hepatitis dalam kehamilan ptt
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PAPER
HEPATITIS DALAM KEHAMILAN
OLEH :
MEUTIA ELFITRI111001176
PEMBIMBING :
dr. Yuri Andrin!"#$ S%. OG
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HEPATITIS
H&%'i'i! d(# )&(inn #'i *&ru% %&rdn+n ,!&(-
#'i.
P&rdn+n ini di'ndi d&n+n &nin+)'n )dr
&n/i #'i. P&nin+)'n ini di!&**)n dn" +n++un 'u
)&ru!)n &*rn #'i.
Ad du )'r %&n"&**n" "i'u )'r in&)!i dn)'r nn in&)!i.
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H&%'i'i! &ru%)n %&n")i' #&%r "n+ %(in+ !&rin+
&n+&ni 2ni' #i(.
H&%'i'i! 3iru! &ru%)n )%(i)!i "n+ &n+&ni
0$4 5 dri !&(uru# )i(n. K&din *r'u!$ dn %&r!(inn %r&'&r &ru%)n
)%(i)!i "n+ %(in+ !&rin+ '&rdi %d 2ni' #i(
d&n+n in&)!i #&%'i'i!.
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HEPATITIS IRUS A
HA &ru%)n !&r'i%& 'un++( di!&(uru# duni "n+ !&rin+&ni*u()n in&)!i )u' dn 'id) &n"&**)n in&)!i )rni!
!&r' n'i*di "n+ '&r*&n'u) &n+#!i()n iuni'! 'u
)&)&*(n n+) %nn+ '&r#d% )&un+)inn in&)!i HA
di! "n+ )n d'n+. P&n"&*rn 3iru! ini &((ui feco to oral"i'u &((ui )nn
dn inun "n+ '&r)n'in!i d&n+n &!&! %&nd&ri'
#&%'i'i! A.
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PROFILAKSIS INFEKSI HA SE8ARA UMUM DAPAT DIBAGI 4
YAITU :
1. Pri()!i! %r& &)%!ur&
Di*&ri)n un'u) "n+ *&r&!i) 'in++i un'u) '&rin&)!i HA$ "i'u:
9n+) %&nd&) : d&n+n I+G 0$04 ()+BB
9n+) %nn+ : d&n+n I+G 0$06 ()+BB
4. Pri()!i! %!' &)!%!ur&
Yi'u d&n+n I+G !in+(& d!& IM 0$004 ()+BB di*&ri)n 'id) (&*i# dri 4
in++u !&'&(# '&r&)!%!ur&.
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PENGOBATAN
P&n+*'n in&)!iHA *&r!i' !i%''i) dnin&)!i *i! !&*u# d&n+n !&ndirin" !in++ 'id)
d '&r%i "n+ di*u'u#)n )&;u(i un+)in ;irn
un'u) ridr!i.
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HEPATITIS VIRUS B
HB &ru%)n double stranded DNA
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M! In)u*!i in&)!i #&%'i'i! B d(# 1?0 #ri
Di%&r)ir)n 4>10 5 in&)!i HB &ndi )rni! dn !&rin+
*&r!i' !i%''i) din 1=>4= 5 &nin++( !&*&(u
un;u(n" !ir!i! #&%'i! 'u )n)&r #'i.
G&( )u' d%' *&ru% u($ un'#$ n!u )n &nurun$
d&$ n"&ri %&ru' dn i)'&ri)
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SE8ARA UMUM PENULARAN HB MELALUI 9ALUR :
Kn') !&)!u( "n+ 'id) n *i) %&r3+in( 'u%un n(
d&n+n %&nd&ri' d&n+n H*!A+ %!i'i.
M&((ui r( !&)! d&n+n %&nd&ri' H*!A+ %!i'i "i'u &((ui
!(i3 "n+ ! in&)!iu!n" d&n+n ;irn (' +&ni'(.
Kn') dr# d&n+n %&nd&ri' H*!A+ %!i'i !&%&r'i@ ru
!un'i)$ 'rnu!i dr#$d!*.
Trn!i!i I*u>n) *i) !&( )i(n$ !' %&r!(inn
u%un 2)'u &n"u!ui
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PENGARUH TERHADAP KEHAMILAN DAN BAYI
Di(%r)n 10>40 5 i*u #i( d&n+n HB!A+ %!i'i
"n+ 'id) &nd%')n iun%ri()!i! &nu(r)n
3iru! %d n&n'u!n"
0 5 2ni' #i( d&n+n !&r%!i'i un'u) HB!A+dn HB&A+ &nu(r)n 3iru! !&;r 3&r'i)&( )&%d
ninn" d&n+n in!id&n 10 5 %d 'ri&!'&r I dn
?0>0 5 %d 'ri&!'&r III
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PEN8EGAHAN
P&n;&+#n %&nu(rn HB d%' di()u)n d&n+n &()u)n
)'ii'! !&)!u( "n+ n$ 'id) &n++un)n *&r! *'>
*'n "n+ &%&r+un)n (' !&%&r'i ru$ !irin+&$ i('&r$
!%n!$ ir dn 'urniCu&'$ d!*$ 'id) &)i *&r! ('>('
"n+ *i! '&r)n'in!i dr# !&%&r'i !i)' +i+i$ +un'in+ )u)u$d!*$ &)i %&n+n 2)'u )&r )n') d&n+n dr#$ dn
&()u)n 3)!in!i un'u) &n;&+# %&nu(rn.
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TERAPI
T&r%i in&)!i )u' HB d(# !u%%r'i.
T&rd%' < &ni! *' d( &n+*'i #&%'i'i! B )rni) "i'u
in'&r&rn ,IFN-$
P&+"('&d>in'&r&rn$
Li3udin Ad&3ir.
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HEPATITIS IRUS 8
M&ru%)n DNA 3iru! "n+ *i! &ni*u()n %&rdn+n #'i "n+ &n+)i*')n
)&ru!)n #'i !in++ *&r(nu' &ndi !ir!i! dn )n)&r #'i %ri&r.
H8 &ru%)n 3iru! "n+ !n+' '#n dn d%' #idu% di(ur 'u*u# d( n+)
2)'u "n+ ;u)u% (.
M! in)u*!i in&)!i H8 d(# 4 in++u !%i 4 *u(n dn 'id) !&u %&nd&ri'
&nunu))n +&( )(ini!.
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GE9ALA KLINIS
G&( )(ini! "n+ !&rin+ d(# :
L$
L&'i#$
L&!u$
Ki(n+n n!u )n$ N"&ri %&ru'$
N"&ri '' dn !&ndi$
Mu( dn un'#.
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PEN8EGAHAN IRUS HEPATITIS 8
M&()u)n )'ii'! !&)!u( "n+ n
Tid) &n++un)n ('>(' "n+ *i! '&r)n'in!i 3iru! !&%&r'i ru !un'i)$ i('&r$
!"rin+& d!*.
Tid) &n++un)n ('>(' "n+ *i! '&r)n'in!i dr# !&%&r'i !i)' +i+i dn
+un'in+ )u)u.
M&n++un)n %&n+n )&'i) *&)&r dn )n') d&n+n dr# %&nd&ri'.
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TERAPI
P&+"('&d In'&r&rn ,IFN-
Ri*3irin
Pd 2ni' u!i r&%rdu)!i "n+ &nd%')n '&r%i #&%'i'i! 8 #ru! &n"&%)'i
un'u) 'id) #i( !&( %&n+*'n dn 6 *u(n !&!ud#n" d&n+n &n++un)n
)nr!&%!i "n+ &&)'i$ )r&n '&r%i Ri*3irin *&r!i' '&r'+&ni) "n+ *i!&ni*u()n d&&) %d nin !' (#ir dn *r'u! !%n'n
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HEPATITIS IRUS D
Di!&*u' u+ d&n+n d&(' 3iru! &ru%)n small circular RNA virus.
HD &*u'u#)n HB un'u) *&r&%(i)!i.
P&nu(rn in&)!i d%' &((ui )n') dr# 'u !&)!u( d&n+n %&nd&ri'.
S&!&rn+ d%' '&rin&)!i HD *&r!n d&n+n HB "n+ di!&*u' )>in&)!i dn
!&rn+ "n+ '&(# &nd&ri' H&%'i'i! B d%' '&rin&)!i ( HD "n+ di!&*u'
!u%&rin&)!i.
T&r%i :
A(%# in'&r&rn di+un)n %d %!i&n d&n+n #&%'i'i! B dn D )rni).
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HEPATITIS IRUS E
Ad%un ! in)u*!i in&)!i HE d(# 1=>60 #ri.
HE di'rn!i!i)n !&;r &n'&ri) &((ui ir inu "n+ '&r)n'in!i &!&!
%&nd&ri' %d d&r# &nd&i).
G&( )(ini)n" d%' di*+i d( 4 !& "i'u :
1. F!& Prdr(
K&(u#nn" *&ru% i(+i$ r'#r(+i$ d&$ nr&)!i$ nu!&$ 3i'u!$
%&nurunn *&r' *dn 4>< )+$ didr!i$ dn n"&ri %&ru' )nn '!.
4. F!& I)'&ri)
K&(u#nn" *&ru% i)'&ri) ,*i(iru*in !&ru + 5-$ urin& +&(%$ &!&! *&r2rn
'&rn+$ dn +'(>+'(.
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PENGARUH TERHADAP KEHAMILAN DAN BAYI
I*u #i( &%un"i r&!i) "n+ (&*i# 'in++i &nd&ri' #&%'i'i! E dn *i!n" d&n+n
+&( "n+ *&r' )r&n *&r#u*un+n d&n+n !''u! iunn" "n+ r&nd#.
9i) !&rn+ i*u &nd&ri' in&)!i )u' HE$ nin *i!n" di%&n+ru#i dn 'id) d
)ri&r )rni) un'u) in&)!i HE.
iru! H&%'i'i! E d%' di'rn!i!i !&;r 3&r'i)&( dri i*u )&nin dn *&r'n++un+
2* '&r#d% r'(i'! dn r*idi'! nin. In&)!i HE %d n&n'( di#u*un+)n d&n+n )%(i)!i #&%'i'i! ni)'&ri)$
#i%+(i)&i$ #i%'&ri$ dn )&'in n&n'(.
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TERIMAKASIH
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