Rangkuman Osce Ukmppd

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RANGKUMAN OSCE UKMPPD
 

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OYIK [GAVVM  46 <9

Guapunlh iltltlh OYIK glglg gknls skjlg `ltlu lh`gltlh dkrlpl, mkh`lh
dkdkrlpl tladlblh mlre gknoapog dknljlr (Zud, Hlm, Ylr, Aoh, Yek, Sln,

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ENA[ GKYKBL]LH LHLG

TKY[YE]LYE HKOHL][Y
<. Yelpglh Lnlt S]V, Yuiteoh, K]], mlh skneaut
4. ]kreal dlye ! Voseseglh gkplnl dlye akh`blmlp gk ehclht wlrakr
9. Blh`ltglh
Ltur Vosese Dlhtln me Nkbkr
Eslp aunut mlh bemuh`
Gkreh`glh
Ltur Vosese mlh Tlh`slh` ]lgten ! @osog Vuh``uh` mlh skhten glge

Iohtob :
H><66 + `llml hlcls ! S]V O4 rulh`lh (rkals-nkpls-nkpls) (96 mkteg)

H 1 26x/akhet ! Yladuh`glh 6 4 ;6 % ! H>36 (Goaprkse 9:< glno 4 pkhonoh`) (96

mkteg, kvlnulse)

06 %

56 % ! Ehtudlse sktknlb TJV

Y]LDNK

- Yu`lr ! Ikg @unl Mlrlb

- ]kapkrltur
- Lerwly
- Dnoom Vrkssurk
- Yupport, Kaoseohln
- Nld : MN, Denerudeh, O]/V], YK
- YpO4

D
IM

rt
infeime
ton
H ansorttan 61.04.

30
langlen&

Aturpositi-air ta RESCUE

det« craphuitesis

dip0147|1001Begiletadepet

COALALIA

20)
dekk Vraliastelan
Zerimbar

607n but
Ben41.19..

「的的

JOVI

NOSTA

HEL
421222Ice.

Lepine
grin , Yuadkr : Eh`kheo
=. Mx : Lscegse Hkohltorua
;. Goapneglse : Bepotkhse, Bepo`negkae, Khskclnoplte

AOTDENE/ILAVLG/AKLYNKY/T[DKONL

Lx : 9I (iou`b, ioryzl (penkg), iohjuh`tevetes)

VC : Yubu hleg, Gopneg―s Ypot (+), Nkse aliunl plpunl kretkal ylh` benlh` mlnla =-3 blre

Vmx : MN

MMx : Krupse odlt, rudknnl, silrnkt ckvkr

Vtx : T/ Vlrliktlaon <4; a`/;an syr cn Ho. E

Y 9mm itb <

T/ Setlaeh L 466.666 E[ tld Ho.E

Y <mm tld < (blre <,4, mlh <=)

T/ Ibnorlapbkheion slnkp altl 4 % Ho.E

Y uk OMY prh gohjuh`tevetes

Hoh clralgono`es :

- Esterlblt iugup

- Ilerlh mejl`l

- Hutrese Iugup

EA[HEYLYE

Eauheslse Mlslr Nkh`glp :

- 6-0 blre : BD6

- < dunlh : DI@ +Voneo<
- 4 dunlh : MV]/BD/Bed< + Voneo4
- 9 dunlh : MV]/BD/Bed4 + Voneo9
- = dunlh : MV]/BD/Bed9 + Voneo=
- 5 dunlh : Ilaplg

Doostkr :

- AT : <; dunlh, ; tlbuh

- Ilaplg : <2 dunlh, 93 dunlh
- Slreiknnl : <4 dunlh, tkrdleg skdknua alsug YM

JKHEY MOYEY ILTL VKADKTELH

Bkpltetes D 6,; an EA
MV] 6,; an EA
Voneo OVS : 4 tktks Orln
EA : 6,; an EA
DI@ 6,6; an EhtrlIutlh
Ilaplg 6,; an YudIutlh

DI@ :

- EA me mkntoem glhlh ! Ypuet 9ii (6,6;ii) sumut <; o

- GEK GEVE : Glno dkhjonlh Horaln ! 4 aeh``u (sglr)
Dkhjonlh > 4 aeh``u ! rklgse ikplt ! Ikg tudkriuneh
Mkala

VONEO : GEVE 1 Nuapub nlyu

H@EYE GAY : Yksule Jlmwln (wlrhl puteb)

Iltib up (wlrhl guheh`)

ILAVLG : Yudgutlh =; o

GE EA[HEYLYE :

- Tklgse lhlcenlgses
- Mkala 892o
- Glno sumlb pkrhlb gkhl vlreiknnl temlg pkrnu vlgseh vlreiknnl
- Glno memu`l gkhl ilaplg alseb pkrnu vlgseh ilaplg

GE DI@ :

- Vlsekh ]D
- Alhtoux tks (+)
- Vlsekh BES
- Eauhomkcesekhse @eze Durug

MELTK
Dlye 3 dunlh mltlh` mkh`lh gknublh akhirkt.

Lhlahksl :

• Ykjlg glplh? Dkrlpl glne/blre? Gohsestkhse akhirkt? Nkhmer? Mlrlb? Plrhl?

Sonuak/glne DLD (`knls Lqul)?
• Mkala? Ykjlg glplh? MEugur ltlu temlg? Ykaplt akadleg? Ltlu temlg? ]krus
akhkrus?
• Auln ltlu auhtlb? Ykjlg glplh? Lplglb lml wlgtu gbusus (skbldes alglh/aehua
susu)? Auln sljl ltlu meskrtle auhtlb? Sonuak auhtlb? Eses auhtlb?
• ]lhml mkbemrlse: Glplh DLG tkrlgber? Crkgukhse? DLG pkglt ltlu temlg? Sonuak?
Crkgukhse aehua/akhyusue? Tkwkn? Alseb alu aehua?
• Tewlylt Vkhylget Mlbunu: Vkrhlb slget skpkrte ehe ltlu temlg? Lnkr`e odlt ltlu alglhlh?
• Tewlylt Alglhlh : Lplglb melrk tkrjlme sktknlb akh`gohsusase sksultu? Vonl
alglhhyl? Jkhes alglhlh ylh` sumlb megohsuase? Ler aehua (VLA/`l)?
• Tewlylt pkh`odltlh: Yumlb pkrhlb meodlte? Jkhes odlt? Dkrlpl nlal mlh dkrlpl
dlhylg? Lpl lml pkrdleglh?
• Tewlylt pkhylget gknulr`l: Lml lh``otl gknulr`l ylh` slget ju`l / `l? Glno lml, Ykjlg
glplh? Yumlb meodlte?
• Tewlylt Gkblaenlh : Vkrslnehlh, ]ugka, Eauheslse

Vkakregsllh Ceseg :

- Iuie tlh`lh
- [gur DD mlh ]D/VD
- Ikg gklmllh slget reh`lh/skmlh`/dkrlt
- ]]S
- ]lhml-tlhml mkbemrlse : Altl Ikguh`, uduh-uduh dkslr, augosl aunut, tur`or
gunet
- Vkregsl jlhtuh` mlh plru
- Aktkoresaus? Hykre pkrut? Deseh` usus?
- Vkregsl bkplr mlh nekh
- Lhus : akrlb `l? Kgsgorelse `l?

Vkakregsllh Vkhuhjlh` :

MN, CN, Ykrua Knkgtronet

Mel`hoses : Melrk tlhpl mkbemrlse / reh`lh/ skmlh` dkrlt

Lgut : > 0 blre

Vkrsestkh : 8 4 aeh``u (<= blre)

Mel`hoses Dlhmeh` :

♩ Totlverus ! Melrk iler, mkala

♩ Dlgtkre / Ybe`knnl ! Nkugoset, kretroset hleg

♩ Laokdl ! Gestl dkrehte =, Vskumopoml

♩ @elrmelses ! Nkalg (+), Nlylh`-nlylh`, Dkrcnl`kn
♩ Ehtonkrlhse Nlgtosl
♩ Lnkr`e alglhlh
♩ Sedreo Gonkrl ! Melrk Iuielh Dkrls
♩ Dlnlhtemelses ! Vlrlset mkh`l hese TDI

Ybe`knnl T/ Ieprocnoxlieh ;66 a` tld Ho.R

Y 4 mm tld <
T/ Iotreaoxlzonk syr 4=6 a`/;an cn Ho.E
Y 4 mm ± itb
Totlverus T/ Zehi 46 a` tld Ho.R
Y < mm < tld
T/ Orlnet slib Ho.RS
Y lm nedetua sonvk eh lqul 466ii
T/ Vlrliktlaon ;66 a` tld Ho. R
Y 9 mm < tld
Laokdl T/ Aktrohemlzonk ;66 a` tld Ho.RRE
Y 9 mm < tld
T/ Aktrohemlzonk <4;a`/;an syr cn Ho.E
Y 9 mm < itb (96a`/g`/blre)
@elrmelses T/ Aktrohemlzonk ;66 a` tld Ho.RRE
Y 9 mm < tld
T/ Aktrohemlzonk <4;a`/;an syr cn Ho.E
Y 9 mm < itb (<;a`/g`/blre)
Gonkrl T/ Iotreaoxlzonk 4=6 a`/;an syr cn Ho.E ! > 2 tb
Y 4 mm ± itb
T/ ]ktrlsegneh ;66 a` tld Ho. RES ! 8 2 tb
Y = mm < tld
Dlnlhtemelses T/ ]ktrlsegneh ;66 a` tld Ho. RRES
Y = mm < tld

]ltlnlgslhl :

]LHVL MKBEMTLYE (]krlpe L)

- Jegl gohsuase LYE, Nlhjutglh (nkdeb skreh` mlh nkheb nlal sktelp pkadkrelhhyl)
- Jegl sumlb temlg gohsuase LYE ! Dkre Orlnet ( < slibkt menlrutglh mlnla 466 an ler)
> 4 tb : ;6-<66 an / DLD
≫ 4 tb : <66-466 an / DLD
- Zehi <6 blre
> 3 dunlh : <6 a` (</4 tldnkt)
≫ 3 dunlh : 46 a` ( < tldnkt)

Aksge melrk sumlb dkrbkhte

- Gohskneh` Edu / Hlseblt
Gkadlne jegl lhlg alnls ltlu temlg alu aehua, lml mlrlb me tehjl, temlg lml
pkrdleglh mlnla ; blre

MKBEMTLYE TEH@LH-YKMLH@ (]krlpe D)

- Orlnet medkreglh Vkr Orln (DD x 0; ii) mlnla 9 jla (skmeget-skmeget tlpe skreh`. Jegl
auhtlb, stop <6 akhet, dkre nl`e pknlh pknlh)
- Yktknlb 9 jla, Henle unlh` mkrljlt mkbemrlse   ! sksuleglh mkh`lh Tkhlilhl
]rkltakht ylh` ioiog.
- Yeslhyl emka ]KTLVE L ! alx 4 x

MKBEMTLYE DKTL] (]krlpe I)

> < tb 96 an/g`DD mlnla < jla + 06 an/g`DD mlnla ; jla sknlhjuthyl
<-; tb 96 an/g`DD mlnla 96 akhet + 06 an/g`DD mlnla 4,; jla sknlhjuthyl
- Ilerlh TN/ HlIn 6,5 %/ Teh`kr Lsktlt ! kvlnulse telp <;-96 akhet.
- Jegl sumlb alu aehua, dkre orlnet (;an/g`DD/jla)
- Zehi meaunle sktknlb 9-= jla (dlye) ltlu <-4 jla (lhlg) sktknlb alu aehua
- Kvlnulse tkrlpe dkrblsen ltlu temlg mlnla 3 jla

Lhlg <6 g`

T/ Iotreaoxlzonk cn syr Ho.E

Y 4 mm < itb (;an) pi

T/ Zehi 46 a` tld Ho. R

Y < mm < tld

T/ Orlnet Ylib `rlhunk Ho. R

Y lm nedetua sonvk eh lqul 466 ii

@EZE D[T[G

Dlye 5 dunlh, sunet alglh mlh aehua susu skjlg < dunlh.

Lhlahkses :

- Ykjlg glplh tlaplg gurus? DD turuh? Dkh`glg? @l alu alglh ltlu aehua?
- Lml tlhml ehckgse ? (Melrk, ]D, EYVL)
- Tewlylt Vkhylget Mlbunu mlh Vkh`odltlhhhyl

- Tewlylt Gkblaenlh mlh Vkrslnehlh ([sel edu blaen, [sel gkblaenlh, YI/hot, DDN,
Nlh`suh` akhlh`es/`l?, Ehckgse)
- Tewlylt ]ugka (Yksule uaur / `l?)
- Tewlylt alglh ( LYE/YC?, Tewlylt alglh aehua tkrlgber)
- Eauheslse : Nkh`glp `l?
- Tewlylt Gknulr`l mlh Yoseln (Lml ylh` skpkrte ehe? Yoseo kgohoaehyl
Dl`lealhl?)

VKAKTEGYLLH CEYEG :

G[, Lhtropoaktre (DD,]D,NNL), ]]S

Ehspkgse : Tladut, Pljlb, Altl, Aunut

]borlx : Ehspkgse, Vlnplse, Vkrguse Ldmoakh mlh Kgstrkaetls

ALTLYA[Y GPLTYBEOTGOT ILAV[TLH

- Gurus - Kmkal Ykreh` meskrtle lhkael
- Onm alh clik - Pljlb dunlt mlh mkcesekhse
- Tkwkn - Ykadld aegrohutrekh
- Ikh`kh` - Altl Ylyu
- E`l @ladlh` - Tladut glylg rladut
- Dl``y Vlhts  jl`uh` mlh aumlb
- Ltroce Otot rohtog
- Gunet gkreh`, - Irlzy Vlvkakht
meh`eh, gkhmor, Mkraltoses (Gunethyl
gkreput betla)
- Lsetks
- Bkpltoak`lne

VKAKTEGYLLH VKH[HJLH@ :

MN, @ML, O]/V], Lnduaeh

MEL@HOYEY :

- GKV Teh`lh : 06%-26% DD/[ ! @eze Ykmlh`

- GKV Ykmlh` : 36%-06% DD/[ ! @eze Gurlh`
- GKV Dkrlt : >36% DD/[ ! @eze Durug

MEL@HOYEY DLHMEH@ : Alrlsaus / Gwlrsbeorgor / Aexkm

GOAVNEGLYE / ]LHML DLBLUL / EHMEGLYE TLPL] EHLV :

- Ylh`lt Gurus
- Kmkal Lhlslrgl
- DD/VD >-9 YM
- NNL > <<,; ia
- Lhorkgsel
- Vhkuaohel Dkrlt
- Lhkael Dkrlt
- Mkbemrlse Dkrlt
- Mkala teh``e
- Gkslmlrlh turuh

]L]LNLGYLHL :

Ytldeneslse : C0; <96 an/g`/blre ltlu <66 an/g`/ blre (kmkal)

]rlhsese : C<66 <;6 an

Tkbldenetlse : C<9; <;6-466 an + Ck =-3 a`/g`DD

Tksoaln : ;-<6 ii/g`DD

T/ Tksoaln slibkt Ho. SEE

Y lm nedetua sonvk eh lqul =66 ii

T/ Yuncls Ckrosus 966 a` tld Ho. R

Y 9 mm ¾ tld

GEK :

- Dkre Glseb Ylylh`

- Akadkreglh alglh mlnla porse gkien tlpe skreh`
- Nkh`glpe eauheslse mlh dkre Set L sktelp 3 dunlh
6-3 dunlh : ;6.666 E[
3 dunlh ’ < tlbuh : <66.666 E[
8< tlbuh : 466.666 E[

- ATY

<6 NLH@GLB ]L]LNLGYLHL @EZE D[T[G ( 9L KE 9A 4Y )

<. Ltlse Bepo`negkae ! Ylmlr : ;6 ii nlrutlh M<6% orln (nlrutglh `unl <6 `r mlnla <66 ii
ler)
# ]emlg slmlr : ;ii/g` nlrutlh M<6% donus ES
4. Ltlse Bepotkrae
9. Ltlse Mkbemrlse
=. @lh``ulh knkgtronet ! Tksoaln

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;. Odlte Ehckgse ! T/ Gotreaoxlzonk 4=6a`/;an syr Ho.E

Y < mm ± itb pi
3. Aegrohutrekh ! Ck mlh Set L
0. Alglhlh Ytldeneslse mlh ]rlhsese
2. Alglhlh ]uadub Gkjlr
5. Yteaunlse
<6. Yelpglh Tujug

GKJLH@ MKALA

LHLAHKYEY :

- Gkjlh` skjlg glplh? Mkala meaunle skjlg glplh? Gkjlh` hyl cogln ltlu uaua?
Murlse gkjlh`? Crkgukhse gkjlh` pkr blre?
- Tewlylt Vkhylget Mlbunu? Vkrhlb gkjlh`? Tewlylt Gknulr`l lml ylh` pkrhlb
gkjlh`? Kpenkpse?
- Tewlylt Vkh`odltlhl? Yknlal gkjlh` melplglh?
- Tewlylt Gkblaenlh mlh Vkrslnehlh
- Tewlylt ]ugka
- Tewlylt Eauheslse
- Yktknlb gkjlh` `ealhl? Yllt gkjlh` slmlr `l?

VKAKTEGYLLH CEYEG :

G[, Lhtropoaktre (DD, ]D, NNL), ]]S, Vkakregsllh Hkurono`es, Bklm to ]ok, Akheh`kln Ye`h

VKAKTEGYLLH VKH[HJLH@ :

- MN, @MY, Ykrua Knkgtronet

- Nuadln Vuh`se (merkgoakhmlseglh uhtug lhlg > <4 dunlh)
- KK@

MEL@HOYEY :

GKJLH@ MKALA YKMKTBLHL : > <; akhet, temlg dkrunlh` mlnla 4= jla, `khkrln skezurk

GKJLH@ MKALA GOAVNKG : 8 <; akhet, dkrunlh` / 8 <x mlnla 4= jla, cogln ltlu cogln jlme
`khkrln

MEL@HOYEY DLHMEH@ :

- Akheh`etes Dlgtkreln
- Kpenkpse

]L]LNLGYLHL :

<. Melzkpla Tkgtln ( ;a` : DD > <4 g` / > 9 tb , <6a` : DD 8 <4 g` / 8 9 tb)
Medkreglh merualb.
Desl meunlh` 4 x mkh`lh sknlh` wlgtu ; akhet.
4. Melzkpla ES (6,9-6,;a`/g`DD)
Gkikpltlh ehcus <-4 a`/akhet mlnla 9-; akhet, moses alx 46 a`.
9. Ckhetoeh ES (<6-46a`/g`DD/glne)
Gkikpltlh < a`/g`/akhet. Jegl gkjlh` dkrbkhte, moses rualtlh =-2 a`/g`/blre sktknlb
<4 jla moses lwln.
=. Lhteperkteg (opteohln)
Vlrliktlaon <6-<;a`/g`DD/glne = x skblre
Ltlu Eduprockh ;-<6 a`/g`DD/glne 9-= x skblre

TeraplProfilaksisJangkaPanJangpadaKelangDemam
Profilaksis indiasl:
Remiten/
Kontinu
Cittinanneurologit])belumalausewudahbeline Ymartl
perfure
-KejangdemambertTang&4kali/tahun
Ter
Trapi: Ykmelllh Lsla Slnprolt :
atau
-Acarvatproat34mu/kg3B/harldibagi1-2dosis
-Fenobarbital13-40mg./ABB/haridibagi2-]dosisselam/1
4;6a` tld, 4;6a`/;an
serup
tghunbebaskejang

Indiluu:
Profilaksis
Intermiten KOS

Teapl:
perrectal0.5mR/kgBB
Diazepamoral0,3mg/g8BatauDiazepam
setiap8jampadasatdemam›385*C
mMath194/7911
Mlre E@M trus alsug DLH@YLN E@M ljl
T/ Melzkpla <6 a` supp Ho.EE T/ Melzkpla <6 a` sup Ho.EE
Y Eaa Y Eaa
T/ Melzkpla =,; a` T/ Melzkpla ;a`/an lap Ho.E
Acnl punv mtm Ho.R Y Eaa
Y 9 mm <
T/ Vlrliktlaon <4; a`/;an syr cn Ho.E
Y 9 mm 4 itb
GEK :

- Glnlu mkala, sk`krl meodlte, megoaprks

- Vlml sllt gkjlh`, menktlgglh me tkaplt ylh` lalh mlh jlh`lh mealsugglh dlrlh`
gk aunuthyl
- Vlml sllt gkjlh`, `krlglh tlh`lh lhlg metlblh

- Jegl gkjlh` dkrunlh`, sk`krl gkadlne gk mogtkr

]D LHLG

LHLAHKYEY :

- Dltug nlal? Dkrlpl nlal? Lml mlblg? Gkreh`lt alnla? Mkala   ≫4aeh``u?
Yuakr-suakr ltlu teh``e? Vkhuruhlh DD? Hlcsu alglh? Lml `kjlnl melrk 8<= blre
ylh` temlg akadleg mkh`lh pkh`odltlh? Dltug temlg pkrhlb akrkml ltlu temlg
akadleg mkh`lh pkh`odltlh ltlu skalgeh plrlb?
- Tewlylt Gohtlg : Gknulr`l lml ylh` slget ]D? Orlh` skgetlr ylh` akaenege gohtlg
krlt?
- Tewlylt Vkhylget Mlbunu
- Tewlylt Gknulr`l : Lml ylh` slget tlpe sumlb skadub?
- Tewlylt Vkh`odltlh
- Tewlylt Gkblaenlh mlh Vkrslnehlh
- Tewlylt ]ugka : Lml tlhml `eze durug?
- Tewlylt Eauheslse : DI@? Nkh`glp `l?
- Tewlylt Ehtlgk

VKAKTEGYLLH CEYEG :

G[, Lhtropoaktre (DD, ]D, NNL) ! ]lhml `eze durug, Vkakregsllh Bklm to ]ok

VKAKTEGYLLH VKH[HJLH@ :

- [je ]udkrguneh ( + jegl ≫ <6aa ltlu  ≫ ;aa plml eauhosuprkse)

- Coto ]borlx
- Guntur D]L

MEL@HOYEY :

]D ………. (or`lh)

Ygor ]D  ≫ 3 ! ]krlpe

Ygor ]D 1 3 tlhpl `kjlnl gnehes ! Odskrvlse mlh Vrocenlgses EHB

Vrocenlgses : ;-<6a`/g`DD Esohelzem sknlal 3 dunlh

MEL@HOYEY DLHMEH@ :

Vhkuaohel, Drohgeonetes

]L]LNLGYLHL :

4 BTZ / = BT sknlal 3 dunlh

T/ Esohelzem <66 a` tld Ho.RRR

Y < mm < tld

T/ Teclapeseh 0; a` tld Ho.NR

Y < mm 4 tld

T/ Verlzehlaem 466 a` tld Ho.NR

Y < mm 4 tld

]ladlblh (Opteohln):

T/ Set D3 tld Ho.RRR

Y < mm < tld pi

GEK :

- Aehua odlt skilrl ruteh mlh tkplt sknlal 3 dunlh―

- Vlgle alsgkr

ENA[ VKHULGE] MLNLA

@KHE]O[TEHLTE

@NOAKT[NOHKCTE]EY LG[]

LHLAHKYEY : ONM ILT]

- [reh gkakrlblh
- Kmkal reh`lh
- One`urel
- Tewlylt EYVL
- Vkhylget gunet <-4 aeh``u ylh` nlnu

VKAKTEGYLLH CEYEG :

- Iuie ]lh`lh
- ]]S
- Kmkal
- @ross Bkalturel
- B]

VKAKTEGYLLH VKH[HJLH@ :

<. [rehlneses (Vrotkehurel +4, bkalturel)

4. Ywld ]kh``orog
9. LY]O (+)
=. Vkhuruhlh I9

MEL@HOYEY DLHMEH@ :

<. Yehmroal Hkcroteg

4. @l`ln @ehjln Lgut
9. YEhmroal Hkcreteg

]L]LNLGYLHL :

T/ Laogseseneh ;66 a` tld Ho.RNS ! ;6a`/g`DD/blre

Y 9 mm < ± tld

L]L[

T/ Kretroaeseh ;66 a` tld Ho.RRR ! 96a`/g`DD/blre

Y = mm < tld

T/ Ilptopren <4,; a` tld Ho. RS ! Mrep uhtug Bepkrtkhse

Y 9 mm E tld

GEK :

- Dkm rkst 9-= aeh``u

- Mekt rkhmlb `lrla
- Denl lhurel ;-0 blre algl blrus menlguglh bkaomelnesl

YEHMTOAL HKCTO]EG

LHLAHKYEY :

- Kmkal lhlslril (me sknurub tudub)

- Gkhieh` wlrhl akrlb, vonuak ureh skmeget
- Hykre ldmoakh, lhorkxel, melrk
- Tewlylt mysnepemkael, bepkrtkhse, pkhylget jlhtuh`, mkala, ltlu ehckgse
skdknuahyl
- Hykre me peh``lh`, gkhieh` hykre

VKAKTEGYLLH CEYEG :

<. ]]S (]M hleg)

4. Kmkal, pkakregsllh lsietks

VKAKTEGYLLH VKH[HJLH@ :

MN (lnduaeh), NKM, [N (Vrotkeh, Ovln Clt Domeks), Vrocen Nepem, [r/Ir

MEL@HOYEY DLHMEH@ :

Yehmroal Hkcreteg, LGE, IBC

]L]LNLGYLHL :

<. ]erlb Dlreh`

4. Mekt teh``e protkeh, rkhmlb nkalg, teh``e glnore, rkhmlb `lrla

9. Kmkal
T/ Curoskaemk <6a`/an Ehj lap Ho.EE
Y Eaa
T/ Curoskaemk =6a` tld Ho.R
Y < mm < tld pi (pl`e blre)
=. Tujug ! Yp.VM

GEK :

<. Meneblt munu sknlal 4 aeh``u ! rkaese spohtlh ! `ldonkb meglseb prkmhesohk
]emlg rkaese spohtlh ! Tujug gk Yp.VM + Vrkmhesoh
4. Vrkmhesoh ! aehealn tkrlpe sknlal <,; dunlh, meaehua telp blre
Moses : 4a`/g`DD/blre, alx 26a`/blre
Ehmugse : 9 aeh``u
Tualtlh : < x / 4 blre sknlal 9 aeh``u

VEKNOHKCTE]EY

LHLAHKYEY : ONM ILT]

<. Hykre peh``lh` ? Vlhls Yllt dkrgkaeb ?

4. Mkala? Akh``e`en?
9. Lhylh` lhylh`kh? Tlsl temlg tuhtls DLG hyl?
=. Gkhieh` dkrwlrhl gkrub? Dkrmlrlb?
;. Yulae gkhl EAY?
3. Tewlylt dltu `ehjln?

VKAKTEGYLLH CEYEG :

BKLM ]O ]OK

]lx : mkala

Nlguglh pkakregsllh `ehjln ! plnplse mlh hykre gktog `ehjln (+)

Hykre tkglh suprlpudei

VKAKTEGYLLH VKH[HJLH@ :

- MN, [N, [r/Ir

- Guntur [reh
- DHO, [Y@ ! Akhyeh`gerglh MMx

MEL@HOYEY DLHMEH@ :

- Yestetes
- Dltu @ehjln
- Dltu urktkr
- NDV

]L]LNLGYLHL :

T/ Ieprocnoxlieh ;66 a` tld Ho.RES L]L[

Y 4 mm < pi

T/ Nkvocnoxlieh 4;6 a` tld Ho.SEE L]L[

Y < mm < tld pi

T/ Iotreaoxlzonk 536 a` tld Ho.RES

Y < mm < tld

T/ Vlrliktlaon ;66 a` tld Ho.RRE

Y 9 mm < tld

GEK :

- Kckg slapeh` odlt

- Aehua odlt tkrltur
- Gohtron ; blre nl`e
- Tujug denl temlg akadleg

EYG

LHLAHKYEY :

- Hykre sllt gkhieh` ? Ykjlg glplh? Vlhls? Lhylh` lhylh`kh? Hykre suprlpudeg?
Mkala?
- Hogture? Crkgukhse? Bksetlhse? Vlhilrlh gkhieh`? Hktks? Vuls? Bkalturel?
@ltln? Gkputeblh? Hlblh pepes desl? Hykre tkglh suprlpudei? ]krlgber pepes? Hykre
peh``lh`? Neck stynk?

VUKNOHKCTE]EY LG[] VTOY]L]E]EY YEY]E]EY [TK]TE]EY

Mkala, auln Hykre pkrehkua, N[]Y, ]TELY : N[]Y
auhtlb, hykre Mkala, Hykre tkglh MEsurel, Crkgukhse, Mesurel, Crkgukhse
ldmoakh, hykre tkglh plml T], Vlhilrlh [r`khse
mlh gkakrlblh plml ureh nkalb, Yunet
sumut gostovkrtkdrl akaunle DLG Hykre suprl pudeg
ltlu plnplse mlnla, [reh gkrub, dlu
N[]Y (auh`geh lml), [rktrl akrlb ltlu
[rehlneses : Yenehmkr desl ju`l mlre lrkl
Nkugoset suprlpudeg

VKAKTEGYLLH VKH[HJLH@ :

<. [rehlneses (aem strkla)

4. Guntur [reh (aem strkla ltlu slapkn meladen nlh`suh` mlre gltktkr)
9. Guntur Mlrlb plsekh mkala teh``e ltlu meiure`le akh`lnlae goapneglse
=. Vlml Vrostltetes spkieakh ylh` meladen ureh pkrtlal glne pl`e blre, porse tkh`lb mlh ureh
sktknlb alslsk prostlt
;. [Y@ @ehjln, I] Yilh Ldmoakh
3. MN, DHO, [Y@

]L]LNLGYLHL :

HKOHL][Y

Lapeseneh <66 a`/g`/blre

@khtlaeseh 9 a`/g`/blre

LHLG

T/ Gotreaogslzon =26 a` Ho.SE

Y 4 mm < tld

MKPLYL

T/ Ieprocnoxlieh 4;6 tld Ho.SE

Y 4 mm < tld

ED[ BLAEN

T/ Laoxeienneh ;66 a` tld Ho.R

Y 9 mm < tld

GEK :

- Aehua ylh` dlhylg

- Akhjl`l gkdkrseblh mlh be`ekhe mlkrlb urktrl mlh skgetlrhyl
- Vkh``lhtelh gltktkr ylh` tkrltur plml plsekh ylh` akh``uhlglhhyl

KHMOGTEH

MELDK]KY AKNNE][Y

LHLAHKYEY :

- Gknublh Gnlseg (Voneure, Vonemepse, Vonecl`e, Nkalb, DD turuh, @ltln sknlh`glh`lh)

- Ykjlg glplh? ([sel auml / Gkien ! MA ]epk <)
- ]lhml Greses ! Hykre pkrut, Auln, Auhtlb, Ykslg Hlcls, Nkals (Mkbemrlse)
- Goapneglse : ]lh`lh /glge gkskautlh, Vlhmlh`lh gldur, Nugl glge temlg skadub,
Dkh`glg me dlmlh, @ltln, Mescuh`se krkgse
- Tewlylt Vkh`odltlh : Dkrlpl nlal, ruteh ltlu temlg, Odlt nleh (uhtug nelt ehtkrlgse
mkh`lh OLM)
- Tewlylt Gknulr`l
- Tewlylt B], Mescuh`se krkgse , Vkhylget Blte, @ehjln, Vkhylget Nleh

VKAKTEGYLLH CEYEG :

<. ]D/DD, ]M
4. Bklm to ]ok
- Vkakregsllh Sesus (Glno lml Yhknnkh, yl mepkregsl)
- Nkbkr (Gknkhjlr ]eroem)
- Vkakregsllh Jlhtuh` (nkh`glp)
- Gunet (Lilhtoses He`reilh, Dkgls suhteg ehsuneh)
- Hkurono`es (Ykhsores)
- Noglnes `lh`rkhk (Glnlu lml)

VKAKTEGYLLH VKH[HJLH@ :

<st teak mltlh` ! MN, @MV, @M4VV, @MY

Gohtron ! + BdL<i, [N, [r/Ir

Greses ! +YK, D@L

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MEL@HOYEY : MA tepk ±

MEL@HOYEY DLHMEH@ :

- Meldktks Ehsepemus
- Vbkoibroaoiytoal
- Bepkr`negkael rklgtec 

]L]LNLGYLHL :

T/ Aktcoraeh ;66 a` tld Ho.RRR

Y 9 mm < tld pi sk`krl sktknlb alglh

T/ Lilrdosk ;6 a` tld Ho.N

Y 9 mm < tld mi

T/ @nedkhinlaemk ; a` tld Ho.RES

Y < mm < tld <; akhet li

T/ Yetl`nepteh ;6 a` tld Ho.R

Y < mm < tld li (pl`e)

T/ Nkvkaer <66 E[/an Ehj Cnkxpkh Ho.E

Jlrua Ehsuneh

Y Eaa ltlu Y < mm <6 [het

T/ Litrlpem <66 E[/an Ehj Cnkxpkh Ho.E

Jlrua Ehsuneh

Y 9 mm = uhet li

GEK :

- Mekt
- Tujug gk Lbne @eze
- Aehua odlt tkrltur
- @nedkh meaehua, blrus alglh iugup
- Gohtron 4 aeh``u
- Vkhylget ylh` temlg desl skadub, hlauh megohtron

- Glnlu lml goapneglse ! Gohsun ]Y tkrglet

- Kmuglse akh`urlh`e alglhlh `unl, onlbrl`l
- Kmuglse pkhyuhteglh ehsuneh ( meputkr sksule moses ! Mksehckgse gunet ! Jkpet gunet
! ]usug tk`lg nurus ! Ehjkgse pknlh-pknlh ! ]lreg jlrua mkh`lh ikplt ! ]uh``u
< akhet ! Dlru ildut)

OralAntiDiabetes(OAD)
MekanismeKerja Golongan Mamaobat Keterangan

InsulinSekretagok Sulfonilurea|Glibenklamid, Seringgoanyababkan

(merangsangsekresi tolbutamide, komalhipoglikemy,bikin
insulin) gendut
Glikuidon,
Glimepirid, Diminurfsblmmakao)
gliburid,glicazid
Glinid repaglinid, HampirsamadenganSU
nateglinld menurur.kanGlupost
brandlat
DDP.4inhibitor Gliptin Vildagliptin Amanuntukrenalc/
(merangsangregenerasi impairment,
cn
Linagliptin
selb,hambatapoptrsis Eekhipoglikemi&e
selb) Sitagliptin
EfekBBnaik«<

ES:urtika/angioedema;
eksaserbasiHF,pOrkered

KalubenKlinikDiak gen

KalunankiRSiK(*)

aer* :120 1120 120 100-125 =100

GOP

o09 2200 *200 GD9 <110

uinng)cosnum gon
aDD ≥128 €12B 100
GOS 5200 2200
fe..
2200

TOT COPT

ed

ernnsie:
LaspHanlanguahtsingnostikDMdononngguantol

BerbagaikeluhandapatditemukanpadapenyandangDM.
KecurigaanadanyaDMperludipikirkanapabilaterdapatkeluhan
seperti:
KeluhanklasikDM:poliuria,polidipsia,polifagiadanpenurunan
beratbadanyangtidakdapatdijelaskansebabnya.
Keluhanlain:lemahbadan,kesemutan,gatal,matakabur,dan
disfungsiereksipadapria,sertapruritusvulvapadawanita.

Tabel3.KriteriaDiagnosisDM
Pemeriksaanglukosaplasmapuasa≥126mg/dl.Puasaadalahkondisitidak
adaasupankaloriminimal8jam.(B)
Atau
Pemeriksaanglukosaplasma2200mg/dI2-jamsetelahTesToleransiGlukosa
Oral(TTGO)denganbebanglukosa75gram.(B)
Atau

Search
Pemeriksaanglukosaplasmasewaktu2200mg/dldengankeluhanklasik.
 

Atau
PemeriksaanHbA1c26,5%denganmenggunakanmetodeyangterstandarisasi