Dokumen - Tips PPT Lapsus 1 Adenomiosis

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ADENOMIOSIS dan
ENDOMETRIOSIS
OVARIUM / KISTA
COKLAT
ELYZA WHIDYANTI, S.Ked
Pembimbing Klinik : dr. ABDUL FAIS, S!.

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DEFINISI

Aden$mi$%i% &end$me'ri$%i% in'ern() (d(l(*
im!l(n'(%i +(ring(n end$me'rim di d(l(m
mi$me'rim &$'$' r(*im).

Aden$mi$%i% 'er% (d(l(*

kelen+(r end$me'rim !erl(%(n
d(n %'r$m( %e-(r(
%ime'ri% ('( 'erl$k(li%(%i ke d(l(m
mi$me'rim.
ETIOLOGI

Pemi- mn-ln( (den$mi$%i% (d(l(*
!r$l(k'in, %el(in e%'r$gen d(n !r$ge%'er$n.

Tr(m( 'eri deng(n g(ngg(n !(d(
end$me'ri(l d(n
mi%(ln( !(d( mi$me'ri(l
!r$%e% +n-'i$n
kel(*ir(n ('(
'r(m( !embed(*(n.
PATOGENESIS

/ek(ni%me !(%'i m(%i* belm +el(%.

In0(%i end$me'rim d(n mi$me'rim 
*i!er'r$1 d(n *i!er!l(%i( end$me'rim.



F$k%
d(n (den$mi$%i%
k$n'r(k%i $'$'2$'$'mengg(ngg %%n(n
n$rm(l di 'er% 
men$r(gi

End$me'rim ek'$!ik memiliki re%e!'$r
3"425 (ng b(n(k !eningk('(n P#
 
di%men$re.
TERAPI

Sim'$m('ik

Pembed(*(n
(.K$n%er0('i6
b.(dik(l
ENDOMETRIOSIS OVARIUM/
KISTA COKLAT

DEFINISI
End$me'ri$%i% (d(l(* 'erd(!('n( +(ring(n
end$me'rim d(n %'r$m( ber(d( dil(r
'er% d(n %ering

+in(k (ng mer!(k(n k$ndi%i%li'
di'emk(n, ginek$l$gik(l
dimenger'i, d(n %(ng(' melem(*k(n k$ndi%i
'b*.
Etiologi

/e'(!l(%i( -$elem

Tr(n%!l(n'(%i %el2%el end$me'rim (ng
'erle!(%.

/en%'r(%i re'r$gr(de

De6ek imn$gene'ik.
PATOFISIOLOGI

Te$ri %(m!%$n men%'r(l re'r$gr(de


Te$ri /eer r(ng%(ng(n !(d( e!i'el %el2

%el ber(%(l d(ri -$elm, (ng d(!('
mem!er'(*(nk(n
KASUS

Tgl Pemerik%((n : 78 "k'$ber 597


(ng(n : K(%(ri ('(% &SU An'(!r()

;(m : 9<.99 WITA
IDENTITAS

N(m( : N. N(=(rni

Umr : 5 T(*n > 572927?<?

Al(m(' : ;l. L(mb(r(

Ag(m( : I%l(m

Peker+((n : H$n$rer

Pendidik(n : D II
ANAMNESIS

/en(r-*e : 78 '(*n

Kel*(n U'(m( : "% m(%k deng(n kel*(n kel(r
d(r(* d(ri +(l(n l(*ir d(n neri !er' b(gi(n b(=(*.

i=((' Pen(ki' Sek(r(ng :
Kel(r d(r(* d(ri +(l(n l(*ir di(l(mi %e+(k 79 *(ri
%ebelm m(%k S. D(r(* ber=(rn( mer(* 'er(ng.
P(%ien mengg(n'i !emb(l' %eb(n(k 2@ k(li !er
*(ri.
b(=(*.P(%ien
Neri+g( mengel*k(n
!er' neri
di(l(mi ke'ik( !er'%ed(ng
!(%ien b(gi(n
*(id.

Neri *(id (ng *eb(' %e*ingg( !(%ien
%el(l memin'( $b(' (n'i neri !(d( m(n'ri
('( bid(n n'k meng*il(ngk(n r(%( neri
'er%eb'. Neri *(id d(n %ikl% *(id 'id(k
'er('r di(l(mi %e+(k kr(ng lebi* 8 '(*n
'er(k*ir. Terk(d(ng +(r(k =(k' *(id
mem(n+(ng *ingg( < bl(n d(n %((' *(id
d(!(' berl(ng%ng l(m( d(n d(r(* (ng
kel(r b(n(k.

P(%ien %d(* kel(r m(%k S  k(li deng(n
kel*(n (ng %(m(. i=((' neri d(n
kel(r d((r(* %((' ber*bng(n %ek%(l
di%(ngk(l. P(%ien menggn(k(n k$n'r(%e!%i
%n'ik %el(m( 7@ '(*n, n(mn 'el(*
di*en'ik(n %e+(k !(%ien meng(l(mi
!erd(r(*(n 8 '(*n (ng l(l.

Dem(m &2), !%ing &2), b('k &2), m(l &2),
mn'(* &2), !enrn(n n(6% m(k(n &2) d(n
!enrn(n ber(' b(d(n &2), BAK &), BAB
&).
Riwayat Obt!t"i #

P(%ien %d(* menik(* %el(m( ... '(*n,
ri=((' !em(k(i(n KB %n'ik &).

P(%ien memiliki 8 $r(ng (n(k:


An(k I : l(ki2l(ki, %i( 58 '(*n, l(*ir di
rm(* di'$l$ng $le* dkn.

An(k II : !erem!(n, %i( 57 '(*n, l(*ir di
rm(* di'$l$ng $le* dkn.

An(k III: l(ki2l(ki, 79 '(*n, l(*ir di rm(*,
di'$l$ng $le* dkn.
Riwayat P!nya$it Da%&l& #


P(%ien 'el(*  k(li kel(r m(%k S k(ren(
kel*(n (ng %(m(, 'er(k*ir m(%k S 8
bl(n (ng l(l di SUD Und('(.

Hi!er'en%i &2), Di(be'e% /eli'% &2), Pen.
;(n'ng &2), A%m( &2), Alergi &2)
Pemerik%((n 1%ik :
KU : b(ik
TD : 779><9 mmHg
N :  C>meni'
P : 59C>meni'
S: 8<, der(+(' -el-i%
Ke!(l(2le*er : d(l(m b('(% n$rm(l
T*$r(C : d(l(m b('(% n$rm(l
Abd$men :
I : T(m!(k -embng
A : B; 7d(n5 mrni regler
P : 'im!(ni
P : 'er(b( m(%%( &2), neri 'ek(n &)

(gin(l '$-*er
(gin( : 'm$r &2)
P$r'i$ : !embk((n &2), kr(n d(n ben'k
dbn, k$n%i%'en%i
'(m!(k ken(l, =(rn(
d(r(* meng(lir neri g$(ng &2),
mer(* 'er(ng
!(d( *(nd%-$$n.
USG TRANSVAGINAL
RESUME

P(%ien m(%k deng(n men$r*(gi( d(n di%men$r*e(
%e+(k 79&).
'er('r *(riDi%!(reni(
%ebelm m(%k S.-$i'(l
&2), !$%' Sikl%bleeding
*(id 'id(k
&2).

D(ri !emerik%((n 1%ik di d(!('k(n (bd$men '(m!(k
-embng, m(%%( &2), neri 'ek(n &). Pemerik%((n
0(gin(l '$-*er did(!('k(n !embk((n !$r'i$ 'id(k
(d(, 'm$r &2), di *(nd%-$$n 'erd(!(' d(r(*
ber=(rn( mer(* 'er(ng.

D(ri !emerik%((n !enn+(ng d(ri !emerik%((n
d(r(* r'in did(!('k(n !enrn(n HB 75,8 g>dL &72
7), B3, H3T,

Ink$m!li'. d(n
Bi$!%i !enigk('(n
P('$l$gi WB3.
An('$mi US#
: %i%( : Ab$r'%
ke*(mil(n,
DD> /$l( Hid('id$%(.   H3# : @7@.@<9 mIU>mL
DIAGNOSIS

S%!ek Aden$mi$%i% d(n ki%'( -$kl('

PENATALAKSANAAN

en-(n( $!er(%i L(!(r('$mi *(ri (b
7@>79>597

3$l$n %kem( 5 *(ri

Bbr ke-(! 5 *(ri !re $!

K$n%l (ne%'e%i

K$n%l !en(ki' d(l(m

Si(!k(n d(r(* W*$le bl$$d 5 k(n'$ng

In6$rmed -$n%en', -kr, !(%( G2 +(m
LAPORAN OPERASI

7. di%in6ek%i l(!(ng(n $!er(%i d(n %eki'(rn(,

5. !(%(ng dk %'eril

8. in%i%i (bd$men %e-(r( !6(nen%'eil l(!i% demi l(!i%
'emb% %e-(r( '(+(m d(n 'm!l

@. '(m!(k ki%'( -$kl(' deC'r( kr(n kr(ng lebi* GC -m,
ki%'( !e-(*.

G. '(m!(k ki%'( -$kl(' %ini%'r( kr(n kr(ng lebi* C -m

<. dil(kk(n *i%'erek'$mi '$'(l deng(n %(l!ing$2
$$6$rek'$mi bil('er(l &HTS"B)

. $b%er0(%i !erd(r(*(n

?. +(*i' (bd$men l(!i% demi l(!i%

79. ''! lk( deng(n k(%( %'eril

77. $!er(%i %ele%(i.

FOLLO' UP
PEM(A)ASAN

P(d( k(%% ini %e'el(* dil(kk(n l(!(r('$mi
d(!(' dike'(*i b(*=( !(%ien menderi'(
(den$mi$%i% d(n end$me'ri$%i% $0(rim ('(
(ng diken(l deng(n ki%'( -$kl('.

F4 ri%ik$: F(k'$r %i( !(%ien, dim(n( <929
(den$mi$%i% 'er+(di !(d( dek(de  d(n @, %i(
!(%ien %((' ini m(%k !(d( dek(de . F(k'$r
ml'i!(ri'(% +g( men+(di %(l(* %(' !emi-
'er+(din( (den$mi$%i%. P(%ien 'el(* mel(*irk(n
%e-(r( %!$n'(n %eb(n(k @ k(li di'$l$ng dkn
deng(n !er(l('(n %e(d(n( d(n 'id(k %'eril.

F(k'$r ml'i!(ri'(% +g( men+(di %(l(* %('
!emi- 'er+(din( (den$mi$%i%. P(%ien 'el(*
mel(*irk(n %e-(r( %!$n'(n %eb(n(k @ k(li
di'$l$ng dkn deng(n !er(l('(n %e(d(n(
d(n 'id(k %'eril.

Tind(k(n (ng dil(kk(n (i' *i%'erek'$mi
'$'(l %(l!*ing$ $$!*$re-'$m bil('er(l.
Tind(k(n ini di!ili* deng(n !er'imb(ng(n
beber(!( *(l:
(. P(%ien *(r% !n( ke'rn(n
Tel(* dil(kk(n 'er(!i medi% ('(!n
'ind(k(n n$n $!er(%i (ng (dek('.
b. Pemerik%((n 'el(* dil(kk(n n'k

menge'(*i !eneb(b di l(r r(*im (ng
meneb(bk(n ge+(l( (ng di(l(mi !(%ien ('(
berb(g(i !eneb(b (ng d(!(' meng(kib('k(n
'ind(k(n *i%'erek'$mi 'id(k 'e!('.
-. ;ik( mem(ng 'erd(!(' indik(%i *i%'erek'$mi,
m(k( keg(n(%(n *(r% d(!(' di%ingkirk(n.
d. Per%e'+(n 'ind(k(n medi% *(r% dil(kk(n
'erm(%k did(l(mn( ken'ng(n d(n
kergi(n d(ri *i%'erek'$mi d(n dil(kk(n
di%k%i deng(n !(%ien.

d. Per%e'+(n 'ind(k(n medi% *(r%
dil(kk(n 'erm(%k did(l(mn( ken'ng(n
d(n kergi(n d(ri *i%'erek'$mi d(n
dil(kk(n di%k%i deng(n !(%ien.
P(d( end$me'ri$%i%, *i%'erek'$mi %ering
diindik(%ik(n k(ren( (d(n( ge+(l( (ng
ber(' deng(n keg(g(l(n 'er(!i deng(n
!eng$b('(n k$n%er0('i6 d(n 6er'ili'(% 'id(k

diingink(n l(gi.
T)ANK *OU VER*

MUC) FOR *OUR ATTENTION

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Copyright:

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5/18/2018 PptLapsus1Adenomiosis-slidepdf.

Pembimbing Klinik : dr. ABDUL FAIS, S!.

Aden$mi$%i% 'er% (d(l(*

i!er'r$1 d(n i!er!l(%i( end$me'rim.

'er% d(n %ering

%el ber(%(l d(ri -$elm, (ng d(!('

Tgl Pemerik%((n : 78 "k'$ber 597

P(%ien memiliki 8 $r(ng (n(k:

Riwayat P!nya$it Da%&l& #

7), B3, H3T,

b. Pemerik%((n 'el(* dil(kk(n n'k

!eng$b('(n k$n%er0('i6 d(n 6er'ili'(% 'id(k

T)ANK OU VER

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