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MAKALAH HISPRUNG PJBL2

MAKALAH HISPRUNG PJBL2

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Published by Jita Olisa

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Published by: Jita Olisa on Mar 06, 2012
Copyright:Attribution Non-commercial

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01/31/2014

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1
TUGAS PJBL 2 SISTEM GASTROINTESTINAL
TENTANG
KONSEP PENYAKIT HISPRUNG dan ASKEPNYA
Disusun oleh :
JITA OLISA (0910720049)JURUSAN ILMU KEPERAWATANFAKULTAS KEDOKTERANUNIVERSITAS BRAWIJAYA2011/2012
 
2
 
Student Learning Objectives (SLO)
1.
 
Ma
h
a
sisw
a
mendiskusik
a
n definisi Hisprung
2
.
 
Ma
h
a
sisw
a
mendiskusik
a
n epidemiologi Hisprung3.
 
Ma
h
a
sisw
a
mendiskusik
a
n p
at
ofisiologi Hisprung4.
 
Ma
h
a
sisw
a
mendiskusik
a
n f 
a
k
t
or resiko d
a
n kl
a
sifik
a
si Hisprung5.
 
Ma
h
a
sisw
a
mendiskusik
a
n m
a
nifes
ta
si klinis d
a
ri Hisprung6.
 
Ma
h
a
sisw
a
mendiskusik
a
n kl
a
sifik
a
si Hisprung7.
 
Ma
h
a
sisw
a
mendiskusik
a
n pemeriks
aa
n di
a
gnos
t
ik Hisprung8.
 
Ma
h
a
sisw
a
mendiskusik
a
n pen
ata
l
a
ks
a
n
aa
n medis d
a
ri Hisprung9.
 
Ma
h
a
sisw
a
mendiskusik
a
n s
t
om
a
d
a
n per
a
w
ata
n s
t
om
a
 10.
 
Ma
h
a
sisw
a
mendiskusik
a
n Asuh
a
n Keper
a
w
ata
n Hisprung
 
3
1.
 
Definisi Hisprung
P
eny
a
ki
t
 Hisprung
(Hirschprung)
a
d
a
l
a
h kel
a
in
a
n b
a
w
aa
n penyeb
a
b g
a
nggu
a
n p
a
s
a
seusus (Ariff 
Ma
nsjoer, dkk.
2
000). Diken
a
lk
a
n per
ta
m
a
k
a
li oleh Hirschprung
ta
hun1886. Zuelser d
a
n Wilson , 1948 mengemuk
a
k
a
n b
a
hw
a
p
a
d
a
dinding usus y
a
ngmenyempi
t
 
t
id
a
k di
t
emuk
a
n g
a
nglion p
a
r
a
simp
at
is.
P
eny
a
ki
t
 
Hisprung
disebu
t
jug
a
kongeni
ta
l
a
g
a
nglionik meg
a
kolon.
P
eny
a
ki
t
inimerup
a
k
a
n ke
a
d
aa
n usus bes
a
r (kolon) y
a
ng
t
id
a
k mempuny
a
i pers
a
r
a
a
n(
a
g
a
nglionik). J
a
di, k
a
ren
a
 
a
d
a
b
a
gi
a
n d
a
ri usus bes
a
r (mul
a
i d
a
ri
a
nus ke
a
r
a
h
ata
s)y
a
ng
t
id
a
k mempuny
a
i pers
a
r
a
a
n (g
a
nglion), m
a
k
a
 
t
erj
a
di kelumpuh
a
n usus bes
a
rd
a
l
a
m menj
a
l
a
n
a
k
a
n fungsiny
a
sehingg
a
usus menj
a
di membes
a
r (meg
a
kolon).
P
a
nj
a
ng usus bes
a
r y
a
ng
t
erken
a
berbed
a-
bed
a
un
t
uk se
t
i
a
p individu.
P
eny
a
ki
t
hisprung
ata
u meg
a
kolon
a
g
a
nglionik b
a
w
aa
n diseb
a
bk
a
n oleh kel
a
in
a
ninerv
a
si usus, di mul
a
i d
a
ri sfing
t
er
a
ni in
t
ern
a
d
a
n melu
a
s ke proxim
a
l, melib
at
k
a
np
a
nj
a
ng usus y
a
ng berv
a
ri
a
si. Hisprung
a
d
a
l
a
h penyeb
a
b obs
t
ruksi usus b
a
gi
a
n b
a
w
a
hy
a
ng p
a
ling sering
t
erj
a
di p
a
d
a
neon
at
us, deng
a
n insiden 1:1500 kel
a
hir
a
n hidup. L
a
ki
-
l
a
ki lebih b
a
ny
a
k d
a
rip
a
d
a
perempu
a
n 4:1 d
a
n
a
d
a
insiden kelu
a
rg
a
p
a
d
a
peny
a
ki
t
 segmen p
a
nj
a
ng. Hisprung deng
a
n b
a
w
aa
n l
a
in
t
erm
a
suk sindrom down, sindroml
a
ur
a
nce moon
-
b
a
rderbield d
a
n sindrom w
a
rdenburg ser
ta
kel
a
in
a
n k
a
rdiov
a
skuler.(Behrm
a
n, 1996)
P
eny
a
ki
t
hisprung diseb
a
bk
a
n oleh
ta
k
a
d
a
ny
a
sel g
a
nglion kongeni
ta
l d
a
l
a
m pleksusin
t
r
a
muscur
a
l usus bes
a
r. Segmen y
a
ng
t
erken
a
bis
a
s
a
ng
at
pendek. T
a
mpil p
a
d
a
usi
a
 mud
a
deng
a
n kons
t
ip
a
si p
a
r
a
h. Enem
a
b
a
rium bis
a
menunjukk
a
n penyempi
ta
nsegmen deng
a
n dil
ata
si colon di proksim
a
l. Biopsi rec
t
um bis
a
mengkonfirm
a
sidi
a
gnosis, jik
a
j
a
ring
a
n submukos
a
di c
a
kup. Ter
a
pi sim
t
om
at
ik bis
a
berm
a
nf 
aat
,
t
e
ta
pikeb
a
ny
a
k
a
n p
a
sien memerluk
a
n pembed
a
h
a
n (G. Holds
t
ock, 1991)Hirschsprung
ata
u
M
eg
a
Colon
a
d
a
l
a
h peny
a
ki
t
y
a
ng
t
id
a
k
a
d
a
ny
a
sel  sel g
a
ngliond
a
l
a
m rec
t
um
ata
u b
a
gi
a
n rek
t
osigmoid Colon. D
a
n ke
t
id
a
k
a
d
aa
n ini menimbulk
a
nke
a
bnorm
a
l
a
n
ata
u
t
id
a
k
a
d
a
ny
a
peris
ta
l
t
ik ser
ta
 
t
id
a
k
a
d
a
ny
a
ev
a
ku
a
si usus spon
ta
n (Be
tz
, Cecily & Sowden :
2
000 ).
P
eny
a
ki
t
Hirschsprung
ata
u
M
eg
a
Kolon
a
d
a
l
a
hkel
a
in
a
n b
a
w
aa
n penyeb
a
b g
a
nggu
a
n p
a
s
a
se usus
t
ersering p
a
d
a
neon
at
us, d
a
n

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