Ppt Uni Lisa
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Transcript of Ppt Uni Lisa
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Nidya Febrina
Lisa Chairunnisa
RHINITISALERGI
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Pendahuluan
Allergic rhinitis represents a global health problem afecting10 to 20% o the population
Allergic rhinitis is dened clinically by the symptoms caused
by immunologically mediated (most oten IgE-dependentin!ammation ater the e"posure o the nasal mucousmembranes to ofending allergens#
$ymptoms o allergic rhinitis include rhinorrhea nasalobstruction or bloc&age nasal itching snee'ing and
postnasal drip that reerse spontaneously or ater
treatment#
)ollo*ing A+IA guidance classied allergic rhinitis according
to the duration o symptoms and depending on its seerity#
(A+IA 2010
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Anatomy
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Defnisi+hinitis alergi adalah in!amasi pada hidung yangdiperantarai oleh IgE dengan &ara&teristi& &ongestinasal rhinorrhea bersin-bersin dan, rasa gatal padahidung#
In!amasi pada hidung yang teradi &eti&a menghirupbahan alergen seperti bulu binatang atau serbu& bungadengan geala bersin-bersin hidung tersumbat rinorrhea
post nasal drip dan rasa gatal pada hidung#
(A+IA 2010 . Clinial Pratie Guideline! Aller"i Rhinitis#/tolaryngologyead and ec& $urgery 2013
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E$idemiolo"i 4asalah &linis yg paling umum teradi pd
pasien alergi
$ebanya& 20% populasi (se&itar 50 torang mengidap rinitis di A$#
+initis ada di urutan &e-6 penya&it &ronis
utama di A$
4orbiditas 7 8enurunan &ualitas hidupberupa gangguan a&tiitas pe&eraan tidurdan &ognisi#
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Etolo"iAller"en !9ungau debu rumah
:ulu he*an (aning &ucing
;ecoa ti&us
8aanan o&upasi
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Patofsiolo"i
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Patofsiolo"i
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Patofsiolo"i
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%lasif&asi
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%lasif&asi+hinitis alergi uga dibagi menadi 7
$easonal
/utdoor allergens such as pollens or moulds# 8erennial
Indoor allergens such as house dust mitesmoulds coc&roaches and animal dander#
/ccupational
(A+IA 2010
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Dia"nosis
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Dia"nosis
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Allergic $hinerAllergic $hiner
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RHIN'S%'PI
ANTERI'R 4u&osa edema basah
ber*arna pucat atau liid
disertai se&ret yang encerdan banya
:ila geala persisten7
4u&osa inerior tampa&hipertro#
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Pemeri&saan
Penun(an" In io
9es &ulit 7 s&in pric& test dan multi test Intradermal$&in end point titration
In itro
IgE total 7 ut& s&rining alergi bu&an ut& diagnosisIgE spesi&
$itologi hidung 7 eosinol > 3 sel,?8:
@8? 7 eosinol mening&at
asal s*ab
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Indi&asi Tes Aler"i
Identi&asi alergen
eala &roni& atau persisten
eala tida& dapat diatasi denganpencegahan dan pemberian obat
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S&in Pri& Test
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Nasal S)ab Ambil se&ret dan mu&osa &on&a inerior,media
dengan cotton bud
Barnai dengan pe*arnaan BrightCs atauanselCs
Eosinophilia positi 7 alergi (terdapat pada D0%pasien alergi A+E$ (on Allergic +hinitisEosinophilia $yndrome $ensititas thd aspirin
eutrolia positi 7 ine&si
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Tatala&sana
9erapi ideal 7 hindari &onta& dengan alergendan eliminasi Edu&asi dan monitoring
8encegahan primer 7 cegah sensitisasi
alergen
8encegahan se&under 7 cegah geala timbuldg cara menghindari alergen dan terapi
medi&amentosa 8encegahan tersier 7 cegah &ompli&asi atau
berlanutnya penya&it
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Farma&otera$i
Antihistamin nasal spray
Antihistamin oral (sedasi non-sedasi
Intranasal corticosteroids
?eu&otrien receptor antagonist
Irigasi nasal
Antileu&otriens
( A+IA 2010 $mall and ;im Allergy Asthma Flinical Immunology 2011 . AAFI
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$mall and ;im Allergy Asthma Flinical Immunology 2011 . AAFI
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Indi&asi
Immunotera$i eala tida& dapat diatasi denganpencegahan dan arma&oterapi
8asien memerlu&an arma&oterapi lebih dari
G-5 bulan
8asien tida& toleran dengan ee& sampingobat
8enya&it memburu& progresi
8asien ingin mengontrol geala tanpaminum obat ang&a panang
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Dia"nosis *andin"
H4$ Allergic +hinitis uideline /ctober 201G
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Dia"nosis *andin"
H4$ Allergic +hinitis uideline /ctober 201G
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%om$li&asi
H4$ Allergic +hinitis uideline /ctober 201G
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