Top Banner
SWAMEDIKASI DEMAM DAN NYERI Dra. Yul Mariyah Apt. Msi
128

Swamedikasi baru.pptx

Jan 09, 2016

Download

Documents

Stifa Muvvadia
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 1/128

SWAMEDIKASI

DEMAM DAN NYERI

Dra. Yul Mariyah Apt. Msi

Page 2: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 2/128

• OBAT – OBAT UNTUK SWAMEDIKASIDEMAM DAN NYERI :

1. OBAT BEBAS

2. OBAT BEBAS TERBATAS

. OBAT KERAS !OWA"

#. OT$ %ru&s

Page 3: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 3/128

'(s'(lipi%a!)*)+ra,

s*l"

asa) ara-hi%r(,at

'(s'(lipas*(rti(st*r(i%a

lip((/y&*,a

s*

-y-l((/y&*,,a

s**,%(p*r(si%a asa)

hi%r(p*r(si%a

l*u(tri*, 0TA

0T$# – 0TD# –0TE#

NSAID

s

il*ut(,)(,t*lu

ast

0BT#

tr(+(/

a, T3A2:

pr(sta-y-l

i, 4&l2:

pr(sta&la,%i

, 4&E2562

O2

ra%ial+*+as

- 7as(8- +r(,-hi

- a&r*&as

- pr(t*sila)+u,&

-  7as(9

- a&r*&asi

p*ra%a,&a, p*ra%a,&a,

7as(8

  9

Page 4: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 4/128

Ma-a) a,al&*tia %a, a,tipir*tia

1. Turu,a, salisilat : as*t(sal;salisila)i%

2. Turu,a, 4 a)i,('*,(l :

as*ta)i,('*,

. Turu,a, pira<(l(, : )*tha)pir(,

#. Turu,a, asa) a,tra,ilat : asa)

)*'*,a)at; &la'*,i,

 !OWA ,( 1 : (+at(+at ya,&)*,&a,%u,& M*ta)pir(,; asa)

)*'*,a)at; &la'*,i,

Page 5: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 5/128

O+at O+at A,al&*tia; A,tipir*tia

ANA0=ETIKA > A, ? Al&ia

  O+at ya,& )*,&hila,&a, 5 )*,&halau rasa,y*ri ta,pa )*,&hila,&a, *sa%ara,

BERDASAR AKSI 6ARMAKO0O=I; DIBA=I

MEN@ADI:A,al&*tia p*rir !,(, ,ar(ti"Nar(ti

- A,al&*tia p*ri'*r ! ,(, ,ar(tia" : ti%a

+*rsi'at ,ar(ti %a, ti%a +**ra s*,tral

- A,al&*tia ,ar(ti : u,tu ,y*ri h*+at

! CARUS DEN=AN RESE4 DOKTER"

Page 6: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 6/128

$(,t(h a,al&*tia p*rir :

•paras*ta)(l

• salisilat:as*t(sal;salisila)i%;+*,(rilat

p*,&ha)+at pr(sta&la,%i,!NSAIDs" : i+upr('*,

• %*ri7at a,tra,ilat : )*'*,a)at;asa) ,i'u)at; &la'*,

• %*ri7at pira<(li,(, : a)i,('*,a<(,;is(pr(pil'*,a<(,

• lai,lai, : +*,<i%a)i,

Page 7: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 7/128

O+at – O+at Ya,& %i&u,aa,

1. 4ara-*ta)(l

M*ta+(lit '*,as*ti, !%ulu %i&u,aa, s+&a,al&*tia; th 1F %itari r, ,*'r(t(si;arsi,(&*,

I,%iasi : M*,uru,a, %*)a); )*,&ura,&i

,y*ri ti%a a,ti ra%a,&BSO : Ta+l*t GHH )& ; Sirup 12H)&5G)l

 Dr(p 1HH )&5)lE6EK SAM4IN= :

hip*rs*,sititas *lai,a, %arah *rusaa, hati ! # & s*hari; %i&u,aa,la)a"

Page 8: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 8/128

C*pat(t(sis %is*+a+a, : M*ta+(lis)* %i h*par )*,&hasila,

)*ta+(lit t(sis.  M*ta+(lit t(sis i,i pa%a %(sis ,(r)al %pt

%iiat (l*h &lutathi(, !trip*pti%a %,& –SC".

4a%a %(sis +*sar &lutathi(, ha+is; %a,)*ta+(lit )*,&iat pr(t*i, %,& – SC %arihati; *rusaa, ir*7*rsi+*l.

O7*r %(sis:Mual; )u,tah; a,(r*/ia;p*,a,&&ula,&a,,ya %,& -u-i la)+u,&atau %ita)+ah <at a,ti : asa) a)i,( Nas*tilsist*i, !)*thi(,i,".

Page 9: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 9/128

• Cal ya,& harus %ip*rhatia,

• D(sis harus t*pat; ti%a +*rl*+iha,; +ila%(sis +*rl*+iha, %apat )*,i)+ula,&a,&&ua, 'u,&si hati %a, &i,al.

  S*+ai,ya %i)i,u) s*t*lah )aa,

•  Ci,%ari p*,&&u,aa, -a)pura, (+at

%*)a) lai, ar*,a %apat )*,i)+ula,(7*r%(sis.

• Ci,%ari p*,&&u,aa, +*rsa)a %*,&a,al(h(l ar*,a )*,i,&ata, risi(

&a,&&ua, 'u,&si hati.

•  K(,sultasia, * %(t*r atau ap(t**ru,tu p*,%*rita &a&al &i,al.

Page 10: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 10/128

Wa,ita ha)il : r*lati7 a)a,D(sis : (ral !2%% H;G1;G & )as. #&5hr;•  r(,is )as 2;G&5hr"

•  a,a # %% 1H )&5& BB5hrK(,tra I,%iasi : p*,%*rita &a,&&ua, 'u,&si hati

  p*,%*rita y& al*r&i t*rh%p (+at i,i

p*-a,%u al(h(l

2.A-*t(sal !aspiri," > A-i%u) a-*til sali-ili-u)

I,%iasi : )*,uru,a, %*)a)

  a,al&*ti

  a,tii,Ja)asi

BSO : ta+l*t GHH )&; (+at ,y*ri t*rtua s*a !1F"

 

Page 11: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 11/128

Efek samping :- Iritasi )u(sa la)+u,& p*r%araha,t*rs*)+u,yi tua %is*+a+a, si'at asa); %a,

*asa)a, %apat %iura,&i %,& a,tasi%a

D(sis +*sar; *'* p*rli,%u,&a, t*rh%p )u(sala)+u,& hila,&iritasi

al*r&i ulit- ti,itus !t*li,&a +*r%*,&i,&"-  *a,& +r(,-hi- Sy,%r()a Ry* !)u,tah h*+at; t*r)a,&u)a,&u;

&a,&& ,a'as; (,7ulsi"

- K(,tra i,%iasi- Wa,ita ha)il; ti%a +(l*h %i&u,aa, pa%a

tri)*st*r * ar*,a : 

Page 12: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 12/128

- M*,&ha)+at his ;

-  )*)p*rla)+at p*rsali,a,

-  )*)p*rpa,a,& )asa p*r%araha, 0atasi : t% +(l*h %i+*ria, ; *-uali :i+upr('*,; ,apr(s*,; %il('*,a

  Dosis rendah !#H )&" ; )*,&ha)+ata&r*&asi tr()+(sit; )*,-*&ah str(*Dosis besar !G& 5hr"; +*r*'* a,tira%a,&

Nyeri dan demam: # %% H;G1& p-; a,aa,a !# %% 1H )&5&BB5hr"

Rematik  : %% 1& )as F &5hr !(ral;r*tal"

Migren : 1 & si,&l* %(sis

Penceg Infark  : 1 %% 1HH )&

Page 13: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 13/128

ANA0=ETIKA DAN ANTIIN60AMASI

1. Turu,a, salisilat : As*t(sal; %iJu,isal; +*,(rilat

2. Turu,a, asa) pr(pi(,at : I+upr('*,;,apr(s*,; *t(pr('*,; '*,(pr('*,; '*,+u'*,

. Turu,a, i,%(l : I,%()*tasi,; suli,%a; t(l)*ti,

#. Turu,a, asa) '*,ilas*tat : %il('*,a;'*,l('*,a

G. Turu,a, pira<(l(, : 6*,il+uta<(,;(si'*,+uta<(,; a<apr(pa<(,; '*,pra<(,

. Turu,a, asa) a,tra,ilat : asa) )*'*,a)at;

asa) Ju'*,a)at; %a, Na )*l('*,a)at. Turu,a, (sia) : pir(sia); t*,(sia)

Page 14: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 14/128

OWA ,( 2 : +*,(rilat; i+upr('*,; !sist*)i"

 : %il('*,a

 : pir(sia) !l(al5t(pial"

Cal ya,& harus %ip*rhatia, :

Atura, p*)aaia, harus t*pat; %i)i,u)

s*t*lah )aa, atau +*rsa)a )aa,a,u,tu )*,-*&ah ,y*ri %a, p*r%araha,la)+u,&.

K(,sultasia, * %(t*r atau Ap(t**r +a&i

p*,%*rita &a,&&ua, 'u,&si &i,al atau hati;i+u ha)il; i+u )*,yusui %a, %*hi%rasi.

Page 15: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 15/128

TURUNAN ASETOSA0 :• as*t(sal larut ar+asalatalsiu)

!As-al"; lysi,as*t(sal• %iJu,isal !D(l(-i%; DiJ(,i%"• +*,(rilat; *st*r as*t(sal %,& paras*ta)(l

,*'r(t(si !B*,(rta,"• salisila)i%; *'* l*)ah; %pt hip(t*,si;h*,ti ,a'as ! N*(<*p;R*'a&a,"

• Natriu) salisilat ; *'* l*)ah; t% a%a

a,titr()+(sis !N*pr(lit"• M*tilsalisilat; u,tu a,al&*tia (+at &(s(• &li(lsalisilat; u,tu (+at &(s(

Page 16: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 16/128

! "#cerogen  )ual; )u,tah; ,y*ri la)+u,&;&astritis; tua la)+u,& usus; p*r%araha,(--ult; %is*+a+a, p*,&ha)+ata, pr(s

ta&la,%i, !sist*)i"; p*)+*ria, l*Lat r*tal E6sa)pi,& sa)a.

  K*l s*rius : i,%()*tasi,; pir(sia)  K*l a&a s*rius : *t(pr('*,; %il('*,a

  K*l ri,&a, : i+upr('*,

$ %angg"an f"ngsi gin&a#'( Agregasi trombosit dik"rangi' masa per

darahan diperpan&ang )re*ersibe#+' kecAsetosa#

, Reaksi k"#it - r"am' "rtikaria

. /ronchokonstriksi

 

Page 17: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 17/128

. /ronchokonstriksi

0 Efek sentra# - nyeri kepa#a' p"sing' tinit"s' depresi'

gangg peng#ihatan1 #ain2#ain - gangg f"ngsi hati )dik#ofenak+ gangg

haid

)dik#ofenak' indometasin

$ONTOC OBAT :! I/3PR45EN )Proris+

• E'* a,al&*ti %a, a,tira%a,&,ya -uup +ai.• D(sis : %*)a); r*)ati; ,y*ri hai% : # %% 2HH#HH)&

p-5%- ;• a,aa,a %% GH – 1HH )&;• )i&r*, HH )& si,&l* %(sis

Page 18: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 18/128

$ ASAM ME5ENAMA6 )Ponstan+• E'* a,tira%a,&,ya s*%a,&

• E'* sa)pi,&,ya s*ri,& )*,i)+ula, %isp*psia %a,%iar* h*+at !t% %ir*()*,%asia, u,tu a,aa,a"• D(sis : # %% 2GH – GHH )& p-5%-

• . DIK0O6ENAK ! (ltar*,; $ataJa)"• NSAIDs %*,&a, a,tira%a,& uat %a, *'* sa)pi,&

ura,& *ras .• Di&u,aa, u,tu s*&ala )a-a) ,y*ri .• 4*,y*rapa, &ara) K l*+ih -*pat %i+a,%i,&a, &ara) Na

.• D(sis : Ny*ri : %% 2GGH )& &ara) K5Na p-5%-  K(li : 12 %% G )&

  T*t*s )ata H;1 G tts

Page 19: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 19/128

, PIR4KSIKAM )5e#dene+• E'* a,al&*ti; a,tipir*ti %a, a,tira%a,&,ya uat %a, la)a

!%urasi GH a)"

• D(sis: r*)ati !2 %% 2H )&";Ny*ri hai% !1 %% #H )&"

ANAES6ESI 74KA7• O+at ya,& pa%a p*,&&u,aa, l(al )*ri,ta,&i s*-ara

r*7*rsi+*l p*,*rusa, i)puls sara' * SS4 %*,&a, %*)iia,

)*,&hila,&a, atau )*,&ura,&i rasa ,y*ri; &atal&atal rasapa,as

• E'* sa)pi,&1. %*pr*si t*rha%ap ssp %a, a,tu,&

2. r*asi hip*rs*,siti7itas !*/ath*)a; urti-aria;+r(,-h(spas)us; sy( a,alati"

• 4*,&&u,aa, : U,tu ,y*ri pa%a )ulut; t*,&&(r( %a, t*li,&a u)ur;

ta+ hisap; tts t*li,&a"

Page 20: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 20/128

U,tu &atal > &atal; ,y*ri %i ulit; lua +aar!%l) +,t sal*p; r*)"

U,tu Lasir !%l) +*,tu sup(sit(ria"

$(,t(h (+at :!/en8ocain )Rako s"pos+

$7idokain )Ka#mycin #o8+( Eti#k#orida )K#oreti# spray+; %i+aLah

t*a,a, ri,&a, +*r+*,tu -air; Bila%is*)pr(ta, * ulit;*ra,ya +*r%asara,

)*,&uap,ya l(r*til %,& -*pat ar*,a titi%i%ih,ya ya,& r*,%ah; hasiat,ya uat ttpsi,&at. E'* sa)pi,&,ya : ,y*ri %a, *a,&(t(t. T% +(l*h u,tu ulit t*r+ua ar*,at(sis t*rh%p a,tu,& %a, h*par.

Page 21: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 21/128

SWAMEDIKASI DEMAM

Page 22: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 22/128

Apaah D*)a) itu

• D*)a) :

Bua, suatu p*,yait; t*tapi &*alaa%a,ya p*,yait

=*ala :

K*,aia, suhu; %iatas ;G P$

+iasa t*ra%i pa%a )ua; +a%a,;ta,&a,.

 T*lapa ta,&a, 5 ai +iasa,ya %i,&i,

Page 23: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 23/128

Page 24: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 24/128

4at(si(l(&i D*)a)

Suhu Tu+uh %ir*&ulasi (l*h i,ti pa%ahip(tala)us a,t*ri(r :

 T*r)(r*&ulat(r !TERMOSTAT"

 TERMOSTAT :M*,&*,%alia, K*s*i)+a,&a,

a,tara pr(%usi %a, *hila,&a,pa,as

Page 25: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 25/128

4r(s*s p*ra,&sa,&a,t*r)(stat

M*li+ata, <at ya,& %is*+ut :4YRO=EN !*,%(&*, %a, *s(&*,"

)ar('a&

Sit(i, :I0; TN6;I0 !pyr(&*,*,%(&*,"

Bat*ri;

irus; t(si,M*,&hasila

,!pyr(&*,*s(&*,"

I,t*rasi %& r*s*pt(r7asul*r %l) pusat

t*r)(r*&ulat(r

Page 26: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 26/128

I,t*rasi %&r*s*pt(r

7asul*r %l)pusat

t*r)(r*&ulat(r

I,%usi4=E

Sti)ulasi sara'si)pati ;7as((,strisi; DEMAM

4usat 7as()(t(r

Page 27: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 27/128

Apa ya,& harus %ilaua,

• Istirahat ya,& -uup.

• Mi,u) air ya,& +a,ya.

Usahaa, )aa, s*p*rti +iasa;)*sipu, ,a'su )aa, +*rura,& .

•  4*risa suhu tu+uh s*tiap # a).

 K()pr*s %*,&a, air ha,&at•  Cu+u,&i %(t*r +ila suhu sa,&at

ti,&&i !%iatas FP$"; t*ruta)a pa%aa,a a,a

Page 28: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 28/128

Ba&ai)a,a )*,&&u,aa, t*r)()*t*r

1. 4astia, rasa a%a %i +aLah ! %i

+aLah GP$"

2. 0*taa, t*r)()*t*r %i +aLahli%ah; *tia; atau %u+ur

. $u-i t*r)()*t*r s*+*lu) %a,s*su%ah %i&u,aa,

Page 29: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 29/128

Kapa, harus * %(t*r Q apa, harus

sLa)*%iasi

• Bila s*(ra,& +ayi )*,%*rita pa,as

 Bila %*)a) l*+ih %ari P$ !pa%a a,aa,a F.GP $" %a, ti%a +isa turu, %*,&a,paras*ta)(l atau ()pr*s.

• Bila %*)a) ti%a +*rura,& s*t*lah 2 hari

• Bila %*)a) %is*rtai %*,&a, au l*h*r

Page 30: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 30/128

• Bila %is*rtai &*ala&*ala lai, ya,&+*raita, %*,&a, %*)a) s*p*rti

• rua) ulit; sait t*,&&(r(a, +*rat;+atu %*,&a, %aha +*rLar,a hiau.

• Sait t*li,&a; sait p*rut; %iar*;

t*rlalu s*ri,& atau sait +ila +ua,&air *-il; +i,ti+i,ti )*rah pa%aulit; *a,&; pi,&sa,

• Bila t*ra%i %*)a) s*t*lah)*lahira, atau *&u&ura,

Page 31: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 31/128

 Nyeri 

4*rasaa, s*,s(ris %a, *)(si(,al ya,&ti%a *,a %a, +*rhu+u,&a, %*,&a,&a,&&ua, 5 *rusaa, ari,&a,

Isyarat a%a,ya &a,&&ua,

 ari,&a, :- 4*ra%a,&a,- I,'*si asa% r*,i

- K*a,& (t(t

Page 32: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 32/128

4at(si(l(&i ,y*ri :

Ra,&sa,&a,

)*a,is; i)iaLi;sis

M*%iat(r ,y*ri :pr(sta&la,%i,;

+ra%ii,i,; hista)i,;

l*u(tri*,

,y*ri

Page 33: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 33/128

$(,t(h ,y*ri :

Sait *pala; sait &i&i; ,y*ri hai%;,y*ri ar*,a lua %ll

Cal p*,ti,& ya,& +isa %isara,a,

• T*tap ati' '(usa, pa%ap**raa, a,%a

• K()pr*s ha,&at pa%a ,y*ri (t(t

• =u,aa, (+at p*,&hila,& ,y*ris*suai p*tu,u ahli

• Bila ,y*ri +*rla,ut hu+u,&i %(t*r

h % h

Page 34: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 34/128

h*a%a-h*K*luha, pali,& u)u) ,y*ri a%alah pusi,&;

%ip*riraa, 1G p(pulasi p*,%u%u )*,&ala)ipusi,& s*tiap )i,&&u.

A%a 2 )a-a) lasiasi :

 i,trara,ial h*a%a-h* : tu)(r; a+s*s; h*)at()a;i,'*si ! p*,yait s*rius ya,& ti%a +isa %i (+ati%& sLa)*%iasi"

E/tra-ra,ial h*a%a-h* : )i&rai, ! ar*,a &a,&&ua,7isual" p*,&lihata,; p*,%*,&ara,; p*,-iu)a,;+au.>>> a%a,& +*r*)+a,& )*,a%i l*+ihparah +*rupa ,aus*a; 7()iti,&; ph(t(p(+ia.

Mus-l* -(,tra-ti(, >> ,y*ri *pala t*ra%i ar*,aspas)* (t(t l*h*r atau ulit *pala

Page 35: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 35/128

Si,us h*a%a-h* : ,y*ri *pala ar*,ap*,yait si,usitis; rhi,itis; i,Ju*,<a;

%llNEURA0=IA

Ny*ri ya,& t*ra%i ar*,a &a,&&ua,syara'; +*rupa rasa ,y*ri ya,& a%a,&

%ata,& ti+ati+a s*p*rti rasa t*rtusu.4*,y*+a+ +*lu) %i*tahui

Myal&iaNy*ri ya,& t*ra%i ar*,a &a,&&ua,pa%a (t(t; s*t*lah )*,&a,&at5

)*,&*luara, t*,a&a +*rat; (,trasi

Page 36: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 36/128

arthral&ia

Ny*ri ar*,a i,Ja)asi pa%a )*)+ra,sy,(7ial !M*)+ra, si,(7ial )*rupaa, ari,&a, a7asul*r ya,& )*lapisi p*r)uaa,%ala) apsul s*,%i; t*tapi ti%a )*lapisip*r)uaa, raLa, s*,%i. M*)+ra, i,i li-i,%a, lu,a %a, +*rlipatlipat; +*r'u,&si u,tupr(%usi -aira, s*,%i %a, tra,s'*r (,stitu*,

%arah * %ala) r(,&&a s*,%i"Rh*u)at(i% arthritis >> i,Ja)asi r(,is pa%a

)*)+ra, si,(7ial

Page 37: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 37/128

4steoartritis !4A; %i*,al u&a s*+a&ai artritisdegeneratif ; penyakit degeneratif sendi";

a%alah (,%isi %i )a,a s*,%i t*rasa ,y*ri ai+ati,Ja)asi ri,&a, ya,& ti)+ul ar*,a &*s*a,uu,&uu,& tula,& p*,yusu, s*,%i

Nyeri haid

Ny*ri ya,& ti)+ul 5 )*,y*rtai )*,*la,& %a,pa%a saat hai%.

Dis)*,(r*

,y*ri %is*+a+a, ra) rahi) pa%a saat)*,struasi.Dis)*,(r* pri)*r s*ri,& t*ra%i; *)u,&i,a,l*+ih %ari GH La,ita )*,&ala)i,ya %a, 1G%ia,tara,ya )*,&ala)i ,y*ri pa%asaat menstr"asi ya,& h*+at.

Page 38: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 38/128

Cal ya,& harus %ip*rhatia, :

• Atura, p*)aaia, harus t*pat;

%i)i,u) s*t*lah )aa, atau+*rsa)a )aa,a, u,tu )*,-*&ah,y*ri %a, p*r%araha, la)+u,&.

K(,sultasia, * %(t*r atauAp(t**r +a&i p*,%*rita &a,&&ua,'u,&si &i,al atau hati; i+u ha)il; i+u)*,yusui %a, %*hi%rasi

Page 39: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 39/128

• @a,&a, %i)i,u) +*rsa)a %*,&a,)i,u)a, +*ral(h(l ar*,a %apat)*,i,&ata, risi( p*r%araha,

la)+u,&.

• @a,&a, %i)i,u) +*rsa)a %& u)ari,;

a,ti(a&ula,; (rti(st*r(i%;Jupr('*,; p*,isili, %a, 7ita)i, $.

Page 40: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 40/128

K(,tra I,%iasi :

• 4*,%*rita al*r&i t*r)asu as)a

•  Tua la)+u,& !)aa&" %a, s*ri,&p*r%araha, %i +aLah ulit

• 4*,%*rita h*)(lia %a, tr()+(sit(p*,ia

E'* sa)pi,& :

• Ny*ri la)+u,&; )ual; )u,tah

• 4*)aaia, %ala) Latu la)a %apat

)*,i)+ula, tua %a,• p*r%araha, la)+u,&

Page 41: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 41/128

. IBU4RO6EN

i+upr('*, #HH )& %a, HH )& > (La ,( 2i+upr('*, 2HH )& > (+at +*+as t*r+atas

  I,%iasi :

M*,*a, rasa ,y*ri %a, ra%a,&; )isal,ya%is)*,(r*a pri)*r !,y*ri

• hai%"; sait &i&i; sait *pala; pasa(p*rasi; ,y*ri tula,&; ,y*ri s*,%i;

• p*&al li,u %a, t*rilir

Page 42: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 42/128

• B*,tu s*%iaa,

Ta+l*t 2HH )&

Ta+l*t #HH )&; HH )&

D*Lasa : 1 ta+l*t 2HH )&; 2 – # alis*hari;. Di)i,u) s*t*lah )aa,

 A,a : 1 – 2 tahu, : ta+l*t 2HH )&; – #ali s*hari

– tahu, : ta+l*t GHH )&; – # ali

s*hariF – 12 tahu, : 1 ta+l*t GHH )&; – # alis*hari

C l h l h

Page 43: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 43/128

Calhal ya,& harus%ip*rhatia,

• =u,aa, (+at %*,&a, %(sis t*pat

• Catihati u,tu p*,%*rita &a,&&ua,'u,&si hati; &i,al; &a&al a,tu,&;

• Catihati pa%a p*,%*rita as)a %a,+r(,h(spas)us

•  @a,&a, )i,u) (+at i,i +*rsa)a

%*,&a, al(h(l ar*,a)*,i,&ata,risi( p*r%araha, salura, -*r,a.

Page 44: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 44/128

• K(,tra I,%iasi :

tua la)+u,&

al*r&i

ha)il tri)*st*r ahir

• =a,&&ua, salura, -*r,a s*p*rti )ual; )u,tah;

%iar*; (,stipasi !s*)+*lit5susah +ua,& air+*sar"; ,y*ri la)+u,& sa)pai p*,%araha,.

•  Rua) ulit; +r(,h(spas)us; tr()+(sit(p*,ia

•  4*,uru,a, *taa)a, p*,&lihata, %a, s*)+uh

+ila (+at %ih*,tia,• =a,&&ua, 'u,&si hati

• R*asi al*r&i %*,&a, atau ta,pa sy( a,alasi

Page 45: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 45/128

#. M*tha)pir(, !(La ,( 1"

I,%iasi : Sait *pala; pusi,&; %*)a);

%is)*,(r*%(sis :%*Lasa : GHH – 1HHH )&; /5 hari

a,a : 12 tahu, 2GHGHH )&; / 5 hari

  : 1 tahu, 12G )& – 2GH )&; /5 hariK(,trai,%iasi :

Al*r&i; p*,%araha,

E'* sa)pi,& :=a,&&ua, %arah; iritasi la)+u,&; pruritis;tr*)(r; )ual; %ll

Page 46: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 46/128

G. Asa) M*'*,a)at !(La ,( 1"

I,%iasi :

Sait K*pala; sait &i&i

K(,tra i,%iasi :

Tua salura, -*r,a

ra%a,& la)+u,&;

&a&al &i,al; &a,&&ua, h*par

as)a

Page 47: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 47/128

• E'* sa)pi,& :

sait *pala; l*)ah; &a,&&ua,salura, -*r,a; tua p*pti.

I,t*rasi :(+at a,ti(a&ula,

• D(sis : %*Lasa %a, a,a 9 1#

tahu,GHH )& ; %ila,uta, 2GH )& tiap a); %i)i,u) +ila p*rlu; %-;

Page 48: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 48/128

Natriu) %il('*,a

2G )&

I,%iasi : r*)ati; (st*(arthritis;)*,&ura,&i rasa sait; p*)+*,&aa,;%ll

D(sis : %Ls G1GH )& s*hari; %i+a&i %(sis; %- atau p-

KI : tua p*pti; hip*rs*,siti7itas;&a,&&ua, h*par; La,ita ha)il

Page 49: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 49/128

4bat2obat ana#getik "nt"k topika#

1. Dil('*,a

!7(lta%*/ *)ul&*l; 7(ltar*, *)ul&*l"

I,%iasi : p*,&(+ata, l(al pa%a ra%a,& ar*,ar*)ati %a, trau)a.

2. 4ir(sia)

! '*l%*,* &*l"

I,%iasi :

)*,&hila,&a, rasa sait; ra%a,&; &a,&&ua,)usul(s*l*tal

Page 50: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 50/128

SLa)*% )ata %a, t*li,&a

Page 51: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 51/128

• Mata )*rupaa, (r&a, ya,& sa,&at

halus %a, )u%ah %irusa• K*luha, )ata s*+ai,ya %i(,sula,

%(t*r.

• Ca,ya *luha, ri,&a, s*p*rti*lilip*,; iritasi %*,&a, *)*rah)*raha,; &atal %apat %i(+ati %*,&a,

(+at t*t*s )ata atau -u-i )ata ya,&t*rs*%ia +*+as.

•  Ti%a a%a OWA u,tu *luha, )ata.

Page 52: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 52/128

Strutur )ata

Mata s*p*rti alat p*)(tr*t;)*)pu,yai : – l*,sa (+y*ti' : -(r,*a; -aira, )ata

%a, l*,sa )ata

 – %ia'ra&)a : pupil ; ya,& +*ra%a

%i+a&ia, t*,&ah iris – l) : r*ti,a; +a& t*,&ah %apat )*lihat

pali,& taa) %is*+ut +i,ti u,i,&

Page 53: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 53/128

• 9on&"ncti*a a%alah s*laput l*,%ir+*,i,& ya,& )*lapisi p*r)uaa,%ala) %ari *l(pa )ata %a, )*lalui

lipata, )*,utupi s*+a&ia, +*sar+(la )ata.

• B(la )ata %ili,%u,&i (l*h sc#era ;

Lar,a putih; +a&ia, pali,& luar %ari)ata .

• Ba&ia, )ata %*pa, ya,& +*,i,&

%is*+ut cornea

Page 54: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 54/128

=a,&&ua, pa%a )ata :

4*,&lihata, ura,& taa)

K()pliasi p*,yait

4*,i,&ata, t*a,a, pa%a +(la )ata!&lau()a"

  Ra%a,& -(,u,-ti7ita

I,'*si +at*ri; 7irus2 6imbi# ; i,'*si +at*ri *l s*+u) pa%a

pi,&&ir *l(pa )ata

Page 55: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 55/128

 Ya,& +isa %i(+ati %*,&a, sLa)*%iasi :

1. iritasi )ata %*,&a, *luha, &atal;a&a ,y*ri

2. )ata l*lah %apat %is*+a+a, t*rlalu+a,ya )*)+a-a; +**ra pa%a)(,it(r ()put*r ; pa%a rua,&p*,-ahayaa, ura,&;

O+at ya,& %i&u,aa, :; %ala) +*,tu t*t*s )ata !&uta* (pthal)i-" atau

-u-i )ata !-(llyria"

Page 56: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 56/128

1. as(%ilat(rU,tu *luha, &atal; )*raht*trahi%r(<(li, : Visine

'*,il*'ri, : Indofrin, Fitto,a'a<(li, : Optu,*2. a%stri,&*,su,tu )ata l*lah %a, )ata )*rah

s*,&sul'at : Optrex . a,tis*pti V +*,<al(,iu) l(ri%* %ala)-u-i )ata -(,t(h yri,s H;HHG

Page 57: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 57/128

#. 4(li7i,il al(h(l !Optifresh)

M*l*)+a+a, )ata *ri,&

G. K()+i,asi ,atriu) l(ri%*; aliu)l(ri%* (Cendolyters"

4*,&&a,ti air )ata

. Estra +il+*ry – Bery Vision, Bio-retin, Eyevit, Matovit 

Page 58: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 58/128

7ensa kontak dan cairan #ensa kontak Ma-a))a-a) l*,sa :1. 0*,sa *ras

 T*r+uat %ari p(li)*til)*tha-rylat !4MMA" Ti%a %apat %it*)+us (si&*,Si'at,ya hi%r('(+; l*,sa )*,&a)+a,& %i-aira, )ata$aira, +aru s*lalu )*,&alir * +aLahl*,sa ai+at *%ipa, )ataMata ya,& %i+*ri l*,sa i,i s*p*rti*)asua, %*+u

Page 59: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 59/128

2. 0*,sa s*t*,&ah l*)+ut

 T*r+uat %ari s*lul(saas*t(+utirat !$AB"

Dapat %it*)+us (si&*,

Dapat )*,y*+a+a, iritasiB*rtaha, G tahu,

. 0*,sa tipis

 T*r+uat %ari hi%r(si*til)*tha-rylat !CEM$"

0*+ih tipis %a, la,&su,& pa%a -(r,*aMu%ah %it*ri)a (l*h )ata; ti%a iritasi;

%i&a,ti s*tiap H;G1 tahu,

Page 60: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 60/128

9airan #ensa ; harus st*ril %a, )*)*,uhip*rsyarata, (+at t*t*s )ata.

u,tu )*)asui l*,sa

u,tu )*)+*rsiha, %a, )*,%*si,'*tir

u,tu )*,yi)pa,

$aira, u,tu )*)asui l*,sa; %i+utuha, (l*hl*,sa *ras.

Isi,ya ,atriu) l(ri%a %a, a,tis*pti; u&a <atya,& )*)+asaha, s*p*rti hi%r(si*tils*lul(sas*hi,&&a l*,sa %apat %i+asaha, %*,&a, p*la,p*la,.

Page 61: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 61/128

$aira, p*)+*rsih5p*,yi)pa,S*la)a %ipaai l*,sa (t(r; s*tiap hari harus%i+*rsiha,; %i&(s(; %i+ilasat p*)+*rsih ya,& %ita)+aha, ,atriu) –*%*tat.

U,tu l*,sa l*)+ut : -aira, p*)+*rsih hi%r(&*,p*r(si%a.0*,sa %isi)pa, l*+ih ura,& F a) u,tu%i+*rsiha, %a, %i%isi,'*si

Masua, -aira, ,*tralisasi ya,& )*,&a,%u,&*,<i) atalas* l*+ih ura,& F )*,it u,tu)*,&uraia, sisa p*r(si%as*.0*,sa ti%a usah %i&(s(

Page 62: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 62/128

t*li,&a

 T*li,&a %i+a&i ti&a +a&ia, :

t*li,&a luar ! lia,& t*li,&a"

t*li,&a t*,&ah !r(,&&a ya,& +*risi

u%ara" t*li,&a %ala)

• a,tara t*li,&a luar %a, t*li,&a t*,&ah%ipisaha, (l*h membran thympani

• t*li,&a t*,&ah %*,&a, r(,&&a hi%u,&t*,&&(r( %ihu+u,&a, %*,&a, salura,*-il t"ba e"stachi"s

Page 63: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 63/128

• +u,yi )*,&&*tara, )*)+ra, ty)pha,i;&*tara, %is*l*si tula,& p*,%*,&ara,t*li,&a t*,&ah; lalu %it*rusa, * t*li,&a%ala) . &*tara, %iru+ah )*,a%i alira,

listri %a, ra,&sa,&a, sara' %it*rusa, *(ta; +u,yi t*r%*,&ar

• pa%a saat )*,*la, atau )*,&uap ta+u,&*usta-hius t*r+ua; u%ara %ari luar %apat)asu * r(,&&a t*li,&a t*,&ah; %*,&a,%*)iia, t*a,a, pa%a )*)+ra,ty)pha,i %apat %itia%aa,

Page 64: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 64/128

=a,&&ua, t*li,&a s*ri,& t*rait %*,&a, t*rsu)+at,ya ta+u,& *usta-hius palit upi,& ya,& )*,&*ras i,'*si +at*ri atau a)ur

4*,y*+a+ ,y*ri t*li,&a1; ra%a,& t*li,&a t*,&ahS*ri,& %is*+a+a, p*)+*,&aa, s*laput l*,%iratau t*rsu)+at,ya ta+u,& *usta-hius.4*)+*,&aa, a%aala,ya ai+at al*r&i )aa,a,.

=*ala uta)a,ya pa%a a,a sa,&at ,y*ri %i t*li,&a%ala) %a, +isa *luar -aira,4a%a %*Lasa p*,%*,&ara, +*rura,& %a, t*li,&a+*r%*,&u,&

Page 65: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 65/128

4*,&(+ata, : (+at a,ti ,y*ri s*p*rti paras*ta)(l; asa)

)*'*,a)at (+at a,*st*si l(al : li%(ai, t*t*s t*li,&a

t*t*s hi%u,& ya,& +*risi 7as((,strit(r• +ila a%a -aira, ya,& *luar %ari t*li,&a;

!)*)+ra, ty)pha,y p*-ah; %a,u)u),ya t*ra%i p*r+aia, %ala) Latu

#G hari" ; p*rlu (,sultasi %(t*r.• Ra%a,& t*li,&a t*,&ah ya,& r(,is; s*ri,&

a)+uh; p*rlu (,sultasi %(t*r.

Page 66: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 66/128

2. ,y*ri lia,& t*li,&a

4alit atau ser"men t*r%iri %ari <at<at l*)a )*,y*rupai lili,

S*tiap 2 )i,&&u harus%i*luara,

• 0ili, i,i %apat )*,&*ras; )*,yu)+at

lia,& t*li,&a ; )*)p*r+urup*,%*,&ara, +aha, %apat t*ri,'*si+at*ri.

• 0ili, ya,& )*,&*ras )*,*a, sara'

)*,i)+ula, ,y*ri

Page 67: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 67/128

4*,&(+ata, V

M*,&*luara, s*ru)*, ya,& )*,&*ras V

)i,ya a-a,& %it*t*sa, 2 ali 2 tts

-a)pura, air +ur(Li; asa) as*tat %a,

pr(pil*,&li(l Natriu) %(usat !6(ru)*,"

$ara )*lu,aa, :

(+at p*lu,a %it*t*sa,

apas %i+asahi (+at; %i)asua, lia,& t*li,&a%i()pr*s; alau apas *ri,& %i&a,ti apas+asah;

alau su%ah lu,a %ia)+il %*,&a, -utt(, +u%

Page 68: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 68/128

. Ny*ri t*li,&a %i p*saLat T*r+a,& pa%a *ti,&&ia, 1H HHH ); t*a,a, u%ara%ala) a+i, %is*suaia, %*,&a, ,ilai ya,& sa)a%*,&a, t*a,a, 2HHH ).

• Saat ,ai t*a,a, a&a )*,uru, %irasaa,

)*)+ra, ty)pha,i ; u%ara *luar %ari rua,& t*li,&at*,&ah; s*hi,&&a t*a,a, %i sisi )*)+ra, ty)pha,it*tap sa)a

• Saat turu,; t*a,a, %ala) a+i, %ituru,a, sa)pai,(r)al 1 at); u%ara %ari luar )asu * r(,&&at*li,&a t*,&ah. Cal i,i %ihi,%ari ar*,a lu+a,&ta+u,& *usta-hius t*rtutup (l*h t*a,a, %ari luarya,& ti,&&i. D*,&a, %*)iia, %irua,& t*li,&at*,&ah t*ra%i t*a,a, r*,%ah ; )*)+ra, ty)pha,it*rtari *%ala) ; s*hi,&&a t*rasa ,y*ri.

Page 69: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 69/128

4*,&(+ata, :

M*,&uap atau )*,*la, !lu%ah"+*raliali ai+at,ya tu+a *usta-hius

ti%a )*,utup.  U%ara luar %apat )asu * r(,&&at*li,&a t*,&ah

  T*a,a, %i r(,&&a t*li,&a t*,&ah %a,

%iluar sa)a; )aa rasa sait hila,&•  T*t*s hi%u,& 7as(%ilat(r !/yl()*ta<(li,"

%apat )*)+ua tu+a *usta-hius

Page 70: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 70/128

SWAMEDIKASI 4ENYAKIT

0OKA0OBAT UNTUK KU0IT

Page 71: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 71/128

SLa)*%iasi ulit

Kulit )*rupaa, (r&a, t*rluar %ari tu+uh ;'u,&si,ya :

)*,aha, -aira, ; a&ar ti%a %*hi%rasi

)*ri,ta,&i p*,&aruh %ari luar s*p*rti :suhu; <at )*rusa; (t(ra,

)*)+*,tu <at *s*,sial s*p*rti 7ita)i, D

)*,&atur suhu tu+uh!tra,spirasi"

)*,&*luara, sisa )*ta+(lis)*!*ri,&at"

Susu,a, ulit

Page 72: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 72/128

Susu,a, ulit.

Kulit t*r%iri %ari ti&a lapisa, :

1. *pi%*r)is !ulit ari"Ba&ia, luar %ari ulit; %is*lu+u,&i(l*h lapisa, ta,%u atau *rati, ya,&

s*lalu %il*pasa, s*+a&ai s*rpiha,s*rpiha, %a, s*lalu %ip*r+aharui (l*h ari,&a, %i +aLah,ya ya,& )*,&*ras

la&i )*,a%i *rati,. Ti%a )*,&a,%u,& p*)+uluh %arah.

2 D*r)is !-utis -(riu) ulit a,&at"

Page 73: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 73/128

2. D*r)is !-utis; -(riu); ulit a,&at" T*r%iri %ari ari,&a, p*,&iat !(la&*,";

)*,&a,%u,& p*)+uluh %arah %a, li)'*.

Disi,i t*rl*ta sara' ! uu,&uu,& sara's*+a&ai r*s*pt(r u,tu ra,&sa,&a, i,%rap*rasa; ,y*ri %a, suhu"; a,t(,& ra)+ut!'(li*l"; *l*,ar l*)a; *l*,ar

*ri,&at; s*rta s*l)ast.K*l*,ar *ri,&at %a, l*)a +*r'u,&siu,tu )*)p*rtaha,a, *l*,tura, %a,*l*)+a+a, lapisa, *rati,.

K*l*,ar l*)a )*,yalura, l*)a !tal&;s*+u)" * %ala) a,t(,& ra)+ut*)u%ia, )*,&*luara, * p*r)uaa,*pi%*r)is.

6 # % l h % i t l

Page 74: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 74/128

6a#g  a%alah -a)pura, %ari <at l*)as*p*rti asa)asa) l*)a %a, tri&lis*ri%.

K*l*,ar *ri,&at )*,&*luara, -aira,,ya)*lalui salura, la,&su,& * p*r)uaa,ulit )*lalui p(ri.

. Su+ -uta, !ulit +aLah"

 T*r%iri %ari ari,&a, p*,&iat l(,&&ar ari,&a, l*)a.

B*r'u,&si s*+a&ai is(lat(r %a, t*)patp*,yi)pa,a, -a%a,&a, <at &i<i. Disi,it*r%apat sara' %a, p*)+uluh %arah.

Page 75: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 75/128

=AN==UAN=AN==UAN 4ADA KU0IT: Kulit *ri,&;%*r)atitis !*si)"

 +isul;util;

ati)u)ul; lua +aar a)ur;

 utu air; *raLat

! K"#it kering

Page 76: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 76/128

! K"#it kering

 Tu+uh t*r%iri atas air ;'u,&si ulit u,tu

)*,& hi,%ari *hila,&a, -aira,V )aa%ala) ulit a%a u,sur ya,& )*,&iatair %a, *rat(liti !,a-l; asa)asa)a)i,( %a, ur*a".

Ka%ar -aira, %ala) lapisa, ta,%u)*rupaa, 'at(r ya,& p*,ti,& u,tu)*)p*rtaha,a, *l*,tura, ulit.

Apa+ila *s*i)+a,&a, -aira, t*r&a,&&u

ulit )*,a%i *ri,&.=*ala,ya p*rasaa, *ri,& %a, aupa%a ulit ya,& t*rlihat a&a *riput.

6at(r lai, ya,& )*,y*+a+a, ulit

Page 77: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 77/128

6at(r lai, ya,& )*,y*+a+a, ulit*ri,& :

a. usia : la,sia *pi%*r)is )*,ipis;ura,& %apat )*,aha, -aira,+. p*,yait: p*,%*rita %ia+*t*s +a,ya*hila,&a, pr(t*i,

-. ili) : *l*)+a+a, r*,%ah %a,+a,ya

a,&i,; suhu r*,%ah s*ali%. si,ar )atahari : )*,&ai+ata,p*,&*rasa, ulit*. -ara hi%up: )a,%i t*rlalu s*ri,&%*,&a, sa+u,

Kulit *ri,& pa%a ha*at,ya ti%a )u%ah %iatasi;

Page 78: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 78/128

& p y ;s*+a+ p*)asua, -aira, *%ala) s*ls*l ulitti%a %apat %ilaua, %ari luar )*lai,a, ha,ya%ari ari,&a,ari,&a, %ala).

Kr*) ya,& )*,&a,%u,& <at ya,& +*rsi'at)*,ari air !hi%rata,s" +*r&u,a u,tu)*)p*rtaha,a, -aira, %ala) lapisa,lapisa,ulit$(,t(h,ya : &lis*ri,; pr(pil*,&li(l;

ur*a (Carmed krem"

Mi,ya %i%ala) r*) +*r'u,&si u,tu)*,&hi,%ari *luar,ya %a, hila,&,ya l*)+a+l*+ih +a,ya a&ar ulit a,&a, )*,&*ri,& l*+ih

la,ut.Kulit )*,a%i l*+ih l*,tur %a, sup*l s*hi,&&arasa,ya )*,a%i l*+ih ,ya)a,

2 Dermatitis

Page 79: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 79/128

2. Dermatitis

D*r)atitis a%alah p*ra%a,&a, ulit

!*pi%*r)is %a, %*r)is" ya,&)*)+*ria, &*ala su+y*ti' &atal %a,%ala) p*r*)+a,&a,,ya )*)+*ria,*lai,a, ulit ya,& +*r)a-a))a-a).

D*r)atitis ya,& s*ri,& a)+uh s*ri,&%is*+ut s*+a&ai ek8im

4*ra%a,&a, )*rupaa, r*asi ulit

t*rha%ap +*r+a&ai <at *,%(&*,)aupu, *s(&*,

4*,y*+a+ +*rasal %ari V

Page 80: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 80/128

y V luar !*s(&*," )isal,ya+aha, i)ia : %*t*r&*,; asa); +asa

si : si,ar";)ir((r&a,is)* : +at*ri;a)ur %ala) !*,%(&*," )isal,ya %*r)atitis at(pi.

 'at(r p*,y*+a+ %*r)atitis at(pi

'at(r &*,*ti; li,&u,&a,; (,%isi ulit; 'ar.(&i%a, i)u,(l(&i.

K(,s*p %asar t*ra%i,ya %*r)atitis at(pi a%alah)*lalui r*asi i)u,(l(&i ya,& %ip*ra,tarai (l*hs*ls*l ya,& +*rasal %ari su)su) tula,&.

Maa,a, %apat +*rp*ra, s*+a&ai p*)i-u ti)+ul,ya%*r)atitis at(pi.

Maa,a, ya,& pali,& s*ri,& a%alah t*lur; susu sapi;&a,%u); *%*l*; a-a,& ta,ah.

=*ala uta)a %*r)atitis a%alah :

Page 81: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 81/128

=*ala uta)a %*r)atitis a%alah :

2 gata# 

=atal %apat hila,& ti)+ul s*pa,a,& harit*tapi u)u,ya l*+ih h*+at pa%a)ala) hari.

2 ke#ainan k"#it  ya,& %apat ti)+ulsi)ulta, atau +*rturutturut.

Di)ulai %*,&a, ya,& pali,& ri,&a,*)*raha, sa)pai ya,& pali,& parahti)+ul *r(p*,&; ulit )*,*+al

Ai+at &arua, !ar*,a &atal"%i)u,&i,a, )u,-ul,ya s*u,%*r i,'*siya,& salah satu,ya %ita,%ai %*,&a,t*r+*,tu,ya pus !,a,ah".

• 6ahapan per"bahan ke#ainan k"#it -

Page 82: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 82/128

! eritema ya,& %i%asari (l*h %ilatasi p*)+uluh %arahp*ri'*r %a, s*la,ut,ya t*ra%i

2. udema. Kar*,a t*ra%i u%*)a i,tras*lul*rt*r+*,tulah( pap"# !+*,t(l+*,t(l";#. *esike# !l*puh *-il +*rair"; ti)+ulG. erosi !p*-ah" t*ra%i

0 eks"dasi ! *luar *su%at5-aira,". Apa+ila 7*si*l)*,&*ri,& t*r+*,tu1 sk"ama %a, *su%at *u,i,&a, ya,& )*,&*ri,&t*r+*,tu: kr"sta !*r(p*,&". D*r)atitis ya,& ti%a %i(+atiaa, ti)+ul

; #ikeni<kasi ! p*,*+ala, ulit %is*rtai &aris ulitya,& *las" %a,

  != hiperpigmentasi !Lar,a ulit )*,a%i l*+ih&*lap"

4I0ICAN OBAT

Page 83: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 83/128

1. K(rti(st*r(i%.K(rti(st*r(i% )*rupaa, h(r)(, st*r(i%

ya,& %ihasila, (l*h *l*,ar -(rt*/ a%r*,alK(rti(st*r(i% )*)pu,yai *'* : *'* &lu((rti(i%: anti radang' antia#ergi; i)u,(supr*si'; p*,i,&ata, &lu(,*(&*,*sis; *'* ata+(li *'* )i,*ral((rti(i%: r*t*,si ,atriu) %a,air.

•  T*ra%i p*ra%a,&a, t(pial )aa %i&u,aa,(rti(st*r(i% t(pial; ya,& )asu &(l(,&a,

OWA a%alah hi%r((rtis(,; tria)si,(l(,;+*ta)*tas(,; Ju(rt(l(,; %iJu(rt(l(,;%*s(si)*tas(,;Jupr*%,i(,

Page 84: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 84/128

 Ta+*l: Ti,&ata,ti,&ata, p(t*,si s*u)lah&lu((rti(i% pa%a p*,&&u,aa, %*r)al.

#emahhi%r((rtis(, as*tat1 E,a-(rtsedang%*s(/i)*tas(, ? salisilat H;2GEsp*rs(,

%*/a)*tas(, H H#D*/at(pi-Ju(rt(l(, pi7alat H;2GUltrala,Ju)*tas(, pi7alat H;H20(-a-(rt*,tria)si,(l(, as*t(,i%a H;1 K*,a-(rtAk"at

+*ta)*tas(, 7al*rat H;1 $*l*st(%*r)+*ta)*tas(, %ipr(pi(,at H;HGDipr(s(,*O%iJu(rt(l(, 7al*rat H;1 N*ris(,a

 Ta+*lV 4*r+a,%i,&a, r*s(rpsi hi%r((rtis(,

Page 85: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 85/128

V & p%ari ulit %i +*r+a&ai %a*rah tu+uh.

0*,&a, +aLah 1 Ta,&a, !t*lapa" H;FKai !t*lapa" H;1#4*r&*la,&a, ai H;#24u,&&u,& 1;K*pala !atas";GK*tia ;

Mua ;HRaha,& +aLah 1;HS-r(tu) #2;H

Kr*) (rti(st*r(i% s*+ai,ya %i&u,aa, +ila+ l + l %i l %i % l

Page 86: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 86/128

+*tul+*tul %ip*rlua,; %i&u,aa, %ala) Latusi,&at %a, %i(l*sa, tipistipis.

2. A,tihista)i,A,tihista)i, a%a,& )*,y*+a+a, ta-hy'ylasis!+*rura,&,ya r*sp(," )aa a,tihista)i, %i&a,ti%*,&a, (+at a,tihista)i, lai, %ari &(l(,&a,i)iaLi ya,& +*r+*%a.

A,tihista)i, %i&u,aa, u,tu )*laLa, +*r)a-a) )a-a) rasa &atal.

 T*rs*%ia %ala) +*,tu ta+l*t %a, ri) )aupu,l(ti(,4r()*ta<i, r*) (hener!an krem)

 Trip*l*,a)i, r*) !"ripel krem"Di'*,hi%ra)i, l(ti(, !Caladin lotion)

Page 87: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 87/128

(/IS37 )5"r"nke#"

$iri,ya +*,(la, )*rah *-il %i ulit ya,& t*rasa ,y*ri

 T*ruta)a %i pa,tat; *tia ; t*,&u %a, )uaDis*+a+a, p*ra%a,&a, %ari a,t(,& ra)+ut (l*h+at*ri t*rt*,tu !Sta'yl(-(- aur*us".

Dl) +*+*rapa hari )*)+*sar %*,&a, t*r+*,tu,ya

,a,ah !a+s*s"; ,y*ri )*,i,&at %a, apa+ila p*-ah rasa,y*ri hila,&.

Bisul ya,& p*-ah harus %ipiat sa)pai s*luruh,a,ah,ya *luar %a, %ita,%ai %*,&a, *luar,ya %arah

%ari lua.Bisul +*lu) )ata,& ti%a +(l*h %ipiat; ar*,a +at*ri%apat %apat t*rt*a, )asu * sirulasi %arah;ai+at,ya t*ra%i i,'*si sist*)i +aha, sa)pai s*psis.

O+at : Ihty(l 1H u,tu )*)ata,&a, +isul

Page 88: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 88/128

O+at : Ihty(l 1H u,tu )*)ata,&a, +isulya,& s*%a,& +*r*)+a,& %a, a,ti ra%a,&;a,tis*pti

  Asa) 'usi%at 2 (F#$idin, F#$y$om r*); a,tis*pti", K36I7B*,(la, +u,%ar *-il %a, li-i, s*+*sar a-a,&p(l(,& %a, ti%a +*rsi'at &a,as

 T*ruta)a t*r%apat pa%a a,aa,a %i+*laa,&ta,&a,; %i +Lah ai; %i)ua4*,y*+a+,ya 7irus %a, a&a )*,ularO+at,yaV %*,&a, <at ya,& +*rsi'at )*rusaatau )*)+aar s*l.$(,t(h,ya : '*,(l; p*ra ,itrat; -(ll(%iu)! laruta, s*lul(sa ,itrat %l) -a)pr. *t*r

al(h(l"

. KA6IM3M37 DAN KAPA7AN

Page 89: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 89/128

. KA6IM3M37 DAN KAPA7ANDis*+a+a, p*rtu)+uha, liar %arilapisa, ta,%u.

Kapa#anKulit s*t*)pat )*,a%i *ras. S*ri,&t*ra%i %i +a&ia, ya,& s*ri,& t*rhi)pit.

Katim"m"# )9#a*"s"Dis*+a+a, t*a,a t*rus )*,*rus pa%asatu t*)pat . -iri,ya ari,&a, )*,&*ras%*,&a, +ii %it*,&ah,ya .

O+at,ya; $(ll(%iu) la-t(sal 1H.Bii aa, )*lu,a s*hi,&&a )u%ah%i*luara, %*,&a, pisau taa).

0 73KA /AKAR

Page 90: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 90/128

0ua +aar %apat %is*+a+a, (l*h V

a. -aira, pa,as : lua p*r)uaa,ti%a %ala) t*tapi luas

+. +*,%a pa,as : lua l*+ih %ala)

%a, h*+at; t*tapi ti%a luas-. api : i%*)

S*suai %*,&a, %*raa% lua; %i+a&i :

Page 91: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 91/128

& &

a. %*raa% I : ulit +*rLar,a )*rah;a&a p*%ih

+. %*raa% 2 : *pi%*r)is rusa;+a,yal*puh; ,y*ri

-.%*raa% : *pi%*r)is hil,&; t*r)asuapil*r %a, sara'; ,y*ri h*+at

 Ya,& +isa %i(+ati %,& sLa)*%iasia%alah %*raa% 1

$(,t(h : T*r*,a ,alp(t pa,as; r((

)*,yala T*rp*r-i )i,ya pa,as

 T*rsira) air pa,as !ti%a luas"

4*,&(+ata, :

Page 92: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 92/128

a%a l*puh ya,& p*-ah )aa %itutup%*,&a, asa st*ril; u,tu )*,-*&ah

%*hi%rasi %a, i,'*si %i+alut %*,&a, p*r+a, %a, %it*a,a&ar ti%a t*ra%i l*puh. A,tis*ptia : p(7i%(, i(%i,

A,ti+at*ri p*ra sul'a%ia<i, +ur,a<i, R**pit*lisasi ulit : Estra plas*,ta +i(pl*-*,t(, *l

Mi,ya ia, sal*p )i,ya ia,

7"ka bakar matahari

Page 93: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 93/128

 T*ruta)a apa+ila +*rala,; +*r%ia) la)a

%i+aLah )atahari .Di-*&ah %*,&a, -ara )*li,%u,&i tu+uh%ari si,ar )atahari %*,&a,)*,&&u,aa, :

1. p*,utup tu+uh; payu,& %s+2. <at p*,yari,& –U !su,s-r**, > ta+irsurya" 4ABA ! pa)i,(+*,<(at";4a%i)at*; *st*r

4ABA ! a%anox, arasol" +*,<('*,(,(si+*,<(,; &ossolare krem s*,yaLa si,a)at; (til)*t(sisi,a)at

. %ita)+ah %*,&a, p*,yari,&U

Page 94: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 94/128

. %ita)+ah %*,&a, p*,yari,& Usi :

tita,%i(si%a s*,&(si%a

tal

%i(l*sa, s*t*,&ah a) s*+*lu)+*r*)ur;

s*t*lah (,ta %*p*rlu %i(l*sa, la&i

6at(r p*li,%u,& %ari suatu r*); l(ti(,;

Page 95: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 95/128

p & ; ;+*%a !Su, Pr(t*ti' 5at(r > SP5+ )*,yataa,:

%aya,ya u,tu )*,yari,& si,ar –U %a, +*rapa la)a iraira %apat +*ra%a%i+aLah si,ar )atahari ti%a t*r+aar.

Misal,ya :

Kulit )*)*rah s*t*lah *,a )atahari H)*,it

Bila )*,&&u,aa, r*) %*,&a, faktor

0; )aa ulit +aru t*r+aar si,ar)atahari s*t*lah 0> H )*,it > 1FH)*,it.

. ?AM3R

Page 96: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 96/128

?

I,'*si a)ur pa%a %asaLarsa t*rahir i,i %is*luruh %u,ia )*,i,&at.

4*,y*+ara, i,i )u,&i, %is*+a+a, :a. p*,i,&ata, p*,&&u,aa, a,ti+i(tia+*rsp*tru) luas ya,& %apat )*rusa*s*i)+a,&a, +i(l(&i J(ra ,(r)al

u)a,+. p*,&&u,aa, (rti(st*r(i% ya,& %apat

)*,uru,a, i)u,itas t*rha%ap i,'*si

-. p*,&&u,aa, pil a,ti ha)il ya,& %apat

)*,sti)ulasi i,'*si%. 'at(r hy&i*,is V (la) r*,a,&; sau,a;%s+

 @a)ur atau 'u,&i t*r)asu &(l(,&a,J ti% i l l

Page 97: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 97/128

J(ra ya,& ti%a )*)pu,yai l(r(l.

  @a)ur hi%up s*+a&ai sapr(t atau

parasit.

4*ra,a, a)ur :

a. s*+a&ai +aha, )aa,a,+. )*)+a,tu )*)+uat +aha, )aa,a,

-. p*,&hasil (+at a,ti+i(tia

%. p*rusa +aha, )aa,a, 5)aa,a,

*. )*,&i,'*si ulit; ra)+ut %a, (r&a,(r&a, lai,.

Kulit %a, s*laput l*,%ir s*lalu %ihu,i (l*h l h i % t %i+ i

Page 98: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 98/128

s*u)lah (r&a,is)* ya,& %apat %i+a&i%ala) 2 *l()p(

! 5#ora tetap )resident @ora+

 T*r%iri %ari )ir((r&a,is)* t*tap ! +asil; a)ur; ra&i";

  T*r%apat pa%a l(asi t*rt*,tu %a, usiat*rt*,tu.

Bila susu,a, J(ra t*r&a,&&u;*s*i)+a,&a, i,i s*&*ra pulih %*,&a,

s*,%iri,ya.6l(ra i,i p*,ti,& u,tu )*)p*rtaha,a,*s*hata, %a, 'u,&si ,(r)al tu+uh.

$(,t(h : J(ra ,(r)al pa%a 7a&i,a .4 % i % + i J i i

Page 99: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 99/128

• 4a%a usia %*Lasa s*+a&ia, J(ra i,it*r%iri %ari la-t(+a-illi ya,&

)*)p*rtaha,a, li,&u,&a, asa)%*,&a, )*)+*,tu asa) latat %ariar+(hi%rat !&li(&*,".

• K*asa)a, i,i )*,-*&ah

+*r*)+a,&,ya )ir((r&a,is)*pat(&*, %i 7a&i,a.• Bila la-t(+asilli %iha)+at )is (l*h

a,tis*ptia; )aa J(ra lai, ya,&)*,y*+a+a, iritasi %a, p*ra%a,&a,aa, )*,i,&at kep"tihan ai+ati,'*si $a,%i%a %i 7a&i,a ! %i+*rip(7i%(, @*l atau %(u-h* "

$ 5#ora se#eat )transient @ora+

Page 100: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 100/128

$ 5#ora se#eat )transient @ora+

 T*r%iri %ari )ir((r&a,is)* ,(,pat(&*,

)aupu, ya,& p(t*,sial pat(&*, ; t*tapiti%a )*,y*+a+a, sait.

Bila *s*i)+a,&a, t*r&a,&&u *l()p(J(ra i,i %apat +*r*)+a,& %a,

)*,y*+a+a, sait

=*ala %*r)at()i(sis s*ri,& )irip%*r)atitis;

U,tu )*)astia, i,'*si a)ur; p*rlu%ilaua, t*s *r(a, ulit %*,&a, KOC

 @a)ur )*)p*r+a,ya %*,&a, s*ls*l ya,&%i + t

Page 101: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 101/128

%is*+ut sp(ra

Sp(ra %a, s*rpih ulit p*,%*rita i,'*si 'u,&i!%*r)at()i(sis" )*rupaa, su)+*r uta)ap*,ulara,.

S*t*lah t*ra%i i,'*si sp(ra tu)+uh %a,

)*)+*,tu )y-*liu) %*,&a, )*,&&u,aa,s*rpih ulit s*+a&ai +aha, )aa,a,; *)u%ia,)*,i)+ula, p*ra%a,&a,.

Bila a)ur tu)+uh %i '(li*l ra)+ut r(,t(

Bila a)ur tu)+uh %i uu (,-h()y-(sis!uu apur"; +*rLar,a *putihputiha, %a,rapuh

I,'*si a)ur %apat %i+a&i )*,a%i :

1 Mi(sis u)u) !sist*)i"

Page 102: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 102/128

1. Mi(sis u)u) !sist*)i"

2. Mi(sis p*r)uaa, !ti,*a"

  %apat %ilaua, sLa)*%iasi4*,y*+a+,ya :

 a 9andida a#bicans

  S*ri,& )*,&i,'*si pa%a )u(sa ! )ulut;

+r(,-hia %a, 7a&i,a b Pityrospor"m o*a#e; ya,& +*rp*ra,pa%a *t()+*

 c Ma#asse8ia f"rf"r; ya,& )*,y*+a+a,

pa,u;  d 6rychophyton' Epidermophyton'

Microspor"m

•  @a)ura)ur i,i u&a %i,a)aa)

Page 103: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 103/128

'u,&i ri,&L(r) !i,'*si t*r%iri %ari+*r-a+*r-a )*li,&ar %i ulit%*,&a, +atas taa) ya,& t*rtutup%*,&a, sisi atau &*l*)+u,& *-il".

•  @a)ur i,i hi%up %i lapisa, ta,%u ;uu s*rta ra)+ut %a, )*)ilii*,<i) ya,& )a)pu )*laruta,*rati,.

• M*,y*+a+a, pa,u; urap; uuapur; utu air

O+at(+at ya,& %i&u,aa, :1 A ti+i ti

Page 104: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 104/128

1. A,ti+i(tiaa,ti+i(tia ya,& %i&u,aa, u,tu

(+at a)ur;Nistati,S*ri,& %i&u,aa, pa%a -a,%i%iasis)ulut !sariaLa,; st()atitis" atau7a&i,itis.Di&u,aa, s*+a&ai  sal*p atau ri).

  ta+ 7a& 1HH HHH IU s*la)a 1#hari  +*%a ta+ur 1HH HHH iu5&ra)

2. Asa)asa) (r&a,i :

Page 105: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 105/128

a. Asa) salisilat

+*rhasiat 'u,&isi% ! " ; *rat(liti !G1H"; +at*ri(stati l*)ah.+. asa) +*,<(at+*rhasiat 'u,&istati %a, +at*ri(stati

l*)ah.  s*+a&ai <at p*,&aL*t; *st*r,ya! ,ipa&i,; ,ipas(l"+. Asa) u,%*sili,at+*rhasiat 'u,&istatis !G1H" t*ruta)at*rha%ap utu air !Ti,*a p*%is=ara) s*,&u,%*sili,at u,tu a%stri,&*,s%a, a,ti ra%a,& l*)ah

. s*,yaLa i)i%a<(lU)u),ya +*rhasiat 'u,&istati %a, pa%a

Page 106: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 106/128

U)u),ya +*rhasiat 'u,&istati %a, pa%a%(sis ti,&&i +**ra 'u,&isi% t*rha%ap

 a)ur t*rt*,tu.S*,yaLa i,i %i&u,aa, s*-ara l(alt*rha%ap %*r)at(t %a, -a,%i%a.a.)i(,a<(l ('aktarin"+*rhasiat 'u,&isi% %a, sp*tru),ya l*+ar.R*s(rpsi,ya *-il; t*ruta)a %i&u,aa,u,tu i,'*si %i ulit %a, uu.E'* sa)pi,& iritasi; al*r&i %a, rasat*r+aar %i ulit.

  Sal*p5 r*) 2 I,'*si ulit – G)i,&&u

•   I,'*si uu F +ula, atau 9

+. Is((,a<(l !"ravo!en, yno-travo!en"*(,a<(l ! yno evaryl)

Page 107: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 107/128

*(,a<(l ! yno-evaryl)Is()*r )i(,a<(l

U,tu )*,&(+ati -a,%i%iasis 7a&i,a;%i&u,aa, )ala) hari; a&ar (+at ti%a)*l*l*h *luar.D(sis is((,a<(l si,&l* %(sis HH )&D(sis *(,a<(l 1 %% 1 (7ula )ala)hari; s*la)a hari

U,tu i,'*si 7a&i,a; (7ula; ta+l*t sisipU,tu i,'*si ulit %i&u,aa,sal*p5r*)

-. K*t((,a<(l !i*oral)

i% l %

Page 108: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 108/128

I)i%a<(l p*rta)a ya,& %apat%i&u,aa, p*r(ral;

U,tu i,'*si a)ur sist*)i.

!a)ur sist*)i ti%a +isa %ilaua,sLa )*%iasi; *'* sa)pi,&

h*pat(t(sis; )*,&ha)+at si,t*sat*st(t*r(,; pr(%usi sp*r)at*r&a,&&u; t*ra%i i)p(t*,si".

Sp*tru) *ra,ya )irip )i(,a<(l.

D(sis i,'*si ulit 2 %i%ala) sal*p

%. Kl(tri)a<(l !Canesten"

Page 109: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 109/128

Sp*tru),ya l*+ih s*)pit %aripa%a

)i(,a<(lD(sis i,'*si 7a&i,a 1 ta+ 7a& GHH)& )ala) hari

I,'*si ulit G %ala) sal*p

*. Bi'(,a<(l !My$ospor "

D*ri7at i)i%a<(l ya,& *'*ti' u,tu

Malass*<ia 'ur'ur %a, -a,%i%a

' . lai,lai,

Page 110: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 110/128

T(l,a'tat !aftate"

  E'*ti' u,tu pa,u ti%a u,tu -a,%i%a Cal(pr(&i, !olik "

  T*ruta)a *'*ti' t*rha%ap utu air

Na'titi, (Exoderil"

  U,tu (+at pa,u %a, i,'*si uu

Sil(pir(s !Batrafen"

Sp*tru),ya luas; )*a,is)* *ra,ya p*ri,ta,&a,

tra,sp(r %ari asa)asa) a)i,( )*lalui )*)+ra, s*l a)ur

- Sul'ur pr*sipitat* G1H

i i t

Page 111: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 111/128

)*)pu,yai *)a)pua, )*,&iat a)ur %,& *'*,ya 'u,&isi%

- I(%iu) ; ti,tur i(%iu) 2

6u,&isi% %a, sp(rasi%

*'* sa)pi,&,ya )*ra,&sa,& ulit

- 6*,(l %a, turu,a,,ya !r*s(rsi,(l; ti)(l;pir(&al(l"

'u,&isi% %a, +at*risi%

-

=*,tia, 7i(l*t 12'u,&isi% %a, +at*risi%

B*+*rapa %*r)at()i(sis ya,& s*ri,&%it*)ua, :

Page 112: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 112/128

%it*)ua, :

! K"t" air ) ath#eteB foot' 6ineapedis"

4*,y*+a+,ya a)ur

=*ala,ya +*rupa &atal&atal %ia,tara ari ai; *)u%ia, t*r+*,tu&*l*)+u,& lalu p*-ah. Kulit )*,a%ilu,a %a, t*r*lupas.

Su)+*r i,'*si : ulit ya,& t*r*lupas

O+at : Mi(,a<(l r*); 2# )i,&&u

$ K"k" kap"r 

Page 113: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 113/128

!ramBs horn nai# C onychomycose"

$iri,ya uu )*,*+al; )*,&*ras;rapuh; )u%ah patah; +*rLar,a*putihputiha,.S*ri,& )*,ular %ari uu * uu.

0a,sia l*+ih s*ri,& t*ri,'*si ar*,asirulasi %arah %i ariari ai ura,&+ai.Suar %is*)+uha, ar*,a a)ur

t*rs*)+u,yi pa%a pa,&al uu.4*,&(+ata, %*,&a, )i(,a<(l)i,i)al 12 +ula,

Pan" )pityriasis *ersico#or"

Page 114: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 114/128

4*,y*+a+,ya : Malass*<ia 'ur'ur

=*ala : +*r-a+*r-a putih %a,*-(lata, –)*rah %i t*,&u; %a%a;pu,&&u,& %a, l*,&a,; )uaO+at : Asa) salisilat G1H %ala)

al(h(l %ilutus  K()+i,asi asa) salisilat %a,asa) +*,<(at

  Mi(,a<(l; is((,a<(l;

l(tri)as(l r*) 2 )i,&&u

# Ketombe4*,y*+a+ : 4ityr(sp(ru) (7al* !J(ra ,(r)al

Page 115: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 115/128

4*,y*+a+ : 4ityr(sp(ru) (7al* !J(ra ,(r)alp% ulit *pala"

Kalau u)lah +*rl*+iha,; )*,sti)ulir lipas*. Tri&lis*ri% %ir()+a )*,a%i asa) l*)a;)*ra,&sa,& ulit; )*,sti)ulir s*ls*l*pi%*r)is; *rati, %il*pasa,. K*rati, l*pasti%a ,(r)al t*tapi )*l*at satu sa)a lai,

s*+a&ai &u)pala,&u)pala, !s*rpiha,".=*ala : t*rl*pas,ya s*rpih +*rl*+iha, %ariulit *pala; &atalO+at : Sha)p( ya,& )*,&a,%u,& :

  s*l*,sul%a s*,& pirithi(,; pir(-t(,* (la)i,*

. 9andida 

Page 116: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 116/128

4*,y*+a+ : -a,%i%a al+i-a,s

 T*ruta)a tu)+uh pa%a )u(sa=*ala : )u(sa )*)*rah %a,)*,&*luar a, -aira,

O+at : ,istati, ! My$ostatin, 'aktarinOral  el"; p(7i%(, i(%i, !&ar&*l"

@ERAWAT > A$NE U0=ARIS

Page 117: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 117/128

 @ERAWAT A$NE U0=ARIS

 @*raLat a%alah p*ra%a,&a, r(,is %ari '(li*l *l*,ar tal&4*,yait u)u) pa%a ulit ya,& )*,y*ra,& FG1HH (ra,&. T*r+a,ya pa%a usia )*,*la,& 2H tahu,.

=*ala : ulit +*r)i,ya %*,&a, +i,ti+i,ti hita) %a,+i,til putih !()*%("

Bi,til *-il lu,a; )*rah !p*ra%a,&a,"; +*,(l +*risi tal&;+isa t*ra%i parut.

B*+*rapa hal ya,& )*)p*rparah a-,* a,tara lai, str*ss

!t*a,a, *)(si(,al"; )*,struasi ; )*)*,-*t a-,*.

A-,* %apat )*,y*+a+a, str*ss psi(l(&is %a, )asalahs(sial ar*,a %apat )*)p*,&aruhi p*,a)pila, s*s*(ra,&.

Ke#en&ar ta#g Ke#en&ar sebasea

Page 118: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 118/128

K*l*,ar tal& t*r%apat %ala) u)lah +*sar

%i ulit +a&ia, )ua; pu,&&u,& %a, %a%a.

K*l*,ar tal& t*r%apat %ala) suatua,t(,& !'(li*l"

Ka,t(,& *l*,ar tal& l*+ih +*sar %aria,t(,& ra)+ut %a, +*risi ra)+ut *-ilya,& ti%a +*r*)+a,&.

Ka,t(,& i,i )*)pu,yai salura, * lu+a,&*-il %i p*r)uaa, ulit ya,& %is*+ut p(ri.

• 4a%a K*l*,ar tal& t*r%apat J(ra

Page 119: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 119/128

ropionil%a$teri#m a$ne; ya,& %apat

)*)+*,tu lipas* u,tu )*ru+ahtal& )*,a%i asa) l*)a +*+as.

• Masa ail +aliX )ulai %ipr(%usih(r)(,h(r)(, *la)i, a,%r(&*,;

t*st(st*r(, !lailai" %a, *str(&*,;pr(&*st*r(,; %a, a,%r(&*, %*,&a,

 u)lah s*%iit !La,ita"

A,%r(&*, +*rta,&&u,& aLa+t*rha%ap ti)+ul,ya a-,*.

6a#g 2222 seb"m

Page 120: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 120/128

• A,%r(&*, )*)p*,&aruhi *l*,ar

tal& u,tu )*)pr(%usi tal&.•  Tal& a%alah s**,is l*)a ya,&

t*r%iri %ari -a)pura, : tri&lis*ri%;*st*r*st*r lili,; sXual*,; (l*st*r(l;

'(s'(lipi%.• Di*luara, * p*r)uaa, ulit

)*l*Lati p(ri; u,tu )*)*lihara

ulit a&ar ti%a )*,a%i *ri,& %a,t*tap l*,tur;

K4MED4• S*+a&ia, +*sar p*rtuara, <at %ari h(r)(,

Page 121: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 121/128

S*+a&ia, +*sar p*rtuara, <at %ari h(r)(,a,%r(&*, t*ra%i %i ulit.

 T*st(st*r(, %iru+ah )*,a%i%ihi%r(t*st(st*r(, !DCT" ya,& l*+ih ati'.• DCT )*,i,&ata, ati7itas *l*,ar tal& ;

t*ra%i (7*rpr(%usi *l*,ar tal&!)*sipu, a%ar a,%r(&*, %ala) %arahti%a)*,i,&at"

• 4a%a s*ls*l p(ri; t*ra%i p*)+*,tua, s*lta,%u ya,& +*rl*+iha,

•  @ala, *luar %ari tal& ya,& (7*rpr(%usi

t*rtutup s*l ta,%u; t*ra%i su)+ata, %i+aLah ulitS"mbatan ini diseb"t komedo

 K()*%( a%a 2 )a-a) :

% +

Page 122: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 122/128

1. K()*%( t*r+ua

  Su)+ata, %*,&a, titi hita)!%ari )*la,i, ya,&t*r(si%asi" t*r+*,tu %ip*r)uaa, ulit s*la)a salura,

+*lu) t*rsu)+at s*luruh,ya2. K()*%( t*rtutup

  B*rupa +i,til putih;

  T*ra%i,ya l*+ih %i %ala); +ilap(ri su%ah t*rsu)+at

• 4*,yu)+ata, )*,y*+a+a, J(ra+ + + l +ih l

Page 123: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 123/128

+*r*)+a,& +*rl*+iha,; asa) l*)at*r+*,tu l*+ih +a,ya ;)*,i)+ula, t*a,a, pa%a %i,%i,&'(li*l *l*,ar tal&; '(li*l +isa p*-ah%a, t*ra%i p*ra%a,&a, %i +aLah

ulit• Ai+at,ya t*ra%i +isul !papula" ya,&

+*rLar,a )*rah %a, a%aala,ya+*risi pus !pustula"

S*-ara li,is a,* %apat %ilasiasia,+*r%asara, :

Page 124: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 124/128

+*r%asara, :1. Ti,&at *s*luruha, :

 Ti,&at I : +*+*rapa ()*%( %*,&a, s*%iitatau ta,pa p*ra%a,&a, Ti,&at II : t*r%iri %ari ()*%(; papula %a,pustula

 Ti,&at III : sa)a %*,&a, ti,&at II %a, a%at*,%*,si p*ra%a,&a, %i %ala) Ti,&at I : pali,& parah sa)a %*,&a, a-,*-(,&l(+ata2. Sp(t ! l*si"

a. tip* ()*%(,al+. tip* papul(pustular-. tip* -(,&l(+ata

SLa)*%iasi %apat %ilaua, u,tu asusasus ya,& ri,&a, %a, ti%a t*rlalu +*rat.

Page 125: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 125/128

asus ya,& ri,&a, %a, ti%a t*rlalu +*rat.

O+at(+at ya,& %apat %i&u,aa, :O+at luar ya,& %i&u,aa, u,tusLa)*%iasi )*,-aup #. *l()p( :

! Kerato#itik 

M*lu,aa, %a, )*lisisa, *rati, ya,&)*,yu)+at p(ri; s*hi,&&a lu+a,& t*)pat*luar,ya tal& t*r+ua *)+ali; s*hi,&&a%apat %ihi,%ari t*r+*,tu,ya ()*%(

+aru.O+at i,i u&a +*rsi'at a,tis*pti

  -(,t(h : asa) salisilat 2

Page 126: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 126/128

asa) salisilat 2 sul'ur pr*sipitat #

r*s(rsi,(l H;G +*,<(ilp*r(si%as* 2;G; G !Ben*ola$"

hasiat : *rat(liti; +at*ri(stati %a,

)*)utiha, !+l*a-hi,&"  E'* : )*,&ura,&i u)lah ()*%( %a,

)*,-*&ah p*)+*,tua, ()*%(+aru

E'* sa)pi,& : iritasi ulit; %i)ulai %ari%(sis ya,& *-il. S*ri,& %iu)pai ()+i,asi%ari (+at(+at a,tis*pti

 $ Antibiotik  !p*,&&u,aa, t(pial;r*) sal*p l(ti(,"

Page 127: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 127/128

r*); sal*p; l(ti(,"a. t*trasili, 2 !u&a %apat

)*,&ha)+at *,<i) lipas* %ariJ(ra a$ne

+. li,%a)ysi, 1;

  -. &*,ta)isi, H;1  %. *ritr()isi, #

( ormon2hormon ke#amin4*rlu p*)*risaa, %(t*r

, 6retinoin H;H2G; H;HG > asa)it i A (& ti + E d "

Page 128: Swamedikasi baru.pptx

7/17/2019 Swamedikasi baru.pptx

http://slidepdf.com/reader/full/swamedikasi-barupptx 128/128

7ita)i, A (&etin-+, E#dyna"

Khasiat : )*,(r)alisasi pr(s*sp*)+*,tua, *rati,; )*lisisa,su)+ata, *rati, %a, )*,&ura,&ipr(%usi tal& !s*+u)"; s*hi,&&a

%apat )*,-*&ah p*)+*,tua,()*%( +aru.

• E'* sa)pi,&,ya %apat

)*,y*+a+a, t*rat(&*,i•  T*rs*%ia %ala) +*,tu r*)