Laporan Kasus GERD
July 23, 2022 | Author: Anonymous | Category: N/A
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F. Oc Ocdu dunf nf` ` St Stfi fiff @ycra udu nfta yf`k hascrtfa rfsf ocibu`k sclfo =: ic`at ]IR].
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Kfstrecsepnfkcfd Kfstrecsepnf kcfd Rcgdux Rcgdux Hascfsc Hascfsc (KCRH/ (KCRH/ Zc`yfoat Zc`yfoat Rcgduos Rcgduos Kfstrecseg Kfstrecsegfkcfd) fkcfd) fh fhfd fdfn fn su suft ftu u oc ocfh fhff ff` ` pf pfte tede deka kass yf yf`k `k hasc hascbf bfbo bof` f` ed edcn cn oc ockf kfkfd kfdf` f` hf hfra ra icof icof`a `asi sicc f`tarcgduos u`tuo icda`hu`ka iuoesf csegfkus tcrnfhfp rcgduos fsfi dfibu`k hc`kf` ofhfrr yf`k ofhf yf`k fb`erif fb`erifdd hf` pfpfrf` pfpfrf` yf`k yf`k bcrudf bcrudf`k. `k. Rcg Rcgduo duoss fsfi fsfi icrupf icrupfof` of` suftu suftu pcrkcrfof` hfra asa dfibu`k hfra dfibu`k oc csegfkus hf` icrupfof` ocfhff` gasaedekas. Rcgduos basf tcrlfha pfhf sciuf erf`k, onusus`yf pfhf sfft ifof` bf`yfo. Ocfhff` rcgduos fsfi pftedekas fhfdfn octaof ic`knfsadof` kclfdf ftfu tf`hf rusfo`yf iuoesf csegfkus scpcrta cresa hf` udscrfsa cpatcd soufiesf csegfkus. KCRH hfpft tcrlfha pfhf sciuf ocdeipeo uiur, uiui`yf hatciuof` hatciuof` pfhf pepudfsa ha @ckfrf-`ckfr @ckfrf-`ckfrff Bfrft, Bfrft, `fiu` `fi u` hadfper hadfperof` of` rcdfta rcdftagg rc`hfn rc`hfn a`sahc a`sahc``yf ``yf ha @ckfrf@ckfrf-`ck `ckfrf frf Fsaf-F Fsaf-Fgr graof aof.. KCR KCRH H uiui`yf dcban scra`k ic`ycrf`k dfoa-dfoa hfrapfhf wf`atf. 2. Ctaedeka Zc`yfoat KCRH hfpft hascbfbof` edcn ofrc`f ocdcbanf` fdarf` rctrekfh hfra fsfi
hfra kfstcr oc csegfkus. Csegfkus hf` kfstcr hapasfnof` edcn suftu ze`f tcof`f` ta`kka (nakn prcssur prcssurcc ze`c) yf`k hanfsadof` edcn oe`trfosa dewcr csepnfkcfd csepnfkcfd spna`mtcr spna`mtcr (DC]) (DC]).. Zfhf a`havahu `erifd, pciasfn a`a fof` hapcrtfnf`of` ocmufda pfhf pfhf sfft tcrlfha`yf fdarf` f`tckrfh yf`k tcrlfha pfhf sfft ic`cdf`, ftfu ftfu rctrekrfh yf`k tcrlfha pfhf sfft sc`hfwf ftfu iu`tfn. Fdarf` bfdao kfstcr oc csegfkus icdfdua DC] nf`yf tcrlfha fpfbadf te`us
DC] tahfo fhf ftfu sf`kft rc`hfn (4= iiNk). Zfhf KCRH, ifsfdfn pfhf icof`ao DC] (nypetc nypetc`savc `savc DC]) hf` gu`ksae`fd (trf`s (trf`sac`t ac`t DC] DC] rcdfxftae`) rcdfxftae`) ic`lfha pc`ycbfb utfif tcrlfha`yf KCRH. =. Zfte tek kc`csa sass
Rcgduos kfstrecsegfkcfd pfhf pfsac` KCRH KCRH tcrlfha icdfdua = icof`asic< 6. Rcgduo Rcgduoss spe`t spe`tf` f` pfhf pfhf sfft sfft rcdfo rcdfosfs sfsaa DC] DC] yf`k tahfo fhcouft. 2. Fdarf` Fdarf` rctrekr rctrekrfh fh yf`k yf`k ic`hfnud ic`hfnudua ua ocibfda ocibfda`yf `yf te`us te`us DC] DC] sctcdfn ic`cdf` =. Ic`a`k Ic`a`koft oft`yf `yf tcof tcof`f` `f` a`tr a`trff fbheic fbheic`. `. Hc`kf Hc` kf` ` hc hcia iaoa oaf` f` hf hfpf pftt hatc hatcrf rf`k `kof` of` bf bfnw nwff pf pfte tekc kc`c `csa sass tc tcrl rlfh fha` a`yf yf KCRH KCRH ic`yf`kout ocscaibf`kf` f`tfrf gfoter hcgc`sag hfra csegfkus hf` gfoter egc`sag hfra bfnf` rcgduosft. Qf`k tcrifsuo gfoter hcgc`sag csegfkus, fhfdfn pciasfn f`tarcgduos (da`a pcrtfif), bcrsanf` fsfi hfra duic` csegfkus (da`a ochuf), hf` octfnf`f` cpatncdafd csegfkus (da`a octakf). ]chf`kof` yf`k tcrifsuo gfoter egc`sag fhfdfn scorcsa kfstrao hf` hfyf paderao.
Gfoter Hcgc`sag <
6. Zc Zcia iasf sfn n f` f`ta tarc rcgd gduo uoss Zcicrf` tcrbcsfr pciasfn f`tarcgduos fhfdfn te`us DC]. Ic`uru``yf te`us DC] hfpft ic`ycbfbof` taibud`yf rcgduos rctrekrfh pfhf sfft tcrlfha`yf pc`a`koftf` tcof`f` a`trf a`trf fbh fbheic eic`. `. ]cbfkaf ]cbfkaf` ` bcsfr bcsfr pfsac` pfsac` KCRH KCRH tcr tcr`yf `yftf tf icipu`y icipu`yfa fa te`us te`us DC] yf`k yf`k `erifd. Gfoter-gfoter yf`k hfpft ic`uru`of` te`us DC]< Fhf`yf naftus ncr`af, pf`lf`k DC] (ifoa` pc`hco DC], ifoa` rc`hfn te`us`yf), ebft-ebftf` scpcrta f`taoeda`crkao, bctf fhrc`crkao, tncegada`, epaft hf` dfa`-dfa`, gfoter nerie`fd scpcrta scdfif ocnfiadf` haif`f pc`a`koftf` ofhfr prekcstcre` hfpft ic`uru`of` te`us DC]. DC] . @fiu` hc`kf` bcrocibf`k`yf tco`ao pcicraosff` if`eictra, tfipfo bfnwf pfhf ofsus-ofsus KCRH hc`kf` te`us DC] DC] yf`k `erifd yf`k bcrpcrf` hfdfi tcrlfha`yf prescs rcgduos a`a fhfdfn trf`s DC] rcdfxfta trf`sac`t ac`t DC] rcdfxftae` e` (XDC]R), yfatu rcdfosfsa DC] yf`k bcrsagft spe`tf` hf` bcrdf`ksu`k dcban ourf`k 3 hctao tf`pf hahfnudua prescs ic`cdf`. Bcdu Bc dui i haoc haoctf tfnua nua bf bfkfa kfaif if`f `f tc tcrl rlfh fha` a`yf yf XDC] XDC]R R a` a`a, a, tc tctf tfpa pa pfhf pfhf bc bcbcr bcrfp fpff a` a`ha hava vahu hu haoctf hao ctfnua nua fhf nubu`kf nubu`kf``yf ``yf hc`kf` pc`kese pc`kese`kf` `kf` dfibu`k dfibu`k dfi dfibft bft (hcdf (hcdfych ych kfstram kfstram ciptya`k) hf` hadftfsa dfibu`k. 2. Bcrsan Bcrsanf` f` fsfi fsfi hfra hfra duic` duic` csegfk csegfkus us
Gfoter-gfoter yf`k bcrpcrf` pfhf bcrsanf` fsfi hfra csegfkus fhfdfn krfvatfsa, pcrastfdtao, corcsa far daur hf` baofrbe`ft. ]ctcdfn tcrlfha rcgduos, scbfkaf` bcsfr bfnf` rcgduosft fof` ocibfda oc dfibu`k hc`kf` here`kf` pcrastfdtao yf`k harf`ksf`k edcn prescs ic`cdf`. ]asf`yf fof` ha`ctrfdasar edcn baofrbe`ft yf`k hascorcsa edcn ocdc`lfr sfdavf hf` ocdc`lfr csegfkus. Icof`asic bcrsanf` a`a sf`kft pc`ta`k, ofrc`f ifoa` dfif oe`tfo f`tfrf bfnf` rcgduosft hc`kf` csegfkus (wfotu trf`sat csegfkus) ifoa` bcsfr ociu`koa`f` tcrlfha`yf csegfkatas. Zfhf scbfkaf` pfsac` KCRH tcr`yftf iciadaoa wfotu trf`sat trf`s at
cnttplfi A`l Zf`teprfzedc 6 fip/28 lfi ]uorfdgft =x 6 M Hrap mcr`cvat Fip/28 lfi
F < KCRH 26 ]cptcibcr 2:67
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Xx df`lut
F < KCRH 22 ]cptcibcr 2:67
] < @ycra udu nfta bcrourf`k, tho iufd, tho tho iu`tfn E < OS muoup
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XH 62>/>: iiNk NR 6:: x/ic`at @ycrta tcof` cpakfstraui (+) F < KCRH 2= ]cptcibcr 2:67
] < tahfo fhf ocdudfnf` E < OS muoup XH 62>/>: iiNk NR 6:: x/ic`at @ycrta tcof` cpakfstraui (+) F < KCRH
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