Rmeaja putri paba saat eunai puomrtas bal smtmruslya emlbapati smouad prfsms anaeiad yalj

emluljuhhal oadwa birilya tmnad emljabi pmrmepual smepurla (lfrean) yalj eala smeua
frjal rmprfbuhsilyal smtmruslya emlbapati smouad prfsms anaeiad yalj emluljuhhal oadwa birilya
tmnad emljabi pmrmepual smepurla (lfrean) yalj eala smeua frjal rmprfbuhsilya subad
bapat biculjsihal (Zilaris, 2010 banae Iemnba, 2015).

Emlstruasi tmrjabi paba rmeaja putri ealahana easa puomrtas tmnad tioa. Emlstruasi abanad dan

yalj emsti tmrjabi paba walita, oadhal abanad „tibah lfrean― jiha diljja oatas usia tmrtmltu

omnue emljanaeilya. Emlstruasi abanad pmluepadal napisal utmrus yalj tmrjabi paba smtiap

ounal yalj omrupa barad bal jariljal, juja pmrbaradal vajila smkara omrhana ahioat tmrnmpaslya

napisal mlbfemtriue utmrus (Zilaris, 2010 banae Iemnba, 2015).

1. Rujual ueue

]ltuh emlbapathal pmljanaeal smkara lyata banae emeomrihal asudal

hmpmrawatal smkara naljsulj paba hniml bmljal aemlfrma, bisemlfrma, mlbfemtrifsis

yalj hfeprmdmlsic yalj emniputi aspmh oif-psihf-sfsif bal spirituan bmljal pmlbmhatal prfsms

hmpmrawatal
2. Rujual hdusus

a. Eaepu emlbmshripsihal dasin pmljhajial hniml bmljal aemlfrma, bisemlfrma, mlbfemtrifsis

o. Eaepu emlbrmshipsihal biajlfsa hmpmrawatal paba hniml bmljal aemlfrma, bisemlfrma,

mlbfemtrifsis

k. Eaepu emlbmshripsihal rmlkala tilbahal hmpmrawatal paba hniml bmljal aemlfrma,

bisemlfrma, mlbfemtrifsis

b. Emlbmshripsihal tilbahal hmpmrawatal paba hniml bmljal aemlfrma, bisemlfrma,

mlbfemtrifsis
m. Eaepu emlbmshripsihal mvanuasi paba hniml bmljal aemlfrma, bisemlfrma, mlbfemtrifsis
c. Eaepu emeoalbiljhal altara hflsmp bmljal hmlyataal yalj aba binapaljal.

1. Rmfritis 7

[moajai akual banae emljmlani bal emnahuhal ealajmeml asudal hmpmrawatal

paba hniml yalj emljanaei jaljjual aemlfrma, bisemlfrma, mlbrfemtrifsis yalj

emljanaei hmnailal paba sistme rmprfbuhsi rmeaja

2. Prahtis 7

Akual banae emnahsalhal asudal hmpmrawatal paba hniml yalj emljanaei

jaljjual aemlfrma, bisemlfrma, mlbrfemtrifsis yalj emljanaei hmnailal paba sistme

rmprfbuhsi rmeaja
A. Bmcilisi
Aemlfrma abanad tibah abalya emlstruasi ultuh smbihitlya ; ounal omrturut-turut.

• aemlfrm priemr 7 tibah emlbapathal emlstruasi saepai ueur 13 tadul hmatas.

• Aemlfrm smhulbmr 7 tibah emlbapathal emlstruasi smnaea ; ounal omrturut-turut yalj

smomnuelya pmrlad emlstruasi.

Anat rmprfbuhsi oajial banae abanad anat rmprfbuhsi yalj omraba bibanae yalj tibah oisa
binidat hasat eata bari nuar, emniputi 7

Jaeoar 2.1 Jmlmtania Iltmrla (Alflie, 2010)

[mpasalj Fvariue (Ilbulj Rmnur)
Rmrbapat bua ilbulj tmnur tmrnmtah bi halal bal bi hiri radie, binapisi emsfvariue

bal tmrjaltulj bi omnahalj nijaeml Natue. Omltuhlya smpmrti ouad aneflb, smomsar

iou jari taljal (jmepfn) uhural 2,5‛5 ke 0,3‛1 ke. Ilbulj tmnur ili pfsisilya bituljalj

fnmd emsfvariue, nijaeml fvariha, nijaeml Ilculbiounfpmnvihue. Emrupahal anat

rmprfbuhsi yalj smtmnad bmwasa emljdasinhal fvue (tmnur).

Sajila ( Nialj [mljjaea )

Nialj atau sanural yalj emljduouljhal vunva bmljal radie, tmrnmtah

bialtara sanural hmeid bal nialj buour. Bi oajial ujulj tasalya tmrnmtah eunut

Radie. ]hural paljalj bilbilj bmpal 4 ke bal bilbilj omnahalj 10 ke. omltuh

bilbilj banaelya

]tmrus (Radie)
Frjal ftft omrbilbilj tmoan bal omrfljja (kavue).Omltuh, omsar, nmtah, bal susulal

utmrus omromba‛omba tmrjaltulj paba ueur.]tmrus ili smlbiri omrculjsi smoajai tmepat

iepnaltasi fvue yalj tmnad biouadi, smoajai tmepat pmrhmeoaljal bal emeomri eahal

paba jalil yalj smbalj omrhmeoalj.Sajila emrupahal janal nadir nulah.

Oajial‛oajial utmrus altara nail 7

a. Culbus ]tmri

o. Kfrpus ]tmri
k. Istdeus ]tmri
 b. [mrvihs ]tmri

Oajial bilbilj utmrus smkara distfrih tmrbiri bari ; oajial yaitu8

a. Napisal smrfsa (napisal pmritflmue), bi nuar

o. Napisal ftft (napisal eyfemtriue), bi tmljad

k. Napisal euhfsa (napisal mlbfemtriue), bi banae

Ruoa ]tmrila ([anural Rmnur)

[anural tmnur yalj hmnuar bari hfrpus radie halal bal hiri, paljaljlya 12‛1 ke,

biaemtmr ;‛4 ee.

[anural tmnur tmrbiri bari tija oajial 7

1. Pars iltmrstisianis (iltraeuranis),
2. Pars iseiha, yalj emrupahal oajial tmljad sanural tmnur yalj smepit,

;. Pars aepunaris(Pfttmr bal Pmrri, 2003).

Anat rmprfbuhsi oajial nuar ianad anat rmprfbuhsi yalj abapat binidat bari nuar smkara

hasat eata atau naljsulj bapat binidat.

1. Sunva
Oajial anat halbuljal nuar yalj omromltuh nfljflj , omruhural paljalj eunai

bari hnitfris, halal hiri bioatasi oioir hmkin, saepai hm omnahalj bi oatasi pmrilmue,

oajial- oajial bari vunva smlbiri abanad 7

a. Naoia Eajfra (Oioir Omsar Hmeanual)

o. Naoia Eilfra

k. Efls Smlmris (Rulbul )

b. Smstiounue
m. Iltrfitus Sajila (piltu easuh vajila)
 c. Dyeml ([mnaput Barad)
j. Pmrilmue tmrnmtah bialtara vunva bal alus.

2. Fricisiue urmtra mhstmrla / Nuoalj hmeid

Nuoalj Hmeid abanad tmepat hmnuarlya air hmeid yalj tmrnmtah bi oawad
hnitfris.Bismhitar nuoalj hmeid oajial hiri bal halal bibapati nuoalj hmnmljar shmlm.

;. Hnitfris
Ibmltih bmljal pmlis paba pria, hira‛hira smomsar hakalj dijau saepai kaom rawit bal

bitutupi fnmd crmlunue hnitfris(Pfttmr bal Pmrri, 2003).

Pmrhmeoaljal cisih yalj emlyaljhut pmrhmeoaljal smhsuan abanad

pmrtueoudal frjal-frjal jmlitania yalj tmrnmtah bi banae eaupul bi nuar oabal yalj

saljat emlmltuhal oaji pmrhmeoaljal tiljhad nahu smnaljutlya. Istinad talba-talba hmnaeil

priemr emluljuh paba frjal oabal yalj naljsulj omrduouljal bmljal prfsms

rmprfbuhsi. Paba alah pmrmepual talba hmnaeil priemr bitalbai bmljal abalya

pmrhmeoaljal radie bal sanural tmnur, vajila, oioir hmeanual, bal hnitfris (Eflhs albHlfmrs,

2002).

Pmtuljuh pmrtaea oadwa emhalisem rmprfbuhsi paba alah pmrmepual emljabi

eatalj abanad bataljlya daib atau emlarkdm, ili abanad pmreunaal bari smraljhaial

pmljmnuaral barad, nmlbir, bal jariljal smn yalj dalkur bari utmrus smkara omrhana yalj ahal

tmrjabi hira-hira smtiap 24 dari saepai emlfpausm.Pmrifbm daib ueuelya tmrjabi paba jaljha

wahtu yalj saljat tibah tmratur bal naealya omromba-omba paba tadultadul

pmrtaea.Pmrifbm ili bihmlan smoajai tadap hmealbunal rmeaja (Durnfkh, 2007).

Omrbasarhal hmeataljal psihfsfsian bal smhsuan, rmeaja ahal emnmwati tadapal

omrihut7

Easa rmeaja awan ueur 11-1; tadul

Rmeaja awan bieunai huralj nmoid altara usia 11 saepai 1; tadul

(Zihljfsastrf, 2005).Easa rmeaja awan hira-hira saea bmljal easa smhfnad

emlmljad pmrtaea bal emlkaljhup smeua pmruoadal puomrtas ([altrfkh,

200;).

Easa rmeaja pmrtmljadal ueur 12-13 tadul

Eilat paba harir, omrpakaral, bal mhspnfrasi ibmltitas smriljhani nmoid

lyata banae easa rmeaja ahdir ([altrfkh, 200;).Rmrbapat pmrjmrahal pasti

emljaud bari hmnuarja, duouljal smusia (Pmmr jrfup) emlbfeilasi bi atas

hmnuarja (Zihljfsastrf, 2005).

Easa rmeaja naljut ueur 17-20 tadul

 Rmeaja ahdir emrupahal casm hmeataljal smkara cisih.Hmoalyahal rmeaja

ahdir emlkapai ofby ieajm yalj staoin.Rmeaja ahdir emljbi smsmfralj yalj

ealbiri pmlud smoajai warja lmjara yalj prfbuhtic (Ofoah, 2002).

Emlurut Gfsmp bal Lujrfdf (2010), emlstruasi atau daib abanad pmruoadal cisifnfjis
banae tuoud walita yalj tmrjabi smkara omrhana bal bipmljarudi fnmd dfrefl rmprfbuhsi.
Dan

ili tmrjabi smtiap ounal altara usia rmeaja saepai emlfpausm.

Paljalj sihnus daib abanad jarah atau wahtu altara taljjan eunailya daib yalj

subad nanu bmljal eunailya daib omrihutlya. Dari eunailya tmrjabi pmrbaradal

bilaeahaldari pmrtaea sihnus daib. Paljalj sihnus daib yalj lfrean abanad 24 dari, tmtapi

variasilya kuhup oalyah, sihnus yalj oiasa paba walita ianad 25-;2 dari, bal hirahira 97 %

walitayalj omrfvunasi sihnus daiblya omrhisar altara 14-22 dari. Naea daiboiasalya altara ;-5

dari, aba yalj 1-2 dari hmeubial biihuti barad smbihitsmbihit,bal aba yalj saepai 7-4 dari

(Zihljfsastrf, 2005). EmlurutEisarfd bal Prfvmrawati (2009), emlstruasi emepulyai hisaral

wahtu tiapsihnus smhitar 24-;5 dari smtiap ounallya. [ihnus emlstruasi tmrbiri bari 2 casm yaitu7

Casm Emlstruasi
Casm emlstruasi yaitu pmristiwa nurudlya smn fvue eatalj yalj tibahbiouadi

omrsaeaal bmljal bilbilj mlbfemtriue yalj rfomh, bapat biahioathal juja

harmla omrdmltilya smhrmsi dfrefl mstmrfjml bal prfjmstmrfl smdiljja

halbuljal dfrefl banae barad emljabi tibah aba.

Casm Prfnicmrasi

Casm prfnicmrsi bitalbai bmljal emlurullya dfrefl prfjmstmrflm smdiljja

emeaku hmnmljar dipfcisis ultuh emlsmhrmsihal C[D (cfnihmn stieunatilj

dfreflm) bal emraljalj cfnihmn banae fvariue, smrta bapat emeouat dfrefl
mstmrfjml

biprfbuhsi hmeoani. [mn cfnihmn omrhmeoalj emljabi cfnihmn bm Jraac yalj

easah bal emljdasinhal dfreflm mstmrfjml yalj emraljsalj hmnuarlya ND

(nmutililj dfreflm) bari dipfcisis. Mstmrfjml bapat emljdaeoat smhrmsi

C[D (cfnihmn stieunatilj dfreflm) tmtapi bapat emepmroaihi bilbilj

mlbfemtriue yalj rfomh

Casm Fvunasi atau casm Nutman

Casm fvunasi bitalbai bmljal smhrmsi ND (nmutililj dfreflm) yalj emeaku

eataljlya smn fvue paba dari hm-12 smsubad emlstruasi. [mn fvue yaj eatalj
ahal emliljjanhal cfnihmn bal cfnihmn ahal emljhmrutbal omruoad emljabi
 kfrpus nutmue. Kfrpus nutmue omrculjsi ultuh emljdasinhal dfrefl

prfjmstmrfl yalj omrculjsi ultuh emepmrtmoanbilbilj mlbfemtriue yalj

haya ahal pmeounud barad.

Casm pasha fvunasi atau casm [mhrmsi

Casm smhrmsi bitalbai bmljal kfrpus nutmue yalj emljmkin atau emljdinalj

bal omruoad emljabi kfrpus anoikals yalj omrculjsi ultuh emljdaeoat smhrmsi
dfrefl mstmrfjml bal prfjmstmrfl smdiljja dipfcisis ahtic emlsmhrmsihal C[D

(cfnihmn stieunatilj dfreflm) bal ND (nmutililj dfreflm). [mhrmsi prfjmstmrfl

yalj tmrdmlti emlymoaohal pmlmoanal bilbilj mlbfemtriue ahal tmrdmlti

smdiljja emlymoaohal mlbfemtriue emljmrilj bal rfomh, eaha tmrjabi casm

pmrbaradal atau emlstruasi.

Hnasicihasi paba ueuelya abanad (Kdalbral, 2004) 7

1. Aemlfrm

2. Emlfrajia

;. Bisemlfrdma

Aemlfrma bapat tmrjabi ahioat omroajai anasal. Aba yalj emljanaeilya smoajai hflbisi
lfrean. Laeul aba juja aemlfrma yalj eulkun harmla mcmh saepilj bari foat-foatal atau

jmjana bari easanad hmsmdatal tmrtmltu.Omrbasarhal pmlymoaolya, hflbisi aemlfrma oisa

bihmnfepfhhal emljabi bua jmlis omrihut7

Aemlfrma priemr abanad sihnus emlstruasi yalj tibah huljulj batalj emshi smfralj

pmrmepual subad omrusia 15 atau 13 tadul. Hflbisi ili juja bismout smoajai de/ayed

menarche anias emlstruasi tmrnaeoat.Pmlymoao aemlfrma priemr smriljhani omrupa

puomrtas yalj tmrnaeoat. Laeul apaoina rmeaja pmrmepual tibah batalj ounal bal

tibah emluljuhhal talba-talba puomrtas bi usia 1; tadul, ia smoaihlya emljanali

pmemrihsaal ultuh emlbmtmhsi aemlfrma priemr.

Aemlfrma priemr oiasa bianaei fnmd rmeaja walita yalj7

1. Omrtuoud saljat hurus atau saljat atnmtis

 2. Emljanaei jaljjual jmlmtih

;. Emeinihi hmnailal frjal rmprfbuhsi

Aemlfrma smhulbmr abanad hflbisi bi eala sihnus emlstruasi omrdmlti batalj emshi

pmlbmrita subad daib pmrtaea. [mfralj walita bihatahal emljanaei hflbisi ili oina tibah

huljulj batalj ounal banae jaljha wahtu smtibahlya 90 dari atau tija sihnus daib. Pmlymoao

aemlfrma smhulbmr oisa tmrjabi smkara anaei eaupul ahioat jaljjual hmsmdatal nail. Gmlis

pmlymoao anaeilya emniputi hmdaeinal, emlyusui, smrta emlfpausm. [memltara pmlymoao

aemlfrma smhulbmr yalj nail oisa omrupa7

1. Hfltrasmpsi

2. Foat-foatal

;. Prfsmbur embis Fpmrasi distmrmhtfei (pmljaljhatal radie) juja oisa emljabi pmlymoao

aemlfrma.

2. Jaya dibup juja oisa omrpmral banae emepmrtiljji risihf tmrjabilya aemlfrma. Omrihut

kfltfdlya7

• Pmlurulal omrat oabal yalj kmpat

• [mrilj emnahuhal natidal atau fnadraja omrat smkara omrnmoidal

• [trms mefsiflan atau cisih

• Hmtibahsmieoaljal dfrefl

• Jaljjual alatfei

5. Riwayat hmnuarja

Bisculjsi dipfcism tmrjabi jaljjual paba dipfcism altmrifr jaljjual bapat omrupa tuefr

yalj omrsicat emlbmsah ataupul emljdasinhal dfreflm yalj emeouat emljabi tmrjaljju.

Hmnailal hfepartmeml IS (niljhuljal) jaljjual paba pasiml ili bismoaohal fnmd jaljjual

emltan yalj smkara tibah naljsulj emlymoaohal tmrjabilya pmnmpasal lmurftralseittmr smpmrti

smrftflil yalj bapat emljdaeoat pmnmpasal jflabrftrfpil. Hmnailal fvariue bapat

emlymoaohal aemlfrrdma priemr eaupul smhubmr. Aemlfrrdma priemr emljanaei hmnailal
pmrhmeoaljal fvariue (bisjmlmsis jflab). Hmjajanal fvariue prmeaturm bapat bismoaohal
hmnailal jmlmtik bmljal pmliljhatal hmeatial cfnihmn, bapat juja emrupahal prfsms autfieul

bieala cfnihmn bidalkurhal. Emnahuhal hmjiatal yalj omrnmoid bapat emlieounhal aemlfrrdma

bieala bioutudhal hanfri yalj oalyah smdiljja kabaljal hfnmstmrfn tuoud daois bal oadal
ultuh pmeomltuhal dfreflm stmrfib smhsuan (mstrfjml bal prfjmstmrflm) tibah tmrkuhupi. Paba

hmabaaal tmrsmout juja tmrjabi pmemkadal mstrfjml omrnmoid ultuh emlkuhupi hmoutudal oadal
oahar bal tmrjabinad bmcisimlsi mstrfjml bal prfjmstmrflm yalj emeiku tmrjabilya aemlfrrdma.

Paba hmabaal natidal omrnmoid oalyah bidasinhal mlbfrpdil yalj emrupahal bmricat efrcil.

Mlbfrpdil emlymoaohal pmlurulal JlRD smdiljja mstrfjml bal prfjmstmrflm emlurul. Paba

hmabaal trmss omrnmoid kfrtihftrfpil rmaniziljdfreflm binmpashal. Paba pmliljhatal KRD tmrjabi

fpfib yalj bapat emlmhal pmeomltuhal JlRD.

Ralba aemlfrma/ tibah daib abanad tibah tmrjabilya emlstruasi paba usia 13 tadul. Hflbisi

tmrsmout oisa saja tmrjabi oaih bmljal atau talpa pmrhmeoaljal smhsuan smhulbmr

(pmrhmeoaljal payubara, pmrhmeoaljal raeout puois). [mnail itu, hflbisi nail yalj juja oisa

bikurijai abanad jiha Alba tibah emlbapathal emlstruasi pabadan smomnuelya subad pmrlad

emlbapathal emlstruasi. Jmjana naillya tmrjaltulj bari apa yalj emlymoaohal tmrjabilya

aemlfrma.

Hmnuar kairal paba putilj

payubara

Raeout rfltfh
[ahit hmpana

Jaljjual pmljnidatal

Hmnmoidal raeout wajad

Lymri paljjun
 Gmrawat

A.
Rms ili omrculjsi emljhflcireasi abalya hmdaeinal atau tibah.

Rms ili bijulahal ultuh emljuhur juenad thyroid stimu/ating hormone (R[D) banae

barad. R[D bapat emlmltuhal apahad hmnmljar tirfib omhmrja bmljal lfrean atau tibah.

Pmemrihsaal ili omrculjsi emljuhur juenad fo//ic/e stimu/ating hormone (C[D) banae

barad. C[D bapat emlmltuhal apahad fvariue omhmrja bmljal lfrean atau tibah.

Nmvmn dfrefl prfnahtil yalj rmlbad oisa emljabi talba tuefr paba hmnmljar pituitari.

Giha pasiml emljanaei pmrtueoudal raeout-raeout yalj aolfrean bi wajad bal

suara nmoid rmlbad, bfhtmr ahal ememrihsa nmvmn dfrefl tmstfstmrfl banae barad pasiml.

Rms ili omrculjsi emljmkmh apahad tmrbapat jaljjual jmlmtih atau tibah.

]ltuh pmemrihsaal ili, pmlbmrita ahal emljflsuesi foat dfrefl

prfjmstmrfl atau mstrfjml smnaea 7-10 dari jula emeiku pmrbaradal emlstruasi. Dasin bari
 tms ili bapat emeomritadu bfhtmr apahad emlstruasi omrdmlti harmla hmhuraljal dfrefl

mstrfjml atau ouhal.

Rmrjaltulj bari jmjana yalj bianaei smrta dasin pmemrihsaal naofratfriue, bfhtmr

bapat emlyaralhal ultuh satu atau nmoid pmemrihsaal pmlkitraal. Eisanlya, ][J , KR scan,

bal ERI.

Pmemrihsaal ili binahuhal bmljal emeasuhhal smnalj tipis hm banae vajila bal nmdmr

radie jula emnidat hflbisi oajial banae radie.

Cftf rfltjml ahal biaeoin smtmnad zat hfltras bieasuhhal emnanui nmdmr radie hm
banae radie bal tuoa canfpi.

Aba oalyah cahtfr risihf yalj oisa emlymoaohal Alba tibah daib atau emljanaei emlfrm,

yaitu 7

• Riwayat hmnuarja7 Giha aba walita banae hmnuarja Alba yalj emljanaei aemlfrm,
hmeuljhilal Alba bapat emeinihi easanad yalj saea

Jaljjual eahal7 Giha Alba emeinihi easanad smpmrti alfrmhsia atau ounieia, Alba emeinihi
risihf yalj nmoid tiljji tmrhmla aemlfrm

• Pmnatidal atnmtis7 pmnatidal bmljal iltmlsitas tiljji bapat emliljhathal risihf aemlfrm nmoid

tiljji

Pmemrihsaal darus smjmra binahuhal ultuh emljmtadui apahad jaljjual sihnus daib tmrjabi

harmla aemlfrrdma atau ouhal. Pmemrihsaal oiasalya binahuhal emnanui pmemrihsaal

cisih,
tmrutaea bi smhitar paljjun. Raljhaial tms yalj oisa binahuhal abanad tms hmdaeinal, tms barad,

smrta tms pmlkitraal bmljal ][J, KR skal, ataupul ERI.

[mtmnad emljmtadui pmlymoaolya, bfhtmr oiasalya ahal emljaljurhal omomrapa

pmljfoatal. Paba basarlya, pmljfoatal aemlfrrdma oisa omromba-omba yalj tmrjaltulj

pmlymoaolya.

emtfbm pmlaljalal paba pmlyahit ili yaitu 7

[anad satu pmlymoao aemlfrrdma abanad silbrfe fvariue pfnihistih (PKF[). Giha ili

pmlymoaolya, jaljjual daib oiasalya ahal binahuhal bmljal pmlaljalal yalj omrcfhus ultuh

emljuralji habar dfrefl albrfjml banae tuoud.

Emtfbm ili binahuhal ultuh emlstaoinhal dfrefl, smdiljja emeiku sihnus daib bal smrilj
binahuhal paba hflbisi ilsucisimlsi fvariue priemr. Pmlaljalal aemlfrrdma yalj satu ili
binahuhal bmljal emeomri „pmljjalti― dfrefl mstrfjml yalj tibah bidasinhal fnmd fvariue.

Pabadan, dfrefl ili bioutudhal ultuh emljatur sihnus emlstruasi smkara lfrean.

Aemlfrrdma juja oisa bitaljali bmljal pmeomrial foat-foatal tmrtmltu. Oiasalya, pmljibap

pmlyahit ili ahal bialjurhal ultuh emljflsuesi pin hfltrasmpsi atau foat-foatal dfrefl

yalj emeiku tmrjabilya sihnus daib.

Kara ili binahuhal ultuh emljatasi aemlfrrdma yalj tmrjabi harmla cahtfr jaya dibup.

Hflbisi ili oiasalya bitaljali bmljal emljaja omrat oabal tmtap ibman, emljfltrfn strms, smrta

omrfnadraja smkara tmratur.

Paba oalyah hasus, rmeaja walita bapat emnahuhal omomrapa naljhad ultuh emlkmjad

tmrjabilya aemlfrma. Emrmha smoaihlya emljihuti prfjrae fnadraja bal emljaja omrat oabal

ajar tmtap lfrean.[mbaljhal aemlfrma priemr ahioat hmaolfreanal paba frjal rmprfbuhsi,
 hflbisi ili tibah bapat bikmjad.]ltuh pmlkmjadal aemlfrma smhulbmr, smbmrmt naljhad bi
oawad

ili bapat binahuhal7

• Emlmraphal pfna eahal yalj smieoalj ajar ememludi lutrisi yalj bipmrnuhal fnmd tuoud.

• Omrfnadraja smkuhuplya bal tibah omrnmoidal. Naljhad ili omrjula ultuh emljaja omrat
oabal ibman eaupul tflus ftft.

• Emljatasi strms, eisanlya bmljal emnahuhal dfoi atau tmhlih rmnahsasi.

• Emljdilbari hflsuesi anhfdfn bal emrfhfh.

Ibmltitas Pasiml Emniputi7 laea, lf RE, ueur, jmlis hmnaeil, pmhmrjaal, ajaea, status, taljjan

ER[, bal taljjan pmljhajial.

Riwayat Hmsmdatal

1) Riwayat Pmlyahit [mharalj7 Riwayat pmlyahit smharalj paba pasiml aemlfrma

omrvariasi tiljhat hmparadallya. Jmjana oiasalya pmrnadal-nadal bmljal riwayat tibah

daib ; ounal.

2) Riwayat Pmlyahit Badunu7 Paba pmljhajial riwayat pmlyahit badunu emlkahup

pmlyahit yalj pmrlad bibmrita fnmd pasiml smomnuelya bal riwayat pmljfoatal yalj

emlymoaohal aemlfrma.

;) Riwayat Pmlyahit Hmnuarja7 Pmljhajial ili emlkahup pmlyahit hmnuarja atau

pmlyahit hmturulal yalj bibmrita fnmd hmnuarja pasiml.

Pmemrihsaal Cisih

Giha
1) Ahtivitas/ istiradat.

Jmjana7

Ralba7

2) [irhunasi
Jmjana7

Ralba7
;) Iltmjritas mjf.

Jmjana7

Ralba7
2) Mnieilasi.
 Jmjana7

Ralba7

5) Eahalal/kairal.

Jmjana7
Ralba7

3) Lmurfsmlsfri.
Jmjana7
Ralba7

7) Lymri/hmlyaealal.

Jmjana7
Ralba7

4) Pmrlacasal

Jmjana7

Ralba7

B[7
1) Pasiml emljatahal hmnuar kairal paba putilj

2) Pasiml emljatahal lymri paljjun

;) Pasiml emljatahal sahit hmpana

2) Pasiml emljatahal jaljjual pmljnidatal

5) Pasiml emljatahal raeout rfltfh

BF7 talba-talba

1) Rmrnidat jmrawat paba wajad.

2) Rueoud raeout bi wajad

2. BIAJLF[A HMPMRAZARAL

1) Alsimtas ob tibah daib ; ounal

2) Bmcisit lutrisi o.b raeout rfltfh omrnmoidal

;) Jaljjual kitra tuoud o.b hmrusahal hunit/ jmrawat paba wajad

 ;. RMLKALA HMPMRAZARAL [BHI, [IHI BAL [NHI

i 7 hflbisi mefsi 7 emljjulahal

pmljanaeal suoymhtic hflbisi mefsi bal tmhlih pmrmjaljal ultuh
ilbivibu tmrdabap fojmh pmljanaeal suoymhtic emljuralji talba bal
yalj tibah jmnas bal tmrdabap fojmh yalj tibah jmjana hmtibahlyaealal
spmsicih ahioat jmnas bal spmsicih ahioat smpmrti lymri,
altisipasi oadaya yalj altisipasi oadaya yalj hmtmjaljal ftft, atau
emeuljhilhal ilbivibu emeuljhilhal ilbivibu hmkmeasal.

emnahuhal tilbahal emnahuhal tilbahal ultuh

ultuh emljdabapi emljdabapi alkaeal. Ahticitas-ahticitas7
alkaeal -ibmlticihasi pmlurulal

[mtmnad binahuhal iltmrvmlsi tiljhat mlmrji,

hmpmrawatal,bidaraphal hmtibaheaepual

pasiml7 omrhflsmltrasi, atau jmjana

- Smroanisasi hdawatir yalj nail emljjulahal

ahioat hflbisi yalj hmeaepual hfjlitic

bidabapi (2) -ibmlticihasi tmhlih

alkaeal tmrdabap - Hmnudal pusilj (2) rmnahsasi yalj pmrlad
hflsmp biri mcmhtic bijulahal
emljmnud pusilj Hmtmraljal [hana Ilbihatfr 7 -eflitfr rmspfls tmrdabap
1 7 Emliljhat tmrapi rmnahsasi
2 7 Kuhup emliljhat -julahal rmnahsasi
; 7 [mbalj smoajai stratmji pmluljalj

2 7 Kuhup Emlurul bmljal alanjmtih atau

5 7 Emlurul tilbahal embis nail, jika

sesuai

-aljurhal emljaeoin pfsisi

lyaeal
pmrasaal pfsitic
tmrdabap biri smlbiri atau -aljurhal rinmhs bal

emrasahal smlsasi rmnahsasi

-bmeflstrasihal bal natid
hmeaepual smoajai rmspfl
tmrdabap situasi saat ili.
[mtmnad binahuhal iltmrvmlsi
hmpmrawatal, bidaraphal
tmhlih rmnahsasi( eis. Lapas
banae, pmrmjaljal, atau
ieajilasi tmroieoilj.
tmhlih rmnahsasi

pasiml7 bmljal pmeomltuhal

- Pmlinaial biri pfsitic (5) ieajilasi ilbivibu bmljal

- Omnajar emlaepahhal emljjulahal smeua ilbra

wajad (2) emnanui pmeprfsmsal

- Pmrasaal eanu (5) hfjlitic ultuh emljuralji

strms.
Hmtmraljal [hana Ilbihatfr 7

1 7 Emlurul Ahticitas-ahticita7

2 7 Kuhup emlurul -ibmlticihasi easanad yalj

; 7 [mbalj bianaei

2 7 Kuhup Emliljhat -kiptahal rualjal yalj

5 7 Emliljhat tmlalj bal lyaeal
-aljurhal emnahuhal

hmeaepual tmhlih emlmlaljhal

emnahuhal prfsms emltan diljja

yalj hfepnmhs. pmrasaal emljabi tmlalj.

[mtmnad binahuhal iltmrvmlsi

hmpmrawatal, bidaraphal
pasiml7

-hflsmltrasi (5)
Hmtmraljal [hana Ilbihatfr 7

1 7 Emlurul
2 7 Kuhup emlurul

; 7 [mbalj

2 7 Kuhup Emliljhat

5 7 Emliljhat
 7 hmabmhuatal asupal emljibmlticihasi bal
lutrisi ultuh ememludi emljmnfna asupal lutrisi
hmoutudal emtaofnisem. yalj smieoalj.

[mtmnad binahuhal iltmrvmlsi Ahtivitas-ahtivitas 7

-ibmlticihasi status lutrisi
hmpmrawatal, bidaraphal
-hfnaofrasi pmeomrial
-cahtfr psihfnfjis ( eis. pasiml7
embihasi smomnue eahal
[trms, hmmljjalal -pmljmtadual tmltalj
(eis. Pmrmba lymri,
ultuh eahal) pinidal eahalal yalj smdat
altimemtih), jiha pmrnu
-raeout rfltfh (2)
omrnmoidal -pmljmtadual tmltalj
pinidal eilueal yalj smdat
emljuepunhal bal
(2)
emljalanisis bata yalj
-pmljmtadual tmltalj
omrhaital bmljal asupal
stalbar asupal lutrisi yalj
bal status jizi.
tmpat (5)

-raeout rfltfh (1)

Ahticitas-ahticitas7
Hmtmraljal [hana Ilbihatfr 7
-ibmlticihasi cahtfr yalj
1 7 Emlurul
emepmljarudi asupal jizi
2 7 Kuhup Emlurul
(eis. Pmljmtadual,
; 7 [mbalj
hmtmrsmbiaal eahalal,
2 7 Kuhup emliljhat
ajaea/hmpmrkayaal,
5 7 Emliljhat
oubaya, emljulyad tibah
abmhuat, jaljjual

pmljanaeal emlmnal,

smlsfrih atau mefsiflan yalj pmljjulaal foat-foatal

omrhaital bmljal hmrusahal atau paskafprasi)

jariljal ahtuan atau -ibmlticihasi hmnailal paba

culjsiflan, bmljal flsmt raeout (eis. Hmrilj, tipis,

emlbabah atau naeoat bal hasar, bal eubad patad)

omriltmlsitas riljal diljja

omrat bal hflstal.

 [mtmnad binahuhal iltmrvmlsi
hmpmrawatal, bidaraphal
pasiml7

- Hmnudal lymri (1)

- Emriljis (1)

- Hmsunital tibur (1)

- Pfna tibur (2)

Hmtmraljal [hana Ilbihatfr 7

1 7 Emlurul

2 7 Kuhup emlurul

; 7 [mbalj

2 7 Kuhup Emliljhat

5 7 Emliljhat

pmrsmpsi tmltalj emliljhathal

pmlaepinal, struhtur bal pmroaihal pmruoadal

pmruoadal
culjsi cisih ilbivibu. pmrsmpsi tmrdabap cisih
pmrsmpsi tmltalj
pasiml.
pmlaepinal, struhtur
[mtmnad binahuhal iltmrvmlsi
bal culjsi cisih
hmpmrawatal, bidaraphal Ahticitas-ahticitas7
ilbivibu.
pasiml7 -eflitfr crmhumlsi

- Smroanisasi hmhdawatiral pmrlyataal hritih tmrdabap

paba pmlfnahal/ rmahsi biri smlbiri
fralj nail (5) -bishusihal pmrombaal
pmlaepinal cisih tmrdabap
darja biri
Hmtmraljal [hana Ilbihatfr 7 -natid pmliljhatal
7
1 7 Emlurul pmlaepinal biri
-pmruoadal (eis.omrbalbal)
2 7 Kuhup emlurul
struhtur/omltuh

tuoud (eis. ; 7 [mbalj

2 7 Kuhup Emliljhat
 Aeputasi, trauea, 5 7 Emliljhat emljibmlticihasi

nuha oahar, bal emljmnfna tiljhat strms

fomsitas, jmrawat) bmljal tujual emliljhathal

-tralsisi pmrasaal pfsitic culjsi ilbivibu.

pmrhmeoaljal tmrdabap biri smlbiri atau

-culjsi/struhtur hmeaepual smoajai rmspfl Ahticitas-ahticitas7

tuoud tmrdabap situasi saat ili. ibmlticihasi tiljhat strms

omruoad/dinalj -ibmlticihasi strmsfr

-jmrawat [mtmnad binahuhal iltmrvmlsi -ajarhal tmhlih emlurulhal

hmpmrawatal, bidaraphal strms (eis. Natidal

pasiml pmrlapasal, easasm, rmnahsasi

7
-pmlinaial biri pfsitic (5) prfjrmsic, ieajilasi

-pmrasaal eanu (2) tmroieoilj, oifcmmb oakh,

tmrapi smltudal, tmrapi

Hmtmraljal [hana Ilbihatfr eurftan, tmrapi eusih, tmrapi
7
1 7 Emlurul duefr, tmrapi tmrtawa,

2 7 Kuhup emurul embitasi)

; 7 [mbalj
2 7 Kuhup Emliljhat
5 7 Emliljhat