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BRONKIEKTASIS BRONKIEKTASIS Dr. Caecilia Arimah, Dr. Caecilia Arimah, Sp.P. Sp.P.

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bronkiektasis

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  • BRONKIEKTASISDr. Caecilia Arimah, Sp.P.

  • BRONKIEKTASISPelebaran atau dilatasi bronkus lokal dan permanen, akibat kerusakan struktur dinding

    ETIOLOGIGejala sisa infeksi paruObstruksi bronkusAtelektasisKelainan kongenitalSyndrom KartagenerBronkiektasisSinusitisDextrocardia/ situs inversus

  • PATOGENESISFaktor radang & nekrosisFaktor mekanikJENISSakulerTubulerVaricosis

  • GAMBARAN KLINISDahak pagi hariBatuk darahKurus, astenia, anoreksiaDemam infeksi sekunderSesak napasFoetor ex ore (napas bau)

    CIRI KHAS : SPUTUM 3 LAPISBuihCairan jernihEndapan pus

  • UNTUK MENDIAGNOSAKeluhanPemeriksaan fisikLaboratoriumRonsen dadaBronkografiBronkoskopiCT Scan toraksPemeriksaan faal paru

  • DIAGNOSA BANDINGBronkitis kronisTB ParuAbses ParuTumor Paru

    DIAGNOSA BANDINGBatuk darah masifKor pulmonalInfeksi sekunder : - Pneumonia

    - Abses

  • TERAPIKonservatifTerapi penyakit dasarDrainase posturalAntibiotikaMukolitik & ekspektoranSuportifPerbaikan keadaan umumPsikoterapi agar tidak menarik diri dari lingkunganPembedahan

  • PROGNOSISTergantung :PenyebabLokasiLuas prosesDerajat gangguan faal paruAdanya penyulit

  • PENCEGAHANVaksinasi pertusis & morbiliBila ada obstruksi bronkus harus dihilangkanHigiene saluran napasUdara bebas polusi termasuk rokok


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