LAPORAN REFLEKSI KASUS STASE STASE ILMU KESEHAT K ESEHATAN AN ANAK A NAK IMKOMPA IMKOMPATIBILIT TIBILI TAS ABO
MUSTIKA NOOR RAMADHANI/20120310057 I.
PENGALAMAN
Seorang a!"en ##L $er%!"a 1 &ar" a'er() *a&"r !on'an +" RSUD KRT Se',onegoro) "$% a!"en (enge*%& $a-"n-a $erarna %n"ng) (%a* ) (%n'a& ) +e(a( ) #AK ) #A# ) (ene'e ) go*ongan +ara& A. Pa!"en (er%aan ana er'a(a +ar" I$% $ergo*ongan +ara& O. #L 2755gr ) P# 4() LK 3) LD 33) APGAR 7/.
II . MASALAH 6ANG DIKAI 1. #aga #aga"( "(an ana a a'o a'o8! 8!"o "o*o *og" g" Hemolytc Disease of Newborn (HDN) A#O / I(o(a9$"*"'a! A#O : 2. #aga #aga"( "(an ana a enega enegaa an n +"ag +"agno no!a !a a+a a+a Hemolytc Disease of Newborn (HDN) A#O / I(o(a9$"*"'a! A#O : 3. #aga #aga"( "(an ana a 'a'a 'a'a*a *a!a !ana na Hemolytc Disease of Newborn (HDN) A#O/ I(o(a9$"*"'a! I(o(a9$"*"'a! A#O : III. ANALISIS KRITIS 1. #aga #aga"( "(an ana a a'o a'o8! 8!"o "o*o *og" g" Hemolytc Disease of Newborn (HDN) A#O / I(o(a9$"*"'a! A#O : Penyakit Penyakit Hemolik Pada Inkompabilita ABO !ABO"H#N$ Ino(a9$"*"'a! A#O a+a*a& !a*a& !a'% en-e$a$ en-a"' &e(o*"9 a+a $a-" $ar% *a&"r -ang (er%aan ;a'or re!"o 'er!er"ng e,a+"an &"er$"*"r%$"ne("a a.
I'er%! I'er%! !e$aga !e$aga"" !a'%!a' !a'%!a'%n-a %n-a (an"; (an";e!' e!'a!" a!" *"n"! *"n"! +ar" +ar" Ino(a Ino(a9$"*" 9$"*"'a! 'a! A#O. A#O.
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(en,a+" $era' !er'a 'an+a'an+a ern"'er%! $ere($ang +engan 4ea'. <#e&r(an) 1= Pa'o8!o*og" -ang +aa' (en,e*a!an 9($%*n-a rea!" &e(o*"9 a+a "no(a9$"*a! A#O a"$a' e!a*a&an 'ran!;%!" a+a*a& a"$a' an9$o+" +a*a( *a!(a a!"en aan (e*"!"!an !e* +ara& (era& -ang "no(a9$e*. Me!"%n ?o*%(e +ara& "no(a9$e* &an-a !e+""' <1050 (*= na(%n !%+a& +aa' (en-e$a$an rea!" $era'. Se(a"n $an-a ?o*%(e +ara& -ang "no(a9$e* (aa aan !e(a"n (en"nga'an r"!"o. Se+angan a'o8!o*og" -ang +aa' (en,e*a!an 9($%*n-a en-a"' "no(a$"*"'a! R& +an A#O a+a*a& 'er,a+" e9a !"!'e( "(%n "$% (eng&a!"*an an9$o+" -ang (e*aan !e* +ara& (era& ,an"n -ang +"an+%ngn-a. Pa+a !aa' "$% &a("*) er"'ro!"' ,an"n +a*a( $e$eraa "n!"+en +aa' (a!% e+a*a( !"r%*a!" +ara& "$% -ang +"na(aan ;e'o(a'erna* ("4ro'ran!;%!"on. #"*a "$% 9+a (e("*"" an9gen !eer9 -ang 'er+aa' a+a er"'ro!"' ,an"n) (aa "$% aan +"!9(%*a!" %n'% (e($en'% "(%n an9$o+". I(%n an9 $o+" 9e IgG 'er!e$%' +aa' (e*ea9 *a!en'a +an e(%+"an (a!% e+a*a( ere+aran +ara& ,an"n !e&"ngga !e*!e* er"'ro!"' ,an"n aan +"!e*"(%9 <4oa'e+= +engan an9$o+" 'er!e$%' +an a&"rn-a 'er,a+" ag*%9na!" +an &e(o*"!"!) -ang e(%+"an aan (en-e$a$an ane("a
K%rangn-a an9gen er"'ro!"' +a*a( '%$%& $ero'en!" (eng&a!"*an an9$o+" ,"a 'eraar +engan an9gen 'er!e$%'. An9$o+" 'er!e$%' $er$a&a-a 'er&a+a +"r" !en+"r" a+a !aa' 'ran!;%!" a'a% $er$a&a-a $ag" ,an"n. He(o*"!"! -ang $era' $"a!an-a 'er,a+" o*e& a+an-a !en!"9!a!" (a'erna* !e$e*%(n-a) ("!a*n-a arena a$or'%!) r%'%r e&a("*an +" *%ar an+%ngan) a(n"o!en'e!"!) 'ran!;%!" +ara& R&e!%! o!"9; a'a% a+a e&a("*an e+%a +an $er"%'n-a. Peng&an4%ran !e*!e* +ara& (era& +aa' (e*ea!an "g(en +ara& (era& <&e(og*o$"n=) -ang (ana $a&an 'er!e$%' +"ena* +engan $"*"r%$"n. #"*"r%$"n !e4ara nor(a* +"$en'% +ar" !e*!e* +ara& (era& -ang 'e*a& (a9) 'e'a" '%$%& +aa' (enga'a!" e%rangan a+ar $"*"r%$"n +a*a( !"r%*a!" +ara& a+a !%a'% a'%. Er"'ro$*a!'o!"! ;e'a*"! (en-e$a$an 'er,a+"n-a en%(%an $"*"r%$"n a+a $a-". #a-" +aa' $ere($ang (en,a+" ern"'er%!. Ge,a*a *a"n -ang (%ng"n &a+"r a+a*a& en"nga'an a+ar "n!%*"n +an en%r%nan a+ar g%*a +ara&) +"(ana ea+aan "n" +"!e$%' !e$aga" &-+ro! ;e'a*"!. H-+ro! ;e'a*"! +"'%,%an o*e& a+an-a en%(%an 4a"ran a+a '%$%&) -ang (e($er"an ga($aran (e($enga
2. #aga"(ana enegaan +"agno!a a+a Hemolytc Disease of Newborn (HDN) A#O / I(o(a9$"*"'a! A#O : Peme&ikaan #ia'nok A#O "n4o(a9$"*"'- a'a% "no(a9$"*"'a! A#O +"+"gano!"! +engan> a. Te! +ara& 'a*" %!a' %n'% (enge'a&%" e9+a4o4oan $. H"'%ng +ara& *enga %n'% (enge'a&%" a'a% (en%n,%an a+an-a !e*!e* +ara& -ang r%!a +an &e(o*"!"!. 4. Pe(er"!aan 9nga' a+ar $"*"r%$"n <9nga' $"*"r%$"n 9ngg"= D"agno!"! +%gaan +"+a!aran a+a a+an-a "no(a9$"*"'a! A#O) %," oo($! +"re o!"9; *e(a& !a(a" !e+ang) +an a+an-a !;ero!"' a+a %*a!an +ara&) -ang
a+anga+ang (e($er" e!an a+an-a !;ero!"'o!"! &ere+"'er. H"er$"*"r%$"ne("a !er"ng (er%aan !a'%!a'%n-a e*a"nan *a$ora'or"%(. Ka+ar &e(og*o$"n $"aa!an-a nor(a* 'e'a" +aa' !eren+a& 1012 g/+L <100120 g/L=. re9%*o!"' +aa' na" !a(a" 1015 B) +engan o*"ro(a!"a -ang *%a! +an ena"an ,%(*a& !e* +ara& (era& $er"n9. Pa+a 1015B $a-" -ang 'erena) a+ar !er%( $"*"r%$"n 'a 'eron,%ga!"n-a +aa' (en4aa" 20 (g/+L a'a% *e$"& ,"a 9+a +"*a%an ;o'o'era". <#e&r(an) 1= 3. #aga"(ana 'a'a*a!ana Hemolytc Disease of Newborn (HDN) A#O/ I(o(a9$"*"'a! A#O : T"+a a+a ena'a*a!anaan &%!%! a+a $a-" +engan "'er%! arena "no(a9$"*"'a! A#O !e*a"n ena'a*a!anaan &"er$"*"r%$"ne("a !e4ara %(%(. Ka'C +an aanaan <12= (ene(%an $a&a 2B $a-" -ang (enga*a(" &e(o*"9 (e(er*%an engo$a'an +an -ang a*"ng !er"ng +"er*%an a+a*a& ;o'o'era". o'o'era" $"a!an-a +aa' (enga'a!" "'er" a+a $a-" -ang 'era"' +engan "no(a9*"'a! A#O. Ka*a% 9+a) engo$a'an +"ara&an a+a ore*a!" 9nga' ane("a a'a% &"er$"*"r%$"ne("a -ang (e($a&a-aan +engan ,a*an 'ran!;%!e '%ar (e(aa" +ara&. Tran!;%!e '%ar (e(aa" +ara& -ang go*ongann-a !a(a !eer9 go*ongan +ara& "$% <9r R& &ar%! +"%," !"*ang +engan +ara& $a-"=. In+"a!" %n'% ro!e+%r "n" !a(a +engan "n+"a!" -ang +"%ra"an !e$e*%(n-a a+a en-a"' &e(o*"9 arena "no(a9$"*"'aa! R&. <#e&r(an) 1=. Men%r%' A(er"4an A4a+e(- o; Pe+"a'r"4 "n+"a!" 'ran!;%!e '%ar -a"'% aa$"*a $a-" (en%n,%an 'an+a'an+a en!e;a*oa9 $"*"r%$"n a%' a'a% aa$"*a a+ar $"*"r%$"n 'o'a* *e$"& +ar" !a(a +engan 25 (g/+L a+a $a-" %!"a ge!'a!" 35 ("ngg% a'a% *e$"&. Tran!;%!e '%ar !earang ,arang +"g%naan arena e;e9;n-a ;o'o'era" +an ,%ga +engan er9($angan 'er&a+a re!"o o(*"a!" -ang $an-a +"9($%*an +ar" 'ran!;%!e '%ar 'er!e$%'.
#AFTAR PUSTAKA
#e&r(an) R"4&ar+ E. 1. I*(% e!e&a'an Ana Ne*!on. Fo* 1 e+. 15. aar'a> EG #e&r(an) R.E.) K*"eg(an) R.) an+ Ar?"n) A.M.) 2000. I*(% Ke!e&a'an Ana Ne*!on) 'er,. A. Sa(" a&a$. E+.15 Fo*.2. aar'a> EG. Le?eno)K) e' a*. 200. Ke*a&"ran Pre'er(. Da*a(> Ko(ara) Eg" 6%+&a +an N"e #%+&" S%$e9 EG. Le?eno) Kenne'& . O$!'e'r" "**"a(! > Pan+%an R"nga!. E+. 21. aar'a > EG S'o?a**) T&o(a! G. O$!'e'r"4! an+ G-ne4o*og- A!!o4"a'e!> A#O "n4o(a9$"*"'<&>//a*n%'&"**o$g-n.4o(/a$o"n4o(a9$"*"'-/= S'ra"g&') #ar$ara R. 200. Pan+%an #e*a,ar> Keeraa'an I$%$a-" #ar% La&"r. aar'a> EG 6a(a(o'o . 200. Re?"e> A#O $*oo+ gro% !-!'e(JA#H o*"go!a44&ar"+e) an9gen!) an9A an+ an9#) A an+ # g*-4o!-*'ran!;era!e!) an+ A#O gene!. o%rna* o; #*oo+ Gro% Sero*ogan+ E+%4a9on. Fo*.20. No.1.
