Laporan Pendahuluan Asuhan KB Iud

 

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Z^AG^CO VU]EL Z^AHMVL NLECB D]^]VCB KMNLECBCB ZA@UMKKMV KMOMBKMV VMOC^CBG UC. >:>:/>:>3

 

Zmbgmrtlcb L]E Zmbgmrtlcb L]E cec`ci sc`ci sctu c`ct kabtrcsmpsl oaemrb ycbg tm`ci elrcbfcbg smemolklcb rupc (nclk nmbtuk, ukurcb, ncicb, ecb ocsc cktlh hubgsl kabtrcsmpslbyc), el`mtckkcb ec`co kcvuo utmrl smncgcl uscic kabtrcsmpsl, ombgic`cbgl hmrtl`lscsl, ecb ombyu`ltkcb tm`ur  nmrlop`mombtcsl ec`co utmrus (Ilecyctl, >:::3:). L]E cec`ci suctu c`ct kabtrcsmpsl ycbg elocsukkcb km ec`co rcilo ycbg nmbtukbyc nmrocfco-ocfco, tmrelrl ecrl p`cstlk (pa`ytiy`lbm), cec ycbg el`l`lt tmoncgc (Fu) cec pu`c ycbg tleck, tmtcpl cec pu`c ycbg el`l`lt embgcb tmoncgc nmrfcopur pmrck (Cg). Vm`clb ltu cec pu`c ycbg nctcbgbyc nmrlsl iaroab pragmstmrabm. (Kusocrdctl, >:33). Kabtrcsmpsl nmrcsc` ecrl kctc kabtrc ycbg nmrcrtl ombfmgci ecb kabsmpsl ycbg nmrcrtl pmrtmoucb cbtcrc sm` tm`ur embgcb sm` spmroc ycbg ombgcklnctkcb kmicol`cb, smilbggc kabtrcsmpsl cec`ci upcyc ubtuk  ombfmgci tmrdcelbyc kmicol`cb embgcb fcrc ombguscickcb cgcr tleck tmrdcel avu`csl, om`uopuikcb spmroc ctcu ombgic`cbgl pmrtmoucb sm` tm`ur embgcb sm` spmroc (Wlkbdascstra, >::6). >. Zrahl` Omburut Vclhuelb (>:3:), Zrahl` pmockclcb L]E cec`ci4 c. Vcbgct mhmktlh, rmvmrsln`m ecb nmrdcbgkc pcbdcbg (ecpct scopcl 3: tciub4 FuU-69:C)  n. Icle ombdcel `mnli `coc ecb `mnli ncbyck f. Zmocscbgcb ecb pmbfcnutcb omomr`ukcb pm`ctlicb e. Ecpct elpckcl a`mi smouc pmrmopucb uslc rmpraeuksl m. Uleck na`mi elpckcl a`mi pmrmopucb ycbg tmrpcpcr pcec Lbhmksl Ombu`cr Vmksuc` (LOV). 6. Dmbls ‖ Dmbls L]E Dmbls - dmbls L]E ycbg elpckcl el Lbeabmslc cbtcrc `clb 4 c. Fappmr-U Omburut Loncrwctl,(>:::3:). Vplrc` dmbls fappmr U (om`mpcskcb tmoncgc) ombfmgci kmicol`cb embgcb fcrc ombgcbggu pmrgmrckcb spmroc ubtuk ombfcpcl rabggc rcilo ecb ecpct elpckcl sm`coc 3: tciub.  n. Zragmstcsmrt L]E (om`mpcskcb pragmstmrab) icbyc mhmktlh ubtuk 3 tciub ecb ecpct elgubckcb ubtuk kabtrcsmpsl ecrurct Fappmr-7.

 

Omburut Loncrwctl (>:: oo ecb eltconcikcb gu`ubgcb kcwct tmoncgc `ucs pmroukccb >:: oo>, hubgslbyc scoc embgcb `l`ltcb tmoncgc ic`us pcec L]E Fappmr-U.  n. Ou`tl `ace Omburut Loncrwctl (>::=: oo> ctcu 67= oo> ubtuk ombconci mhmktlhltcs. Cec tlgc dmbls ukurcb ou`tl `ace ycltu stcbecr, soc``, ecb olbl f.

@lppms `aap

Omburut Loncrwctl (>::= oo (nmbcbg nlru), nlru), tlpm N >7,= oo (nmbcbg i iltco), ltco), tlpm F nmrukurcb 6: oo (nmbcbg kublbg) ecb tlpm E nmrukurcb 6: oo ecb tmnc` (nmbcbg putli). @lppms `aap omopubycl cbgkc kmgcgc`cb ycbg rmbeci. Kmubtubgcb ecrl pmockclcb L]E dmbls lbl cec`ci nl`c tmrdcel  pmrharcsl, dcrcbg ombymncnkcb `ukc ctcu pmbyuonctcb pmbyuonctcb usus, smncn tmrnuct ecrl ncicb p`cstl. 5. Fcrc Kmrdc Omburut Vclhuelb (>:3:), Fcrc kmrdc L]E cec`ci4 c. c. Ombgic Ombgiconct onct kmocop kmocopucb ucb spmroc ubtuk ubtuk ocsuk ocsuk kmtunc kmtunc hc`apl hc`apl  n. Omopmbgcruil hmrtl`lscsl smnm`uo avuo ombfcpcl kcvuo utmrl. f. CKE^ nmkmrdc tmrutcoc ombfmgci spmroc ecb avuo nmrtmou, wc`cupub CKE^ omonuct spmroc su`lt ocsuk kmec`co c`ct rmpraeuksl pmrmopucb ecb ombgurcbgl kmocopucb spmroc ubtuk hmrtl`lscsl. e. Omoubgklbkcb ubtuk ombfmgci lop`cbtcsl tm`ur ec`co utmrus. =. Mhmktlvltcs Kmmhmktlvltcscb L]E cec`ci4 Vcbgct mhmktlh ycltu :,= ‖ 3 kmicol`cb pmr 3:: pmrmopucb sm`coc 3 tciub pmrtcoc pmbggubccb (Vudlycbtlbl ecb Cruo, >:::3:), Kmubtubgcb L]E ycltu4 c. Vmncgcl kabtrcsmpsl, mhmktlhltcsbyc tlbggl Vcbgct mhmktlh ↞ :,8 - :,9 kmicol`cb / 3:: pmrmopucb ec`co 3 tciub  pmrtcoc ( 3 kmgcgc`cb ec`co 3>= ‖ 37: kmicol`cb).  n. CKE^ ecpct mhmktlk smgmrc smtm`ci pmocscbgcb. f. Omtaem dcbgkc pcbdcbg ( 3: tciub pratmksl ecrl FuU ‖ 69:C ecb tleck

 

 pmr`u elgcbtl) e. Vcbgct mhmktlh kcrmbc tleck pmr`u `cgl ombglbgct ‖lbgct m. Uleck omopmbgcruil iunubgcb smksuc` h. Omblbgkctkcb kmbycocbcb smksuc` kcrmbc tleck pmr`u tckut ubtuk icol` c. g. Uleck Uleck cec cec mhmk scoplbg scoplbg iaroabc` iaroabc` embgcb embgcb Fu CKE^ CKE^ ( FuU FuU -69:C) -69:C) i. Uleck omopmbgcruil kuc`ltcs ecb va`uom CVL l. Ecpct elpcscbg smgmrc smtm`ci om`cilrkcb ctcu smsueci cnartus (cpcnl`c tleck tmrdcel lbhmksl)  d. Ecpct elgubckcb scopcl ombapcusm ( 3 tciub ctcu `mnli smtm`ci icle tmrckilr) k. Uleck cec lbtmrcksl embgcb anct ‖ anct `. Omoncbtu ombfmgci kmicol`cb mktaplk. 7. Kmruglcb Omburut Vclhuelb (>:3:), Kmruglcb L]E4 c. Mhmk scoplbg ycbg oubgklb tmrdcel4 3) Zmruncicb slk`us icle ( uouo pcec 6 nu`cb pmrtcoc ecb ckcb  nmrkurcbg smtm`ci 6 nu`cb) >) Icle `mnli `coc ecb ncbyck 6) Zmrecrcicb ( spattlbg ) cbtcr ombstrucsl 5) Vcct icle `mnli scklt  n. Kaop`lkcsl @clb4 3) Omrcsckcb scklt ecb kmdcbg sm`coc 6 scopcl = icrl smtm`ci  pmocscbgcb >) Omrcsc scklt ecb kmdcbg sm`coc 6 ‖ = icrl smtm`ci pmocscbgcb 6) Zmrecrcicb nmrct pcec wcktu icle ctcu el cbtcrcbyc ycbg omoubgklbkcb pmbymncn cbmolc 5) Zmrharcsl elbelbg utmru (scbgct dcrcbg cpcnl`c pmocscbgcbbyc c. nmbcr) f. Uleck ombfmgci LOV tmrocsuk ILX/CLEV e. Uleck nclk elgubckcb pcec pmrmopucb embgcb LOV ctcu pmrmopucb ycbg smrlbg nmrgcbtl pcscbgcb m. Zmbycklt rcecbg pcbggu` tmrdcel smsueci pmrmopucb embgcb LOV omockcl CKE^. Z^Z ecpct omolfu lbhmrtl`ltcs h. Uleck ombfmgci tmrdcelbyc kmicol`cb mktaplk tmrgcbggu kcrmbc hubgsl CKE^ ubtuk ombfmgci kmicol`cb baroc` 9. Omkcblsom Kmrdc c. Omkcblsom kmrdc CKE^ scopcl scct lbl nm`uo elkmtciul smfcrc pcstl, cec ycbg nmrpmbecpct nciwc CKE^ smncgcl nmbec cslbg ycbg omblonu`kcb rmcksl rcecbg smtmopct, embgcb smnutcb `mukaslt ycbg ecpct om`crutkcb n`cstasls ctcu smpmroc. Omkcblsom kmrdc CKE^ ycbg el`l`ltl kcwct tmoncgc oubgklb nmr`clbcb. Umoncgc ec`co kabsmbtrcsl kmfl` ycbg elkm`ucrkcb km ec`co rabggc utmrus dugc ombgiconct kicslctcbilercsm kcrnab ecb hashctcsm c`kc`l. CKE^ ycbg ombgm`ucrkcbiaroab dugc ombmnc`kcb `mbemr smilbggc

 

ombgic`cbgl pcscsl spmroc (Zrcwlraicreda, >::=).  n. Vcopcl smkcrcbg omkcblsom kmrdc CKE^ nm`uo elkmtciul elkmtciul embgcb  pcstl, klbl pmbecpct ycbg tmrncbyck lc`ci nciwc CKE^ CKE^ ec`co kcvuo utmrl omblonu`kcb rmcksl pmrcecbgcb mbeaomtrluo ycbg elsmrtcl embgcb smnutcb `mukaslt ycbg ecpct ombgicbfurkcb n`cstaklstc ctcu spmroc. Vlhct-slhct ecrl fclrcb utmrus ombgc`col pmruncicb ‖ pmruncicb pcec  pmockclcb CKE^ ycbg ombymncnkcb ombymncnkcb n`cstaklstc tleck ecpct ileup ec`co utmrus. Wc`cupub smnm`uobyc tmrdcel blecsl,  pmbym`lelk-pmbym`lelk `clb ombmoukcb smrlbg cecbyc kabtrcksl kabtrcksl utmrus  pcec pmockclcb CKE^ ycbg ecpct ombgic`cbgl ombgic`cbgl blecsl. Eleugc lbl elsmncnkcb a`mi omblbgkctbyc kcecr prastcg`cbelb ec`co utmrus pcec wcbltc (Wlkbdacstra, >::=). f. Vmncgcl omtaem nlcsc (ycbg elpcscbg smnm`uo iunubgcb smxuc` tmrdcel) CKE^ ombgunci trcbspartcsl tunc ec`co rcilo ecb omopmbgcruil sm` m`ur ecb spmroc smilbggc pmonucicb tleck tmrdcel. Vmncgcl kabtrcsmpsl ecrurct (elpcscbg smtm`ci iunubgcb smxuc` tmrdcel) ec`co nmnmrcpc kcsus oubgklb omol`lkl omkcblsom ycbg `mnli oubgklb cec`ci embgcb ombfmgci tmrdcelbyc lop`cbtcsl ctcu  pmbymrcbgcb sm` tm`ur ycbg tm`ci elnucil km ec`co elbelbg elbelbg rcilo e. Omburut Vcmhueelb (>::6), omkcblsom kmrdc L]E cec`ci4 3) Ombgiconct kmocopucb spmroc ubtuk ocsuk km tunc hc`apl >) Omopmbgcruil hmrtl`lscsl smnm`uo avuo ombfcpcl kcvuo utmrl 6) CKE^ nmkmrdc tmrutcoc ombfmgci spmroc ecb avuo nmrtmou wc`cupub CKE^ omonuct spmroc su`lt km ec`co c`ct rmpraeuksl  pmrmopucb ecb ombgurcbgl kmocopucb kmocopucb spmroc ubtuk hmrtl`lscsl 5) Omoubgklbkcb ubtuk ombfmgci lop`cbtcsl tm`ur km ec`co utmrus. ::::::9), Mhmk scoplbg ecrl pmbggubccb L]E

 

om`lputl,pcec olbggu pmrtcoc, oubgklb cec pmbecrcicb kmfl`. Cec  pmrmopucb-pmrmopucb pmockcl splrc` ycbg ombgc`col pmruncicb icle, icle, ombdcel `mnli nmrct ecb `mnli `coc, ncikcb `mnli ombyckltkcb. Umtcpl  nlcscbyc smouc gmdc`c lbl ckcb `mbycp embgcb smbelrlbyc smsueci 6 nu`cb. nu`cb. 36. Zmocscbgcb L]E Omburut Zrcwlraicreda (>::9), L]E ecpct elpcscbg ec`co kmceccb4 c. Vmwcktu icle smecbg nmr`cbgsubg Kcrmbc kmubtubgcbbyc pmocscbgcb `mnli oueci a`mi kcrmbc smrvlk  pcec wcktu cgck tmrnukc ecb `monmk. ^csc bymrl bymrl tleck smnmrcpc kmrcs,  pmrecrcicb ycbg tlonu` smncgcl cklnct pmocscbgcb tleck smnmrcpc elrcsckcb, kmoubgklbcbc pmocscbgcb L]E pcec utmrus ycbg smecbg icol` tleck cec.  n. Vmwcktu past pcrtuo Zmocscbgcb L]E smtm`ci om`cilrkcb ecpct el`ckukcb4 3) Vmfcrc elbl ycltu elpcscbg pcec wcbltc ycbg om`clrkcb smnm`uo elpu`cbgkcb ecrl ruoci scklt >) Vmfcrc `cbgsubg ycltu L]E elpcscbg ec`co ocsc 6 nu`cb smtm`ci  pcrtus ctcu cnartus 6) Vmfcrc tleck `cbgsubg ycltu L]E elpcscbg smsueci ocsc tlgc nu`cb smtm`ci pcrtus ctcu cnartus  n. Vmwcktu cnartus e. Nmnmrcpc icrl smtm`ci icle tmrckilr 35. Kubdubgcb ]`cbg Vmtm`ci Zmocscbgcb L]E Kubdubgcb u`cbg smtm`ci pmocscbgcb L]E Omburut NKKNB (>::6)4 c. 3 olbggu pcsfc pmocscbgcb  n. > nu`cb pcsfc pmocscbg f. Vmtlcp 8 nu`cb nmrlkutbyc e. 3 tciub smkc`l m. Nl`c tmr`conct icle 3 olbggu h. Zmrecrcicb ncbyck ecb tleck tmrctur Omburut Zrcwlraicreda (>::9), pmomrlksccb smsueci L]E elpcscbg el`ckukcb pcec4 c. 3 olbggu pcsfc pmocscbgcb  n. 6 nu`cb nmrlkutbyc f. Nmrlkutbyc smtlcp 8 nu`cb 3=. Zmomrlksccb Zcec Vcct Kubdubgcb ]`cbg Omburut Xcrbmy, Krlmns ecb Gmgar (>::8), Vmtm`ci L]E elpcscbg smarcbg k`lmb wcbltc, lc icrus elcrcikcb ubtuk ombggubckcb  prmpcrct spmrolslec ecb kabeao pcec nu`cb pmrtcoc. Ulbeckcb Ulbeckcb lbl ckcb omonmrl pmr`lbeubgcb pmbui ecrl kabsmpsl kcrmbc L]E ombgiconct smrvlks, utmrus, ecb sc`urcb hc`apll tmopct ycbg omoubgklbkcb  pmonucicb ecb pmbcbcocb sm` tm`ur ecb lbl omrupckcb omrupckcb kurub wcktu L]E ecpct tmr`mpcs smfcrc spabtcb. K`lmb icrus om`ckukcb kubdubgcb u`cbg  pmrtcocbyc ec`co wcktu kurcbg `mnli mbco olbggu. olbggu. Kubdubgcb lbl icrus el`ckukcb smtm`ci ocsc ombstrucsl pmrtcocbyc pcsfc pcocscbgcb L]E. Zcec wcktu lbl, nu`cb pmrtcoc kmoubgklbcb lbslemb L]E `mnli tlbggl

 

ubtuk tmr`mpcs smfcrc spabtcb tm`ci nmrckilr. L]E ecpct elpmrlksc ubtuk ombmbtukcbbyc ocsli nmrcec pcec paslsl ycbg tmpct. Vm`clb ltu, smarcbg wcbltc icrus omol`lkl pmbgc`cocb om`ckukcb pmomrlksccb L]E smfcrc ocbelrl ecb nmnmrcpc mhmkscoplbg `cbgsubg icrus sueci elctcsl. Kubdubgcb u`cbg omonmr kmsmopctcb ubtuk ombdcwcn pmrtcbyccb ecb omonmr smocbgct smrtc omycklbkcb k`lmb. Elicrcpkcb, ic` lbl omonucikcb icsl` nmrupc pmblbgkctcb duo`ci pmbggubc L]E. Ectc-ectc Ectc- ectc tmrkclt L]E nmrlkut ecpct elpmra`mi pcec kubdubgcb u`cbg lbl. c. ^lwcyct 3) Ocsc ombstrucsl (elncbelbgkcb embgcb ombstrucsl smnm`uo ombggubckcb L]E) c) Ucbggc`  n) @cocbyc f) Duo`ci c`lrcb e) Bymrl >) Elcbtcrc wcktu ombstrucsl (elncelbg embgcb smnm`uo ombggubckcb L]E) c) Nmrfck ecrci ctcu pmrecrcicb4 cocbyc, duo`ci  n) Krco4 `cocbyc, tlbgkct kmpcrcicb f) Bymrl pubggubg4 `akcsl, `cocbyc, tlbgkct kmpcrcicb. e) ^cncs vcglbc4 `cocbyc, wcrbc, ncu, rcsc gctc`, rcsc tmrnckcr scct nmrkmoli (smnm`uo ctcu smtm`ci urlbm ou`cl ombgc`lr) 6) Zmomrlksccb nmbcbg c) Ucbggc` pmomrlksccb nmbcbg ycbg tmrckilr  n) Nmbcbg ecpct elrcsckcb a`mi pcscbgcb sm`coc om`ckukcb iunubgcb smksuc` 5) Kmpucsccb tmricecp omtaem ycbg elgubckcb (nclk pcec wcbltc ocupub pcscbgcbbyc) =) Vmtlcp anct ycbg elgubckcb4 ycbg ocbc, ombgcpc 8) Vmtlcp kubdubgcb km eaktmr ctcu kmrucbg gcwct ecrurct smdck  pmocscbgcb L]E4 ombgcpc 7) Zmbggubccb prmpcrct spmrolslec ecb kabeao4 kcpcb, cpckci cec ocsc`ci 9) Ucbec-tcbec eugccbkmicol`cb dlkc cec lbelkcsl  n. Zmomrlksccb hlslk 3) Zmomrlksccb cneaomb ubtuk ombgmtciul cecbyc bymrl tmkcb pcec  ncglcb ncwci cneaomb >) Zmomrlksccb ubtuk ombgmtciul cecbyc bymrl tmkcb cklnct FXC,  dlkc ellbelkcslkcb ubtuk elcgbasm ncbelbg ncbelbg 6) Ucbec-tcbec kmoubgklbcb kmicol`, dlkc cec lbelkcsl. f. Zmomrlksccb pm`vlf 3) Zmomrlksccb spmfu`uo c) Nmbcbg tmr`lict  n) Zcbdcbg nmbcbg4 pmoatabgcb pmoatabgcb nmbcbg nl`c cec lbelkcsl f) ^cncs vcglbc4 fctct kcrcktmrlstlk ecb `ckukcb ku`tur ecb cpuscb  ncsci nl`c ellbelkcslkcb.

 

>) Zmomrlksccb nlocbuc` c) Bymrl kmtlkc smrvlks ctcu utmrus nmrgmrck  n) Bymrl tmkcb pcec utmrus f) Zmonmscrcb utmrus e) Bymrl tmkcb pcec ecmrci smkltcr m) Ucbec-tcbec kmoubgklbcb kmicol`cb nl`c ellbelkcslkcb e. @cnarctarluo 3) Imoag`anlb ctcu imoctakrlt >) ]rlbc`ls rutlb smsucl lbelkcsl ubtuk elcgbasls ncbelbg 6) Ku`tur smrvlks ecb cpuscb ncsci, dlkc cec lbelkcsl 5) Ums kmicol`cb, dlkc cec lbelkcsl Cpcnl`c icsl` pmomrlksccb elctcs omoucskcb, ockc k`lmb ckcb ombecpctkcb dcewc` ubtuk om`ckukcb pmomrlksccb hlslk rutlbbyc. Zcec kubdubgcb tmrsmnut nlecb ckcb om`ckukcb ic`-ic` ic`- ic` smpmrtl ombgkcdl rlwcyct pmbcplscb uouo ycltu pmomrlksccb hlslk ecb  pm`vlf, pcp somcr, ku`tur k`comelc ecb gabarmc, tms `cnarctarluo rutlb `clb ecb pmbgu`cbgcb kubdubgcb u`cbg L]E smpmrtl eldm`cskcb elctcs. Zmbgcrcicb supcyc k`lmb omomrlksckcb L]E byc, kcpcb icrus ombgiunubgl nl`c oubfu` ocsc`ci ctcu ubtuk omonuct pmrdcbdlcb smnm`uo kubdubgcb tciubbyc ecpct eltlbdcu kmonc`l nmrscoc k`lmb sm`coc kubdubgcb u`cbg lbl. N. Umarl Ocbcdmomb Kmnlecbcb 3. Zmbgmrtlcb Ocbcdmomb Kmnlecbcb Omburut Ouhe`l`ci, Csrl I & Loc K (>:3:), Ocbcdmomb kmnlecbcb cec`ci  pmbemkctcb ycbg elgubckcb a`mi nlecb ec`co ombmrcpkcb omtaem  pmomfcicb ocsc`ci smfcrc slstmoctls, ou`cl ecrl pmbgkcdlcb, cbc`lsls ectc, elcgbasc kmnlecbcb, pmrmbfcbccb, pm`ckscbccb, ecb mvc`ucsl. Oaem` Eakuombtcsl Csuicb Kmnlecbcb VACZ Oaem` eakuombtcsl ycbg elgubckcb ec`co cskmn cec`ci ec`co nmbtuk fctctcb pmrkmoncbgcb, kcrmbc nmbtulk csuicb ycbg elnmrlkcb nmrkmslbconubgcbecb ombggubckcb pmasms ycbg tmrus ombmrus (Ouhe`l`ci, Csrl I, Loc K4 >:3:). V 4 Ectc lbharocsl ycbg sundmktlh (ombfctct icsl` cbcobmsc) A 4 Ectc lbharocsl andmktlh (icsl` pmomrlksccb, ansmrvcsl) C 4 Ombfctct icsl` cbc`lsc (elcgbasc ecb ocsc`ci kmnlecbcb) c. Elcgbasc ctcu ocsc`ci  n. Elcgbasc/ocsc`ci patmbslc` ecb cbtlslpcslbyc f. Zmr`u tlbeckcb smgmrc Z 4 Ombfctct sm`urui pmbctc`ckscbccb (tlbeckcb, cbtlslpcsl, tlbeckcb smgmrc, tlbeckcb rutlb, pmbyu`uicb, suppart,ka`cnarcsl, ruduk ecb mvc`ucsl