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Hiperemesis gravidarum mega
Hiperemesis gravidarum mega
Hiperemesis gravidarum mega
Hiperemesis gravidarum mega
Hiperemesis gravidarum mega
Hiperemesis gravidarum mega
Hiperemesis gravidarum mega
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Hiperemesis gravidarum mega

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AKBID PARAMATA RAHA

AKBID PARAMATA RAHA

Published in: Education
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  • 1. HIPEREMESIS GRAVIDARUM
  • 2. 1. Hiperemesis Gravidarum  Mual & muntah pada kehamilan trimester I  Terutama pagi hari  6 minggu setelah HPHT sampai 10 minggu  60-80% (primigravida), 40-60% (multigravida)  Mual   estrogen ,  ß HCG serum
  • 3.  Etiologi - primigravida, mola hidatidosa, kehamilan ganda - masuknya villi khorialis ke sirkulasi maternal & perubahan metabolik - alergi - psikologik • Patologi - hati (degenerasi lemak) - jantung mengecil - otak (bercak perdrhn - ginjal (pucat & deg.lemak)
  • 4.  Patofisiologi   estrogen (tak jelas) - Dehidrasi (alkalosis hipokloremik) & ggn elektrolit ( natrium & khlorida) - Ketosis & Aseton (cad.KH & lemak   oksidasi lemak tak sempurna) - P’drhn esofagus & lambung (Sind.Mallory-Weiss)
  • 5.  Gejala & Tanda - Tingkat I - muntah, lemah, nafsu makan  - nyeri epigastrium, tugor kulit , lidah kering, mata cekung - BB , nadi 100/mnt, tek.sistolik  - Tingkat II - lemah & apatis, turgor kulit , lidah kering & kotor - nadi kecil & cepat, suhu , mata ikterik, BB , mata cekung, tensi , oligouri, konstipasi - aseton dalam pada pernapasan & kencing
  • 6. - Tingkat III - K.U lebih parah, muntah berhenti - kesadaran  (somnolen-koma), nadi kecil & cepat, suhu , tensi  - ensefalopati Wernicke (nistagmus, diplopia, perubahan mental)  kekurangan zat makanan, Vit B kompleks, ikterus
  • 7.  Diagnosis - Kehamilan muda & muntah • Pengelolaan - Pencegahan - Obat - Terapi psikologik - Cairan parenteral Prognosis - Penanganan yg baik  memuaskan

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