imperforated anus
TRANSCRIPT
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IMPERFORATED ANUS
Disediakan Oleh : Nassruto
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DEFINASI
• ANUS YANG TIADA LUBANG ATAU BUKAAN
INSIDEN
1 : 4500 BAYI
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ETIOLOGI
• Kongenital
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klasifikasi
• High abnomalities ( high atresia)• Low abnormalities ( low atresia)
• Pengelasan berdasarkan pengakhiran usus diatas atau di bawah lantai pelvik.
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Picture 17. Imperforate anus, surgical perspective. Diagram of imperforate anus and rectourethral fistula.
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Imperforate anus, surgical perspective. Recommended colostomy with divided stomas, the proximal stoma in the descending colon.
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High abnormalities
• Selalunya berkaitan dengan fistula antara “blind rectal stump” dengan pundi kencing.
• Setengah “rektal stump” duduk di lantai pelvik.• Kehadiran gas atau meconium dalam air kencing jika
fistula antara “rectal stump” dengan pundi kencing
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Low abnormalities
• Anal kanal ditutupi dengan membran yang nipis• Membran nipis membonjol apabila meconium terkumpul.
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Ciri-ciri klinikal
• Tidak ada meconium• Pemeriksaan rektum menunjukkan “imperforated anus”.
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penyelidikan
• Rectal examination• Abdominal x-ray• Urine analisis (untuk mengetepikan fistula)
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Imperforate anus, surgical perspective. Distal colostogram of a patient with imperforate anus and a rectourethral fistula.
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Pengendalian kes
• Rawatan surgery• Low abnormalities
• “cut back operation”• “dilatation of anus”
• High abnormalities• Temporary colostomy• Laporotomy, division of fistula dan “pull through
operation” dilakukan.
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Imperforate anus, surgical perspective. Closure of the posterior sagittal incision.
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Pengendalian kejururawatan
• Penjagaan “post operation”• Nasihat kepada ibu.
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Sekian
Terima Kasih