Praktikum DL Abnormal
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Praktikum DL abnormal
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MEMBUAT SEDIAAN HAPUSAN DARAH
• Sampel dikocok ambil setetes dan letakkan disisi kanan kaca objek
• Letakkan kaca penggeser disebelah kiri tetes darah lalu digerakkan kekanan shg menyentuh tetesan darah
• Tunggu darah menyebar pada sudut kaca penggeser
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• Geserkan kaca itu kekiri sambil memegangnya miring dgn sudut 25-300
• Sediaan biarkan kering
• Tulis nama & tgl pada bagian sediaan yg tebal
MEMBUAT SEDIAAN HAPUSAN DARAH
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CIRI-CIRI SEDIAAN HAPUSAN DARAH BAIK
• Panjang 1/2 - 2/3 panjang kaca objek• Harus ada bag. yg cukup tipis eritrosit
tidak bertumpukan• Sediaan rata & tidak berlobang-lobang• Penyebaran lekosit baik tidak boleh
berhimpun di pinggir atau di ujung sediaan
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PEWARNAAN WRIGHT• Letakkan sediaan hapusan
darah diatas rak dgn lapisan darah menghadap keatas
• Teteskan 12 tetes cat Wright diamkan 2 menit
• Teteskan sama banyak lar. Penyanggah pH 6,4
• Tiup-tiuplah agar cat tercampur atau terlihat metalic scum diamkan 20 menit
• Sediaan dlm posisi mendatar disiram air utk membuang cat
• Sediaan dikeringkan diudara atau di ‘hair dryer’
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EVALUASI HAPUSAN DARAH• Perbesaran Obyektif 10X
– Penilaian hapusan– Kesan Jumlah Lekosit
• Perbesaran Obyektif 45X– Penilaian Eritrosit
• Bentuk• Warna
• Perbesaran Obyektif 100X (imersi)– Kesan jumlah Trombosit– Hitung Jenis Lekosit (Diff. count)
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NORMOKROM-NORMOSITIK ANISOSITOSIS
ANISO-POIKILOSITOSIS MAKRO-OVALOSIT
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HIPOKROMHIPOKROM-MIKROSITIK
OVALOSITOSIS STOMATOSIT
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SFEROSIT SEL CERUTU (CIGAR)
SEL TARGETTEAR DROP CELL
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LIMFOSIT SEL PLASMA
BASOFIL EOSINOFIL
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NETROFIL - BATANG NETROFIL-SEGMEN
NETROFILHIPERSEGMENTASI
MONOSIT
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BASOFILIC STIPPLING FALCIPARUM
GAMET FALCIPARUMNORMOBLAS
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Rin
g fo
rm
mal
aria
Banana
form m
alaria
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Kesan Jumlah Trombosit Meningkat
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TROMBOSIT ANALISER TINGGI PALSU
ALAT : 1.064.000
MANUAL 400.000
PENDERITA THALASEMIA
ANISO-POIKILO HIPOKROM
FRAGMENTOSIT
TERHITUNG SEBAGAI
TROMBOSIT
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TROMBOSIT RENDAH PALSU OK BERGEROMBOL
HASIL PERHITUNGAN ANALYZER HEMATOLOGI : berulang kali
Antara 11.000 - 23.000 / cmm
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Giant platelet False low platelets count
Normal platelet