refrat pcos
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Transcript of refrat pcos
![Page 1: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/1.jpg)
Sindrom Ovarium Polikistik
![Page 2: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/2.jpg)
Pengertian
Minimal 2 dari 3 kriteria:• Oligoovulasi/anovulasi• Kelebihan androgen• Polikistik ovarium
![Page 3: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/3.jpg)
Etiologi
• Genetik: disregulasi CYP11a
![Page 4: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/4.jpg)
Patofisiologi
![Page 5: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/5.jpg)
5 αreduktase• Testosteron DHT
-vellus rambut terminal di androgen sensitif area
-↑ gland sebasea sebum acne
![Page 6: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/6.jpg)
![Page 7: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/7.jpg)
• Hirsutisme: rambut terminal warna lebih gelap, permukaan kasar, sesuai dengan pola penyebaran pria
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Ferriman -Gallwey
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• Achantosis Nigrigans–Plaq hiperpigmentasi warna abu abu
kecoklatan, permukaan seperti beludru, di flexor (axila, colli, inferior mamae, pubis)– Tanda resistensi insulin–Disebabkan ↑keratinosit & ↑ fibroblas
dermis
![Page 10: refrat pcos](https://reader034.fdocument.pub/reader034/viewer/2022051002/5695d38a1a28ab9b029e500e/html5/thumbnails/10.jpg)
• ↑ androgen –Atrofi endometrium
amenore/oligomenore– Folikel atresia anovulasi ↓
progestreon, tetap terpapar esterrogen endometrium menebal, tetapi idak stabil menometroragia