protozoa~ imam khoirul fajri

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    PROTOZOAImam Khoirul Fajriant of Parasitological Labor

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    Subkingdom

    Phylum Sub-phylum Genus-eamples

    Species-eamples

    Proto!oa

    Sarcomastig-ophorafurther divided into

    Sarcodina =

    rhizopoda- - moveby pseudopodia

    Entamoeba E. histolytica

    astigophoramove by !age""a

    #iardia

     Trichomonas

    $eishmania

     Trypanosoma

    G. lamblia

    T. Vaginalis

    L. Donovani

    T. cruzi

    Apicomp"e%ano organe""e of "ocomotion

    P"asmodiumToxoplasma

    Cryptosporidium

    P. falciparum,T. gondii

    C. parvum

    &i"iophora

    move by ci""ia

    'a"antidium . coli

    E()&A$ PROTOZOO$O#*KLASIFIKASI PROTOZOA

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      Protozoa Usus Protozoa Atrial Protozoa Darah

    & jaringan

    Amoeba hidup bebas

     

    Sarcomastiogophora 

    SarcodinaRhizopoda 

    Entamoeba histolytica 

    Entamoeba dispar

    Entamoeba coli

    Endolimax nana 

    Iodamoeba butschlii

    Entamoeba gingialis Acanthamoeba culbertsoni

    !aegleria "o#leri

    Acanthamoeba castellani

    Acanta$hamoeba polyphaga 

    %astigophora 'lagellata 

    (iardia lamblia 

    )richomonas hominis

    *hilomastix mesnili

    Enteromonas hominis

    Retortamonas

    intestinalisDientamoeba "ragilis

    )richomonasaginalis

    )richomonas tenax

    +eishmania donoani

    +eishmania tropica 

    +eismania braziliensis

    )rypanosoma rhodensiese

    )rypanosoma gambiense

    )rypanosoma cruzy

     

    Apicomplexa 

    Sporozoa 

    *occidia 

    Eimeria clupearum

    Isospora belli

    Isospora hominis

    *ryptosporidiumparum

    *yclospora

    cayetanensis

    )oxoplasma gondii

    ,aemosporidia Plamodium malariare

    Plasmodium oale

    Plasmodium "alciparum

    *illiophora

    *illiata 

    -alantidium coli

    )a.sonomi belum jelas/ontr0 sel ragi

    Pneumocystis carinii

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    P"#$#%#A

    PROTOZOAATR)A$

    PROTOZOA+S+S

    AOE'A'E'AS

    PROTOZOA(ARA, (A .AR)#A

    •  &ntamobahistolytika

    •  &ntamobacoli

    •  'alantidiu

    m coli•  Giardia

    lamblia

    •  Plasmodium•  

    $oopla

    smagondii

    •  $richomo

    nas(aginalis

    Pene/anan pada

    pra/ti/um /ita0A$) )) 111

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      MEB

    ntamoeba histol it ica

      ntamoeba dispar

      ntamoeba col i

      ntamoeba hartmani

      ndol imax nana

     Iodam oeba butschl i i

    FL GELL TES:

     Giardia lamblia

     Dientamoeba frail is

     !h ilomast ix m esnil i

     Trichomonas hominis

      nteromonas hominis

     "etortamonas intestinalis

      #I!$M#LE%

    !riptosporidium par&um

     ! 'clospora ca'etanensis

     Isospora bell i

    MI!"$S#$"IDI

    nteroc'to(oon bieneusi

      ncep halito(oon intestinalis

    $T)E"S

     

    Blastoc'stis hominis

     Balant idium col i

    $T)E" L*ME+,D-ELI+G

    #"$To.

     Trichomonas &ainalis

    /uroen.0

     Trichomonas tenax /oral0

      ntam oeba ini&alis /oral0

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    AMOEBIASIS(Etiologi : Entamoeba histolytica )

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    Entamoebahistolytia

    Se!a"ah

    KOSMOPOLIT#t$ t"o%is &se'angMASIA

    *AR +I*P

    *,

    • -./0 1 Losh t"o%o2oi'

    • -.34 1 5$inhe & Roos 6ista

    • -374 1 Sha$'in nama E histolytia

    +ISTOLITIKA

    4 ST*

    AmoebiasisIntestinal Amoebiasis

    E6st"aintestinal

    AMOEBIASISMORFOLO8I

    KISTA

    MITA

    PATOLO8I

    8, K,

    Bt6 +istoliti6a

    En2im

    +ISTOLISIS

    e6"osis &lisis !a"ingan :histolisis

    9ystein %"oteinase• Lab• Se"ologis• P"o6tos6o%isigmoi'os6o%i

    • Ra'iologi

    T,

    • Met"oni'a2ol• Emetinhi'"o6lo"i'a

    • Klo"o6$in• AB : tet"asi6lin#e"it"omisisn#%a"amomisin

    EPI*EMIOLO8I

    In': en'emis

    S$mbe" %en$la"$tama: %engan'$ng6ista

    PE9E8A+A

    )/htisar E2 histo"ytica

    **

    • E; 'is%a" • E; oli•E; ha"tmanni

    • Amoeba $s$s

    I kf

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    )aur *idup

    Amoebiasis /o"on-Kolon akut+ diare,demam

    -Kolon menahun+diare,obstipasi,eksaserbasi akut

    Amoebiasis

    e/stra/o"on utamanya,epar

    Imam kf 

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    Imam kf 

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    OR3O$O#)ETAOE'A ,)STO$*T)&A

    +ISTOLITIKA

    4 ST*

    KISTAMITA

    TROPOZOI*

    • Bt6 PATO8E

    • 6$"an < besa" (=7 1 >7mi6"on)

    • Inti : entamoeba

    • En'o%lasma g"an$lahal$s# mg' S*M

    E6to%lasma beninghomogen# te"lihat nyata

    • Pse$'o%o'i$m'ibent$6 men'a'a6#8e"a6 e%at

    • Belah %asang 'i !a"ingan lisis !a";

    • Bt6 Po6o6 (ESESIAL)#

    tan%anya 'a$" hi'$% ta6 '%tbe"langs$ng;

    • 6$"an -7?=7 mi6"on

    • Inti : entamoeba

    • En'o%lasma g"an$la 6asa"#mg' ba6te"i & sisa ma6anan

    • E6to%lasma ti'a6 nyata

    • Pse$'o%o'i$m 'ibent$6%e"lahan# 8e"a6 lambat

    • KOMESAL 'i "ongga $s$sbesa" 

    • En6istasi 'i $s$s besa" 

    • Bt6 IFEKTIF# (6istamatang $ %en$la"an)

    • 6$"an -7?=7 mi6"on

    • Inti : entamoeba -? >

    • En'o%lasma t'% ben'a6"omatoi' bs" s%t lisong& @a6$ola gli6ogen (a'

    m6nn)# 6e %' 6istamatang;

    • *in'ing tahan th' asamlamb$ng

    • E6s6istasi 'i s$s hal$s

    F"agile#

     metabolially

    ati@e

    ha"'y# ineti@e#en@i"onmentally "esistant

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      Entamo#bahistolytica 

     Trofozoit

      4a/tif bergera/5

    T"oo2oit

     E. histolytica

    Bent$6

    +ISTOLITIKA

    E.histolyti 

    ca trop•  RBC •  Inti•  Bent$6 

    E. histolytica 

    bt6 min$ta

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    0)STA E2 histo"ytica

    KISTA

    E. histolytica

      (T'6 a6ti be"ge"a6)

    •Bt6 IFEKTIF# (6istamatang $ %en$la"an#be"inti >)

    •6$"an -7?=7 mi6"on

    • Inti : >

    •En'o%lasma t'% ben'a6"omatoi' bs" s%t lisong &@a6$ola gli6ogen (a'

    m6nn)# 6e %' 6istamatang;

    •*in'ing tahan th' asamlamb$ng

    •E6s6istasi 'i s$s hal$s

    PROTOZOA

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    PROTOZOA+S+S

    Entamoebahistolytica

     Trophozoit

    0ista

    67

    8

    6

    9

    6

    0eterangan62nu/"eus72/ariosom4granu"a /romatin582 endop"asmagranu"air

    4va/uo"a ma/anan brisi eritrosit592 e/top"asmabntu/an pseudopodiadi bagian membrana "uar

    muda matang

    :a/uo"a g"i/ogen

    -:a/uo"a g"i/ogen Tida/ ada2-nu/"eus 92

     .arang ditemu/anImam kf 

    7

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    Entamo#ba coli

    Apatogenjika di kolon4patogen ditempat "ain5

    Sifat komensial

     Trophozoit

    0ista

    6

    6

    9

    87

    erangan;62 nu/"eus--endop"asma72/ariosombesar

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    BALATI*IASIS(Etiologi : Balantidumcoli )

    I ' ! ' )/htisar ' co"i

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    6?

    Balanti'i$moli

    9ILLIATA

    KOSMOPOLIT# t$t"o%is & s$b t"o%is

    9olonMASIA

    *a$" hi'$%

    *,

    T"oo2oi'

    =ST*

    6"onis:

    *ia"e 16onsti%asianemi

     a6$t:

    *ia"e ai"len'i" 'a"ah%$s

    BALATI*IASISMORFOLO8I

    Kista

    PATOLO8I

    8, K,

    t"oo2oi'

    In@asi m$6osa

    m$lti%el

    • Lab: eses• Sigmoi'os6o%i• Im$no'C

    T,

    • Tet"aylin• Met"oni'a2ol

    E%i'emiologi

    In': !"g %' mns

    Pen$la"an : e6o?o"al

    Penegahan

    )/htisar '2 co"i

    Babi# 6e"a#'omba

    $l6$s

    abses

    PROTOZOATERBESAR%' man$sia

    Pd tin@adiare

    0ronis carier&h"ornasi sbr air<

    sanitasi

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    6

    orfo"ogi '2 co"i

    T"oo2oi' Kista

    •  ukuran besa" >7 1 /7 mi6"on•  ge"a6 'g ilia•  o@al•  en'o%lasma g"an$le" •

     SITOFARI,

     m$l$t#•  SITOPD8E lbg %engel$a"an•  Intestin$m (?)•  SITOPLASMA :

    •  = ITI : ma6"on$6le$s (bean?sha%e')# mi6"on$6le$s

    •  = A9; KOTRAKTIL•  A9; MAKAA

    •  $6$"an 07 1 7 mi6"on•  'in'ing = la%is•  SITOPLASMA :

    •  8RALA•

     = ITI•  A9; KOTRAKTIL

    patogen infektif  

    )aur hidup

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    6B

    )aur hidup'alantidium coli

    Belah pasang

    transversal

    Btk infektif : 6ista  tertelan host

    E6s6istasi : di usus halus

    T"oo2oit

    belah %asang

    t"ans@e"sal

    berdiam di usus besar(olon)

    reproduksi

    Kon!$gasi

    Invasi colon

    multiplikasi

    !embali ke

    lumen hancur 

    En6istasi

    'i olon!ista matang

     keluar

    bersamafesesImam kf 

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    KLINIS

    • - INKUBASI : TDK. JELAS• - ONSET ; PELAN - MENDADAK• - ASYMPTOMATIK - SYMPTOM.• - AKUT : - DIARE ENCER 6-15

      - DG LENDIR, DRH & PUS

      - NYERI PERUT • - KRONIS : - DIARE - KONSTIPASI

      - NYERI COLON

      - ANEMI

    • - BERAT : - PERFORASI USUS  PERITONOTIS

    • - KOMPLIKASI ; - LIER ABSCES

      - AGINITIS

      - INF. TRAC. URINARIUS

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    GI "DI SIS

    (Etiologi : Giardia lamblia)

    • -.- A Lee$Genhoe6 Ikhti G l bil

    *O8 & 9AT

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    8ia"'ialamblia

    Se!a"ah

    KOSMOPOLIT# t$i6lim %anas

    MASIA

    *AR +I*P

    *,

    • -.- 1 A Lee$Genhoe6

    • -.03 1 Lambl

    • -3-0 1 Stiles nama8ia"'ia lamblia

    = ST*

    Sin'"om

    malabso"bsi

    *ia"e 'g

    STEATORE

    8ia"'iasis

    Lamblia

    intestinalisMORFOLO8I

    KISTA

    t"oo2oit

    PATOLO8I8, K,

    • T'6 in@asi • menggangg$

    abso"bsi lema6

    • Lab eses• *ete6si antigen

    gia"'ia %a'aeses

    T,

    Met"oni'a2ol4,=07 mg / h" 'll

    EPI*EMIOLO8I

    PE9E8A+A

    Ikhtisar G. lambila

    Traveller"s diarrhea# day

    care centres# hand to

    mouth$

    %aga higiene

    Feses banya6#be"ba$ b$s$6

    *O8 & 9AT

     lagellata

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    Giardia lamblia

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    Giardia lamblia

    #)AR()A )TERA&T)O C)T, T,E ,+A

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    #)AR()A )TERA&T)O C)T, T,E ,+A)TEST)E

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    0ista matang Giardia lamblia

    age""a ditari/ masu/ /eda"amserutan /ayu

    u/"eusscr teori ada 94/rang tr"ihat @e"as5

    E/top"asmapadatgranu"air

    /ariosoma

    Giardia lamblia

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    Giardia lambliambaran kasar $rofo!oit

     Trophoz

    oit

    6 >

    6

    89D

    >

    7

    0et;62 nu/"eus 72 /ariosoma/romatin padat disentra"82 3"age""a "atera"92 'enda parabasa"D23"age""a posterior

    >2b"efarop"ast

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    /aturSu0un1..