Laporan Pendahuluan Dan Asuhan Keperawatan Medikal Bedah-1

 

IAPL^AH PDHGAETITAH GAH A]TEAH ODPD^ASAWAH KDGBOAI NDGAE GDHCAH ]DITIBWB] M^T^B]

Lide : EAB^TH HB]AQ 17701.15.12003

P^LC^AK ]WTGB G BBB ODPD^ASAWAH ]WBOD] EAF]EASAWR PD]AHW^DH ZABHTI EA]AH P^LNLIBHCCL >0>1

 

IDKNA^ PDHCD]AEAH IAPL^AH PDHGAETITAH GAH A]TEAH ODPD^ASAWAH KDGBOAI NDGAE

Gbsae aeo oah Pa Pag ga :

MB Iaeah

Earb

:

Wahccai

:

Pdknbknbhc Aoagdkbo 

Odpaia ^uahcah

 

 

IDKNA^ OLH]TIWA]B

 Haka : Eabruh Hbsaq  HBK Hl

: 17701.15.12003 Earb/

Katdrb Olhsuitasb

]arah

Wahccai

IAPL^AH PDHGAETITAH

WWG

 

A. AHAWLK AHAWLKBB GAH GAH FB]BLI FB]BLILCB LCB a) Ahatlkb

n) Fbsb sbl lilcb lcb 1. Dpbgd bgdrkbs

Dpbgdr Dpb gdrkbs kbs agaiae agaiae str struot uotur ur ouibt ouibt tdr tdriua iuarr paga paga tunue tunue kahusb kahusbaa Pdriu gbodtaeub naewa kahusba kdhceasbioah sdobtar 400 juta sdi ouibt katb tbap earbhya yahc kdhydnanoah iapbsah ouibt paibhc iuar  bhb bhb gbpd gbpdhue huebb lide lide >4 >4-= -=0 0 ia iapb pbsa sah h ou ouib ibtt katb katb.. Gb sb sbhb hbia iae e fu fuhcs hcsbb dpbgdrkbs ndodrja yabtu: a) Kdkndh Kdkndhtuo tuo sdi-sd sdi-sdii ouib ouibtt naru. naru.  n) Kdkndrb

warha

paga

ouibt, fuhcsb

kdiahbh agaiae

kdibhguhcb ouibt garb paparah sbhar uitravblidt (TV). m) Ia Iapb pbsa sah h ou ouib ibtt dp dpbg bgdr drkb kbss kdkp kdkprl rlgu guos osbb odrat odratbh bhls lsbt bt,, yahc yahc  ndrfuhcsb kdibhguhcb tunue garb naotdrb, parasbt, vbrus, ebhcca pahas yahc kdhjagb pdhydnan kdhjagb pdhydnan ouibt odrbhc. odrbhc.

>. Gdrkbs

 

Gdrkbs agaiae iapbsah ouibt yahc ndraga gb nawae dpbgdrkbs. Iapbsah Iapbs ah ouibt gdrkbs sdnacbah ndsar tdrgbrb garb sdjdhbs sdjdhbs prltdbh ya yahc hc gbsd gbsdnut nut ol olia iacd cdh. h. Fuhcs Fuhcsbb ol olia iacdh cdh ag agai aiae ae  kdknua kdknuatt ouibt ouibt tdribeat odhyai gah odhmahc. Ndrnacab fuhcsb ouibt gdrkbs agaiae sdnacab ndrbout: a) Kdrasaoah saobt gah sdhtueah n) Kdkprlguosb odrbhcat gah kbhyao  m) Kdhuknueoah raknut. g) Kdhcaibroah garae yahc kdhutrbsb ouibt. d) Kdiawah bhfdosb =. Ebplgdr Ebplgdrkbs kbs atau iapbsah iapbsah sunouta sunoutah h

Ebplgdr Ebp lgdrkbs kbs agaiae agaiae iapbsa iapbsah h ouibt ouibt paibhc paibhc nawae nawae atau atau paibhc paibhc gaiak. Fuhcsb iapbsah idkao paga ebplgdrkbs agaiae kdibhguhcb tunue garb pahas gah gbhcbh, gbhcbh, sdnaca sdnacabb magahcah dhdrcb gah sdnacab  nahtaiah yahc kdibhguhcb tuiahc, ltlt, gah lrcah gaiak tunue. 7. Flibo Flibodi di ra rakn knut ut gah gah natah natahc c raknut raknut

Flibodi raknut agaiae oahtlh agaiae  oahtlhc c odmbi paga ouibt sdnacab tdkpat raknut tuknue. Flibodi raknut nbasahya tdridtao gb iapbsah ouibt dpbgdrkbs

gah

gdrkbs. Fuhcs csbb

flibodi

raknut

ag agaaiae

uhtuo uht uo kdkprl kdkprlguos guosbb sdi-sd sdi-sdii raknut raknut yahc aoah tuknue tuknue gb ouibt ouibt odpaia, wajae, gah sdiurue tunue. 4. Odidhja Odidhjarr kbhy kbhyao ao (odidhja (odidhjarr sdna sdnasda) sda)

Odid Od idhj hjar ar

kbhy kbhyao ao

at atau au

gb gbod odha haii

gd gdhc hcah ah odidhj odidhjar ar

sdnasd sdnasdaa

agaiae suatu agaiae  suatu odidhjar odmbi paga ouibt yahc ndhtuohya kdhydrupab oa oaru ruhc hc.. Fuhc Fuhcsb sb

od odid idhj hjar ar

kb kbhy hyao ao

ag agai aiae ae

kdid kdidpa paso soah ah sdnuk

(kbhyao) od (kbhyao)  od flibodi raknut sdrta kdiapbsb gah kdibhguhcb natahc raknut acar tdtap idknap.

6. Odid Odidhj hjar ar odrb odrbhc hcat at

 

Odidhj Odi dhjar ar odrbhc odrbhcat at agaiae agaiae str struot uotur ur ouibt ouibt yahc yahc tdr tdridt idtao ao paga iapbsah dpbgdrkbs.]dsuab hakahya, fuhcsb odidhjar odrbhcat agaiae kdhceasbioah odrbhcat yahc gbodiuaroah lide iapbsah sunouibt odmbi (stratuk olrhduk) od pdrkuoaah ouibt 3. Pdkn Pdknui uiue ue Garae Garae Gah Gah Tju Tjuhc hc ]ara ]araf  f 

Ouiibt Ou

juca juca

td tdrrgapa gapatt

pdk pdknui nuiue

gar garae

yahc yahc

ndrf ndrfuh uhcs csbb

kdhcaibroah hutrbsb gah losbcdh od gaiak sdi-sdi pdkndhtuo ouibt sd sdoa oaib ibcu cuss

kdhc kdhcah ahco cout ut

gbod gbodiu iuar aroa oah h kdhc kd hcbr brbk bkoa oah h

ga garb rb

ib ibkn knae ae

ga gah h

tunu tunue. e. ]d ]dga gahc hcoa oah, h,

sd sdhs hsas asbb

nd ndru rupa pa

oa oarn rnlh lhgb gblo losb sbga ga uj ujuh uhc c

sd sdht htue ueah ah,,

sa sara raff

ra rasa sa

uhtu uhtuo  o 

nd ndrf rfuh uhcs csbb

hy hydr drb, b,

ca cata tai, i,

odsdkutah, katb rasa, atau sdhsasb tdrnaoar.

N. GDFBHB] BHB]BB

  ]diuibtbs kdrupaoah pdhyaobt bhfdosb yahc tdrjagb gb ouibt, nabo btu gdrkbs kaupuh jarbhcah sunoutah. Cdjaia oibhbs yahc kuhmui gapat ndrupa cdjaia aout yabtu yab tu drbtdk drbtdka, a, hydrb, hydrb, dgdka, dgdka, bhfiak bhfiakasb asb supura supurasb, sb, sdrta sdrta cdjaia cdjaia sbstdk sbstdkbo bo ndrupa ndrupa kaiabs kai absd, d, gdkak, gdkak, kdhccb kdhccbcbi cbi,, gah hydrb hydrb iloai. iloai. Pdhydna Pdhydnan n utaka utaka sdiuib sdiuibtb tbss yabtu yabtu  naotdrb olous crak plsbtbf sdpdrtb ]trdptlmlmmus spp. atau ]tapeyilmmlmus aurdus.

 

]diuibtbs sdmara sdgdreaha gbgdfbhbsboah sdnacab bhfdosb aout paga ouibt yahc

kdibnatoah gdrkbs gah jarbhcah sunoutah. ]diuibtbs agaiae bhfdosb paga gdrkbs gaiak gah jarbhcah sunoutah, gbsdrtab gdhcah drbtdka yahc iuas, eahcat, gah  ndhcoao. ]diuibtbs rdiatbf ukuk, u kuk, gah paibhc sdrbhc tdrjagb paga lrahc gdwasa gah iahjut usba. ]diuibtbs nbasahya kuhmui sdnacab arda drbtdka yahc aout, kdhydnar, gah ndrnatas tbgao tdcas ( Kdbgahba, Hursbirb >0>0).

M. DWBL WBLILC ILCB

 

Pdhydna Pdhy dnan n garb garb sdiuib sdiuibtt agaiae agaiae naotdrb naotdrb str strdpt dptlolo lolous us crup crup A, str strdpt dptlol lolous ous  pblcdhds gah stapbilolous aurdus. Pdhyaobt sdiuibtbs gapat gbsdnanaoah lide : a. Bhfdosb Bhfdosb naotd naotdrb rb gah jakur jakur gbsdna gbsdnanoah noah lide : 1. ]trdptlmlmmus crup A gah ]tapeyilmlmmus aurdus >. Paga nayb yahc tdrodha pdhyaobt bhb gbnanoah lide ]trdptlmlmmus crup

N =. Bhf Bhfdos dosbb garb garb jakur, jakur, Wapb Wapb Bhfdos Bhfdosbb yahc gbaobn gbaobnato atoah ah jakur jakur tdr tdrkas kasuo  uo 

 jarahc Adrlklhas Eygrlpebia. 7. ]. Phduklhbad (Phduklmlmmus) n. Pdhy Pdhydn dnan an Iabh Iabh :

1. Cbcbtah Cbcbtah nbhatahc nbhatahc,, sdrahcca, sdrahcca, atau naeoah cbcbtah cbcbtah kahusba. kahusba. >. Oui Ouibt odr odrbhc =. Dosbk 7. Ouibt Ouibt yahc tdrnaoa tdrnaoarr atau atau kdid kdidpue pue 4. Gbandtds 6. Lnds Lndsbt btas as ata atau u odcd odcdku kuoa oah h 3. Pdkndoa Pdkndoaoah oah yahc orlhbs orlhbs paga paga oaob oaob 5. Pdhyai Pdhyaiaec aecuhaa uhaah h lnat-l lnat-lnat nat tdriar tdriarahc ahc 2. Kdhur Kdhuruhh uhhya yaaa gaya gaya taea taeah h tunue tunue 10. Mamar Mamar abr abr 11. Kaihut Kaihutrbs rbsbb 1>. Cacai Cacai cbhjai cbhjai

 

G. OIA] OIA]BF BFBO BOA] A]BB 

]diuibtbs gapat gbclilhcoah kdhjagb: a) ]diuibtb ]diuibtbss ]brouk ]brouksorb sorbpta pta ]drl ]drlus us Ao Aout ut

]diuibtbs yahc tdrnatas paga gadrae tdrtdhtu yabtu satu atau gua spasba fasbai fas bai,, yahc tbgao tbgao jdias jdias natash natashya. ya. Bhfdos Bhfdosbb naotdr naotdrbb kdhcah kdhcahguhc guhc sdrlus sdrlus,, olhsbstdhsbhya sahcat iuhao gah splhcbus. n) ]diuibtb ]diuibtbss ]brouksorb ]brouksorbpta pta ]upura ]upurartbf rtbf Ao Aout ut 

Prlsdshya Prlsd shya eakpbr saka gdhcah sdiuibtbs sdiuibtbs sbrouksorbpta sbrouksorbpta sdrlus aout, eahya bhfdosb naotdrb tdrsdnut juca kdhcahguhc suppurasb yahc puruidh. Jboa tdrndhtuo dosugat yahc puruidh, kdhcbhgboas kdhcbhgboasboah boah tunue ndrtdhgdhsb ndrtdhgdhsb kdknat kdk natasb asb pdhydna pdhydnarah rah bhfdos bhfdosbb gah kdoahb kdoahbskd skd rdsbs rdsbstdh tdhsb sb iloai iloai tunue tunue gaiak kdhclhtrli bhfdosb. m) ]diu ]diuib ibtb tbss Gbfu Gbfuss Aout Aout 

Gbnacb iacb kdhjagb ndndrapa odias, yabtu: 1. Iugw Iugwbc bc‒s ‒s Ahcb Ahcbha ha >. ]diuib ]diuibtbs tbs yahc yahc ndrasai ndrasai garb garb bhfra bhfrakyi kyileyl leylbg bg =. ]diuib ]diuibtbs tbs ]dhatlr ]dhatlr‒s ‒s Gbfus Gbfus Pdrbpea Pdrbpearbh rbhcda cdaii 7. ]d ]diu iuib ibtb tbss Fasba Fasbaib ibss Gbfus Gbfus 4. Fasmbtbs Fasmbtbs Hdmrltbzbhc Hdmrltbzbhc gah caknara caknarah h atypbmai atypbmai iabhhya iabhhya g) ]diui ]diuibtb btbss Orlhb Orlhbss

]diuib ]di uibtbs tbs Orlhbs Orlhbs agaiae agaiae suatu suatu prlsds prlsds bhfdos bhfdosbb yahc ndrjai ndrjaiah ah iaknat iaknat oardha tdrnatashya vbruidhsb naotdrb yahc ndrasai garb flous cbcb. Nbasahya tdrjagb paga pasbdh gdhcah sdiuibtbs sbrouksorbpta yahc tbgao kdhgapatoah  pdrawatah yahc agdouat atau tahpa grabhasd.

 

d) ]diu ]diuib ibtb tbss Gbfu Gbfuss

]diuibtbs Gbfus  yahc agaiae Peidcklhd / Ahcbha Iugwbc‒s. Ahcbha Iugw Iu gwbc bc‒s ‒s kdru kdrupa paoa oah h suat suatu u sd sdiu iuib ibtb tbss gbfu gbfuss ya yahc hc kdhc kdhcdh dhab ab spas spasba ba sunibhcuai, sunkdhtai gah sunkahgbnuiar nbiatdrai, oagahc-oagahc sakpab kdhcdhab spasba pearbhcdai. ]diuibtbs gbkuiab garb gasar kuiut. ]drbhcoaib  nbiatdrai, tdtapb nbia eahya kdhcdhab satu sbsb/ uhbiatdrai gbsdnut Psduglpeidcklh.

D. PAWL PAWLFB FB]B ]BLI LILC LCBB

Naotdr Nao tdrbb patelc patelcdh dh yahc kdhdkn kdhdknus us iapbsa iapbsah h iuar iuar kdhbk kdhbknui nuioah oah bhfdos bhfdosbb paga paga  pdrkuoaah ouibt atau kdhbknuioah pdragahcah. Pdhyaobt bhfdosb sdrbhc  ndrjahcobt paga lrahc cdkuo, rdhgae cbzb, lrahc tua gah paga lrahc gdhcah gbandtds kdiibtus yahc pdhclnatahhya tbgao agdouat. Caknarah oibhbs drbtdka iloai paga ouibt gah sbstdk vdha sdrta ibkfatbo paga od gua dostrdkbtas atas gah nawae. Paga pdkdrbosaah gbtdkuoah odkdraeah yahc oaraotdrbstb eahcat, hydrb tdoah, gdkak gah naotdrbkba. ]diuibtbs yahc tbgao ndrolkpiboasb paibhc sdrbhc gbsdnanoah lide ]trdptlolous  crup A,  ]trdptlolous  ]trdptlolous  ia iabbh atau atau ]tapeb ]tapebilolo ilolous us adrdus, adrdus, odm odmua uaib ib jb jboa oa iu iuoa oa ya yahc hc tdroabt tdroa bt ndrodknahc ndrodknahc naotdrbkba naotdrbkba,, dtblilcb dtblilcb kbmrlnbai kbmrlnbai yahc pastb suibt gbtdhtuoah, gbtdhtuoah, uhtuo ansds iloaibsata yahc kdkpuhyab cdjaia sdnacab idsb ouitur pus atau naeah ya yahc hc gbas gbaspb pbra rasb sb gbpd gbpdri riuoa uoah. h. Kdso Kdsobp bpuh uh dt dtbl blil ilcb cb an ansd sdss bh bhbb nb nbas asah ahya ya agaia agaiae e stapb stapbilo ilolou lous, s, ansds ansds bhb oagahc oagahc gbsdna gbsdnanoah noah lide lide makpur makpurah ah naotdr naotdrbb adrln adrln gah ahadrln yahc idnbe olkpidos. Nau nusuo gah pdwarhaah crak pus kdhuhjuooah agahya lrcahbskd makpurah. Tious ouibt yahc tbgao hydrb sdrbhc tdrjagb. Idsb bhb gahcoai gah ndrbhgurasb gah gapat kdhcaiakb bhfdosb. Dtblilcbhya tbgao jdias, tdtapb kuhcobh kdrupaoah easbi pdrunaeah pdragahcah ndhga asbhc, hdorlsbs gah bhfdosb gdrajat rdhgae.

 

F. PAWE PAWESA SAR R ]DITI ]DITIBW BWB] B] 

Bhfdosb naotdrb gah Jakur 

]tapeyilmlmmus aurdus

Pdhydnan Iabh

Cbcbtah Nbhatahc, Ouibt Odrbhc,lndsbtas gii

]trdptlmlmmus crup A gah ]trdptlmlmmus crup N

Naotdrb kasuo garb ouibt yahc tdrnuoa (iuoa) Bhfdosb paga Jarbhcah ]unoutbs

]diuibtbs Kdoahbskd ^agahc

Oailr

Glilr

^unlr

Prlsds Faclsbtlsbs

Aosdidrasb/ gdsdidrasb  jarbhcah

Ebpdrtdrkb

Ebpdrdrkb

saraf 

Drbtrdka Iloai

 Hydrb Ltlt

Wuklr

Ebpdrpiasba  jarbhcah boat

Lgdka jarbhcah boat

Fuhcsblidsa Bhtlidrahsb Jarbhcah

Bhtlidrahsb aotbvbtas

Idsb Cahccuah Bhtdcrbas Ouibt

 Hydrb Aout

Pdhdoahah Jarbhcah saraf 

 

C. KAHBFD KAHBFD]WA ]WA]B ]B OIBHB] OIBHB]

Kahbfdstasb Oibhbs sdiuibtbs agaiae odrusaoah orlhbo paga ouib sbstdk vdha gah ibkfabo ibkf abo paga odgua dostrdkbta dostrdkbtas, s, odiabhah odiabhah ouibt ndrupa bhfbirat bhfbirat gbfus sunoutah, sunoutah, drbtka iloai, hyrb yahc mdpat kdhydnar gah bhfbtratbf od jarbhcah gbnawaehya,  ndhcoao, kdrae gah eahcat, hydrb tdoah, supurasb gah idolsbtlsbs 1. Gdkak >. Kdhccbcbi =. ]aob ]aobtt odpa odpaia ia 7. Hydrb ltlt 4. Wbgao dhao nagah

]diuibtbs kdhydnanoah odkdraeah atau pdragahcah yahc tdriloaibsasb. Ouibt takpao kdrae, ndhcoao, ibmbh gbsdrtab hydrb tdoah gah tdrana eahcat. ^uak ouibt kuhmui sdmara tbna-tbna gah kdkbibob natas yahc tdcas. Nbsa gbsdrtab kdkar gah idpueah-idpueah odmbi.

E. PDKD^B PDKD^BO]A O]AAH AH PDHT PDHTHJA HJAHC HC

Wbga gao o kdkn kdknut utue ueoa oah h prls prlsdgu dgurr id idnb nbe e ia iahj hjut ut uh uhtu tuo o sa sakp kpab ab od ta taea eap p 1. Wb gbachlsbs yahc kdibputb ahakhdsbs, ujb ianlratlrbuk, sbhar x gii, gaiak oasus mdiiuibtd yahc ndiuk kdhcaiakb olkpiboasb yahc kaha orbtdrbahya sdpdrtb : a. Gadrae pdhydnarah ndiuk iuas n. Gadrae yahc tdrbhfdosb tbgao kdhcaiakb rasa hydrb atau sdgbobt

hydrb m. Wbgao aga tahga-tahga systdkbm sdpdrtb : gdkak, tdrasa gbhcbh,

gdebgrasb, tameyphda, tameymargba,eypltdhsb. Wbgao gao ag agaa fa famt mtlr lr rd rdsb sbol ol ya yahc hc gapat gapat kdhyd kdhydna nanoa noah h pdhya pdhyaob obtt g. Wb  ndrtaknae parae sdpdrtb : Tkur T kur yahc sahcat tua, gaya taeah tunue sahcat idkae.

 

>. Jboa sugae kdhcaiakb cdjaia sdpdrtb agahya tahga systdkbm, kaoa uhtuo 

kdiaouoah gbachlsbs kdknutueoah pdhdcaoah gbachlsbs tdrsdnut gdhcah kdiaouoah pdkdrbosaah ian sdpdrtb : 1. Mlkpidtd Mlkpidtd nillg nillg mluht, mluht, kdhuhju kdhuhjuooah ooah odhaboah odhaboah jukiae jukiae iduolsbt iduolsbt gah rata-rata sdgbkdhtasb drbtrlsbt. ]debhcca kdhcbhgboasboah agahya bhfdosb naotdrb. >. NTH id idvdi =. Orda Ordatb tbhb hbh h id idvd vdii 7. Ouit Ouitur ur gara garae e 4. Pd Pdra rawa wata tah h iuoa iuoa =. Bkkuhlf Bkkuhlfiul iulrds rdsmdhm mdhmdd agaiae agaiae sdnuae tdohbo tdohbo yahc gbkaha gbkaha gapat kdknahtu kdknahtu kdhcea kdh ceasbi sbioah oah gbachl gbachlsa sa sdra sdra pastb pastb paga paga ouitur ouitur mdiiui mdiiuibtd btdss hdcatb hdcatbvd, vd, tapb tapb tdohbo bhb jarahc gbcuhaoah. 7. Pd Pdhc hccu cuha haah ah K^B K^B juca juca ga gapa patt kdkn kdknah ahtu tu ga gaia iak k kdhg kdhgba bach chls lsaa bh bhfd fdos osbb mdiiuibtds yahc parae. Kdhcbgdhtbfboasb pylkylsbtbs, hdmrltbzbhc fasmbtbbs, ga gah h bhfd bhfdos osbb sd sdiu iuib ibtb tbss gd gdhc hcah ah at atau au ta tahp hpaa pd pdkn kndh dhtu tuoa oah h ansd ansdss pa paga ga sunoutahdus.

B. PDHAW DHAWAI AIOA OA]A ]AHA HAAH AH ]diui ]di uibt btbs bs yahc yahc gbsd gbsdnan nanoa oah h lide lide na naot otdr drbb st strd rdpt ptlol lolou ouss ga gapa patt gb gbnd ndrb rboah oah

tataiaosaha farkaolilcb Pdhbsbibh prloabh C gdhcah glsbs 600 rbnu-> juta BT sdmara bhtrakusouiar sdiaka 6 earb, atau pdhbsbibh V 400 kc sdmara lrai sdtbap 6  jak sdiaka 10-17 earb. Paga sdiuibtbs yahc gbsdnanoah lide E. Bhfiudhza gbndrb Akpbmbibh uhtuo ahao usba = nuiah-1> taeuh gdhcah glsbs 100->00 kc/oc/earb (140-=00 kc), usba 81> taeuh kdhccuhaoah glsbs gdwasa. Paga pasbdh gdhcah aidrcb pdhbsbibh gapat kdhccuhaoah drbtrlkbsbh gdhcah glsbs gdwasa yabtu >40400 crak pdrlrai gah ahao-ahao: =0-40 kc/ocnn/earb, sdtbap 6 jak sdiaka 10

 

earb. Atau Oibhgakbsbh Oibhgakbsbh gdhcah glsbs gdwasa =00-740 kc/earb pdrlrai gah ahaoahao ahao 16->0 16->0 kc/o kc/ocnn cnn/e /ear arb. b. Gaia Gaiak k kdhc kdhcat atas asbb sd sdiu iuib ibtb tbs, s, sd sdia iabh bh pdhcl pdhclnat natah ah kdhccuhaoah ahtbnbltbo, juca gbpdriuoah pdhclnatah olkpidkdhtdr garb naeah tahakah yahc sdgbobt kdkbibob dfdo sakpbhc. ^awat bhap gb rukae saobt, Bhsbsb gah grabhasd paga odagaah tdrndhtuo ansds. Pdkndrbah ahtbnbltbo sdpdrtb losasbibh atau hafsbibh, lnat lrai gapat atau tbgao  gbcuhaoah, bhfdosb rbhcah gapat gblnatb gdhcah lnat lrai paga pasbdh gbiuar rukae saobt, sao bt, ahaicds ahaicdsbo, bo, ahtbpb ahtbpbrdt rdtbo. bo. Plsbsb Plsbsb gah bklnbi bklnbibsa bsasb sb dostr dostrdkb dkbtas tas,, ndr ndrcaht cahtbah bah olkprds idknan eahcat. Pdhclna Pdhc lnatah tah yahc tdpat gapat gapat kdhmdc kdhmdcae ae pdhydna pdhydnarah rah bhfdos bhfdosbb od garae garae gah lrcah lrcah ia iabh bhhya hya.. Gb Gbnd ndrb rboa oah h pd pdhb hbmb mbii iibh bh atau atau ln lnat at sd sdjd jdhb hbss pd pdhb hbmb mbii iibh bh (k (kbs bsai aihy hyaa milxambiibh). Jboa bhfdosbhya rbhcah, gbndrboah sdgbaah pdr-lrai (gbtdiah). Nbasahya sdndiuk gbndrboah sdgbaah pdr-lrai, tdridnbe gaeuiu gbndrboah suhtboah ahtbnbltbo   jboa: 1. Pdhgd Pdhgdrb rbta ta ndr ndrus usba ba iah iahju jutt >. ]diuibtbs ]diuibtbs kdhydnar kdhydnar gdhcah gdhcah sdcdra sdcdra od nacbah nacbah tunue tunue iabhhya iabhhya =. Gdkak dkak tbhc tbhccb cb.. Jboa sdiuibtbs kdhydrahc tuhcoab, sdnabohya tuhcoab gbnbaroah gaiak plsbsb tdrahcoat gah gbolkprds gbhcbh uhtuo kdhcurahcb hydrb gah pdkndhcoaoah. a. Pdhmdcaeah Jboa kdkbibob iuoa: 1. Ndrsb Ndrsbeoah eoah iuoa iuoa sdtb sdtbap ap earb earb gdhcah gdhcah sanuh sanuh gah abr abr >. Lids Lidsoa oah h ahtbn ahtbnbl bltb tbo  o  =. Wutu Wutupb pb iuoa iuoa gdhca gdhcah h pdrn pdrnah ah 7. ]drbhc ]drbhc-sd -sdrb rbhc hc kdhcca kdhccahtb htb pdrna pdrnah h tdrsdnut tdrsdnut 4. Pdreat Pdreatboa boah h jboa jboa aga tahgatahga-tah tahga ga bhfdo bhfdosb sb Jboa ouibt kasbe hlrkai: 1. Idknan Idknanoah oah ouibt ouibt sdmara sdmara tdr tdratu atur  r  >. Pltlhc Pltlhc ouou ouou jarb jarb tahcah tahcah gah oaob oaob sdmar sdmaraa eatb-ea eatb-eatb tb

 

=. Ib Ibhgu hguhc hcbb tah tahca cah h gah gah oao oaobb 7. ^awat sdmara tdpat bhfdosb bhfdosb ouibt ouibt paga paga nacbah nacbah supdrfbmb supdrfbmbai ai

J. OLKPIBOA]B

1. Naotdrdkba >. Hahae Hahae at atau au ilm ilmai ai Ansm Ansmds dsss =. ]updrbh ]updrbhfdo fdosb sb lide lide naotdr naotdrbb crak crak hdcatbv hdcatbvdd 7. Iykp Iykpea eahc hcbbtbs 4. Wrlk Wrlknl nlpe peid idnb nbtb tbss 6. ]d ]dii iiui uibt btbs bs pa paga ga kuoa kuoa at atau au Fa Famb mbai ai md mdii iiui uibt btds ds pa paga ga ah ahao ao kdhy kdhydn dnan anoa oah h kdhbhcbtbs kdhbh cbtbs sdndsar 5%. Gbkaha Gbkaha gapat kdhydnanoah kdhydnanoah odkatbah odkatbah jarbhcah jarbhcah (Cah (C ahcr crdh dhd) d),,

ga gah h

gbka gbkaha ha ea earu russ

kdia kdiaou ouoa oah h

kdkpuhyab rdsbol odkatbah ebhcca >4%.

akpu akputa tasb sb ya yahc hc kaha kaha

 

GAFWA^ PT]WAOA

Kdbgahba, Hursbirb. Goo.>0>0. Jurhai Goo.>0>0. Jurhai Pdhdibtbah Pdrawat Prlfdsblhai Vliukd >  Hlklr >,  Pltdhsb Gauh ]drab ]dnacab Wdrapb Olkpidkdhtdr Olkpidkdhtdr Paga ]diuibtbs. Iakpuhc,

Kunarao, Kunara o, Saebg Saebg Bqnai.goo.>01 Bqnai.goo.>014. 4.  Nuou Ajar Odpdrawatah Gasar , Jaoarta: ]didkna Kdgboa Aibkui, Azbz >016. Nuou >016. Nuou Ajar Biku Odpdrawatah. Jaoarta : Jaoarta : ]didkna Kdgboa  Hurkasarb, Kdca. >010.  Plia Pdkbibeah Lnat gah Lutmlkd Wdrapb Castrldhtdrbtbs  Aout (CDA) Paga Pasbdh Pdgbatrb gb Bhstaiasb ^awat Bhap ^ukae ]aobt POT   Kueakkagbyae ]uraoarta Jahuarb - Juhb Waeuh >005. >00 5. Ja Jawa wa Wd Wdhc hcae ae.. Thbvdrsbtas Kueakkagbyae. (Gbaosds 1> Gdsdkndr >011 Sbharsbe,

Nbyahtb

G.

>011. Dfdotbvbtas

Kutu

Ndrnasbs

Praotdo,

 Bhtdrvdhsb  Pdhbhcoatah  Bhtdrvdhsb  Pdhbhcoatah Kuitbklgai Thtuo Castrldhtdrbtbs Paga Ahao . Jaoar Jaoarta. ta. Thbvdrsbtas Bhglhdsba. (Gbaosds 1> Gdsdkndr >011) Wbk ploja ]GOB GPP PPH.>016. ]tahgar Gbachlsa Odpdrawatah Bhglhdsba, Bhglhdsba, Jaoarta sdiatah : GPP PPHB Wbk ploja ploja ]IOB ]IOB GPP PPH.>015. PPH.>015. ]tahgar Iuarah Odpdrawatah Bhglhdsba, Bhglhdsba , Jaoarta sdiatah : GPP PPHB Wbk ploja ]BOB GPP PPH.>015. ]tahgar Bhtdrvdhsb Odpdrawatah Bhglhdsba, Bhglhdsba, Jaoarta sdiatah : GPP PPHB

 

A]TEAH ODPD^ASAWAH ]DMA^A WDL^B A. Pdhc Pdhcoa oajb jbah ah 1) Gata Gata ]u ]unj njdo dotb tbf  f  a. Bgdh Bgdhtb tbta tass Oibd Oibdh h

Kdib Kd ibput putbb ha haka ka,, jd jdhb hbss od odia iakb kbh, h, ukur ukur,, ai aiak akat at,, ac acak aka, a, su suou, ou, st stat atus us  pdrhboaeah, pdhgbgboah, pdodrjaah, clilhcah garae, hlklr rdcbstdrasb, tahccai K^], gbachlsa kdgbs (Azbz, Aibkui Ebgayat. >01=) n. Odiue diueah ah Ttak Ttaka a

Pasbdh nbasahya kdhcdiue hydrb paga iuoa, tdroagahc gbsdrtab gdkak, kdhccbcbi gah kaiabsd m. ^b ^bwa wayat yat Pdhya Pdhyaobt obt ]doa ]doarah rahc c

Wdrgapat iuoa paga nacbah tunue tdrtdhtu gdhcah oaraotdrbstbo ndrwarha kdrae, tdrasa idknut, ndhcoao, eahcat, tdrasa hydrb, ouibt kdhdcahc gah kdhcbiap. g. ^b ^bwa wayat yat Pdhya Pdhyaobt obt Gaeui Gaeuiu u

Gb Gbta tahy hyao aoah ah pd pdhyd hydna nan n iuoa iuoa paga paga pasbd pasbdh h ga gah h pd pdrh rhae aeoae oae sd sdnd ndiu iukh khya ya kdhcbg kdh cbgap ap pdhyaob pdhyaobtt sdpdrt sdpdrtbb bhb, bhb, agaoae agaoae aidrcb aidrcb yahc yahc gbkbib gbkbibob ob gah rb rbwat wat  pdkaoabah lnat. d. ^b ^bwa wayat yat Pdhya Pdhyaobt obt Odiu Odiuarc arca a

Nbasahya gbodiuarca pasbdh tdrgapat rbwayat kdhcbgap pdhyaobt sdiuibtbs atau pdhydobt ouibt iabhhya f. Odag Odagaa aah h Dkl Dklsb sb Psbo Psboli lilc lcbb

Pasbdh takpao tdhahc,gah dklsblhai stanbi c. Odaga Odagaah ah slmba slmbaii dolhl dolhlkb kb

Nbasahya kdhydrahc paga slmbai dolhlkb yahc sdgdreaha >) Gata Gata Ln Lnjd jdot otbf  bf  a. Pdkd Pdkdrb rbos osaa aah h Fbsb Fbsbo  o 

 

Pdkdrbosaah fbsbo yahc gbiaouoah nbasahya kdhccuhaoah tdohbo bhspdosb,  paipasb, pdrousb gah ausouitasb. Pdkdrbosaah fbsbo gbiaouoah pdrsbstdk sd sdma mara ra nd ndru ruru ruta tah h  pdhmdrhaah,

gbku gbkuia iabb

sbstdk

ga garb rb sb sbst stdk dk pd pdrh rhap apas asah ah,,

pdrodkbeah,

dhglorbh,

oa oarg rgbl blva vaso soui uidr dr,,

pdrsarafah,

bhtdcukdh,

kusouilsodidtai, pdhcibeatah, wbmara gah WEW. n. Odaga dagaah ah Tkuk Tkuk

Odagaah Odagaa h ukuk yabtu nabo atau nuruohya nuruohya yahc gbmatat gbmatat agaiae   tahga-tahga sdpdrtb : Odsagarah pdhgdrbta : odagaah yahc gbaiakb oibdh apaoae Apatbs, ]lplr, olka, cdibsae mlkplskdhtbs tdrcahtuhc paga odagaah oibdh. m. Pdkd Pdkdrb rbos osaa aah h Pdrsb Pdrsbst stdk dk a) ]bst ]bstdk dk Pdr Pdrha hafa fasa sah h

Gboajb gdhcah mara bhspdosb, paipasb, ausouitasb, pdrousb. Gaiak sbstdk bhb pdriu gboajb kdhcdhab ndhtuo ebguhc, odndrsbeah, agahya sdordt, agahya aga hya pdrhaf pdrhafasa asah h mupbhc mupbhc ebguhc, ebguhc, ndhtbo ndhtbo gaga, gaga, pdr pdrcdr cdraoa aoah h gaga, gaga, apaoae apa oae sbkdtr sbkdtrbs bs atau atau tbgao, tbgao, nuhyb nuhyb hafas, hafas, agahya agahya rlhmeb rlhmeb atau atau tbgao, tbgao, frdoudhsb gah braka hafas. n) ]bstd ]bstdk k Oargb Oargblva lvasou souidr idr

Gboa Gboajb jb kuia kuiabb ga garb rb warh warhaa ol olhj hjuh uhct ctbv bva, a, warh warhaa nb nbnb nbr, r, tb tbga gao o ag agaa  pdhbhcoatah JVP, pdhbhcoatah frdoudhsb, gah braka gdhyut hagb, nuhyb  jahtuhc tbgao gbsdrtab suara taknaeah, pdhuruhah atau pdhbhcoatah tdoahah garae. m) ]bst ]bstdk dk Dhgl Dhglor orbh bh

Gaiak sbstdk bhb pdriu gboajb agahya pdkndsarah odidhjar tbrlbg gah odidhjar cdtae ndhbhc. g) ]bstd ]bstdk k Pdrs Pdrsyar yarafa afah h

Odsagar Ods agarah ah mlkpls mlkplskdh kdhtbs tbs,, gbgapa gbgapatt sbahls sbahlsbs bs atau atau tbgao. tbgao. Pdhcoaj Pdhcoajbah bah lnjdotbf oibdh : wajae kdrbhcbs, kdhahcbs, kdrbhtbe, kdrdcahc gah kdhccdibat (Kutaqqbh & ]arb,>01=). d) ]bst ]bstdk dk Bhtd Bhtdcu cukd kdh h

 

Pdriu gboajb odagaah ouibt (turclr, odndrsbeah, pbckdhtasb, tdostur gah idsb) sdrta pdriu gboajb ouou gah odagaah raknut sdobtar ouibt atau dostrdkbtas kdhcbgdhtbfboasb agahya ugdk atau tbgao  f) ]bst ]bstdk dk Kuso Kusoui uils lsod odid idta taii

Pdriu gboajb odouatah ltlt dostrdkbtas atas gah nawae. Gbpdrbosa juca agahya odouatah pdrcdraoah atau odtdrnbasaah cdrao atau rdfidos paga dostrdkbtas atas gah nawae. c) ]bst ]bstdk dk Pdhc Pdhcib ibea eata tah h

Thtuo kdhcdtaeub odagaah odsdeatah kata earus gbpdrbosa tdhtahc fuhcsb pdhcibeatah, odsbkdtrbsah kata ahtara obrb gah oahah. e) Pli Plia a Aotbvbt Aotbvbtas as ]dearb ]dearb-Ear -Earbb

Pliaa Aotbvb Pli Aotbvbtas tas Oardha Oardha tbknui tbknuihya hya hydrb, hydrb, odidka odidkaeah eah,, odi odidia diaeah eah gah cdibsae, kaoa sdkua ndhtuo odcbatah oibdh kdhjagb ndrourahc b) Plia Plia Hutrb Hutrbsb sb gah gah K Kdta dtanli nlibsk bskdd

Pdkdhueah hutrbsb tdrcahccu oardha agahya pdhuruhah hafsu kaoah  j) Plia Dibkbhasb Dibkbhasb

Paga plia didkbhasb yahc gboajb yabtu frdoudhsb, olhsbstdhsb, warha,  nau, gah jukiae. Paga odgua plia bhb juca gboajb aga odsuibtah atau tbgao.(Azbz Aibkui Ebgayat,>01=). o) Pl Plia ia Wb Wbgu gurr gah BBstb stbra raea eatt

Bstbraeat kdhuruh/tdrcahccu oardha agahya odmdkasah

N. GBAC GBACHL HL]A ]A ODPD^ ODPD^ASA ASAWA WAH H

1. Hydrb aout aout ndreunuhcah ndreunuhcah gdhcah gdhcah acdh acdh pdhmdgdra pdhmdgdra fbsblil fbsblilcbs cbs (Bhfiak (Bhfiakasb) asb) >. Bhtlidrahsb Bhtlidrahsb Aotbvbtas Aotbvbtas ndreunuhcah ndreunuhcah gdhcah bklnbibtas bklnbibtas =. Cahc Cahccua cuah h Bhtd Bhtdcr crbt btas as Ouib Ouibt/ t/ Ja Jarb rbhc hcah ah nd ndre reun unuhc uhcah ah gd gdhc hcah ah pd pdru runa naeah eah  pbckdhtasb

 

M. Bhtd Bhtdrv rvdh dhsb sb Hl Gbachlsa

1

Orbtdrba easbi

^dhmaha tbhgaoah

odpdrawatah (]IOB) Hydrb Aout   Wbhcoat Hydrb  ndreunuhcah Odiu iuea eah h hydr hydrbb gdhcah acdh  Od  pdhmdgdra (kdhuruh) fbsblilcbs(Bhfiakasb)  Kdrbhcbs

 ]boa ]boap p

pr prlt ltdo dotb tbf  f 

  Lnsdrvasb 1. Bgdhtbfboasb

hydrb hydrb

(kbsai.

ouaibtas, ilosb)

 Cdibsae

Bgdhtb htbfbo fboasb asb >. Bgd

(kdhuruh)

(kdhuruh)

Ahaicdsbo 

Pdhmdus,pdrdga,

(kdhbhcoat)

 Od Odsu suib ibta tah h

(]BOB)   Pdkndrbah

oaraot oar aotdrb drbstb stbo o

(kdhuruh)

WWG

tb tbgu gur  r 

rbwaya rbwaya

aidrcb lnat Klhbt btlr lr =. Klh

dfdotb dfdotbfbt fbtas as

ahaicdsbm

  Wdrapdutbo  1. Gbsousboah

jdhbs

ahaicdsbo gbsuoab

yahc uhtuo  

kdhmapab kdhmap ab ahaicdsba ahaicdsba lptbkai, jboa pdriu >. Pdrt Pdrtbk bkna nahc hcoa oah h  pdhccuhaah

bhfus

olhtbhu olht bhu,, atau atau nlius nlius lpblbg

uhtuo  

kdkpdrtaeahoah oagar gaiak sdruk

 

=. Wdtapoah

tarcdt

dfdotbfbtas ahaicdsbo  uhtuo  kdhclptbkaioah rdsplhs pasbdh 7. Gl Glou oukd kdht htas asbo boah ah rd rdssplh plhs

tdr drea eaga gap p

dfdo dfd o ahaicd ahaicdsbo sbo gah dfdo

yahc

tbgao 

gbbhcbhoah

  Dguoasb 1. Jd Jdia iaso soah ah dfdo dfdo tdra tdrapb pb ga gah h df dfdo do sa sakp kpbh bhc c lnat

  Olianlrasb Olianlrasb  pdkndrbah glsbs gah  jdhbs >.

Bhtlidrahsb Aotbvbtas  ndreunuhcah gdhcah bklnbibtas

  Wlidrahsb

 

ahaicdsbo,

sdsuab bhgboasb Kahajdkdh Dhdrcb

  Lnsdrvasb

Aobvbtas

Bgdh dhttbf bfbo boas asbb Frdoudhsbh hsbh hagb 1. Bg  Frdoud (kdhbhcoat)

 Odmdpatah

cahc hcc cuah

fuhcs csbb

tunue

yahc

 ndrjaiah

kdhcaobnatoah

(kdhbhcoat)

odidiaeah

hbttlr   Odo Odouat uatah ah tunue tunue >. Klhb  nacbah (kdhuruh)

nawae

od odiidiaea eah h

fbsbo gah dklsblhai =. Kl Klhb hbtl tlrr il iloa oasb sb ga gah h odtbgaohyakahah

 

sd sdia iaka ka

kdia kdiaou ouoah oah

aotbvbtas

  Wdrapdutbo 1. ]dgbaoah ibhcouhcah ibhco uhcah hyakah gah rdhgae stbkuius (kbs. Maeaya, suara ouhjuhcah) >. Iaouoah

iatbeah

rdhtah rdh tahc c cdrao cdrao pasbf  pasbf  gah atau aotbf 

  Dguoasb 1. Ahjuroah  narbhc

tbrae

>. Ahjuroah

kdiaouoah kdiao uoah aotbvbtas aotbvbtas sdmara ndrtaeap

  Olianlrasb 1. Olianlr lraasb

=

Cahccuah Bhtdcrbtas Ouibt/

Jarbhcah

 ndreunuhcah gd gdhc hcah ah

pdrun pdrunaea aeah h

 pbckdhtasb

  Bhtd Bhtdcrb crbtas tas ouibt ouibt   gah jarbhcah

1. Odrusaoah

(kdhuruh)

cb cbzzb

tdhtahc

maraa mar

kdhbhc kdhbhcoat oatoah oah

asueah kaoahah Pdrawatah Iuoa

1. Klhbtlr   oaraotdrbstbo iuoa >. Kl Klhb hbtl tlrr ta tahg hgaa-ta tahg hgaa

>. Odrusaoah iapbsah

aeib

  Lnsdrvasb:

 jarbhcah (kdhuruh)

gdhcah

bhfdosb ouib  

Wdrapdutbo

1. Idpasoah

naiutah

 

=. Hydrb (kdhuruh)

gah piastdr sdmara  pdriaeah. >. Ndrsbeoah ma mabr brah ah

gdhcah

HaMi HaMi

at atau au

 pdkndrsbe hlht hlhtlo losb sbo, o,

sd sdsu suab ab

odnutueah =. Nd Ndrb rboa oah h sai aidp dp yahc yahc sdsuabb od ouibt/idsb sdsua ouibt/idsb,,  jboa pdriu

  Dguoasb 1. Jdiasoah tahga gah cdjaia bhfdosb >. Ahjuroah kdhcolhsuksb kaoahah

tbhccb

oailrb gah prltdbh =. Ajaroah

prlsdgur  

 pdrawatah

iuoa

sdmara kahgbrb

  Olianlrasb 1. Ol Olia ianl nlra rasb sb prlsd prlsdgu gur  r  gdnrbgdkdht 1. Olianlr lraasb  pdkndrbah ahtbnblbo