MAKALAH SISTEM REPRODUKSI ( CARA PERAWATAN BAYI BARU LAHIR )
Di Susun Oleh : KELOMPOK 9 • • • •
ANDRI IWAN FAIZAL SITI RAHMAH RITA RAHMAWATI
PROGRAM STUDI S1 KEPERAWATAN STIKES MUHAMMADIYA MUHAMMADIYAH SAMARINDA 21!
KATA PENGANTAR
Pu"i s#u$u% K&'i (&n"&)$&n $e h&*i%&) All&h Y&n+ M&h& Es&, $&%en& *en+&n $&%uni&N#& K&'i *&(&) 'en#eles&i$&n '&$&l&h #&n+ -e%"u*ul . PERAWATAN /AYI /ARU LAHIR0 D&l&' (enulis&n '&$&l&h ini, K&'i 'en#&'(&i$&n u&(&n )e%i'& $&sih #&n+ )&$ )e%hin++& $e(&*& (ih&$(ih&$ #&n+ 'e'-&n)u *&l&' 'en#eles&i$&n '&$&l&h ini3 D&l&' Penulis&n '&$&l&h ini, K&'i 'e%&s& '&sih -&n#&$ $e$u%&n+&n$e$u%&n+&n -&i$ (&*& )e$nis (enulis&n '&u(un '&)e%i, 'en+in+&) &$&n $e'&'(u&n #&n+ K&'i 'ili$i3 Un)u$ i)u $%i)i$ *&n s&%&n *&%i se'u& (ih&$ s&n+&) K&'i h&%&($&n *e'i (en#e'(u%n&&n (e'-u&)&n '&$&l&h ini3 Se'4+& '&$&l&h ini -e%'&n5&&) un)u$ (en+e'-&n+&n il'u (en+e)&hu&n -&+i $i)& se'u&3
S&'&%in*&, 6 A(%il 21!
Pen#usun
BAB I PENDAHULUAN 131 L&)&% /el&$&n+ /e-e%&(& s&&) (e%)&'& $ehi*u(&n e$s)%&u)e%in &*&l&h 7&$)u #&n+ (&lin+ *in&'is *&l&' selu%uh si$lus $ehi*u(&n3 Ke)i$& l&hi%, -&#i -&%u l&hi% 'en+&l&'i (e%u-&h&n *&%i $e)e%+&n)un+&n (enuh 'en"&*i '&n*i%i se&%& 5isi4l4+us se(&n"&n+ '&s& )%&nsisi '&s& #&n+ *i'ul&i $e)i$& -&#i $elu&% *&%i (e%u) i-u hin++& -ul&n (e%)&'& $ehi*u(&n3 W&l&u(un )i*&$ l&+i -e%+&n)un+ (&*& i-u *&l&' h&l 5un+si 8i)&l, -&#i -&%u l&hi% )e)&( s&n+&) -e%+&n)un+ *&l&' h&l l&in398&%ne# 2; /&#i -&%u l&hi% n4%'&l &*&l&h -&#i #&n+ l&hi% *&%i $eh&'il&n <= 'in++u s&'(&i >2 'in++u *&n -e%&) -&*&n 2? +%&' s&'(&i > +%&'3 Asuh&n se+e%& (&*& -&#i -&%u l&hi% &*&l&h &suh&n #&n+ *i-e%i$&n (&*& -&#i (&*& "&' (e%)&'& se)el&h $el&hi%&n, *il&n"u)$&n s&'(&i 2> "&' se)el&h l&hi%3 Pe%&7&)&n -&#i -&%u l&hi% 'e%u(&$&n )&n)&n+&n 'en&%i$ -&+i 'e%e$& #&n+ -e$e%"& *i $e-i*&n&n '&)e%n&l3 9'&)e%ni)&s $e(e%&7&)&n 84lu'e 1 26; K&%en& -e-e%&(& h&%i *&n -e-e%&(& 'in++u (e%)&'& &*&l&h s&&) #&n+ s&n+&) $%i)is, (e%&7&)&n #&n+ *i-e%i$&n 4leh -i*&n *&n (en#uluh&n #&n+ *i -e%i$&n $e(&*& 4%&n+ )u& 'en"&*i s&n+&) (en)in+3 /i*&n h&%us 'e'-e%i$&n (e%&7&)&n seu)uhn#& s&&) 'e%&7&) -&#i -&%u l&hi%, *en+&n 'en"&+& -&#i )e)&( h&n+&) *&n 'elin*un+i (&"&n&n e*e%&,
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132 Ru'us&n M&s&l&h 13 /&+&i'&n& &%& Pe%&7&)&&n Sel&'& M&s& T%&nsisi@ 23 /&+&i'&n& Pe%&7&)&n se+e%& se)el&h /&#i L&hi%@
<3 >3 ?3 !3
/&+&i'&n& enis"enis (e%&7&)&n -&#i -&%u l&hi%@ /&+&i'&n& Pen+$&"i&n -&#i -&%u l&hi%@ /&+&i'&n& Tu"u&n (e%&7&)&n -&#i -&%u l&hi%@ /&+&i'&n& (e%en&n&&n *&n in)e%8ensi -&#i -&%u l&hi%@
13< Tu"u&n 13 Un)u$ 'en+e)&hui &%& Pe%&7&)&&n Sel&'& M&s& T%&nsisi 23 Un)u$ 'en+e)&hui Pe%&7&)&n se+e%& se)el&h /&#i L&hi%3 <3 Un)u$ 'en+e)&hui enis"enis (e%&7&)&n -&#i -&%u l&hi% >3 Un)u$ 'en+e)&hui Pen+$&"i&n -&#i -&%u l&hi%3 ?3 Un)u$ 'en+e)&hui Tu"u&n (e%&7&)&n -&#i -&%u l&hi%3 !3 Un)u$ 'en+e)&hui (e%en&n&&n *&n in)e%8ensi -&#i -&%u l&hi%3 13> M&n5&&) H&sil (enulis&n ini *i h&%&($&n *&(&) 'e'-e%i$&n su'-&n+&n (e'i$i%&n *&n in54%'&si *i -i*&n+ (e%&7&)&n '&)e%ni)&s )en)&n+ &suh&n $e(e%&7&)&n (&*& -&#i -&%u l&hi%3
BAB II PEMBAHASAN
a. Perawataan Sea!a Ma"a Tran"#"#
Ses&&) se)el&h l&hi%, (e%&7&)&n &7&l *i-e%i$&n $e(&*& -&#i -&%u l&hi%3 Sel&'& '&s& ini, se)i&( '&s&l&h &7&l *ii*en)i5i$&si *&n *il&$u$&n )in*&$&n un)u$ 'en+&)&sin#&3
$. Perawatan "e%era "etea& Ba'# La&#r
Pen&n+&n&n -&#i *il&$u$&n se"&$ $e(&l& 'ul&i $elu&% *&%i "&l&n l&hi%, #&i)u *en+&n 'el&$u$&n (e'-e%sih&n len*i% se%)& &i%&n #&n+ -e%&*& *i se$i)&% 'ulu) *&n hi*un+ *en+&n $&(&s &)&u $&s& s)e%il3 Ke'u*i&n $el4(&$ '&)&n#& *i-e%sih$&n *en+&n $&(&s &)&u $&s& s)e%il s&)u *e'i s&)u, *i'ul&i *&%i *&l&' $e lu&%3 Sesu*&h -&#i l&hi% len+$&(, s&&) l&hi% se+e%& *i&)&) *en+&n "&' 7&$)u 9s)4(7&)h;3 Ke'u*i&n $e*u& $&$i -&#i *i(e+&n+ *en+&n s&)u )&n+&n, se*&n+$&n )&n+&n #&n+ l&in 'e'e+&n+ $e(&l& -&#i #&n+ le-ih %en*&h *&%i(&*& $&$i *en+&n (4sisin#& *&l&' e$s)ensi se*i$i) un)u$ 'e'un+$in$&n &i%&n &)&u len*i% 'en+&li% $elu&% *&%i )%&$e& *&n 5&%in+s3 Se'en)&%& i)u se4%&n+ 'e'-&n)u 'en+his&( len*i% *&n &i%&n *en+&n &l&) (en+his&( len*i%3 /&#i seh&) &$&n 'en&n+is *&l&' 7&$)u < *e)i$B )i*&$ (e%lu *il&$u$&n &(&&(& l&+i 4leh $&%en& -&#i 'ul&i -e%n&5&s *&n 7&%n& $uli)n#& $e'e%&h'e%&h&n3 Ke'u*i&n -&#i *ile)&$$&n 'en*&)&% $i%&$i%& s&'& )in++in#& *en+&n &)&u se*i$i) *i -&7&h in)%4i)us 8&+in&e3 /il& 'ulu) -&#i '&sih -elu' -e%sih *&%i &i%&n *&n len*i%, (en+is&(&n len*i% *i)e%us$&n, 'ul&'ul& *&%i 'ulu), $e'u*i&n *&%i lu-&n+ hi*un+, su(&#& "&l&n n&5&s -e-&s *&n -&#i *&(&) -e%n&5&s se-&i$-&i$n#&3
B.
*.
ENISENIS PERAWATAN A*& -e-e%&(& "enis (e%&7&)&n se+e%& (&*& -&#i -&%u l&hi% se-&+&i -e%i$u) Area Perawatan Ba'# Bar+ La&#r Men#e*i&$&n lin+$un+&n #&n+ &'&n "u+& 'en&$u( (e%h&)i&n )en)&n+ &%e& *&n
(e%len+$&(&n #&n+ *i+un&$&n *&l&' (e%&7&)&n -&#i -&%u l&hi%3 /&n#&$ %u'&h s&$i) *&n %u'&h -i*&n (%&$)e$ '&n*i%i 'en#e*i&$&n le-ih *&%i s&)u lin+$un+&n un)u$ (e%&7&)&n -&#i -&%u l&hi%3 /&#i -&%u l&hi% *&(&) *i)e'(&)$&n *i*&l&' se-u&h %u&n+ -&#i (us&) &)&u -e%s&'& *en+&n %u&n+ i-u3 A(&(un $4n*isi #&n+ *i+un&$&n, (e%h&)i&n )e%h&*&( &s(e$&s(e$ lin+$un+&n (e%&7&)&n #&n+ &'&n *&n )in*&$&n un)u$ 'e'&s)i$&n $e&'&n -&#i -&%u l&hi% &*&l&h s&n+&) (en)in+3 ,.
Perawatan I$+ Dan Ba'# Bar+ La&#r
Pe%h&)i&n )e%-&%u *&l&' (e%&7&)&n -&#i -&%u l&hi% #&n+ -e%(us&) (&*& $elu&%+& )el&h 'en+&%&h (&*& -&#i -&%u l&hi% seh&) #&n+ -&n#&$ 'elu&n+$&n 7&$)u -e%s&'& *en+&n i-u 'e%e$& *&n le-ih se*i$i) -e%&*& *i*&l&' %u&n+ (e%&7&)&n -&#i (us&)3 Di (us&) -e%s&lin '&n*i%i &)&u *i %u'&h s&$i) *en+&n %u&n+ LDRP, i-u *&n -&#i -&%u l&hi% -i&s&n#& )i*&$ *i(is&h$&n3 Di)e'(&) ini, (e%&7&)&n &7&l (&*& -&#i -&%u l&hi% *il&$u$&n *i*&l&' %u&n+ -e%s&lin *&n $elu%&+& *&(&) (ul&n+ *&l&' -e-e%&(& "&' se)el&h -&#i l&hi%3 /e-e%&(& %u'&h s&$i) &)&u -i*&n (%&$)e$ '&n*i%i 'e'(e%+un&$&n %u&n+ (e%&7&)&n -&#i -&%u l&hi% (&*& s&&) '&su$ $e%u&n+ -&#i, )e'(&) -&#i -&%u l&hi% 'en*&(&)$&n (e%&7&)&n &7&l *&n (en+&'&)&n *&l&' 7&$)u )e%)en)u *&n $e'u*i&n '&su$ $e%u&n+ i-u s&'(&i (ul&n+3 Ini se%in+ $&li *ise-u) *en+&n %&7&) +&-un+3 R&7&) +&-un+ *&(&) 'en"&*i (ilih&n &)&u $eh&%us&n3 T&n(& 'e'e%h&)i$&n )e'(&) 'e%e$& 'en*&(&) (e%&7&)&n, -&#i -&%u l&hi% h&%us *ilin*un+i *&%i su'-e%su'-e% in5e$si3 P%insi( &se(sis #&n+ s&'& #&n+ *i+un&$&n *i%u&n+ -&#i h&%us *il&$s&$&n -il& (e%&7&)&n -&#i -&%u l&hi% *i-e%i$&n *i%u&n+ i-u %en&n& (e%&7&)&n #&n+ &'&n (&*& -&#i -&%u l&hi% #&n+ %&7&) +&-un+ -e%s&'& i-un#& sel&'& '&s& #&n+ l&'& (e%lu 'e'&su$&n (en#uluh&n 4%&n+ )u& 'en+en&i $e'un+$in&n '&s&l&h $e&'&n&n3 Sel&in (ene+&h&n in5e$si, &%e& l&in #&n+ (e%lu *i-&h&s 'eli(u)i (en++un&&n s(ui) $&%e), 'e'4sisi$&n -&#i -&%u l&hi% un)u$ 'en+hin*&%i &s(i%&si, 'en&%uh -&#i -&%u l&hi% *i*&l&' )e'(&) )i*u% -&#i *&%i (*& *i&)&s )e'(&) )i*u% i-u s&&) -&#i )i*&$ *i+en*4n+ *&n )i*&$ 'enin++&l$&n -&#i -&%u l&hi% sen*i%i&n *i*&l&' %u&n+&n3
-.
R+an% Ba'# P+"at Ru&n+ -&#i (us&) un)u$ -&#i -&%u l&hi% *i%&n&n+ un)u$ 'e%&7&) -&n#&$n#& "u'l&h -&#i
-&%u l&hi% #&n+ seh&) &)&u n4%'&l3 A(&-il& s#s)e' ini *i+un&$&n, -&#i -&%u l&hi% *i-&7& $e i-u 'e%e$& (&*& 7&$)u7&$)u )e%)en)u sel&'& 7&$)u 'en#usui &)&u 7&$)u $un"un+&n3 S)&5 %u&n+ -&#i -e%)&n++un+ "&7&- un)u$ se-&+i&n -es&% (e%&7&)&n -&#i -&%u l&hi%3 /e-e%&(& )i(e %u&n+ -&#i (us&) *i)e'u$&n *ise-&+i&n -es&% *i%u'&h s&$i), h&n#& "i$& -&#i -&%u l&hi% 'e'ili$i i-u #&n+ se'en)&%& 7&$)u )i*&$ *&(&) 'e%&7&) 'e%e$& $&%en& -elu' (ulih *&%i sesi4 e&%i& &)&u $&%en& '&s&l&h l&in3 Un)u$ 'e'&s)i$&n (e%&7&)&n #&n+ &'&n -&+i -&#i -&%u l&hi% *i%u&n+ -&#i (us&), %e$4'en*&si )e%)en)u 'en+en&i (en&h&#&&n, (e%len+$&(&n un)u$ %esusi)&si *&%u%&), *&n "&%&$ &n)&%& )e'(&) )i*u% -&#i h&%us *i(enuhi3 F&sili)&s *&n -&h&n-&h&n un)u$ 'enui )&n+&n h&%us si&( )e%se*i&3 H&%us &*& s)&5 $e-i*&n& &)&u &sis)en *4$)e% $&n*un+&n un)u$ )i&( !6 -&#i 95%ee'&n e) &l3, 12;3 Tin*&$&n (ene+&h&n #&n+ se-elu'n#& )el&h *ise-u)$&n, se(e%)i 'enui )&n+&n, 'en+en&$&n (&$&i&n s%u-, *&n 'e'&)uhi &s(e$&s(e$ l&in *&l&' )e$ni$ &se()i *i%u&n+ &n&$, 'e'-e%i$&n (e%lin*un+&n )&'-&h&n3
.
Me!e%an% /an !e!0"#"#1an $a'# $ar+ a&#r W&l&u(un 'e%e$& $eil, -&#i -&%u l&hi% )i*&$ se%&(uh se(e%)i #&n+ $&*&n+$&*&n+
)e%lih&)3 Me%e$& h&%us *i )&n+&ni *en+&n le'-u), )en)u s&"&, )e)&(i 'e'e+&n+ *en+&n le'-u) *&n 'en&)&( 'e'-&n)u 'e%e$& 'e%&s& &'&n3)i*&$ &*& s&)u(un &%& #&n+ 'u)l&$ -en&% *&l&' 'e'-&li$, 'en+&n+$&), &)&u 'e'e+&n+ -&#i -&%u l&hi%, )e)&(i (4in(4in -e%i$u) h&%us *iin+&): &; Ke(&l& *&n -4$4n+ (e%lu *i s&n++&h -; /&#i -&%u l&hi% *&(&) 'en+eli&)li&) *&n *&(&) 'en*4%4n+ *i%i 'e%e$& sen*i%i $elu&% *&%i +en++&'&n &n*&3 ; Le-ih 'u*&h 'en+&'-il -&#i -&%u l&hi% *&%i (4sisi )e%len)&n+ 9su(ine; *i -&n*in+$&n *&%i (4sisi -e%-&%in+ 'i%in+ &)&u (4sisi )elun+$u( 9(%4ne;3 Se-u&h &%& #&n+ *i &n"u%$&n un)u$ 'en+&n+$&) -&#i -&%u l&hi% &*&l&h 'ele)&$$&n s&)u )&n+&n *i -&7&h lehe% un)u$ 'en#&n++& $e(&l& *&n -&hu *&n )&n+&n l&in *i le)&$$&n *i -&7&h -4$4n+ un)u$ 'e'e+&n+ (&h& #&n+ -e%l&7&n&n3 /&#i -&%u l&hi% $e'u*i&n *&(&) *i &n+$&) $e (4sisi *i +en*4n+ &)&u *i (in*&h$&n *&%i s&)u )e'(&) $e )e'(&) #&n+ l&in3 P4sisi #&n+ *&(&) *i+un&$&n un)u$ 'e'e+&n+ &)&u 'en++en*4n+ -&#i -&%u l&hi% &*&l&h .544)-&ll h4l*03 I-u sen&n+ -el&"&% 'en+en&i (4sisi ini $&%en& se(e%)i (e%&7&) &)&u -i*&n, 'e%e$& se%in+ 'e'ili$i 7&$)u s&&) 'e%e$& (e%lu 'e'e+&n+ -&#i -&%u l&hi% *&n s&)u )&n+&n )e)&( *&l&' $e&*&&n -e-&s3 Se-u&h (4sisi &l)e%n&)i8e &*&l&h 'ele)&$$&n -&#i -&%u l&hi% *&l&' (4sisi )e%len)&n+3 W&l&u(un (4sisi )e%len)&n+ )i*&$ 'e'5&sili)&si *%&in&se se$%esi, s)u*i )e%-&%u 'enun"u$&n -&h7& )e%*&(&) le-ih se*i$i) -&h&#& &s(i%&si "i$& -&#i -&%u l&hi% #&n+ seh&) )e%)i*u% *&l&' (4sisi ini3 Me'4sisi$&n -&#i -&%u l&hi% )elun+$u( )i*&$ l&+i *i &n"u%$&n un)u$ )i*u%3 S)u*i )el&h 'en+&i)$&n (4sisi )i*u% )elun+$u( *en+&n sin*%4' $e'&)i&n -&#i 'en*&*&$ 9SIDS: AAP T&s$ 54%e, 12;3
2.
Men%%ant# 3a1a#an4 P03014 /an Me!$e/0n% Ke(e%&#&&n *i%i un)u$ 'en++&n)i *&n 'e'-u$& (&$&i&n -&#i -&%u l&hi% 'unul se%in+
*en+&n l&)ih&n3 Men++&n)i $e'e"& &)&u +&un h&%us *il&$u$&n *en+&n le'-u)3 Pe)un"u$ -&n)u&n -is& -e%u(& 'e'-es&%$&n lu-&n+ lehe% un)u$ 'en+hin*&%i 'en&%i$ $&in *i &)&s 7&"&h *&n 'e'&su$$&n "&%i &n*& $e len+&n -&"u *&%i -&+i&n lu&% s&&) 'en&%i$ )&n+&n -&#i &+&% "&%i )&n+&n )i*&$ )e%s&n+$u)3 Men++&n)i (4(4$ u$u( 'u*&h *il&$u$&n &(&-il& 'e'&$&i (4(4$ se$&li (&$&i -e%(e%e$&)3 N&'un, $e$h&7&)i%&n 'en+en&i e5e$ $e%u+i&n *&%i (4(4$ se$&li (&$&i (&*& lin+$un+&n, )el&h 'e'-u&) -&n#&$ %u'&h s&$i) *&n 4%&n+ )u& -&%u 'en++un&$&n (4(4$ $&in3
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5.
Man/# /an H#%#ene
W&$)u '&n*i 'e%u(&$&n $ese'(&)&n -e%h&%+& un)u$ 'el&$u$&n (en+&'&)&n (&*& -&#i -&%u l&hi% #&n+ *i-u)uh$&n sel&'& (e%i4*e se+e%& se)el&h l&hi%3 Se-e%&(& se%in+ '&n*i *i-e%i$&n *&n &(& -&h&n-&h&n #&n+ *i+un&$&n *&(&) -e%8&%i&si &n)&%& ins)i)usi s&)u *en+&n ins)i)usi l&in3 K&%en& se-&+i&n -es&% -&#i -&%u l&hi% u$u( -ul&n 'enin++&l$&n %u&n+ -&#i *&l&' 7&$)u $u%&n+ *&%i 2> s&'(&i >6 "&', '&n*i s(4ns &7&l 'un+$in 'e%u(&$&n s&)u s&)un#& '&n*i #&n+ *i *&(&)$&n -&#i s&&) *i %u'&h s&$i)3 M&n*i s(4ns h&%us *i-e%i$&n (&*& -&#i -&%u l&hi% s&'(&i )&li (us&) *&n si%$u'sisi (ulih3 /&#i -&%u l&hi% *&(&) *i-e%sih$&n se&%& &*e$u&) *en+&n 'e)4*e ini3 Ini "u+& 'e'(e%$u&) &+&% )&li (us&) )i*&$ -&s&h3 A(&-il& 'un+$in, 4%&n+ )u& h&%us 'e'ili$i $ese'(&)&n un)u$ 'en+&'&)i &)&u -e%(&%)isi(&si *&l&' *e'4ns)%&si '&n*i s(4ns se-elu' 'e%e$& (ul&n+ $e %u'&h3 A(&-il& $ese'(&)&n '&n*i #&n+ *i s&$si$&n 4%&n+ )u& h&n#& se$&li, -i*&n *&(&) 'en++&-un+$&n *e'4ns)%&si *&n *e'4ns)%&si ul&n+ *en+&n )e%le-ih *&hulu -e%*is$usi 'en+en&i '&n*i *en+&n 4%&n+ )u& *&n $e'u*i&n 'e'-i&%$&n 'e%e$& 'el&$u$&n -&+i&nn#& *&l&' 'e'&n*i$&n, *en+&n -i*&n #&n+ &$&n 'e'-e%i *4%4n+&n '4%&l *&n -&n)u&n "i$& *i-u)uh$&n3 P%insi( *&s&% 'e'&n*i$&n h&%us *is&'(&i$&n $e(&*& 4%&n+ )u&3 N&'un, 'e%e$& )i*&$ -4leh *i-u&) 'e%&s& -&h7& &*& s&)u &%& 'e'&n*i$&n -&#i -&%u l&hi%3 O%&n+ )u& 'e'-en)u$ &%& 'e'&n*i$&n -&#i -&%u l&hi% 'e%e$& sen*i%i sesu&i *en+&n $e&$&(&n '&nu&l, u$u%&n, *&n &$)i8i)&s -&#i -&%u l&hi%, se%)& 5&sili)&s #&n+ )e%)se*i&3 /i*&n "u+& h&%us 'en+e$s(l4%&si -e%s&'& *en+&n 4%&n+ )u& 'en+en&i (e%len+$&(&n *&n 5&sili)&s &(& #&n+ )e%se*i& *i %u'&h *&n 'en+&"&%$&n 'e%e$& &%& 'en++un&$&n#& #&n+ 'un+$in -e%-e*& *&%i #&n+ )e%se*i& *i %u'&h s&$i)3 /i&s&n#& $e-u)uh&n *&(&) )e%(enuhi )&n(& h&'-&)&n &)&u $esuli)&n #&n+ -e%&%)i3 Mis&ln#&, 7&*&h -es&% &)&u 'e"& #&n+ *&(&) *iui *&n *i-e%i u$u( -&n)&l&n 9*&n $e)in++i&nn#& n#&'&n; *&(&) *i+un&$&n se-&+&i &%e&
'&n*i3 P&ni -es&% &)&u -&s$4' *&(&) 'en"&*i &$ '&n*i #&n+ -&i$ *i -e-e%&(& 'in++u (e%)&'&B #&n+ h&%us *isi'(&n h&n#& un)u$ -&#i -&%u l&hi%3 Den+&n *e'i$i&n, (enhelu&%&n e$s)%& un)u$ (e%len+$&(&n $husus *&(&) *i'ini'&l$&n3 H&n*u$ le'-u) *&n 7&sl&(, #&n+ h&n#& *i+un&$&n 4leh -&#i -&%u l&hi%, *&n se-u&h s&-un l e'-u) "u+& *i-u)uh$&n, /e-e%&(& 4%&n+ )u& *&n -&#i -&%u l&hi% 'eni$'&)i '&n*i se-&+&i %u)ini)&s h&%i&n, )e)&(i 4%&n+ )u& *&n -&#i -&%u l&hi% &)&u )i*&$ *&(&) sel&lu 'ene'u$&n 7&$)un#&3 Un)u$ ini, -e%sih$&n *ise$i)&% 7&"&h, li(&)&n lehe% *&n &%e& (4(4$ *i-e%sih$&n sesu&i $e-u)uh&n sehin++& '&n*i *u& h&%i se$&li su*&h u$u(3 M&n*i s(4ns h&%us 'en"&*i )i(e '&n*i #&n+ *i-e%i$&n s&'(&i $un)un+ )&li (us&) )e%le(&s *&n u'-li$us (ulih3 Se)el&h ini, -&#i -&%u l&hi% *&(&) *i(e%$en&l$&n $e '&n*i %en*&' se&%& -e%)&h&(3 C&%& #&n+ -&i$ un)u$ 'ul&i 'e'&n*i$&n &*&l&h *en+&n '&'&n*i$&n &)&u 'e'-&suh 7&"&h *&n $e(&l& se(e%)i *&l&' '&n*i s(4ns, 'en#&-uni )u-uh, $e'u*i&n 'en++un&$&n -&$ '&n*i un)u$ 'e'-il&s3
6.
Perawatan K+#t
Kuli) -&#i -&%u l&hi% se%in+ $&li $e%in+ *&n -e%sisi$ *&l&' -e-e%&(& h&%i se)el&h l&hi%3 Kuli) $e%in+ #&n+ (e&h *&(&) 'unul *i&%e& (e%+el&n+&n )&n+&n *&n (e%+el&n+&n $&$i3 K&*&n+ $&l&, ini 'en"&*i (en#e-&- $e$h7&)i%&n 4%&n+ )u& *&n 'e%e$& in+in 'en+4les$&n 'in#&$ &)&u (%e(&) l&in (&*& $uli) un)u$ 'en+hil&n+$&n $e$e%in+&n 'e%e$& *&(&) *i)en&n+$&n *en+&n 'en"el&s$&n -&h7& $uli) -e%sisi$ *&n (e&h(e&h &$&n 'en+hil&n+ *&l&' -e-e%&(& h&%i (e%)&'& *&n -&h7& 'in#&$ *&n l4)i4n *&(&) 'e'-u&) '&s&l&h 'en"&*i le-ih -u%u$ $&%en& *&(&) 'en#e-&-$&n %u&'3 Kuli) )i(is, le'-u), s&n+&) h&lu) *&n 'u*&h )e%i%i)&si3 K&%en& $uli) 'e%u(&$&n l&(is&n (elin*un+, lu$& *i(e%'u$&&n $uli) *&(&) 'en#e-&-$&n in5e$si3 Lu$& (&*& $uli) *&(&) 'en"&*i &n&'&n &$)u&l -&+i $eseh&)&n -&#i #&n+ -&%u l&hi%3 /&#i -&%u l&hi% -i&s&n#& )i*&$ $e%in+&) s&'(&i se)el&h s&)u -ul&n (e%)&'&3 Cu&& &)&u (&$&i&n #&n+ -e%le-ih&n *&(&) 'en#e-&-$&n -&#i -&%u l&hi% 'en+&l&'i $#an% 1er#n%at4 su&)u %u&n+ *&n 8esi$el #&n+ -e%u$u%&n se-es&% (en)ul (eni)i, -e%$el4'(4$$el4'(4$ se&%& %&(&), &*& *i7&"&h, lehe%, *&n *ise)i&( )e'(&) )e%sen)uhn#& (e%'u$&&n $uli)3 P&$&i&n le-ih se*i$i) *&n suhu %u&n+&n le-ih %en*&h *&(&) 'e'-&n)u 'e%e*&$&n '&s&l&h ini3 K&*&n+ $&l& 7&l&u(un (e%&7&)&n )el&h -&i$ %u&' &$i-&) (4(4$ *&(&) )e%"&*i3 Ini -i&s&n#& -e%u(& *e%'&)i)is &'4ni& #&n+ *ise-&-$&n 4leh %e&$si -&$)e%i&l )e%h&*&( u%e&n *i*&l&' u%ine3 Pin*&h$&n (%45il&si #&n+ (&lin+ (en)in+ &*&l&h 'en"&+& &%e& (4(4$ )e)&( -e%sih *&n
$e%in+3 elli 'in#&$, se-u&h s&l&( (elin*un+ #&n+ le'-u), &)&u s&l&( #&n+ *i"u&l -e-&s *&(&) *i+un&$&n un)u$ 'elin*un+i &%e& )e%se-u)3 P&s)& )i*&$ *i&n"u%$&n $&%en& (&s)& "&uh le-ih 'e%e$&) *i-&n*in+$&n s&l&( sehin++& suli) *i-e%sih$&n3 Te%&(i se*e%h&n& #&n+ se%in+ $&li e5e$)i5 *&n *&(&) *i+un&$&n -&i$ *i%u'&h s&$i) &)&u (un *i%u'&h &*&l&h 'e'&"&n$&n -4$4n+ #&n+ $e'e%&h&n $eu*&%& *&n &h&#& sel&'& -e-e%&(& $&li seh&%i, *en+&n h&)ih&)i un)u$ 'e'(e%)&h&n$&n -&+i&n )u-uh -&#i #&n+ l&in )e)&( )e%)u)u(3 /e-%&(& i-u 'ene'u$&n -&h7& 'e%e-us (4(4$ 'e%u(&$&n &%& e5e$)i5 $&%en& ini &$&n 'en+h&nu%$&n -&$)e%i&3 /&n#&$ *e)e%+en *&n 4n*i)i4ne% #&n+ *i+un&$&n s&&) ini 'e'ili$i &+en &n)i -&$)e%i& *i*&l&'n#&3 H&l ini *&(&) e5e$)i5 *&l&' 'enui (4(4$, 7&l&u(un )e%*&(&) -u$)i -&h7& &+en ui n4n *e)e%"en &$&n le-ih le'-u) *&%i $uli) -&#i -&%u l&hi%3 P4(4$ h&%us *i-il&s se&%& 'en#elu%uh $&%en& sis& *e)e%"en &)&u s&-un *&(&) 'en+i%i)&si3 Pe'-e%sih (4(4$ s&n+&) e5e$)i5 *&l&' 'ens)%elis&si (4(4$ *&n 'ene+&h %u&' (4(4$ *&n 'e%u(&$&n se-u&h s4lusi #&n+ -&+us un%u$ -&n#&$ i-u3 P4(4$ se$&li (&$&i "u+& le-ih "&%&n+ 'en#e-&-$&n %u&' (4(4$, )e)&(i -e-e%&(& 'e%e$ *&(&) 'en+&n*un+ &) #&n+ 'eni'-ul$&n i%i)&si (&*& -e-e%&(& -&#i -&%u l&hi%3 G&#& (en++un&&n (4(4$ se$&li (&$&i &)&u (e'-e%sih (4(4$ (e%lu *i(e%)i'-&n+$&n s&&) 'e'-u&) (ilih&n3
7.
Perawatan ta# 3+"at
Kle' )&li (us&) *ile(&s$&n "i$& $un)un+ )&li (us&) )el&h u$u( '4n+e%in+ -i&s&n#& se$i)&% 2> "&'3 W&$)u (en+e%i$&n #&n+ le-ih l&'& 'un+$in *i(e%lu$& (&*& )&li (us&) #&n+ *i(4)4n+ (&n"&n+ &)&u )&li (us&) #&n+ )e-&l *&n -e%+el&)in3 /e%+&n)un+ (e%&7&)&n &7&l (&*& &%e&, (e%&7&)&n u'-ilius #&n+ -e%$el&n"u)&n -i&s&n#& )e%*i%i &)&s 'e'-e%sih$&n *ise$i)&% )&u) &n)&%& $un)un+ )&li (us&) *en+&n &l4h4l se)i&( (en++&n)i&n (4(4$ un)u$ 'e'(e%e(&) (en+e%in+&n3 Di-e-e%&(& %u'&h s&$i), &n)i-i4)i *i+un&$&n $e)i'-&n+ &l4h4l, )e)&(i &l4h4l )e)&( *i%e$4'en*&si$&n un)u$ *i+un&$&n *i%u'&h s&$i)3 S&&) *i%u'&h s&$i), i-u h&%us *i&"&%$&n &%& 'e%&7&) )&li (us&) sehin++& *i& &$&n 'e%&s& n#&'&n *en+&n (%4se*u% s&&) *i& $e'-&li (ul&n+ $e %u'&h3 Un)u$ 'e'(e%e(&) (en+e%in+&n )&li (us&), -& #i -&%u l&hi% )i*&$ *i'&n*i$&n *i-&$ '&n*i s&'(&i )&li (us&) )el&h )e%(is&h *&n u'-ilius )el&h (ulih3 /&li)&n (&*& )&li (us&) )i*&$ *i-u)uh$&n $&%en& (&"&n&n $eu*&%& &$&n 'e'(e%e(&) (en+e%in+&n )&li (us&)3 A%e& #&n+ 'e%&*&n+ *&n -e%7&%n&h 'e%&h *ise$i)&% $un)un+ )&li (us&) &)&u &*&n#& %&-&s #&n+ -e%-&u h&%us *i&)&) *ile'-&% l&(4%&n *&n *il&(4%$&n $e *4$)e%3
T&li (us&) -i&s&n#& )e%le(&s *&%i )u-uh &n)&%& h&%i $eli'& *&n $e*el&(&n se)el&h l&hi%3 N&'un, )&li (us&) 'un+$in )i*&$ )e%le(&s s&'(&i h&%i $e e'(&) -el&s &)&u le-ih3 /e%h&)i h&)il&h un)u$ 'en&-u) )&li (us&) se-elu' )&li (us&) )e%le(&s se&%& $4'(le$s3 A(&-il& )&li (us&) )el&h )e%le(&s, u'-ilius h&%us -e-&s *&%i )&n*&)&n*& i'5l&'&si, (en++un&&n &l4h4l se&%& -e%$el&n"u)&n *ise$i)&% &%e& u'-ilius sel&'& -e-e%&(& h&%i *&(&) 'e'-&n)u 'en"&+& $e-e%sih&n *&n $e$e%in+&n &%e& s&'(&i (en#e'-uh&n s&'(&i $4'(le$3 I-u h&%us *i&"&%$&n un)u$ 'e'-e%i)&hu *4$)e% "i$& )e%"&*i i'5l&'&si &)&u %&-&s3
C.
PENGKAIAN BAYI BARU LAHIR Pen+$&"i&n #&n+ &$u%&) (en)in+ *il&$u$&n (&*& -&#i -&%u l&hi% se+e%& se)el&h l&hi%
*&n *il&n"u)$&n *en+&n 4-se%8&si sel&'& (e%i4*e $%i)is3 In54%'&si )en)&n+ $4n*isi *&n %es(4ns -&#i -&%u l&hi% #&n+ *i*&(&)$&n -i*&n (&*& s&&) ini 'e'-e%i$&n nil&i *&)& *&s&% #&n+ -e%h&%+& un)u$ &suh&n
sel&n"u)n#&3 Se'u& (en+$&"i&n *&n &suh&n se+e%&
h&%us
*i*4$u'en)&si$&n *en+&n -&i$ *&n *il&(4%$&n $e(&*& 4%&n+ #&n+ &$&n 'e'-e%i$&n &suh&n $e(&*& -&#i -&%u l&hi% *)
Pen%1a8#an R#"#10 Pen+$&"i&n %isi$4 se&%& -e%$el&n"u)&n 'e%u(&$&n &s(e$ (en)in+ *&l&' (e%&7&)&n -&#i
-&%u l&hi%3 Pen+$&"i&n ini 'e'(e%in+&)$&n (%45esi4n&l $eseh&)&n 'en+en&i $e'un+$in&n '&s&l&h *&n 'e'-e%i 'e%e$& 7&$)u un)u$ 'en+&)&si '&s&l&h ini3 Me)4*e )e%en&n& *&l&' (en&)&)&n *&n (el&(4%&n in54%'&si 5&$)4% %isi$4 un)u$ '&sin+'&sin+ $lien 'e'-&n)u 'e'&s)i$&n -&h7& se'u& in54%'&si *is&'(&i$&n *&%i (e'-e%i &suh&n $eseh&)&n s&)u $e (e'-e%i &suh&n $eseh&)&n l&in3 F4%'&) (en+$&"i&n %isi$4 #&n+ )el&h *i s)&n*&%*is&si #&n+ -e%isi in54%'&si )en)&n+ %i7&#&) (%&n&)&l *&n in)%&(&%)u' i-u h&%us *i&n)u'$&n *&l&' &)&)&n -&#i -&%u l&hi% un)u$ 'enin+$&)$&n $4n)inui)&s &suh&n3 Se-&+i&n -es&% 5&$)4% #&n+ 'en#e-&-$&n i-u *ii*en)i5i$&si 'e'ili$i %isi$4 )in++i "u+& 'e'(4sisi$&n "&nin &)&u -&#i -&%u l&hi% (&*& (enin+$&)&n %isi$43 Usi& i-u, s)&)us (e%$&7in&n, %i7&#&) $elu&%+&, *&n %i7&#&) 4-s)e)%i 'e%u(&$&n 5&$)4% u'u' #&n+ h&%us
*i(e%)i'-&n+$&n3 C4n)4h *i-e%i$&n 'en+en&i $4n*isi &)&u si)u&si s(esi5i$ #&n+ &$&n 'en#&*&%$&n -i*&n &$&n (e%lun#& 'e'&n++il )i' %esusi)&si $husus &)&u s)&5 )&'-&h&n un)u$ 'e'-&n)u %esusi)&si3 An&l+esi& &)&u &nes)esi& #&n+ *i-e%i$&n $e(&*& i-u sel&'& (e%s&lin&n $&l& s&)u *&n *u& *&(&) 'en"&*i 5&$)4% %isi$43 Se-e%&(& -es&% 'e*i$&si #&n+ )el&h *i-e%i$&n *&n $&(&n *&(&) 'e'en+&%uhi %es(4ns l&n+sun+ -&#i -&%u l&hi% *&n %es(4ns #&n+ )e%"&*i $e'u*i&n3 Se-&+&i 4n)4h, -&#i -&%u l&hi% #&n+ i-un#& 'en*&(&) -&n#&$ (en+4-&)&n *&(&) -e%es(4ns *en+&n 5un+si #&n+ s&n+&) -&i$ *&n nil&i A(+&% #&n+ 4()i'&l s&&) l&hi%3 N&'un, se)el&h < 'eni) $e'u*i&n, -&#i ini *&(&) -e%&*& *&l&' s)&)us *e(%esi (e%n&(&s&n #&n+ s&n+&) 'e'-&#&$&n, 'e'-u)uh$&n &suh&n $e(e%&7&)&n )&'-&h&n un)u$ 'e'-&n)u 'e'(e%)&h&n$&n "&l&n n&(&s 'e%e$& -e-&s *&%i len*i%3
,)
S#"te! Pen#a#an A3%ar Sis)e' (enil&i&n A(+&%, #&n+ *i$e'-&n+$&n *i )&hun 1?< 4leh D%3 i%+ini& A(+&%,
'e'-e%i$&n in*e$s un)u$ un)u$ (en+$&"i&n $4n*isi -&#i s&&) l&hi%3 Nil&i h&%us *i)en)u$&n (&*& 'eni) (e%)&'& *&n $eli'& se)el&h $el&hi%&n3 Nil&i *i 'eni) (e%)&'& )el&h )e%-u$)i 'en"&*i nil&i #&n+ (&lin+ *&(&) 'e'(%e*i$si$&n $e'&'(u&n -e%)&h&n hi*u( *i &7&l, se*&n+$&n nil&i *i 'eni) $eli'& *&(&) 'e'-e%i$&n (%e*i$si #&n+ le-ih -&i$ 'en+en&i $e'&'(u&n -e%)&h&n hi*u( "&n+$& (&n"&n+ *&n $e%us&$&n neu%4l4+i$ 9e(s4n e) &l3, 11;3 /i*&n se%in+ $&li 'el&$u$&n (en+$&"i&n $&%en& (enil&i&n h&%us *il&$u$&n 4leh 4%&n+ l&in sel&in (en4l4n+ (e%s&lin&n3 Se'u& -i*&n #&n+ -e%)&n++un+"&7&- *&l&' (e%&7&)&n -&#i -&%u l&hi% h&%us 'en+u&s&i 'e)4*e A(+&% *&l&' (en+$&"i&n -&#i -&%u l&hi%3 Me)4*e ini 'e'-e%i$&n &%& #&n+ se*e%h&n&, &$u%&), *&n &'&n *&l&' 'enil&i $4n*isi -&#i -&%u l&hi% se&%& e(&)3
D. *.
TUUAN PERAWATAN PADA BAYI BARU LAHIR Meneta3a1an T+8+an +nt+1 Perawatan Se%era Se-elu' se)i&( (en+$&"i&n &)&u in)e%8ensi #&n+ &$)u&l *il&$u$&n, (e%&7&) h&%us
'e'i$i%$&n )u"u&n )e%)en)u #&n+ &$&n -e%'&n5&&) un)u$ 'e'-&n)u -&#i -&%u l&hi% sel&'& )%&nsisi *&%i $ehi*u(&n in)%&u)e%i $e e$s)%&u)e%i3 C&%& (en&(&i&n )u"u&n -e%8&%i&si3 H&l )e%se-u) -e%+&n)un+ (&*& lin+$un+&n, $e-i"&$&n le'-&+&, h&%&(&n 4%&n+ )u&, *&n $4n*isi i-u *&n -&#in#&3 Tu"u&n un)u$ &suh&n se+e%& *&(&) 'en&$u( : &3 Mene)&($&n *&n 'e'(e%)&h&n$&n "&l&n n&(&s *&n u(&#& (e%n&(&s&n3 -3 Me'-e%i$&n $eh&n+&)&n *&n 'ene+&h hi(4)e%'i&3
3 *3 ,.
Me'-e%i$&n lin+$un+&n #&n+ &'&n *&n )in*&$&n (ene+&h&n #&n+ %u)in3 Menin+$&)$&n hu-un+&n #&n+ le$&) &n)&%& i-u *&n -&#i3 Per#0/e 3a"a3art+! awa &3 Men&(&i *&n 'e'(e%)&h&n$&n "&l&n n&5&s *&n 'en*u$un+ (e%n&5&s&n3 -3 Me'(e%)&h&n$&n $eh&n+&)&n *&n 'ee+&h hi(4)e%'i 3 Me'&s)i$&n $e&'&n&n *&n 'ene+&h e*e%& &)&u in5e$si *3 Me+i*en)i5i$&si '&s&l&h'&s&l&h &)u&l &)&u (4)ensi&l #&n+ 'e'e%lu$&n (e%h&)i&n
se+e%&3 -. &3
Perawatan Lan8+tan Mel&n"u)$&n (e%lin*un+&n *&n e*e%& &)&u in5e$si *&n 'n+i*en)i5i$&si '&s&l&h'&s&l&h
&)u&l *&n (4)ensi&l #&n+ 'e'e%lu$&n (e%h&)i&n3 -3 Me'5&sili)&si )e%-in&n#& hu-un+&n *e$&) 4%&n+ )u&-&#i 3 Me'-e%i$&n in54%'&si $e(&*& 4%&n+ )u& )en)&n+ (e%&7&)&n -&#i -&%u l&hi% *3 Me'-&n)u 4%&n+ )u& *&l&' 'en+e'-&n+$&n si$&( seh&) )en)n+ (%&$)i$ 'e'-es&%$&n &n&$3 E.
PERENCANAAN DAN INTER:ENSI Sel&'& '&s& in&( -&#i -&%u l&hi% *i %u'&h s&$i) &)&u *i %u'&h -i*&n (%&$)e$ '&n*i%i
(e%&7&) &)&u -i*&n -e%)&n++un+"&7&- un)u$ 'e'-u&) (e%en&n&&n *&n 'en#e*i&$&n (e%&7&)&n se%)& 'eli-&)$&n i-u se-&n#&$ 'un+$in un)u$ 'e'-&n)u 'e'(e%si&($&nn#& 'en+&'-il &hli )&n++un+ "&7&- s&&) i& (ul&n+ $e%u'&h3 Ini 'en"&*i s&n+&) 'u*&h "i$& i-u *&n -&#i -&%u l&hi% 'en*&(&)$&n (e%7&)&n -e%&'&, )e)&(i )in*&$&n i)u "u+& *&(&) *i &)u% "i$& *i+un&$&n %u&n+&n -&#i (us&)3 Keen*%un+&n n#& &*&l&h '&s& %&7&) in&( *i %u'&h s&$i) #&n+ le-ih sin+$&)3 /&%u-&%u ini, )e%*&(&) )e$&n&n *&%i (en#e*i& &su%&nsi *&n &*'inis)%&si %u'&h s&$i) un)u$ 'e'ul&n+$&n i-u *&n -&#i -&%u l&hi% *&l&' 2>26 "&' (e%)&'& se)el&h $el&hi%&n -&#i -&%u l&hi% &)%' n4%'&l (e% 8&+in&' )&n(& $4'(li$&si ini 'enin+$&)$&n (en)in+n#& (e%&7&) &)&u -i*&n 'en+$&"i (en+e)&hu&n *&n $e)e%&'(il&n i-u *&l&' 'e%&7&) -&#i -&%u l&hi%n#& *&n 'en#usun %en&n& (en#uluh&n un)u$n#&3 Pe%en&&n h&%us 'en#e*i&$&n in54%'&si 'en+en&i (%insi( *&s&% &)&u (%4se*u% #&n+ )e%$&i) *en+&n (e%&7&)&n -&#i -&%u l&hi% +un& 'en#e*i&$&n (e%&7&)&n #&n+ &'&n -&+i -&#i -&%u l&hi% *&n 'en#e*i&$&n (en+e)&hu&n )&'-&h&n #&n+ se-elu'n#& )i*&$ len+$&( &)&u )i*&$ -en&%3 Pe%en&&n )e%)ulis &)&u *&5)&% )ili$ 'en+en&i $e-u)uh&n -el&"&% i-u *&n (en#uluh&n &(& s&"& #&n+ )el&h *il&$u$&n &$&n s&n+&) 'e'-&n)u *&l&' 'en#e*i&$&n $4n)inui)&s &n)&%& (en#e*i& (e%&7&)&n $eseh&)&n3 A#&h &)&u &n++4)& $elu&%+& l&in h&%us *ili-&)$&n se-&n#&$ 'un+$in3 K4nsis)ensi 'en+en&i &(& #&n+ *i &"&%$&n s&n+&) *i (e%lu$&n +un& 'en+hin*&%i 'e'-u&) -in+un+ 4%&n+ )u&3 In54%'&si )e%)ulis h&%us se)&%& *en+&n )in+$&) (en*i*i$&n 4%&n+ )u& *&n *&l&' -&h&s& #&n+ *i (&h&'i 4leh 4%&n+ )u&3 /i*&n "u+& h&%us (e$& )e%h&*&( -u*&#& *&n u(&#&$&n
'ene'u$&n $e-i&s&&n$e-i&s&&n (e%&7&)&n -&#i -&%u l&hi% #&n+ $husus se&%& -u*&#& #&n+ 'un+$in *i (%&$)e$$&n 4leh $elu&%+&
BAB III PENUTUP
<31 Kesi'(ul&n Kesi'(ul&n *&%i se'u&n#& &*&l&h (en)in+n#& (e%&7&)&n -&#i -&%u l&hi% 'el&lui -e%-&+&i u(&#& -&i$ se&%& (%4'4)i5 '&u(un se&%& (%e8en)i5 <32 S&%&n Se'4+& se'u& (e%&7&) '&)e%ni)&s -is& 'el&$u$&n (e%&7&)&n $e(&*& -&#i -&%u l&hi%3
Da;tar P+"ta1a
13
8&%ne# 2
23
$e(e%&7&)&n 84lu'e 1 26
<3
'&)e%ni)&s $e(e%&7&)&n 84lu'e 2 2
4.
/u$u s&$u $e(e%&7&)&n &n&$ i-u e*isi ?
