TONSILITIS KRONIS

Muhammad Amir Zakwan (07/251648/KU/12239) Dok !r Muda "!riod! 2#25 $anuari 2013 %a&ian '(mu K!)!ha an *!(in&a +idun& *!n&&orok#K!,a(a -!h!r .aku( a) K!dok !ran Uni/!r)i a) 0ad1ah Mada/23U" 3ard1i o 4o&5akar a ABSTRAK Latar Belakang: *on)i(i i) kroni) m!ru,akan kondi)i di mana !r1adi ,!m6!)aran on)i( di)!r ai d!n&an )!ran&an in7!k)i 5an& 6!ru(an&#u(an&8 *on)i(i i) m!ru,akan )a(ah )a u ,!n5aki 5an& ,a(in& umum di !mukan ,ada ma)a anak#anak8 An&ka k!1adian !r in&&i !ru ama an ara anak#anak da(am k!(om,ok u)ia an ara 5 )am,ai 10 ahun 5an& mana radan& !r)!6u m!ru,akan in7!k)i dari 6!r6a&ai 1!ni) 6ak !ri8 Tujuan: M!n&! ahui in7orma)i !r,!n in& Di(a,orkan !n an& )a u on)i(i i) kroni) )!)uai d!n&an kom,! !n)i dok !r umum Kasus: ka)u) on)i(i i) kroni) ,ada anak ,!r!m,uan 6!ru)ia 15

ahun8Hasil:*on)i(i i) m!ru,akan k!radan&an kroni) 5an& m!n&!nai )!(uruh 1arin&an on)i( 5an& umumn5a didahu(ui o(!h )ua u k!radan&an di 6a&ian u6uh (ain9 mi)a(n5a )inu)i i)9rhini i)9 in7!k)i umum )!,!r i mor6i(i9 dan )!6a&ain5a8 3!dan&kan *on)i(i i) Kroni) ada(ah ,!radan&an kroni) *on)i( )! !(ah )!ran&an aku 5an& !r1adi 6!ru(an&#u(an& a au in7!k)i )u6k(ini)8 3!:ara k(ini) ,ada on)i(i i) kronik dida,a kan &!1a(a 6!ru,a n5!ri !n&&orok a au n5!ri !(an rin&an9 mu(u 6!r6au9 6adan (!)u9 )!rin& m!n&an uk9 na7)u makan m!nurun9 n5!ri k!,a(a dan 6adan !ra)a m!rian&8 "!na a(ak)anaan 6a&i *on)i(i i) Kroni) ada(ah !ra,i (oka( 6!r u1uan ,ada hi&i!n! mu(u a au o6a hi)a, 5ai u an i6io ik dan ana(&!)ik )!r a ,!n&an&ka an on)i( 5ai u *on)i(!k omi8Kesimpulan: *on)i(i i) kroni) ada(ah )ua u ,!n5aki dimana dok !r umum haru) 6i)a un uk m!ndia&no)i) dan m!m6!rikan !ra,i awa( 5an& ad!kua dan m!(akukan ru1ukan 1ika ,!r(u8 Kata Kunci: on)i(i i) kroni)9,!n5!6a69 &!1a(a k(ini)9 ,!na a(ak)anaan ABSTRACT Background: Chronic tonsillitis is a condition in which there is enlargement of the tonsils accompanied by repeated attacks of infection and over. Tonsillitis is one of the most common diseases found in childhood. The highest incidence rate, especially among children in the age group between 5 to 10 years which is an infectious inflammation of various types of bacteria.Objectives: Knowing the most important information about chronic tonsillitis in

accordance with a general physician competencies Case:

eported one case of chronic

tonsillitis in young women aged 15 years. Result: Tonsillitis is a chronic !nflammation of the tissues around the tonsils are usually preceded by an !nflammation in the body, such as sinusitis, rhinitis, common infections such as morbili, and so on. "hile Chronic Tonsillitis Tonsils are a chronic inflammation after acute attacks occur repeatedly or subclinical infection. Clinically in chronic tonsillitis symptoms such as sore throat earned or swallow mild pain, halitosis, body weakness, fre#uent sleepiness, decreased appetite, headache and body feels feverish. Treatment for Chronic Tonsillitis is local therapy aimed at oral hygiene or drugs are antibiotics and analgesics suction and removal of tonsils is Tonsilectomy.Conclusion: Chronic tonsillitis is a disease in which the general practitioner should be able to diagnose and provide ade#uate initial treatment and referral if necessary. Keywords: Chronic tonsillitis, causes, clinical symptoms, treatment PENDAH L AN *on)i(i i) ada(ah ,!radan&an on)i( ,a(a ina 5an& m!ru,akan 6a&ian dari :in:in ;a(d!5!r8<in:in ;a(d!5!r !rdiri a a) )u)unan k!(!n1ar (im7a 5an& !rda,a di da(am ron&&a mu(u (in&ua( dan on)i( u6a 5ai u on)i( 7arin&!a((ad!noid)9 on)i( ,a(a ina9 on)i( =u) a:hiu) (0!r(a:h>) on)i()8 *on)i( ada(ah k!(!n1ar &! ah 6!nin& di mu(u 6a&ian 6!(akan& (di ,un:ak !n&&orokan)8 *on)i( 6!r7un&)i m!m6an u m!n5arin& 6ak !ri dan mikroor&ani)m! (ainn5a )!6a&ai indakan ,!n:!&ahan !rhada, in7!k)i8 *on)i( 6i)a >dika(ahkan> o(!h in7!k)i 6ak !ri mau,un /iru) )!hin&&a m!m6!n&kak dan m!radan&9m!n5!6a6kan on)i(i i)8 'n7!k)i 1u&a 6i)a !n&&orokan dan da!rah m!n5!6a6kan 7arin&i i)8 !r1adi di )!ki arn5a9 %!rda)arkan 1994#19969,r!/!(an)i 5ai u )!6!)ar 388?8 *on)i(i i) da,a m!n5!6ar dari da a !,id!mio(o&i kroni)

*+* di 7 ,ro/in)i di 'ndon!)ia9,ada ahun on)i((i i) !r in&&i )! !(ah na)o7arin&i i) aku (486?)

oran& k! oran& m!(a(ui kon ak an&an9 m!n&hiru, udara ! !)an )! !(ah )!)!oran& d!n&an on)i(i i) 6!r)in a au 6!r6a&i ,!ra(a an a au )ika &i&i dari oran& 5an& !rin7!k)i8 Anak#anak dan r!ma1a 6!ru)ia 5#15 ahun 5an& ,a(in& mun&kin un uk m!nda,a kan on)i(i i)9 ! a,i da,a m!n5!ran& )ia,a )a1a8

LAPORAN KAS S Di(a,orkan ka)u) anak ,!r!m,uan u)ia 15 ahun da an& k! k(inik *+* 23 3o!rad1i *ir on!&oro K(a !n ,ada an&&a( 7 $anuari )!karan&@ 2013 d!n&an )aa k!(uhan n5!ri !n&&orokan m!n!(an8 2iwa5a

,!rnah 6!ro6a ,!n5!6a6n5a9 on)i(i i) on)i( 5an&

namun )!rin& kam6uh8 on)i(i i) !r6a&i a a)

%!rda)arkan (ama ,!r1a(anan ,!n5aki dan aku dan on)i(i i) :!,a 9 a au

kroni)8*on)i(i i) aku ada(ah radan& ,ada im6u(n5a 6!r(an&)un& da(am wak u ,!nd!k ( idak (ama)9 da(am kurun wak u 1am9 hari hin&&a min&&u8*on)i(i i) kroni) ,u(a ada(ah *on)i(i i) 5an& 6!r(an&)un& (ama (6u(an a au ahun) a au dik!na( )!6a&ai ,!n5aki m!nahun8Da(am ha( ini 7ak or ,r!di),o)i)i on)i(i i) kroni) an ara (ain ran&)an&an kroni) rokok9 makanan !r !n u9 hi&i!n! mu(u 5an& 6uruk9 ,!n&aruh :ua:a9 k!(!(ahan 7i)ik9 dan ,!n&o6a an on)i(i i) aku 5an& idak ad!kua 8 = io(o&i 6!rda)arkan Morri)on 5an& m!n&u i, ha)i( ,!n5!(idikan dari Commission on $cute espiration %isease 6!k!r1a )ama d!n&an &urgeon 'eneral of the $rmy $merica dimana dari 169 ka)u) dida,a kan da a )!6a&ai 6!riku @ # 25? di)!6a6kan o(!h 3 r!, okoku) D h!mo(i iku) 5an& ,ada ma)a ,!n5!m6uhan am,ak adan5a k!naikan i !r 3 r!, okoku) an i6odi da(am )!rum ,!nd!ri a8 # 25? di)!6a6kan o(!h 3 r!, okoku) &o(on&an (ain 5an& idak m!nun1ukkan k!naikan i !r 3 r!, okoku) an i6odi da(am )!rum ,!nd!ri a8 # 3i)an5a ada(ah "n!umokoku)9 3 a7i(okoku)9 +!mo7i(u) in7(u!nCa8

)!1ak k!:i(9 (!6ih kuran& 9

ahun 5an& (au9,a)i!n m!n&a akan )!rin& d!mam dan n5!ri !n&&orokan8 Kadan&# kadan& 6a uk dan di)!r ai ,i(!k8 A5!ri )aa m!n!(an(B)8 "a)i!n ,!rnah dio6a i namun )!rin& kam6uh#kam6uhan9 )u(i idur (B) dan )!rin& n&orok (B)82iwa5a dahu(u@ a)ma dan a((!r&i di)an&ka(8'n7!k)i ,ada ron&&a mu(u 1u&a di)an&ka(8 "ada ,!m!rik)aan 7i)ik dida,a kan kondi)i umum ,a)i!n kom,o) m!n i)9 ) a u) &iCi :uku,8 "ada ,!m!rik)aan !n&&orokan m!n&&unakan h!ad(am, dan ),a u(a (idah9 am,ak on)i( kanan dan kiri 5an& m!m6!)ar (*3#*3)9 !rda,a d! ri u) dan muara kri, a m!(!6ar8 "a)i!n didia&no)i) on)i(i i) kroni)8 *!ra,i 5an& di6!rikan ada(ah r!n:ana on)i(!k omi8

DISK SI Di(a,orkan )a u ka)u) on)i(i i)

kroni) ,ada anak ,!r!m,uan 15 ahun dimana k!(uhan 5an& dira)akan hi(an& im6u( )!m!n1ak 9 ahun 5an& (a(u8 "a)i!n

Ada,u(a 5an& m!n5a akan ! io(o&i !r1adin5a on)i(i i) )!6a&ai 6!riku @ 18 3 r!, okoku) D h!mo(i iku) 0ru, A 28 +!mo7i(u) in7(u!nCa 38 3 r!, okoku) ,n!umonia 483 a7i(okoku) 58=,) !in %arr Eiru)

6adan (!)u9 )!rin& m!n&an uk9 na7)u makan m!nurun9 n&orok )aa k!,a(a dan 6adan ,!m!rik)aan 7i)ik idur9 n5!ri on)i( !ra)a m!rian&8Dari di !mukan

m!m6!)ar d!n&an ,!rmukaan idak ra a9 kri, a (!6ar 6!ri)i d! ri u)9 on)i( m!(!ka k! 1arin&an )!ki arn5a8 "ada 6!n uk a ro7i9 on)i( k!:i( )!,!r i !r,!ndam da(am 7o)a on)i(ari)8 "!na a(ak)anaan on)i(i i) ada(ah 1ika ,!n5!6a6n5a ada(ah 6ak !ri9 di6!rikan an i6io ik ,!r ora( )!(ama 10 hari8 $ika anak m!n&a(ami k!)u(i an m!n!(an 6i)a di6!rikan da(am 6!n uk )un ikan8 # # "!ni)i(in E 195 1u a 'U 2 F )!hari )!(ama 5 hari a au 500 m& 3 F )!hari8 "i(ihan (ain ada(ah !ri romi)in 500 m& 3 F )!hari a au amok)i)i(in 500 m& 3 F )!hari 5an& di6!rikan )!(ama 5 hari8 Do)i) ,ada anak @ !ri romi)in 40 m&/k&%%/ hari9 amok)i)i(in 30 G 50 m&/k&%%/hari8 *ak ,!r(u m!mu(ai an i6io ik )!&!ra9 ,!nundaan 1 G 3 hari idak m!nin&ka kan kom,(ika)i a au m!nunda ,!n5!m6uhan ,!n5aki 8 An i6io ik han5a )!diki m!m,!r,!nd!k dura)i &!1a(a dan m!n&uran&i ri)iko d!mam r!ma ik8 %i(a )uhu 6adan in&&i9 ,!nd!ri a haru) irah 6arin& dan dian1urkan un uk 6an5ak minum8 Makanan (unak di6!rikan )!(ama ,!nd!ri a ma)ih n5!ri m!n!(an8 Ana(&! ik (,ara)! amo( dan i6u,ro7!n ada(ah 5an& ,a(in& aman) (!6ih !7!k i7 dari,ada an i6io ik da(am m!n&hi(an&kan &!1a(a8 A5!ri 7arin& 6ahkan da,a di !ra,i d!n&an ),ra5 (idokain8

"ada on)i(i i) aku in7i( ra)i 6ak !ri ,ada (a,i)an !,i !( 1arin&an on)i( akan m!nim6u(kan k!(uarn5a r!ak)i (!uko)i radan& 6!ru,a ,o(imor7onuk(!ar

)!hin&&a !r6!n uk d! ri u)8 D! ri u) ini m!ru,akan kum,u(an (!uko)i 9 6ak !ri 5an& ma i dan !,i !( 5an& !r(!,a)8 3!:ara k(ini) d! ri u) ini m!n&i)i kri, ! on)i( dan am,ak )!6a&ai 6!r:ak k!kunin&an8 "ada on)i(i i) kroni) ,u(a Kar!na ,ro)!) )!hin&&a radan& 6!ru(an& ,ada ,ro)!) maka !,i !( !rkiki)9

muko)a dan 1arin&an (im7oid

,!n5!m6uhan #

1arin&an (im7oid di&an i d!n&an 1arin&an ,aru 8 $arin&an ini akan m!n&!ru )!hin&&a ruan& an ara k!(om,ok m!(!6ar 5an& akan dii)i o(!h d! ri u)9 ,ro)!) ini m!(ua) hin&&a m!n!m6u) ka,)u( dan akhirn5a im6u( ,!r(!ka an d!n&an 1arin&an )!ki ar 7o)a on)i(ari)8 3!:ara k(ini) ,ada on)i(i i) kronik dida,a kan &!1a(a 6!ru,a n5!ri !n&&orok a au n5!ri !(an rin&an9 mu(u 6!r6au9

"a)i!n idak (a&i m!nu(arkan ,!n5aki )!)udah ,!m6!rian 1 hari an i6io ik8 # %i(a di:uri&ai adan5a on)i(i i) di7 !ri9 ,!nd!ri a haru) )!&!ra di6!ri )!rum an i di7 !ri (AD3)9 ! a,i 6i(a ada &!1a(a )um6a an na7a)9 )!&!ra ru1uk k! rumah )aki 8 # "ada on)i(i i) kronik9 ,!n in& un uk m!m6!rikan na)iha a&ar m!n1auhi ran&)an&an 5an& da,a m!nim6u(kan )!ran&an on)i(i i) aku 9 mi)a(n5a rokok9 minuman/makanan 5an& m!ran&)an&9 hi&i!n! mu(u 5an& 6uruk9 a au ,!n&&unaan o6a kumur 5an& m!n&andun& d!)in7!k an8 %i(a !ra,i m!dikam!n o)a idak 6!rha)i( dian1urkan !ra,i radika( d!n&an on)i(!k omi8 'ndika)i on)i(!k omi Relati! *!r1adi 3 !,i)od! a au (!6ih in7!k)i on)i( ,!r ahun d!n&an !ra,i an i6io ik ad!kua 8 +a(i o)i) (na7a) 6au) aki6a on)i(i i) kronik 5an& idak m!m6aik d!n&an ,!m6!rian !ra,i m!di)8 *on)i(i i) kroni) a au 6!ru(an& ,ada (ini!r 3 r!, okokku) 5an& idak m!m6aik d!n&an ,!m6!rian an i6io i: "utlak #A$s%lut& "!m6!n&kakan on)i( m!n5!6a6kan o6) ruk)i )a(uran na,a)9 di)7a&ia 6!ra 9 &an&&uan idur dan kom,(ika)i kardio,u(mona(8 A6)!) ,!ri on)i( 5an& idak m!m6aik d!n&an ,!n&o6a an m!di) dan draina)!8 *on)i(i i) d!mam 5an& m!nim6u(kan k!1an&

+i,!r ro,i on)i( a au ad!noid d!n&an )indrom a,no! wak u idur8

RE'ERENSI 18 2u)mar1ono8 3o!,ardi9 =7ia 5 A8 20078 .arin&i i)9 *on)i(i i) dan +i,!r ro7i 3o!,ardi9 Kesehatan Keenam8 Aur6ai 58 (uku Ad!noid =7ia 5 A8 $)ar Telinga $akar a@ da(am ')kandar9 !lmu *idung .aku( a)

Tenggorok Kepala + ,eher -disi K!dok !ran Uni/!r)i a) 'ndon!)ia8 28 Adam)9 0!or&! -8 19978 "!n5aki # "!n5aki Aa)o7arin& dan Hro7arin& da(am Adam)9 0!or&! -8 %oi!)9 -awr!n:! 28 +i&(!r9 "! !r A8(oies. (uku $)ar /enyakit T*T -disi 08 $akar a@ =0<8 38 h ,@//,u6(i:h!a( hno !86(o&),o 8:o m/2012/05/ on)i(i i)#amand!(8h m( 48 h ,@//www8!n )ur&i:a(i((inoi)8:om/ :ondi ion)#:hroni:# on)i(i i)#!n # 1o(i! #in8h m(

*on)i(i i) 5an& m!m6u uhkan 6io,)i un uk m!n!n ukan !m,a 5an& di:uri&ai (im7oma (k!&ana)an)