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PDF Makalah KMB 3 Cushing Sindrom - Compress Dikonversi
PDF Makalah KMB 3 Cushing Sindrom - Compress Dikonversi
Ghsusud Jnme9
Byudgb Mlb Lbrdhtb
Jlly Chdtyb Pmrkbtb
Gmwh Whthd Qbebyu
S2 - LMPMQBVBWD
PBWQHB E]SBGB
ANHWBQ WBE]D
102?/1026
GBOWBQ HSH
Aba H pmdgbeunubd
2.2 Nbtbr amnblbdf ...............................................................................................................
2.1 Qukusbd kbsbnbe .........................................................................................................
2.3 Wuiubd................................................................................................................
Aba H_ Pmdutup
7.2 Lmshkpunbd………………………………………………………………………..
7.1 Sbrbd………………………………………………………………………………..
2.2 Nbtbr Amnblbdf
Lmnmdibr bgrmdbn tmrghrh gbrh kmgunb gbd ljrtmls. Ljrtmls tmrghrh btbs zjdb fnjkmrunjsb,
obshlunbtb, gbd rmthlunbrhs. Yjdb fnjkmrunjsb kmdsmlrmshlbd bngjstmrjd gbd
ghlmdgbnhlbd jnme kmlbdhskm rmdhd-bdfhjtmdshd gbd thgbl amrfbdtudf pbgb ehpjohshs. Yjdb
obshlunbtb gbd rmthlunbrhs kmdsmlrmshlbd ljrthsjn gbd ejrkjd bdgrjfmdhl gbd
ghlmdgbnhlbd jnme ehpjohshs kmnbnuh BCWE.
Smlrmsh BCWE jnme ehpjohshs ghlmdgbnhlbd jnme (2) obltjr pmnmpbs ljrthljtrjphd
ehpjtbnbkus, gbd (1) moml ukpbd abnhl ljrthsjn. Lmthlb tmribgh subtu fbdffubd pbgb
pmkamdtulbd ejrkjd-ejrkjd tmrsmaut abhl amrnmahe kbupud lmlurbdfbd, blbd
kmkpmdfbrueh tuaue gbd kmdhkaunlbd lmbadjrkbnbd. Shdgrjk cusehdf bgbnbe tmribgh
2.1 Qukusbd Kbsbnbe
2. Bpb Gmohdhsh gbrh shdgrjk ceushdf :
1. Bpb sbib Lnbshohlbsh gbrh shdgrjk ceushdf :
3. Abfbhbkbdb Mthjnjfh gbrh shdgrjk ceushdf :
7. Abfbhkbdb Pbtjohshjnjfh gbrh shdgrjk ceushdf :
=. Abfbhkbdb Kbdhomstbsh Lnhdhs gbrh shdgrjk ceushdf :
?. Abfbhkbdb Pmkmrhlsbbd Ghbfdjsthc udtul shdgrjk ceushdf :
6. Abfbhkbdb Pmdbtbnblsbdbbd gbrh shdgrjk ceushdf :
5. Abfbhbkbdb Ljkpnhlbsh gbrh shdgrjk ceushdf :
8. Abfbhkbdb Bsuebd Lmpmrbwbtbd Pbgb Lnhmd Gmdfbd shdgrjk ceushdf :
2.3 tuiubd
2. udtul kmdfmtbeuh Gmohdhsh gbrh shdgrjk ceushdf :
1. udtul kmdfmtbeuh Lnbshohlbsh gbrh shdgrjk ceushdf
: 3. udtul kmdfmtbeuh Mthjnjfh gbrh shdgrjk ceushdf :
1.2 Gmohdhsh
Lmnbhdbd lmnmdibr bgrmdbn ghtbdgbh jnme shdgrjk lnhdhs ybdf ghsmabalbd abhl jnme
lmfbfbnbd mlsrmsh btbu smlrmsh amrnmahebd ejrkjdm ljrtmls bgrmdbn btbu ejrkjdm kmgunmr.
Shdgrjk cusehdf bgbnbe subtu lmbgbbd ybdf ghblhabtlbd jnme moml kmtbajnhl
fbaudfbd gbrh pmdhdffhbd lbgbr fnuljljrthljhg gbnbk gbrbe ybdf kmdmtbp. Lbgbr
ybdf thdffh hdh gbpbt tmribgh smcbrb spjdtbd btbu lbrmdb pmkamrhbd gjshs obrkbljnjfhl
smdybwb- smdybwb fnuljljrthljhg.
Shdgrjk ceushdf kmdffbkabrlbd fmibnb lnhdhs ybdf kmkpmrebthlbd pmdymabadyb,
pmdyblht ceushdf kmdudiullbd bgbdyb bgmdjkb ehpjohshs gmdfbd eypmrpnbshb bgrmdbn
smludgmr.
1.1 Lnbshohlbsh
2. Eypmrpnbshb bgrmdbn
b. Smludgmr tmrebgbp lnmahebd prjgulsh BCWE ehpjohshs ybhtu amrupb
ghsoudfsh ehpjtebnbkhl – ehpjohsb gbd khlrj gbd kblrjbgmdjkbybdf
kmdfebshnlbd BCWE ehpjohshs.
a. Smludgmr tmrebgbp tukjr djd mdgjlrhd ybdf kmdfebshnlbd BCWE btbu CQE
ybhtu lbrshdjkb arjdlejfmdh, lbrshdjhg teykus, lbrshdjkb pbdcrmbs gbd
bgmdjkb
arjdlus.
1. Eypmrpnbshb djgunmr bgrmdbn ybhtu dmjpnbshb bgrmdbn amrupb bgmdjkb gbd lbrshdjkb.
1.3 Mthjnjfh
2. Shdgrjk cusehdf ghsmabalbd jnme smlrmsh ljrthsjn btbu ljrthljstmrjd ybdf
amrnmahebd, lmnmahebd sthkunbsh BCWE kmdfblhabtlbd ehpmrpnbshb ljrtmls bdbn
fhdibn amrupb bgmdjkb kbupud cbrshdjkb ybdf thgbl tmrfbdtudf BCWE iufb
kmdfblhabtlbd shdgrjk cusehdf. Gmkhlhbd iufb ehpmrblthvhtbs ehpjohshs, btbu tukjr
nbhd ybdf kmdfmnubrlbd BCWE. Syhdgrjk cueshdf ybdf ghsmabalbd tukjr ehpjohshs
ghsmaut pmdyblht cushdf.
1. Shdgrjk cushdf gbpbt ghblhabtlbd jnme pmkamrhbd fnuljrthljhg ibdflb pbdibdf
gbnbk gjshs obrkbljnjfhl (nbtrjfmd) btbu jnme smlrmsh ljrthsjn ybdf amrnmahebd pbgb
fbdffubd blshs ehpjtbnbkus-ehpjohsm-bgrmdbn (spjdtbd) pbgb shdgrjk cushdf spjdtbd,
ehpmroudfsh ljrtmls bgrmdbn tmribgh blhabt rbdsbdfbd amnmahebd jnme BCWE btbu
smaba pbtjnjfh bgrmdbn ybdf kmdfblhabtlbd prjgulsh ljrthsjn badjrkbn.
3. Kmdhdffhdyb lbgbr BCWE ( thgbl smnbnu lbrmdb bgmdjkb smn absjohn ehpjohshs).
7. Kmdhdffhdyb lbgbr BWCE lbrmdb bgbdyb tukjr gh nubr ehpjohshs, khsbndyb tukjr pbru,
pbdlrmbs ybdf kmdfmnubrlbd „BCWE nhlm suastbdcm‛.
=. Dmjpnbskb bgrmdbn ybhtu bgmdjkb gbd lbrshdjkb.
?. Hbtrjfmdhl bgbnbe Pmkamrhbd fnuljljrthljhg ibdflb pbdibdf gbnbk gjshs
obrkbljnjfhl. Ghiukpbh pbgb pmdgmrhtb brthths remukbtjhg, bskb, nhkpjkb gbd
fbdffubd lunht ukuk ybdf kmdmrhkb fnuljljrthljhg shdtmthl smabfbh bfmd
bdthhdonbkbsh.
1.7 Pbtjohshjnjfh
Shdgrjk cusehdf gbpbt ghsmabalbd jnme amamrbpb kmlbdhskm ybdf kmdcblup
ukur
lmnmdibr ehpjohshs ybdf kdmfebshnlbd BCWE gbd kmdsthkunbsh ljrtmls bgrmdbn udtul
kmdhdflbtlbd smlrmsh ejrkjddyb kmslhpud ejrkjd tmrsmaut tmnbe ghprjguslh gmdfbd iuknbe
ybdf bgmlubt. Ejpmronbshb lmnmdibr bgrmdbn gbd pmkamrhbd ljrthljstmrjhg btbu BCWE gbpbt
punb kmdhkaunlbd shdgrjk cusehdf, kmlbdhskm ukpbd abnhl djrkbn udtul kmdfmdgbnhlbd
oudfsh ljrtml bgrmdbn kmdibgh thgbl momltho gbd pjnb smlrmsh ghurdbn ljrthsjn ybdf
djrkbn blbd kmdfehnbdf. Wbdgb gbd fmibnb shdgruk cusehdf tmrutbkb tmribgh smabfbh
blhabt gbrh smlrmsh fnuljljrthljhg gbd bdgrjfmd ybdf amrnmahebd, kmlhpud smlrmsh
kmdmrbnjrljrthljhg
iufb gbpbt tmrpmdfbrue.
Lmnmahebd fnuljljrthljhg gbpbt kmdfebkabt prjsms kmtbajnhskm prjtmhd
gbd lbrajehgrbt. Fnuljljrthljhg kmkpudybh moml lbtbajnhl gbd bdthbdbajnhl pbgb
prjtmhd, kmdymabalbd kmduruddyb lmkbkpubd smn-smn pmkamdtul prjtmhd udtul kmdshstmshs
prjtmhd, smabfbh blhabtdyb tmribgh lmehnbdfbd prjtmhd pbgb ibrhdfbd smpmrth lunht, jtjt,
pmkaunue gbrbe, gbd tunbdf.
Pbtewby
1. = Kbdhomstbsh Lnhdhs
1. Jamshtbs
3. Pmrtukauebd imnml
7. Ehpmrtmdsh
=. Jstmjpjrjshs
?. Dymrh pudffudf
6. Pmdurudbd
ljdsmdtrbsh 5.
Lmnmkbebd jtjt
8. Dymrh lmpbnb
20. Ehpmrphfkmdtbsh
22. Nulb sulbr
smkaue
21. Mgmkb pbgb
mlstrmkhtbs 23. Pmdhphsbd
lunht 27. Ehpmrtmdsh
2=. Ehpjlbnmkhb
2?. Pshljshs
26. Qmtmdsh dbtrhuk
25. Gmprmsh
28. Pmruabebd mkjsh
1. ? Pmkmrhlsbbd ghbfdjsthl
1.6 Pmdbtbnblsbdbbd
Pmdfjabtbd shdgrjk cusehdf tmrfbdtudf BCWE thgbl smrbfbk, amrfbdtudf bpblbe
sukamr BCWE bgbnbe ehpjohshs / mltjphl.
2. Ihlb ghiukpbh tukjr ehpjohshs, Smabhldyb ghusbeblbd rmsmlsh tukjr trbdomdjhgb.
1. Ihlb tmrgbpbt aulth ehpmroudfsh ehpjohshs dbkud tukjr thgbl gbpbt ghtmkulbd kblb
1.5 ljkpnhlbsh
b) Dbkb 9
a) Dj. KQ 9
c) ]kur 9
g) Pmlmribbd 9
m) Bfbkb 9
o) Imdhs lmnbkhd 9
f) Bnbkbt 9
1. Qhwbybt lmsmebtbd
b) Lmnuebd ]tbkb
Ahbsbdyb bgbdyb kmkbr pbgb lunht, lnhmd kmdfmnue nmkbe, tmribgh lmdbhlbd amrbt
abgbd.
a) Qhwbybt pmdyblht gbeunu
Lbih bpblbe lnhmd pmrdbe kmdfljdsuksh jabt-jabtbd lbrtmljstmrjhg gbnbk
ibdflb wbltu ybdf nbkb. Gbd lbih iufb lnhmd smamnukdyb pmrdbe kmdgmrhtb
Jstmjprjshs, ehpmrtmdsh
a) Vbibe 9 ahbsbdyb kulb kmrbe, amrimrbwbt gbd amrkhdybl, kjjd obcm
c) Kbtb 9 ahbsbdyb ljdiudfthvb bdmkhs, Slnmrb hltmrhl, Puphn thgbl ghnbtbsh
g) Ehgudf 9ahbsbdyb shkmtrhs lhrh gbd lbdbd, Smlrmt thgbl bgb
m) Kunut 9 ahbsbdyb kmkarbd kuljsb pucbt, ahahr lmrhdf.
o) Nmemr 9 thgbl bgb pmkamsbrbd lmnmdibr tyrjhg, vmdb iufunbrhs ghstmdsh,
f) Hdtmfukmdt 9 turfjr lunht aurul, lunht lmkmrbebd, tmrgbpbt aunu ebnus, strhbm
e) Wejrbl
Pbru – pbru
Hdspmlsh 9 thgbl tmrnhebt rmtrblsh hdtmrcjstb ehgudf, pmrfmrblbd gbgb
shkmtrhs Pbnpbsh 9 thgbl tmrgbpbt dymrh tmlbd
Pmrlush 9 sjdjr
Busluntbsh 9 thgbl bgb subrb
tbkabebd Ibdtudf
Hdspmlsh 9 hctus cjrghs thgbl tbkpbl
Pbnpbsh 9 hctus cjrghs tmrbab pbgb HCS 7 – =
i) mlstrmkhtbs 9 btrjoh jtjt mlstrmkhtbs, tunbdf tmribgh jstmjpjrjshs, jtjt nmkbe
Hdspmlsh 9 thgbl shkmtrhs, gbd mgmkb, strhbm
Pbnpbsh 9 dymrh tmlbd
Pmrlush 9 subrb rmgup
Busluntbsh 9 ahshdf usus kmdhdflbt
l) fmdhtbnhb 9 lnhtjrhs kmkamsbr,
bkmdjrm
Ahbsbdyb lnhmd
rmspjd hdonbkbsh
GJ 9
Ahbsbdyb Lunht lnhmd
tbkpbl thphs
Ahbsbdyb Lunht lnhmd
tbkpbl lmkmrbebd
Ahbsbdyb Lunht lnhmd
amrkhdybl gbd amrimrbwbt
7.2 Lmshkpunbd
Shdgrjk cusehdf bgbnbe subtu lmbgbbd ybdf ghblhabtlbd jnme moml kmtbajnhl fbaudfbd
gbrh pmdhdffhbd lbgbr fnuljljrthljhg gbnbk gbrbe ybdf kmdmtbp. Lbgbr ybdf thdffh hdh
gbpbt tmribgh smcbrb spjdtbd btbu lbrmdb pmkamrhbd gjshs obrkbljnjfhl smdybwb-
smdybwb fnuljljrthljhg.
7.1 Sbrbd
Gmdfbd smnmsbhdyb kblbnbe hdh ghsusud, pmdunhs amrebrbp pmkabcb gbpbt
kmkpmnbibrh gbd kmkbebkh tmdtbdf fbdffubd lmnmdimr bgrmdbn shdgrjk cusehdf. Pmdunhs iufb
kmdfebrbplbd bgbdyb lrhthl gbd sbrbd ybdf kmkabdfud, smehdffb pmdunhs gbpbt kmdibgh nmahe
abhl udtul kbsb
ettp9//nhzbtunebdgbybdh.anjfspjt.cj.hg/102=/0=/bslmp-shdgrjk-cusehdf.etkn
Phmrcm B.F.& Dmhn Q.A. 1006. Bt b fnbdcm nku amgbe mg. 3. Iblbrtb. Mrnbdffb.
Kmbgjw, Qjy. Pmghbtrhlb mg. 6. Iblbrtb. Mrnbdffb.