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COLITIS ULCERATIF DAN CROHN

DI SUSUN OLEH KELOMPOK X :
1. Try Wulan Cahyani ( 1301!00" #
$. M%h. &'n(y P. ( 1301!031 #
3. )ri*+a Pu,ri H. ( 1301!03$ #
-. Eli.a /ihni ( 1301!000 #
!. Kar,i+a U,a1i Pu,ri ( 1301!101 #
2. N%+i 3a1a ( 130 1!023 #
". 4ani M'i ( 1301!022 #
0. Pu,u )yu Win(a ( 1301!0! #
. )l5i Wahyu ( 1301!02" #
10. )6hin,ya ( 1301!1$3 #
11. Nunun7 Wi(ia8a,i ( 1301!0"2 #
1
BAB 1
PENDAHULUAN
1.1 Latar Belakang
P'nya+i, u*u* in5la1a*i (in5la11a,%ry 9%8'l (i*'a*'# a(alah na1a (ari
*'+'l%1:%+ 7an77uan yan7 1'ny'9a9+an u*u* 1'n;a(i 1'ra(an7 (1'rah (an
9'n7+a+#. P'ra(an7an ini 1'ru:a+an :'ra(an7an +r%ni* n%n*:'*i5i+ yan7
1'ny'ran7 *aluran :'n6'rnaan yan7 9'rlan7*un7 la1a (an 9ia*anya +'19ali
la7i (an la7i. L'9ih (ari 200.000 %ran7 )1'ri+a 1'1ili+i *'1a6a1 :'nya+i,
in5la1a*i u*u* 9'*ar *',ia: ,ahun. Dua ;'ni* u,a1a :'nya+i, in5la1a*i u*u*
9'*ar a(alah :'nya+i, Cr%hn (an +%li,i* ul*'ra,i<a.
K%li,i* ul*'ra,i5 1'ny'9a9+an lu+a :a(a (a'rah r'+,u1 (an u*u* 9'*ar=
:'nya+i, ini (a:a, ,'r;a(i :a(a %ran7 *'7ala u*ia= ,a:i 9ia*anya (i1ulai an,ara
u*ia 1! (an 30= (an +uran7 *'rin7 an,ara !0 (an "0 ,ahun. S'(an7+an :'nya+i,
Cr%hn 1'ny'9a9+an :'ra(an7an l'9ih (ala1 (in(in7 u*u* (an (a:a, ,'r;a(i (i
9a7ian lain (ari *i*,'1 :'n6'rnaan ,'r1a*u+ u*u* +'6il= 1ulu,= +'r%n7+%n7an=
(an :'ru,.
Un,u+ 1'n'n,u+an :'nan7anan yan7 a+an (ila+u+an 1a+a haru* (i+',ahui
(ulu *'9'ra:a :arah :'nya+i, u*u* in5la1a*i yan7 (i('ri,a +li'n. S'hin77a
:'nan7anan yan7 a+an (ila+u+an 9i*a '5'+,i5
1.2 Rumusan asala!
1. ):a ('5ini*i (ari :'nya+i, in5la1a*i u*u*>
$. ):a ('5ini*i (ari :'nya+i, Cr%hn>
3. ):a ',i%l%7i (ari :'nya+i, Cr%hn>
-. ):a *a;a 1ani5'*,a*i +lini* (ari :'nya+i, Cr%hn>
!. ?a7ai1ana :a,%5i*i%l%7i :'nya+i, Cr%hn>
2. ):a *a;a +%1:li+a*i yan7 (i*'9a9+an %l'h :'nya+i, Cr%hn>
". ):a *a;a :'1'ri+*aan (ia7n%*,i6 ,'rha(a: :'nya+i, Cr%hn>
0. ?a7ai1ana :'n7%9a,an ,'rha(a: +li'n :'n('ri,a :'nya+i, Cr%hn>
. ):a ('5ini*i (ari :'nya+i, C%li,i* ul*'ra,i5>
10. ):a ',i%l%7i (ari :'nya+i, C%li,i* ul*'ra,i5>
2
11. ):a *a;a 1ani5'*,a*i +lini* (ari :'nya+i, C%li,i* ul*'ra,i5>
1$. ?a7ai1ana :a,%5i*i%l%7i :'nya+i, C%li,i* ul*'ra,i5>
13. ):a *a;a +%1:li+a*i yan7 (i*'9a9+an %l'h :'nya+i, C%li,i* Ul*'ra,i<'>
1-. ):a *a;a :'1'ri+*aan (ia7n%*,i6 ,'rha(a: :'nya+i, C%li,i* Ul*'ra,i<'>
1!. ?a7ai1ana :'n7%9a,an ,'rha(a: +li'n :'n('ri,a :'nya+i, C%li,i*
Ul*'ra,i<'>
12. ?a7ai1ana a*uhan +':'ra8a,an :a(a +li'n ('n7an :'nya+i, C%li,i*
ul*'ra,i5 (an :'nya+i, Cr%hn>
1." Tu#uan
1.3.1 Tu;uan U1u1
Maha*i*8a (a:a, 1'n7',ahui (an 1'n6'7ah :'nya+i, in5la1a*i u*u*.
1.3.$ Tu;uan Khu*u*
1. M'n7',ahui ('5ini*i :'nya+i, in5la1a*i u*u*.
$. M'n7',ahui ('5ini*i :'nya+i, C%li,i* Ul*'ra,i5.
3. M'n7',ahui ',i%l%7i :'nya+i, C%li,i* Ul*'ra,i5.
-. M'n7',ahui 1ani5'*,a*i +lini* :'nya+i, C%li,i* Ul*'ra,i5.
!. M'ny'9u,+an :a,%5i*i%l%7i :'nya+i, C%li,i* ul*'ra,i5.
2. M'n7',ahui ('5ini*i :'nya+i, Cr%hn.
". M'n7',ahui ',i%l%7i :'nya+i, Cr%hn.
0. M'n7',ahui 1ani5'*,a*i +lini* :'nya+i, Cr%hn.
. M'ny'9u,+an :a,%5i*i%l%7i :'nya+i, Cr%hn.
10. M'n;'la*+an a*uhan +':'ra8a,an :a(a +li'n ('n7an :'nya+i,
C%li,i* ul*'ra,i5 (an :'nya+i, Cr%hn
1.$ an%aat
1. Maha*i*8a (a:a, 1'1aha1i ,'n,an7 :'nya+i, in5la1a*i u*u*.
$. Maha*i*8a 1'1aha1i (an (a:a, 1'n7i1:l'1'n,a*i+an a*uhan
+':'ra8a,an un,u+ 9'r9a7ai :'nya+i, in5la1a*i u*u*.
3
BAB II
TIN&AUAN PUSTA'A
2.1 De%(n(s( Pen)ak(t In%lamas( Usus
P'nya+i, in5la1a*i u*u* a,au yan7 9ia*a (i*'9u, ra(an7 u*u*
(Inflamatory Bowel Disease atau I?D# a(alah *'+'l%1:%+ in5la1a*i :a(a
u*u* 9'*ar (an u*u* +'6il. @'ni* u,a1a I?D a(alah P'nya+i, Cr%hn (an C%li,i*
ul*'ra,i<a. P'r9'(aan u,a1a an,ara P'nya+i, Cr%hn (an C%li,i* ul*'ra,i<'
a(alah l%+a*i (an *i5a, :'ru9ahan in5la1a*i. Cr%hn (a:a, 1'1:'n7aruhi *',ia:
9a7ian (ari *aluran :'n6'rnaan= (ari 1ulu, +' anu* (1'l'8a,+an l'*i#=
1'*+i:un 1ay%ri,a* +a*u* a8al (i il'u1 ,'r1inal. S'9ali+nya= C%li,i* a(alah
,'r9a,a* :a(a u*u* 9'*ar (an r'6,u1. C%li,i* ul*'ra,i<a ,'r9a,a* :a(a 1u+%*a
(la:i*an ':i,'l (ari u*u*#= *'1'n,ara P'nya+i, Cr%hn 1'1:'n7aruhi *'luruh
(in(in7 u*u*.
P'nya+i, Cr%hn (an C%li,i* ul*'ra,i<a ha(ir ('n7an 1ani5'*,a*i
'+*,raAin,'*,inal (*':'r,i 1a*alah ha,i= ar,hri,i*= 1ani5'*,a*i +uli, (an 1a*alah
1a,a# (ala1 :r%:%r*i yan7 9'r9'(a. @i+a )n(a 1'1ili+i :'nya+i, in5la1a*i
u*u* 9'*ar= )n(a 1un7+in 1'n7ala1i +ra1 :'ru, (an ny'ri= (iar'= :'nurunan
9'ra, 9a(an (an :'n(arahan (ari u*u* )n(a.
2.2 De%(n(s( Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
Ba19ar 1. P'na1:an7 P'nya+i, Cr%hn
4
P'nya+i, r'7i%nal 'n,'ri,i* (Cr%nh* (i*'a*', 1'ru:a+an *ua,u
:'ra(an7an 7ranul%1a,%*a +r%ni* :a(a *aluran 6'rna yan7 *'rin7 ,'r;a(i
9'rulan7 (Syl<ia an( l%rrain'= :a,%5i*i%l%7i <%l. 1#. P'nya+i, ini
1'n7ha*il+an 9i(an7 :'ra(an7an 1'ra,a= ,'ru,a1a (i u*u* +'6il= ,',a:i ;u7a
(a:a, 1'n7ha*il+an :'ra(an7an (i 9a7ian 1ana:un (ari *aluran :'n6'rnaan=
,'r1a*u+ 1ulu,= +'r%n7+%n7an= :'ru,= (an u*u*. P'nya+i, Cr%hn 9ia*anya
1'ny'9a9+an ul+u* (lu+a ,'r9u+a# (i *':an;an7 u*u* +'6il (an 9'*ar yan7
1'ny'9a9+an :'ra(an7an a,au in5'+*i ('n7an (raina*' (i *'+i,ar (u9ur.
Di1ana a(a :'ra(an7an a+an 1'lua* +' *'1ua la:i*an ;arin7an.
P'nya+i, Cr%hn a8alnya 6'n('run7 1'ny'ran7 (i u*ia r'1a;a (an
(ua:uluhan= ('n7an :un6a+ +';a(ian lain (i ,ahun li1a:uluhan *a1:ai
,u;uh:uluhan= 8alau:un *'9'narnya :'nya+i, ini 9i*a 1'ny'ran7 :a(a u*ia
9'ra:a:un. P'r9an(in7an an,ara la+iAla+i (an :'r'1:uan yan7 ,'r*'ran7
:'nya+i, ini +iraA+ira a(alah *a1a. P'nya+i, Cr%hn (ian77a: *ua,u :'nya+i,
au,%i1un= (i1ana yan7 (i*'ran7 a(alah *y*,'1 +'+'9alan ,u9uh :a(a
*aluran :'n6'rnaan. ?u+,i 7'n',i+ 1'19u+,i+an 9ah8a in(i<i(u ('n7an
*au(ara 1'n('ri,a :'nya+i,6r%nh 9'r'*i+% ,in77i 1'n('ri,a :'nya+i, yan7
*a1a. P'ra(an7an +r%ni* yan7 *'riu* (an :r%7r'*i5 (ari il'u1 1'n7ha*il+an
9u+,i *'rin7 (iar' ('n7an *a+i, :'ru, (an 1ual (an ('1a1 (an :'nurunan
9'ra, 9a(an.
2." Et(*l*g( Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
a. &a+,%r 7'n',i+
?'9'ra:a :'n'li,ian ,'lah 1'nun;u++an 9ah8a P'nya+i, Cr%hn
1un7+in 1'1ili+i lin+ 7'n',i+. P'nya+i, ini 9'r;alan (i (ala1 +'luar7a
(an 1'r'+a yan7 1'1ili+i *au(ara +an(un7 ('n7an :'nya+i, ,'r*'9u, 30
+ali l'9ih 9'*ar un,u+ 1'n('ri,a :'nya+i, yan7 *a1a (i9an(in7+an ('n7an
+'luar7a ,an:a +',urunan :'nya+i, 6r%nh.
9. &a+,%r Lin7+un7an
Oran7 yan7 9'+'r;a (i(unia in(u*,ri 9'ri*i+% ,in77i ,'r+'na
:'nya+i, 6r%nh= hal ini 9'r+ai,an ('n7an :%la 1a+an 1'r'+a. Ma+anan
yan7 r'n(ah *'ra, (a:a, 1'ni19ul+an (iar'.
5
6. Si*,'1 +'+'9alan
(. Mi+r%9a
2.$ an(%estas( 'l(n(s Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
B';ala :'r,a1a (ari :'nya+i, Cr%hn a(alah ny'ri :a(a :'ru, :a(a
a,au (i 9a8ah :u*ar. Diar' *'rin7 1'ny'r,ai ra*a *a+i,= yan7 9ia*anya
1'n7i+u,i 1a+anan. P'nya+i, Cr%hn (a:a, 1'ny'9a9+an 9'r9a7ai 7';ala=
*':'r,i:
1.Kra1 :'ru,
$.)n'1ia a,au *'l (arah 1'rah yan7 r'n(ah ;u1lah
3.)r,hri,i* ('n7an ny'ri *'n(i (an 9'n7+a+
-. Diar'
!.K'l'lahan
2.D'1a1
".K'ru*a+an ha,i
0.Hilan7nya na5*u 1a+an
.K'+uran7an 7i.i= *'9a7ai a+i9a, (ari +'ru*a+an u*u*
10. P'n(arahan (u9ur
11. 3ua1 +uli,
1$. Ban77uan <i*ual
13. ?'ra, 9a(an
2.- Pat*%(s(*l*g( Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
P'nya+i, Cr%hn (i1ulai ('n7an :'ra(an7an 6ry:, (an a9*'*= yan7
9'r+'19an7 1'n;a(i 9i*ul +'6il a:h,h%i( 5%+u*. L'*i 1u+%*a ini (a:a,
9'r+'19an7 1'n;a(i 9i*ul l%n7i,u(inal (an ,ran*<'r*al *1'n(ala1 ('n7an
in,'r<'n*i '('1a 1u+%*a= 1'19ua, ,a1:ilan yan7 9'r9a,u un,u+
+ara+,'ri*,i+ u*u*. P'ra(an7an ,ran*1ural 1'ny'9a9+an ly1:h'('1a (an
:'n'9alan (in(in7 u*u* (an 1'*'n,'riu1. M'*'n,'ri+a l'1a+ 9ia*anya
1'lua* +' :'r1u+aan *'r%*al (ari u*u* 9'*ar. P'ra(an7an lua* (a:a,
1'n7a+i9a,+an hi:'r,r%5i (ari 1u6%*a' 1u*+ulari*= 5i9r%*i*= (an
6
:'19'n,u+an *,ri+,ur= yan7 (a:a, 1'ny'9a9+an %9*,ru+*i u*u*. )9*'* yan7
u1u1= (an 5i*,ula *'rin7 1'n'19u* +' (ala1 *,ru+,ur *'9'lah= ,'r1a*u+
l%%: lain u*u*= +an(un7 +'1ih= a,au %,%, :*%a*. &i*,ula 9ah+an (a:a,
1'1:'r:an;an7 +' +uli, :'ru, an,'ri%r a,au :an77ul. T'rl':a* (ari a+,i<i,a*
:'nya+i, in,raAa9(%1'n= a9*'* 5i*,ula :'rianal (an ,'r;a(i (i $! 1'n;a(i 33C
(ari +a*u*D +%1:li+a*i ini 1'ru:a+an a*:'+ yan7 :alin7 *uli, (ari :'nya+i,
Cr%hn.
?a7an 1: Pa,%5i*i%l%7i P'nyali, Cr%hn
Branul%1a N%n6a*'a,in7 (a:a, ,'r;a(i :a(a +'l'n;ar 7',ah 9'nin7=
:'ri,%n'u1= ha,i= (an *'1ua la:i*an (ari (in(in7 u*u*. M'*+i:un
:a,%7n%1%ni+ *aa, ini= Branul%1a ,i(a+ ,'r(','+*i :a(a *','n7ah (ari :a*i'n
('n7an :'nya+i, Cr%hn. S'+i,ar 3!C +a*u* :'nya+i, Cr%hn 1'li9a,+an
il'u1 *a;a (il'i,i*#D *'+i,ar -!C 1'li9a,+an il'u1 (an +%l%n (il'%6%li,i*#=
('n7an +'6'n('run7an un,u+ *i*i +anan u*u* 9'*ar= (an *'+i,ar $0C
1'li9a,+an u*u* 9'*ar *a;a (+%li,i* 7ranul%1a,%*a#. Hal ini ,i(a+ *':'r,i
+%li,i* ul*'ra,i<a (UC#= 6a(an7an r'+,u1. O66a*i%nally= ,h' 'n,ir' *1all
9%8'l i* in<%l<'( (;';un%il'i,i*#. S'*'+ali= u*u* +'6il *'luruh yan7 ,'rli9a,
(;';un%il'i,i*#. P'ru,= (u%('nu1= a,au '*%5a7u* *'6ara +lini* ;aran7 ,'r+'na
7
P'ra(an7an
6ry:, (an a9*'*
?i*ul
E('1a 1u+%*a
P'ra(an7an
(in(in7 *aluran
6'rna (an
1'*n,riu1
Hi:'r,r%5i O9*,ru+*i u*u* P'nya+i, Cr%hn
:'nya+i, Cr%nh ini= 1'*+i:un 9u+,i 1i+r%*+%: *'rin7 1'n(','+*i (i an,ru1
la19un7= ,'ru,a1a :a(a :a*i'n 1u(a.
2.. '*m/l(kas( Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
P'nya+i, Cr%hn (a:a, 1'ny'9a9+an *a,u a,au l'9ih +%1:li+a*i=
(ian,aranya *'9a7ai 9'ri+u,:
a. O0struks( usus. S'irin7 8a+,u= 9a7ian u*u* (a:a, 1'n'9al (an
*'1:i,= yan7 (a:a, 1'n7halan7i aliran i*i :'n6'rnaan 1'lalui 9a7ian
yan7 ,'r+'na u*u*.
9. B*r*k :'ra(an7an kr*n(s. Da:a, 1'ny'9a9+an lu+a ,'r9u+a (ul+u*# (i
1ana *a;a (i *aluran :'n6'rnaan )n(a= ,'r1a*u+ 1ulu, (an anu*= (an (i
ar'a 7'ni,al (:'rin'u1# (an anu*.
6. F(stula. Ka(an7A+a(an7 ul+u* (a:a, 1'1an;an7 1'lalui (in(in7 u*u*=
1'n6i:,a+an *'9uah 5i*,ula yai,u *aluran a9n%r1al yan7 1'n7huun7+an
+' (a'rah +'81aluan a,au +' +uli,.
(. F(sura Anal a(alah r',a+= a,au ,'r9'lah :a(a (u9ur a,au :a(a +uli, (i
*'+i,ar anu* (i 1ana in5'+*i (a:a, ,'r;a(i. Ini *'rin7 (i+ai,+an ('n7an
7'ra+an u*u* yan7 1'nya+i,+an.
'. 'ekurangan g(1(2. Diar'= *a+i, :'ru, (an +ra1 1un7+in a+an
1'ny'9a9+an +'*uli,an un,u+ 1a+an a,au :'ny'ra:an nu,ri*i %l'h u*u*.
S'lain i,u= an'1ia a(alah 7';ala u1u1 :a(a %ran7 ('n7an :'nya+i,
Cr%hn.
5. asala! kese!atan la(nn)a. S'lain :'ra(an7an (an lu+a :a(a *aluran
:'n6'rnaan= P'nya+i, Cr%hn (a:a, 1'ny'9a9+an 1a*alah (i 9a7ian lain
(ari ,u9uh= *':'r,i ra(an7 *'n(i= ra(an7 1a,a a,au +uli,= 6lu99in7 (ari
+u+u= 9a,u 7in;al= 9a,u '1:'(u (an= +a(an7A+a(an7 = ra(an7 *aluran
'1:'(u. Oran7 ('n7an :'nya+i, Cr%hn la1a ;u7a (a:a,
1'n7'19an7+an %*,'%:%r%*i*= *ua,u +%n(i*i yan7 1'ny'9a9+an l'1ah=
,ulan7 ra:uh.

2.3 Pemer(ksaan D(agn*st(4 Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
a. CT a9(%1'n (+%n<'n*i%nal a,au CT 'n,'r%7ra:hy#
9. Ka(an7A+a(an7 'n(%*+%:i a,a*= +%l%n%*+%:i= a,au +'(uanya
8
P'nya+i, Cr%hn haru* (i6uri7ai :a(a :a*i'n ('n7an 7';ala in5la1a*i
a,au %9*,ru+,i5 a,au :a(a :a*i'n ,an:a 7';ala gastrointestinal (BI# 1'n%n;%l
,a:i ('n7an 5i*,ula :'rianal a,au a9*'* a,au ('n7an ar,hri,i*= n%(%*u1
'ri,'1a= ('1a1= an'1ia= a,au :'r,u19uhan ,'rha19a, (:a(a ana+Aana+#.
S'9uah ri8aya, +'luar7a :'nya+i, Cr%hn ;u7a 1'nin7+a,+an in('+*
+'6uri7aan. S'ru:a ,an(aA,an(a (an 7';ala (1i*alnya= *a+i, :'ru,= (iar'#
(a:a, (iha*il+an %l'h 7an77uan BI lainnya. Na1un= +ar'na :'n7%9a,an yan7
*a1a= :'r9'(aan ini *an7a, :'n,in7 hanya +',i+a %:'ra*i a,au ,'ra:i
'+*:'ri1'n,al (i1a+*u(.
Pa*i'n ('n7an :'ru, a+u, (9ai+ a8alnya a,au *aa, +a19uh# haru*
1'1ili+i :'ru, (a,ar (an ,'7a+ :a(a *aa, (ila+u+an *inarAE (an CT *6an
:'ru,. S,u(iA*,u(i ini 1'nun;u++an %9*,ru+*i= a9*'* a,au 5i*,ula= (an
+'1un7+inan :'ny'9a9 lainnya (ari :'ru, a+u, (1i*alnya= ra(an7 u*u*
9un,u#. USB yan7 l'9ih 9ai+ (a:a, 1'n77a19ar+an :a,%l%7i 7in'+%l%7i
:a(a 8ani,a ('n7an *a+i, :'ru, (an :an77ul yan7 l'9ih r'n(ah. @i+a
:r'*'n,a*i a8al +uran7 a+u,= *'9uah *'ri BI a,a* ('n7an u*u* +'6il (an
,'1:a, 5il1 (ari il'u1 ,'r1inal +%n<'n*i%nal l'9ih (i:ilih (ari:a(a CT.
Na1un= ,'+ni+ yan7 l'9ih 9aru 'n,'r%7ra:hy CT= yan7 1'n77a9un7+an CT
r'*%lu*i ,in77i ('n7an <%lu1' +%n,ra* 9'*ar= 1'n;a(i :r%*'(ur :ilihan.
U::'r BI 'n(%*+%:i (a:a, 1'n7i('n,i5i+a*i +','rli9a,an
7a*,r%(u%('nal halu* 9ah+an ,an:a a(anya 7';ala BI a,a*. U;i la9%ra,%riu1
haru* (i:'r%l'h un,u+ an'1ia= hi:%al9u1in'1ia= (an +'lainan 'l'+,r%li,. T'*
5un7*i ha,i haru* (i:'r%l'hD 5%*5a,a*' al+alin (an (i,in77i+an 7lu,a1il
,ran*:':,i(a*' ,in7+a,AF :a(a :a*i'n ('n7an +','rli9a,an +%l%n u,a1a
1'nyaran+an u,a1a +%lan7i,i* *6l'r%*in7 1un7+in. L'u+%*i,%*i* a,au
:'nin7+a,an +a(ar r'a+,an 5a*' a+u, (1i*alnya= LED= :r%,'in CAr'a+,i5# yan7
*:'*i5i+ na1un *'rin7 (a:a, (i7una+an un,u+ 1'1an,au a+,i<i,a* :'nya+i,.
2.5 Peng*0atan Pen)ak(t Reg(*nal Enter(t(s +Cr*!ns D(sease,
Kar'na ,i(a+ a(a ',i%l%7i (i+'nal P'nya+i, Cr%hn= ,i(a+ a(a ,'ra:i
+hu*u* yan7 ,'r*'(ia. O9a, :'ra8a,an 9'r5%+u* :a(a 1'n7hilan7+an 7';ala
(an (i9a7i +' (ala1 +'la* *'9a7ai 9'ri+u,:
9
1. Ant(6(are. Diar' u1u1nya (i%9a,i ('n7an (i:h'n%Eyla,' (L%1%,il#=
L%:'ra1i(' (I1%(iu1# (an %9a, lain yan7 1'n7an(un7 +%('in a,au
%:iu1. E5'+ *a1:in7 yan7 :alin7 u1u1 %9a, ini :u*in7= +an,u+ (an
*'(a*i. O9a, yan7 1'n7an(un7 +%('in (an %:iu1 ;u7a (a:a,
1'ny'9a9+an +','r7an,un7an ('n7an :'n77unaan ;an7+a :an;an7. S'lain
i,u= %9a, an,i(iar' haru* (i9'ri+an ('n7an ha,iAha,i +ar'na 1'r'+a (a:a,
1'ny'9a9+an 1'7a6%l%n 9'ra6un= +%n(i*i (arura, yan7 (i,an(ai %l'h
(ila,a*i (ari u*u* 9'*ar.
$. Ant(0(*t(k. P'n77unaan an,i9i%,i+ ,'lah 1'19an,u :a(a :a*i'n ('n7an
+'1un7+inan 9a+,'ri= a,au a1'9i6 in5'+*i <iru*. M',r%ni(a.%l a(alah yan7
:alin7 u1u1 (i7una+an an,i9i%,i+ (an *an7a, 1'19an,u (ala1 1'n7%9a,i
l'*i :'riAanal. E5'+ *a1:in7 (ari 1',r%ni(a.%l ,'r1a*u+ ra*a 1',ali+=
(i*:':*ia (an :ar'*,'*i. M',r%ni(a.%l ;u7a 9'rin,'ra+*i ('n7an al+%h%l
1'ny'9a9+an 7';ala *':'r,i 1ual= 1un,ah (an *a+i, +':ala.
3. O0at sal(s(lat. O9a, ini 1'n'+an :'ra(an7an +'la* r'n(ah (an 9ia*anya
(i7una+an un,u+ rin7an *a1:ai *'(an7 P'nya+i, Cr%hn. K'7unaan
1'r'+a= 9a7ai1ana:un= a(alah (i9a,a*i %l'h :r%5il 1'r'+a *'rin7 '5'+
*a1:in7. D%*i* yan7 9'rhu9un7an ('n7an '5'+ *a1:in7 ,'r1a*u+
an%r'+*ia= (i*:':*ia= 1ual (an 1un,ah. U1u1nya %9a, *ali*ila, (i7una+an
,'r1a*u+ *ul5a*ala.in' ().ul5i(in'#= %l*ala.in' (Di:'n,u1# (an
1'*ala1in' (P'n,a*a#.
-. Taha: '*rt(k*ster*(6 (ari P'nya+i, Cr%hn ('n7an ('1a1= (iar'= *a+i,
:'ru, yan7 :arah (an +'l'19u,an 1un7+in 1'1'rlu+an :'n77unaan
+%r,i+%*,'r%i( IG a,au li*an. Th%u7h 6%r,i6%*,'r%i(* ha<' 'E6'll'n, an,iA
in5la11a,%ry '55'6,*= l%n7A,'r1 u*' 1ay ha<' nu1'r%u* *i('A'55'6,*
in6lu(in7 (9u, n%, li1i,'( ,%# %*,'%:%r%*i*= 7lu6%*' in,%l'ran6'= 6a,ara6,
5%r1a,i%n= 5lui( r','n,i%n= (':'n('n6' an( 1u*6l' 8a*,in7. M'*+i:un
+%r,i+%*,'r%i( 1'1ili+i '5'+ an,iAin5la1a*i yan7 *an7a, 9ai+= :'n77unaan
;an7+a :an;an7 1un7+in 1'1ili+i 9anya+ '5'+ *a1:in7 ,'r1a*u+ (,',a:i
,i(a+ ,'r9a,a* :a(a# %*,'%:%r%*i*= in,%l'ran*i 7lu+%*a= :'19'n,u+an
+a,ara+= 6airan r','n*i= +','r7an,un7an (an 1'19uan7 %,%,.
10
!. O0at (mun*su/res(% 6an ).a,hi%:rin' (I1uran# 2A1'r6a:,%:urin'
(Purin',h%l# a(alah (ua %9a, i1un%*u:r'*i5 u1u1 (i7una+an un,u+
1'n77an,i+an +%r,i+%*,'r%i(= 1'ny'19uh+an 5i*,ula in,'rnal (an
'+*,'rnal= (an 1'n'+an *'ran7an a+u,. C%11%n '5'+ *a1:in7 ,'r1a*u+
r'a+*i al'r7i ('n7an ('1a1 (an *a+i, *'n(i= :an+r'a,i,i*= h':a,i,i* (an
l'u+%:'nia.
2. Be6a!. Kar'na P'nya+i, Cr%hn (i+'nal +a19uh *','lah %:'ra*i= 1%(ali,a*
:'ra8a,an lain haru* (i6%9a ,'rl'9ih (ahulu. Na1un= ;i+a :'nya+i, Cr%hn
yan7 ru1i, ('n7an %9*,ru+*i u*u* *'rin7 a,au +'ra* a,au a9*'* 5i*,ula=
%:'ra*i 1un7+in 1'n;a(i :'rlu. Tin7+a, +'+a19uhan *','lah %:'ra*i
:'r,a1a a(alah *'+i,ar $0C *','lah (ua ,ahunD 30C *','lah ,i7a ,ahun= (an
an,ara -0A!0C *','lah '1:a, ,ahun. Un,un7nya= :'n7ulan7an a(alah ;auh
l'9ih r'n(ah *','lah %:'ra*i +'(ua haru* i,u (i:'rlu+an.
2.7 De%(n(s( Pen)ak(t C*l(t(s Ulserat(8e
Ba19ar $. C%li,i* Ul6'r
P'nya+i, K%li,i* ul*'ra,i5 a(alah :'nya+i, ra(an7 +%l%n n%n*:'*i5i+
yan7 u1u1nya 9'rlan7*un7 la1a (i*'r,ai 1a*a r'1i*i yan7 9'r7an,iA7an,i
(Syl<ia an( l%rrain'= :a,%5i*i%l%7i <%l. 1#. Su19'r lain 1'ny'9u,+an 6%li,i*
ul*'ra,i<' a(alah :'nya+i, yan7 1'ny'9a9+an :'ra(an7an (an lu+a= yan7
(i*'9u, 9%r%+= :a(a la:i*an r'+,u1 (an u*u* 9'*ar. C%li,i* ul*'ra,i<' hanya
,'r9a,a* :a(a 9a7ian u*u* 9'*ar a,au r'6,u1 ,i(a+ *a1:ai 1'ny'9ar +'
9a7ian *aluran :'n6'rnaan yan7 lainnya. K',i+a :'ra(an7an ,'r;a(i (i
11
r'+,u1 (an 9a7ian 9a8ah u*u* 9'*ar (i*'9u, :r%+,i,i* 6%li,i*. @i+a *'luruh
u*u* 9'*ar ,'r+'na (a1:a+ i,u (i*'9u, :an6%li,i*. @i+a hanya *i*i +iri u*u*
9'*ar (i:'n7aruhi (i*'9u, +%li,i* ,'r9a,a* a,au (i*,al. P'nya+i, ini (a:a,
1'l'1ah+an (an +a(an7A+a(an7 (a:a, 1'ny'9a9+an +%1:li+a*i yan7
1'n7an6a1 ;i8a. K%li,i* ul*'ra,i5 (a:a, ,'r;a(i :a(a %ran7 *'7ala u*ia= ,a:i
9ia*anya (i1ulai an,ara u*ia 1! (an 30= (an +uran7 *'rin7 an,ara !0 (an "0
,ahun. Hal ini 1'1:'n7aruhi :ria (an 8ani,a ('n7an ,in7+a, :'r9an(in7an
yan7 *a1a= *'+i,ar $0 :'r*'n %ran7 ('n7an +'ra9a, yan7 1'n('ri,a +%li,i*
ul*'ra,i<a 1'1ili+i +'1un7+inan un,u+ ,'r+'na :'nya+i, yan7 *a1a.
2.19 Et(*l*g( Pen)ak(t C*l(t(s Ulserat(8e
E,i%l%7i 6%li,i* ul*'ra,i<' ,i(a+ (i+',ahui. &a+,%r 7'n',i+
,a1:a+nya 9'r:'ran (ala1 ',i%l%7i= +ar'na ,'r(a:a, hu9un7an 5a1ilial. @u7a
,'r(a:a, 9u+,i yan7 1'n(u7a 9ah8a au,%i1unni,a 9'r:'ran (ala1
:a,%7'ni*i* +%li,i* ul*'ra,i<a. )n,i9%(i an,i+%l%n ,'lah (i,'1u+an (ala1
*'ru1 :'n('ri,a :'nya+i, ini. Dala1 9ia+an ;arin7an li15%*i, (ari :'n('rri,a
+%li,i* ul*'ra,i<a 1'ru*a+ *'l ':i,'l :a(a +%l%n. S'lain i,u a(a ;u7a 9'9'ra:a
5a+%r yan7 (i6uri7ai 1'n;a(i :'ny'9a9 ,'r;a(inya 6%li,i* ul*'ra,i5
(ian,aranya a(alah : hi:'r*'n*i,i5i,a* ,'rha(a: 5a6,%r lin7+un7an (an
1a+anan= in,'ra+*i i1un ,u9uh (an 9a+,'ri yan7 ,i(a+ 9'rha*il (a8al (ari
,'r9'n,u+nya ul+u*#= :'rnah 1'n7ala1i :'r9ai+an :'19uluh (arah= (an
*,r'**.
S'9a7ian %ran7 9'r:'n(a:a, 9ah8a :'nya+i, ,'r+'6il (a:a, 1'1i6u
:'nya+i,. &a+,%r P'n6',u* T'r;a(inya C%li,i* Ul6'ra,i<':
1. &a+,%rA5a+,%r 7'n',i+
S'9uah 7'n',i+ +%1:%n'n +' ',i%l%7i +%li,i* ul*'ra,i5 (a:a,
(i(a*ar+an :a(a hi:%,'*i* 9'ri+u,:
a# )7r'7a*i (ari +%li,i* ul*'ra,i<a (ala1 +'luar7a.
9# I('n,i+ +'19ar +%n+%r(an*i *'9'*ar 10C (an (i.i7%,i+ ,in7+a,
+%n+%r(an*i +'19ar 3C.
6# In6i('n6' E,ni* :'r9'(aan (ala1 in*i('n.
(# P'nan(a 7'n',i+ (an +','r+ai,an.
12
)(a 1$ (a'rah (ari 7'n%1 yan7 (a:a, (i+ai,+an ('n7an ul*'ra,i5
+%li,i*. Ini ,'r1a*u+ +r%1%*%1 12= 1$= 2= 1-= != 1= 1= 12= (an 3 (ala1
uru,an :'n'1uan 1'r'+a. Na1un= ,i(a+ *a,u:un (ari l%+u* ,'lah *'6ara
+%n*i*,'n ,'r9u+,i 9'r*alah= 1'nun;u++an 9ah8a +'lainan 1un6ul (ari
+%19ina*i 9'9'ra:a 7'nS'9a7ai 6%n,%h= 9an( +r%1%*%1 1:32 1'ru:a+an
*alah *a,u 8ilayah ,'r*'9u, (i(u7a 9'r+ai,an ('n7an :'nya+i, ra(an7 u*u*.
?'9'ra:a (a'rah (i(u7a 1'nyan(i+an :r%,'in ,ran*:%r,'r *':'r,i OCTN1
(an OCTN$. M'li9a,+an (a'rah :%,'n*ial lainnya :'ran6ah *'l :r%,'in
*':'r,i +'luar7a M)BUK. ?ah+an a(a HL) a*%*ia*i yan7 1un7+in (i
,'1:a, +'r;a. ?ah+an= +ai,an :a(a +r%1%*%1 M'i 2 1'n;a(i yan7 :alin7
1'ya+in+an (an +%n*i*,'n (ari 6al%n 7'n',i+.
?'9'ra:a :'nya+i, au,%i1un ,'lah (ir'+a1 ('n7an 7'n',i+
n'ur%<i*6'ral (an +uli, :%r:hyria* ,'r1a*u+ ul6'ra,i<' 6%li,i*= :'nya+i, Cr%hn=
:'nya+i, 6'lia6= ('r1a,i,i* h'r:',i5%r1i*= (ia9','*= *i*,'1i+ (an (i*+%i( lu:u*=
rh'u1a,%i( ar,hri,i*= *:%n(ili,i* *:%n(ili,i*= *+l'r%('r1a= :'nya+i, S;%r7'n (an
*6l'ri,i*. D%+,'r haru* 9'ra(a :a(a *ia7a ,in77i un,u+ +'luar7a ('n7an
:%r:hyria* (i au,%i11un' (i*%r('r* (an :'rha,ian haru* (ia19il ('n7an
:%r:hyrin%7'ni6 :%,'n*i %9a,A%9a,an= ,'r1a*u+ *ul5a*ala.in'.
$. Fakt*r;%akt*r l(ngkungan
?anya+ hi:%,'*i* ,'lah (i9'*ar+an 6%n,ri9u,an,* lin7+un7an +'
:a,%7'n'*i* ul*'ra,i5 +%li,i*. M'r'+a 1'li:u,i:
a# Di',: *'9a7ai u*u* 9'*ar ,'r+'na 9anya+ .a,A.a, 1a+anan yan7 (a:a,
1'n(%r%n7 :'ra(an7an= 5a+,%rA5a+,%r (i', yan7 ,'lah (ihi:%,'*i*+an un,u+
1'1ain+an :'ran (ala1 :a,%7'n'*i* (ari +'(ua ul6'ra,i<' 6%li,i* (an
:'nya+i, Cr%hn. )(a 9'9'ra:a *,u(i un,u+ 1'ny'li(i+i *':'r,i a*%*ia*i=
,',a:i *a,u *,u(i 1'nun;u++an ,i(a+ a(a a*%*ia*i %lahan 7ula :a(a
:r'<al'n*i +%li,i* ul*'ra,i<a. Di',: S'9uah 9'ra7i (i', r'n(ah *'ra,
1a+anan (a:a, 1'1:'n7aruhi in*i('n +%li,i* ul*'ra,i<a.
6# M'nyu*ui: )(a la:%ran yan7 *alin7 9'r,'n,an7an :'rlin(un7an 1'nyu*ui
(ala1 :'r+'19an7an :'nya+i, in5la1a*i u*u*. Sa,u I,alia :'n'li,ian
1'nun;u++an '5'+ :'rlin(un7an yan7 :%,'n*ial.
13
(# ?'9'ra:a *,u(i il1iah ,'lah (iu1u1+an 9ah8a )66u,an' a(alah
+'1un7+inan :'1i6u Cr%hnH* Di*'a*' (an ul*'ra,i5 +%li,i* (i 9'9'ra:a
in(i<i(u. Ti7a +a*u* (i )1'ri+a S'ri+a, ,'lah :'r7i +' :'n7a(ilan *';auh
ini= ('n7an +',i7a 1'n7ha*il+an ;u,aan (%lar :'nilaian ,'rha(a: :'19ua,
I*%,r',in%in. )(a ,a19ahan -$! +a*u* yan7 ,'r,un(a.
2.11 an(%estas( 'l(n(s Pen)ak(t C*l(t(s Ulserat(8e
K'9anya+an 7';ala Colitis ulserativa :a(a a8alnya a(alah 9'ru:a
9uan7 air 9'*ar yan7 l'9ih *'rin7. B';ala yan7 :alin7 u1u1 (ari +%li,i*
ul*'ra,i5 a(alah *a+i, :'ru, (an (iar' 9'r(arah. Pa*i'n ;u7a (a:a, 1'n7ala1i:
1. )n'1ia
$. &a,i7u'I K'l'lahan
3. ?'ra, 9a(an 1'nurun
-. Hilan7nya na5*u 1a+an
!. Hilan7nya 6airan ,u9uh (an nu,ri*i
2. L'*i +uli, ('ri,%1a n%(%*u1#
". L'*i 1a,a (u<'i,i*#
0. Ny'ri *'n(i
. K'7a7alan :'r,u19uhan (+hu*u*nya :a(a ana+Aana+#
10. ?uan7 air 9'*ar 9'9'ra:a +ali (ala1 *'hari (10A$0 +ali *'hari#
11. T'r(a:a, (arah (an nanah (ala1 +%,%ran.
1$. P'r(arahan r'+,u1 (anu*#.
13. 3a*a ,i(a+ 'na+ (i 9a7ian :'ru,.
1-. M'n(a(a+ :'ru, ,'ra*a 1ula*.
1!. Kra1 :'ru,.
12. Sa+i, :a(a :'r*'n(ian.
1". 3a*a *a+i, yan7 hilan7 ,i19ul :a(a r'6,u1
10. )n%r'+*ia
1. D%r%n7an un,u+ ('5'+a*i
$0. Hi:%+al*'1ia
S'+i,ar *','n7ah (ari %ran7A%ran7 (i(ia7n%*i* ('n7an +%li,i*
ul*'ra,i<a 1'1ili+i 7';alaA7';ala rin7an. Lain *'rin7 1'n('ri,a ('1a1=
14
(iar'= 1ual= (an +ra1 :'ru, yan7 :arah. K%li,i* ul*'ra,i<a ;u7a (a:a,
1'ny'9a9+an 1a*alah *':'r,i ra(an7 *'n(i= ra(an7 1a,a= :'nya+i, ha,i= (an
%*,'%:%r%*i*. Ti(a+ (i+',ahui 1'n7a:a 1a*alah ini ,'r;a(i (i luar u*u*. Para
il1u8an 9'r:i+ir +%1:li+a*i ini 1un7+in a+i9a, (ari :'ra(an7an yan7
(i:i6u %l'h *i*,'1 +'+'9alan ,u9uh.
P'nya+i, ini 9ia*anya (i*'r,ai ('n7an 9'r9a7ai ('ra;a, ny'ri :'ru,=
(ari +',i(a+nya1anan rin7an un,u+ *an7a, 1'nya+i,+an +ra1. C%li,i*
ul*'ra,i<' 9'rhu9un7an ('n7an :r%*'* :'ra(an7an u1u1 yan7
1'1:'n7aruhi 9anya+ 9a7ian ,u9uh. Ka(an7A+a(an7 ,'r+ai, '+*,raA7';ala
u*u* a(alah ,an(aA,an(a a8al :'nya+i,= *':'r,i *a+i,= r'1a,i+ lu,u, :a(a
*'%ran7 r'1a;a. K'ha(iran :'nya+i, ini ,i(a+ (a:a, (i+%n5ir1a*i= na1un=
*a1:ai a8al 1ani5'*,a*i u*u*.
2.12 Pat*%(s(*l*g( Pen)ak(t C*l(t(s Ulserat(8e
Sua,u *'ran7an 9i*a 1'n(a(a+ (an 9'ra,= 1'ny'9a9+an (iar'
h'9a,= ('1a1 ,in77i= *a+i, :'ru, (an :'ri,%ni,i* (ra(an7 *'la:u, :'ru,#.
S'la1a *'ran7an= :'n('ri,a ,a1:a+ *an7a, *a+i,. 4an7 l'9ih *'rin7 ,'r;a(i
a(alah *'ran7annya (i1ulai 9'r,aha:= (i1ana :'n('ri,a 1'1ili+i
+'in7inan un,u+ 9uan7 air 9'*ar yan7 *an7a,= +ra1 rin7an :a(a :'ru,
9a8ah (an ,in;a yan7 9'r(arah (an 9'rl'n(ir. @i+a :'nya+i, ini ,'r9a,a*
:a(a r'+,u1 (an +%l%n *i71%i(= ,in;a 1un7+in n%r1al a,au +'ra* (an
+'rin7. T',a:i *'la1a a,au (ian,ara 8a+,u 9uan7 air 9'*ar= (ari r'+,u1
+'luar l'n(ir yan7 1'n7an(un7 9anya+ *'l (arah 1'rah (an *'l (arah
:u,ih. B';ala u1u1 9'ru:a ('1a1= 9i*a rin7an a,au 1alah ,i(a+ 1un6ul.
@i+a :'nya+i, 1'ny'9ar +' u*u* 9'*ar= ,in;a l'9ih luna+ (an
:'n('ri,a 9uan7 air 9'*ar *'9anya+ 10A$0 +aliIhari. P'n('ri,a *'rin7
1'n7ala1i +ra1 :'ru, yan7 9'ra,= +';an7 :a(a r'+,u1 yan7 ,'ra*a ny'ri=
(i*'r,ai +'in7inan un,u+ 9uan7 air 9'*ar yan7 *an7a,. Pa(a 1ala1 hari:un
7';ala ini ,i(a+ 9'r+uran7. Tin;a ,a1:a+ 'n6'r (an 1'n7an(un7 nanah=
(arah (an l'n(ir. 4an7 :alin7 *'rin7 (i,'1u+an a(alah ,in;a yan7 ha1:ir
*'luruhnya 9'ri*i (arah (an nanah. P'n('ri,a 9i*a ('1a1= na5*u 1a+annya
15
1'nurun (an 9'ra, 9a(annya 9'r+uran7. C%li,i* ul*'ra,i<' a(alah :'nya+i,
ul*'ra,i5 (an in5la1a*i 9'rulan7 (ari la:i*an 1u+%*a +%l%n (an r'6,u1.
?a7an $: Pa,%5i*i%l%7i C%li,i* Ul6'ra,i<'
P'nya+i, ini u1u1nya 1'n7'nai %ran7 +au+a*ia= ,'r1a*u+
+',urunan 4ahu(i. Pun6a+ in*i('n* a(alah :a(a u*ia 30A!0 ,ahun. K%li,i*
ul*'ra,i5 a(alah :'nya+i, *'riu*= (i*'r,ai ('n7an +%1:li+a*i *i*,'1i+ (an
an7+a 1%r,ali,a* yan7 ,in77i. )+hirnya 10CA1!C :a*i'n 1'n7ala1i
+ar*in%1a +%l%n. C%li,i* ul*'ra,i<' 1'1:'n7aruhi 1u+%*a *u:'r5i*i*al
+%l%n (an (i+ara+,'ri*,i++an ('n7an a(anya ul*'ra*i 1ul,i:l'= in5la1a*i
1'ny'9ar= (an ('*+ua1a*i a,au :'n7'lu:a*an ':i,'liu1 +%l%ni+.
P'r(arahan ,'r;a(i *'9a7ai a+i9a, (ari ul*'ra*i. L'*i 9'rlan;u,= yan7 ,'r;a(i
*a,u *'6ara 9'r7iliran= *a,u l'*i (ii+u,i l'*i yan7 lainnya. Pr%*'* :'nya+i,
1ulai :a(a r'6,u1 (an a+hirnya (a:a, 1'n7'nai *'luruh +%l%n. )+hirnya
u*u* 1'ny'1:i,= 1'1'n('+ (an 1'n'9al a+i9a, hi:'r,r%5i 1u*+ul'r (an
(':%*i, l'1a+.
2.1" Pemer(ksaan D(agn*st(4 Pen)ak(t C*l(t(s Ulserat(8e
P'1'ri+*aan La9%ra,%riu1 I Da,a P'nun;an7
1. S'9uah hi,un7 (arah l'n7+a: (ila+u+an un,u+ 1'1'ri+*a an'1iaD
Tr%19%*i,%*i*= ,in77i :la,'l', 6%un,= +a(an7A+a(an7 ,'rliha,.
16
P'ra(an7an :a(a
r'6,u1 a,au *a1:ai
+%l%n
U*u* 1'ny'1:i,
1'1'n('+ (an 1'n'9al
a+i9a, hi:'r,r%5i
1u*+ul'r (an (':%*i,
l'1a+
P'r(arahan *'9a7ai
a+i9a, ul*'ra*i
Ul*'ra*i 1ul,i:l'=
in5la1a*i 1'ny'9ar=
:'n7'lu:a*an
':i,h'liu1 +%l%ni+ :a(a
1u+%*a *u:'r5i6ial
+%l%n
C%li,i* Ul6'ra,i<'
$. El'+,r%li, *,u(i (an ,'* 5un7*i 7in;al (ila+u+an= *'9a7ai +r%ni* (iar'
(a:a, 9'rhu9un7an ('n7an hi:%+al'1ia= hy:%1a7n'*'1ia (an :raA
7a7al 7in;al.
3. T'* 5un7*i ha,i (ila+u+an un,u+ layar un,u+ +','rli9a,an *aluran
'1:'(u: +%lan7i,i* *6l'r%*in7 u,a1a.
-. XAray
!. Urin'
6. En(%*+%:i
?i%:*i *a1:'l (H J E n%(a# yan7 1'nun;u++an (i,an(ai li15%*i,i+
in5il,ra*i (9iru Iun7u# (ari 1u+%*a u*u* (an ar*i,'+,ur (i*,%r*i (ari +ri:,u*.
T'* ,'r9ai+ un,u+ (ia7n%*i* +%li,i* ul*'ra,i<a ,',a: 'n(%*+%:i. P'nuh
+%l%n%*+%:i +' *'+u1 (an 1a*u+ +' ,'r1inal il'u1 yan7 (i6%9a hanya
;i+a (ia7n%*i* UC ,i(a+ ;'la*. @i+a ,i(a+= *i71%i(%*+%:i yan7 5l'+*i9'l
*u(ah 6u+u: un,u+ 1'n(u+un7 (ia7n%*i*. D%+,'r (a:a, 1'1ilih un,u+
1'19a,a*i *';auh 1ana u;ian ;i+a +%li,i* :arah (i;u1:ai un,u+
1'1ini1al+an ri*i+% :'r5%ra*i (ari u*u* 9'*ar. En(%*+%:i ,'1uan (i
+%li,i* ul*'ra,i<a 1'li:u,i:
a. Hilan7nya :'na1:ilan <a*+ular +%l%n
9. Eri,'1a (a,au +'1'rahan (ari 1u+%*a# (an +'ra:uhan (ari 1u+%*a
6. Ul*'ra*i yan7 (an7+al= yan7 1un7+in ana+ *un7ai= (an
(. P*'u(%:%ly:*.
S'9uah +%l%n%*+%:i a,au *i71%i(%*+%:i a(alah 1',%(' yan7 :alin7
a+ura, un,u+ 1'19ua, (ia7n%*i* +%li,i* ul*'ra,i5 (an :'n7ua*aA%u, +%n(i*i
lain yan7 1un7+in= *':'r,i :'nya+i, Cr%hn= :'nya+i, (i<'r,i+ular= a,au
+an+'r. Un,u+ +'(ua ,'*= (%+,'r 1'1a*u++an *'9uah 'n(%*+%:iA:an;an7=
5l'+*i9'l= ,a9un7 9'r6ahaya ,'rhu9un7 +' +%1:u,'r (an 1%ni,%r TGA+'
(ala1 anu* un,u+ 1'liha, 9a7ian (ala1 +%l%n (an r'+,u1. D%+,'r a+an
(a:a, 1'liha, :'ra(an7an= :'r(arahan= a,au 9%r%+ :a(a (in(in7 u*u* 9'*ar.
T'* (arah (a:a, (ila+u+an un,u+ 1'1'ri+*a an'1ia= yan7 (a:a,
1'nun;u++an :'r(arahan (i +%l%n a,au r'+,u1= a,au 1'r'+a (a:a,
1'n7un7+a: ,in77i ;u1lah *'l (arah :u,ih= yan7 1'ru:a+an ,an(aA,an(a
:'ra(an7an (i *ua,u ,'1:a, (i (ala1 ,u9uh. S'9uah *a1:'l ,in;a ;u7a (a:a,
17
1'nun;u++an *'lA*'l (arah :u,ih= yan7 +'ha(irannya 1'nun;u++an +%li,i*
ul*'ra,i<a a,au :'nya+i, ra(an7. Di *a1:in7 i,u= *a1:'l ,in;a 1'1un7+in+an
(%+,'r un,u+ 1'n(','+*i :'r(arahan a,au in5'+*i (i u*u* a,au (u9ur yan7
(i*'9a9+an %l'h 9a+,'ri= <iru*= a,au :ara*i,. Ka(an7A+a(an7 E *inar *':'r,i
9ariu1 'n'1a a,au CT *6an ;u7a (i7una+an un,u+ 1'n(ia7n%*i* +%li,i*
ul*'ra,i<a a,au +%1:li+a*inya.
2.1$ '*m/l(kas( Pen)ak(t C*l(t(s Ulserat(8e
1. P'r(arahan= 1'ru:a+an +%1:li+a*i yan7 *'rin7 1'ny'9a9+an an'1ia
+ar'na +'+uran7an .a, 9'*i. Pa(a 10C :'n('ri,a= *'ran7an :'r,a1a *'rin7
1'n;a(i 9'ra,= ('n7an :'r(arahan yan7 h'9a,= :'r5%ra*i a,au :'ny'9aran
in5'+*i.
$. K%li,i* T%+*i+= ,'r;a(i +'ru*a+an :a(a *'luruh +','9alan (in(in7 u*u*.
K'ru*a+an ini 1'ny'9a9+an ,'r;a(inya il'u*= (i1ana :'r7'ra+an (in(in7
u*u* ,'rh'n,i= *'hin77a i*i u*u* ,i(a+ ,'r(%r%n7 (i (ala1 *alurannnya.
P'ru, ,a1:a+ 1'n77'l'19un7. U*u* 9'*ar +'hilan7an +','7an7an
%,%,nya (an a+hirnya 1'n7ala1i :'l'9aran. 3%n,7'n :'ru, a+an
1'nun;u++an a(anya 7a* (i 9a7ian u*u* yan7 lu1:uh. @i+a u*u* 9'*ar
*an7a, 1'l'9ar= +'a(aannya (i*'9u, 1'7a+%l%n ,%+*i+. P'n('ri,a ,a1:a+
*a+i, 9'ra, ('n7an ('1a1 yan7 *an7a, ,in77i. P'ru, ,'ra*a ny'ri (an
;u1lah *'l (arah :u,ih 1'nin7+a,.
3. Kan+'r K%l%n (Kan+'r U*u* ?'*ar#. 3'*i+% +an+'r u*u* 9'*ar 1'nin7+a,
:a(a %ran7 yan7 1'n('ri,a +%li,i* ul*'ra,i<a yan7 la1a (an 9'ra,. 3'*i+%
,'r,in77i a(alah 9ila *'luruh u*u* 9'*ar ,'r+'na (an :'n('ri,a ,'lah
1'n7i(a: :'nya+i, ini *'la1a l'9ih (ari 10 ,ahun= ,an:a 1'n7hirau+an
*'9'ra:a a+,i5 :'nya+i,nya. Dian;ur+an un,u+ 1'la+u+an :'1'ri+*aan
+%l%n%*+%:i (:'1'ri+*aan u*u* 9'*ar# *'6ara ,'ra,ur= ,'ru,a1a :a(a
:'n('ri,a r'*i+% ,in77i ,'r+'na +an+'r= *'la1a :'ri%(' 9'9a* 7';ala.
S'la1a +%l%n%*+%:i= (ia19il *a1:'l ;arin7an un,u+ (i:'ri+*a (i9a8ah
1i+r%*+%:.
S',ia: ,ahunnya= 1C +a*u* a+an 1'n;a(i +an+'r. ?ila (ia7n%*i* +an+'r
18
(i,'1u+an :a(a *,a(iu1 a8al= +'9anya+an :'n('ri,a a+an 9'r,ahan
hi(u:.
S':'r,i halnya :'nya+i, Cr%hn= +%li,i* ul*'ra,i<a ;u7a (ihu9un7+an
('n7an +'lainan yan7 1'n7'nai 9a7ian ,u9uh lainnya. ?ila +%li,i*
ul*'ra,i<a 1'ny'9a9+an +a19uhnya 7';ala u*u*= :'n('ri,a ;u7a
1'n7ala1i:
a. :'ra(an7an :a(a *'n(i (ar,ri,i*#
9. :'ra(an7an :a(a 9a7ian :u,ih 1a,a (':i*+l'ri,i*#
6. n%(ul +uli, yan7 1'ra(an7 ('ri,'1a n%(%*u1# (an
(. lu+a +uli, 9iruA1'rah yan7 9'rnanah (:i%('r1a 7an7r'n%*u1#.
M'*+i:un :'n('ri,a +%li,i* ul*'ra,i<a *'rin7 1'1ili+i +'lainan
5un7*i ha,i= hanya *'+i,ar 1A3C yan7 1'1ili+i 7';ala :'nya+i, ha,i rin7an
*a1:ai 9'ra,. P'nya+i, ha,i yan7 9'ra, 9i*a 9'ru:a:
a. :'ra(an7an ha,i (h':a,i,i* 1'nahun yan7 a+,i5#
9. :'ra(an7an *aluran '1:'(u (+%lan7i,i* *+l'r%*a :ri1'r#= yan7
1'n;a(i *'1:i, (an ,'r+a(an7 1'nu,u:= (an
6. :'n77an,ian ;arin7an ha,i 5un7*i%nal ('n7an ;arin7an 5i9r%*a (*ir%*i*#.
P'ra(an7an :a(a *aluran '1:'(u 9i*a 1un6ul 9'9'ra:a ,ahun
*'9'lu1 7';ala u*u* (ari +%li,i* ul*'ra,i<a ,i19ul (an a+an 1'nin7+a,+an
r'*i+% +an+'r *aluran '1:'(u.
2.1- Peng*0atan Pen)ak(t C*l(t(s Ul4erat(8e
P'n7%9a,an (i,u;u+an un,u+ 1'n7'n(ali+an :'ra(an7an=
1'n7uran7i 7';ala (an 1'n77an,i 6airan (an .a, 7i.i yan7 hilan7. P'n('ri,a
*'9ai+nya 1'n7hin(ari 9uah (an *ayuran 1'n,ah un,u+ 1'n7uran7i 6'('ra
5i*i+ :a(a la:i*an u*u* 9'*ar yan7 1'ra(an7. Di', 9'9a* *u*u 9i*a
1'n7uran7i 7';ala. P'na19ahan .a, 9'*i 9i*a 1'ny'19uh+an an'1ia yan7
(i*'9a9+an %l'h hilan7nya (arah (ala1 ,in;a. O9a,A%9a,an an,i+%lin'r7i+
a,au (%*i* +'6il l%:'ra1i(' a,au (i5'n%+*ila,= (i9'ri+an :a(a (iar' yan7
r'la,i5 rin7an.
Un,u+ (iar' yan7 l'9ih 9'ra,= 1un7+in (i9u,uh+an (%*i* yan7
l'9ih 9'*ar (ari (i5'n%+*ila, a,au %:iu1 yan7 (ilaru,+an (ala1 al+%h%l=
19
l%:'ra1i(' a,au 6%('in. Pa(a +a*u*A+a*u* yan7 9'ra,= :'19'rian %9a,A%9a,
an,iA(iar' ini haru* (ia8a*i *'6ara +',a,= un,u+ 1'n7hin(ari ,'r;a(inya
1'7a+%l%n ,%+*i+. Sulfasalazine, olsalazine a,au mesalamine *'rin7
(i7una+an un,u+ 1'n7uran7i :'ra(an7an :a(a +%li,i* ul*'ra,i<a (an un,u+
1'n6'7ah ,i19ulnya 7';ala. O9a,A%9a,an ini 9ia*anya (i1inu1 na1un 9i*a
;u7a (i9'ri+an *'9a7ai 'n'1a (6airan yan7 (i*un,i++an +' (ala1 u*u*# a,au
*u:%*i,%ria (%9a, yan7 (i1a*u++an 1'lalui (u9ur#.
P'n('ri,a ('n7an +%li,i* 9'ra, 1'n'n7ah yan7 ,i(a+ 1'n;alani
:'ra8a,an ru1ah *a+i,= 9ia*anya 1'n(a:a,+an +%r,i+%*,'r%i( :'rA%ral
(1'lalui 1ulu,#= *':'r,i :r'(ni*%n'. Pr'(ni*%n' (%*i* ,in77i *'rin7 1'1i6u
:r%*'* :'ny'19uhan. S','lah :r'(ni*%n' 1'n7'n(ali+an :'ra(an7annya=
*'rin7 (i9'ri+an *ul5a*ala.in'= %l*ala.in' a,au 1'*ala1in'. S'6ara 9'r,aha:
(%*i* :r'(ni*%n' (i,urun+an (an a+hirnya (ih'n,i+an. P'19'rian
+%r,i+%*,'r%i( ;an7+a :an;an7 1'ni19ul+an '5'+ *a1:in7= 1'*+i:un
+'9anya+an a+an 1'n7hilan7 ;i+a :'n7%9a,an (ih'n,i+an. ?ila +%li,i*
ul*'ra,i<a yan7 rin7an a,au *'(an7 ,'r9a,a* :a(a *i*i +iri u*u* 9'*ar (+%l%n
('*'n('n*# (an (i r'+,u1= 9i*a (i9'ri+an 'n'1a ('n7an +%r,i+%*,'r%i( a,au
1'*ala1in'.
?ila :'nya+i,nya 1'n;a(i 9'ra,= :'n('ri,a haru* (ira8a, (i ru1ah
*a+i, (an (i9'ri+an +%r,i+%*,'r%i( in,ra<'na (1'lalui :'19uluh (arah#.
P'n('ri,a ('n7an :'r(arahan r'+,u1 yan7 9'ra, 1un7+in 1'1'rlu+an
,ran*5u*i (arah (an 6airan in,ra<'na. Un,u+ 1'1:'r,ahan+an 5a*'
:'ny'19uhan= (i9'ri+an a.a,hi%:rin' (an 1'r+a:,%:urin. Siklosporin
(i9'ri+an +':a(a :'n('ri,a yan7 1'n(a:a, *'ran7an 9'ra, (an ,i(a+
1'19'ri+an r'*:%n ,'rha(a: +%r,i+%*,'r%i(. T',a:i *'+i,ar !0C (ari
:'n('ri,a ini= a+hirnya 1'1'rlu+an ,'ra:i :'19'(ahan.
P'19'(ahan
K%li,i* ,%+*i+ 1'ru:a+an *ua,u +'a(aan 7a8a, (arura,. S'7'ra
*','lah ,'r(i,'+*i a,au 9ila ,'r;a(i an6a1an 1'7a+%l%n ,%+*i+= *'1ua %9a,
an,iA(iar' (ih'n,i+an= :'n('ri,a (i:ua*a+an= *'lan7 (i1a*u+an +' (ala1
la19un7 a,au u*u* +'6il (an *'1ua 6airan= 1a+anan (an %9a,A%9a,an
(i9'ri+an 1'lalui :'19uluh (arah. Pa*i'n (ia8a*i ('n7an +',a, un,u+
20
1'n7hin(ari a(anya :'ri,%ni,i* a,au :'r5%ra*i. ?ila ,in(a+an ini ,i(a+
9'rha*il 1'1:'r9ai+i +%n(i*i :a*i'n (ala1 $-A-0 ;a1= *'7'ra (ila+u+an
:'19'(ahan= (i1ana *'1ua a,au ha1:ir *'9a7ian 9'*ar u*u* 9'*ar (ian7+a,.
@i+a (i(ia7n%*i* +an+'r a,au a(anya :'ru9ahan :r'A+an+'r :a(a u*u* 9'*ar=
1a+a :'19'(ahan (ila+u+an 9u+an 9'r(a*ar+an +'(arura,an.
P'19'(ahan n%nA(arura, ;u7a (ila+u+an +ar'na a(anya
:'ny'1:i,an (ari u*u* 9'*ar a,au a(anya 7an77uan :'r,u19uhan :a(a ana+A
ana+. )la*an :alin7 u1u1 (ari :'19'(ahan a(alah :'nya+i, 1'nahun yan7
,i(a+ *'19uhA*'19uh= *'hin77a 1'19ua, :'n('ri,a ,'r7an,un7 +':a(a
+%r,i+%*,'r%i( (%*i* ,in77i. P'n7an7+a,an *'luruh u*u* 9'*ar (an r'+,u1=
*'6ara :'r1an'n a+an 1'ny'19uh+an +%li,i* ul*'ra,i<a. P'n('ri,a hi(u:
('n7an il'%*,%1i (hu9un7an an,ara 9a7ian ,'r'n(ah u*u* +'6il ('n7an
lu9an7 (i (in(in7 :'ru,# (an +an,%n7 il'%*,%1i. Pr%*'(ur :ilihan lainnya
a(alah ana*,%1%*a il'%Aanal= (i1ana u*u* 9'*ar (an *'9a7ian 9'*ar r'+,u1
(ian7+a,= (an *'9uah r'*'r<%ir (i9ua, (ari u*u* +'6il (an (i,'1:a,+an :a(a
r'+,u1 yan7 ,'r*i*a= ,':a, (ia,a* anu*.
21
BAB III
ASUHAN 'EPERA<ATAN
".1 Pengka#(an 'e/era=atan
a. )na1n'*a :
1. I('n,i,a* :a*i'n
a. Na1a
9. U*ia
6. @'ni* K'la1in
(. Su+u I ?an7*a
'. )la1a,
$. K'luhan U,a1a :
Pa*i'n ('n7an :'nya+i, Cr%nh* (an :'nya+i, +%li,i*
ul*'ra,i5 9ia*anya 1'1ili+i +'luhan yan7 ha1:ir *a1a= *':'r,i ny'ri
:'ru,= 1un,ah= (iar' (an +'luhan 9'r9a7ai a*%*ia*i a,au :'nya+i,
*':'r,i ar,ri,i* = 7an7r'n%*u1 Pi%('r1a = (an :ri1'r +%lan7i,i*
*6l'r%*in7.
3. 3i8aya, P'nya+i, S'+aran7 :
Pa(a :a*i'n :'n('ri,a :'nya+i, Cr%nh* (an K%li,i* ul*'ra,i5=
9ia*anya a+an (ia8ali ('n7an ,an(a (iar'= :'nurunan 9'ra, 9a(an=
:'r(arahan (iu*u*= l'*i +uli,= hilan7nya na5*u 1a+an (an :'r(arahan
:a(a (u9ur.
-. 3i8aya, :'nya+i, +'luar7a
P'rlu (i,anya+an a:a+ah a(a an77%,a +'luar7a yan7
1'n('ri,a :'nya+i,A:'nya+i, yan7 (i*inyalir *'9a7ai :'ny'9a9
:'nya+i, Cr%nh a,au:un :'nya+i, K%li,i* ul*'ra,i5.
!. 3i8aya, :*i+%l*%*ial
M'li:u,i :'ra*aan +'luar7a :a*i'n ,'rha(a: :'nya+i,nya=
9a7ai1ana 6ara 1'n7a,a*inya *'r,a 9a7ai1ana :'rila+u +'luar7a
:a*i'n ,'rha(a: ,in(a+an yan7 (ila+u+an ,'rha(a: :a*i'n.
9. P'1'ri+*aan &i*i+
 ?1 : ?r'a,hin7 (3'*:ira,%ry Sy*,'1#
22
Sy1:,%1* : ,a+i:n'a
 ?$ : ?l''(in7 (Car(i%<a*6ular *y*,'1#
Sy1:,%1* : ,a+i+ar(ia= hi:%,'n*i= an'1ia.
 ?3 : ?rain (N'r<%u* *y*,'1#
Sy1:,%1* : ,i(a+ (i,'1u+an +'lainan %,a+= +'*a(aran 6%1:a* 1'n,i*
 ?- : ?la(('r (B'ni,%urinary *y*,'1#
Sy1:,%1* : ny'ri
 ?! : ?%8'l (Ba*,r%in,'*,inal Sy*,'1#
Sy1:,%1* :)9(%1'n (i*,'n,i%n= 1'nurunnya 9i*in7 u*u*= ,a+ a(a
:'ri*,al,i+= hilan7nya 6airan ,u9uh (an nu,ri*i= :'r(arahan
(u9ur.
 ?2 : ?%n' (?%n'AMu*6l'AIn,'7u1'n,#
Sy1:,%1* : Ny'ri :a(a *'n(i
6. P'1'ri+*aan Dia7n%*,i+
1. P'1'ri+*aan &'*'*
Darah *a1ar 1un7+in :%*i,i5 ( 'r%*i 1u+%*a #= *,r'a,%r'a (an 7ara1
'1:'(u (a:a, (i,'1u+an.
$. &%,%
M'n'lan 9ariu1 (a:a, 1'nun;u++an :'ny'1:i,an lu1'n :a(a il'u1
,'r1inal= +'+a+uan (in(in7 u*u*= 1u+%*a 1u(ah ,'ran7*an7.
3. En'1a 9ariu1
U*u* halu* ha1:ir *'1ua ,'r+'na= ,',a:i ar' r'+,al hanya (i:'n7aruhi
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a(a :a(a *'71'n *':an;an7 *aluran BI.
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Da:a, 1'nun;u++an '('1a hi:'r'1i+ 1u+%*a +%l%n= 6'lah ,ran*<'r*al=
l%n7i,u(inal.
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M'19'ri+an <i*uali*a*i ar'a yan7 ,'rli9a,.

".2 D(agn*sa 'e/era=atan
a. Ma*alah : K',i(a+*'i19an7an 6airan (an 'l'+,r%li,
23
:'ny'9a9 : K',i(a+1a1:uan u*u* un,u+ 1'ny'ra: 6airan (an 'l'+,r%li,
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9. Ma*alah : :'nin7+a,an 'li1ina*i 5'+al a,au (iar'.
P'ny'9a9 : 7an77uan *aluran :'n6'rnaan 9a7ian 9a8ah.
6. Ma*alah : )n%r'Eia
:'ny'9a9 : :'nurunan na5*u 1a+an a+i9a, 7an77uan *aluran :'n6'rnaan.
(. Ma*alah :nu,ri*i +uran7 (ari +'9u,uhan
:'ny'9a9 :7an77uan a9*%r9*i nu,ri'n= *,a,u* hi:'r1',a9%li+.
'. 1a*alah : ny'ri ( a+u, #
:'ny'9a9 : hi:'r:'ri*,al,i+= (iar' la1a= iri,a*i +uli, a,au ;arin7an.
"." Inter8ens( 'e/era=atan
N* D(agn*sa
'e/era=atan
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24
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25
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26
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27
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28
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29
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30
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31
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32
1a+anan :a(a,
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) : a**'**1'n, a,au :'n7+a;ian ,'rha(a: ha*il (ari in,'r<'n*iyan7 ,'lah
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1. Tu;uan ,'r6a:ai
$. Tu;uan ,'r6a:ai *'9a7ian
3. Tu;uan ,i(a+ ,'r6a:ai
-. Munn6ulnya 1a*alah 9aru
P : :lannin7 yai,u :'r'n6anaan *'lan;u,nya *','lah ha*il (ari in,'r<'n*i
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:
1. Tu;uan ,'r6a:ai 1a+a in,'r<'n*i (a:a, (ih'n,i+an a,au ,',a: (i,'ru*+an
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3. Tu;uan ,a+ ,'r6a:ai 1a+a (i9u,uh+an r'n6ana in,'r<'n*i 9aru
-. Mun6ul 1a*alah 9aru 1a+a :'rlu (ila+u+an '<alua*i *'6ara +'*'luruhan
BAB I?
PENUTUP
33
$.1 'es(m/ulan
P'nya+i, in5la1a*i u*u* a,au yan7 9ia*a (i*'9u, ra(an7 u*u*
(Inflamatory Bowel Disease atau I?D# a(alah *'+'l%1:%+ in5la1a*i :a(a
u*u* 9'*ar (an u*u* +'6il. @'ni* u,a1a I?D a(alah P'nya+i, Cr%hn (an C%li,i*
ul*'ra,i<a. P'r9'(aan u,a1a an,ara P'nya+i, Cr%hn (an C%li,i* ul*'ra,i<'
a(alah l%+a*i (an *i5a, :'ru9ahan in5la1a*i. Cr%hn (a:a, 1'1:'n7aruhi *',ia:
9a7ian (ari *aluran :'n6'rnaan= (ari 1ulu, +' anu* (1'l'8a,+an l'*i#=
1'*+i:un 1ay%ri,a* +a*u* a8al (i il'u1 ,'r1inal. S'9ali+nya= C%li,i* a(alah
,'r9a,a* :a(a u*u* 9'*ar (an r'6,u1. C%li,i* ul*'ra,i<a ,'r9a,a* :a(a 1u+%*a
(la:i*an ':i,'l (ari u*u*#= *'1'n,ara P'nya+i, Cr%hn 1'1:'n7aruhi *'luruh
(in(in7 u*u*
P'nya+i, Cr%hn (an C%li,i* ul*'ra,i<a ha(ir ('n7an 1ani5'*,a*i
'+*,raAin,'*,inal (*':'r,i 1a*alah ha,i= ar,hri,i*= 1ani5'*,a*i +uli, (an 1a*alah
1a,a# (ala1 :r%:%r*i yan7 9'r9'(a. @i+a )n(a 1'1ili+i :'nya+i, in5la1a*i
u*u* 9'*ar= )n(a 1un7+in 1'n7ala1i +ra1 :'ru, (an ny'ri= (iar'= :'nurunan
9'ra, 9a(an (an :'n(arahan (ari u*u* )n(a.
P'n7%9a,an (i,u;u+an un,u+ 1'n7'n(ali+an :'ra(an7an=
1'n7uran7i 7';ala (an 1'n77an,i 6airan (an .a, 7i.i yan7 hilan7. P'n('ri,a
*'9ai+nya 1'n7hin(ari 9uah (an *ayuran 1'n,ah un,u+ 1'n7uran7i 6'('ra
5i*i+ :a(a la:i*an u*u* 9'*ar yan7 1'ra(an7. Di', 9'9a* *u*u 9i*a 1'n7uran7i
7';ala. P'na19ahan .a, 9'*i 9i*a 1'ny'19uh+an an'1ia yan7 (i*'9a9+an
%l'h hilan7nya (arah (ala1 ,in;a. O9a,A%9a,an an,i+%lin'r7i+ a,au (%*i* +'6il
l%:'ra1i(' a,au (i5'n%+*ila,= (i9'ri+an :a(a (iar' yan7 r'la,i5 rin7an.
$.2 Saran 6an 'r(t(k
S','lah :'nuli*an 1a+alah ini= +a1i 1'n7hara:+an 1a*yara+a,
:a(a u1u1nya (an 1aha*i*8a +':'ra8a,an :a(a +hu*u*nya 1'n7',ahui l'9ih
(ala1 1'n7'nai :'nya+i, Cr%nh (an K%li,i* Ul*'ra,i5. Un,u+ 1'n6'7ah
+%1:li+a*i +li'n (a:a, (i9'ri+an %9a, %9a,an yan7 *'*uai.
DAFTAR PUSTA'A
34
Pri6'= ) Syl<ia= L%rrain'. $002. Patofisiologi: Konsp Klinis Konsep-konsep
Penyakit= G%l. 1. K'(%+,'ran EBC. @a+ar,a
3''<'*= @. Charl'n'= 3%uE Bayl' J 3%9in L%6+har,. $001. Keperawatan Meikal
Bea!, ?u+u 1. P'n'r9i, Sal'19a M'(i+a. @a+ar,a.
h,,::II1'(i6a*,%r'.6%1I:'nya+i,I-0"IP'nya+i,LCr%hnLEn,'ri,i*L3'7i%nali*LIl'i,i*
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10:-3 WI?N
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+a1i*= $0 M'i $010 ;a1 10:-" WI?N
h,,::II888.1a;alahA5ar1a6ia.6%1Iru9ri+I%n'Ln'8*.a*:>IDN'8*O-03 M(ia+*'*
(ia+*'* hari +a1i*= $0 M'i $010 ;a1 10:!! WI?N
h,,::II888.in(%n'*iain(%n'*ia.6%1I5I10"33A:'nya+i,A6r%hnI M(ia+*'* (ia+*'* hari
+a1i*= $0 M'i $010 ;a1 1: 0 WI?N
<OC +<e0 O% Cause,
35
1. C*l(t(s Ulserat(%

2. '*l(t(s Ulserat(%
36
P'ra(an7an
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Diar' Nu,ri*i= +'9u,uhan
,u9uh :'ru9ahan
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37
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Ul6'
Diar'

BAB 1 PENDAHULUAN 1.1 Latar Belakang P'nya+i, u*u* in5la1a*i (in5la11a,%ry 9%8'l (i*'a*'# a(alah na1a (ari *'+'l%1:%+ 7an77uan yan7 1'ny'9a9+an u*u* 1'n;a(i 1'ra(an7 (1'rah (an 9'n7+a+#. P'ra(an7an ini 1'ru:a+an :'ra(an7an +r%ni* n%n*:'*i5i+ yan7 1'ny'ran7 *aluran :'n6'rnaan yan7 9'rlan7*un7 la1a (an 9ia*anya +'19ali la7i (an la7i. L'9ih (ari 200.000 %ran7 )1'ri+a 1'1ili+i *'1a6a1 :'nya+i, in5la1a*i u*u* 9'*ar *',ia: ,ahun. Dua ;'ni* u,a1a :'nya+i, in5la1a*i u*u* 9'*ar a(alah :'nya+i, Cr%hn (an +%li,i* ul*'ra,i<a. K%li,i* ul*'ra,i5 1'ny'9a9+an lu+a :a(a (a'rah r'+,u1 (an u*u* 9'*ar= :'nya+i, ini (a:a, ,'r;a(i :a(a %ran7 *'7ala u*ia= ,a:i 9ia*anya (i1ulai an,ara u*ia 1! (an 30= (an +uran7 *'rin7 an,ara !0 (an "0 ,ahun. S'(an7+an :'nya+i, Cr%hn 1'ny'9a9+an :'ra(an7an l'9ih (ala1 (in(in7 u*u* (an (a:a, ,'r;a(i (i 9a7ian lain (ari *i*,'1 :'n6'rnaan ,'r1a*u+ u*u* +'6il= 1ulu,= +'r%n7+%n7an= (an :'ru,. Un,u+ 1'n'n,u+an :'nan7anan yan7 a+an (ila+u+an 1a+a haru* (i+',ahui (ulu *'9'ra:a :arah :'nya+i, u*u* in5la1a*i yan7 (i('ri,a +li'n. S'hin77a :'nan7anan yan7 a+an (ila+u+an 9i*a '5'+,i5 1.2 Rumusan asala!

1. ):a ('5ini*i (ari :'nya+i, in5la1a*i u*u*> $. ):a ('5ini*i (ari :'nya+i, Cr%hn> 3. ):a ',i%l%7i (ari :'nya+i, Cr%hn> -. ):a *a;a 1ani5'*,a*i +lini* (ari :'nya+i, Cr%hn> !. ?a7ai1ana :a,%5i*i%l%7i :'nya+i, Cr%hn> 2. ):a *a;a +%1:li+a*i yan7 (i*'9a9+an %l'h :'nya+i, Cr%hn> ". ):a *a;a :'1'ri+*aan (ia7n%*,i6 ,'rha(a: :'nya+i, Cr%hn> 0. ?a7ai1ana :'n7%9a,an ,'rha(a: +li'n :'n('ri,a :'nya+i, Cr%hn> . ):a ('5ini*i (ari :'nya+i, C%li,i* ul*'ra,i5> 10. ):a ',i%l%7i (ari :'nya+i, C%li,i* ul*'ra,i5>

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