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    NAZZA R RAMDHAGAMA

    1102014190

    SASARAN BELAJAR 

    LI. 1 MEMAHAMI DAN MENJELASKAN MENGENAI ANATOMI SALURAN

    PERNAPASAN ATAS

    LO.1.1 MAKROSKOPIS

    LO.1.2 MIKROSKOPIS

    LI.2 MEMAHAMI DAN MENJELASKAN MENGENAI MEKANISME

    PERTAHANAN SALURAN NAPAS ATAS

    LO.3.1 FUNGSI

    LO.3.2 MEKANISME

    LI.3 MEMAHAMI DAN MENJELASKAN MENGENAI RHINITIS ALERGI

    LO.4.1 DEFINISI

    LO.4.2 ETIOLOGI

    LO.4.3 EPIDEMIOLOGI

    LO.4.4 KLASIFIKASI

    LO.4.5 PATOFISIOLOGI

    LO.4.6 MANIFESTASI KLINIS

    LO.4.7 DIAGNOSIS & DIAGNOSIS BANDING

    LO.4.8 PENATALAKSANAAN

    LO.4.9 KOMPLIKASI

    LO.4.10 PROGNOSIS

    LI.4 MEMAHAMI DAN MENJELASKAN ADAB BERSIN DALAM ISLAM

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    LI. 1 MEMAHAMI DAN MENJELASKAN MENGENAI ANATOMI SALURAN

    PERNAPASAN ATAS

    LO.1.1 MAKROSKOPIS SALURAN PERNAPASAN ATAS

    1. HIDUNG

    O!"# $%"'" ("#! )%*+#!,- "/"' ,"/+"# #"$",. T%"$" %,-)+/+' #",- ("#!%"$" -/-" "," ("#! )%*+#!,- ,%)"!"- ,"-#!"# +"". B"!-"# "/"' #!!" -+#! ""%)%#+ %#!"# ("#! -,%)+ "+' #",- '+/"- "- #"%, "#%- ,"'$"- % #"%,

     $,%- /"/+ % #",*"-#!.

    S%" "#"" %+" #!!" -+#! -)"",- -#-#! ("#! )%","/ "- +/"#! "#'++," ("-+ ,%$+' #",- ("#! -)%#+ /% ". "-/"! ,%$- #",

     ). O, '%.L"'-#" $%$%#-+/"-, , %'-"/-,

    D-#-#! ,+$%- #!!" -+#! ,%'$- -)%#+ /"'-#" -)*'-, %'-"/-,("#! '%'-,""# #!!" %#!" %#!"# #!!" -+#!. D-#-#! -#*%- -)%#+ ,'"-//" "# , $"/"-#+'.

    Ukura Par!"k#$ D"%ar"& O$#'

    : 10 ;'

    @ 2 ;' P"+?$"+ =,%/ /%+,- "# %#%/-"/ $"+>

    A" 2 "" $%'%-,""# -+#! ("-+ -#,$( "#%- "# $,%-. P"" "#%- -"+' #",- - ,-,- /"%"/ %"$" #" #","/-, ("#! %)%#+ "- +/"#! -$-, "# -++$-'+," ("#! '%#!%/+""# /%#- "# - '%-"/ %/-" -#-#! ,%$+' #",-. P"" $,%-"$" %/-" #",*"-#! "#"% )"!-"# ++#! )%/""#! #"% #","/-, '%-" "# -#*%-

     +!" %/-" OPTA ("#! )%+)+#!"# %#!"# %/-#!".U"" ("#! --+$ '%/"/+- -+#! ""# '%#!"/"'- -!" "/

    • D-"#!""#• D-,"-#!• D-/%')")"#

    K%-!" "/ - "", '%+$""# *+#!,- +"'" "- ,%/"$+ /%#- %,$-",- ("#! %--"", P,%,"*-% -/-"% /+'#" E$-%/-+' ("#! )%*+#!,- '%#!!%""# $"-%/? $"-%/ "/+, % "" *"-#! ,%"#!"# $"-%/ ("#! )%," ""# -,"-#! /% )+/+ -+#!,%/ !/)% "# %/%#" ,%+, ("#! )%*+#!,- '%/%')")"# +"" ("#! '",+ $%')+/+"" ("#! )%*+#!,- '%#!"#!""# +"". K%-!" "/ %,%)+ -)"#+ %#!"# #".T%"$" 3 )+" #" #","/-, ("-+ ". #" #","/-, ,+$%-

     ). #" #","/-, -#*%-. #" #","/-, '%-"

    D- "#"" #" #","/-, ,+$%- "# '%-" %"$" '%"+, #","/-, ,+$%-. A#""

    #" '%-" "# -#*%- %"$" '%"+, #","/-, '%-". A#"" #" #","/-, -#*%- "#

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    -#-#! "", '"-//" %"$" '%"+, #","/-, -#*%-. S-#+,?,-#+, ("#! )%+)+#!"# %#!"#"+' #",- -,%)+ ,-#+, $""#","/-,

    ". S-#+, ,$%#-"/-, '%#!%/+""#,%%,-#(" '%/"/+- '%"+, ,+$%-

     ). S-#+, *#"/-, % '%"+, '%-". S-#+, '"-//"-, % '%"+,'%-". S-#+, %'-"/-, % '%"+,,+$%- "# '%-".

    D- ,++ '"" %"$" +)+#!"#"#"" -+#! "# '"" '%/"/+-++, #",/"-'"/-, %'$"%/+"#(" "- '"" % -+#!'%/"/+- '%"+, -#*%-. D-

    #",*"-#! %"$" +)+#!"# "#"" -+#! "# #!!" %/-#!" '%/"/+- OPTA =O,%+'P"(#!%+' T+)" A+--"> %+,"--. A/+#(" )%#"'" +, )"-+,.

    P#r%ara(a '")u&

    P%,""*"# ,%#,- "# ,%%'- -+#! 1. D%$"# "# "", "+' #",- '%#"$" $%,""*"# ,%#,-, "- ")"#! #%+, $"/'-+,2. B"!-"# /"-##(" %'",+ '++," -+#! "+' #",- -$%,""*- !"#!/-# ,*%#$"/"-#+'.

     N",*"-#! "# #" #","/-, '%#"$" $%,""*"# ,%#,- "- ")"#! !"#!/-# $%(!$"/"-#+'.

    2. FARINGP-$" )% ("#! )%"/"# "- "," %#!","'$"- $%,"')+#!"##(" %#!"# %,$"!+, $""%-#!!-"# +/"#! ""# K--. M"" /%"#(" -

     )%/""#! /"-# =/"-#?*"-#!%"/>. F"-#! %)"!-'%#"- 3 ("-+". N",*"-#! %"$" P"(#!%"/ T#,-/ "# T+)"E+,"-+,

     ). O*"-#! '%+$""# $%%'+"# #!!" '+/+

    %#!"# *"-#! %"$" $"#!"/ /-" !")+#!"#,-,%' %,$-",- "# $%#%#""#. L"-#!*"-#! %"- $%,-/"#!"# "#"" "/-"#+"" "# "/-"# '""#"#.

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    3. LARING

    D"%" ("#! -'+/"- "- "-+, /"(#!-, ,"'$"- )"", )"" "-/"! --. R"#!" /"-#! %)%#+ "-+/"#! ""# "# +/"#!. L"-#! ""/" )"!-"# %)""

    "- ,"/+"# #"$", "",.1. B%)%#+ +/"#! ""/" , (-2. B%)%#+ +/"#! ""# ""/" (- 1 )+""(%#- 2 )+" %$-!/-, 1 )+". P"" "(%#- )"!-"#++#! "" +/"#! ""# %-/ "-/"! #++/"" "#+#%-*'%.3. T+/"#! ""# "# #(" )%","/ "- '%,%#-'/%#!+#! *"-#! % 4 "# % 6. M%,%#-#

     )%$/-*%",- %#!"# %$" "-+, /"-#!-, )%+)" )%#+ "- %/" ,"!-"/ '%#"- /+)"#! )%#+ T.'%,%#-# %+" /%#!+#! *"-#! '%#"- "-/"!--%" --%" ,%" "#%#-%". E$-%/ /"-#!

     )%$/-*%",- %#!"# %$".

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    O? /"-#! ". O %-#,- /"-#!

    • M.-(-• M. (%$-!/-+,

     ). O -#-#,- /"-#!• M.-"(%#- $,%- ("#! '%')+" $/-" "/-,. -" %"$" !"#!!+"# $""

    -#- '"" )-," '%#(%)")"# "#! %%- "# '%#-#!!"/ "%#" -'" !/--,%++$. O -#- -,%)+ +!" ,"*%( '+,/% * /"(#.

    • M. -"(%#- /"%"/-, ("#! '%#++$ $/-" "/-, "# '%#++$ -'" !/-,• M. "(%#- "#,%,+, "# )/-• M."/-,• M. "(%$-!/-"• M. ("(%#-

    D"/"' "+' /"(#!-, %"$" P/-" "/-, ("-+ $-" ,+"" ",/- ,%"#!"# $/-" %,-)+/"-, ""/" $-" ,+"" $"/,+. A#""

     $/-" "/-, -- "# "#"# %"$" -'" !/--, ,%"#!"# "#"" $/-" %,-)+/"-,%"$" -'" %,-)+/-. P%,(""*"# "%" /"-#! ""/" ,%")+ #%+, "!+, %#!"# ")"#!% /"-#! ,%)"!"- #./"(#!-, ,+$%- "# #. %+%#.

    LO.1.2 MIKROSKOPIS SALURAN PERNAPASAN ATASS-,%' $%#"$","# )-,""#(" -)"!- '%#"- 2 "%" +"'"

    1. B"!-"# #+,- '%/-$+- #!!" -+#! #",*"-#! /"-#! "%" )#+, )#-/+, "# )#-/+, %'-#"/-,

    2. B"!-"# %,$-",- '%/-$+- )#-/+, %,$-"-+, ++, "/%/"-, "#"/%/+,.

    S%)"!-"# )%," )"!-"# #+,- -/"$-,- %$-%/ %,$-",- ("-+ %$-%/ )%-#!" ,-/-#-, )%,-/-" %#!"# ,%/ !)/%. D%#!"# '%#!!+#""# '-,$ %/%# "$" -/-" "" 5'""' ,%/ %$-%/ %,$-",- ("-+ ,%/ ,-/-#-, )%,-/-" ,%/ !)/% '+," ,%/ ,-" =)+, %//,>,%/ )","/ "# ,%/ !"#+/ %-/.

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    1. Ba&"a K+)uk%"

    R#!!" -+#! N",*"-#! L"-#! T"%" B#+, B#-/+, B#-/+, %'-#"/-,

    2. Ba&"a R#%-"ra%" /!#-a! #r$a&%u&*a -#r!ukara &a%

    B#+, %,$-"-+, D++, "/%/"-, A/%/+, M--$ "#+#! S%)"!-"# )%," $"+.

    R+&&a '")u&

    R#!!" -+#! %-- "", %,-)+/+' "# *," #","/-,. P"" %,-)+/+' - ,%-" #"%, %"$" %/%#" ,%)",%" "# -)-," =)+/+ -+#!>. E$-%/ - "/"' %,-)+/+''%+$""# %$-%/ %,$-",- ,%)%/+' '%'",+- *," #","/-,. P"" *," #","/-, ="+' #",->("#! -)"!- +" /% ,%$+' #",- $"" !"-, '%-"/ %"$" #" =,+$%- '%-"-#*%-> $"" '",-#!?'",-#! -#-#! /"%"/#(". K#" '%-" "# -#*%- -++$- /%%$-%/ %,$-",- ,%"#!"# #" ,+$%- -++$- /% #-"!#$ +$(ak!+r"u% ("#! +,+, +#+ *+#!,- '%#!-+'%')"+-. E$-%/ /*"-+, %,%)+ %-- "", %#$ -#*+k+&%#$%u%!#!aku$#r %#$ +$(ak!+r"u% =#%+# )-$/" %#!"# %#- ("#! '%/%)" - $%'+""#%$-%/ /*"-+, "# )%,-/-" )%*+#!,- ,%)"!"- %,%$ "# '%'-/-- ",# ("#! )%,-#"$,%#!"# #%+# /*"-+, "> %#$ a%a$ =)%)%#+ $-"'-> "# k#$#5ar B+6a $""/"'-#" $$-". K%/%#" B'"# '%#!",-/"# ,%% ("#! '%')%,-"# ,-/-" ,%//*"-+, ,%-#!!" '%'+""# ",%, #%+# +#+ '%')"+- "?". A"#(" -)-,"#" "# ",+/"-,",- ("#! ", $"" #!!" -+#! '%')+" ,%-"$ +"" ("#! '",+ '%#!"/"'- $%')%,-"# $%/%')"$"# "# $%#!"#!""# ,%)%/+' '",+ /%)- "+.

    S-/-" )%*+#!,- +#+ '%##! /%#- % "" #",*"-#! +#+ %%/"# ""+-%/+""# =)"+> .S%/ !)/% "# %/%#" "'$+ - /"'-#" $$-" '#!",-/"# ,%%+#+ '%#"!" %/%')")"# -+#! "# '%#"#!"$ $"-%/ %)+ "/+, . D- )"" %$-%/#" -#*%- %"$" %6#$$ +)"#% '%+$""# */%,+, #,+, +#+ '%#!"#!""#+"" -#,$-",- %$-%/ /*"- ", $"" #" ,+$%-Pa)a a&"a k+)uk%" 7

    D%#!"# ""#(" +/"#! ""# ,%" %/",-# /"!%# "# $/, →  )%,-*" "+ "#*/%,-)%/ ("#! )%*+#!,- U#+ '%#!"/-"# +"" % "# "- $"+ "# '%#(-"$"# +""("#! '",+ 

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     N",*"-#! -/"$-,- /% #-"!#$ r#%-"ra%" $"" )"!-"# ("#! )%#" %#!"# $"/"+' '/%,%"#!"# *"-#! -/"$-,- #-"!#$ !"-# %kua+%a-#&.

    T%-- "-  N",*"-#! =%$-%/ )%-#!" " )%,-/-" %#!"# ,%/

    !)/%> O*"-#! =%$-%/ )%/"$-, !%$%#! %#!"# /"$-,"#

    "#+> L"-#!*"-#! =%$-%/ )%"-",->

    Lar"&

    L"-#! '%+$""# )"!-"# ("#! '%#!+)+#!"# *"-#! %#!"# "%". Pa)a $a"a -r+-r"a$ar"& !#r)a-a! !u$a& ra6a '"a$" )a #$a%!"  ("#! )%*+#!,- ,%)"!"- "+$ ("#!'%#%!" '",+#(" '""#"# "# ,%)"!"- "/" $%#!",-/ ,+"" $"" *+#!,- *#",-. E$-!/-,

    '%+$""# +/+"# "- %$-"# /"-#! '%/+", % *"-#! "# '%'-/-- $%'+""# /-#!+"/ "#/"-#!%"/. B"!-"# /-#!+"/ "# "$-"/ %$-!/-, -++$- /% #-"!#$ -#& #r$a-"% ,%"#!"# $%'+""# /"-#!%"/ -++$- /% #-"!#$ r#%-"ra%" #r!"&ka! #r%"$")r"% #r%"$"a. D- )"" %$-%/ %"$" %/%#" "'$+"# '+," "# ,%,".

    E-"&$+!!"%

    M%'-/-- $%'+""# /-#!+"/ "# /"(#!%"/. S%/++ $%'+""# /"-#!%"/ -++$- /%%$-%/ )%/"$-, !%$%#! '%#%"- )",-, %$-!/-, $"" ,-,- /"-#!%"/ %$-%/ -#- '%#!"/"'-

     $%"/-"# '%#"- %$-%/ )%-#!" ,-/-#-, )%,-/-"

    LI.2 MEMAHAMI DAN MENJELASKAN MENGENAI MEKANISMEPERTAHANAN SALURAN NAPAS ATAS

    LO.3.1 8UNGSI

    P%#"$","# ""+ %,$-",- ""/" '%#!-+$ +"" "- /+" ("#! '%#!"#+#! O2%"/"' +)+ ,%" '%#!%')+,"# +"" ("#! )"#(" '%#!"#+#! O2 ,%)"!"- ,-," "-,-",- ("#! %/+" "- +)+. P,%, $%#!-+$"# +"" -#- -,%)+ -#,$-",- "#'%#!%')+,"# -,%)+ %,$-",-

    8u&%" u!aa -#ra-a%a7

    • M%#"'-# %,%-"#(" O2 +#+ %/"#!,+#!"# '%")/-,'% ,%/ ,%/ +)+.

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    • M%#!%/+""# O2 ,%)"!"- ",-/ '%")/-,'% ,%/ ,%"" %+, '%#%+,.

    8u&%" !aa'a -#ra-a%a7

    • M%#!%/+""# "- "# $"#", "- +)+•

    P,%, )%)-"" '%#("#(- "# "/-,",-• M%#-#!""# "/-"# )"/- %#"• M%#!%/+""# '%'-*-",-"# '%#!"-*"# "# '%#!-#"-*"# )""# ("#!

    '%/%"- ,-+/",- $+/'#"/ ,%$%- $,"!/"#-#

    8u&%" %a$ura -#ra-a%a7

    • P%""#"# )%#" ",-#! ("#! '",+ ,"/+"# #"*",.

    P"-%/ ++"# /%)- 10 +' ""# -"')" )+/+ )+/+ -+#!. P"-%/ ++"# 2?10 +'-"#!"$ /% ,-/-".-/-"( %,"/" '%##! %/+" !# %%$""# 16 '''%#-

    • M%#++#"# ,++ +"" $%#"*","# ,%,+"- %#!"# ,++ +)+ /% $%')+/+ "" $""

    '+," -+#! "# ,"/+"# +"".• H-+#! ,%)"!"- !"# $%#!-+.

    • M%/%')")"# +"" $%#"*","#

    H"/ -#- )%++"# +#+ '%#%!" '%#!%-#!#(" $%'+""# '%')"# "/%/-. F+#!,--#- -/"+"# /% '++, (! -",-/"# %/ ,%)",%" "# ,%/ !)/% $"" '+," -+#!"# *"-#!.

    Pr+%#% -#ra-a%a )"a&" #5a)" 2*a"!u7

    1 P%#"$","# /+" =%,%#"/>

    P,%, $%+""# O2 "# O2 "#" ,%/?,%/ +)+ %#!"# +"" /+"$%+""# !","#"" "" "# "',*%.

    2 P%#"$","# "/"' =-#%#"/>P%+""# !", "#"" "" ,-+/",- %#!"# ,%/ "-#!"#. T%"- $%#!!+#""# O2 +#+ 

     $,%, '%")/-,'% -#",%/ "/"' '-#-" "# $%')%#+"# O2 ,%" $%+""#!", "#"" ,%/?,%/ +)+ %#!"# '%-" "- ,%-"#(".

    S#ara (u&%"+a$ /(aa$ %a$ura -#ra(a%a )a-a! )"a&" #5a)" )ua a&"a *a"!u 7

    1. #" K#+,-

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

    %'-#"/-, ,++ +/"#! ""# '%#!-/"#! "# ,"/+"# +"" $"" "%" -#- "#("-/-#!"- /% $/,. S++ ,%'""' -#- '%#(%)")"# )#-/- /%)- %#"# %""$

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     $%#(-'$""# ("#! "$" -,%)")"# /% )%)%"$" *". B#-/- '%'$+#("- ,-/-" "# "'++,.

    B""#?)""# %)-, - "/%/- -"#!"$ /% ,%/ '"*"! ("#! %"$" $"" "/%/-%'+-"# -)"" /% /"$-,"# '+," "# ,%/"#+#(" -)+"#!.

    2. #" R%,$-"-#" %,$-"- %-- "- "/%/- "# ,++ ("#! )%+)+#!"#. P%+""# !", "#""+"" "# "" %"- - "/"' "/%/-. S%/"-# ,++ -"", %"$" $+/" ,++ ("#!/"-# ,%$%- )+/+?)+/+ $"" $-#+ '",+ ("#! $%#-#! +#+ '%#("-#! $"-%/?$"-%/ ("#!'",+.

    LO.3.2 MEKANISME

    1 M%"#-,'% $%#"$","# )%",""# "#"'-

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

    2 M%"#-,'% $%#"$","# )%",""# *-,-/!-#("

    I#,$-",- '%+$""# $,%, "-* ""# %"- #",- -#,$-",- ""#'%#-#!""# /+'% -#"""/%"#"# -#"$/%+" - )"!-"# )",-, $"+ ""# ++# "-#'"/ ,%-" ?25 '' H! =%/"-* %""$ %"#"# "',*%> $"" ""/ -#,$-",- '%#"-  6 '' H!."-#!"# $"+ ,%'"#!-# %!"#! %"#"# - "/"' ,"/+"# +"" '%#"- ,%--/%)- #%!"-* "# +"" '%#!"/- %"/"' $"+.$"" "- -#,$-",- "(" %-/ $"+ '+/"-'%#"- -#-#! "" %')"/- % %++"# %,$-",- ,"'$"- %"$"- %,%-')"#!"#%')"/- "#"" "(" %-/ "-#!"# $"+ "# -#-#! "".%"#"# -"/"' ,"/+"# +""'%#"- ,%-- $,--* "# +"" '%#!"/- '%#-#!!"/"# $"+,%/"'" $%#"$","#%#"#!%,$-",- '%+$""# $,%, $",-* ("#! -" '%'%/+"# #",- +#+ '%#++#"# /+'% -#"""/#"'+# $"" ""/ %,$-",- '",- %"$" #",- -#!"# -#,$-",-#",- -#- )%*+#!,- ,%)"!"- $%%"' "(" %-/ $"+ "# '%'$%/"')"%,$-",-.

    MEKANISME BATUK

    S%/++ ,"/+"# #"*", "- -+#! ,"'$"- )#-/+, %'-#"/-, -$%""#"# "!" %"$/%')") /% ,%/"$-, '+," ("#! '%/"$-,- ,%/++ $%'+""#. M++, -#- -,%%,-"#,%)"!-"# /% ,%/ !)/% "/"' %$-%/ ,"/+"# #"*", "# ,%)"!-"# /"!- /% %/%#",+)'+," ("#! %-/. B"+ ("#! -" %*%-* "$" '%#-')+/"# $%#+'$+"# ,%% ("#!

     )%/%)-"# "%/%",-, !"#!!+"# $%+""# !", "# /"-#?/"-#.

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    M%"#-,'% )"+ -)"!- '%#"- 3 *",%

    • F",% 1 =I#,$-",->

    P"+2 '%'",+"# +"#! /%)- 25 /-% +"" %,*"!+, "# $-" ,+"" '%#++$ ,%-#!!"+"" %%" "/"' $"+2

    • F",% 2 =K'$%,->

    O $%+ )%#",- -"*"!'" #"- "# '%#%"# $"+2 --+- $+/" %#!"# #",--#%," -#%#+,. P"" "-#(" ""# '%#(%)")"# %"#"# $"" $"+2 '%#-#!" -#!!"100''!.

    • F",% 3 =E,$-",->

    S$#"# %,*"!+, "# $-" ,+"" %)+" "# +"" '%/%" %/+" "- $"+

    MEKANISME BERSIN

    R%*/% )%,-# '--$ %#!"# %*/% )"+ %+"/- )"" %*/%, -#- )%/"#!,+#! $"" ,"/+"#-+#! )+"# $"" ,"/+"# $%#"$","# )"!-"# )"". R"#!,"#!"# ""/ '%#-')+/"#%*/%, )%,-# ""/" --",- "/"' ,"/+"# -+#! -'$+/, ,""* "*%%# )%"/"# "/"' #%+,% /-'" '%#++ '%+//" %'$" %*/%, -#- -%+,"#. T%"- ,%"#!"-"# %",- ("#! '--$%#!"# %*/%, )"+ %"$- ++/" -%"# ,%-#!!" ,%+'/" )%," +"" %#!"# %$"'%/"/+- -+#! %#!"# %'--"# '%')"#+ '%')%,-"# ,"/+"# -+#! "- )%#" ",-#!.

    LI.3 MEMAHAMI DAN MENJELASKAN MENGENAI RHINITIS ALERGI

    LO.3.1 DE8INISI

    R-#--, ,%"" /+", -%*-#-,-"# ,%)"!"- $%""#!"# '+," -+#!. R-#--, '%+$""#!"#!!+"# +'+' ("#! '%'$%#!"+- -#!!" 40J "- $$+/",-

    D-!/#!"# -#--, -" %"$" ,"+ ""+ /%)- "- !%"/" )%-+ -+#! %,+')"-#%" "#%- $,%- )%,-# !""/. R-#--, )-","#(" -"-"# %#!"# -#*/"'",-.R-#--, ,%-#! -)""#!- %#!"# !%"/" ("#! )%+)+#!"# %#!"# '"" %/-#!" "#%#!!"#.

    =P%% 2011>

    M%#++ HO ARIA =A//%!- R-#--, "# -, I'$" # A,'"> "+# 2001 -#--, "/%!-""/" %/"-#"# $"" -+#! "# !%"/" )%,-#?)%,-# -#% "," !""/ "# %,+')" ,%%/"'+," -+#! %$"$" "//%!%# ("#! -$%"#""- /% I!E.

    LO.3.2 ETIOLOGI

    R-#--, "/%!- '%/-)""# -#%",- "#"" /-#!+#!"# %#!"# $%-,$,-,- !%#%- "/"' $%%')"#!"# $%#("-#(". F" !%#%- "# %%-% ,"#!" )%$%"# $""%,$%,- -#--, "/%!-. P%#(%)") %,%-#! ""/" "//%!%# -#"/"# $"" %"," "# -#!%,"#

     $"" "#"?"#". P"" "#"?"#" ,%-#! -,%"- !%"/" "/%!- /"-# ,%$%- +-"-" "#!"#!!+"# $%#%#""#. P%#(%)") -#--, "/%!- "$" )%)%" %!"#+#! "- /",-*-",-.

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    R-#--, "/%!- '+,-'"# )-","#(" )%+$" ,%)+ ,"- ""+ "'+. R-#--, "/%!- $%%##-"/ -"#""#(" %)+ +#!"+ = Dermatophagoides farinae "#  Dermatophagoides pteronyssinus> "'+ )-#""#! $%/-"""# "# )-#""#! $%#!%". F" %,- %$"$"#("%)+ +#!"+ )-","#(" "$% ,$%- ,++ -#!!- "# %/%')")"# +"". B%)"!"- $%'-+("#! )-," )%$%"# "# '%'$%)%" ""/" )%)%"$" *" ##,$%,-*- -"#""#(" ","$ $/+,- +"" )"+ "'" ("#! +" ""+ '%"#!,"#! "# $%+)""# +"".

    B%",""# "" '",+#(" "//%!%# -)"!- "",

    • A//%!%# -#"/"# ("#! '",+ )%,"'" %#!"# +"" $%#"*","# '-,"/#(" %)++'" +#!"+ ,%$-"# %$-%/ )+/+ )-#""#! ,%" "'+.

    • A//%!%# -#!%,"# ("#! '",+ % ,"/+"# %#" )%+$" '""#"# '-,"/#(" ,+,+%/+ /" -"# "# +"#!.

    • A//%!%# -#%"# ("#! '",+ '%/"/+- ,+#-"# ""+ +,+"# '-,"/#(" $%#-,-/-# ""+,%#!""# /%)".

    A//%!%# #""# ("#! '",+ '%/"/+- #" %#!"# +/- ""+ "-#!"# '+,"'-,"/#(" )""# ,'%- ""+ $%-","#.

    LO 3.3 EPIDEMIOLOGI

    R-#--, %,%)" - ,%/++ +#-" )"- )%,-*" %#%'-, '"+$+# '+#+/ ,%)"!"- KLB. D-"%" )%-/-' ,%"#! -#,-%#,- $%#("- -#- '%#-#!" - '+,-' !+!+ '+,-' -#!-# "#'+,-' ,%'-. D- "%" $-, -#,-%#,- $%#("- -#!!- $"" '+,-' +"#. S%)"!-"# )%,""#! %+"/- '%%" ("#! -#!!"/ - "%" %#!"# +'/" $%#++ ,%-- "# %-,/",-

     )-," %,%"#! ,"+ -#!!" 6 "/- ,%-"$ "+##(". I#,-%#,- $%#("- -#!!- $"" "#"?"#" - )"" 5 "+# "# ""# '%#++# ,%"" )%""$ ,%,+"- %#!"# )%"')"#(" +'+.

    R-#--, '%+$""# ,"/" ,"+ $%#("- $"/-#! +'+' ("#! %"$" - "'%-" S%-"'%'$%#!"+- /%)- "- 50 +" "#!. K%"""# -#- ,%-#! )%+)+#!"# %#!"# %/"-#"# $%#"$","# /"-##(" ,%$%- ",'". R-#--, '%')%-"# $%#!"+ ("#! ,-!#-*-"# $""+"/-", -+$. P"" )%)%"$" ",+, "$" '%#(%)")"# #-,- /"-##(" ,%$%- '","/"

     $"" ,-#+, '","/" $"" %/-#!" !"#!!+"# -+ "# !"#!!+"# +#+ )%/"". P"" $",-%#%#!"# ",'" -#--, (! -" %#/ "$" '%'$%)++ #-,- ",'"#(".

    LO.3.4 KLASI8IKASI

    R'""!"% #r)a%arka %"(a!*a )a-a! )"#)aka #5a)" )ua7

    ". R-#--, "+ =(" ''# /> '%+$""# $%""#!"# '%')"# '+," -+#!"# ,-#+,?,-#+, ",%,-, ("#! -,%)")"# /% ,+"+ -+, "# )"%-. P%#("- -#- "$"'%#!%#"- "'$- ,%-"$ "#! $"" ,+"+ "+ "# ,%-#! "/- %"- $"" '+,-' -#!-#%#!"# -#,-%#,- %-#!!- $"" ""/ '+,-' +"# "# '+,-' ,%'-.

     ). R-#--, #-, ""/" ,+"+ $%""#!"# #-, $"" '%')"# '+," ("#! -,%)")"#/% -#*%,- ("#! )%+/"#! "%#" "/%!- ""+ "%#" -#--, ",'.

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    Ta$# 1. K$a%"("ka%" R'""!"% #r)a%arka #!"+$+&"

    J#"% R'""!"% P#5#$a%a

    A$#r&" /)"-#ra!ara" +$#' I&E   • I#*/"'",- ("#! -$%"#""- /% I!E $"" '+," -+#! )%"-)" $""-#*-/",- "- ,%/ %,-#$-/ "# ,%/ T2

     $"" /"$-,"# -+#!• D-/",-*-",-"# ,%)"!"- -#%'-%# ""+

     $%,-,"#

    Au!++" -#--, '%-"'%#," H($(--,' H'#"/N#?"//%!- -#--, - %,-#$-/-",(#'% =NARES>

    I(#!"+u% -,%)")"# /% -+, =%,%-#!> )"%-"/ ""+ -#*%,- "'+ 

    I)"+-a!'" $%#(%)") -" %/",

    Rhinitis Allergi

    1 Berdasarkan waktu paparannya:a Rhinitis seasonal : alergi karena usian! seperti ser"uk sari "unga

    yang "ersi#at eksternal$ luar ruah" Rhinitis parrenial: tanpa tergantung usi% &o: alergi de"u! kutu

    ruah! "ulu "inatang! 'aur! yang "iasanya diteukan di dalaruah%

    2 Berdasarkan si#at "erlangsungnya:

    a (nteriten )kadang*kadang+: "ila ge'ala kurang dari 14 hari$ ingguatau kurang dari 4 inggu%

    " ,resisten $ enetap : "ila ge'ala le"ih dari 4 hari$inggu dan le"ihdari 4 inggu%

    3 Berdasarkan tingkat "erat ringannya penyakit:a Ringan : "ila tidak diteukan gangguan tidur! gangguan akti-itas

    harian%" .edang "erat : "ila terrdapat satu atau le"ih dari gangguan

    terse"ut%

    LO.3. PATO8ISIOLOGI

    11

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    R-#--, "/%!- '%+$""# ,+"+ $%#("- -#*/"'",- ("#! -""/- %#!"# ""$,%#,--,",- "# --+- %#!"# %",- "/%!-. R%",- "/%!- %-- "- 2 *",% ("-+ -''%-"%

     $",% "//%!- %"-# ""+ %",- "/%!- *",% %$" ("#! )%/"#!,+#! ,%" #" %#!"#"//%!%# ,"'$"- 1 "' ,%%/"#(" "# /"% $",% "//%!- %"-# ""+ %",- "/%!- *",%/"')" ("#! )%/"#!,+#! 2?4 "' %#!"# $+#" 6?8 "' =*",% -$%%"--",> ,%%/"

     $%'"$""# "# "$" )%/"#!,+#! 24?48 "'.

    P"" #" $%"'" %#!"# "//%!%# ""+ ""$ ,%#,--,",- '"*"! ""+ '#,-("#! )%$%"# ,%)"!"- ,%/ $%#("- = A#-!%# P%,%#-#! %//AP> ""# '%#"#!"$ "//%!%#("#! '%')%#+ *"!'%# '+," -+#!. S%%/" -$,%, '/%+/ HLA %/", II'%')%#+ '$/% $%$-% MH %/", II =M" H-,'$"-)-/-( '$/%> ("#!%'+-"# -$%,%#",-"# $"" ,%/ T %/$% =T0>. K%'+-"# ,%/ $%#("- ""# '%/%$",,--# ,%$%- -#%/%+-# 1 =IL?1> ("#! '%#!"-*"# T0 +#+ )%$/-*%",- '%#"- T1"# T2. T2 ""# '%#!",-/"# )%)"!"- ,--# ,%$%- IL?3 IL?4 IL?5 "# IL?13.

      IL?4 "# IL?3 "$" --" /% %,%$#(" - $%'+""# ,%/ /-'*,- B ,%-#!!" ,%//-'*,- B '%#"- "-* "# ""# '%'$+,- -''+#!/)+/-# E =I!E>. I!E - ,-+/",-"" ""# '",+ % "-#!"# "# --" /% %,%$ I!E - $%'+""# ,%/ '",,- ""+

     )",$-/ =,%/ '%-"> ,%-#!!" %+" ,%/ -#- '%#"- "-*. P,%, -#- -,%)+ ,%#,--,",-("#! '%#!",-/"# ,%/ '%-" ("#! %,%#,--,",-. B-/" '+," ("#! ,+" %,%#,--,",-%$"$" "//%!%# ("#! ,"'" '"" %+" "#"- I!E ""# '%#!-" "//%!%# ("#! ,$%,-*- "#%"- %!"#+/",- =$%"#(" -#-#! ,%/> '",,- "# )",$-/ %#!"# "-)" %/%$",#("'%-" -'-" ("#! ,+" %)%#+ =P%*'% M%-",> %+"'" -,"'-#%. S%/"-#-,"'-#% +!" -%/+""# N%/( F'% M%-", "#"" /"-# $,"!/"#-# D2A-"-#! F" =PAF> )%)"!"- ,--# =IL?3 IL?4 IL?5 IL?6 IL? 6 GM?SF=G"#+/(%, M"$"!% /#( S-'+/"-#! F"> "# /"-#?/"-#. I#-/" ("#! -,%)+,%)"!"- %",- "/%!- *",% %$" =RAF>.

      H-,"'-#% ""# '%"#!,"#! %,%$ H1 $"" ++#! ,""* --"#+, ,%-#!!"'%#-')+/"# "," !""/ $"" -+#! "# )%,-#?)%,-#. H-,"'-#% +!" '%#(%)")"#%/%#" '+," "# ,%/ !)/% '%#!"/"'- -$%,%%,- "# $%'%")-/-", "$-/% '%#-#!",%-#!!" %"- -#%. G%"/" /"-# ""/" -+#! %,+')" "-)" ",-/"",- ,-#+,-.S%/"-# -,"'-#% '%"#!,"#! ++#! ,""* .

      P"" RAF ,%/ '",,- +!" ""# '%/%$","# '/%+/ %'"- ("#!

    '%#(%)")"# "+'+/",- ,%/ %,-#$-/ "# #%*-/ - "-#!"# "!%. R%,$#, -#- -"  )%%#- ,"'$"- -,-#- ,"" %"$- !%"/" ""# )%/"#+ "# '%#"$"- $+#" 6?8 "' ,%%/" $%'"$""#. P"" RAFL -#- -"#"- %#!"# $%#"')""# %#-, "# +'/" ,%/ -#*/"'",-,%$%- %,-#$-/ /-'*,- #%*-/ )",$-/ "# '",,- - '+," -+#! ,%"

     $%#-#!""# ,--# ,%$%- IL?3 IL?4 IL?5 "# G"#+/(% M"$"! /#( S-'+/"-#!F" =GM?SF> "# IAM1 $"" ,%% -+#!. T-')+/#(" !%"/" -$%%"-* ""+-$%%,$#,-* -+#! "/"" "-)" $%"#"# %,-#$-/ %#!"# '%-" -#*/"'",- "-!"#+/"#(" ,%$%- E,-#$-/- "-#- P%-# =EP> E,-#$-/- D%-% P%-# =EDP>M" B",- P%-# =MBP> "# E,-#$-/- P%-",% =EPO>. P"" *",% -#- ,%/"-# *" ,$%,-*- ="//%!%#> --",- /% *" ## ,$%,-*- "$" '%'$%)%" !%"/" ,%$%- ","$

    )"+ ("#! '%"#!,"#! $%+)""# +"" "# %/%')")"# +"" ("#! -#!!-.

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    S%"" M-,$- "'$" ""#(" -/"",- $%')+/+ %#!"# $%')%,""# ,%/ !)/%"# ,%/ $%')%#+ )","/ ,%" -%'+"# -#*-/",- ,%/?,%/ %,-#$-/ $"" "-#!"# '+,""# ,+)'+," -+#!. G"')""# ("#! -%'+"# %"$" $"" ,"" ,%"#!"#. D-/+" %"""# ,%"#!"# '+," %')"/- #'"/. A"# %"$- ,%"#!"# "$" %"- %+,?'%#%+,,%$"#"#! "+# ,%-#!!" /"'" %/"'""# %"- $%+)""# ("#! -%%,-)/% ("-+ %"-

     $/-*%",- "-#!"# -" "# -$%$/"," '+," ,%-#!!" "'$" '+," -+#! '%#%)"/%#!"# '",+#(" "#-!%# ",-#! % "/"' +)+ %"- ("#! ,%"" !"-, )%," %-- "-

    1. R%,$# $-'% T%"- $,%, %/-'-#",- "# *"!,-,-, =A!>. R%",- -#- )%,-*" ## ,$%,-*- 

    "# "$" )%"- ,"'$"- -,-#-. B-/" A! -" )%",-/ ,%/++#(" --/"#!"# %",- )%/"#+ '%#"- %,$# ,%+#%.

    2. R%,$# ,%+#% R%",- ("#! %- )%,-*" ,$%,-*- ("#! '%'$+#("- -!" %'+#!-#"# -"/"

    ,-,%' -'+#-", ,%/+/% ""+ +'"/ ""+ %+"#(" -)"#!-"#. B-/" A! )%",-/

    -%/-'-#",- $"" ""$ #- %",- ,%/%,"-. B-/" A! '",- "" ""+ '%'"#! ,+" "" %*% "-,-,%' -'+#/!- '"" %",- )%/"#+ '%#"- %,$# %,-%.

    3. R%,$# %,-% R%",- -'+#/!- ("#! %"- -" '%#!+#+#!"# +)+. R%",- -#- "$"

     )%,-*" ,%'%#"" ""+ '%#%"$ %!"#+#! "- "(" %/-'-#",- A! /% +)+

    LO.3.: MANI8ESTASI KLINIS

    G%"/" ("#! -')+/ $"" -#--, "/%!- "#"" /"-#

     

    G%"/" -#--, "/%!- ("#! ", -"/" %"$"#(" ,%"#!"# )%,-# )%+/"#! )-/"

    %"-#(" /%)- "- 5 "/- ,%-"$ ,%"#!"# ,%)"!"- "-)" -/%$","##(" -,"'-#.D-,%)+ +!" ,%)"!"- )%,-# $"/!-,.

     

    K%/+" -#!+, =-#%> ("#! %#% "# )"#(" -+#! %,+')" -+#! "# '""

    !""/ ("#! ""#!?""#! -,%"- %#!"# )"#(" "- '"" %/+" =/"-'",->.F"-#!--, !"#+/% "-)" -$%$/",-" ,+)'+," "-#!"# /-'*-.S+"" ,%" "# %%'" $-" ,+""

     Allergic shiner. ""/" )"("#!"# !%/"$ - )""'"" ("#! %"- "-)" ,",-, %#"

    ,%+#% "-)" ),+,- -+#!.   Allergic salute.  ""/" !%""# $",-%# '%#!!, -+#! %#!"# "#!"##("

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     Allergic crease. T"#" !"-, '%/-#"#! - ,+' #",- $"" 13 )"!-"# )"" "-)"

    %)-",""# '%#!!, -+#!.

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    G%"/" /"-# ("#! -" ", "$" )%+$" )"+ ,"- %$"/" '","/" $%#-+'"# '%#!- $%#%"#"# $"" ,-#+, "# #(%- "" $, #","/ -$. B%)%"$" "#! +!" '%#!"/"'-/%'" "# /%,+ '+" '"" %-/"#!"# #"*,+ '""# "# ,+/- -+.

    LO.3.; DIAGNOSIS

    Aa#%"%A#"'#%,-, ,"#!" $%#-#! "%#" ,%-#! "/- ,%"#!"# -" %"- -""$"# $%'%-,".

    H"'$- 50J -"!#,-, "$" -%!""# "- "#"'#%,-, ,"". G%"/" -#--, "/%!- ("#! ",-"/" %"$"#(" ,%"#!"# )%,-# )%+/"#!. G%"/" /"-# -"/" %/+" -#!+, =-#%> ("#!%#% "# )"#(" -+#! %,+')" -+#! "# '"" !""/ ("#! ""#!?""#! -,%"-%#!"# )"#(" "- '"" %/+" =/"-'",->. K""#!?""#! %/+"# -+#! %,+')"'%+$""# %/+"# +"'" ""+ ,"+?,"+#(" !%"/" ("#! -+"""# /% $",-%#.

    P%/+ -"#(""# $/" !%"/" =-/"#! -')+/ '%#%"$> )%,%" #,% "# %$"""##("-%#-*-",- *" $%-,$,-,- "%#" *" !%#%- "# %%-% ,"#!" )%$%"# $""%,$%,- -#--, "/%!- %,$# %""$ $%#!)""# #-,- /-#!+#!"# "# $%%""#. R-#--,

    "/%!- "$" -%!""# )%",""# "#"'#%,-, )-/" %"$" 2 ""+ /%)- !%"/" ,%$%- )%,-#?)%,-# /%)- 5 "/- ,%-"$ ,%"#!"# -+#! "# '"" !""/ -#!+, %#% /%)- "- ,"+ "' -+#! %,+')" "# '"" '%" ,%" )%"- '"" -#("""# $,--*.

    P##r"k%aa 8"%"k 

    P"" '+" )-","#(" -"$""# !"-,  Dennie-Morgan "# allergic shinner  ("-+ )"("#!"# !%/"$ - "%" )"" '"" "%#" ,",-, %#" ,%+#% "-)" ),+,- -+#!=I""- 2002>. S%/"-# -+ "$" -%'+"# +!" allergic crease ("-+ )%+$" !"-, '%/-#"#!

     $"" ,+' #",- )"!-"# ,%$%-!" )"". G"-, -#- -')+/ "-)" -+#! ("#! ,%-#!-!,?!, /% $+#!!+#! "#!"# =allergic salute).

    P"" $%'%-,""# -#,$- -%'+"# '+," -+#! )"," )%"#" $+" ""+ /--%#!"# #" %%'" "# ,%% ("#! %#% "# )"#(". P%/+ +!" -/-" ""#(" %/"-#"#,%$+' ""+ $/-$ -+#! ("#! "$" '%'$%)%" !%"/" -+#! %,+')". S%/"-# -+ "$"

     $+/" -%'+"# #+#!--, )-/"%"/ ""+ $%#("- ("#! )%+)+#!"# /"-##(" ,%$%-,-#+,--, "# --, '%-".

    P##r"k%aa P#u5a&

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    RAST = Radio Immuno Sorbent Test > ""+ ELISA = Enyme !in"ed Immuno Sorbent AssayTest >. P%'%-,""# ,-/!- -+#! "/"+$+# -" "$" '%'",-"# -"!#,-, %"$

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    2> R-#--, '%-"'%#," ,+"+ %/"-#"# -+#! )%+$" !"#!!+"# %,$# #'"/",' ("#! -"-)""# /% $%'""-"# ",#- $-"/ "/"' "+ /"'""# )%/%)-"# ,%-#!!" '%#(%)")"# ,+')""# -+#! ("#! '%#%"$.

    3> R-#--, ,-'$/%, $%#("- ("#! -"-)""# /% -+,. B-","#(" ""/" -#-+,.S"#!" '%#+/" "# !%"/" "$" -')+/ ,%)"!"- "-)" -" ""#(" %%)"/"# ""+'%#++##(" "(" ""# +)+.

    4> R-#--, -$%*- -$%*- #" "%#" $,%, -#*/"'",- #-, ("#! -,%)")"#/% )"%- $-'% ""+ ,%+#%.

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

    L"#!"?/"#!" +#+ '%#!+"#!- %,$,+ %""$ "/%!%# %'",+ '%')%,-"#%#!"# *+#!-,-" %+'--*-"-# "# *-/",- HEPA.

    S"%!- $%#!-#""# -#- "$" ,%"" %*%-* '%#!+"#!- !%"/" -#--, "/%!- "# $",-%#"+, -,""#"# +#+ '%#!!+#""# ')-#",- "- /"#!"?/"#!" %,%)+ +#+ ",-/("#! $-'"/.

    2. /" "!" $"!- +#+ '%#-#!!""# #-,- +)+3. '""# '""#"# ("#! )%!--

    II. 8arak+$+&"

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     P%#""/","#""# -#--, "/%!- )%",""# ARIA 2001

    T-$% -#--, "/%!- L-#- $%"'" T"')""#S%"#!?I#%'-%# A#--,"'-#

    "/"#--,"'-#

    -#"#","/

    D%#!%,"#-#"#","/

    S%"#!?I#%'-%#""+ )%"?-#%'-%#

    A#--,"'-#"/-,%--#"#","/"#--,"'-#-#"#","/

    D%#!%,"#-#"#","/ "#,-+' '/-#

    B%"?P%,-,%# K-,%--#"#","/

    A#--,"'-#"/"#--,"'-#-#"#","/,-+''/-#-$"$-+'

     )'-""#"!#-,/%+-%#%

    A!" H"%!a" A!a&+"% H>1

    • F"'"-#"'- A#"!#-, '$%--* $"" $%')+/+ "" )#+, "# )%'""'?'""' $/,.S%/"-# -+ AH1 )%'"#*"" +#+ '%#!)"- %",- -$%,%#,---", ""+ %"""# /"-# ("#!-,%"- $%#!%/%$","# -,"'-# %#!%# )%/%)-"#.

    F"'"-#%- S%%/" $%')%-"# "/ ""+ $"%#%"/ AH1 -"),$,- ,%"" )"-. K"" %-#!!- %"$" $"" $"+?$"+ ,%"#!"# $"" /-'$" !-#"/ " "# +/- ""#(" /%)- %#".T%'$" +"'" )-"#,*'",- AH1 ""/" "-.

    1. P%#!!/#!"# AH1AH !%#%",- 1# %"#/"'-#

    E-/%#%"'-#P-$%"-#A/-/"'-#D%-" *%#-"-#

    K%%"#!"# AH1 ? ,%",- -#!"#?)%"? "#-'-%- "# '$,-,- )" */+? "#-'-# ,-#%,,

    I#-",- AH1 )%!+#" +#+ $%#("- * A/%!-* M")+ $%"/"#"#* A#",%,- /"/* U#+ ",'" )%)"!"- $*-/",-,

    2. E*% ,"'$-#!

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    ". P%')%-"# "$" "/"' ')-#",- ""+ "#$" ')-#",- %#!"#%#!%,"# ,%"" $%"/.

     ). /-$*-/- "$" '%#%')+, ,"" "" " '%'$+#("- %*% $"" SSP"# $/",%#".

    . K/-#%!- 

    . S%"-* %. O"/ -*%#-"'-# /*%#-"'-# $'%",-# ,-$%$"-#*. T$-"/ A%/",-#

    D#k+%!a Na%a$

    • G/#!"# ,-'$"'-'%- • B%",- $"" %,%$ "%#%!- $"" '+," -+#! +#+ '%#(%)")"#• ",#,-,- '%#-+"# '+," ("#! '%')%#!""# '%'$%)"-- $%#"*","#• P%#!!+#""# %#!%,"# $-"/ -" '%#(%)")"# ""+ ,%-- ,%"/- '%#(%)")"#

    "),$,- ,-,%'- 

    • P%#!!+#""# "!%# $-"/ ("#! /"'" =/%)- "- 3?5 "->"$" '%#(%)")"# -#--,'%-"'%#," - '"#" -+#! %')"/- %,+')" "-)" ",-/"",- $%-*% '"" )"",- $%#!!+#""#

    • # O)" #"*"/-#%"-/-#,-'%"/-# "# -/'%"/-#

    O)" %#!%,"# $-"/ "# +",- ",-#(" O)" D+",-A,-Ak%"P#)#k 

    F%#-/%*-#H/S"'$"- 4 "'

    Ak%"S#)a&

     N"*"/-#H/T%"-/-#H/

    4?6 "'

    Ak%"Pa5a&

    O,-'%"/-#H/(/'%"/-#H/

    S"'$"- 12 "'

    D#k+%!a +ra$

    • S%"" +'+' -" -"#+"# "%#" %*% /-#-, '",- -"!+"# "# $+#(" )"#(" %*% ,"'$-#!

    # )" E*%-#*%#-/$$"#/"'-# "# *%#-/%*-#• I#%, %"$- ,%'$-%,- -$%%#,-• E*%-#

    A"/" "/"/- ("#! %"$" "/"' +')+"# %*%". E*%-* $"" $%')%-"# "/ '","%" $"#"#! %*% ,%#"/#(" +". B%%" $"" %,%$ "/*" )%" 1 "# )%" 2.E*% "-",+/" %"#"# ,-,/- "# -",/- '%#-#!" %"#"# #"- '%')%,".T%"- $%#-#!""# %"#"# "" "%#" ",#-,- "# ,-'+/",- "#+#!. T%"-

     )#%/",",- ("#! %/"-* /"'".E*% ,%#"/ -#,'#-" ,%-#! %"- $"" $%#!)""# #- ("#! "$" -"",- %#!"#

     $%')%-"# ,%"-*.

    D,-,. D%"," 60 '!4?6 "'

    A#"?"#" 6?12 "+# 30 '!4?6 "'A#"?"#" 2?5 "+# 15 '!4?6 "'

    18

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    • F%#-/$$"#/"'-#D%#!%,"# #","/ ("#! %*%-* $"" $%')%-"# "/. S%/"-# '%#-')+/"# #,-,-

     $%')+/+ "" '+," -+#! +!" '%#-')+/"# #,-,- $%')+/+ "" /"-# ,%-#!!""$" '%#-#!""# %"#"# "" "# '%#-')+/"# ,-'+/",- "#+#!.

    E*% *"'"-#"'-#(" '%#(%+$"- %*%-# "$- +"#! '%#-')+/"# %*% SSP.H"+, -!+#""# ,"#!" "-?"- $"" $",-%# -$%%#,- "# $"" $-" %#!"# -$%*-

     $,".K')-#",- )" -#- %#!"# $%#!"')" MAO ""/" #" -#-",-. O)" -#- -" -!+#""#"/"' ,-, )%," =:75 '!"-> $"" "#! ("#! )%,-", ""# '%#-#!""# %"-"#,% ,%-#!!" "#(" )/% -!+#""# "/"' ,-, '",-'"/ 75 '!"- ,%)"!"-%#!%,"#.

    D,-,. D%"," 25 '!4 "'A#"?"#" 6?12 "+# 125 '!4 "'A#"?"#" 2?5 "+# 625 '!4 "'

    • F%#-/%*-#A"/" "!#-, ,%/%-* %,%$ "/*" 1 "# "#(" ,%-- '%'$%#!"+- %,%$ )%". H"#(",%-- '%'$%#!"+- "#+#! ,%"" /"#!,+#! "# -" '%%/",",- )#+,. M%#(%)")"##,-,- $%')+/+ "" +/- "# "%" ,$/"##-+, ,%-#!!" '%#"-"# %"#"# "".

    I!raa%a$ +r!"+%!#r+")% /IN,S

    • INS '%#"- )" $-/-"# +#+ "#"?"#" ("#! '%#%-" -#--, "/%!-• D"+/+ - ""-"# INS "$" '%#(%)")"# %*% ,"'$-#! ,-,%'- ,%$%-

    %!"#!!+#(" $%+')+"# "# '%")/-,' +/"#!• T"$- ,+- '%#+#+"# */+-",#% -" "" %*% ,"'$-#! /-#-, ("#!

    '%')""(""#.M'%",# +!" -" '%#+#+"# '%#!!"#!!+ $%+')+"# "#"?"#" +,-" 3?9 "+#.

    • S%%/" $%#!!+#""# 3 )+/"# */+-",# $"" "#"?"#" +,-" 3?11 "+#-/"+"#-#,$-"# -" '%#+#+"# '%#-$-,#(" "-#!"# -+#! ""+ "*- '+,"-+#!

    • M""'#(" )%"'%",#)+%,#-%*/+#-,/-%*/+-",#%''%",#% "#-"'-/#

    • K%"#(" %#!"# '%#!"')" %,$# "/%!- *",% ""/ '"+$+# *",% /"')".• E*% +"'" $"" '+," -+#!

    ". '%#!+"#!- -#*/"'",- %#!"# '%')/ $%/%$","# '%-"

     ). '%#%"# %'",-, #%+*-/. '%#!+"#!- %%'" -#",%/. '%#(%)")"# ",#,-,- -#!"#%. '%#!"')" %",- *",% /"')" ("#! -$%"#""- /% ,%/'",

    * E*% S"'$-#! )%,-#$%- $"" '+," -+#!,"- %$"/" "# -#*%,-"#-" "/)-"#,

    S+)"u kr++$"

    • ,+"+ $%#,")-/ ,%/ '", ,%-#!!" '%#%!" %!"#+/",- ,%/ '", "# $%/%$","#'%-" %'",+ -,"'-#.

    • %,%-" "/"' )%#+ ,%'$"# -+#! +#+ '%#%!" "# '%#!)"- -#--,"/%!-.

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    • E*% ,"'$-#!#(" --",- /"/ =)%,-# "# "," $%- $"" '%')"# '+," -+#!• D,-,#(" +#+ $",-%# - "", 6 "+# ""/" 1 ,%'$"# $"" ,%-"$ /+)"#! -+#!

    3?4 "/- ,%"- $"" -#%"/ ("#! %"+.I-ra!r+-"u r+")a

    • M%+$""# "!%# "#-/-#%!- )%)%#+ ,%'$"# -+#!• B%'"#*"" $"" -#--, "/%!- ("#! $%,-,%# ""+ $%%#-"/• M%'-/-- ,-*" "#- ,%%- -" -!+#""# ,%"" /"/ "# )%'"#*"" +#+ 

    '%#!+"#!- -+#! )%"- ("#! %"- $"" -#--, "/%!-.• %,%-" "/"' )%#+ /"+"# %#!"# "" 003J-)%-"# "/"' 2 ,%'$"# =42

    '!> 2? 3 "/- ,%"-.• E*% ,"'$-#!#(" -#!"# '%/-$+- ,"- %$"/" %$-,"-,"# -+#! %"," %-#!.

    Iu+!#ra-" /D#%#%"!"%a%"

    • B%,-*" "+,"-* • I'+#%"$- '%+$""# $,%, ("#! /"')" "# )%""$ %#!"# '%#!-#%,-"#

    "/%!%# ("#! -%"+- '%'-+ %",- "/%!- $"" $",-%# %#!"# ,-, ("#! ,%'"-#'%#-#!".

    • T++"##(" ""/" "!" $",-%# '%#"$"- $%#-#!""# /%"#,- %""$ "/%!%#,"'$"- -" -" /"!- '%#+#+"# %",- "/%!- -" %$"$" /% ,%#("" %,%)+

    • ""#(" ". L"+"# "/%!%# ("#! ,"#!" %#% =1100.000,"'$"- 11000.000.000

     )> -)%-"# 1 2 "/- ,%'-#!!+.A/%!%# -#- )-,""#(" -,+#-"# - )"" +/- /%#!"# "",.S%/"-# ,+#-"# "$" -/"+"# %#!"#'%#!!+#""# ")/% ("#! '%#!"#+#! "//%!%# ,%$%- ,%)+ ,"-+'$+

     ). K#,%#",- %'+-"# --#!""# ,"'$"- %"$"- ,-, ("#! "$"-/%"#,-.. D,-, -#- %'+-"# -$%""#"# ,%-"$ 2?6 '-#!!+%!"#+#! $""

    %,$# /-#-.. T%"$- -/"+"# ,"'$"- $",-%# "$" '%#/%"#,- "/%!%# $"" ,-,

    ("#! +'+'#(" -+'$"- $"" $"$""# "/%!%#.• P""'%% %*%-*-", -+#+"# %#!"#

    ". B%+"#!#(" $+,- I!E ). M%#-#!"#(" $+,- I!G. P%+)""# $"" /-'*,- T. B%+"#!#(" $%/%$","# '%-" "- ,%/ ("#! %,%#,--,",-

    %. B%+"#!#(" ,%#,---", "-#!"# %""$ "/%!%#.•  N"'+# -'+#%"$- %)-/"#! '""/ "# )++ "+ /"'" "# '%')++"#

    '-'%# ("#! )%," "- $",-%#

    PEN,EGAHAN

    P"" ","#(" $%#("- "/%!- "$" -%!" "# -)"!- '%#"- 3 ""$ ("-+

    ". P%#%!""# $-'%

    U#+ '%#%!" ,%#,--,",- ""+ $,%, $%#!%#"/"# -#- %""$ "/%!%#. T-#""# $%"'"""/" '%#!-%#-*-",- )"(- ("#! '%'$+#("- -,- "$-. P"" -)+ "'-/ -)%-"# -%%,-,- ="#$" ,+,+ -"# /"+ "# ""#!> '+/"- -'%,% 3 "# ,%/"'" '%#(+,+- "# )"(-

    20

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    '%#"$" ASI %,/+,-* ,%/"'" 5?6 )+/"#. S%/"-# -+ #/ /-#!+#!"# -/"+"# +#+'%#%!" $""#"# %""$ "/%!%# "# $/+"#.

     ). P%#%!""# ,%+#%

    U#+ '%#%!" '"#-*%,",- /-#-, "/%!- $"" "#" )%+$" ",'" "# $-/% "/%!- ("#! ,+"

    %,%#,--,",- %#!"# !%"/" "/%!- ""$ ""/ )%+$""/%!- '""#"# "# +/-. T-#""# ("#!-/"+"# %#!"# $%#!-#""# %""$ $""#"# "/%!%# -#"/"# "# '""#"# ("#! "$"-%"+- %#!"# +- +/-.

    . P%#%!""# %,-%

    U#+ '%#!+"#!- !%"/" /-#-, "# %"" )%"#(" $%#("-"/%!- %#!"# $%#!-#""#"/%!%# "# $%#!)""#.

    LO.3.9 KOMPLIKASI

    K'$/-",- -#--, "/%!- ("#! ,%-#! -"/"

    ". P/-$ -+#! ("#! '%'-/-- "#" $"!#'#-,

    -#,$-,-% '++, !/"#,"+'+/",- ,%/?,%/ -#*/"'",- ("#! /+" )-"," )"#("#(" =/%)-%,-#*-/ "# /-'*,- TD4> -$%$/",-" %$-%/ -$%$/",-" !)/% "# '%"$/",-",+"',". P/-$-+#! %"$" +')+"# )%#-!#" ("#! /%')+ %"- $"" /"$-,"# -+#!""+,-#+, -,%)")"# ""#!"# #-. P/($, ("#! %-/ -" '%#(%)")"# '","/"%"$-("#! )%," ""# '%#(%" $%%""# +"" '%/"/+- -+#! "# ,+," +#+)%#"*",

     ).O--, '%-" ("#! ,%-#! %,-- * % + "'" $"" "#"?"#".

    . S-#+,--, $""#","/ '%+$""# -#*/"'",- '+," ,"+ ""+ /%)- ,-#+, $"" #","/.T%"-"-)" %%'" ,-" ,-#+, /% $,%, "/%!-, "/"' '+," ("#!'%#(%)")"# ,+')""# ,-",%-#!!" %"- $%#++#"# ,-!%#",- "# %"#"#+"" #!!" ,-#+,. H"/ %,%)+""# '%#(+)+"# $%+')+"# )"%- %+"'")"%- "#"%) "# ""# '%#(%)")"#+,"#(" *+#!,- )"-% %$-%/ "#"" /"-#"-)" %,+,- '+," /% '%-" $%-#

     )"," ("#! -/%$", ,%/ %,-#*-/ =MBP>%#!"# "-)" ,-#+,--, ""# ,%'"-# $"" =D+"'2006>.

    . D-,*+#!,- +)" "/"' %"" ("#! )%"-",- '%+$""# '$/-",- ("#!%,%-#!.D-,*+#!,- +)" $"" -#--, "/%!- -,%)")"# /% %"-#(" ,+')""#+)".S+')""# -#-/" ("#! '%#(%)")"# $%,- "-#",% "# %#-/",-"%%,- %/-#!"%#!"

    ="+' -'$"#-> %!"#!!+. G"#!!+"# -#- ""# '%#-')+/"# )%)"!"-)%#+ %/"-#"#%/-#!" %#!" )"- "#"'-, '"+$+# *-,-/!-! "- -#!"# -#!!"("#! )%" %!"#+#!"- "+/"'" "# )%"#(" -#--, "/%!- ,%" *"?*" /"-#.

    =$%$-#,.+#-$.".-291351H"/"'"#++/.$* >

    LO.3.10 PROGNOSIS

    S%"" +'+'$",-%# %#!"# -#--, "/%!- "#$" '$/-",- ("#! %,$#%#!"# $%#!)""# '%'-/-- $!#,-, )"-. P"" $",-%# ("#! -%"+- "/%!- %""$

    ,%)+ ,"- '"" %'+#!-#"# -#--, $",-%# -#- "$" %"- '+,-'"#. P!#,-, ,+/--$%-,- $"" "#"?"#" %#!"# $%#("- ,-#+,--, "# %/-#!" ("#! )%+/"#!. P!#,-,

    21

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    ("#! %"- "$" -$%#!"+- )"#(" *" %'",+ ,"+, %%)"/"# +)+ '"+$+#"#'"/- "#"'-. P%"/"#"# $%#("- -#--, "/%!- "$" )%"')" )%" $"" +,-" %","'+" "# %"$ )%""# -#!!" %"% /-'" "# %#"'. S%%/" '"," %,%)+ !%"/" /-#-""# ""#! -%'+"# "%#" '%#++##(" ,-,%' %%)"/"# +)+.

    LI. MEMAHAMI DAN MENJELASKAN ADAB BERSIN DALAM ISLAM

    HUKUM ISTINS?AK DAN ISTINSHAR DALAM ISLAM

    B%+'+?+'+ ("#! "/"' )""," "")#(" Madhmadhah ""/" '%'",+"# "- %"/"' '+/+ /"/+ '%#!!%"?!%""##(" - "/"'.

    S%"#!"# istinsya# ""/" '%'",+"# "- % "/"' /+)"#! -+#! "# '%#!-+$#("-#!!" % $"#!"/ -+#!. S%'%#"" istinsyar  ""/" '%#!%/+""# "- "- "/"' -+#!,%%/" )%-,-#,(".

    P%-#" )%+'+?+'+ -,%)+"# "/"' ,%+'/" "-, - "#""#(" "/"' "-,L+"- )-# S")"

    Q     V W V XV Y Z [ \ V ] V ^_ V̀

    a Apabila "amu ber$udhu% ma"a ber"umur-"umurlah.a =HR. A)+ D"+ "/?T-'-- N","-"# I)#+ M"". D-#+-/ "- S"- F-- S+##" 1151. H"-, -#- -,"-"# /%S("- A/?A/)"#-.>

    4. T%#"#! -,-#,(" "# -,-#," %/" --"(""# ,%"" ,"- "- ,")" N")- Shallallahu &Alaihi 'asallam(

    b  cd e Vf  g Vh W V Y VZ [ \ V ] V i  j V

    aSiapa yang ber$udhu henda"nya ia beristintsar.a =HR. B+"- M+,/-' "# ,%/"-#%+"#(">

    b  ce Vd g Vk  l [m n op qj V  rst uV vW w  x Vy  g Vh W V l z n {n| V uV Y VZ [ \ V ] V ^_ V̀} V

    a Dan apabila salah seorang "amu ber$udhu% ma"a henda"nya ia memasu""an air "e dalamhidungnya lalu ia "eluar"an "embali.a =HR. "/?B+"- M+,/-' "# ,%/"-# %+"#(">

    ~  • d e Vf  g Vh W V l z n {n| V uV Y VZ [ \ V ] V ^_ V̀

    a Apabila seorang "amu ber$udhu henda"nya dia beristinsya#.a =HR. M+,/-'>

    q p €q V  ‚ V \ƒ n ] V ‚  uV „[ ̀ …  q• V d e†  „ ̂vW ‡  k qˆ V} V  ‰  ˆ q V ŠV ^ i V g ˆ V w  h ‹Œ V } V  oV \Z n \ n k ^ ‡   †  uVaSempurna"an $udhu dan sela-sela di antara ari-emari serta bersungguh-sungguhlahdalam memasu""an air "e hidung *istinsya#) "ecuali saat eng"au sedang berpuasa.a =HR.A,")+, S+#"# "# -,"-"# S("- A/?A/)"#->

    S#%u&&u'*a A$$a' M#"!a" Ora& *a& B#r%"

    D"- A)+ H+"-" "-("//"+ Ž"#+ )"","#(" R",+//+//" ,"//"//"+ Ž"/"-- " ,"//"' )%,")"

    22

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    S%,+#!!+#(" A//" '%#(+"- )%,-#. =HR B+"-> B%,-# '%+$""# ,%,+"+ ("#!-,+"- "%#" )%,-# "$" '%#(%""# )""# "# '%#!-/"#!"# %-#!-#"# +#+ ,%/"/+'%#!%#("#!"# $%+ ,%" "$" '%')+" ,%'"#!" +#+ )%-)"".

    Menguap

    • M%#!+"$ -/"+"# "%#" )%)%"$" $%#(%)") "#"" /"-# '%#!"#+ !%/-," )++"')""# ,-!%#.

    • I,/"' +!" '%#!"+ )"!"-'"#" '%#!+"$ (! Ž)"-C.

    • D"- A)+ H+"-" RA )"" R",+/+// SA )%,")"

    ‚ n q‘ V g • [ k^ ’ V “ Z V  q”V   V q– V ^_ V̀ l z n { V| V uV ‚ [ — W V  Ṽ q‘ V e V†  ^ qj V  ™nš[b n g Vh W V l z n {n| V uV › V oV qc V] V ^_ V— W V ‚  q‘ V g • [ k^ i  j › n œ n qc Ve [k^+Menguap adalah dari setan% i"a salah seorang dari "alian menguap% ma"a

    henda"nya ditahan semampu dia% sesungguhnya i"a salah seorang dari "alian

    *"eti"a menguap) mengata"an *"eluar bunyi)( ,hah% ma"a setan terta$a. =HR. A/?B+"- M+,/-' "# -#- /"*" -"(" A/?B+"->

    • D- "-, /"-#

    Ṽ q‘ V e V†  ^ qj V  l  ƒ  g Vh W V l z n { n| V uV › V oV qc V] V ^_ V— W V ‚  q‘ V g • [ k^ i  j žŸ [ k̂ ¡W › n œ nqc Ve [k^M%#!+"$ %-" ,/" ""/" "- ,%"# -" ,"/" ,%"#! "- "/-"# '%#!+"$'"" ""#/" ,%'"'$+#(". =HR T-'-->

    • D%#!"# "" /"-# I,/"' MEN¢ARANKAN -" +#+ '%#""# =-"> '%#!+"$.

    -" -" +" '"" %#"#(" '%#!+"$ %#!"# '%#++$ '+/+ "# -"'%#!%/+""# )+#(- Ž"C "$"/"!- -#!!" Ž+"""C.

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