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LAPORAN TUTORIAL 5
MODUL ILMU PENYAKIT DALAM
TRIGGER 2
OLEH :
KELOMPOK TUTORIAL 5
Fasilitator : dr. Yulia
K!tua : Ra"#$ad Gusria%di&a '. ()*+,)
'!&r!taris : Isra- Adi Mut#ali ()*+,,
A%//ota : (. D#!a M!lia Putri ()*+,(
2. Etri 0ulita Patra1ati ()*+,2
).Rid1a% ()*+,5
,. ill3 Ri%aldo ()*+,4
5. I%dri A$!lia '. ()*+,
4. Mu#a$$ad D!l6i% ()*+57
. 'is&a Moris&a ()*+,8
7.Lussi I%da# Prati1i ()*+,5
8. Mad-3a% A9s#a E6ial ()*2+5
FAKULTA' KEDOKTERAN
UNI;ER'ITA' AITURRAHMAH
PADANG
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KATA PENGANTAR
Assala$u-alai&u$ <ara#$atulla#i <aara&atu#
P!rta$a*ta$a &a$i i%/i% $!%/u"a=&a% =ui da% s3u&ur &!=ada Alla# '<T atas ra#$at
da% #ida3a# Nya. Ka$i u/a i%/i% $!%/u"a=&a% t!ri$a &asi# a/i s!luru# =i#a& 3a%/ t!la#
$!$a%tu &a$i dala$ =!$uata% la=ora% i%i da% !ra/ai su$!r 3a%/ da=at &a$i urai&a%
=ada la=ora%. Ka$i $!%/a&ui a#1a &a$i adala# $a%usia 3a%/ $!$=u%3ai &!t!ratasa% dala$
!ra/ai #al. Ol!# &ar!%a itu tida& ada #al 3a%/ da=at dis!l!sai&a% d!%/a% sa%/at s!$=ur%a.
!/itu =ula d!%/a% la=ora% i%i 3a%/ t!la# &a$i s!l!sai&a%.Tida& s!$ua #al da=at &a$i
d!s&ri=si&a% d!%/a% s!$=ur%a dala$ la=ora% i%i. Ka$i $!la&u&a%%3a s!$a&si$al $u%/&i%
d!%/a% &!$a$=ua% 3a%/ &a$i $ili&i. Di $a%a &a$i u/a $!$ili&i &!t!ratasa% &!$a$=ua%.
Ma&a dari itu s!=!rti 3a%/ t!la# di!las&a% a#1a &a$i $!$ili&i &!t!ratasa% da% u/a
&!&ura%/a%> &a$i !rs!dia $!%!ri$a &riti& da% sara%. Ka$i a&a% $!%!ri$a s!$ua &riti& da%
sara% t!rs!ut s!#i%//a &a$i da=at $!$=!rai&i la=ora% i%i. '!#i%//a la=ora% !ri&ut%3a da=at
dis!l!sai&a% d!%/a% #asil 3a%/ l!i# ai&. D!%/a% $!%3!l!sai&a% la=ora% i%i &a$i
$!%/#ara=&a% a%3a& $a%6aat 3a%/ da=at di=!ti& da% dia$il dari la=ora% i%i.
<assala$u-alai&u$ <ara#$atulla#i <aara&atu#.
Pada%/> (8 '!=t!$!r 2+(5
Tutorial 5
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DAFTAR I'I
KATA PENGANTAR ...................................................................................... 2
DAFTAR I'I .................................................................................................... )
A I. PENDAHULUAN................................................................................ ,
A. Latar !la&a%/ Masala# ................................................................. ,
. P!r$asala#a%.................................................................................. ,?. Tuua% P!%ulisa%............................................................................. ,
A II. I'I ....................................................................................................... 5
A III. PENUTUP ........................................................................................ (
A. K!si$=ula%..................................................................................... (
DAFTAR I'I .................................................................................................... (7
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A I. PENDAHULUAN
A. Latar !la&a%/ Masala#
Dala$ #al i%i $a#asis1a #arus $!%/!ta#ui t!%ta%/ a/ai$a%a $!%dia/%osa suatu =!%3a&it d!%/a% $!%//ali a%a$%!sa t!r#ada= =asi!% da% u%tu& $!$=!r&uat du/aa%
dia/%os! =!%3a&it =asi!% u/a =!rlu dila&u&a% =!$!ri&saa% 6isi& da% =!$!ri&saa%
=!%u%a%/.
. P!r$asala#a%
(. 'a&it a=a 3a%/ did!rita D!di@2. a/ai$a%a $!&a%is$! sa&it &!=ala> ada% t!rasa =a%as> $!ria%/ =ada D!di@
). A=a 3a%/ $!%3!a&a% H D!di turu%@
,. A=a 3a%/ $!%3!a&a% d!%3ut %adi $!%i%/&at@
5. M!%/a=a d!di $!%/ala$i s=!%o$!/ali@
?. Tuua% P!%ulisa%
Ma#asis1a Ma$=u M!%/!rti da% M!%!las&a% ,MB:
(. Malaria :
a. Dia/%osa
. E=id!$iolo/i
". Etiolo/i
d. Pato6isiolo/i da% Pato/!%!sa
!. P!%atala&sa%aa%
2. Ko$=li&asi =!%3a&it $alaria
). Pr!C!%ti6
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A II. I'I
TRIGGER II :
D!di> 2( ta#u%> $a#asis1a asal Kota Pada%/ !ra%/&at &ulia# &!ra %3ata KKNB &!
Tarusa%> Ka. P!sisir '!lata%> 'u$atra arat> s!la$a )+ #ari. '!t!la# =ula%/ dari KKN> aru 2
#ari di Pada%/> d!di $!%!/lu#&a% sa&it &!=ala> ada% t!rasa d!$a$ da% sa&it sa&it> $!ria%/
sa$=ai $!%//i/il. atu& atau =il!& tida& ada. ua%/ air !sar da% ua%/ air &!"il la%"ar s!=!rti
iasa. D!di =u% =!r/i $!$!ri&sa&a% diri &! =us&!s$as. Pada =!$!ri&saa% 6isi&> do&t!r
$!%!$u&a% t!&a%a% dara# ((+7+ $$H/> %adi (+5 $!%it da% su#u )7>5 ?. Tida& ta$=a&
i%ti& $!ra# =ada &ulit. T!s ru$=l! l!!d *B. '=!%o$!/ali =ada '"#u6%!r ( '(B. Laoratoriu$
dara# : H (2 /dl> l!u&osit .2++$$> da% tro$osit (47.+++$$.Do&t!r $!la&u&a%
=!$!ri&saa% dara# t!=i da% $!%!$u&a% /a$ara% =arasit s!=!rti !%tu& =isa%/ dala$ !ritrosit.
'!!%ar%3a> sa&it a=a 3a%/ did!rita D!di@
STEP I : Clarify Unfamiliar Terms
(. Meriang : usa#a #o$!ostatis tuu#
2. Tes Rimple Leed : t!s =!$!%du%/a% u%tu& $!%/!"!& ta#a%a% =!$ulu# dara#
). Spenomegali : =!$!sara% li!% li$6a
,. Schufner : /aris 3a%/ $!%/#uu%/&a% titi& 'ias &a%a% d!%/a% u$ili"is da% dit!rus&a%
sa$=ai &! ar"us "osta
STEP II : Define The Problem
(. 'a&it a=a 3a%/ did!rita D!di@
2. a/ai$a%a $!&a%is$! sa&it &!=ala> ada% t!rasa =a%as> $!ria%/ =ada D!di@
). A=a 3a%/ $!%3!a&a% H D!di turu%@
,. A=a 3a%/ $!%3!a&a% d!%3ut %adi $!%i%/&at@
5. M!%/a=a d!di $!%/ala$i s=!%o$!/ali@
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STEP III : rains!orm Possible "ypo!hesis or E#plaina!ion
$% &namnesa : sa&it &!=ala> ada% t!rasa =a%as> $!ria%/> $!%//i/il da% sa&it sa&it.
Pemeri'saan (isi' :
• T!&a%a% dara# %or$al ((+7+ $$#/B
•
'u#u tuu# )7>5 ?• Nadi $!%i%/&at (+5 $!%itB
• '=!%o$!/ali =ada s"#u6%!r
Pemeri'saan Penun)ang :
• T!st Ru$=l! L!!d *B
• H (2 /r dl $!%uru%B
• L!u&osit .2++ $$
• tro$osit (47.+++$$
• $!%!$u&a% /a$ara% =arasit s!=!rti !%tu& =isa%/ dala$ !ritrosit
adi> !rdasar&a% a%a$%!sa> =!$!ri&saa% 6isi& da% =!$!ri&saa% =!%u%a%/ da=at dit!/a&&a%dia/%osa P!%3a&it Malaria Fal"i=aru$
2. A&iat r!s=o% i$u% $!la1a% a%ti/!%> s!#i%//a $!%3!a&a% su#u $!%i%/&at> d!$a$>
sa&it &!=ala> $!ria%/ sa$=ai $!%//i/il.
). Dis!a&a% &ar!%a !ritrosit $!%/ala$i lisis s!#i%//a =las$odiu$ $!%/i%6!&si !ritrosit
da% !r&!$a%/ di sa%a.
,. Kar!%a a%3a& !ritrosit 3a%/ lisis di$a%a 6u%/si !ritrosit $!$a1a O2 &!ari%/a%
&!$udia% &o$=!%sasi tuu# a/ar ari%/a% tida& &!&ura%/a% O2 $a&a 6r!&u!%si d!%3ut %adi
$!%i%/&at
5. Kar!%a $!%i%/&at a&tiCitas li!% dala$ $!%ala%&a% 6u%/si%3a s!=!rti =!$ata%/a%
l!u&osit u%tu& $!%3!ra%/ a%ti/!% =arasitB dari sist!$ RE'.
STEP I* : &rrange E#plana!ion In!o a Ten!a!i+e Solu!ion
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STEP * : Define Learning ,b)e'!if
, M :MAHA'I'<A MAMPU MEMAHAMI DAN MENELA'KAN :
(. Malaria :
a. Dia/%osa
. E=id!$iolo/i
". Etiolo/id. Pato6isiolo/i da% Pato/!%!sa
!. P!%atala&sa%aa%
2. Ko$=li&asi =!%3a&it $alaria). Pr!C!%ti6
STEP *II : Share The Resul! ,f Informa!ion -e!hering &nd Pri+a!e S!udy
(. a% Diagnosa
Anamnesa
• Lokasi : Ka=ala sa&it da% d!$a$
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• Onset dan kronologis : =asi!% aru &!$ali dari suatu da!ra# sa$=ai di
da!ra# asal 2 #ari s!t!la# !r=!r/ia%> $!rasa sa&it &!=ala> d!$a$> sa&it $!ria%/
sa$=ai $!%/i/il> atu&> =il!& tida& ada.• Kualitas sakit : tida& t!r/a$ar s=!si6i& %a$u% di&ata/ori&a%
s!da%/• Kuantias sakit : sa&it &!=ala• Faktor memperberat : tida& ada
• Faktor meringankan : tida& ada• Keluhan yang menyertai : ada% sa&it*sa&it atau $!ria%/ t!r&ada%/ $!%/i/il• Riwayat penyakit dahulu : Tida& ada• Riwayat sosial dan ekonomi : Pasi!% =!r%a# !r&u%u%/ &! da!ra# !&o%o$i
Pemeriksaan fisik di dapatkan sbb :
•T!&a%a% dara# ((+7+ $$#/
•'u#u tuu# )7>5 d!raat "!l"ius
• Nadi (+5$!%it
•i%ti&*i%ti& $!ra# %!/ati6
•'=l!%o$!/ali =ada s"#u6%!r (
Pemeriksaan penunjang
•H (2 / dl
•L!u&osit 2++$$2
•Tro$osit (47+++$$2
•Dia/%osti& =asti dit!$u&a% =las$odiu$ !r!%tu& =isa%/
b% Epidemiologi
Parasit Plas$odiu$ dari&!las'=rooasu&!las #!$os=osridia
;!&tor%3aadala#N3a$u& A%o=#!l!s !ti%a
Di&!%al 5 $a"a$s=!si!s=las$odiu$ :
Plas$odiu$ 6al"i=aru$ :dit!$u&a% di da!ra# tro=i"> t!ru$ata$aA6ri&ada% Asia
T!%//ara. Parasiti%i di t!$u&a% #a$=!r di s!luru#&!=ulaua% di I%do%!sia
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Plas$odiu$ CiCa : di
da!ra#tro=i&da%sutro=i&da%u/ada!ra#di%/i%s!=!rtiRusia. di da!ra# tro=i"
s!=!rti di da!ra#A6ri&a arat da%s!luru#&!=ulaua% di I%do%!sia
Plas$odiu$ oCal! : dit!$u&a% di =ulauO1i> Iraia% a3a> Flor!s> da% di Ti$or
Plas$odiu$ $alaria! : di da!ra#tro=i&da%sutro=i&.
T!ru$ta$aHa1aida%sla%diaaru. Di asiat!r$asu& di i%do%!sia
Plas$odiu$ &%o1l!si ara%/dila=or&a%B : di I%do%!sia ara%/t!radi. Dari data
=!r%a#t!radi di Iria%a3a
c% E!iologi
Malaria adala# suatu =!%3a&it 3a%/ di s!a&a% ol!# =rotooa oli/at i%tras!lul!r dari
/!%us =las$odiu$. Malaria =ada $a%usia da=at di s!a&a% =. $alaria! L!C!ra%> (777B> =.
CiCa Grossi da% F!lati> (78+B =. 6al"i6aru$ <!l"#> (78B da% oCal! (822B. P!%ulara% $alaria
dila&u&a% ol!/ %3a$u& !ti%a dari trius a%o=#!l!s Ross>(78B. Dari s!&itar ,++ s=!si!s %a$u&
a%o=#!l!s t!la# di t!$u&a% 4 s=!si!s 3a%/ da=at $!%ular&a% $alaria da% 2, dia%tara%3a di
t!$u&a% di I%do%!sia. '!lai% ol!# /i/ita% %3a$u&> $alaria da=at di lar&a% s!"ara la%/s%/
$!lalui tra%s6usi dara# atau aru$ su%ti& 3a%/ t!r"!$ar dara# 3a%/ t!ri%6!&si $alaria s!rta dari
iu #a$il &!=ada a3i%3a.
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Ga$ar P. 6al"i6aru$
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d% Pa!ogenesa dan Pa!ofisiologis
(. Pato/!%!sis $alaria 6al"i6aru$
&SE.SU&L
Dala$ =ros!s =ato/!%!sa $alaria 3a%/ !rta%//u%/ a1a dala$ =ato/!%!sa adala#
!%tu& as!&sual =arasit dala$ !ritrosit 3a%/ !r=ot!%si EPB.
EP s!"ara /aris !sar $!%/ala$i 2 stadiu$> 3aitu:
• 'tadiu$ "i%"i% =ada 2, a$ =!rta$a
• 'tadiu$ $atur =ada 2, a$ &!dua
• P!r$u&aa% EP =ada s!adium cincin à a&a% $!%a$=il&a% a%ti/!% RE'A ri%/*
!r3tro"3t! sur/a"! a%ti/!%B à a&a% $!%/#ila%/ s!t!la# $asu& à stadiu$ $atur
• P!r$u&aa% EP =ada s!adium ma!urà a&a% $!%/ala$i =!%o%ola% $!$!%tu&
&%o d!%/a% Histidi% Ri"# Prot!i%*( HRP*(B s!a/ai &o$=o%!% uta$a%3a
• '!la%ut%3a $!%adi mero/oid à a&a% dil!=as&a% to&si% $alaria !ru=a GPI atau
Gli&osi6os6atidi%olsitol 3a%/ $!ra%/&sa%/ =!l!=asa% TNF*a da% I%t!rl!u&i% (
IL*(B
Si!oaderensi
Adala# =!rl!&ata% a%tara EP stadiu$ $atur =ada =!r$u&aa% !%dot!l Cas&ular> #al i%i
t!radi &ar!%a $ol!&ul ad#!si6 3a%/ t!rl!ta& di=!r$u&aa% &%o $!l!&at d!%/a% $ol!&ul*$ol!&ul
ad#!si6 =ada =!r$u&aa% !%dot!l Cas&ular à $!%3!a&a% EP $atur tida& !r!dar &!$ali dala$
sir&ulasi
Se'ues!rasi
adala# &!adia% di$a%a =arasit dala$ !ritrosit $atur> #a%3a diala$i ol!# Plas$odiu$
Fal"i6aru$ à &ar!%a =ada =las$odiu$ lai%%3a s!luru# si&lus t!radi =ada =!$ulu# dara#
=!ri6!r.
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Se'ues!rasi à t!radi =ada or/a% Cital da% #a$=ir s!$ua ari%/a% dala$ tuu#.
T!rti%//i =ada :
• Ota&
• H!=ar
• Gi%al
• Paru*=aru
• a%tu%/
• Kulit
Rosse!ing adala# !r&!lo$=o&%3a EP $atur 3a%/ dis!luu%/i (+ atau l!i# !ritrosit 3a%/
tida& $!%/a%du%/ =arasit à da=at $!%3!a&a% ostru&si alira% dara# lo&al dala$
ari%/a% is&#!$iaB à $!$=!r$uda# t!radi%3a si!oadherensi
SE.SU&L
ila %3a$u& a%o=#!l!s !ti%a 3a%/ $!%/a%du%/ s=orooit $!%//i/it $a%usia>
&!$udia% %3a$u& a&a% $!l!=as&a% s=orooit &! dala$ alira% dara#
'!a/ia% !sar s=orooit $!%uu dara# da% s!a/ia% %3a la/i $ati
'!t!la# =ar!%&i$ #ati t!ri%6!&si t!r!%tu& s&io% #ati 3a%/ a=aila =!"a# a&a%
$!%/!luar&a% a%3a& $!rooit &! =!$ulu# dara# &ura%/ l!i# (7*2, $!rooitB
'!t!la# itu $!rooit 3a%/ dil!=as&a% $asu& &! dala$ s!l r!s li$=a da% $!%/ala$i
6a/ositosis a&a% $!%/i%Casi !ritrosit
M!rooit 3a%/ lolos 6iltrasi> 6a/osit a&a% $!%/i%Ca%si !ritrosit
Parasit !r&!$a%/ ia& s!"ara as!&sual di !ritrosit EPB
EP t!rs!ut 3a%/ !rta%//u%/ a1a dala$ =ato/!%!sa t!radi%3a $alaria =ada $a%usia
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'!t!la# i%Ca%si &ura%/ l!i# )4 a$B =arasit a&a% !rua# $!%adi s&io% da% ila
s&io% =!"a# a&a% $!%//!luar&a% 4*)4 $!rooit da% sia= $!%/i%6!&si !ritrosit lai%
Da% &!$udia% a&a% $!%i$ul&a% !ra/ai /!ala dari $alaria s!=!rti a%!$ia> d!$a$>
s=l!%o$!/ali da% lai%*lai%
'!la$a s&io/o%i siru&lasi =!ri6!r $!%!ri$a =i/$!% $alaria tida& !rsi6at to&si&B à
tuu# $!%/!luar&a% r!s=o% 6a/osit 3a%/ i%t!%si6.
P!%i%/&ata% =!r$!ailitas =!$ulu# dara# dari=ada &oa/ulasi i%traCas&ular &ar!%a
s&io/o%i $!%3!a&a% &!rusa&a% !ritrosit à a%!$ia
Dala$ li$6a a%3a& diu$=ai a%3a& =arasit dala$ $a&ro6a/ da% s!ri%/ t!radi
6a/ositosis dari !ritrosit 3a%/ t!ri%6!&si à s!#i%//a &adar I/ M $!%i%/&at. P!%i%/&ata%
a%tiodi $!%i$ul&a% r!s=o% i$$u%olo/i.
e% Pena!ala'sanaan
(. Far$a&olo/i
Pengoba!an &CT 0 &r!emisinin ase Combina!ion Theraphy1
a% Dosis Penggunaan &r!esuna!2&modia3uin
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b% Dosis Penggunaan Dihydro2ar!emisin 4 pipera3uin
c% Dosis Penggunaan &r!eme!er2Lumefan!rin 0&2L1
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KLA'IFIKA'I IOLOGI OAT MALARIA
!rdasar&a% sus!=tiilitas !ra/ai stadiu$ =arasit $alaria t!r#ada= oat $alaria> $a&a oat
$alaria dia/i 5 /olo%/a%> 3aitu :
S'i/on!isida
)aringan
se'under
S'i/on!isida
darah
S'i/on!isida
darah
-ame!osi!osida Sporon!isida
'&io%tisida
ari%/a% =ri$!r>
proguanil5
pirime!amin
dapa! membasmi
parasi!
praeri!rosi!5
s!#i%//a
$!%"!/a#
$asu&%3a =arasit
&! dala$ !ritrositJ
di/u%a&a% s!a/ai
=ro6ila&sis &ausal
prima'uin
da=at
$!$as$i
=arasit daur
!&so!ritrosit
da% !%tu&*
!%tu&
ari%/a%
P.CiCa>
P.oCal! da%
di/u%a&a%
u%tu&
=!%/oata%
radi&al i%6!&si
i%i a/i a%ti
r!la=s
M!$as$i
=arasit stadiu$
!ritrosit.
'&io%tisida
dara# 3a%/
a$=u# adala#
'ina5
'loro'uin5 dan
amodia'uin>
s!da%/&a% 3a%/
!6!&%3a t!ratas
adala#
proguanil dan
pirime!amin.
M!%/#a%"ur&a%
s!$ua stadiu$
s!&sual
!!ra=a oat :
Prima'uin
s!da%/&a% 'ina5
'loro'uin5 dan
amodia'uin
adalah
game!osida
un!u' P%+i+a#5
P%o+ale
5P%malaria
M!%"!/a#
atau
$!%/#a$at
/a$!tosit
dala$ dara#
u%tu&
$!$!%tu&
oo&ista da%
s=orooit
dala$
%3a$u&
A%o=#!l!s .
,ba!2oba!an
yang
!ermasu'
dalam
golongan ini
ialah
prima'uin
dan
po3uanil%
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Pengoba!an non2&CT
.loro'uin Difosfa!6Sulfa!5 25+ $/ /ara$ (5+ $/ asaB
• D!1asa : , tal!t #ari I II
2 tal!t #ari &! III
• Di=a&ai u%tu& P.
6al"i=aru$P. CiCa
Sulfado'sin2Pirime!amin5 5++ $/ sul6ado&si% 25 $/ =iri!ta$i%
• D!1asa : ) tal!tDosis tu%//al ( #ari B
• Di=a&ai u%tu& P. 6al"i=aru$
.ina Sulfa!5 ( tal!t 22+ $/
Prima'uin5 ( tal!t (5 $/
• P. 6al"i6aru$> dosis ,5 $/ )
tal!t B dosis tu%//al ( #ari B
Pemberian Resep ,ba! Malaria (alciparum
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7% .ompli'asi Malaria
(. A. Malaria s!r!ral "a$a B
Dis!a&a% ol!# su$ata% &a=il!r =!$ulu# dara# ota& a&iat
!ritrosit$!%/a%du%/ =arasit s!#i%//a sulit $!lalui =!$ulu# dara#.iasa%3a dis!rtai d!%/a% /a%//ua% 6u%/si or/a% lai% s!=!rti :
• I&t!ri&
• Ga/al /i%al
•Hi=o/li&!$ia
• Ed!$a =aru
Dis!a&a% =!r$u&aa% alira% dara# &! /i%al a&iat su$ata% &a=il!r *
6iltrasi =ada /ro$!lurus $!%uru%.Dita%dai d!%/a% ta%da*ta%da =!%uru%a% &!sadara% s!#i%//a s!ri%/ dis!rtai
&!a%/.?. &!lai%a% #ati $alaria iliasaB
Malaria d!%/a% i&t!rus &adar ilirui% didala$ tuu# =!%d!rita sa%/at
$!%i%/&at.D. #i=o/li&!$ia
Dis!a&a% &ar!%a &!utu#a% $!taoli& =arasit $!%/#ais&% "ada%/a%
/li&o/!% didala$ #ati.E. o"& 1at!r 6!C!r
'uatu si%dro$ d!%/a% /!ala &ara&t!risti& s!ra%/aa%>a&ut
$!%//il>d!$a$>#!$olisis i%traCas"ul!r.
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F. =!%dara#a% s=o%ta%
). Pre+en!if
• Tidur d!%/a% &!la$u
• M!%//u%a&a% oat =!$u%u# %3a$u& $os9uito!s r!=!ll!%tsB /oso& s=ra3 asa=
!l!&tri&
• M!"!/a# !rada diala$ !as di$a%a %3a$u& da=at $!%//i/it atau #arus $!$a&ai
=rot!&si au l!%/a% =a%a%/> &aus atau sto"&i%/B
• M!$=rot!&si t!$=at ti%//al atau &a$ar tidur dari %3a$u& d!%/a% &a1at a%ti %3a$u&
K!$o=ro6ila&sis $alaria:
• Do&sisi&li%
o (++ $/ #ari 2 #ari s!!lu$ !ra%/&at sd , $i%//u s!t!la# =ula%/
• Kloro&ui%
o 5++ $/ $i%//u 2 $i%//u s!!lu$ !ra%/&at sd , $i%//u s!t!la#
=ula%/
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A III. PENUTUP
a% .esimpulan
D!di 2( t# di dia/%osa $!%d!rita =!%3a&it $alaria. Hal i%i di &ar!%a&a% dari #asil
a%a$%!sa da% =!$!ri&saa% 6isi& s!=!rti d!$a$> d!%3ut %adi $!%i%/&at> da% s=!%o$!/ali =ada
s"#u6%!r (. Da% u/a dari #asil =!$!ri&saa% =!%u%a%/ dit!$u&a% !ritrosit !r!%tu& =isa%/
=ada =!$!ri&saa% s!diaa% dara# t!=i.
Malaria 3a%/ $!%/i%6!&si d!di adala# !%is =las$odiu$ 6alsi=aru$ d!%/a% stadiu$
/a$!tosit. U%tu& =!%atala&sa%aa%%3a ada 2 "ara> 3aitu s!"ara 6ar$a&olo/i da% %o% 6ar$a&olo/i.
U%tu& =!rlu di &!ta#ui !6!& sa$=i%/ s!$ua oat =!%3a&it $alaria i%i da=at $!%i$ul&a% rasa
$ual da% $u%ta#.
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D&(T&R PUST&.&
Har#a=>Mar1alli>2+++>il$u =!%3a&it &ulit.a&arta:#i=o&rat!s
Ha$a#>Mo"#tar>'iti Aisa#>Ad#i Dua%da>(87>il$u P!%3a&it Kulit da% K!la$i%.a&arta
Fa&ultas &!do&t!ra% u%iC!rsitas i%do%!sia
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