alah herpes zoster ik k3ln fkub 2012

8/19/2019 Alah Herpes Zoster IK K3LN FKUB 2012

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alah Herpes Zoster IK K3LN FKUB 2012

MAKALAH

INTEGUMEN (Herpes Zoster)DK1

KELOMPOK 5

PSIK K3LN 2011

FAKULTAS KEDOKTEAN

UNI!ESITAS "A#I$A%A MALANG

2012

N&'& &ot&

"er&*+& H&r, DP 1150-020-131003

D., Set/o Pro'o 1150-0201131003

"e& Ae,& 1150-0201131010

S&*r& No,t& % 1150-0200131010

A*,*& M&.&*& 1150-020113100-

K&rt,4& Psp& A/ P 1150-0200131013

Ke/s+& Mo,t& 1150-020-131012

D., Aes Pr&.est, 1150-0200131003

Der, A*r,& D., A 1150-020-131016

K&t& Pe&t&r

P7, s/4r 4&', p&7&t4& 4e+&*,r&t A&+ S#T /& te&+ 'e'8er,4& r&+'&t sert&

4&r,&9N/& 4ep&*& 4&', se+,& 4&', *&p&t 'e/ees&,4& M&4&&+ DK1 ,, /&

&+&'*,&+ tep&t p&*& .&4t/& /& 8er7* :Ite'e (Herpes Zoster);

M&4&&+ ,, 8er,s,4& tet& ,or'&s, Peert,& Herpes Zoster &t& /& e8,+

4+ss/& 'e'8&+&s tet& pe/e8&8< &4tor res,4o< p&to,s,oo,s s&'p&, pe=e&+&Herpes Zoster> D,+&r&p4& M&4&&+ ,, *&p&t 'e'8er,4& ,or'&s, 4ep&*& 4,t& se'&

http://infocalonperawat.blogspot.com/2012/06/makalah-herpes-zoster-ik-k3ln-fkub-2012.htmlhttp://infocalonperawat.blogspot.com/2012/06/makalah-herpes-zoster-ik-k3ln-fkub-2012.html


2/13

tet& pe/&4,t Herpes Zoster terse8t>

K&', 'e/&*&r, 8&+.& '&4&&+ ,, '&s,+ 7&+ *&r, se'pr&< oe+ 4&re& ,t 4r,t,4 *&

s&r& *&r, se'& p,+&4 /& 8ers,&t 'e'8& se& 4&', +&r&p4& *e', 4ese'pr&&

'&4&&+ ,,>

A4+,r 4&t&< 4&', s&'p&,4& ter,'& 4&s,+ 4ep&*& se'& p,+&4 /& te&+ 8erper& sert&

*&&' pe/s& '&4&&+ ,, *&r, &.& s&'p&, &4+,r> Se'o& A&+ S#T se&t,&s&

'er,*+&, se&& s&+& 4,t&> A',,>

M&&< - $, 2012

? Pe/s

D&t&r Is,

K&t& Pe&t&r >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 1

D&t&r Is, >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2

"&8 I PENDAHULUAN >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 3

A> L&t&r "e&4& >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 3

"> "&t&s& Top,4 >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> @"&8 II PEM"AHASAN >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> @

"&8 III KESIMPULAN >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 1@

D&t&r Pst&4& >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 15


3/13

PENDAHULUAN

A> L&t&r "e&4&

Herpes oster te&+ *,4e& se7&4 &'& %&, 4o> Herpes oster *,se8&84& oe+ ,rs/& s&'& *e& &r,se&< /&,t ,rs &r,se& oster>13

D,per4,r&4& ter*&p&t &t&r& 1 Le8,+ *&r, 2B3 4&ss 8ers,& *,

&t&s 50 t&+ *& 4r& *&r, 10C 4&ss 8ers,& *, 8&.&+ 20 t&+>

P&toees,s +erpes oster 8e' ser+/& *,4et&+,> Se&'& ter7&*, &r,se&< ,rs

&r,se& oster 8erp,*&+ te'p&t *&r, es, 4,t *& per'4&& '4os& 4e 7 s&r&

sesor,4 *& *,tr&sport&s,4& se=&r& setr,pet& 'e&, ser&8t s&r& sesor,s 4e &,o

sesor,s> P&*& &,o ter7&*, ,e4s, &te< ,rs terse8t t,*&4 &, 'e&r *& t,*&4

8er't,p,4&s,< tet&p, tet&p 'e'p/&, 4e'&'p& t4 8er8&+ 'e7&*, ,e4s,s>

Herpes oster p&*& ''/& ter7&*, p&*& *er'&to' ses&, *e& o4&s, r&' &r,se& /&

terp&*&t> A4t,&s, ,rs &r,se& oster &te *,*& 4&re& 4e&*&& tertet /&

8er+8& *e& ,'ospres,< *& ,',t&s se&r 'erp&4& &4tor pet, t4

pert&+&& pe7&' ter+&*&p ,e4s, e*oe>

Ko'p,4&s, +erpes oster *&p&t ter7&*, p&*& 10915C 4&ss< 4o'p,4&s, /& ter8&/&4

&*&&+ er&,& p&s4& +erpet,4 /&,t 8erp& r&s& /er, /& pers,ste sete&+ 4rst& terep&s>

Ko'p,4&s, 7&r& ter7&*, p&*& s,& *, 8&.&+ @0 t&+< tet&p, +&'p,r 1B3 4&ss ter7&*, p&*&

s,& *, &t&s 0 t&+> Pe/e8&r& *&r, &,o /& ter4e& se=&r& &s &t& e.&t&,r& *&r&+ se+,& ter7&*, +erpes oster eer&,s&t&> H& ,, *&p&t ter7&*, oe+ 4&re&

*ee4 ,'oo, 4&re& 4e&&s& &t& peo8&t& ,'ospres,>

Se=&r& '' peo8&t& +erpes oster 'e'p/&, 3 t7& t&'& /&,t 'e&t&s,

,e4s, ,rs &4t< 'e&t&s, /er, &4t /& *,t,'84& oe+ ,rs +erpes oster *&

'e=e&+ t,'8/& er&,& p&s4& +erpet,4>

"> "&t&s& Top,4

K&ss

N/> A (35t+) *&t& 4e Po,4,,4 4,t 'ee+ 8&*&/& ter&s& 'er,& sete&+ se',

/& & p/& +&7&t& 'e,4&+4& &&4/&> N/ A 'ee+ 3 +&r, /& & '= 8&

*, p se8e&+ 4,r, *e& *,&'eter 395 '' 8er,s, =&,r& 8e, 8erero'8o *&r,

p &t&s s&'p&, 8&.&+> N/ A 'ee+ 8&/& ter&s& /er, *& p&&s> Do4ter'e'8er,4& o8&t &=/=o,r s&ep *& &s&' 'ee&'&t 3 500'> Ke'*,& *o4ter


4/13

'e/&r&4& t4 *,&44& pe'er,4s&& seoo,> N/ A 'e',,4, r,.&/&t ,e4s, ,rs

&r,=e& (=&=&r &,r B =+,=4e po) .&4t 4e=,>

St*ets Le&r, O87e=t,es (SLO)

1> Meet&+, *e,,s, +erpes oster

2> Meet&+, pe/e8&8 +erpes oster 3> Meet&+, &4tor res,4o +erpes oster

@> Meet&+, p&to,s,oo, +erpes oster

5> Meet&+, '&,est&s, 4,,s +erpes oster

> Meet&+, pe'er,4s&& *,&ost,4 *&r, +erpes oster

-> Meet&+, peo8&t& +erpes oster

> Meet&+, &s4ep +erpes oster (*,&os& 4eper&.&t& sB* p&,)

6> Meet&+, =&r& 'e=e&+ pe&r& +erpes oster

PEM"AHASAN

1> De,,s, Herpes Zoster

Herpes oster 4&*& *,se8t =&=&r &r< *,se8&84& &r,=e& oster &t& =&=&r &,r> ",&s&/&'e/er& or& t& *& pe*er,t& pe/&4,t ,'o spres,>

Mert Dr> Er*,& HD Pspoeoro< SpKK(K) Herpes oster 'erp&4& s&t pe/&4,t

/& 'e/e8&84& r&s& /er,> Pe/&4,t ,, *,&.&, *e& r&s& /er, p&*& 4,t (pre9+erpet,=

er&,&)< 4e'*,& &4& t,'8 r&' 8erp& ep+ *, &t&s *&s&r er,te'&tos& /& /er,>

N/er, *& r&' t,'8 *, s&&+ s&t s,s, t8+ &t& .&7&+> Pe*er,t& se=&r& '' 'er&s&

t,*&4 e&4 8&*&>

Mert Ar, M&s7oer< 200-> Herpes oster (*&'p&Ie4s, ,,

'erp&4& re&4t,&s, ,rs/& ter7&*, sete&+ ,e4s, pr,'er> K&*&94&*& ,e4s, pr,'er

8er&s s84,,s> Fre4es, pe/&4,t p&*& pr,& *& .&,t& s&'&< e8,+ ser, 'ee&,

s,& *e.&s&>

2> Pe/e8&8 Herpes Zoster

Herpes oster *,se8&84& oe+ ,e4s, ,rs &r,se& oster (!!Z) *& teroo ,rs 8er,t,

DNA< ,rs ,, 8er4r& 1@09200 '< /& ter'&s4 s8&',, && +erpes ,r,*&e>

"er*&s&r4& s,&t 8,oo,s/& sepert, s,4s rep,4&s,< pe7&'< s,&t s,toto4s,4 *& se te'p&t

+,*p &te *,4&s,,4&s,4& 4e*&&' 3 s8&',, /&,t &&< 8et& *& &''&> !!Z *&&'

s8&',, && 'e'p/&, s,&t 4+&s 'e/e8&84& ,e4s, pr,'er p&*& se ep,te /&

'e,'84& es, &s4er> Se&7t/& sete&+ ,e4s, pr,'er< ,e4s, oe+ ,rs +erpes &&

8,&s&/& 'eet&p *&&' 8et4 &te *,*&&' ero *&r, &,o> !,rs /& &te ,, p&*&

s&&t/& &4& 'e,'84& 4e4&'8+& se=&r& per,o*,4> Se=&r& , ,tro ,rs +erpes &&

'e'p/&, 7&7&r& pe7&' /& re&t, &s *e& s,4s pert'8+& /& pe*e4 sert&'e'p/&, e,' /& pet, t4 rep,4&s, 'e,pt, ,rs spes,,4 DNA po,'er&se *&

,rs spes,,4 *eo/p,r,*,e (t+/',*,e) 4,&se /& *,s,tes,s *, *&&' se /& ter,e4s,>

Mert Ar, M&s7oer< 200-> ,rs /& 'e/e8&84& &*&&+ &r,=e& (,rs DNA)> S&&t

pe/&4,t ,, &4t,< &4& s&&t 'e&r> M&s& ,48&s,/& 1@921 +&r,> Sete&+ ,e4s, &r,se&

pr,'er< ,rs &4& &4& 8ert&+& p&*& &,& r&*,4s *ors&,s> Ie4s, ,rs &r,=e& oster

/& 'e/er& 4,t *& '4os&> P&*& ,*,,* *e& r,.&/&t ,e4s, ,rs &r,=e&

oster pr,'er (=&=&r &,r)>

3> F&4tor es,4o Herpes Zoster

M=/& +erpes oster t,*&4 8er4&,t& *e& 's,' *& t,*&4 8er&s se=&r&

ep,*e',> T&p,< &*& 4eter4&,t& er&t *e& pe,4&t& s,&> A4& 4e7&*,& +erpes oster 8er4,s&r &t&r& 1


5/13

or& 8ers,& *, &t&s 5 t&+ per t&+> H8& *e& s,& ,, ter7&*, *, 8er8&&, e&r&

*, *,&< *,*& 4&re& per& 4e4e8&& seer> F&4tor r,s,4o &, &*&&+ stress

ps,4oo,s *& && ,',t&s (,''o=o'pro',se) F&4tor r,s,4o &, &*&&+ tr&'& 'e4&,4 *& p&p&r& ter+&*&p ,'oto4s,> Seor&

,8 +&', /& 'e*er,t& ,e4s, HS!92 8,s& 'e&r4& ,e4s, 4ep&*& 7&,/&< tert&'& 7,4& ,e4s, ter7&*, p&*& s,& 96 8& 4e+&',&>

Mert S+ort< MP< 2005 &4tor res,4o *&r, +erpes oster &*&&+ &e9&e &t& 4o*,s, /&

*&p&t 'er4& pert&+&& t8+ sepert, p&*&

9 Per&.&t& 4+e'oter&p,< per&.&t& *e& o8&t9o8&t&

s,tost&t,4B,'spres,B4ort,4ostero,*>

9 A*&/& s&t 4e&&s&

9 Us,& &7t

9 &*,&s, *& tr&'& o4&

F&4tor res,4o &, &*&&+1> Us,& e8,+ *&r, 50 t&+< ,e4s, ,, ser, ter7&*, p&*& s,& ,, &4,8&t *&/& t&+& t8+/&

'ee'&+> M&4, t& s,& pe*er,t& +erpes oster '&4, t,, p& res,4o terser& /er,>

2> Or& /& 'e&&', per& 4e4e8&& (,''o=o'pro',se*) sepert, HI! *&

e4e',&> A*&/& es, p&*& ODHA 'erp&4& '&,est&s, pert&'& *&r,

,''o=o'pro',se*>

3> Or& *e& ter&p, r&*,&s, *& 4e'oter&p,>

@> Or& *e& ter&p, or& '&/or sepert, tr&sp&t&s, s's' t&

F&4tor pe=ets 4&'8+/& +erpes oster

Tr&'&B 4& O8&t9o8&t&

Kee&+& S,&r tr&,oet

De'&' H&,*

A4o+o Stress

G&& pe=er&&

@> P&to,s,oo, Herpes Zoster


6/13

5> M&,est&s, K,,s

Herpes oster ''/& *, &.&, e7&& s,ste',4 r,& sepert, *e'&'< &ore4s,& *& r&s&e&+> Ke'*,& *, ,4t, '&s& pro*ro'&< 8erp& eo'e& sesor,4 *, *&er&+ *er'&to'

4,t tertet se&'& 1910 +&r, (@7&') 8erp& /er,< &t& 4&*& prestes,< ter&t p&*&

o4&s,/&< /er, ,, *&p&t 'e=ets4& s&4,t 4ep&&< 4e'er&+& *, '&t&< ses&4< er,t,s< *,

*&er&+ 8r&=+,&,s< /er, *&*&< /er, pert< /er, s4,&t,4< /& *&p&t 'ee=o+ *,&os,s &.&>

N/er, pro*ro'& ,, *,per=&/& ter7&*, &4,8&t proses pe/e8&r& ,rs sep&7& per&&s&>

N/er, *& r&' *&p&t '= se=&r& 8ers&'&&< p&*& 10C pe*er,t& +erpes oster

(D'&s&r,< 200)

> Pe'er,4s&& *,&ost,= (P&&=o< 2005)

T&=4 S'e&r 'e,*et,,4&s, ,rs +erpes tet&p, t,*&4 *&p&t 'e'8e*&4& +erpes oster

*& +erpes s,'pe> Ktr *&r, =&,r& es,4e *& tes &t,8o*/ *,&4& t4 'e'8e*&4& *,&ost,=

+erpes ,rs>

I''oorores=et 'e,*et,,4&s, &r,=e& *, se 4,t>

Pe'er,4s&& +,stop&too,4

Pe'er,4s&& ',4ros4op ee=tro

Ktr ,rs

I*et,,4&s, &t,eB &s&' 4e&t !!Z

Dete4s, &t,8o*/ ter+&*&p ,e4s, &t, ,rs

-> Peo8&t& Herpes Zoster

T7& *&r, peo8&t& &*&&+ 'ee4& ,&'&s,< /er, *& ,e4s,> Peo8&t& oster&4t

'e'per=ep&t pe/e'8+&< 'e4otro s&4,t< *& 'er&, res,4o 4o'p,4&s,>

O8&t/& 8,&s& *,&4& ,&&+ &s,4o,r *& 'o*,,4&s,/&< ',s&/& &&s,4o,r> O8&t

/& e8,+8&r ,&&+ &'s,4o,r *& pes,4o,r /& 'e'p/&, .&4t p&r+ e,',&s,

/& e8,+ &'&se+,& =4p *,8er,4& 3250 ' se+&r,> O8&to8&t terse8t *,8er,4&

*&&' 3 +&r,pert&'& se7&4 es, '=> Ut4 oster /& 'e/e8&r &s /& t,'8 p&*&

or& or&/& 'e&&', ,'ospres,< &s,4o,r ,tr&e& '4, *&p&t

'e/e&'&t4& 7,.&> Dos,s &s,4o,r /& *,&7r4& ,&&+ 5 00 ' se+&r, *& 8,&s&/&

*,8er,4& - +&r,< p&, &'8&t *,'&, -2 7&' sete&+ es, '= 8erp& re7,'e /&

*,&7r4&>

I*,4&s, pe'8er,& &s,4o,r p&*& +erpes oster1> P&s,e 8er'r J 0 t&+ *e& es, '= *&&' -2 7&'>

2> P&s,e 8er'r 0 t&+ *e& es, &s< &4t *& *&&' -2 7&'>

3> P&s,e *e& es, ot&',4s< se&& 'r< es, &4t, 'e/er& e+er< &&t er&4<

*&per,e' ('8&s&4r&)>

!&&s,4o,r =4p 3 1000 ' se+&r, 4&re& 4osetr&s, *&&' p&s'& e8,+ t,,> $,4& es,

8&r '&s,+ tet&p t,'8 o8&to8&t terse8t '&s,+ *&p&t *,ters4& *& *,+et,4& ses*&+ 2

+&r, se7&4 es, 8&r t,*&4 t,'8 &,> !&&s,4o,r ter84t, e8,+ ee4t, *,8&*,4&&s,4o,r

se*&4& &'s,4o,r s&'& *e& &s,4o,r>

Peo8&t& &, /& 7& *,p&4&, &t&r& &, 4ort,4ostero,* 7&4& pe*e4 *&

*,8er,4&p&*& '&s& &4t< pe'8er,& stero,* ,, +&rs *e& pert,'8&& 4et&t> I*,4&s,

pe'8er,&4ort,4ostero,* ,&&+ s,*ro' &'s&/ Ht> Pe'8er,& +&rs se*,,*,,/& t4'e=e&+ter7&*,/& p&r&,s,s> D,8er,4& pre*,so *e& *os,s 3 20 ' se+&r,< sete&+


7/13

se', *os,s*,tr4& 8ert&+&p> De& *os,s pre*,so set,, ,t ,',t&s &4&

terte4& se+,& e8,+8&,4 *,&8 *e& o8&t &t, ,r&> D,4&t&4& 4e&&/&

'e=e&+ ,8ros,s &,o>

$,4& '&s,+ st&*,' es,4e *,8er,4& 8e*&4 *e& t7& prote4t, t4 'e=e&+

pe=&+/&

es,4e &&r t,*&4 ter7&*, ,e4s, se4*er> ",& eros, *,8er,4& 4o'pres ter84&> K&oter7&*, ser&s, *&p&t *,8er,4& s&ep &t,8,ot,4>

Aestes, o4& ',s&/& 4r,' ,*o4&, 5C 'e'8er,4& per8&,4& *,8&*,4& 4otro>

At,,&'&s, ,r stero,* 7& *,4&t&4& 'eoo< &' +&s,/& t,*&4 *&p&t *,s,'p4&>

Ut4 er&,& p&s=& +erpes< pe'8er,& &.& ter&p, &t, ,rs te&+ *,8er,4& t4

'er&, ,s,*es>

Mert FDA< o8&t pert&'& /& *&p&t *,ter,'& t4 /er, erop&t,4 p&*&

erop&t,per,er *,&8et,4 *& er&,& p&s4& +erpet,= ,&&+ pre&8&,> O8&t terse8t e8,+

8&,4 *&r,p&*&o8&t &8& /& &&o /&,t &8&pet,< 4&re& ee4 s&'p,/& e8,+ se*,4,t<

e8,+ pote (2 @4&,)< 4er7&/& e8,+ =ep&t< sert& pe&tr& *os,s/& e8,+ se*er+&&> Dos,s

&.& 2 -5 'se+&r,< sete&+ 3 - +&r, 8,& respo/& 4r& *&p&t *,&,44& 'e7&*, 2

150 ' se+&r,> Dos,s '&4s,'' 00 se+&r,> Ee4 s&'p,/& 8erp& *,,ess< *&so'oe /& &4&'e+,& se*,r,< 7&*, o8&t t,*&4 per *,+et,4&>

Ter&p, top,4& sepert, 4r,' EMLA< ,*o4&, p&t=+es< *& 4r,' =&ps&,=, *&p&t

*,&4&t4 er&,& p&s4& +erpes> Sot,o "rro. *&p&t *,&4& t4 4o'pres

8&s&+> Ko'pres *,et&44& se&'& 20 'e,t 8e8er&p& 4&, se+&r,< t4 '&ser&s, *&r, es,4e<

'e'8ers,+4& ser' *& 4rst&< *& 'ee4& pert'8+& 8&4ter,> Sot,o Po,*oe9

,o*,es&&t 'e'8&t 'e'8ers,+4& 4rst& *& ser' /& '= p&*& erps, 8er&t *&r,

or&t&> A=/=o,r top,4& o,t'et *,8er,4& @ 4&, se+&r, se&'& 10 +&r, t4

p&s,e,'o4o'pro',se* /& 'e'er4& .&4t pe/e'8+& 7&4& pe*e4>

P&*& 4&ss 8er&t *&p&t *,8er,4& G&8&pet, or& (300 00 ' per or& TID se&'& -+&r,)>

T,*&4 e8,+ *&r, 150 'B*> Pe*er,t& AIDS *e& D@ 100 seB'' *&tr&sp&t&s,

res,p,e< 4+ss/& s's t& '4, 'e&&', ,e4s, !!Z *e&res,st&

&=/=o,r> Per *,&.&, peo8&t& *e& os=&ret @0 'B4 I! set,&p 7&' se&'& - 10

+&r, p&*& p&s,e *e& sspe4 ,e4s, !!Z *e& res,ste &=/=o,r> Peo8&t&os=&ret

*,per4& set,*&4/& s&'p&, 10 +&r, &t& s&'p&, es, se'8+>

At, *epres, &t,s,4,4 ( ',s&/& ortr,pt,, *& &',otr,pt,,) &',tr,pt,, 30 100' per

or& HS> Peo8&t& *e& &',ptr,pt,, *& o8&t se7e,s/&< 8o4 s&r&< *& B

op,o,*&t,/& sete&+ per4e'8&& /er, &4t *&p&t 'e=e&+ ses,t,s&s, SSP /&

'e/e8&84&/er, pers,ste> Ee4 s&'p,/& ,&&+ && 7&t< se*&s,< *& +,potes,>

Dos,sortr,pt,, 50150 'B+&r,>

e,'e ter&p, t4 !&r,se&9oster

> As+& Keper&.&t& Herpes Zoster

Pe4&7,&

A> I*et,t&s K,e N&'& N/ A


8/13

Us,& 35 t&+

$e,s Ke&', pere'p&

St&ts per,4&+& 'e,4&+

T '&s4 $, 2012

T pe4&7,& $, 2012

"> St&ts 4ese+&t& s&&t ,,1> Ke+& t&'& 8& ter&s& /er, *& p&&s

2> 8rp L&'& 4e+& 'er,& - +&r, /& &< '= 8& 3 +&r, /& &

3> K&,t&s 4e+& /er, ter&s& p&&s

@> F&4tor pe=ets +&7&t& 'e,4&+4& &&4/&< 4ee&+& (&4t,,t&s 8ere8,+)

5> F&4tor pe'8er&t r,.&/&t ,e4s, &r,se&

> Up&/& /& te&+ *,&44& t,*&4 ter4&7,

> ,.&/&t 4ese+&t& s&&t ,,

Mee+ 8&*&/& ter&s& 'er,& sete&+ se', /& & p/& +&7&t& 'e,4&+4&

&&4/&> 3 +&r, /& & '= 8& *, p se8e&+ 4,r, *,&'eter 395 '' 8er,s,

=&,r& 8e, 8erero'8o *&r, p &t&s s&'p&, 8&.&+>

D> ,.&/&t 4ese+&t& ter*&+1> Pe/&4,t /& per&+ *,&&',

&> Ke=e&4&& (7e,s *& .&4t) t,*&4 ter4&7,

8> Oper&s, t,*&4 ter4&7,

=> Pe/&4,t 4ro,s ,e4s, &r,se&

*> Pe/&4,t &4t t,*&4 ter4&7,

2> I',s&s,

E> Pe'er,4s&& ,s,4 TT!

1> P *& t& 8e&4&

M= 8& *,&'eter 395 ''< =&,r& 8e, 8erero'8o *&r, p &t&s s&'p&, 8&.&+>

2> K,t *& 44

9 K,t .&r& 4e'er&+& '= 8& tror 8&,4 4e'8&, 3 *et,4 8& 8er8et4

8&t 'eo7o>

9 K4 t,*&4 ter4&7,

F> Pe'er,4s&& pe7&

Pe'er,4s&& seroo,

G> Ter&p,

A=/=o,r s&ep *& &s&' 'ee&'&t 3 500'

H> Kes,'p&

N/ A (35t+) 'e*er,t& pe/&4,t +erpes oster

DIAGNOSIS< PLANNING< IMPLEMENTASI1> A&,s,s *&t& Do'&, 11

D&t& (S) Et,oo/ (E) Pro8e' (P)

DS 'ee+ 3 +&r, /& & '= 8& *, p se8e&+ 4,r,

DO *,&'eter 8& 395 ''< 8er,s, =&,r& 8e, 8erero'8o *, p &t&s 9 8&.&+

!&r,=e& oster

!&r,=e& pr,'er

"& (e*e'&< 'er&+)

Iter,t&s 4,t t,*&4 t+ es,4o ,e4s,


9/13

D,&os,s es,4o ,e4s, 8er+8& *e& ,ter,t&s 4,t t,*&4 t+ *,t&*&, oe+

'= 8& *, p se8e&+ 4,r,< 8er,s, =&,r& 8e,< *& 8erero'8o>

T7& Mee'8&,4& 4et+& ,ter,t&s 4,t se&'& se', s&'p&, or'&

Ot=o'e =r,ter,&

No Ie=t,o S&er,t/ 1 2 3 @ 5

1>2>

3>

@>

&s+

U=rste* es,=es

Feer

P&,

Ior'&t,o s=ore 1 Seere 2 S8st&t,& 3 Mo*er&te @ M,* 5 Noe

NI Ie=t,o Prote=t,o

1> Mo,tor or s/ste',= &* o=&,e* s,s &* s/'pto's o ,e=t,o

2> Pro,*e &pprop,r&te s4, =&re to e*e'&tos &re&s3> Ispe=t s4, &* '=os 'e'8r&es or re*ess< etre'e .&r't+< or *r&,&e

@> Istr=t p&t,et to t&4e &t,8,ot,=s &s pres=r,8e*

5> Te&=+ p&t,et &* &',/ &8ot s,s &* s/'pto's o ,e=t,o &* .+e to report t+e'

to t+e +e&t+ =&re pro,*er>

2> A&,s,s D&t& Do'&, 11


DS Mee+ 'er,& sete&+ se', /& & p/& +&7&t&>

DO 9 !&r,=e&

Per& *&/& t&+& t8+

Mer,& (per& ,'oo,s)

"& Kers&4& ,ter,t&s 4,t

D,&os,s 4ers&4& ,ter,t&s 4,t 8er+8& *e& per& ,'oo,s *,t&*&,

*e& 'er,& sete&+ se', /& & p/& +&7&t&>

T7& 'e,4&t4& ,'oo,s t8+ *& t4 'e'per8&,4, ,ter,t&s 4,t*&&' 32@

7&' s&'p&, 4e'8&, or'&>

Ot=o'e =r,ter,&

No I''e St&ts 1 2 3 @ 51>

2>

3>

@>

"o*/ Te'per&tre

S4, Iter,t/

At,8o*/ t,ters

+ro,= &t,e

Ior'&t,o s=ore 1 Seere 2 S8st&t,& 3 Mo*er&te @ M,* 5 Noe

NI S4, =&re ( top,=& tre&t'et )

1> I,t,&te =ost&t,o ser,=es o t+e eterosto'& t+er&p/ rse< &s ee*e*2> App/ top,=& &t,8,ot,= to t+e &e=te* &re&< &s &pprop,r&te


10/13

3> Ispe=t s4, *&,/ or t+ose &t r,s4 o 8re&4*o.

@> Do='et *eree o s4, 8re&4*o.

3> A&,s,s D&t& Do'&, 12

D&t& (S)8rp Et,oo/ (E) Pro8e' (P)

DS Mee+ 8& ter&s& p&&sDO 9 !&r,=e&

"&

Mer&+< t,'8 es,4e 'er&*&

e*e'&

*,sert&, r&s& p&&s G&& r&s& /&'&

D,&os,s G&& r&s& /&'& 8er+8& *e& 'e&por4& r&s& p&&s *,t&*&,

*e& 'ee+ 8&/& ter&s& p&&s>T7& Mer&, r&s& p&&s *&&' .&4t 52@ 7&' s&'p&, 4e'8&, or'&>

Ot=o'e =r,ter,&

No o'ort St&ts P+/s,=& 1 2 3 @ 5

1>

2>

3>

@>

5> S/'pto' =otro

P+/s,=& .e98e,

o'ort&8e pos,t,o

o'ort&8e =ot+,

Perso& roo', &* +/,e

Ior'&t,o

S=ore 1> Seeret/ =o'pro',se* 2> S8st&t,& =o'pro',se* 3> Mo*erete/

=o'pro',se* @> M,*/ =o'pro',se* 5> Not =o'pro',se*

NI S4, &re (Gr&t S,te)

1> Pro,*e &*eQ&te p&, =otro e>> 'e*,=&t,o

2> Mo,tor =oor< .&r't+< =&p,&r/ re,< &* tror o r&t< , ot *resse*

3> Mo,tor or s,s ,e=t,o

@> Spport p&t,et to &pprop,r&te/ et,&te &er< +ost,,t/ &* rst&t,o

5> Pro,*e e'ot,o& spport< *erst&*,

@> A&,s,s D&t& Do'&, 12


DS Mee+ ter&s& /er,

DO 9 !&r,=e&

"&

'er&*&

e*e'&


11/13


12/13

3> Po& +,*p se+&t (8ero&+r&&< '&4& '&4&& se+&t *& 8er,, =4p)

@> T,*&4 'e&44& 4ot&4 &s *e& pe*er,t& +erpes oster

KESIMPULAN

Herpes oster &*&&+ pe/&4,t /& *,se8&84& oe+ ,e4s, ,rs &r,se&9oster /&

'e/er& 4,t *& '4os&< ,e4s, ,, 'erp&4& re&4t,&s, ,rs /& ter7&*, sete&+

,e4s, pr,'er>

"er*&s&r4& o4&s, es,< +erpes oster *,8&, &t&s +erpes oster ot&',4s< &s,&,s<

8r&4,&,s< tor&4&,s< '8&,s< *& s&4r&,s> M&,est&s, 4,,s +erpes oster *&p&t 8erp&

4eo'po494eo'po4 es,4e s&'p&, 8& *, &t&s *&er&+ /& er,te'&tos&> Les, /& 4+&s

8ers,&t ,&ter& p&*& *er'&to' /& ses&, *e& et&4 s/&r& /& ter,e4s, ,rs> D,&os& +erpes oster *&p&t *,te&44& *e& '*&+ 'e&, &&'es,s *&

pe'er,4s&& ,s,4> $,4& *,per4& *&p&t *,&44& pe'er,4s&& &8or&tor,' se*er+&&<

/&,t tes T&=4 *e& 'ee'4& se *&t,& 8er,t, 8&/&4>

P&*& ''/& pe/&4,t +erpes oster *&p&t se'8+ se*,r, (se ,',t, *,se&se)< tet&p,

p&*& 8e8er&p& 4&ss *&p&t t,'8 4o'p,4&s,> Se'&4, &7t s,&< se'&4, t,, re4es,

t,'8/& 4o'p,4&s,>

D&t&r Pst&4&

No&4< P&tr,=,&> 200-> K&'s S&4 Ke*o4ter& Dor&*> E*,s, 25> $&4&rt& EG

M&s7oer< Ar,e *44> 200-> K&p,t& See4t& Ke*o4ter& $,,* 2> E*,s, 3> $&4&rt& Me*,&

Aes=&p,s

Pr,=e< S/,&>< #,so< Lorr&,e> 200> P&to,s,oo, Kosep K,,s Proses9proses Pe/&4,t>

!o'e 2> $&4&rt& EG

Er*,& Pspoeoro> 2006> ...>4&8e>=o>,*B,esB=*4B,esB26R1-1Herpes

oster>p*B26R1-1+erpesoster>p*> Herpes oster (s,es< =&=&r U&r)> D,&4ses t&& $,

2012> P4 1->@@ #I"

L8,s< &'o& D'&s&r,> 200> !&r,=e& *& Herpes Zoster> A&,&8e &t

+ttpBB...>repos,tor/>s>&=>,*B8,tstre&'B123@5-6B3@25B1B0E0065>p*> D,&4ses t&& 7, 2012> P4 1>@5 #I"


13/13

Po&=o I*r,s> 2005> ...>s*>=B&er,&sBp*Bs,t,osB,,&=,&Brt0105>p*> D,&4ses t&&

$, 2012> P4 22>02 #I"

S,to< TL> 2003> :Ie4s, !,rs !&r,=e& Zoster P&*& "&/, *& A&4;> $&4&rt& PDF

Her*'&< He&t+er> 2006> D,&os,s Keper&.&t& 200692011> $&4&rt& EG

Do=+ter'&< $o&e> 200> Nrs, Iteret,os &ss,,=&t,o> USA Mos8/

Moor+e&*< Se> 200> Nrs, Ot=o'es &ss,,=&t,o> USA Mos8/

alah herpes zoster ik k3ln fkub 2012

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