Lp Kondiloma

ASUHAN KEPERAWATAN PADA NY. N DENGAN KONDILOMA AKUMINATA DI RUANG MELATI RSUD GUNUNG JATI – CIREBON

1. Peng engerti ertin K!n"i K! n"i#$ #$ %& %&$in $int t " "#' #' (en) (en)%i %itt $ne $ne&# &#rr *e% *e%*&# *&# )n )ng g "i* "i*e+ e++% +%n n !#e !#e' ' H&$n ((i#!$ ,ir&* ti(e tertent&- +ertng%i "n (er$&%nn) +er!n!t /D&n" "'i. 012 K!n"i#!$ %&$int /%!n"i#!$ %&$int- genit# 3rt*- %&ti# %e#$in2 t& #e+i' #e+i' "i%en# "i%en# "engn "engn i*ti#' i*ti#'   (en)%it Jengger A)$- $&ng%in %ren +ent&%n) )ng $iri( engger )$ (" %!n"i#!$ )ng #&*- "#' %e#inn %&#it +er+ent&% %&ti# "engn "engn (er$&%n (er$&%n +er#e%&%4#e%&% +er#e%&%4#e%&% $iri( engger engger )$ )ng "i*e++%n "i*e++%n !#e' H&$n H&$n P(i##!$ 5ir&* 5ir&* /HP52 ti(e tertent& /Ht$!%!.062 0. Pen)e++ An!ge An!genit nit# # %&ti# %&ti# /&g /&g "i%en "i%en## *e+g *e+gii %&ti# %&ti# %e#$i %e#$inn- %!n"i# %!n"i#!$ !$ 7&$in 7&$intt7!n")#!$*2 "#' #e*i (r!#i8erti8 in% )ng "i*e++%n !#e' H&$n P(i##!$ 5ir&* 5ir&* /HP52 ti(e 9 "n 11. :. Pt! t!8i*i 8i*i!# !#! !gi HP5 ini $*&% $e##&i $i%r! #e*i (" %&#it- +i*n) (" "er' %e#$in "n $e#%&%n (enetr*i (" %&#it *e'ingg $en)e++%n +r*i (er$&%n e(ite#. H&$n P(i##!$ 5ir&* "#' e(ite#i!tr!(i% )ng *i8tn) $e$(&n)i 8init* tinggi (" *e#4*e# e(ite#. Re(#i%*in) tergnt&ng (" "n) "i8eren*i*i e(ite# *%&$!*. 5ir&* DNA /De!;) /De!;)ri+ ri+!n& !n&7#ei 7#ei77 A7i"2 A7i"2 "(t "(t "ite$& "ite$&%n %n (" (" #(i*n #(i*n ter+3 ter+3' ' "ri "ri e(ite#. e(ite#. Pr!tein Pr!tein %(*i" "n ,ir&* in8e%*i&* "ite$&%n (" #(i*n *&(er8i*i# *e#4*e# )ng +er"i8eren*i*i. HP5 HP5 "( "(tt $*& $*&% % %e #(i #(i* *n n +* +*##- $en) $en)e+ e++ +% %n n re*( re*(!n !n r" r"ng ng.. P" P" 3ni 3nit t $en)e++% $en)e++%n n %e(&ti'n %e(&ti'n "n in8e%*i in8e%*i $i%r!!rg $i%r!!rgni*$e. ni*$e. HP5 )ng $*&% %e #(i*n +*# *e# e(i"er$i* "(t $eng$+i# #i' DNA "n $eng#$i re(#i%*i )ng ti"% ter%en"#i. <*e #ten ,ir&* "i$&#i "engn ti"% "n) tn" "n ge# )ng "(t +er#ng*&ng *e+&#n +'%n *et'&n. Sete#' 8*e #ten- (r!"&%*i ,ir&* DNA- %(*i" "n (rti%e# "i$&#i. Se# "ri t&n r&$' $en"i in8e%*i&* "ri *tr&%t&r %!i#!*it ti(i% "ri %!n"i#!$ %&$int %&$int /$!r('!#!g /$!r('!#!gi7 i7 t)(i7# t)(i7# %!i#!7)t!* %!i#!7)t!*i* i* !8 7!n"i#!$ 7!n"i#!$ 7&$inte2 7&$inte2 +er%e$+ng. +er%e$+ng. L$n) in%&+*i *e% (ert$ %#i ter((r ,ir&* *e%itr : $ingg& *$(i = +&#n t& "(t #e+i' #$.  HP5 )ng $*&% %e *e# +*# e(i"er$i* ini "(t $en)e++%n n!"&# %e$er'n "i *e%itr genit#i. Pen&$(&%n n!"&# $er' ini $e$+ent&% g$+rn *e(erti +&ng %!#.

 N!"&# ini +i* (e7' "n ter+&% *e'ingg ter(n $i%r!!rgni*$e "n +i* ter"i  (en&#rn %ren (e#e(*n ,ir&* +er*$ e(ite#. HP5 )ng $*&% %e e(ite# "(t $en)e++%n re*(!n r"ng )ng $erng*ng  (e#e(*n $e"it!r in8#$*i )it& 'i*t$in )ng "(t $en*ti$&#*i *r8 (eri8er. Sti$&#*i ini $eng'ntr%n (e*n gt# %e !t% "n ti$+&# i$(&#* e#e%tr!%i$i *e(nng ner,&* %e "!r*# *(in# 7!r" %e$&"in %e t'#$&* "n "i(er*e(*i%n *e+gi r* gt# "i %!rte%* *ere+ri. P" 3nit )ng terin8e%*i HP5 "(t $en)e++%n %e(&ti'n "n "i*erti in8e%*i $i%r!!rgni*$e )ng +er+&- gt# "n r* ter+%r  *e'ingg ti"% n)$n (" *t $e#%&%n '&+&ngn *e%*&#.

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Pe#e(*n *e# ,ir&* Ber*$ e(ite# Re*(!n r"ng Merng*ng $e"it!r %i$i Sti$&#*i *r8 (eri8er  Gt# *e(nng ner,&* %e "!r*# *(in# 7!r"  

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K!rte%* "n #!%*i gt# "i(er*e(*i%n Gngg&n r* Per*e(*i gt# @. K!$(#i%*i n)$n 12
n!genit#.

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"i(erti$+ng%n !#e' +n)%n) (er"r'n +n)%. Me#%&%n +i!(*i t& r&&%n *(e*i#i* )ng te(t 'r&* "i(erti$+ng%n. 5rin #in )ng rng HP5 9?11 "#' %!n"i#!$ r%** t& B&*7'%e4L!3en*tein t&$!r. Bent&% ini $er&(%n *&t& %r*in!$ ,er&%!*- "itn"i "engn in8i#tr*i #!%# )ng gre*i8 'ingg %e +gin "*r. Ke"n ini "i(er#&%n (enngnn #e+i' #n&t /* (e*i#i* +e"' !n%!#!gi2. S&t& #(!rn $en&n&%%n '*i# )ng +i% "engn %e$!4r"i!ter(i. 9. Pent#%*nn 12 T!(i%# . P!"!(')##in

P!"!(')##in "#' +'n %i$i )ng (#ing ter%en# "n (#ing +n)% ter*e"i "#$ +ent&% t!(i%#. +'n ini "#' gen *it!t!%*i% )ng +er*# "ri re*in  (!"!8i#&$ e$!"i "n (e#tt&$ (!"!8i#&$ )ng $engn"&ng *en)3 #ignin  +i!#!gi* %ti8- ter$*&% (!"!8i#!;- )ng $er&(%n %!$(!nen (#ing %ti8 ter'"( %!n"i#!$ %&$int. P!"!(')##in $e$i#i%i %e&nt&ngn $en"i $&"' "ig&n%n "n *ngt $&r'. K!n*entr*i "ri @ *$(i @ te#' "ig&n%n tn( +n)%   (er+e"n "#$ %e+er'*i#n. P!"!(')##in "iter(%n #ng*&ng %e %!n"i#!$ %&$int "engn 'ti4'ti &nt&% $eng'in"ri %&#it n!r$# )ng +er"e%tn.  +. Bi7'#!r7eti7 A7i" t& Tri7'#!r7eti7 A7i" Bi7'#!r7eti7 A7i" "#' %ert!#iti% %&t "n te#' +er'*i# "ig&n%n &nt&% ter(i %!n"i#!$ %&$int. Se(erti (!"!(')##in- Bi7'#!r7eti7 A7i" t& Tri7'#!r7eti7 A7i" $&r' "n $&"' "iter(%n. N$&n- &g "(t $en)e++%n irit*i %&#it #!%# "n *ering%#i $e$er#&%n %&n&ngn +e+er( %#i- &$&$n) (" inter,# $ingg&n. D#$ *e+&' *t&"i !#e' S3er"#!3 "n S#,ti- +i7'#!r7eti7 7i" "n tri7'#!r7eti7 7i" #e+i' n)$n "ig&n%n !#e' (*ien "n $e$i#i%i %e$&ng%inn %e%$+&'n )ng $ini$# "i+n"ing%n )ng #in 7. Ke$!ter(i Ber+gi gen %e$!ter(i "ig&n%n &nt&% (eng!+tn %!n"i#!$ te#' "i&ri%nter$*&% @48#&!r!&r7i# /@4
E%*i*i +e"' te#' #$ "ig&n%n &nt&% $eng!+ti %!n"i#!$ %&$int "engn ting%t %e+er'*i#n tinggi. K!$+in*i e%*i*i "n e#e%tr!%&ter "ingg( *e+gi g!#" *tn"r" &nt&% (eng!+tn %!n"i#!$ %&$int. . Dt 8!%&* Le*i *ering "ite$&%n "i "er' )ng $eng#$i tr&$ *e#$ '&+&ngn *e%*&# "n $&ng%in *!#iter tet(i *ering %n " @ *$(i 1@ #e*i "ri 14@ $$ "i$eter. K&ti# "(t $en)t& $en"i (#% )ng #e+i' +e*r "n ini #e+i' *ering ter#i't "engn i$&n!*&(re*i "n "i+ete*. P" (ri )ng ti"% "i*&nt- r!ngg (re(&*i&$ /g#n* (eni**&#%&* %!r!n#- 8ren&#&$2 )ng (#ing *ering ter%en- *e$entr (ri )ng te#' "i "i*&nt  +i*n) ter"(t "i +tng (eni*. Kn"i#!$ A%&$int (" (ri "(t &g ter"i (" !ri8i7i&$ &retr- (&+i**%r!t&$- (ng%# ('- (erine&$- "er' (erin#- "n n&*. P" (ere$(&n- #e*i "(t ter"i (" #+i $in!r- #+i $)!r- (&+i*- %#it!ri*- !ri8i7i&$ &retr- (erine&$- "er'  (erin#- n&*- intr!it&*- ,gin- "n e7t!7er,i;. K&ti# n!genit# "(t +er,ri*i *e7r *igni8i%n "#$ 3rn- "ri $er' $&" %e *#$!n $er'- (&ti' %e+&4+&n *$(i 7!%#t /#e*i +er(ig$en2. K!n"i#!$ A%&$int &$&$n) +er&( #e*i )ng ti"% +er(ig$en. Le*i +er(ig$en *e+gin +e*r  "(t ter#i't (" #+i $)!r- (&+i*- *e#ng%ng- (erine&$- "n "er' (erin#

=. D8tr (&*t% 12 D&n" A. 01. I#$& Pen)%it K&#it "n Ke#$in. 9t' e". J%rt <%&#t* Ke"!%tern Uni,er*it* In"!ne*i 02 Ht$!%!. 06. K!n"i#!$ A%&$int. Y!g)%rt  PT. P%r R) :2 N&rri8- A.H. 01@. A(#i%*i *&'n %e(er3tn +er"*r%n "ign!* $e"i* NANDA "n NIC NOC. Y!g)%rt  Me"i7ti!n