Ppt Refrat Bblr Kmk Dengan Sm

7/25/2019 Ppt Refrat Bblr Kmk Dengan Sm

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HUBUNGAN BAYI BERAT LAHIR RENDAHKECIL MASA KEHAMILAN (BBLR-KMK)

DENGAN KEJADIAN SINDROM METABOLIK

Ainil Mardiah 1010312114

Utari Gestini Rahmi 1010312045

Mia Nurnajiah 1110312088

Muhammad Ibnu Malik 1110312081

Fadina Riki 1110312041

Raja N!na Millani 1110313002

Residen #embimbin$ %

dr& Nurul N!'iarisa

#rese(t!r %

dr& )ka A$ustia Rini* +(A,-.


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1.1 Latar Belaka!

BBLR

KMK

1"#"$

%"$ BBLR&era'al ar

e!ara&erke*&a!

Re'k+'r+*a*eta&+lk

D'l,e*

a

H,er!lke*a

H,erte'

Gealaa&+*al


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1. Bata'a *a'ala/

Re0erat *e*&a/a' teta!e'# e,e*+l+!# kla'ka'#0akt+r r'k+ a ,eatalak'aaa

BBLR KMK a /2&2!a3ae!a keaa 'r+**eta&+lk


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1&3 /ujuan #enulisan

T22a ,e2l'a re0erat aala/2t2k le&/ *e*a/a* e'#e,e*+l+!# kla'ka'# 0akt+r r'k+a ,eatalak'aaa BBLR KMK a/2&2!a3a e!a keaa 'r+**eta&+lk.

T22a la 3at2 'e&a!a 'ala/ 'at2

,e*e2/a 'e' ,e*&elaarake,ateraa klk +kter *2a &a!aIl*2 Ke'e/ata Aak RSU4 Dr. M.Da*l 4aa!.


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1&4 Met!de #enulisan

4e2l'a re0erat *e!!2aka *et+e ta2ake,2'takaa 3a! *er22k

&er&a!a lterat2r ter*a'2k &2k2tek' a *akala/ l*a/.


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De'


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BBLR aala/&a3 e!a

&erat &aala/r 5 "66

!ra*.

Da,at tera,aa kela/ra

,reter* *a2,2

ater*.

5166651"661"66-"66


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4ert2*&2/a


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ETIOLOGI 7 8AKTORRISIKO kela/ra ,re*at2r ata2 retara'

,ert2*&2/a tra2ter

kela/ra BBLR 'e&el2*3a

'tat2' '+'+ek++* rea/ t!kat ,eka *ateral rea/

tak ANC

2'a *ateral 5 19 ata2 : ;" ta/2

ter


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,er+k+k ,e!!2a alk+/+l 7 +&at

terlara!

'tre' 'k ata2 ,'k+'+'al tak *eka/

BB 'e&el2* /a*l rea/ ( 5

=" k! ) ,e!kata BB 'ela*a /a*l

&2r2k

ra' k2lt /ta* ke*'ka


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BBLR T,e KMK

I&2 /a*l 3a! kek2ra!a2tr'

I&2 *e*lk /,erte'#

,reekla*,'a# ata2 ae*aKe/a*la ke*&ar# ke/a*la

le>at >akt2

Malara kr+k# ,e3akt kr+kI&2 /a*l *er+k+k


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BBLR T,e 4re*at2r

Berat &aa &2 3a! rea/# &2 /a*l3a! *a'/ re*aa# ke/a*la ke*&ar

4era/ *ela/rka &a3 ,re*at2r'e&el2*3a

Cervical incompetence (*2l2t ra/* 3a!le*a/ /!!a tak *a*,2 *ea/a &erat&a3 ala* ra/*)

4erara/a 'e&el2* ata2 'aat ,er'ala(ate,art2* /e*+rra!e)

I&2 /a*l 'ea! 'akt

Ke&a3aka +,atk


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GAMBARAN KLINISBerat k2ra! ar "66 !ra*

4aa! k2ra! ar =" ?*L!kar aa k2ra! ar ;6 ?* a

l!kar ke,ala k2ra! ar ;; ?*

U*2r ke/a*la k2ra! ar ;@ *!!2K2lt t,'# tra',ara# ra*&2t la2!+

&a3ak# le*ak &erk2ra!

Ot+t /,+t+k le*a/ a ,era0a'a tak

terat2r# a,at tera a,eaEk'tre*ta' ,a/a a&2k'# 'e l2t2t

ek'

4era0a'a =6-"6 kal ,er *et a a-


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BBLR KMK

BBLR : +.k !a!!2a,ert2*&2/a tra2ter BB &a>a/ ,er'etl 16.

Ba'a3a a,at te*2 ,aa&a3 e!a kelaa k+!etalata2 kelaa kr+*+'+*

Ber'k+ 0ek'# ke'2kara*e!at2r a0a' t2&2/#/,+ter*a# kter2'# a

/,+!lke*a


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H2&2!a atara 2*2r ke/a*la e!a &erat &aala/r *e?er*ka ke?2k2,a ke&2t2/a tra2ter.


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Se?ara !ar' &e'ar# ,e3e&a& KMKter*a'2k ala* 0akt+r &2# 0akt+r a#a 0akt+r 2ter+,la'eta


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BBLR KMK


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Ba3 3a! *e!ala* !a!alt2*&2/ *a2,2 *akr+'+*ae!a 2*2r ke/a*la a

&erat la/r3a &er&ea# *e*lk*a'ala/ kl' 'er2,a

(!a!. ,erke*&a!a 'k# !a!.

,erke*&a!a *etal# 'ekelaa k+!etal# 'erta !a!.&e&era,a ,ara*eter *eta&+lkter2ta*a ke'e*&a!a !l2k+'a)


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Grak ,ert2*&2/atra2ter

G


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De!a *e!!2aka k2ra/ ,er'etl l/!!a 16 !+l+!ka 'e&a!a KMK#

'ea!ka ra'+ &erat,aa! &aa(4+eral eF) : *e!!+l+!ka&a3 KMK ke ala* kel+*,+k !a!!2a,ert2*&2/a '*etr' ata2 a'*etr'.

Ponderal Index = Birth Weight x 100

Crown-heel length


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fetal origins of adult diseaseatau hi(!tesis arker

banak (enakit utama (ada

kehidu(an lanjut termasuk#-* str!ke* dan kematiankarena (enakit jantun$*

diaali dari ke$a$alantumbuh kemban$ dalam

kandun$an


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BBLR KMKR442&erta'


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BBLR KMKR'k+ k4aa


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8akt+r 3a! &er/2&2!a e!aKMK


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Tatalak'aa


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Me*,erta/aka '2/2 t2&2/,aa &a3

Ba3 BBLR KMK aka ?e,at *e!ala*ke/la!a ,aa' &aa ata2 '2/2 t2&2/*ea /,+ter*a# karea ,2'at a,e!at2ra '2/2 t2&2/ &el2* &er02!'e!a &ak# ''te* *eta&+l'*e 3a! rea/a l2a' ,er*2kaa t2&2/ 3a! relat0 l2a'.

Ba3 ra>at ala* k2&at+r 3a!le!ka, e!a alat ,e!at2r '2/2 akele*&a,a a!ar &a3 a,at *e*,erta/aka

'2/2 t2&2/3a 3a! +r*al. 4era>ataMet+e Ka!2r2 (4MK) 2!a a,at !2aka2t2k *e!/a!atka &a3


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4e!at2ra a 4e!a>a'aItake N2tr'

Ke&2t2/a 2tr' BBLR KMK*er2,aka ke&2t2/a 3a! ,al!&e'ar &a!ka ke&2t2/a *a'a*aa,2 ala* ke/2,a. Ke&2t2/a

*2tlak 2t2k kela!'2!a /2,'erta t2*&2/ ke*&a! 3a! +,t*al

4er*2laa ?ara 3a! ,erl2ka66??k!BB/ar. Jka ASI tak kel2ara,at &erka '2'2 0+r*2la e!ak+*,+'' *r, ASI : /at-/at a!artak re!2r!ta'


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4e?e!a/a 0ek'

Taa 0ek' ,aa &a3*ala' *e32'2

Gel'a/

letar!S2/2 t2&2/ *e!kat

0rek2e' ,era,a'a *e!kat

M2ta/Dare

BB *eaak t2r2.


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4e?e!a/a a,at lak2kae!a

4e!!2aa *a'ker a &a2

k/2'2'taka a'e,'' a at'e,tk

,aa alat 3a! !2aka

2*la/ ,a'e &ata'*e!at2r k22!a#

*e!/ar ,era>ata ala*

>akt2 la*a


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4e*&a!a &erat &aa

4erkraa keaka &erat &aaala* t!a &2la

1"6-66 !ra* 'e*!!2 2t2k

&a3 5 1"66 !ra*66-"6 !ra* 'e*!!2 2t2k

&a3 1"66-"66 !ra*


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4e*&era +k'!e

Ek',a' ,ar2 3a! *e*&2r2k*er2,aka *a'ala/ 'er2' &a! &a3,reter* BBLR KMK# ak&at takaa3a '2r0akta. K+'etra' +k'!e

3a! &erka 'ektar ;6-;" $ e!a*e!!2aka /ea &+F.

K+'etra' +k'!e 3a! t!! ala*

a!ka >akt2 la*a a,at*e3e&a&ka ker2'aka ar!areta ,aa &a3 3a! a,at*e*&2lka ke&2taa


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4e!a>a'a ala a0a'

4e*&er'/a ala a0a' 'e!era'etela/ la/r (a',ra' ler)

D&ar!ka ,aa ,+'' *r!

*era!'a! a0a'# *ee,2k a*eetk t2*t

Bla taka !a!al# lak2ka


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BBLR KMK a,at ,2la!kaa,a&la

Tak tera,at taa &a/a3a

ata2 taa 0ek' &eratBerat &aa &erta*&a/ /a3a

e!a ASI

S2/2 t2&2/ &erta/a ,aak'ara +r*al (;9-;@+C) e!a,akaa ter&2ka

I&2 3ak a *a*,2


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. Sr+* Meta&+lk

Sr+* *eta&+lk aala/kel+*,+k !eala a&+*al#'l,e*a# /,er!lke*a# a

/,erte'.


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.. E,e*+l+!

O&e'ta'

Sr+**eta&+l

k

Me!kat

A'a Te!!ara4R

LK KOTA

DESA


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Ia A'a (#$)Mela32 (=#$)

Ca (1=#).


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.; 8akt+r re'k+

R>a3at +ra! t2a e!a,e3akt kar+a3at la/r ke?l *a'a

ke/a*la (KMK) e!a catch-up growth


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CONT

4+la *akaGa3a /2, k2ra! !erak

(sedentary lifestyle)

8akt+r !eetk a l!k2!aEt'ta'

4a,ara a'a, r+k+k


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,at+!ee''

Fetal !ri$inhi(!tesis

aa,ta' a ('&!re',+ ter/aa, 552tr' ,er2&a/a*eta&+l'*e a

'tr2kt2r +r!a 3a!*eeta,

- Ca?t?/ 2, +&e'ta' ('aat

e>a'a)

- 2*la/ e0r+/,erte'

SINDROMAMETABOLIK


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4eraa +&e'ta' ,aa 'r+* *eta&+lk


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,at+!ee'' /,erte' ,aa'r+*a *eta&+lk


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#)NA/A6A-+ANAAN

Ga3a H2,'e/at

N2tr'Aktta'

8'k

8ar*ak+tera,

Stat H,erte'


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Met+e ood

!ulesTera>ale!a ,+la*aka &e'ar;F/ar a

?a*la F/ar3a! tera>al#

&erka ar,2t/ atara

a>al *aka2ta*a a?a*la# 'erta

la*a *aka ;6*etkal

L!k2!aetral e!a

?ara tak

*e*ak'a aak2t2k

*e!+'2*'*akaa

tertet2 a

2*la/*akaa

tet2ka +le/aak

4r+'e2r

lak2kae!a

,e*&era*aka 'e'2a

e!a

ke&2t2/akal+r


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4+laakt)


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0ar*ak+l+!k a,at

,ert*&a!kaa,a&lak+'etra'k+le'ter+l LDL

ara/ teta, :1%6 *!L'etela/ lak2katera, et ,aa

'2&ek 3a! tak*e*,23a0akt+r r'k+

,e3akt at2!k+r+er (4JK)

k+'etra'k+le'ter+l LDLara/ teta, :

196*!L 'etela/

lak2ka tera,et ,aa '2&ek3a! *e*,23a0akt+r r'k+ la#'e,ert +&e'ta'#

/,erte'#*er+k+k# ata2*e*,23a

r>a3at kel2ar!ae!a 4JK

k+'etra'k+le'ter+l LDLara/ 1;6

*!L ,aa aake!a a&ete'

*elt2'


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Tera, 0ar*ak+l+! 3a! &erka,aa aak a re*aa !+l+!a ;-/3r+F3-;-*et/3l-!l2tar3l ?+e3*eA re2?ta'e /&t+r' ('tat) 3a!*2la 'etela/ *e'tr2a' ,aa

aak ,ere*,2a a Taer II ,aaaak lak-lak ata2 2'a 16 ta/2.

A,a&la 'l,e*a *eeta, 'etela/

,e*&era tera, *+ka' !a3a/2, a 0ar*ak+l+!k# ,a'e /ar2''e!era r22k ke S,e'al' Aak

K+'2lta terkat


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N+-8ar*ak+l+!'

Me!2&a/

ke&a'aa 4e!+&ata

ta/a, a>al/,erte' ,aa'r+*

*eta&+lkaala/ 'er!e!a tatalak'aa k+'a'ar3a

Det rea/

!ara* 3a!a2rkaaala/ 1# !/ar(=- ta/2) a1#" !/ar 2t2k

aak le&/ &e'ar

8ar*ak+l+!'

Ika'

H,erte''*t+*atk

Aa ker2'aka+r!a(ret+,at#

/,ertr+


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K+*,+e 'r+**eta&+lk a,at*e!ala*,er&aka e!atata lak'aa 3a!

*e*,r+rta'ka,r+!ra* tatalak'aa &erat &aa3a! te'0#'a*,! *+ka'!a3a /2, a tatalak'aa 0akt+r r'k+kl' la terkate!a ,e3aktkar+


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4e?e!a/a

4r*er

Sek2erTer'er

#)MAN/AUA


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4eera,a /ealt/3 l0e't3le

Iek' Ma''a T2&2/ (IMT) ter/aa,2*2r a l!kar ,!!a! e


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7UUNGAN 6R-M- )NGAN+INR9MA

M)/A96I-


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BBLR KMK...Re''te'tera4eraRe''te' '2l :


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catch-up growth

4aa ke&a3aka aak-aake!a KMK catch-upke&a3aka tela/ 'ele'a 'etela/

2'a ta/2.K+'ek2e' ar ,er?e,ata

,ert2*&2/a a ,erta*&a/a

&erat &aa ,+'t atal 3a! le&/a>al : !a!!2a ,aa*eta&+l'*e !l2k+'a are!2la' '2l 3a! a,at*e*&2lka keaaa re''te'


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H,+te'' Barker


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Stre'EF,+'2re !l2k+k+rtk+ &erle&/ ,aa *a'a ,reatal &er/2&2!a Ek',+'2re &erle&/ ,aa ak/r *a'a !e'ta' :

H,+te'' "hrifty


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H,+te'' "hriftyPhenotype

4aa


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O&e'ta' Setral ,aa SM

O&e'ta' 'etral : re''te' '2l#,e2r2a akt


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takaek2at

I'2'e'

,la'eta

/,+k'aa&ete'

4a'+ka2tr'a

&erk2ra!Ma''a +t+ta

&erk2ra!

Ak'elera',ert2*&2/

a

BBLR-KMK

Aa,ta' a ter/aa,kek2ra!a 2tr'

Sekre'!l2k+k+rtk

+

IUGR

Re''te''2l

4e!kata2*la/ 'el

le*ak#a&+r*alta' kaar

le*ak ala*ara/

O&e'ta''etral

Meta&+l'*e !l2k+'ater!a!!2

SINDROMMETABOLIK

Ba3 tak *a*,2*atea?e 'e2*la/

&e'ar 2tr'

Ska, : 4e?e!a/a SM ,aa


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Ska, : 4e?e!a/a SM ,aaBBLR KMK

Strate! la aala/ a'e/at ter/aa,&2 /a*l 2t2k *ea!a a'2,a2tr' 3a! 'e*&a! 'ela*a *a'ake/a*la : ,e*ata2a !rak

,ert2*&2/a tra2ter4e!!alaka ,e!!2aa ,r+2k

,ea*&a/ &erat &aa ter/aa, &a3

KMK *elal2 0+r*2la t!! 2tr'/ar2' !2aka 'e?ara /at-/at


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4ENUTU4


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KESIM4ULAN

Sr+*Meta&+lk

/,erte' 'l,e*aGa!!2a*eta&+l'*e

!l2k+'a

4e3akt kar+


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Sara

Me?e!a/ aa3a k+*,lka',aa &a3 ak&at BBLR-KMK

,e!2k2ra&+*etr

tra2ter


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TERIMAKASIH

Ppt Refrat Bblr Kmk Dengan Sm

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