idk mega lesi esofagitis korosif.pptx

8/17/2019 IDK MEGA LESI ESOFAGITIS KOROSIF.pptx

1/17

LESI ESOFAGITIS

KOROSIFMEGA MULYA DWI FITRIYANI131 0211 023


2/17

DEFINISILesi esofagitis koosif a!a"a# ke$saka%esofag$s &a%g te!ii !ai ke$saka% e'ite($kosa sa)a sa('ai ke$saka% se"$$# !iesofag$s kae%a *a#a% ki(ia &a%g te(ak

ata$ te(i%$(+


3/17

E,IDEMIOLOGIMasi# )aa%g !i I%!o%esia-0. 'a!a a%ak2 !ikae%aka% ti!ak se%ga)a te

,a!a !e/asa !ikae%aka% 'eo*aa% *$%$# !i

Ti!ak a!a 'e*e!aa% )e%is ke"a(i%


4/17

ETIOLOGI Tete"a%%&a at ki(ia &a%g *esifat koosif (isa"%&a as*asa k$at

Asa( K$at 452SO657L8 'a!a ke#i!$'a% se#ai #ai ''e($ti# 'akaia% 'e(*esi# toi"et 'e(*esi# sa"$a% a'e(*esi# kaatka'oit !a% se*agai%&a

9asa# K$at 'a!a ke#i!$'a% se#ai #ai sa*$% 'e%$sa*$% 'e%$i kai% !a% 'e(*esi# "a%tai

Ai keas 4 te!ii !ai %ati$( #i!oksi! !a% %ati$( kO*at ,e(*$%$# sea%gga


5/17

MANIFESTASI KLINIS9ega%t$%g 'a!a i%ga%%&a ke$saka% !i%!i%g Esofag$sKe$saka% !iasaka% 'a!a !aea#

9i*i

M$"$t

Te%ggoaka%:"e#eDi!aea# !a!a


6/17

MANIFESTASI KLINIS1+ Esofagitis koosif ta%'a $"seasi

,asie% (e%ga"a(i ga%gg$a% (e%e"a% &a%g i%ga%+ ,a!a esofta('ak ($kosa #i'ee(is ta%'a !isetai $"seasi+

2+ Esofagitis koosif !e%ga% $"seasi i%ga% ,asie% (e%ge"$# !isfagia i%ga% 'a!a esofagosko'i ta('ak $

ti!ak !a"a( &a%g (e%ge%ai ($kosa esofag$s sa)a+

3+ Esofagitis koosif $"seasif se!a%g

U"k$s s$!a# (e%ge%ai "a'isa% otot+ 9iasa%&a !ite($ka% sat$ "e*i# 4($"ti'"e8+

6+ Esofagitis koosif $"seatif *eat ta%'a ko('"ikasi Te!a'at 'e%ge"$'asa% ($kosa seta %ekosis &a%g "etak%&a

te"a# (e%ge%ai se"$$# "a'isa% esofag$s+ Kea!aa% i%i )ika !i*(e%i(*$"ka% stikt$ esofag$s+

;+ Esofagitis koosif $"seatif *eat !e%ga% ko('"ikasi


7/17

MANIFESTASI KLINIS1+ Ak$t 41


8/17

DIAGNOSIS1+ ANAMNESIS ke"$#a% $ta(a 'asie% asa te*aka 'a!a !aea# keo%g

asa %&ei &a%g #e*at seta *isa )$ga (e%ge"$#ka% s$sa(e%e"a%

2+ ,? FISIK Ke"ai%a% !i !aea# ($kosa ($"$t *e$'a *eak ke'$ti#

E!e(a &g ke($!ia% ti(*$" 'e"$kaa%

3+ ,? ,ENUN@ANG La*

Ra!io"ogi

Esofagoga(

Esofagosko'i


9/17

Ga(*a 2+ Ste%osisesofag$s ta('ak !e%ga%esofagoga(

Ga(*a 3+ M$kosaesofag$s &a%g#a%$+


10/17

DERA@AT LUKA 9AKAR ,ADESOFAGOSKO,I


11/17

Ga(*a 6+ Ga(*aa%esofagosko'i sete"a#tete"a% asa( #i!ok"oi!ata('ak te)a!i to(*osis'e(*$"$# !aa#

($kosa esofag$s+

Ga(*a ;+ M$kosa esofag$ssete"a# tete"a% *asa k$at+


12/17

TATA LAKSANA

Di'$asaka% se"a(a 426


13/17

,e(*eia% A%ti!ot$(Bahan Korosif Antidotum

A"ka"i k$atso!a ka$stik i%ega &g !i"a$tka% !"( a4168 )$s *$a# &g (asa(

s$s$'$ti# te"$ (i%&ak ose*agai 'e"a$t%&a+

Asa( K$at S$s$ Mag%esi$( A"#i!oks

Met#&" a"ko#o"et#&"e%g"&o" asa( ka*o"at

La$ta% 10.et#&" a"ko#o" 3o /#isk& 6;. &g !i*eika%tia' 6 )a( 41


14/17

HTATA LAKSANA

Se"a(a sat$ ta#$% 'e%!eita se"a"$!ia/asi se*$"a% seka"i a!a ti!ak%&astikt$a ata$ ste%osis esofag$s+*i"a tstikt$a ata$ ste%osis !i"ak$ka% !i"a

9i"a ti!ak *e#asi" !i"ak$ka% 'e(*e!

ALGORITMA


15/17

ALGORITMA


16/17

KOM,LIKASI9e*ea'a ko('"ikasi &a%g !a'at te)a!i a%taa "ai%

1+ U!e( !a% o*st$ksi )a"a% %afas+

2+ ,efoasi gastoesofagea"

3+ Me!iasti%itis 'eika!itis '"e$itis ste" takeoesofagea" ste"esofagea"aotaa%! 'eito%itis+

6+ ,e(*e%t$ka% stikt$ !a"a( 2+ ,a!aa#a% sa"$a% e%a+

B+ Ge)a"a kea$%a% siste(ik aki*at tesea'%&a at ke !a"a( !a

-+ 7a!ia aest o"e# kae%a #i'oka"si(ia aki*at #i!oge% Joi!a+

+ Kasi%o(a se" sk$a(osa !a'at te)a!i !a"a( 60 ta#$% sete"a#


17/17

,ROGNOSIS

,og%osa tega%t$%g !ai !ea)at "$ka *aka &a%g'asie% seta )e%is at &a%g tete"a% "a(a 'a'aa% ,#

ko%se%tasi ke(a('$a%%&a (e%e(*$s )ai%ga% setke$saka% )ai%ga% &a%g !i'e"$ka% $%t$k (e%eta"isi (as$k+

A%gka ke(atia% *ekisa 1

idk mega lesi esofagitis korosif.pptx

Documents