Dr.ICHWANUL ADENIN SpOG -...
Transcript of Dr.ICHWANUL ADENIN SpOG -...
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Dr.ICHWANUL ADENIN SpOG
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DEFINISIDEFINISI
- ENDOMETRIOSIS = ECTOPIC ENDOMETRIUM - ENDOMETRIOSIS = ECTOPIC ENDOMETRIUM ENDOMETRIOSIS ECTOPIC ENDOMETRIUM JARINGAN KELENJAR DAN STROMA DARI ENDOMETRIUM TERDAPAT DILUAR CAVUM UTERI
ENDOMETRIOSIS ECTOPIC ENDOMETRIUM JARINGAN KELENJAR DAN STROMA DARI ENDOMETRIUM TERDAPAT DILUAR CAVUM UTERITERDAPAT DILUAR CAVUM UTERI.
ADENOMIOSIS UTERI = ENDOMETRIOSIS INTERNA
TERDAPAT DILUAR CAVUM UTERI.
ADENOMIOSIS UTERI = ENDOMETRIOSIS INTERNA - ADENOMIOSIS UTERI = ENDOMETRIOSIS INTERNA ENDOMETRIOSIS DI DALAM MIOMETRIUM
- ADENOMIOSIS UTERI = ENDOMETRIOSIS INTERNA ENDOMETRIOSIS DI DALAM MIOMETRIUM
FREKUENSI : 10 %FREKUENSI : 10 %PADA WANITA INFERTIL : 40 %PADA WANITA INFERTIL : 40 %
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LOKASI SESUAI SERINGNYA LOKASI SESUAI SERINGNYA
- INTRAPELVIK 1 OVARIUM (ENDOMETRIOMA KISTA COKLAT)
- INTRAPELVIK 1 OVARIUM (ENDOMETRIOMA KISTA COKLAT)1. OVARIUM (ENDOMETRIOMA, KISTA COKLAT)2. PERITONEUM (LIG. SAKROUTERINUM, CAVUM DOUGLASI,
TUBA FALLOPII PLICA VESICOUTERINA LIG ROTUNDUM)
1. OVARIUM (ENDOMETRIOMA, KISTA COKLAT)2. PERITONEUM (LIG. SAKROUTERINUM, CAVUM DOUGLASI,
TUBA FALLOPII PLICA VESICOUTERINA LIG ROTUNDUM)TUBA FALLOPII, PLICA VESICOUTERINA, LIG, ROTUNDUM)3. SIGMOID, SEPTUM REKTOVAGINAL4 SERVIKS UTERI VAGINA VULVA PERINEUM
TUBA FALLOPII, PLICA VESICOUTERINA, LIG, ROTUNDUM)3. SIGMOID, SEPTUM REKTOVAGINAL4 SERVIKS UTERI VAGINA VULVA PERINEUM 4. SERVIKS UTERI, VAGINA, VULVA, PERINEUM,
VESICA URINARIA4. SERVIKS UTERI, VAGINA, VULVA, PERINEUM,
VESICA URINARIA
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LOKASI SESUAI SERINGNYA ‘’’[‘
LOKASI SESUAI SERINGNYA ‘’’[‘[
- EKSTRAPELVIK 1 KANALIS INGUINALIS
[- EKSTRAPELVIK
1 KANALIS INGUINALIS 1. KANALIS INGUINALIS 2. APPENDIX1. KANALIS INGUINALIS 2. APPENDIX3. UMBILICUS4. PARUT LAPARATOMI 3. UMBILICUS4. PARUT LAPARATOMI 5. PARU5. PARU
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HISTOGENESIS : “DISEASE OF MANY THEORIES”HISTOGENESIS : “DISEASE OF MANY THEORIES”TEORI SAMPSON : REGURGITASI DARAH HAID
MELALUI TUBA → IMPLANTASI DI PELVIS TEORI SAMPSON : REGURGITASI DARAH HAID
MELALUI TUBA → IMPLANTASI DI PELVIS MUNGKIN SEBABNYA : MULTIFAKTORALMUNGKIN SEBABNYA : MULTIFAKTORAL
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GAMBARAN KLINIKGAMBARAN KLINIK
1 DISMENOREA MAKIN LAMA MAKIN HEBAT1 DISMENOREA MAKIN LAMA MAKIN HEBAT1. DISMENOREA, MAKIN LAMA MAKIN HEBAT2. DISPAREUNIA 3 INFERTILITAS
1. DISMENOREA, MAKIN LAMA MAKIN HEBAT2. DISPAREUNIA 3 INFERTILITAS 3. INFERTILITAS 4. GANGGUAN HAID (POLI – DAN HIPERMENOREA)3. INFERTILITAS 4. GANGGUAN HAID (POLI – DAN HIPERMENOREA)5. CHRONIC PELVIC PAIN (CPP), DILUAR HAID6. GEJALA LAIN SESUAI LOKASI ENDOMETRIOSIS5. CHRONIC PELVIC PAIN (CPP), DILUAR HAID6. GEJALA LAIN SESUAI LOKASI ENDOMETRIOSIS
(NYERI WAKTU DEFEKASI + BERDARAH WAKTU HAID, HAEMATURI, HEMATEMESIS, DSB) (NYERI WAKTU DEFEKASI + BERDARAH WAKTU HAID, HAEMATURI, HEMATEMESIS, DSB) HAEMATURI, HEMATEMESIS, DSB) HAEMATURI, HEMATEMESIS, DSB)
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DIAGNOSISDIAGNOSIS
1. ANAMNESIS 1. ANAMNESIS 2. PEMERIKSAAN FISIK UMUM & GINEKOLOGIK3 USG CT-SCAN MRI2. PEMERIKSAAN FISIK UMUM & GINEKOLOGIK3 USG CT-SCAN MRI3. USG, CT SCAN, MRI4. LAPAROSKOPI DIAGNOSTIK + BIOPSI 5 PEMERIKSAAN LAB C 125 (TIDAK SPESIFIK)
3. USG, CT SCAN, MRI4. LAPAROSKOPI DIAGNOSTIK + BIOPSI 5 PEMERIKSAAN LAB C 125 (TIDAK SPESIFIK)5. PEMERIKSAAN LAB. : Ca. 125 (TIDAK SPESIFIK)5. PEMERIKSAAN LAB. : Ca. 125 (TIDAK SPESIFIK)
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KLASIFIKASI KLASIFIKASI KLASIFIKASI KLASIFIKASI
MENURUT “THE AMERICAN SOCIETY OF REPRODUCTIVEMEDICINE” (ASRM) DGN SCORING SYSTEM”
MENURUT “THE AMERICAN SOCIETY OF REPRODUCTIVEMEDICINE” (ASRM) DGN SCORING SYSTEM”( )
1 MINIMAL
( )
1 MINIMAL 1. MINIMAL 2. RINGAN 3 SEDANG
1. MINIMAL 2. RINGAN 3 SEDANG
- UNTUK TERAPI DAN PROGNOSISHUBUNGAN BERAT / RINGANNYA
- UNTUK TERAPI DAN PROGNOSISHUBUNGAN BERAT / RINGANNYA 3. SEDANG
4. BERAT 3. SEDANG 4. BERAT
- HUBUNGAN BERAT / RINGANNYA PENYAKIT TIDAK JELAS
- HUBUNGAN BERAT / RINGANNYA PENYAKIT TIDAK JELAS
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TERAPITERAPI
1. HORMONAL 1. HORMONAL 2. BEDAH 3 KOMBINASI 2. BEDAH 3 KOMBINASI 3. KOMBINASI
BELUM MEMUASKAN, SERING RESIDIF3. KOMBINASI
BELUM MEMUASKAN, SERING RESIDIF
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ADENOMIOSIS UTERI ADENOMIOSIS UTERI ADENOMIOSIS UTERI ADENOMIOSIS UTERI
1. UTERUS MEMBESAR (SEPERTI MIOMA UTERI, TETAPI HOMOGEN)
1. UTERUS MEMBESAR (SEPERTI MIOMA UTERI, TETAPI HOMOGEN)( )
2. DISMENOREA3 MENORAGIA
( )2. DISMENOREA3 MENORAGIA 3. MENORAGIA 4. DISPAREUNIA 3. MENORAGIA 4. DISPAREUNIA
TERAPI : HYSTEREKTOMI TERAPI : HYSTEREKTOMI
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endometriosis
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