Satuan Acara Penyuluhan Hernia

SATUAN SATUAN ACARA PENYULUHAN PENYU LUHAN HERNIA

Oleh: Erwan Trisnanto Trisnanto  NIM 1201300045

POLITEKKES KEMENKES MALANG !"!SAN KEPE"A#ATAN P"OG"AM ST!$I $3 KEPE"A#ATAN %LITA"  2015

SATUAN SATUAN ACARA PENYULUHAN PENYU LUHAN HERNIA

Materi

: &ernia

Sasaran

: Tn S 'an (el)ar*a Tn S

Te+,at

: I" I"NA #i-a.a a.a K)s K)s) )+a $ "S!$ 'r 'r/ Soe'on 'ono Ma Ma'i)n

&ariTan**al &ariTan**al

: Selasa 14 A,ril 2015

#a(t) #a (t)

: 40 +enit

Pen.)l)h

: Erwan Trisnanto

1/ T)-)an !+ !+)+ Setelah 'ila()(an ,en.)l)han (esehatan  Tn S 'an (el)ar*a Tn S tah) tentan* hernia/

2/ T)-)an -)an Kh)s Kh)s) )s Setelah +en*i()ti ,en.)l)han Tn S 'an (el)ar*a Tn S 'ihara,(an 'ihara,(an +a+,): a/ Men-el Men-elas( as(an an tent tentan* an* ,en*e ,en*erti rtian an hern hernia ia  / Men-elas(an tentan* (lasii(asi hernia / Men-el Men-elas( as(an an tent tentan* an* ,en.ea ,en.ea  herni herniaa '/ Men-el Men-elas( as(an an tan'a tan'a *e-ala *e-ala hernia hernia e/ Men-elas(an Men-elas(an tentan* tentan* ,erawat ,erawatan an l)(a l)(a e(as e(as o,easi hernia hernia / Men-el Men-elas( as(an an tentan tentan* * ,ene ,ene*aha *ahan n hernia hernia 3/ Materi a/ Pen* Pen*er erti tian an hern hernia ia  / Klasii(asi hernia / Pen. Pen.e ea a her hernia nia '/ Tan'a *e-a *e-ala la herni herniaa e/ Perawa Perawatan tan l)(a l)(a e(as e(as o,easi o,easi hernia hernia / Pen Pene* e*ah ahan an her hernia nia 4/ Meto'e a/ era+ah/  / Tan.a Tan.a awa'is()si/

5/ Me'ia a/ Lealet 6/ Strate*i a. Kontra( 'en*an (lien 7wa(t) te+,at to,i(8/  / Men**)na(an ,ena+,an* , ena+,an* +ateri 'ari lealet a*ar 'a,at leih +)'ah 'i,erhati(an oleh (lien/

/ Men**)n Men**)na(an a(an ahasa ahasa .an* .an* +)'ah +)'ah 'i+e 'i+en*e n*erti rti// '/ $en*a $en*an n tan.a tan.a -aw -awa a lan* lan*s) s)n*/ n*/

9/ Pros Proses es Pen. Pen.)l )l)h )han an

No

1/

Kegiatan

Pe+)(aan

Waktu

3 +enit

Penyaji

a8 Men*)a,(an sala+  8 Me+,er(enal(an 'iri

Sasaran

a8 Me+ Me+al alas sal sala+ a+  8 Men'en*ar(an 'an +e+,erhati(an

2/

Pen.a n.a-ian +ateri

25 +enit

tentan*: a/  / / '/ e/

Pen* Pen*er erti tian an hern hernia ia Klasii(asi hernia Pen. Pen.e ea a hern herniia Tan'a n'a *e*e-ala ala hern hernia ia Pera Perawa wata tan n l)( l)(aa

a/ Men-elas(an tentan*

Men'en*ar(an 'an

 ,en*ertian hernia  / Men-elas(an tentan*

+e+,erhati(an

(lasii(asi hernia / MenMen-el elas as(a (an n tent tentan an* *  ,en.ea hernia '/ MenMen-el elas as(a (an n tan' tan'aa

 e(as o,easi hernia / Pen Pene* e*ah ahan an hern hernia ia

*e-ala hernia e/ MenMen-el elas as(a (an n tent tentan an* *  ,erawatan l)(a e(as o,easi hernia / MenMen-el elas as(a (an n ten tenta tan* n*  ,ene*ahan hernia

3/

Eal)asi

10 +enit

1/

a8 Me+eri (ese+,atan

a8 %er %ertan. tan.aa 'an 'an

(e,a'a (lien )nt)(

+a+,)

 ertan.a *)na

+en.i+,)l(an

+en*eal)asi (lien

+ateri .an* telah

a,a(ah (lien 'a,at

'isa-i(an 'en*an

+en-elas(an (e+ali

 ahasa sen'iri

+ateri .an* telah 'ieri(an  8 Men.i+,)l(an (e+ali +ateri .an* 4/

Pen)t),

2 +enit

'isa-i(an a8 Pen.a-i +en*)a,(an teri+a (asih  8 Men*)a,(an sala+  ,en)t),

;/ Materi

Klien +en-awa sala+

Terla+,ir 

LAMPIRAN MATERI HERNIA

18 Pen*e Pen*ert rtia ian n &ern &ernia ia &ernia a'alah +enon-oln.a s)at) or*an ata) str)(t)r or*an 'an te+,atn.a .an* nor+al +elal)i se)ah 'ee( (on*enital ata) .an* 'i'a,at/ 7Lon* 1<<6: 2468/ 28 Klas Klasi ii( i(as asii &er &erni niaa a8 %er'as %er'asar( ar(an an ter-a'i ter-a'in.a n.a 'ia*i 'ia*i +en+en-a'i: a'i: i8 &ern &ernia ia on* on*eni enita tal law awaa aan/ n/ ii8 ii8 &ernia &ernia a()isi a()isita ta'i' 'i'a,at a,at//  8 %er'asar(an siatn.a hernia tera*i +en-a'i: i8 &ern &ernia ia "e,o "e,oni nil lee

=ait) ila isi hernia 'a,at 'i+as)((an (e+ali/ !s)s (el)ar ila er'iri ata) +en*e'an 'an +as)( la*i ila erarin* ata) 'i'oron* +as)(/ Ti'a( ter'a,at (el)han ata) *e-ala ostr)(ti/

ii8 ii8 &ern &ernia ia Ire Ire,o ,oni nile le =ait) ila isi (anton* hernia ti'a( 'a,at 'i(e+ali(an (e'ala+ ron**a hal ini 'isea 'isea(an (an ,erlen ,erlen*(e *(etan tan isi )s)s )s)s ,a'a ,erito ,eritone)+ ne)+ (anton* (anton* hernia hernia// Ti'a( Ti'a( a'a (el)han n.eri ata) tan'a s)+atan )s)s/ 8 Men) Men)r) r)tt let leta( a(n. n.aa i8 In*)inal &ernia in*)inal ini 'ia*i la*i +en-a'i : 718 In'ire(la In'ire(lateral teralis is &ernia ini ter-a'i +elal)i inin in*)inalis 'an +elewati (or'a s,er+ati()s +elal) +elal)ii (anali (analiss in*)in in*)inali alis/ s/ Ini )+)+n. )+)+n.aa ter-a' ter-a'ii ,a'a ,ria'ar ,ria'ari,a i,a'a 'a wanita wanita// Insi'enn.a tin**i ,a'a a.i 'an ana( (eil/ &ernia ini 'a,at +en-a'i san*at  esar 'an serin* t)r)n (e s(rot)+/ !+)+n.a ,asien +en*ata(an t)r)nero(  )r)t

ata)

(elin*sir

ata)

+en*ata(an

a'an.a

en-olan

'i

selan*(an*an selan*(an*an(e+al) (e+al)an/ an/ %en-olan %en-olan terse)t terse)t isa +en*eil +en*eil ata) +en*hilan* +en*hilan*  ,a'a wa(t) ti')r 'an ila +enan*is +en*e-an ata) +en*an*(at en'a erat ata) ila ,osisi ,asien er'iri 'a,at ti+)l (e+ali/ 728 $ire( +e'ialis &ernia ini +elewati 'in'in* a'o+en'i area (ele+ahan otot ti'a( +elal)i (anal se,erti ,a'a hernia in*)inalis 'an e+oralis in'ire(/ Ini leih )+)+ ,a'a lansia/ &ernia in*)inalis 'ire( seara ertaha,ter-a'i ,a'a area .an* le+ah ini (arena (arena 'eisi 'eisiens ensii (on*eni (on*enital tal// &ernia &ernia ini 'ise)t 'ise)t 'ire(t 'ire(taa (arena (arena lan*s) lan*s)n* n* +en)-) an)l)s in*)inalis e(sterna sehin**a +es(i,)n an)l)s in*)inalis interna 'ite(an ila ,asien er'iri ata) +en*e-an teta, a(an ti+)l en-olan/ %ila hernia ini sa+,ai (e s(rot)+ +a(a han.a a(an sa+,ai (e a*ianatas s(rot)+ se'an*(an testis 'an )ni()l)s s,er+ati()s 'a,at 'i,isah(an 'ari +asa hernia/ Pa'a ,asien terlihat a'an.a +assa )n'ar ,a'a an)l)s in*)inalis e(sterna .an* +)'a +)'ah h +en* +en*ei eill ila ila ,asi ,asien enti ti')r ')r// Kare Karena na esar esarn. n.aa 'ee 'ee( ( ,a'a ,a'a 'in'i 'in'in* n*  ,osterior+a(a hernia ini -aran* se(ali +en-a'i ire,oniilis/ ire,oniilis/ ii8 >e+ >e+oral &ernia e+oralis ter-a'i +elal)i inin e+oral 'an leih )+)+ ,a'a wanita 'ari,a 'ari,a'a 'a ,ria/ ,ria/ Ini +)lai +)lai sea*a sea*aii ,en.)+ ,en.)+at at le+a( le+a( 'i (anali (analiss e+oral e+oralis is .an* +e+es +e+esar ar 'an seara seara ertah ertaha, a, +enari +enari( ( ,erito ,eritone)+ ne)+ 'an ha+,ir ha+,ir ti'a( ti'a( 'a,at 'a,at

'ihin'ari (an')n* (e+ih +as)( (e'ala+ (ant)n*/ A'a insi'en .an* tin**i 'ari in(arserata 'an stran*)lasi 'en*an ti,e hernia ini/ iii8 iii8 !+ili !+ili(al (al &ernia &ernia )+ili )+ili(al (alis is ,a'a oran* oran* 'ewasa 'ewasa leih leih )+)+ )+)+ ,a'a wanita wanita 'an (arena (arena  ,enin*(atan te(anan a'o+inal/ Ini iasan.a iasan .a ter-a'i ,a'a (lien *e+)( 'an wanita +)lti,ara/ Ti,e hernia ini ter-a'i ,a'a sisi insisi e'ah seel)+n.a .an* telah se+)h seara ti'a( a'e()at (arena +asalah ,asa o,erasi se,erti ine(si n)trisi ti'a( a'e()at 'istensi e(stre+ ata) (e*e+)(an/ i8 i8 Ini Inisi siona onall %atan* )s)s ata) or*an lain +enon-ol +elal)i -arin*an ,ar)t .an* le+ah/

38 Pen. Pen.e ea a &ern &ernia ia a8 !+)r   Pen.a(it ini 'a,at 'i'erita oleh se+)a (alan*an t)a +)'a ,ria +a),)n wanita/ Pa'a Ana( ? ana( ,en.a(it ini 'isea(an (arena ()ran* se+,)rnan.a ,roes)s a*inalis )nt)( +en)t), seirin* 'en*an t)r)nn.a testis/ Pa'a oran* 'ewasa (h)s)sn.a .an* telah er)sia lan-)t 'isea(an oleh +ele+ahn.a -arin*an ,en.an**a )s)s ata) (arena a'an.a ,en.a(it .an* +en.ea(an ,enin*(atan te(anan 'ala+ ron**a ,er)t/  8 enis Kela+in &ernia .an* serin* 'i'erita oleh la(i ? la(i iasan.a a'alah -enis hernia In*)inal/ &ernia In*)inal a'alah ,enon-olan .an* ter-a'i ,a'a 'aerah selan*(an*an hal ini 'isea(an oleh ,roses ,er(e+an*an alat re,ro')(si/ Pen.ea lain (a)+ a'a+ leih  an.a( ter(ena ,en.a(it ini 'isea(an (arena a(tor ,roesi .ait) ,a'a )r)h an*(at ata) )r)h ,ari(/ ,ari(/ Proesi Proesi )r)h .an* sea*ian sea*ian esar esar ,e(er-aann.a ,e(er-aann.a +en*an'al(an +en*an'al(an (e()at (e()atan an otot otot +en*a +en*a(i (ia at(a t(an n a'an. a'an.aa ,eni ,enin* n*(at (atan an te(a te(anan nan 'ala 'ala+ + ron* ron**a *a ,er)t ,er)t sehin**a +ene(an isi hernia (el)ar 'ari otot .an* le+ah terse)t/ 8 Pen. Pen.a( a(it it Pen Pen. .erta erta Pen.a Pen.a(i (itt ,en.e ,en.ert rtaa .an* .an* seri serin* n* terter-a' a'ii ,a'a ,a'a hern hernia ia a'al a'alah ah se,er se,erti ti ,a'a ,a'a (on'i (on'isi si ters)+atn.a sal)ran (enin* ai( a(iat at) (an')n* (enin* ata) ,e+esaran  ,rostat ,en.a(it (olon at)( (ronis se+elit ata) (onsti,asi (ronis 'an lain@lain/ Kon'isi Kon'isi ini 'a,at 'a,at +e+i) +e+i) ter-a'i ter-a'in.a n.a te(ana te(anan n erle erleih ih ,a'a ,a'a a'o+en a'o+en .an* 'a,at 'a,at +en.ea(an (el)arn.a )s)s +elal)i ron**a .an* le+ah (e 'ala+ (analis in*)inalis/ '8 Ket)r)na )nan "esi(o leih esar -i(a a'a (el)ar*a ter'e(at .an* ,ernah ter(ena hernia/ e8 Oesitas %erat a'an .an* erleih +en.ea(an te(anan erleih ,a'a t))h ter+as)( 'i  a*ian ,er)t/ Ini isa +en-a'i salah sat) ,e net)s hernia/ Penin*(atan te(anan terse)t 'a,at +en-a'i ,enet)s ter-a'in.a ,rostr)si ata) ,enon-olan or*an +elal)i 'in'in* or*an .an* le+ah/

8 Keha+ilan Keha+ilan 'a,at +ele+ah(an otot 'i se(itar ,er)t se(ali*)s +e+eri te(anan leih 'i  a*ian ,er)t/ Kon'isi ini -)*a 'a,at +en-a'i ,enet)s ter-a'in.a hernia/ *8 Pe(e e(er-aan %eera,a -enis ,e(er-aan .an* +e+)t)h(an 'a.a isi( 'a,at +en.ea(an ter-a'in.a herni hernia/ a/ ont ontoh ohn. n.a a ,e(er ,e(er-a -aan an )r)h )r)h an*(a an*(att ara aran* n*// A(ti (tiit itas as .an* .an* era eratt 'a,at 'a,at +en*a(iat(an +en*a(iat(an ,enin*(atan te(anan .an* ter)s@+ener ter)s@+ener)s )s ,a'a otot@otot otot@otot a'o+en/ a'o+en/ Penin*(a Penin*(atan tan te(ana te(anan n terse terse)t )t 'a,at 'a,at +en-a' +en-a'ii ,enet ,enet)s )s ter-a' ter-a'in. in.aa ,rostr ,rostr)si )si ata) ata)  ,enon-olan or*an +elal)i 'in'in* or*an .an* le+ah/ h8 Kela Kelahi hira ran n ,re ,re+a +at) t)r  r  %a.i .an* lahir ,re+at)r leih erisi(o +en'erita hernia in*)inal 'ari,a'a a.i .an* lahi lahirr nor+a nor+all (are (arena na ,en)t ,en)t),a ),an n (ana (anali liss in*) in*)in inal alis is el) el)+ + se+,)r se+,)rna na sehi sehin* n**a *a +e+) +e+)n*( n*(in in(an (an +en+en-a' a'ii -ala -alan n a*i a*i (el) (el)ar arn. n.aa or*a or*an n ata) ata) )s)s )s)s +ela +elal) l)ii (anal (analis is in*)inalis terse)t/ A,aila seseoran* ,ernah ter(ena hernia esar (e+)n*(inan ia a(an +en*ala+in.a la*i/

48 Tan'a n'a Ge-a Ge-ala la &er &erni niaa a8 !+)+n.a !+)+n.a ,en'erita ,en'erita +en*el)h(a +en*el)h(an n a'an.a en-ola en-olan n 'i sela(an*an. sela(an*an.aa ata) ,er)t/ ,er)t/  8 %en-olan it) isa +en*eil ata) +en*hilan*/ 8 %ila +enan*is +enan*is +en*e-an +en*e-an wa(t) 'ee(asi+i 'ee(asi+i(si/ (si/ '8 Men*an Men*an*(at *(at en'a en'a erat erat a(an a(an ti+)l ti+)l (e+ali (e+ali// e8 $a,at ,)la ,)la 'ite+)(an 'ite+)(an rasa n.eri n.eri ,a'a en-olan en-olan ata) ata) *e-ala +)ntah +)ntah 'an +)al +)al ila telah telah a'a (o+,li(asi/ 58 Perawa Perawatan tan L)(a L)(a %e(a %e(ass O,easi O,easi &ernia &ernia a8 %ersih %ersih(an (an l)(a l)(a ,ost ,ost herni hernioto oto+i +i 2ha 2hari ri  8 Saat +e+ersih(an *)na(an han'sone steril 8 %ersih(an %ersih(an 'en*an 'en*an airan Nal Nal 'en*an 'en*an +en*)sa, +en*)sa, l)(a 'en*an 'en*an (asa seteril seteril 'ari 'ari ten*ah ten*ah l)(a +e+)tar (e ,in**ir  '8 %al) %al)tt 'en*a 'en*an n (asa (asa seteri seterill

68 Pen Pene* e*ah ahan an &ern &ernia ia a8 !saha( !saha(an an )nt)( +e+,ert +e+,ertahan ahan(an (an erat a'an/ a'an/ &al ini 'a,at 'a,at +e+ant +e+ant) ) +en*)r +en*)ran* an*ii te(anan 'i a*ian ,er)t/  8 Kons)+si +a(anan .an* +en*an')n* serat se,erti sa.)r )ah *an')+/ Ma(anan terse)t 'a,at +ene*ah se+elit sehin**a +en*)ran*i te(anan ,er)t/ 8 &in'ar &in'arii +en*an*( +en*an*(at at ean ean .an* terl terlal) al) erat/ erat/ d) &in'ari te(anan intraa'o+en se,erti at)( la+a +en*e-an 'an ersin/