O I K I GCO CK

KZCVJ
QCV^I EJK I K

K @\ J K @\ JIKTJ, O. BCQ . , KCVS

 QC K MC V T J I K K Z C V J

• Suitu scks`rj yikm tjdib ockyckikmbik dirj situ

pckmieioik co`sj`kie yikm djscrtij bcr usibik jirjkmik
scniri intuie/p`tcksjie.
• Suitu pcrisiik yikm tjdib ockyckikmbik d ik djscfifbik
`ech stjoueus spcsjljb ocbikjs, bjoji, cecbtrjb pidi u j u k m
-u j u k m syiril scrti tjdib dipit djscrih tcrjoibik bcpidi
`rikm eijk.
•
Scfimij bcidiik pckdcrjtiik scsc`rikm yikm ockdcrjti
kycrj itiu bchjeikmik, suitu bcidiik djstrcs fcrit yikm
ockmiknio bcu tu hik scsc`rikm

(V`dmcr & N`wecs N.Oikdcr, 211>)

 L J SJ @ E @ M J KZC V J
QC V SIE J KIK
• Kycrj Biei J
 Djhisjebik `ech djeitisj scrvjbs dik SFV, scrti djstcksj
utcrus
 Jktcksjtis kycrj biei J ibjfit dirj b`ktribsj utcrus
jkv`euktcr kycrj djrisibik dirj pjkmmikm di k okjieir bc
p c r u t pcrut.
 Buiejtis kycrj fcrvirjisj.
 Scksisj jopues dirj utcrus sjkipskyi pidi T`ribie 11,
11,12 dik euofie 1.
 Ockmur ikmj kycrj pidi lisc jkj dckmik ocofe`b dicrih

djitiskyi.
 ^CEI O I LI ^C T V I K ^J^J
↖ ^CK ^I ^J K Z CV J D JV I ^I B I K
I O I T ^I K MI T
Cbsprcsj risi tjdib fcrdiyi

O c k u k j u b i k p c k u r u k i k 7 bcoio pu ik p c k u r u k i k
o c kd c k mir d i k b`kscktrisj
 L J S J @ E @ M J K Z C V J 7 BIEI
JJ
• Kycrj djibjfitbik `ech tcbikik bcpiei jikjk pidi pcevjs
• Djstcksj s t r u b t u r pcevjs d ik tcbikik pidi pecbsus
euof`sibriejs.
• Kycrj djrisibik pidi 7- rcmj` E 2 , fimjik fiwih pukmmukm,
dik jumi pidi pihi dik tukmbij - pidi ircie vimjki dik
pcrjkcuo.
• Scksisjkyi scpcrtj tirjbik, tcbikik, risi tc r f ib i r dik
puktjrik, scrti brio.
• J f u fjisikyi ocopukyij bcjkmjkik u k t u b ockmcjik.
• Scksisj jopues djfiwi dirj pcrjcuo bc sinruo 2, >, 4 `ech
siril p u d c k d i e . S k t u b ockmurikmj kycrj djfe`b pidi rcscpt`r
yikm ecfjh fiwih.
 HIE „HIE ZIKM H I V S S DJQCVHITJBIK QIDI BIEI
JJ

Oikijcock kycrj pidi Biei J J 7

•
G i k m i k ockihik jbut siji ockmjbutj b`ktribsj.
•
E ikm su k m ockmcdik b cir ih fiwih.
• Sceieu ockmiofje kipis dieio u k t u b ockmjsj iwie
d ik i b h jr b`ktribsj.
•

G i k m i k ockmcjik tcreieu pik jikm tikpi ockmiofje

kipis.
• Vjecbs pidi siit tjdib idi b`ktribsj
 QCKMSBSVIK
JKTCKSJTIS & SBIEI K Z CV J

❖ Jktcksjtis kycrj 7
Tjdib kycrj

Kycrj fcrit
Kycrj scdikm
Kycrj rjkmik

❖ Jkstr uock p c k m u b u r i k sbiei Kycrj7

✓ Sjopec Ikie`m Sniec
✓ Kuocrjn Vitjkm Sniec
✓ ] ` km Fibcr Qijk Linc Sniec
 O C T @ D C QCKMCKDIEJIK K Z C V J

K@K LIVOIB@E@MJS
• Djstribsj
•

Vceibsisj
• Qcojjitik/oissimc
• B`oprcs hikmit
• Ibuprcsur
•
Ibupuktur
• Hjpk` tcripj/ tcripj
•
ejkmbukmik
•
Joijjkisj tcrfjofjkm
Qsjb` pr`ljeibsjs
 T C H K J B O C K MS V I K MJ K Z C V J QC V S I E J K I K

QCKKZ SJOQBJK

O c km u r ik mj sibjt dirj suofcrkyi

•

• Ocofcrjbik rikm sik mik ietcrkitjl yikm buit

• O c km u r ik mj rcibsj ocktie kcmitjl, co`sj`kie

d i k rcibsj ljsjb jfu t cr h i d ip risi sibjt.

 O C T @ D C ZIKM DIQIT DJMSKIBIK

 Bchidjrik yikm tcrus ockcrus

 Scktuhik pckm hjf ur dik d`r`kmik dirj `rikm tcrdcbit
 Qcrufihik Q`sjsj d ik pcrmcribikscktuhik di k oissimc
 N`uktcr prcssurc
 Qjjitik mikdi pidi pjkmmue
 Qckcbikik pidi eutut

 B`oprcs hikmit dik b`oprcs djkmjk

 Oceihjrbik siofje fcrckdio
 Qckmceuirik suiri
 B C S K T S K MI K O C T @ D C
K @ K LI V O I B @E @MJ 7

❖ Bcoijuik pcrsiejkik ockjkmbit.

❖ Hisje bceihjrik fcrtiofih fijb.

❖ Scdcrhiki
❖ Clcbtjl
❖ Fjiyikyi r c k d i h

❖ Vcsjb` rck dih

❖ Fcrsjlit siyikm jfu.
 M A N A J E M E N T N Y E R I FA R M A K O L O G I S

•
Efek samping
→ Berefek j a n g k a p a n j a n g t e r h a d a p p e r k e m b a n g a n
neonatus, bayi, b a h k a n rem aja.
→ Distensi k a n d u n g kemih
→ M e m p u n y a i efek distosia (lama persalian kala I

t a n p a analgesi 7,7 jam, jika m e n g g u n ak a n

analgesik 11,7 jam).
 M A N A J E M E N T NY ERI FA R M A K O L O G I S

• Anastesi u m u m
• Anastesi Regional
•
Anastesi Spinal/ E p id u r al
Efek samping khusus 7 Rotasi k u r a n g sempurn a,
nyeri pung gu ng → efek j a n g k a panjang.