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Asuhan Keperawatan Pasien dengan Crohn’s Disease

Rumentalia Sulistini, S. Kep, Ns, M. Kep MA KMB I Jurusan Keperawatan Poltekkes Depkes 2010

Definisi • Suatu penyakit peradangan granulosa kronik yang sering berulang • Menyerang ileum .

nih.gov/ddiseases/pubs/crohns/ .http://digestive.niddk.

Cause • Tidak diketahui dengan pasti • Reaksi sistem imun tubuh • Faktor yang mempengarugi : genetik . sistem imun dan lingkungan .

Simptom • • • • • • • Nyeri abdomen pada area kanan bawah diare. Anemia . Perdarahan rektal Kehilangan berat badan Masalah kulit dan demam Arthritis.

 untuk melihat inflamasi / perdarahan • biopsy.Pemeriksaan diagnostik • Pemeriksaan darah ( anemia . . perdarahan / infection in the intestines. • x-ray film menggunakan barium • sigmoidoscopy or a colonoscopy. Leukosit tinggi  inflamasi • Faces sample.

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• Komplikasi nutrisi - Deficiencies of proteins. and vitamins • arthritis. . • inflammation in the eyes or mouth. • skin problems.Komplikasi • fistulas. calories. • other diseases of the liver and biliary system. • kidney stones.

/ kombinasi ke tiganya Tujuan pengobatan : • Mengontrol inflammation. diarrhea. and rectal bleeding) .Treatment • obat • Suplemen nutrisi • surgery. • Memperbaiki defisiensi nutrisi • Mengurangi simptom (abdominal pain.

sulfonamide. • Immune System Suppressors. diphenoxylate. loperamide. Ex. tetracycline. . or metronidazole. This drug is the first of a group of medications that blocks the body’s inflammation response. : ampicillin. • Cortisone or Steroids.Drug Therapy • Anti-Inflammation Drugs  mesalamine. • Anti-Diarrheal and Fluid Replacements. • Antibiotics. and codeine. cephalosporin. • Infliximab (Remicade). Sulfasalazine.

perforation.Surgery • Surgery becomes necessary when medications can no longer control symptoms. . or bleeding in the intestine. abscess. • Surgery is used either to relieve symptoms that do not respond to medical therapy or to correct complications such as blockage.