ASKEP GINGIVITIS
Di susun oleh
Ida Laela Sari
D/KP/VI 04.05.1152
ILMU KEPERAWATAN SEKOLAH TINGGI ILMU KESEHATAN SURYA GLOBAL YOGYAKARTA 2008
LAPORAN PENDAHULUAN
PENYAKIT INIVITI!
A.DE"INI!I PENYAKI!u#$u in%l#&#si '#(# )#*in+#n +usi &e*u'#,#n 'en-#,i$ )#*in+#n 'en-#n++# +i+i -#n+ '#lin+ *in+#n (#'#$ $e*)#(i #,u$#$#u ,*oni, $e$#'i en$u, #,u$ leih se*in+ (i$e&u,#n. .ETIOLOI "#,$o* 'en-e# $e*)#(in-# +in+ii$is #(#l#h %#$o* lo#l (#n sis$e&i, .%#,$o* 'en-e# lo#l #(#l#h 'l#, ,#l,ulus i&'#,si &#,#n#n ,#*ies (#n $#&#l#n -#n+ e*leih#n #$#u &en+e&'e*.'l#, -#n+ &e*u'#,#n (e'osi$ e*isi &i,*oo*+#nis&e &ulu$ ese*$# e,su(#$n-# &e&e+#n+ 'e*#n#n 'en$in+ $e*h#(#' $e*)#(in-# in%l#&#si $e*seu$ se(#n+,#n %#$o*3%#,$o* -#n+ l#in &e*u'#,#n %#$o* -#n+ &e&'e*e*#$.$in+,#$ ,e'#*#h#n(#n ,e*us#,#n )#*in+#n -#n+ $e*)#(i $e*+#n$un+ '#(# (#-# $#h#n $uuh (#n ,u#li$#s *e'#*#si )#*in+#n.in+ii$is h#&'e* sel#lu $e*)#(i #,i#$ 'en++oso,#n (#n %lossin+ &e&e*sih,#n +i+i (en+#n&en++un#,#n en#n+ +i+i -#n+ $i(#, en#$* sehin++# %l#, $e$#' #(# (i se'6#n)#n+ +#*is +usi. "l#, &e*u'#,#n su#$u l#'is#n -#n+ $e*u$#&# #,$e*i. "l#, leih se*in+ &ene&'el o#(# $#&#l#n -#n+ s#l#h #$#u (i se,i$#* +i+i -#n+ $e*le$#, (iseel#h#n (en+#n +i+i '#lsu -#n+ )#*#n+ (i e*sih,#n. 7. E8ALA DAN TANDA usi n-e*i in%l#&#si (#n en+,#, i#s#n-# +usi e*(#*#h se$el#h e*es'on $e*h#(#' ,on$#, *in+#n. P#(# +in+ii$is si&%le, +usi $#&'#, &e*#h u,#n 'in+ +usi &e&en+,#, (#n &u(#h (i+e*#,#n D. PATO"I!IOLOI Ke*us#,#n +i+i &ul#i (en+#n lu#n+ ,eil i#s#n-# '#(# %isu*#'e#hn-# i&el +i+i #$#u '#(# #*e# -#n+ suli$ un$u, e*sih.(ii#*,#n $i(#, $e*,#)i #*e# -#n+ $e*,en# &ene&us e&#il ,e(#l#& (en$in ,#*en# +en$in $i(#, se,e*#s e&#il ,e*us#,#n e*l#n)u$ leih e'#$ '#(# 9#,$u $e*$en$u &en#'#i 'ul#. il# (#*#h 'e&uluh li&%e (#n s#*#% $e*'#)#n #+i#n ini $e*,en# (#n $e*en$u, #ses #i, (i (#l#& +i+i #$#u '#(# u)un+ *#(i,s. R#s# s#,i$ (#n n-e*i i#s#n-# &en-e*$#i #ses il# in%e,si &enin+,#$ 9#)#h '#sien &en)#(i &e&nen+,#, (#n $e*(#'#$ n-e*i e*(en-u$. E. PE:ERIK!AAN PENUN8AN !in#* ; ". PENATA LAK!ANAAN Kon(isi &e(is -#n+ &en-e#,#n #$#u &e&'e*u*u, +in+ii$is h#*us (i #$#si )i,# 'en-e#n-# #(#lh o#3##$#n &#,# 'e*$u&uh#n +usi -#n+ e*leih# h#*is (i #n+,#$ &el#lui 'e&e(#h#n. 8i,# $e*)#(i ,e,u*#n+n i$#&in 7 (#n ni#sin :#,# (ie*i,# $#&#h#n i$#&in.+in+ios$o&#$i$is he*#$i, #,u$ i#s#n-# &e&#i, $#n'# 'en+o#$#n (#l#& 9#,$u 2 &in++u i#s (i e*i,#n o#$ ,u&u* #nes$e$i, un$u, &en+u*#n+i *#s# $i(#, n-#&#n ,e$i,# 'en(e*i$# &#,#n (#n &inu&
. :ANA8E:EN TERAPI P#(# +in+ii$is (%i e*i,#n $e*#'i suliho*&on 'ilih#n 'en+o#$#n l#inn-# #(#l#h $#le$ ,o*$i,os$e*oi( #$#u s#le' ,o*$o,os$e*oi( -#n+ (i oles,#n l#n+sun+ ,e +usi. H. DIANO!A YAN :UN7UL 1. N-e*i #,u$ e*huun+#n (en+#n +usi &e&en+,#, (#n &u(#h e*(#*#h 2. Ke$i(#, sei&#n+#n nu$*isi< ,u*#n+ (#*i ,eu$uh#n $uuh e*huun+#n (en+#n +usi &e&en+,#, &u(#h (i+e*#,#n (#n se*in+ ,#li e*(#*#h =. Resi,o in%e,si e*huun+#n (en+#n 'en++oso,#n (#n &e&e*sih,l#n +i+i (en+#n &en++un#,#n en#n+ +i+i 4. Ku*#n+ 'en+e$#hu#n e*huun+n#n (en+#n 'en+o#$#n 5. 7e&#s e*huun+#n (en+#n 'e&e(#h#n 'e*$u&uh#n +usi -#n+ e*leih#n
A!UHAN KEPERA>ATAN
No 1.
2.
Di#+nos# ,e'e*#9#$#n N-e*i #,u$ e*huun+#n (en+#n +usi &e&en+,#, (#n &u(#h e*(#*#h
Ke$i(#, sei&#n+#n nu$*isi< ,u*#n+ (#*i ,eu$uh#n $uuh e*huun+#n (en+#n +usi &e&en+,#, &u(#h (i+e*#,#n (#n se*in+ ,#li e*(#*#h
Tu)u#n NO7
In$e*ensi NI7
!e$e,#h (il#,u,#n $in(#,#n ,e'e*#9#$#n?; 24 )#& (ih#*#',#n n-e*i e*,u*#n+ (en+#n *i$e*i# h#sil< P#in on$*il1@05< 1@0501 &en+en#l %#$o*3 %#,$o* 'en-e# 1@0502 &en+en#l onse$ n-e*i 1@050= $in(#,#n 'e*$olon+#n non #n#l+e$i, 1@0505 &en++un#,#n #n#l+e$i, 1@050 &el#'o*,#n +e)#l# ,e'#(# $i& ,eseh#$#n 1@0511 n-e*i $e*,on$*ol P#in leel 2102 210201 &el#'o*,#n n-e*i 21020= %*e,uensi n-e*i 210204 l#&#n-# e'iso(e n-e*i 21020@ E,s'*esi 9#)#h n-e*i 21020 'osisi &elin(un+i $uuh 21020B ,e+elis#h#n 210210 'e*u#h#n *es'i*#si *#$e Ke$e*#n+#n < 1.e*#$ 2.#+#, e*#$ =.se(#n+ 4.se(i,i$ 5.$i(#, #(#
P#in &#n#+e&en$ L#,u,#n 'en+,#)i#n se#*# ,o&'*ehensi% $e*&#su, lo,#si ,#*#,$e*i*is$i,(u*#si %*e,uensi ,u#li$#s (#n %#$o* '*esi'i$#si Ose*#si *e#,si none*#l (#*i ,e$i(#,n-#&#n#n K#)i ,ul$u* -#n+ &e&'en+#*uhi*es'on n-e*i E#lu#si 'en+#l#&#n n-e*i &#s# l#&'#u #n#l+esi #(&inis$*#$ion Te$u,#n lo,#si ,#*#,$e*is$i, ,u#li$#s (#n (e*#)#$ n-e*i seelu& 'e&e*i#n o#$ 7e, ins$*u,si (o,$e* $en$#n+ )enis o#$ 7e, *i9#-#$ #le*+i E#lu#si #,$ii$#s #n#l+esi T#n(# (#n +e)#l#
!e$el#h (il#,u,#n #suh#n ,e'e*#9#$#n sel#&# ? C24 )#& ,lien (#'#$ (i h#*#',#n ,eu$uh#n nu$*ien$ $e*u,u'i (en+#n *i$e*i# h#sil 10001 ,#lo*i in$#,e 10002 '*o$ein in$#,e 1000= *#$ in$#,e 10004 ,#*ohi(*#$ in$#,e 10005 i$#&in in$#,e 1000@ &ine*#l in$#,e 1000 ion in$#,e 1000B ,#lsiu& in$#,e Ke$e*#n+#n 1. Ti(#, 'e*n#h
•
•
•
•
•
•
• •
•
•
•
•
•
•
K#)i #(#n-# #le*+i &#,#n#n ,ol#o*##si (en+#n #hli +ii un$u, &enen$u,#n )u&l#h ,#lo*i (#n nu$*isi An)u*,#n '#sien un$u, &enin+,#n i$ 7 e*i,#n &#,#n#n -#n+ $e*'ilih K#)i ,e&#&'u#n '#sien un$u, &en(#'#$,#n nu$*isi -#n+ (i u$uh,#n
&enun)u,#n 2. 8#*#n+ &enun)u,#n =. K#(#n+ &enun)u,#n 4. !l#lu &enun)u,#n =.
Nu$*i$ion &oni$o*in+ '#sien (#l#& #$#s no*&#l :oni$o* #(#n-# 'enu*un#n e*#$ #(#n :oni$o* in$*#,si #n#, (#n o*$u sel#&# &#,#n :oni$o* &u#l (#n &un$#h :oni$o* ,#(#* #lu&in :oni$o* &#,#n#n ,esu,##n •
•
•
•
Resi,o in%e,si e*huun+#n (en+#n 'en++oso,#n (#n &e&e*sih,l#n +i+i (en+#n &en++un#,#n en#n+ +i+i
• •
102 Ris, 7on$*ol 10201 &en+e$#hui *esi,o 10202 &oni$o* %#$o* %#$o* lin+,un+#n 1020= &oni$o* $in+,#h l#,u (#n (i*i $e*h#(#' %#$o* *esi,o 10204 &ene&#n+,#n s$*#$e+i on$*ol *esi,o se#*# e%e,$i% 1020 &oni$o* s$#$us ,eseh#$#n Ke$*#n+#n 1. Ti(#, (i l#,u,#n s#&# se,#li 2. )#*#n+ (i l#,u,#n =. ,#(#n+ (il#,u,#n 4. se*in+ (il#,u,#n 5. sel#lu (il#,u,#n
4.
In%e$ion on$*ol e*sih,#n lin+,un+#n se#*# $e'#$ se$el#h (i+un#,#n ol#h ,lien A)#*,#n ui $#n+#n un$u, &en)#+# ,eseh#$#n in(ii(u Tin+,#$,#n #su'#n nu$*isi An)u*,#n ,lien (#n ,elu#*+# $en$#n+ $#n(# (#n +e)#l# Nu$*i$ion &#n#+e&en$ An)u*,#n '#sien un$u, &eni+,#$,#n '*o$ein (#n i$#&in 7 e*i,#n &#,#n#n -#n+ $e*'ilih :oni$o* )u&l#h nu$*isi (#n ,#n(un+#n,#lo*i K#)i ,e&#&'u#n '#sien un$u, &en(#'#$,#n nu$*isi -#n+ (iu$uh,#n •
•
•
•
•
•
•
Ku*#n+ 'en+e$#hu#n e*huun+n#n (en+#n 'en+o#$#n
•
1B0B 'en+o#$#n/ ,no9le(+e &e(i#$ion 1B0B0= &en++#&#*,#n &e$o(e 'en+o#$#n -#n+ $e'#$ 1B0B04 &en++#&#*,#n $in(#,#n (#l#& 'en+o#$#n 1B0B05 &en++##*,#n e%e, s#&'in+ (#n 'en+o#$#n 1B0B0@ &en-eu$,#n in$e*,si o#$ 1B0B1 &en-eu$,#n *u$e 'e&en##n o#$ -#n+ $e'#$
•
•
•
•
8el#s,#n ,lien un$u, &en+en#l ,#*#,$ens$i, o#$ 8el#s,#n (osis *u$e (#n (u*#si o#$ In%o*&#si,#n #,i#$ $i(#, &inu& o#$ 8el#s,#n$#)u#n (#n ,e*)# o#$
5.
7e&#s e*huun+#n (en+#n 'e&e(#h#n 'e*$u&uh#n +usi -#n+ e*leih#n
1. 2. =. 4. 5.
$i(#, 'e*n#h $e*#$#s se(#n+ lu#s s#n+#$ lu#s
se$el#h (i l#,u,#n #suh#n ,e'e*#9#$#n sel#&# 24)#& ,lien &#&'u e&#s (en+#n in(i#$o* AnCie$- on$*ol 1402 140201 &oni$o* in%e,si '#(# e&#s 140202 eli&in#si $#n(# 'en-e# e&#s 14020= &enu*un,#n s$i&ul#si lin+,un+#n #'# il# $e*)#(i ,ee&#s#n 140204 &en#*i in%o*&#si un$u, &enu*un,#n ,ee&#s#n 140205&e*en#n#,#n s$*#$e+i ,o'in+ un$u, si$u#si #&#n Ke$e*#n+#n 1. $i(#, &enun)u,#n 2. )#*#n+ &enun)u,,#n =. ,#(#n+ ,#(#n+ &enun)u,#n 4. se*in+ &enun)u,#n
AnCie$- Re(u$ion 5B20 un#,#n 'en(e,#$#n -#n+ &enen#n+,#n N-#$#,#n (en+#n )el#s h#*#'#n $e*h#(#' 'el#,u '#sien P#h#&i 'e*s'e,$i% '#sien $e*h#(#' si$u#si s$*ess Te&eni '#sien un$u, &#&e*i,#n ,e#&#n#n (#n &en+u*#n+i #,u$ e*i,#n in%o*&#si %#$u#l &en+en#i (i#+nosis $in(#,#n '*o+nosis Do*on+ ,elu#*+# un$u, &ene&#ni #n#, •
•
•
•
•
•
