Transcript
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
http://digestive.niddk.nih.gov/ddiseases/pubs/crohns/
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. • Perdarahan rektal• Kehilangan berat badan • Masalah kulit dan demam• Arthritis,• Anemia
Pemeriksaan diagnostik
• Pemeriksaan darah ( anemia , Leukosit tinggi inflamasi
• Faces sample, perdarahan / infection in the intestines.
• x-ray film menggunakan barium • sigmoidoscopy or a colonoscopy. untuk
melihat inflamasi / perdarahan• biopsy,
Komplikasi
• fistulas, • Komplikasi nutrisi - Deficiencies of proteins,
calories, and vitamins• arthritis,• skin problems, • inflammation in the eyes or mouth, • kidney stones,• other diseases of the liver and biliary system.
Treatment
• obat• Suplemen nutrisi• surgery, / kombinasi ke tiganya
Tujuan pengobatan :• Mengontrol inflammation,• Memperbaiki defisiensi nutrisi• Mengurangi simptom (abdominal pain,
diarrhea, and rectal bleeding)
Drug Therapy• Anti-Inflammation Drugs mesalamine,
Sulfasalazine.• Cortisone or Steroids. • Immune System Suppressors. • Infliximab (Remicade). This drug is the
first of a group of medications that blocks the body’s inflammation response.
• Antibiotics. : ampicillin, sulfonamide, cephalosporin, tetracycline, or metronidazole.
• Anti-Diarrheal and Fluid Replacements. Ex. diphenoxylate, loperamide, and codeine.
Surgery• Surgery becomes necessary when
medications can no longer control symptoms.
• Surgery is used either to relieve symptoms that do not respond to medical therapy or to correct complications such as blockage, perforation, abscess, or bleeding in the intestine.
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