infertilitas pada wanita. Apabila salpingitis tidak ditangani dengan segera, maka infeksi ini akan menyebabkan kerusakan pada tuba fallopi sehingga sel telur rusak dan sperma tidak bisa membuahi sel telur. Radang tuba falopi dan radang ovarium biasanya terjadi bersamaan. Oleh sebab itu tepatlah nama<em>Salpingo-ooforitis</em> atau <em>Adneksitis</em> untuk radang tersebut. Radang itu kebanyakan akibat infeksi yang menjalar ke atas dari uterus, walaupun infeksi ini juga bisa datang dari tempat ekstra vaginal lewat jalan darah dari jaringan-jaringan di sekitarnya.</div>
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<strong style="font-style: inherit;">Faktor Resiko</strong><br />1. Usia<br />Angka usia spesifik lebih tinggi pada remaja wanita anatar usia 15 sampai 19 tahun.<br />2. Jumlah pasangan seksual<br />Wanita dengan banyak pasangan 4,6 kali cenderung lebih banyak terkena PID.<br />3. Pasien PID sebelumnya<br />Pasien dengan PID 2,5 kali cenderung lebih banyak memiliki riwayat PID sebelumnya dari pasien tanpa PID.<br />4. Remaja<br />Melakukan hubungan seksual pada usia muda<br />5. Gonore pria<br />Pria yang tidak diobati merupakan sumber infeksi berulang dan infeksi baru.<br />6. Faktor sosioekonomi yang rendah</div>
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<strong style="font-style: inherit;">Komplikasi</strong><br />Komplikasi potensial yang dapat terjadi akibat salpingitis meliputi ooforitis, peritonitis, piosalping, abses tuboovarium, tromboflebitis septik, limfangitis, selulitis, perihepatitis, dan abses didalam ligamentum latum, Infertilitas dimasa depan, dan kehamilan ektopik akibat kerusakan tuba. Di antara sebab-sebab yang paling banyak terdapat ialah infeksi gonorea dan infeksi puerperal dan post abortum. Kira-kira 10% infeksi disebabkan oleh teberkulosis. Selanjutnya bias timbul radang adneksa sebagai akibat tindakan (kerokan, laparatomi, pemasangan IUD, dan sebagainya) dan perluasan radang dari alat yang letaknya tidak jauh seperti appendiks.</div>
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- <strong style="font-style: inherit;">Infeksi lebih lanjut</strong> - infeksi dapat menyebar ke struktur di dekatnya, seperti indung telur atau rahim.</div>
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- <strong style="font-style: inherit;">Infeksi pasangan seks</strong> - mitra wanita atau mitra bisa mengontrak bakteri dan terinfeksi juga.</div>
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- <strong style="font-style: inherit;">Tubo-ovarium abses</strong> - sekitar 15 persen dari wanita dengan salpingitis mengembangkan abses, yang membutuhkan rawat inap.</div>
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- <strong style="font-style: inherit;">Kehamilan ektopik</strong> - tabung falopi diblokir mencegah telur dibuahi memasuki rahim. Embrio kemudian mulai tumbuh di dalam ruang terbatas dari tabung falopi. Risiko kehamilan ektopik untuk wanita dengan salpingitis sebelumnya atau bentuk lain dari penyakit radang panggul (PID) adalah sekitar satu dari 20.</div>
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- <strong style="font-style: inherit;">Infertilitas</strong> - tabung tuba dapat menjadi cacat atau bekas luka sedemikian rupa bahwa telur dan sperma tidak dapat bertemu. Setelah satu serangan PID salpingitis atau lainnya, risiko seorang wanita infertilitas adalah sekitar 15 persen. Ini meningkat sampai 50 persen setelah tiga bulan.<br />Penanganan yang tidak serius, salpingitis bisa menyebabkan beberapa komplikasi meliputi :<br />1. Kehamilan ektopik.<br />2. Infeksi yang terjadi didaerah terdekat dengan tuba fallopi, seperti ovarium atau uterus.<br />3. Infertilitas.<br />4. Menginfeksi orang yang diajak berhubungan seksual.</div>
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<strong style="font-style: inherit;">Patofisiologi</strong><br />Infeksi biasanya berawal pada bagian vagina, dan menyebar ke bagian tuba fallopi. Infeksi dapat menyebar melalui pembuluh getah bening, infeksi pada salah satu tuba fallopi biasanya menyebabkan infeksi yang lain. Pada beberapa kasus, salpingitis disebabkan oleh infeksi bakteri seperti Mycoplasma, Staphylococcus, dan Streptococcus. Selain itu salpingitis dapat disebabkan oleh penyakit menular seksual seperti gonore dan klamidia.</div>
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Infeksi ini dapat terjadi sebagai berikut :</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Naik dari cavum uteri</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Menjalar dari alat yang berdekatan sepert dari apendiks yang meradang</li>
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Haematogen terutama salpingitis tuberculosa. Salpingitis biasanya bilateral.Bakteri dapat diperkenalkan dalam berbagai cara, termasuk:</div>
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<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Hubungan seksual</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Penyisipan sebuah IUD (perangkat intra-uterus)</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Keguguran</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Aborsi</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Melahirkan</li>
<li style="list-style: decimal; margin: 0px 0px 0px 15px; padding: 0px;">Apendisitis</li>
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Salpingitis adalah salah satu penyebab terjadinya infertilitas pada wanita. Apabila salpingitis tidak ditangani dengan segera, maka infeksi ini akan menyebabkan kerusakan pada tuba fallopi sehingga sel telur rusak dan sperma tidak bisa membuahi sel telur. Radang tuba falopii dan radang ovarium biasanya terjadi bersamaan. Oleh sebab itu tepatlah nama salpingo-ooforitis atau adneksitis untuk radang tersebut. Radang itu kebanyakan akibat infeksi yang menjalar ke atas dari uterus, walaupun infeksi ini juga bisa datang dari tempat ekstra vaginal lewat jalan darah dari jaringan-jaringan di sekitarnya.</div>
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<strong style="font-style: inherit;">Tanda dan Gejala</strong><br />Ada pun tanda dan gejala dari salpingitis adalah :<br />1. Nyeri pada kedua sisi perut<br />2. Demam<br />3. Mual muntah<br />4. Kelainan pada vagina seperti perubahan warna yang tidak seperti orang normal atau berbau.<br />5. Nyeri selama ovulasi.<br />6. Sering kencing<br />7. Low Back Pain<br />8. Disminorhoe<br />9. Nyeri Abdomen : nyeri andomen bagian bawah merupakan gejala yang paling dapat dipercaya dari infeksi pelvis akut. Pada mulanya rasa nyeri unilateral, bilateral, atau suprapubik, dan sering berkembang sewaktu atau segera setelah suatu periode menstruasi. Keparahan meningkat secara bertahap setelah beberapa jam sampai beberapa hari, rasa nyeri cenderung menetap, bilateral pada abdomen bagian bawah, dan semakin berat dengan adanya pergerakan<br />10. Perdarahan pervaginam atau sekret vagina : perdarahan antar menstruasi atau meningkatnya aliran menstruasi atau kedua-duanya dapat merupakan akibat langsung dari endometritis atau pengaruh tidak langsung dari perubahan – perubahan hormonal yang berkaitan dengan ooforitis. Sekret vagina dapat disebabkan oleh servitis.<br />11. Gejala – gejala penyerta : menggigil dan demam lazim ditemukan. Anoreksia, nausea dan vomitus berkaitan dengan iritasi peritoneum. Disuria dan sering kencing menunjukkan adanya keterkaitan dengan uretritis dan sistitis. Nyeri bahu atau nyeri kuadrak kanan atas mungkin merupakan gejala dari peripheral gonokokus.<br />12. Riwayat menstruasi : menstruasi dapat meningkat dalam jumlah dan lamanya, salpingitis dapat menjadi simptomatik pada hari keempat atau kelima dari siklus menstruasi.</div>
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13. Tanda-tanda perluasan infeksi:</div>
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<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Nyeri semakin hebat</li>
<li style="list-style: disc; margin: 0px 0px 0px 15px; padding: 0px;">Adanya peningkatan suhu tubuh</li>
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<strong style="font-style: inherit;">Tes Diagnostik</strong><br />a) Pemeriksaan umum<br />1.Suhu biasanya meningkat<br />2.Tekanan darah normal<br />3.Denyut nadi cepat<br />b) Pemeriksaan abdomen<br />1.Nyeri perut bawah<br />2.Nyeri lepas<br />3.Rigiditas otot<br />4.Bising usus menurun<br />5.Distensi abdomen<br />c) Pemeriksaan inspekulo<br />Tampak sekret purulen di ostium serviks<br />d) Pemeriksaan laboratorium<br />Leukosit cenderung meningkat.<br />Pemeriksaan fisik harus dilakukan secara cermat untuk membantu membedakan diantara beberapa keadaan yang berbeda yang diwakili oleh gambaran klinis. Tentukan dengan pemeriksaan abdomen apakah terdapat tanda-tanda peritonitis, termasuk difans muskular (infoluntary guarding), nyeri langsung, nyeri alih, dan nyeri lepas, tanda psoas yang positif, dan nyeri pada sudut kostovertebral. Lakukan pemeriksaan pelvis yang cermat dan hati-hati, termasuk pemeriksaan bimanual palpasi rektal dan vaginal, carilah informasi untuk mendapatkan lokasi yang tepat dan sifat proses penyakit, catatlah adanya rasa sakit pada palpasi juga dengan menggerakkam serviks ke satu sisi atau sisi lainnya. Tentukan adanya massa atau penebalan adneksa. Jika ditemukan massa dan konfirmasikan melalui pemeriksaan ultrasonografi, pasien harus diperiksa untuk abses tubo-ovarium dan ditangani dengan tepat.<br />Lakukan usaha untuk menunjukkan penyebab nyeri pelvis tentukan apakah polanya rekuren, progresif dan berhubungan dengan menstruasi, misalnya, sebagai kemungkinan tanda endometriosis, atau akut, intermiten dan disertai dengan nyeri pinggang dan disuria, yang menggambarkan pielitis, atau urolitiasis. Mungkin sulit untuk membedakan pielonefritis dari salpingitis karena dapat terjadi iritasi uriter jika tuba yang mengalami inflamasi terletak (atau menempel) pada tepi posterior ligamentum latum dimana menyilang uriter. Carilah penjelasan laboratories dengan melakukan sekurangnya hitung darah lengkap, hitung diferensial, laju endap darah, dan urinalisis. Ingatlah bahwa beberapa proses peradangan noninfeksius, seperti nekrosis jaringan avaskular yang berhubungan dengan torsio atau infark adneksa, dapat menyebabkan efek sistemik yang diketahui dari likositosis, pergeseran hitung diferensial, dan peningkatan laju endap darah. Ingatlah juga bahwa petanda laboratorium untuk infeksi dapat timbul lebih lambat pada kasus salpingitis; petanda tersebut dapat timbul beberapa jam setelah gejala klinis (bahkan beberapa hari), sehingga memberikan banyak keraguan. Konsentrasi serum C-protein fase akut seringkali sangat menolong dalam keadaan ini. Perubahan menstruasi, tanda-tanda yang mengarahkan pada kehamilan, nyeri bahu, atau tenesmus memerlukan pertimbangan yang serius adanya kehamilan ektopik. Lakukan tes kehamilan, lebih disukai pengukuran human<strong style="font-style: inherit;"><em style="font-weight: inherit;"> </em></strong><em>chronic gonadotropin</em> (hCG) subunit-beta, dan pemeriksaan ultrasonografi jelas diperlukan pada keadaan ini.</div>
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<span style="text-decoration: underline;">Tes Laboratorium</span><br />1. Hitung darah lengkap dan Apusan darah: hitung leukosit cenderung meningkat dan dapat sampai 20.000 dengan peningkatan leukosit polimorfonuklear dan peningkatan rasio bentuk batang dengan segmen. Kadar hemoglobin dan hemokrit biasanya dalam batas-batas normal. Penigkatan kadarnya berkaitan dengan dehidrasis.<br />2. Urinalisis: biasanya normal.</div>
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<span style="text-decoration: underline;">Data diagnostic tambahan yang dapat dilakukan</span><br />Pewarnaan gram endoserviks dan biakan : diplokokus gram-negatif intraseluler pada asupan pewarnaan gram baik dari cairan serviks ataupun suatu AKDR dengan pasien dengan salphingitis simptomatik merupakan penyokong adanya infeksi neisseria yang memerlukan pengobatan. Biakan bakteriologi diperlukan untuk identifikasi positif neisseria gonorrhoeae.Laparoskopi untuk melihat langsung gambaran tuba fallopi.Pemeriksaan ini invasive sehingga bukan merupakan pemeriksaan rutin. Untuk mendiagnosis penyakit infeksi pelvis, bila antibiotik yang diberikan selama 48 jam tak memberi respon, maka dapat digunakan sebagai tindakan operatif.</div>
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<strong style="font-style: inherit;">Diagnosis banding</strong></div>
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<strong style="font-style: inherit;"></strong>Kehamilan ektopik, tidak ada demam, KED tidak tinggi, dan leokositose tidak seberapa. Kalau test kehamilan positif, maka adneksitis dapat dikesampingkan, tapi kalau negatif keduanya mungkin.Apendiksitis : tempat nyeri tekan lebih tinggi (Mc burney) Salpingitis menjalar ke ovarium hingga terjadi oophoritis. Salpingitis dan oophoritis diberi nama adneksitis.</div>
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<strong style="font-style: inherit;">Pengobatan</strong></div>
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Pngobatan penyakit salpingitis dilakukan dengan pemberian antibiotic (sesering mungkin sampai beberapa minggu).Antibiotik dipilih sesuai dengan mikroorganismenya yang menginfeksi. Pasangan yang diajak hubungan seksual harusdievaluasi, disekrining dan bila perlu dirawat, untuk mencegah komplikasi sebaiknya tidak melakukan hubungan seksualselama masih menjalani perawatan untuk mencegah terjadinya infeksi kembali. Perawatan dapat dilakukan dengan beberapacara yaitu :<br />1. Antibiotik untuk menghilangkan infeksi, dengan tingkat keberhasilan 85% dari kasus.<br />2. Perawatan di rumah sakit memberikan obat antibiotic melalui intravena (infuse).<br />3. Pembedahan dilakukan jika pengobatan dengan antibiotic menyebabkan terjadinya resistan pada bakteri<br />4. Berobat jalan<br />Jika keadaan umum baik, tidak demam. Berikan antibiotic : Cefotaksitim 2 gr IM atau amoksisilin 3 gr peroral atau ampisilin 3,5 per os atau prokain ampisilin G dalam aqua 4,8 juta unit IM pada 2 tempat. Masing-masing disertai dengan pemberian probenesid 1gr per os, diikuti dengan dekoksisiklin 100 mg per os dua kali sehari selama 10-14 hari serta tetrasiklin 500 mg per os 4 kali sehari (dekoksisilin dan tetrasiklin tidak digunakan untuk ibu hamil).<br />5. Tirah baring<br />Kunjungan ulang 2-3 hari atau jika keadaan memburuk.<br />6. Rawat inap : Jika terdapat keadaan-keadaan yang mengancam jiwa ibu.<br />Untuk menekan kerusakan permanen pada anatomi dan fungsi tuba, pasien dengan salpingitis akut harus diterapi secepat mungkin dan agresif dengan regimen antibiotika yang sesuai. Lakukan kultur terlebih dahulu, tetapi ketahuilah terdapat korelasi yang buruk antara organisme yang ditemukan dari kultur serviks dan yang terdapat serta aktif di dalam tuba. Salpingitis seringkali ditemukan berkaitan dengan organisme polimikroba aerobik dan anaerobik, kemungkinan sebagai patogen sekunder. Pemilihan antibiotik harus melihat hal tersebut. Diskusikan kemungkinan masalah yang terjadi di masa mendatang seperti infertilitas, kehamilan ektopik, nyeri pelvis kronis, rekurensi, dan pembentukan abses dengan tujuan memberitahukan pasien bahwa ia sangat berperan mengenai keadaannya dan prognosisnya. Dengan cara ini, pasien dapat melakukan tindakan untuk menghindarkan infeksi ulang dan mengetahui serta sadar tentang kemungkinan komplikasi.asien yang menderita salpingitis periodik akhirnya akan timbul kerusakan juga yang tidak dapat diperbaiki lagi dengan penutupan bagian distal dan proksimalnya, sehingga menyebabkan hidrosalping, piosalping, atau abses tubo-ovarium. Pasien perlu diberitahu mengenai keuntungan abstinensia seksual sebagai cara untuk membantu mengoptimalkan penyembuhan atau penggunaan kontrasepsi barier untuk menekan resiko infeksi ulang. Nyeri pelvis yang kronis terutama jika disertai dengan piosalping rekuren, memerlukan intervensi bedah untuk mengangkat organ yang rusak. Waktu yang terbaik untuk pembedahan adalah saat proses inflamasi menghilang secara maksimal di antara rekurensi.</div>
Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com1tag:blogger.com,1999:blog-649449949151411649.post-13529233396226325642013-06-06T03:07:00.003-07:002013-06-06T03:07:49.477-07:00ADNEXITIS<div style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; padding: 0px;">
A. <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Pengertian</span> Adneksitis</div>
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Adneksitis atau Salpingo-ooforitis adalah radang pada tuba falopi dan radang ovarium yang terjadi secara bersamaan, biasa terjadi karena infeksi yang menjalar ke atas sampai uterus, atau akibat tindakan post kuretase maupun post pemasangan alat kontrasepsi (IUD). Adnexa atau salpingo-ooporitis terbagi atas :<a name='more'></a></div>
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1. Salpingo ooporitis akuta</div>
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Salpingo ooporitis akuta yang disebabkan oleh gonorroe sampai ke tuba <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">dari</span> uterus sampai ke mukosa. Pada gonoroe ada kecenderungan perlekatan fimbria pada ostium tuba abdominalis yang menyebabkan penutupan ostium itu. Nanah yang terkumpul dalam tuba menyebabkan terjadi piosalping. Pada salpingitis gonoroika ada kecenderungan bahwa gonokokus menghilang dalam waktu yang singkat, biasanya 10 hari sehingga pembiakan negative. Salpingitis akut banyak ditemukan pada infeksi puerperal atau pada abortus septic ada juga disebabkan oleh berbagai tierti kerokan. Infeksi dapat disebabkan oleh bermacam kuman seperti streptokokus ( aerobic dan anaaerobic ), stafilokokus, e. choli, clostridium wechii, dan lain-lain. Infeksi ini menjalar dariservik uteri atau kavum uteri dengan <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">jalan</span> darah atau limfe ke parametrium terus ke tuba dan dapat pula ke peritoneum pelvic. Disini timbul salpingitis interstitial akuta ; mesosalping dan dinding tuba menebal dan menunjukkan infiltrasi leukosit, tetapi mukosa sering kali normal. Hal ini merupakan perbedaan yang nyata dengan salpingitis gonoroika, dimana radang terutama terdapat pada mukosa dengan sering terjadi penyumbatan lumen tuba.</div>
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2. Salpingo ooporitis kronika</div>
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Dapat dibedakan pembagian menjadi :</div>
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a. Hidrosalping</div>
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Pada hidrosalping terdapat penutupan ostium tuba abdominalis. Sebagian dari epitel mukosa tuba masih berfungsi dan mengeluarkan cairan akibat retensi cairan tersebut dalam tuba. Hidrosalping sering kali ditemukan bilateral, berbentuk seperti pipa tembakau dan dapat menjadi sebesar jeruk keprok. Hidrosalping dapat berupa hidrosalping simpleks dan hidrosalping follikularis. Pada hidrosalping simpleks terdapat satu ruangan berdinding tipis, sedang hidrosalping follikularis terbagi dalam ruangan kecil.</div>
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b. Piosalping</div>
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Piosalping dalam stadium menahun merupakan kantong dengan dinding tebal yang berisi nanah. Pada piosalping biasanya terdapat perlekatan dengan jaringan disekitarnya. Pada salpingitis interstialis kronika dinding tuba menebal dan tampak <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">fibrosis</span> dan dapat pula ditemukan pengumpulan nanah sedikit di tengah – tengah jaringan otot.</div>
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c. Salpingitis interstialis kronika</div>
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Pada salpingitis interstialis kronika dinding tuba menebal dan tampak fibrosis dan dapat pula ditemukan pengumpulan nanah sedikit ditengah-tengah jaringan otot. Terdapat pula perlekatan dengan-dengan jaringan-jaringan disekitarnya, seperti ovarium, uterus, dan usus.</div>
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d. Kista tubo ovarial</div>
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Pada kista tubo ovarial, hidrosalping bersatu dengan kista folikel ovarium, sedang pada abses tubo ovarial piosalping bersatu dengan abses ovarium.Abses ovarium yang jarang terdapat sendiri,dari stadium akut dapat memasuki stadium menahun.</div>
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e. Salpingitis tuberkulosa</div>
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Salpingitis tuberkulosa merupakan bagian penting dari tuberculosis genetalis.</div>
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B. Etiologi (penyebab)</div>
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Pada <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">wanita</span> rongga perut langsung berhubungan dengan dunia luar dengan perantara traktus genetalia. Radang atau infeksi rongga perut disebabkan oleh :</div>
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1. Sifat bactericide dari vagina yang mempunyai pH rendah.</div>
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2. Lendir yang kental dan liat pada canalis servicalis yang menghalangi naiknya kuman-kuman. Radang alat genetalia mungkin lebih sering terjadi di negara tropis, karena:</div>
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1. Hygiene belum sempurna.</div>
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2. Perawatan persalinan dan abortus belum memenuhi syarat-syarat.</div>
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3. Infeksi veneris belum terkendali.</div>
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Infeksi alat kandungan/genetalia dapat menurunkan fertilitas, mempengaruhi keadaan umum dan mengganggu keadaan sex. Sebab yang <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">paling</span> banyak terdapat adalah infeksi gonorroe dan infeksi puerperal dan postabortum. Kira-kira 10% infeksi disebabkan oleh tuberculosis. Selanjutnya bisa timbul radang adnexa yang paling sering disebabkan oleh gonococcus, disamping itu oleh stapylococus, streptococcus, E.Coli, clostridoium welchi dan bakteri sebagai akibat tindakan kerokan, laparotomi, pemasangan IUD serta perluasan radang dari alat yang letaknya tidak jauh seperti appendiks (Sarwono.Wiknjosastro, Hanifa, Hal 287.2007). Ditemukan 1:1000 kasus operasi ginekologik <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">abdominal</span>,dapat dijumpai pada semua umur (dari 19-80 tahun),dengan rata-rata puncaknya pada usia 52 tahun dan terjadi pada wanita yang sudah pernah melakukan hubungan seksual.</div>
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C. Patofisiologi</div>
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1. Radang tuba fallopii dan radang ovarium biasanya terjadi bersamaan. Radang itu kebanyakan akibat infeksi yang menjalar ke atas dari uterus, walaupun infeksi ini juga bisa datangdari <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">tempat</span> ekstra vaginal lewat jalan darah, atau menjalar dari jaringan – jaringan sekitarnya.</div>
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2. Pada salpingo ooforitis akuta gonorea ke tuba dari uterus melalui mukosa. Pada endosalping tampak edema serta hiperemi dan infiltrasi leukosit, pada infeksi yang ringan epitel masih utuh, tetapi pada infeksi yang lebih berat kelihatan degenarasi epitel yang kemudian menghilang pada daerah yang agak luas dan ikut juga terlihat lapisan otot dan serosa. Dalam hal yang akhir ini dijumpai eksudat purulen yang dapat keluar melalui ostium tuba abdominalis dan menyebabkan peradangan di sekitarnya.</div>
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3. Infeksi ini menjalar dari serviks uteri atau kavum uteri dengan jalan darah atau limfe ke parametrium terus ke tuba dan dapat pula ke peritonium pelvik. Disini timbul salpingitis interstialis akuta, mesosalping dan dinding tuba menebal menunjukkan infiltrasi leukosit, tetapi mukosa seringkali normal.</div>
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D. Tanda dan gejala</div>
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1. Gambaran klinik salpingo ooforitis akuta ialah demam, leukositosis dan <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">rasa</span> nyeri disebelah kanan atau kiri uterus, penyakit tersebut tidak jarang dijumpai terdapat pada kedua adneksa, setelah lewat beberapa hari dijumpai pula tumor dengan batas yang tidak jelas dan nyeri tekan. Pada pemeriksaan air kencing biasanya menunjukkan sel-sel radang pada pielitis. Pada torsi adneksa timbul rasa nyeri mendadak dan apabila defence musculaire tidak terlalu keras, dapat diraba nyeri tekan dengan batas nyeri tekan yang nyata.</div>
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2. Gejala – gejala salpingo ooforitis kronika tidak selalu jelas, penyakit bisa didahului oleh gejala – gejala penyakit akut dengan panas, rasa nyeri cukup kuat di perut bagian bawah, akan tetapi bisa pula dari permulaan sudah subakut atau menahun. Penderita pada umumnya merasa nyeri di perut bagian bawah sebelah kiri atau kanan, yang bertambah keras pada pekerjaan berat, disertai dengan penyakit pinggang. Haid pada umumnya lebih banyak dari biasanya dengan siklus yang sering kali tidak teratur, penderita sering mengeluh tentang dispareunia dan infertilitas dan dapat pula ditemukan dismenorea.</div>
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E. Komplikasi</div>
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Pembedahan pada salpingo-ooforitis akuta perlu dilakukan apabila:</div>
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1. <span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Jika</span> terjadi ruptur atau abses ovarium.</div>
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2. Jika terjadi gejala-gejala ileus karena perlekatan.</div>
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3. Jika terjadi kesukaran untuk membedakan antara apendiksitis akuta dan adneksitis akuta.</div>
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Gejala; nyeri kencing, rasa tidak enak di bawah perut, demam, ada lendir/bercak keputihan di celana dalam yang terasa panas, infeksi yang mengenai organ-organ dalam panggul/ reproduksi. Penyebab infeksi lanjutan dari saluran kencing dan daerah vagina. Selain itu komplikasi yang terjadi dapat berupa appendisitis akuta, pielitis akuta, torsi adneksa dan kehamilan ektopik yang terganggu. Biasanya lokasi nyeri tekan pada appendisitis akuta (pada titik Mac Burney) lebih tinggi daripada adneksitis akuta, akan tetapi apabila <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">proses</span> agak meluas perbedaan menjadi kurang jelas.</div>
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F. Penatalaksanaan medis</div>
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Terapi sederhana dapat dilakukan dengan duduk diantara 2 sujud, dua tangan dikepala dipinggang, tarik nafas tangan ke pangkal paha lalu badan bungkuk, tangan putar simpan di pantat bawah dan tahan nafas dada dan keluar nafas dihidung badan tegak tangan ke paha dan simpan dipinggang 30 menit. Jika penyakitnya masih dalam keadaan subakut, penderita harus diberi terapi dengan antibiotika dengan spektrum luas. Jika keadaan sudah tenang, dapat diberi terapi diatermi dalam beberapa seri dan penderita dinasehatkan supaya jangan melakukan pekerjaan yang berat-berat. Dengan terapi ini biarpun sisa-sisa peradangan masih ada, keluhan-keluhan penderita seringkali hilang atau sangat berkurang. Sudah barang tentu perlekatan-perlekatan tetap ada dan ini menyebabkan bahwa keluhan-keluhan tidak dapat hilang sama sekali.</div>
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Terapi operatif mempunyai tempat pada salpingo-ooforitis konika. Indikasi terapi ini adalah:</div>
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1. Apabila setelah berulang kali dilakukan terapi dengan distermi keluhan tetap ada dan mengganggu kehidupan sehari-hari.</div>
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2. Apabila tiap kali timbul reaktivisasi dari proses radang.</div>
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3. Apabila ada tumor disebelah uterus dan setelah dilakukan beberapa seri terapi diatermi tuor tidak mengecil, sehingga timbul dugaan adanya hidrosalping, piosalping, kista tubo-ovarial dan sebagainya.</div>
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4. Apabila ada infertilitas yang sebabnya terletak pada tuba, dalam hal ini sebaiknya dilakukan laparoskopi dahulu untuk mengetahui apakah ada harapan yang cukup besar bahwa dengan pembedahan tuba dapat dibuka dengan sempurna dan perlekatan dapat dilepaskan.</div>
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Terapi operatif kadang-kadang mengalami kesukaran berhubung dengan perlekatan yang erat antara tuba/ ovarium dengan uterus, omentum dan usus, yang memberi harapan yang terbaik untuk menyembuhkan penderita ialah operasi radikal, terdiri atas histerektomi dan salpingo-ooforektomi bilateral. Akan tetapi, hal ini hanya dapat dilakukan pada wanita yang hampir menopause. Pada wanita yang lebih muda satu ovarium untuk sebagian atau seluruhnya perlu ditinggalkan, kadang-kadang uterus harus ditinggalkan dan hanya adneksa dengan kelainan yang nyata diangkat. Jika operasi dilakukan atas dasar indikasi infertilitas, maka tujuannya adalah untuk mengusahakan supaya fungsi tuba pulih kembali. Perlu dipikirkan kemungkinan diadakan in vitro fertilization. Terapi pada salpingo-ooforitis akuta bisa juga dilakukan dengan istirahat baring, perawatan umum, pemberian antibiotika dan analgetika. Dengan terapi tersebut penyakit menjadi sembuh atau menahun. Jarang sekali salpingo-ooforitis akuta memerlukan terapi pembedahan.</div>
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G. Pencegahan</div>
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a. Selama kehamilan</div>
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Diet yang baik, karena anemia anemia merupakan factor predisposisi infeksi nifas. Koitus pada akhir kehamilan sebaiknya dilarang karena memicu pecahnya ketuban dan terjadi infeksi.</div>
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b. Selama persalinan</div>
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Petugas dalam kamar bersalin harus memakai masker, bagi yang menderita infeksi pernafasan tidak boleh masuk ke kamar bersalin, alat yang dipakai harus suci hama. Pemeriksaan dalam atas indikasi, dan cegah perdarahan. Usaha pencegahan untuk masuknya kuman dalam jalan lahir cegah terjadinya persalinan lama dan menyelesaikan persalinan dengan trauma sedikit mungkin.</div>
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c. Selama nifas</div>
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Penderita dengan tanda infeksi jangan dirawat bersama wanita yang sehat, pengunjun pada hari pertama dibatasi, dan semua alat yang berhubungan dengan genitalia harus suci hama.</div>
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Anonymoushttp://www.blogger.com/profile/04430842185864325349noreply@blogger.com0tag:blogger.com,1999:blog-649449949151411649.post-14690446246727387142013-06-06T03:06:00.003-07:002013-06-06T03:06:35.303-07:00ENDOMETRITIS<div class="entry-content" style="background-color: white; color: #111111; font-family: Candara, Verdana, sans-serif; font-size: 13px; line-height: 21px; margin: 0px; min-height: 20px; padding: 30px 15px 10px;">
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<strong style="font-style: inherit;">A. </strong><strong style="font-style: inherit;"><span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Pengertian</span> Endometritis</strong><br />Endometritis adalah keradangan pada dinding uterus yang umumnya disebabkan oleh partus. Dengan kata lain endometritis didefinisikan sebagai inflamasi <span class="IL_AD" id="IL_AD11" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">dari</span> endometrium. Derajat efeknya terhadap fertilitas bervariasi dalam hal keparahan radang, waktu yang diperlukan untuk penyembuhan lesi endometrium, dan tingkat <span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">perubahan</span> permanen yang merusak fungsi dariglandula endometrium dan/atau merubah lingkungan uterus dan/atau oviduk. Organisme nonspesifik primer yang dikaitkan dengan patologi endometrial adalah <a name='more'></a>Corynebacterium pyogenes dan gram negatif anaerob.<br />Endometritis adalah infeksi pada endometrium (lapisan dalam dari rahim). Infeksi ini dapat terjadi sebagai kelanjutan infeksi pada serviks atau infeksi tersendiri dan terdapat benda asing dalam rahim.<strong style="font-style: inherit;">B. </strong><strong style="font-style: inherit;">Etiologi Endometritis</strong><br />Kuman-kuman memasuki endometrium, biasanya pada luka bekas insersio plasenta, dan dalam waktu singkat mengikutsertakan seluruh endometrium. Pada infeksi dengan kuman yang tidak seberapa pathogen, radang terbatas pada endometrium. Jaringan desidua bersama-sama dengan bekuan darah menjadi nekrotis dan mengeluarkan getah berbau dan terdiri atas keeping-keping nekrotis serta cairan. Pada batas antara daerah yang meradang dan daerah yang sehat terdapat lapisan yang terdiri atas leukosit-leukosit. Pada infeksi yang lebih berat, batas endometrium dapat dilampaui dan terjadilah penjalaran.<br />Terjadinya infeksi endometrium pada saat:<br />a. Persalinan, dimana bekas implantasi plasenta masih terbuka, terutama pada persalinan terlantar dan persalinan dengan tindakan.<br />b. Pada saat terjadi keguguran.<br />c. Saat pemasangan alat rahim (IUD) yang kurang legeartis.<br />Diduga uterus dan isinya steril selama kehamilan normal dan lebih dulu melahirkan. Kemudian waktu kelahiran atau setelah itu lumen uterus terkontaminasi mikroorganisme dari lingkungan, mikroorganisme, kulit dan feses melalui relaksasi peritoneum, vulva dan dilatasi cervik.<br />Ada berbagai macam <span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">faktor</span> predisposisi dari endometritis. Ada sinergisme antara <em>A. pyogenes, F. necrophorum, </em>dan<em> Prevotella melaninogenicus</em>, menyebabkan lebih beratnya kasus endometritis. Gangguan mekanisme pertahanan uterus seperti involusi uterus atau fungsi neutrofil akan menunda fungsi eliminasi kontaminasi bakteri. Distosia, kelahiran kembar atau kematian janin dan inseminasi buatan meningkatkan kesempatan untuk kontaminasi pada traktus genital. Retensi membrane fetus adalah faktor predisposisi endometritis dan berhubungan dengan peningkatan endometritis berat.<div style="margin-bottom: 18px; padding: 0px;">
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<strong style="font-style: inherit;">C. </strong><strong style="font-style: inherit;">Gambaran Klinik Endometritis</strong><br />Gambaran klinik tergantung jenis dan virulensi kuman, daya tahan penderita, dan derajat trauma pada <span class="IL_AD" id="IL_AD10" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">jalan</span> lahir. Kadang-kadang lochia tertahan oleh darah, sisa-sisa palsenta dan selaput ketuban. Keadaan ini dinamakan lokiometra dan dapat menyebabkan kenaikan suhu yang segera hilang setelah rintangan diatasi. Uterus pada <span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">endometriosis</span> agak membesar, serta nyeri pada perabaan, dan lembek. Pada endometritis yang tidak meluas, penderita pada hari-hari pertama merasa kurang sehat dan perut nyeri. Mulai hari ke-3 suhu meningkat, nadi menjadi cepat, akan tetapi dalam beberapa hari suhu dan nadi menurun dan dalam kurang lebih satu minggu keadaan sudah normal kembali. Lokia pada endometritis, biasanya bertambah dan kadang-kadang berbau. Hal yang terakhir ini tidak boleh menimbulkan anggapan bahwa infeksinya berat. Malahan infeksi berat kadang-kadang disertai oleh lokia yang sedikit dan tidak berbau.<br />Endometritis dapat terjadi penyebaran:</div>
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<span class="Apple-style-span" style="color: #444444; font-size: 16px; line-height: 24px;">Miometritis (infeksi otot rahim)</span><br /><span class="Apple-style-span" style="color: #444444; font-size: 16px; line-height: 24px;">Parametritis (infeksi sekitar rahim)</span><br /><span class="Apple-style-span" style="color: #444444; font-size: 16px; line-height: 24px;">Salpingitis (infeksi saluran telur)</span><br /><span class="Apple-style-span" style="color: #444444; font-size: 16px; line-height: 24px;">Ooforitis (infeksi indung telur)</span><br /><span class="Apple-style-span" style="color: #444444; font-size: 16px; line-height: 24px;">Dapat terjadi sepsis (infeksi menyebar)</span><br /><span class="Apple-style-span" style="color: #444444; font-size: 16px; line-height: 24px;">Pembentukan pernanahan sehingga terjadi abses pada tuba atau indung telur.</span><br /><span class="Apple-style-span" style="color: #444444;"> </span></div>
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<strong style="font-style: inherit;">D. PATOFISIOLOGI</strong></div>
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Infeksi endometrium, atau decidua, biasanya hasil dari infeksi naik dari saluran kelamin yang lebih rendah. Dari perspektif patologis, endometritis dapat diklasifikasikan sebagai akut versus kronis. Endometritis akut dicirikan oleh kehadiran neutrofil dalam kelenjar endometrium. Endometritis kronis dicirikan oleh kehadiran plasma sel dan limfosit dalam stroma endometrium.<br />Dalam populasi nonobstetric, panggul inflammatory penyakit dan ginekologi prosedur invasif adalah prekursor-prekursor yang <span class="IL_AD" id="IL_AD8" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">paling</span> umum untuk endometritis akut. Dalam populasi obstetri, infeksi setelah bersalin adalah pendahulu paling umum.<br />Endometritis kronis dalam populasi obstetri biasanya berhubungan dengan produk-produk yang tetap dari konsepsi setelah <span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">pengiriman</span> atau elektif aborsi. Dalam populasi nonobstetric, kronis endometritis telah melihat dengan infeksi (misalnya, klamidia, tuberkulosis, bakterial vaginosis) dan kehadiran perangkat <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">intrauterine</span>.</div>
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Kuman-kuman masuk endometrium, biasanya pada luka bekas insersio plasenta, dan waktusingkat mengikut sertakan seluruh endometrium. Pada infeksi dengan kuman yang tidak seberapa patogen, radang terbatas pada endometrium. Jaringan desidua bersama-sama dengan bekuandarah menjadi nekrosis serta cairan. Pada batas antara daerah yang meradang dan daerah sehatterdapat lapisan terdiri atas lekosit-lekosit. Pada infeksi yang lebih berat batas endometriumdapat dilampaui dan terjadilah penjalaran</div>
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<strong style="font-style: inherit;">D. </strong><strong style="font-style: inherit;">Jenis-jenis Endometritis</strong><br /><strong style="font-style: inherit;">Endometritis Akut</strong><br />Terutama terjadi pada postpartum atau postabortum. Pada endometritis postpartum, regenerasi endometrium selesai pada hari ke-9, sehingga endometritis postpartum pada umumnya terjadi sebelum hari ke-9. Endometritis postabortum terutama terjadi pada abortus provocatus. Endometritis juga dapat terjadi pada masa senil.<br />Pada endometritis akuta endometrium mengalami edema dan hiperemi, dan pada pemeriksaan mikroskopik terdapat hiperemi, edema, dan infiltrasi leukosit berinti polimoni yang banyak, serta perdarahan-perdarahan interstisial. Sebab yang paling penting ialah infeksi gonorea dan infeksi pada abortus dan partus.<br />Infeksi gonorea mulai sebagai servisitis akuta, dan radang menjalar ke atas dan menyebabkan endometritis akuta. Infeksi gonorea akan dibahas secara khusus, dan oleb sebab itu tidak dibicarakan lebib lanjut di sini. Infeksi post abortum dan post partum sering terdapat oleh karena luka-luka pada serviks uteri, luka pada dinding uterus bekas tempat plasenta, yang merupakan porte d’entree bagi kuman-kuman patogen. Selain in, alat-alat yang digunakan pada abortus dan partus dan tidak sucihama dapat membawa kuman-kuman ke dalam uterus.<br />Pada abortus septic dan sepsis puerperalis infeksi lebih cepat meluas ke miometrium dan melalui pembuluh-pembuluh darah dan limfe dapat menjalar ke parametrium, tuba dan ovarium serta ke peritoneum di sekitarnya. Gejala-gejala endometritis akuta dalam hal ini diselubungi oleh gejala-gejala penyakit dalam keseluruhannya. Penderita panas tinggi, kelihatan sakit keras, keluar leukorea yang bernanah, dan uterus serta daerah di sekitarnya nyeri pada perabaan.<br />Sebab lain endometritis akuta ialah tindakan yang dilakukan dalam uterus di luar partus atau abortus, seperti kerokan, memasukkan radium ke dalam uterus, memasukkan IUD (intra-uterine device) ke dalam uterus, dan sebagainya. Tergantung dari virulensi kuman yang dimasukkan dalam uterus, apakah endometritis akuta tetap terbatas pada endometrium, atau menjalar ke jaringan di sekitarnya. Endometritis akuta yang disebabkan oleh kuman-kuman yang tidak seberapa pathogen umumnya dapat diatasi atas kekuatan jaringan sendiri, dibantu dengan pelepasan lapisan fungsional dari endometrium pada waktu haid. Dalam pengobatan endometritis akuta yang paling penting ialah berusaha mencegah agar infeksi tidak menjalar.<br />Gejala-gejala:<br />a. Demam<br />b. Lochia berbau, pada endometritis postabortum kadang-kadang keluar fluor yang purulent.<br />c. Lochia <span class="IL_AD" id="IL_AD12" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">lama</span> berdarah, malahan terjadi metrorrhagi.<br />d. <span class="IL_AD" id="IL_AD9" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(27, 142, 222) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(27, 142, 222) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Jika</span> radang tidak menjalar ke parametrium atau perimetrium tidak ada nyeri.<br />e. Nyeri pada palpasi abdomen (uterus) dan sekitarnya.</div>
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<strong style="font-style: inherit;">Endometritis Kronik</strong><br />Kasusnya jarang ditemui oleh karena infeksi yang tidak dalam masuknya pada miometrium, tidak dapat mempertahankan diri, karena pelepasan lapisan fungsional dari endometrium pada waktu haid. Pada pemeriksaan mikroskopik ditemukan banyak sel-sel plasma dan limfosit. Penemuan limfosit saja tidak besar artinya karena sel itu juga ditemukan dalam keadaan normal dalam endometrium.<br />Gejala-gejala klinis endometritis kronika ialah, leukorea dan menoragia. Pengobatannya tergantung dari penyebabnya.<br />Endometritis knonika ditemukan:<br />a. pada tuberkulosis;<br />b. jika tertinggal sisa-sisa abortus atau partus;<br />c. jika terdapat korpus alienum di kavum uteri;<br />d. pada polip uterus dengan infeksi;<br />e. pada tumor ganas uterus;<br />f. pada salpingo-ooforitis dan sellulitis pelvik.<br />g. Fluor albus yang keluar dari ostium<br />h. Kelainan haid seperti metrorrhagi dan menorrhagi<br />Endometritis kronika yang lain umumnya akibat infeksi yang terus-menerus karena adanya benda asing atau polip/tumor dengan infeksi di dalam kavum uteri. Dahulu diagnosis endometritis kronika lebih sering dibuat daripada sekarang. Sejak penelitian fundamental dari Hitshcmann dan Adler tentang histology endometrium selama siklus haid, diketahui bahwa banyak perubahan yang ditemukan dalam endometrium dan yang dahulu dianggap patologik adalah gambaran normal dari endometrium dalam berbagai fase siklus haid.<br />Endometritis tuberkulosa terdapat pada hampir setengah kasus-kasus tuberculosis genital. Pada pemeriksaan mikrskopik ditemukan tuberkel di tengah-tengah endometrium yang beradang menahun.<br />Endometritis tuberkulosa umumnya timbul sekunder pada penderita dengan salpingitis tuberkulosa. Pada penderita dengan tuberculosis pelvic yang asimptomatik, endometritis tuberkulosa ditemukan bila pada seorang wanita dengan infertilitas dilakukan biopsy endometrial dan ditemukan tuberkel dalam sediaan. Terapi yang kausal terhadap tuberculosis biasanya dapat menyebabkan timbulnya haid lagi.<br />Pada abortus inkompletus dengan sisa-sisa tertinggal dalam uterus terdapat desidua dan villi korialis di tengah-tengah radang menahun endometrium.<br />Pada partus dengan sisa plasenta masih tertinggal dalam uterus, terdapat peradangan dan organisasi dari jaringan plasenta tersebut disertai gumpalan darah, dan terbentuklah apa yang dinamakan polip plasenta.</div>
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<strong style="font-style: inherit;">F. </strong><strong style="font-style: inherit;">Diagnosa Endometritis</strong><br />Secara klinis karakteristik endometritis dengan adanya pengeluaran mucopurulen pada vagina, dihubungkan dengan ditundanya involusi uterus. Diagnosa endometritis tidak didasarkan pada pemeriksaan histologis dari biopsy endometrial. Tetapi pada kondisi lapangan pemeriksaan vagina dan palpasi traktus genital per rectum adalah teknik yang sangat bermanfaat untuk diagnosa endometritis. Pemeriksaan visual atau manual pada vagina untuk abnormalitas pengeluaran uterus adalah penting untuk diagnosa endometritis, meski isi vagina tidak selalu mencerminkan isi dari uterus. Flek dari pus pada vagina dapat berasal dari uterus, cervik atau vagina dan mukus tipis berawan sering dianggap normal. Sejumlah sistem penilaian telah digunakan untuk menilai tingkat involusi uterus dan cervik, pengeluaran dari vagina alami. Sistem utama yang digunakan adalah kombinasi dari diameter uterus dan cervik, penilaian isi dari vagina.<br />Sangat penting untuk dilakukan diagnosa dan memberi perlakuan pada kasus endometritis di awal periode post partum. Setiap ibu harus mengalami pemeriksaan postpartum dengan segera pada saat laktasi sebagai bagian dari program kesehatan yang rutin. Kejadian endometritis dapat didiagnosa dengan adanya purulen dari vagina yang diketahui lewat palpasi rektal. Diagnosa lebih lanjut seperti pemeriksaan vaginal dan biopsi mungkin diperlukan. Yang harus diperhatikan pada saat palpasi dan pemeriksaan vaginal meliputi ukuran uterus, ketebalan dinding uterus dan keberadaan cairan beserta warna, bau dan konsistensinya. Sejarah tentang trauma kelahiran, distosia, retensi plasenta atau vagina purulenta saat periode postpartum dapat membantu diagnosa endometritis. Pengamatan oleh inseminator untuk memastikan adanya pus, mengindikasikan keradangan pada uterus. Sejumlah kecil pus yang terdapat pada pipet inseminasi dan berwarna keputihan bukanlah suatu gejala yang mangarah pada endometritis. Keradangan pada cervix (cervisitis) dan vagina (vaginitis) juga mempunyai abnormalitas seperti itu. Bila terdapat sedikit cairan pada saat palpasi uterus, penting untuk melakukan pemeriksaan selanjutnya yaitu dengan menggunakan spekulum. Untuk beberapa kasus endometritis klinis atau subklinis, diagnosa diperkuat dengan biopsy uterin. Pemeriksaan mikroskopis dari jaringan biopsy akan tampak adanya peradangan akut atau kronik pada dinding uterus. Pemeriksaan biopsi uterin dapat untuk memastikan terjadinya endometritis dan adanya organisme di dalam uterus. Tampak daerah keradangan menunjukkan terutama neutrofil granulocyte dan dikelilingi jaringan nekrosis dengan koloni coccus.<br />Cara sederhana juga adalah dengan melakukan pemeriksaan manual pada vagina dan mengambil mukus untuk di inspeksi. Keuntungan teknik ini adalah murah, cepat, menyediakan informasi sensory tambahan seperti deteksi laserasi vagina dan deteksi bau dari mukus pada vagina. Satu prosedur adalah pembersihan vulva menggunakan paper towel kering dan bersih, sarung tangan berlubrican melalui vulva ke dalam vagina. Pinggir, atas dan bawah dinding vagina dan os cervik eksterna dipalpasi dan isi mukus vagina diambil untuk diperiksa. Tangan biasanya tetap di vagina untuk sekurangnya 30 detik. Pemeriksaan vagina manual telah sah dan tidak menyebabkan kontaminasi bakteri uterus, menimbulkan phase respon protein akut atau menunda involusi uterus. Tetapi operator sadar bahwa vaginitis dan cervicitis mungkin memberikan hasil yang salah. Vaginoscopy dapat dilakukan dengan menggunakan autoclavable plastik, metal atau disposable foil- lined cardboard vaginoscope, yang diperoleh adalah inspeksi dari isi vagina. Tetapi mungkin ada beberapa resistensi menggunakan vaginoscop karena dirasa tidak mudah, potensial untuk transmisi penyakit dan harganya. Alat baru untuk pemeriksaan mukus vagina terdiri dari batang stainless steel dengan hemisphere karet yang digunakan untuk mengeluarkan isi vagina.</div>
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<strong style="font-style: inherit;">G. </strong><strong style="font-style: inherit;">Penanganan Endometritis</strong><br /><strong style="font-style: inherit;"></strong></div>
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1. Antibiotika dan drainase yang memadai</div>
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Merupakan pojok sasaran terapi. Evaluasi klinis dan organisme yang terlihat pada pewarnaan gram, seperti juga pengetahuan bakteri yang diisolasi dari infeksi serupa sebelumnya, memberikan petunjuk untuk terapi antibiotic.</div>
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2. Carian intravena dan elektrolit</div>
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Merupakan terapi pengganti untuk dehidrasi dan terapi pemeliharaan untuk pasien-pasien yang tidak mampu mentoleransi makanan lewat mulut. Secepat mungkin pasien diberikan diet peroral untuk memberikan nutrisi yang memadai.</div>
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3. Penggantian darah</div>
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Dapat diindikasikan untuk anemia berat post abortus atau postpartum.</div>
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4. Tirah baring dan analgesia</div>
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Merupakan terapi pendukung yang banyak manfaatnya.</div>
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5. Tindakan bedah</div>
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Endometritis postpartum sering disertai dengan jaringan plasenta yang tertahan atau obstruksi servik. Drainase lokia yang memadai sangat penting. Jaringan plasenta yang tertinggal dikeluarkan dengan kuretase perlahan dan hati-hati.</div>
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<strong style="font-style: inherit;">Endometritis Akut</strong><br /><em>Terapi:</em><br />a. Pemberian uterotonika<br />b. Istirahat, posisi/letak Fowler<br />c. Pemberian antibiotika<br />d. Endometritis senilis, perlu dikuret untuk mengesampingkan diagnosa corpus carcinoma. Dapat diberi estrogen.</div>
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<strong style="font-style: inherit;">Endometritis Kronik</strong><br /><em>Terapi:</em><br />E Perlu dilakukan kuretase untuk diferensial diagnosa dengan carcinoma corpus uteri, polyp atau myoma submucosa. Kadang-kadang dengan kuretase ditemukan emndometritis tuberkulosa. Kuretase juga bersifat terapeutik.</div>
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<strong style="font-style: inherit;">H. </strong><strong style="font-style: inherit;">PENCEGAHAN</strong><strong style="font-style: inherit;"></strong></div>
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• Menyembuhkan penyakit metabolisme<br />ini sangat baik dengan memenuhi kebutuhan nutrisi sapi, salah satu caranya:<br />• Meningkatkan BCS 2 ke 3<br />• Memenuhi kebutuhan magnesium<br />• Perbaiki kebutuhan nutrisi, dan lingkungan kandang</div>
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• Menjaga kebersihan alat yang digunakan dalam pertolongan kelahiran<br />• Mengawinkan sapi betina hendaknya dilakukan sekurang-kurangnya 60 hari post partum<br />• Dalam menangani retensi sekundinarum segera diadakan pertolongan dengan teknik yang baik dan menyeluruh, jangan ada sisa sekundinae yang tertinggal di dalam uterus.</div>
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