Dr. Jeanette I. Ch. Manoppo, SpA

PEMERIKSAAN PENUNJANG

DIAREPemeriksaan Feses :

Mikroskopik:• Warna • Bau• Konsistensi• Darah• Parasit

Makroskopik : • Sel organik : leukosit,

eritrosit• Kristal• Sisa makanan• Telur cacing• Larva cacing• Amuba • Bakteri• Jamur

Kimiawi :• pH• Darah samar :

Occult Blood Screen

Kultur Feses

No special preparation is required before having this test. Do not collect a stool sample if you have bleeding hemorrhoids. Women should not collect a stool sample during their menstrual period; wait until 3 days after your period has stopped. Tell your doctor if you have recently taken antibiotics, traveled out of your native country, or had a recent test with contrast material.

Kultur Feses

Collect the sample as follows: Urinate before collecting the stool so that you do not get any urine in the

stool sample. Do not urinate while passing the stool. Put on gloves before handling your stool. Stool can contain material that

spreads infection. Wash your hands after you remove your gloves. Pass stool (but no urine) into a dry container. You may be given a plastic

basin that can be placed under the toilet seat to catch the stool. Either solid or liquid stool can be collected. If you have diarrhea, a large plastic bag taped to the toilet seat may make the

collection process easier; the bag is then placed in a plastic container. If you are constipated, you may be given a small enema. Do not collect the sample from the toilet bowl. Do not mix toilet paper, water, or soap with the sample.

Place the lid on the container and label it with your name, your doctor's name, and the date the stool was collected. If you are collecting more than one sample, use one container for each sample, and collect a sample only once a day unless your doctor gives you other directions.

Tes Sensitifitas

Pemeriksaan untuk kepekaan terhadap antibiotik

Digunakan antibiotik dengan konsentrasi tertentu

Hasil : Sensitif atau Resisten

MALABSORBSI/INTOLERANSI

Clinitest (tes reduksi gula) > 0,5% suspek malabsorbsi KBH

pH tinja : asam (biru merah muda)Kromatografi gula tinja : menentukan macam-macam gula

Pemeriksaan toleransi gula malabsorbsi : puncak kurva < 20 mg%

Tes pernapasan hidrogen (Breath Hidrogen Test/BHT)

Biopsi usus

MALABSORBSI/INTOLERANSIClinitest

Tambahkan 1 tablet clinitest. Baca sesudah 60 detik dan cocokkan dengan warna standar

Clinitest Kit

Warna standar (Clinitest colour chart)

Breath Hydrogen Test (BHT)Prosedur Setelah semalam berpuasa, penderita

diberi 50 grams laktosa (didalam larutan air) dan ditelan.

Jika laktosa tidak dapat dicerna, bakteri usus memetabolismenya dan menghasilkan hidrogen. Ini dapat dideteksi lewat pernapasan dengan cromatografi atau alat deteksi

Tes ini membutuhkan 2-3 jam

KOLESTASIS

Kolestasis : kondisi yg disebabkan hambatan sekresi empedu (akut/kronis)

Intrahepatik & Ekstrahepatik

TERIMA KASIH