sistem genito urinari - bakteriologi
TRANSCRIPT
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Disediakan Oleh : Nassruto
SISTEM GENITO URINARI - BAKTERIOLOGI
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DEFINISI
• Kajian bakteria yang menyebabkan penyakit di sistem saluran air kencing
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Jangkitan trek urinari
• 60% - 90% - oleh Escherichia coli• Spesimen “mid stream urine”• Diagnosa makmal:
i. Urinalysisi. Microscopicii. Mengesan bakteria dan sel nanah
ii. Gram staini. Menentukan gram positif @ negatif calture
iii. Kultur i. Blod agarii. Mac Conkey’s agar
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Urethritis a. Penyebab – Neisseria Gonorrhoeab. Penyakit Gonorrhoeac. Spesimen:
• Smear/swab urethral• Boleh hantar terus @ dgn stuart`s transport
mediumd. Diagnosa makmal:
1. Gram stain• Diplococci gram negatif
2. Culturei. Blood agarkhas utk neisseria gonorrhoea
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Culture
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Coloni agar
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NONSPESIFIK URETHRITIS
A. Biasa oleh – spesis chlamydia trachomatisB. Spesimen
i. Swab @ smear urethral A. Diagnosa makmal.
i. Indirect immunifluorenceneii. Culture
1. In mc coy atau he la cell tissue culture
2. Observe – intracylopume in chamber by gram stain
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Teknik gram stain/culture
• Sila rujuk manual prosedur
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Ziehl-neelsen stain
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Staining
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Radiologi Satu cabang perubatan melibatkan kajian keatas radiograf atau lain-lain teknologi pengimejan (U/S, MRI,) utk tujuan diagnosa atau rawat penyakit
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Radiologi sistem genitourinari
X- ray biasa abdomen – KUB merupakan penyiasatan Radiologi utama dalam pemeriksaan abdomen atau salur Genito urinari. (Radiologi lain spt “Intravenous Urography @ Angiography”turut terpakai)
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ultrasound
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Ultra sound
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Ct Scan Abdomen
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Kaedah
• Posisi biasa pesakit
• Supine
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Filem X-ray abdomen
1. Filem biasa x-ray abd. – tentukan saiz, bilangan, rupa bentuk, dan posisi setiap ginjal dan klasifikasi di ginjal dan trek urinari. Saiz ginjal sihat berbeza dlm saiz mengikut individu, jantina, umur dan struktur badan
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2. Purata ginjal dewasa – 12 –14cm panjang. Ginjal kiri sedikit panjang dpd ginjal kanan
3. Kanak-kanak lebih 2 thn yg sihat – lebihkurang ukuran dari bahagian atas tulang belakang pertama hingga kebawah tulang belakang lumbar. Dalam dewasa lebihkurang 3 hingga 4.5 kali ukuran tulang lumbar vertebra kedua.
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Imej
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Bladder calculi
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IVU
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IVU
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Sekian terimakasih