SGD LBM 5 THT.docx

SGD LBM 5 THT-KL NYERI TENGGOROKAN Step 1 Drolling: koni!i ter"#in$# %iper!#li&#!i #t#' #ir li'r $#ng (enete! ter'!-(ener'! T) #n t*: #nt#r# pil#r l#ring #n '&'l# nor(#l t+ #n t*, "ik# t) !'#% (engen#i #gi#n '&'l#. At#' 'nt'k (enent'k#n 'k'r#n ton!il

STE/ * 1. B#g#i(#n# #n#to(i #n 0!iologi #n %i!tologi %i!tologi #ri #ring #ring #n ton!il2 *. Meng#p# p#!ien (engel'% n$eri n$eri tenggorok tenggorok !e"#k 5 %#ri $#ng l#l'2 3. Meng#p# kel'%#n kel'%#n p#!ien i!ert#i i!ert#i n$eri n$eri (enel#n (enel#n p## !i!i !eel#% k#n#n2 ). Meng#p# p#!ien (engel'% (engel'% !'lit (e('k# ('l't, %iper!#li&#!i %iper!#li&#!i #n %#lito!i!2 5. Meng#p# i#p#tk#n i#p#tk#n n$eri n$eri !#(p#i kep#l# kep#l# #n teling#2 4. Ap# i#gno! i#gno!i! i! #n  #ri #ri k#!'! k#!'! t!2 t!2 . Ap# e6ologi e6ologi #n #7to #7torr re!ik re!iko2 o2 8. B#g#i(#n B#g#i(#n# # p#to0!iolo p#to0!iologi gi #ri i#gno!i! i#gno!i! k#!'! k#!'! t!2 9. #p# !#"# !#"# pe(erik! pe(erik!##n ##n 0!ik 0!ik #n pen'n"# pen'n"#ng2 ng2 1+. B#g#i(#n# pe pen#t#l#k!#n##n # #ri k# k#!'! t! t!2 11.. 11 B#g B#g#i( #i(#n# #n# 7# 7#r# (el (el#k #k'k 'k# #n #!p #!pir ir#! #!ii ip iper erit iton on!i !ile ler2 r2 STE/ 3

1. B#g#i(#n# #n#to(i #n 0!iologi #n %i!tologi #ri #ring, l#ring #n ton!il2 L#ring k 5- 7( ter!'!'n #ri t'l#ng nt'k ' #n i!'!'n #t#! k#r6l#go, ## #gi#n epiglo;! $g i!el''ngi k#r6l#go, p## #gi#n ep#n 7#r6l#ge $#ng 6#k erp#!#ng#n #ring - n#!o#ring, - oro#ring - l#ringo#ring <%ipo#ring= BAGIAN >ARING - ('ko!#
#ring #ri #!i! tengkor#k-&erter# 4, p## n#!o#ring  epitel re!pir#tori l#ring(g%''ngk#n #ring #n tr#ke# plik# &o7#li! ## $g !e"#6 epitel !'#(o'! ko(plek!, p#l!' epitel re!pir#tor$ p## l#(in# propri# n$#k li(onoi #p#il# ##n$# #kteri #k#n i#go!it  k#ren# p## ton!il ter#p#t kripte. L#ring !e#g#i on#!i #n (elin'ngi ke6k# (#k#n#n (#!'k 6#k (#!'k kl( !t(. /ern##!#n B#gi#n %ipo#ring erl#n"'t ke e!op%#g'!. Otot in!trin!ik: kon!triktor #ringe# !'perior, (ei# #n inerior. *. Meng#p# p#!ien (engel'% n$eri tenggorok !e"#k 5 %#ri $#ng l#l'2 Kelen"#r @eer 'nt'k (en!ekre!i ('7'! $g let#kn$# !'peroton!il#r !p#!e #t#' "'g# i!# !e#g#i ok#l inek!i #n ## kripte 'nt'k (ek#ni!(e (e(er!i%k#n ton!iler !eper6 (#k#n#n N$eri2 In&#!i #kteri  inek!i @eer gl#n inC#(#!i  p## ton!il# k#p!'l (eng#l#(i inC#(#!i #n ton!il#r !p#7e "'g# (eng#l#(i inC#(#!i . InC#(#!i ri gln @eer  i!oni, e(#(, pe(e!#r#n  li(#noi ee( p## p#l#t'( (ole, pe(e!#r#n ton!il. #ring#n ik#t longg#r  #p#t ter"#i in0ltr#te l#(#(e(!rp'! #p#t (engin&#!i #ri (. pter$goie#  tri!('!.

3. Meng#p# kel'%#n p#!ien i!ert#i n$eri (enel#n p## !i!i !eel#% k#n#n2 D#ri p ##n$# t) #n t* #n !'#% (el#@#6 #t#! teng#% (#k#n#n $g (ele@#6 #k#n (engirit#!i  n$eri #ki#t inC#(#!i.

). Meng#p# p#!ien (engel'% !'lit (e('k# ('l't, %iper!#li&#!i #n %#lito!i!2 Tri!('! * "#ri: pen$e#n$# ##n$# #!e!, ger#k#n (eng'#p $#ng erlei%#n, tr#'(#. A!e!: ter"#i perl'#!#n #ri periton!il ke peri#ringe#l  (engen#i (. pter$goie# intern# #n (.2  tri!('! St#i'( in0ltr#te: %ipere(i!  erl#n"'t !'p'r#!iee( (engin&#!i (. pter$goie# intern#  tri!('! Hiper!#li&#ri #ki#t (#!'kn$# p#t%ogen i ('l't ## kelen"#r l'#%<(#$or #n (inor= 'nt'k (engel'#rk#n en# #!ing #n #n$#k (eng#n'ng l$!oFi(, H#lito!i!2 A#n$# inek!i !ek'ner  #kteri #n#ero (g%#!ilk#n F#t $#ng er#' %#lito!i! 5. Meng#p# i#p#tk#n n$eri !#(p#i kep#l# #n teling#2 N$eri teling# k#ren# #ri n. ton!il #n #enoi (e(e!#r  o!tr'k!i o!6'( t'# 4. Ap# i#gno!i! #n  #ri k#!'! t!2 D: ton!illi6!< e(#(, n$eri tenggorok, !'lit (enel#n,=  Ak't< #ki#t &ir'!
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T#el er#!r#k#n n$eri tenggorok, e6login$# D#n Ap# e6ologi #n #7tor re!ikon$#2 . B#g#i(#n# p#to0!iologi #ri i#gno!i! k#!'! t!2 8. #p# !#"# pe(erik!##n 0!ik #n pen'n"#ng2 /: An#(e!i!: ## ge"#l# !i!te(ik #t#' 6#k2 In!pek!i #gi#n l'#r 6#k ## kel#in#n l#n"'t kl( ton!il,p#l#t'( 'e( Le%er #n ('l't #p#k#% ## per#ng#n, ## #!e!, e&i#!i. Dili%#t ('ko!# ('l't, li#%n$#, !ekit#r #ring #n l#ringn$# A!e! perton!iler: $g kel'#r p'! nt'k (e(e#k#n keg#n#!#n #t#' 6#k  7ek p# /p: l#, r#t 'nt'k (enget#%'i #n6gen !trepto77 gr'p # 9. B#g#i(#n# pen#t#l#k!#n##n #ri k#!'! t!2 In0ltr#!i  eri #n6io67, p## #!e! periton!iler<7lin#(i!in #n peni!ilin=, ter#pi !i(pto(n$# #n "'g# i!# ieri n!#i /## #!e! i#gi#n $#ng p#ling (enon"ol #n l'n#k Ton!ilekto(i inik#!in$#: #n#k (eng#l#(i ton!illi6!  k#li #l#( 1 t#%'n, #n#k !'#% (eng#l#(i 5k#li #l#( 1 t%'n #n erl#ng!'ng * t#%'n ert'r't*, pe(engk#k#n (en't'p !l. N##!, !'#% ternt'k #!e!. ir'!: eng#n pe(erik#n (eningktk#n !$!te( i('n, #n &it#(in #n (in'( #ir %#ng#t #n k'('r Di!oni# : korko!teroi, e#(et#!on.

An6io67: pkk pen!ilin g <enFo6#(in 'nt'k per'#%#n #kterin$#, "ik# *) 6#k ## per'#%#n. /#!ien e(#(: p#r#7et#(ol #n i'proen N$eri: #!(e !etel#% (#k#n An6io67: krn n$#k !'#% re!i!ten #(ok!ilin #n peni!ilin  7lin#(i!in #ng#n l'p# #ki#tn$# #p# "ik# &ir'! "#ng#n ieri kor6ko!teroi 1+.

B#g#i(#n# 7#r# (el#k'k#n #!pir#!i iperiton!iler2

Seel'(n$# i#n#!te!i, #!pir#!i eng#n !p'it 1+77 #n "#r'( 'k 18 #n p## #gi#n $#ng p#ling (enon"ol #n l'n#k. /R O! %$oi #gi#n #ri l#ring #t#' 6#k2 Glo!!$ t#ng &it#(in #p# 2 /e(#gi#n ton!il 'k'r#n ton!il er#!#rk#n #p#2 An#to(i ('l't, #ring,ton!il, l#ring #n %i!tologin$#, inner&#!i Rokok2 /lik# &ok#li! p#l!' it' #p# #n n#(# l#Fi(n$#22 Ken#p# !##t ter%#r' 6#k i!# erger#k2 Kenp# i!# ke6k# ngo(ong #g' ik't erger#k2

Hiper!li&#!i2 Gln'l# #n iner&#!in$#2 N$eri tel#n2

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