Laporan Pendahuluan Tumor Brachii Dextra

 

BAYC^AF YEFGAJUBUAF APUJAF MEYE^A[AWAF WULC^ N^A@JDD GEZW^A YAGA WF.W^D LUBTCFC

GD PUPUF CBEJ ?  FALA ? GEFW^D GEFW^D A^DPA WDXA  FDL ? YC.;1.>9.>.14.995 YC.;1.>9.>.14.995 WDFKMAW ? >.A GCPEF YELNDLNDFK ? PU^TAFGA,PYg.,L.Mep PU^TAFGA,PYg.,L.Mep

MELEFW^DAF MEPEJAWAF ^EYUNBDM DFGCFEPDA YCBDWEMFDM MEPEJAWAF YABELNAFK Y^CGD GDDD MEYE^A[AWAF NAWU^AOA WAJUF >9>9/>9>1

1

 

A. GEH GEHDFD DFDPD

Wulc Wu lcrr Oardf Oardfka kaf f Bufa Bufam m atau atau Pcht Pcht Wdssu Wdssuee Wulc Wulcrr (PWW (PWW)) ag agab abaj aj ne nefo focb cbaf af at atau au  pelnefkmamaf yafk anfcrlab yafk gdsenanmaf cbej fecpbasla gaf

fcf-fecpbasla

( Plebtzer, >99> ). Oardfkaf bufam agabaj nakdaf gard tunuj yafk terbetam aftara mubdt gaf tubafk serta crkaf tunuj nakdaf gabal. Pcht tdssue tulcr atau Pcht Wdssue Parmcla agabaj suatu mebclpcm tulcr yafk ndasafya  nerasab gard oardfkaf dmat, gaf gdtafgad senakad lassa gd afkkcta keram, nagaf, atau retrcperdtcfeul (Wcyet ab. >911). Pcht Wdssue Wulcr ^ekdc Helur agabaj agafya nefocbaf atau pelnefkmamaf yafk anfcrlab amdnat seb naru yafk tulnuj gdsenanmaf cbej fecpbasla gaf fcf-fecpbasla gd  nakdaf rekdc helus yadtu tebetam gdatara pdfkkub (jdp) gaf butut (mfee). Wulcr tersenut lefyerafk oardfkaf bufam yafk terbetam gd rekdc helur yafk nerasab gard oardfkaf elnrdcfab lescgerl yadtu oardfkaf dmat, ctct, pelnubuj garaj gaf bdlhe, oardfkaf belam gaf sebaput sarah. 

AFAWCLD HDPDCBCKD HELU^ 

Wubafk Wubaf k helur lerupamaf lerupamaf tubafk ternesar ternesar gard tunuj lafusda gaf lelneftum lelneftum sdstel lusmubcsmebetab gard gaeraj paja, paja, (Fetter,>998). ^ekdc helur terbetam gdaftara pdfkkub ( jdp) jdp) gaf butut (mfee). Gaeraj dfd lerupamaf strumtur yafk peftdfk marefa lerupamaf strumtur  utala pefyafkka pefyafkka tunuj serta nerperafaf nerperafaf peftdfk gabal perkeramaf perkeramaf lebabud sefgd pdfkkub pdfkkub ( jdp ocdft ) gaf sefgd butut (mfee ocdft ). Wubafk Wubafk helur gapat lefajaf nenaf temafaf senesar  0599 mk/`l>. Wemafa Wemafaf f senesar senesar dfd lalpu lalpu lefaja lefajaf f temafa temafaf f yafk yafk gdgapa gdgapatma tmaf f paga paga saat  neroabaf, nerbard, atau lebclpat. Wubafk helur lerupamaf tubafk yafk termuat, ternerat, gaf terpaf ter pafoaf oafk k gard gard tubafk tubafk lafusd lafusda. a. Wdfkkd Wdfkkd nagaf nagaf lafusd lafusdaa ndasaf ndasafya ya semdtar semdtar elpat elpat mabd mabd gard gard  pafoafk tubafk helur.

>

 

  Wubafk helur terbetam gdaftara pdfkkub gaf butut. Wubafk helur agabaj tubafk ternesar   paga tunuj lafusda gaf lerupamaf tubafk utala yafk lefyafkka gaeraj paja. Nakdaf uoufk prcmsdlab gard tubafk helur helur tergdrd gard `aput helcrds, `cbbul helcrds, serta trc`jafter  laycr lay cr gaf trc`ja trc`jafte fterr ldfcr ldfcr yafk yafk lefkju lefkjunuf nufkma kmaf f aftara aftara `cbbul `cbbul helur helur gefkaf gefkaf `crpus `crpus helcrd hel crds, s, (Fetter (Fetter,>9 ,>998) 98).. @aput @aput helcrd helcrdss nernef nerneftum tum jalpdr jalpdr bendj bendj gard gard setefka setefkaj j bdfkma bdfkmaraf raf,,  nerartdmubasd gefkaf asetanubul paga tubafk pafkkub. Yaga nakdaf tefkaj `aput helcrds tergapat `emufkaf me`db yafk gdsenut senakad hcvea `apdtds. Yaga nakdaf dfd tergapat bdkalef gaf pelnubuj garaj yafk nerjunufkaf gefkaf `aput helcrds.

N. EWD EWDCBCK CBCKDD

Wergapat nenerapa hamtcr yafk gapat lefyenanmaf mekafasaf tubafk yadtu kefetdm, ragd ragdas asd, d, na naja jaf f mdld mdlda, a, tr trau aula la,, bdlh bdlheg egela ela mr mrcf cfds ds,, ga gaf f df dfhem hemsd. sd. Ha Hamt mtcr cr ke kefe fetd tdm m ga gapa patt lefyenanmaf scht tdssue tulcr nergasarmaf gard gata pefebdtdaf, gdguka lutasd kefetdm paga seb dfgum lesefmdl gapat lefdlnubmaf sarmcla, sa rmcla, (Jafa, >91>). 1. Mcfg Mcfgds dsdd Kefe Kefetd tdm  m  Aga numtd terteftu pelneftum kef gaf lutasd kef agabaj hamtcr pregdspcsdsd uftum   nenerapa tulacd oardfaf bufam. Gabal gahtar bapcraf kef yafk anfcrlab, najwa kef leldbdmd peraf peftdfk gabal lefeftumaf gdakfcsds. >. ^agdasd Lemafdsle yafk patckefdm agabaj luf`ubfya lutasd kef ragdasd-dfgumsd yafk lefgcrcfk trafshcrlasd fecpbastdm. 0. Dfhemsd

0

 

Dfhemsd hdrus epstedf-narr nakd crafk yafk leldbdmd memenabaf tunuj yafk belaj dfd ouka amaf lefdfkmatm lefdfkmatmaf af melufkmdfa melufkmdfaf f termefafya termefafya PWW. Xdrus Epstedf-Narr  Epstedf-Narr  (ENX) agabaj vdrus yafk safkat ulul lefyerafk lafusda gaf gdtubarmaf lebabud adr bdur. Xdrus dfd pabdfk gdmefab senakad pefyenan dfhemsd lcfcfumbecsds. Dfhemsd  pefyamdt dfd gdtufoummaf gefkaf keoaba gelal, samdt tefkkcrcmaf, gaf ragafk mebefoar ketaj nefdfk gd bejer. 7. Wraula Junufk Jun ufkaf af aftara aftara traula traula gefkaf gefkaf PWW lufkmd lufkmdf f jafya jafya menetu menetubaf baf saoa. saoa. Wraula Wraula lufkmdf lefardm perjatdaf legds me pra-buma yafk aga.

@. LAFDH LAFDHEPW EPWAPD APD MBDFDP MBDFDP

Awab lubafya keoaba nerupa agafya suatu nefocbaf gdnawaj mubdt yafk tdgam terasa samdt. Jafya segdmdt pefgerdta yafk lerasamaf samdt yafk ndasafya teroagd amdnat pergarajaf atau femrcsds gabal tulcr, gaf ndsa ouka marefa agafya pefemafaf paga sarah ‐ sarah tepd.Wulcr   odfam oardfkaf bufam ndasafya tulnuj balnat, tdgam `epat `e pat lelnesar, ndba gdranaterasa bufam  gaf ndba tulcr gdkeramaf rebatdh lasdj lugaj gdkeramaf gard oardfkaf gd semdtarfya gaf tdgam   perfaj lefyenar me telpat oauj. Yaga tajap awab, Pcht Wdss Wdssue ue Wulcr ^ekdc Helur ndasafya tdgam lefdlnubmaf keoaba marefa oardfkaf bufam yafk rebatdh ebastds, tulcr atau nefocbaf tersen ter senut ut gapat gapat nertal nertalnaj naj nesar,

lefgcr lefgcrcfk cfk oardfkaf oardfkaf fcrlab. fcrlab. Magafk Magafk keoaba keoaba pertal pertalaa

 pefgerdta lerasa fyerd atau nefkmam yafk teroagd paga nakdaf paja. paja.

G. YAWC YAWCHD HDPD PDCB CBCK CKDD

Yaga ululfya ululfya tulcr-tulcr tulcr-tulcr oardfkaf bufam atau Pch Pchtt Wdssue Wdssue Wulcrs Wulcrs (PWW) agabaj  prcbdherassd oardfkaf lesefmdlab yafk teroagd gdoardfkaf fcfepdtebdab emstrasmebetab tunuj. Pcht Wdssue Wulcr ^ekdc Helur tulnuj gd aftara pdfkkub gaf butub atau paja. Ndasafya tafga gaf keoaba yafk pertala luf`ub agabaj agafya rasa samdt gaf nefkmam paga nakdaf  paja. Wulcr tersenut lefyerafk oardfkaf bufam yafk aga gd nakdaf rekdc helur yadtu  oardfkaf elnrdcfab lescgerl, tulcr yafk tulnuj lefoagd bendj nesar amaf lefemaf seb fcrlab, lama teroagd rasa fyerd yafk lefemaf seb sarah atau ctct. Petebaj tulcr lef`apad  natas afatclds gard telpatfya, lama tulcr lelnesar lebewatd natas salpad me strumtur  feurcvas`ubar.

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Yrcses abald gard menafyamaf tulcr kafas gapat gdnakd atas 7 hase yadtu ? 1. Yerunajaf Yerunajaf kafas kafas paga paga seb-seb seb-seb tarket, tarket, gdsenut gdsenut senakad senakad trafshc trafshcrlasd rlasd >. Yertul Yertulnuj nujaf af gard gard seb-seb seb-seb traf trafshc shcrla rlasd. sd. 0. Dfv Dfvasd asd bc bcm mab. ab. 7. Leta Letast stas asds ds oa oauj uj..

E. YAWJ[AT Mcfgdsd kefetdm, ragdasd, dfhemsd, traula Werneftumfya nefocbaf (tulcr) gdnawaj mubdt

Wulcr tulnuj gd nakdaf rekdc helur 

 

Yre Cperasd

Pcht Wdssue Wulcr ^ekdc Helur 

 Peb anfcrlab

Ycst Cperasd

Nefkmam Agafya dfhbalasd

Yerunajaf hdsdm  Afatcld mubdt anfcrlab

Agafya buma pcst cperasd

Lefemaf seb sarah  Lefstdlubasd respcf fyerd

Werputusfya mcftdfudtas  oardfkaf

Murafk  pefketajuaf

Yeragafkaf  paga mubdt

Agafya rual melerajaf

 Fyerd Amut Afsdetas

Welpat lasum  ldmrccrkafdsle

^esdmc dfhemsd area pelnegajaf

Merusamaf dftekrdtas mubdt

Merusamaf dftekrdtas oardfkaf

5

 

H. YE YEFA FAWA WABA BAMP MPAF AFAA AAF F

1. Yefa Yefata taba bams msaf afaaf aaf Legdm Legdm?? a. Negaj Lufkmdf `ara dfd safkat neresdmc. Amaf tetapd, para ajbd negaj lef`apad afkma me mene nerj rjasd asdba baf f ya yafk fk sa safk fkat at lelu leluasm asmaf af.. Wdfg Wdfgam amaf af ne nega gaj j df dfdd ne nertu rtuou ouaf af uf uftu tum  m  lefkafkmat tulcr atau nefocbaf tersenut. Yelnegajaf (`clpbete surkd`ab ex`dsdcf) gefkaf gef kaf mapsub mapsub safkat safkatbaj baj peftdf peftdfk k uftum uftum lef`ek lef`ekaj aj memaln memalnuja ujaf f setelpa setelpatt (bc`ab  re`urref`e). re`urref`e ). Werapd Werapd terkaf terkaftuf tufk k bcmasd bcmasd tulcr. tulcr. Yaga Yaga bcmasd bcmasd yafk yafk tdgam tdgam ndasaf ndasafya, ya,  peldfgajaf bdpcla lefyesuadmaf telpatfya. telpatfya. Mbasdhdmasd Yelnegajaf Mbasdhdmasd

pelnegajaf

gdmebclpcmmaf

nergasarmaf

nenerapa tdfkmat, yadtu

 nergasarmaf tdfkmat meserdusaf, tdfkmat urkefsd gaftuouaf pelnegajaf. Wdka mebclpcm tersenut gapat gdkcbcfkmaf sepertd taneb gdnawaj dfd ? Wdfkmat

Oefds

Gesmrdpsd

@cftcj

Meserdusaf

Laycr

Lebdnatmaf

Nypass

remcfstrumsd atau

arterd mcrcfer,

 perunajaf

yafk resemsd mcbcf,

buas paga  nakdaf

 pefkafkmataf tunuj= bardfk,

lefdlnubmaf

resemsd bcnus paru

rdsdmc yafk tdfkkd  nakd mesejataf. Ldfcr

Lebdnatmaf

Emstramsd mataram,

 perunajaf yafk

cpe pera rasd sd

me`db paga nakdaf

waoaj,

tunuj= serdfk

emstramsd kdkd.

gd gdba bamu muma maf f

pb pbas astd tdm  m 

uf uftu tum  m 

lelpernadmd gehcrldtas= lefkafgufk rdsdmc yafk bendj refgaj 8

 

gdnafgdfkmaf gefkaf prcsegur laycr. Urkefsd

Ebemtdh

Gdbamumaf

Nufdcfemtcld,

 nergasarmaf paga

cperasd

 pdbdjaf mbdef=  pbastdm waoaj, tdgam peftdfk gaf  pernadmaf tdgam tdg am

gdnutu gdnutujma jmaf f jerfda,

mesejataf

remcfstrumsd  payugara.

Kawat

uftum   Emsdsd

erbu

mesejataf mbdef, ga gapa patt

tulcr  

kafas,

lef` lef`ek ekaj aj  pefkafkmataf  natu

tdlnubfya

lasabaj talnajaf mafgufk elpegu,  pernadmaf (ldsab ? gestrd ges trdmsd msd oardfk oardfkaf af vasmubar am amdn dnat at

atau hufksd

cn cnstr strum umsd sd

yafk arterd

crkaf

terkafkku)= tdgam jarus

(ldsab ?

sebau  nypass

 nersdhat garurat

arterd mcrcfer).

Garurat

Jarus

gdbamumaf

Lelpernadmd

sekera uftum

 perhcrasd

lefyebalatmaf

appefgdms=

 odwa atau

alputasd

lelpertajafmaf

traulatdm,

hufksd nakdaf

lefkcftrcb

tunuj

 pergarajaf dfterfa.

Wuouaf

Gdakfcstdm

Negaj em emspbcrasd Baparctcld uftum

emspbcrasd

;

 

lelpermuat

(dfsdsd

gdakfcsds gcmter=

 perdtcfeab

terlasum 

uftum 

 pefkafkmataf

lefkdfspemsd

 oardfkaf

rcfkka

crkaf af angcle angclef), f), uftum  crk

 ndcpsd  pelerdmsaaf. gd gdak akfc fcst stdm dm ya yafk fk lassa payugara bendj bafout. Anbatdh

Emsdsd

atau Alputasd,

 pefkafkmataf

 pefkafkmataf

 nakdaf tunuj yafk

appefgdms,

lefgerdta

mcbesdstemcld

Yefyamdt. Yabdatdh

Lefkjdbafkmaf

Mcbcstcld,

atau lefkurafkd

genrdgelef  oardfkaf femrctdm,

dftefsdtas keoaba

re rese sem msd

se sera ran nut

tdgam  sarah.

 pefyamdt= amaf

leyelnujmaf  pefyamdt. ^emcfstrumtdh

Lefkelnabdmaf

Hdms Hdmsas asdd

df dfte terf rfab ab

hufksd atau

 paga

 pefalpdbaf

hramtur, pernadmaf

 oardfkaf yafk

 oardfkaf paru.

lefkabald traula atau labhufksd. Wrafspbaftasd

Gdbamumaf

uftum   Wrafspbaftasd

lefkkaftd

kdfoab,

crkaf

atau mcrfea, atau jatd=

strumtur yafk

 pefkkaftdaf

lefkabald

 pdfkkub

:

 

Mcfstrumtdh

labhufksd.

tctab.

Lefkelnabdmaf

Lelpernadmd

hufksd yafk

 ndndr

jdbafk

atau sulndfk,

 nermurafk amdnat

 pefutupaf

afclabd mcfkefdtab.

gehem atrdul

matup

 oaftufk.

 n. Melcterapd Letcge dfd lebamumaf meperawataf pefyamdt gefkaf lefkkufamaf zat mdlda uftum  lelnufuj seb seb tulcr tersenut. Meperawataf dfd nerhufksd uftum lefkjalnat  pertulnujaf meroa seb tulcr. Yaga saat semarafk, senakdaf nesar pefyamdt yafk  nerjunufkaf gefkaf tulcr tulcr gaf mafmer gdrawat lefkkufamaf lefkkufamaf `ara melcterapd dfd. `. Wera Werapd pd ^ag ^agdasd dasd Wera We rapd pd ragda ragdasd sd ag agab abaj aj tera terapd pd ya yafk fk lefk lefkku kufa fama maf f ra ragd gdas asdd ya yafk fk ne nersu rsuln lner er ga gard rd ragdcamtdh. Magafk ragdasd yafk gdterdla lerupafmaf terapd tufkkab. Wapd termagafk gdmclndfasdmaf gefkaf melcterapd gaf ouka cperasd pelnegajaf. >. Yefatab Yefatabams amsafa afaaf af Mepera Meperawaat waataf? af? a. Yerjatd Yerjatdmaf maf mene menersdj rsdjaf af buma buma paga paga pasde pasdef. f.  n. Yerawataf buma paga pasdef. `. Yeln Yelner erda daf f cna cnat. t. g. Alatd aga atau atau tdgamfya tdgamfya mclpbdm mclpbdmasd asd atau pctefsda pctefsdabb yafk amaf amaf teroagd teroagd setebaj gdbamum gdbamumaf af cperasd. K. YELE^D YELE^DMPA MPAAF AF YEFUFOAF YEFUFOAFK K

1. Ye Yele lerd rdms msaa aaf f Z-ra Z-ray y Z-ray Z-ra y uftum uftum lelnaf lelnaftu tu pelaja pelajalaf laf bendj bendj bafout bafout teftaf teftafk k nernak nernakad ad tulcr tulcr oardfk oardfkaf af bufam, trafsparafsd serta junufkaffya gefkaf tubafk yafk nergemataf. Odma natasfya  oebas, serdfk gdgdakfcsa senakad tulcr odfam, faluf natas yafk oebastetapd lebdjat mabsdhdmasd, gapat gdgdakfcsa senakad tulcr kafas oardfkaf bufam, sdtuasd teroagd gd sarmcla sdfcvdab, rjangclycsar`cla, gaf badffya.

4

 

>. Ye Yele lerd rdms msaa aaf f UPK UPK Letcge Letc ge dfd gapat gapat lelerd lelerdmsa msa umuraf umuraf tulcr, tulcr, kela kela pernat pernatasaf asaf alpbcp alpbcp gaf tulcr  tulcr   oardfkaf dfterfab, gaf cbej marefa dtu ndsa uftum lelnegamaf aftara odfam atau kafas. tulcr kafas oardfkaf bufam tunuj yafk akam tdgam oebas, kela salar-salar, sepertd sarmcla sarm cla ctct ctct burdm, burdm, lycsar lycsar`cl `claa sdfcvd sdfcvdab, ab, seb tulcr tulcr kafas kafas nersera nerseratt jdstdc jdstdc`yt `ytcla cla sepe sepert rtd. d. UPK UPK gapa gapatt leln lelndl dlnd ndfk fk uftu uftum m tu tulc lcrr lefg lefgab abal aldd sdtc sdtcbc bckd kd as aspd pdra rasd sd amupufmtur. 0. @W s`af @W leldbdmd merapataf rescbusd gaf rescbusd spasdab maramterdstdm tulcr oardfkaf bufam  yafk lerupamaf letcge ulul uftum gdakfcsa tulcr oardfkaf bufam gabal nenerapa tajuf teramjdr. 7. Yele Yelerd rdms msaa aaf f L^D L^D Lefgdakfcsa tulcr odfam oardfkaf bufam gapat lebefkmapd memurafkaf gard Z-ray gaf @W-s`af, L^D gapat lebdjat talpdbaf buar pefalpafk nernakad tdfkmataf tulcr gard selua oafkmauaf, tulcr oardfkaf bufam retrcperdtcfeab, tulcr pafkkub lelperbuas me pdfkkub atau paja, tulcr hcssa pcpbdtea serta kalnar yafk bendj oebas gard tulcr  tubafk atau dfvasd sulsul tubafk, agabaj uftum lefgasarmaf pefkelnafkaf ref`afa  pefkcnataf yafk bendj nadm. 5. Yeeler Yeelerdms dmsaaf aaf Yatc Yatcbck bckdd Afatc Afatcld ld (YA) (YA) Lerup Ler upam amaf af pe pele lerdm rdmsaa saaf f pe pefu fufo foaf afk k terj terjag agap ap spesd spesdle lef/ f/sa salp lpeb eb oa oardf rdfka kaf f ya yafk fk gdpercbej lebabud negaj segerjafa. Ndasafya salpeb oardfkaf gdpercbej gard nefocbaf yafk nebul gdmetajud pefyenanfya atau yafk gdyamdfd gard mebefoar ketaj nefdfk. Yele Yelerd rdms msaaf aaf df dfdd lefk lefkku kufa fama maf f letc letcge ge te terte rteft ftu u uf uftu tum m lefg lefgap apat atma maf f gd gdak akfc fcsd sdss  pefyamdt. Oefds pelerdmsaaf YA lebdputd? a. Ye Yele lerd rdms msaa aaf f Masa Masar  r  Yelerdmsaaf oardfkaf yafk samdt gefkaf lata tebafoafk, yafk mjususfya peftdfk uftum uft um hraklef hraklef oardfk oardfkaf af yafk yafk nesar, nesar, marefa marefa pefyam pefyamdt dt dtu serdfk serdfk gapat gapat gdmefa gdmefabd bd se`ara vdsuab. Yaga tdfkmat dfd ouabaj patcbck patcbck leldbdj leldbdj gaeraj yafk amaf gdprcses gdprcses uftum jdspatcbckd.  n. Yelerdmsaaf jdstcpatcbckds Ye Yele lerd rdms msaa aaf f

ldmr ldmrcs csmc mcpd pdm m

paga paga sa saba baj j

sa satu tu na nakd kdaf af oa oard rdfk fkaf af

ya yafk fk gd gd`a `att

lefkkufamaf temfdm jdstcbckds. @at stafgar agabaj jelatcmsdbdf gaf ecsdf, faluf badffya badff ya ouka aga. Yeamadaf Yeamadaf ma`a ldmrcsmcp ldmrcsmcp yafk gd`at gefkaf gefkaf jelamtcsdbd jelamtcsdbdf f atau

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ecsdf uftum lefyegdamaf gdakfcsds spesdhdm negasarmaf paga lcrhcbckd gdafkkap senakad meajbdaf dftd patcbckd afatcld. 1) Pd Pdtc tcbc bckd kd?? segerj segerjaf afa, a, `e `epa pat, t, letc letcge ge pe pele lerd rdms msaa aaf f pa patc tcbc bckd kdss ya yafk fk am amur urat at.. Gdcptdlabmaf uftum sdtuasd nerdmut? a. Ubsera Ubserasd sd tulcr tulcr oardfk oardfkaf af bufam, bufam, Yap slear slear atau letcge letcge pefkul pefkulpub pubaf af uftum lefgapatmaf seb, pelerdmsaaf ldmrcsmcpdm   n. Par`cla oardfkaf bufam yafk gdsenanmaf ehusd pbeura, jafya uftum  lefk le fkal alnd ndbb sp spesd esdle lef f sekar sekar ja jaru russ sekera sekera mc mcfs fsef eftr trasd asd segdl segdlef efta tasd sd seftrdhukab, sebafoutfya slear  `. Wusuma Wusumaf f slear slear `c`cm uftum uftum tulcr tulcr yafk yafk bendj nesar, nesar, gaf tulcr tulcr yafk lefgabal yafk gdtuoumaf uftum ragdcterapd atau melcterapd, letastasds gaf besd remuref ouka nerbamu. >) Hcr Hcrsep sep ndcpsd ndcpsd?? oardfk oardfkaf af ubseras ubserasdd tulcr tulcr bufam, bufam, sdtcbck sdtcbckdd slear slear tdgam tdgam gapat gapat gdgdakfcsds, bamumaf hcrsep ndcpsd. 0) Lelctcfk ndcpsy ? Letcge dfd agabaj menafyamaf uftum cperasd. 7) Ndc Ndcpsd psd emsdsd emsdsd ? nerbam nerbamu u uftum uftum tulcr tulcr me`db me`db oardfk oardfkaf af bufam, bufam, nersal nersalaa gefkaf gefkaf  nakdaf gard oardfkaf fcrlab gd semdtar tulcr resemsd seburuj tulcr uftum   pelerdmsaaf jdstcbckds. jdstcbckds. 5) Ndc Ndcpsd psd aspdra aspdrasd sd oarul oarul jabus jabus atau Hdfe Hdfe Feegbe Feegbe Aspdra Aspdratdc tdcf f Ndcpsy Ndcpsy (HFAN) (HFAN) agabaj lerupamaf suatu letcge atau tdfgamaf pefkalndbaf senakdaf oardfkaf tunuj lafusda gefkaf suatu abat aspdratcr nerupa oarul suftdm yafk nertuouaf uftum lelnaftu gdakfcsds nernakad pefyamdt tulcr. Wdfgamaf ndcpsd aspdrasd gdtuoumaf paga tulcr yafk betamfya superhdsdab gaf papanbe ldsabfya tulcr  mebefoar ketaj nefdfk, tdrcdg, mebefoar bdur, payugara, gaf badf-badf. `. Yele Yelerdm rdmsaa saaf f Pdt Pdtcp cpat atcb cbck ckdd Yelerdmsaaf seb-seb bepas yafk gd`at paga ma`a lefkkufamaf temfdm sdtcbckd. g. Yele Yelerds rdsaa aaf f dluf dlufcj cjds dstc tcmc mclda lda Lefkkufamaf temfdm aftdncgd uftum lefgetemsd meneragaaf, menerbdlpajaf, gaf bcmabdsasd prctedf spesdhdm. Wemfdm dfd peftdfk uftum lelnegamaf aftara kafkkuaf gefkaf lcrhcbckd yafk ldrdp gaf ouka lef`drdmaf sdhat-sdhat lcbemuber mafmer  terteftu. e. Yele Yelerdm rdmsaa saaf. f. Jdnr Jdnrdg dgdsa dsasd sd df sdtu sdtu Lcbemub GFA gaf ^FA spesdhdm gapat gdmefabd paga nakdaf temfdm dfd, ndba prcne gdbanebd gefkaf `ebupaf nerpefger, temfdm HDPJ. 11

 

h. Yele Yelerdm rdmsaa saaf f Ldmrc Ldmrcsm smcp cpdd ebemt ebemtrc rcf f Yele Yelerdm rdmsaa saaf f oard oardfk fkaf af ge gefk fkaf af ldmr ldmrcs csmc mcp p eb ebem emtr trcf cf,, ya yafk fk lelu lelufk fkmd mdfk fkma maf f  pelnesaraf yafk oauj bendj nesar, lelufkmdfmaf lelufkmdfmaf vdsuabdsasd crkafeb gabal seb. k. Yelerdm Yelerdmsaaf saaf sdt sdtcke ckefet fetdma dma oardfk oardfkaf af Xdsuabdsasd mrclcscl uftum lefkefabd trafsbcmasd mrclcscl. j. Yelerdm Yelerdmsaaf saaf Dlufch Dlufchefc efctdp tdpee aarus rus Yefeftuaf dlufchefctdpe seb lefkkufamaf temfdm sdtcletrd arus. Pafkat nerkufa uftum lefgdakfcsds oefds-oefds beumdlda gaf bdlhcla.

J. MCLYBDMAPD

Yaga Yaga ma masu suss Pcht Pcht Wdssu Wdssuee Wulc Wulcrr (PWW (PWW)) ya yafk fk gdta gdtafk fkaf afdd ge gefk fkaf af pr prcs cseg egur ur pe peln lneg egaj ajaf af mclpbdmasd yafk gapat luf`ub agabaj? 1. Yrcsegur Yrcsegur pelnega pelnegajaf jaf tersenu tersenutt lerupamaf lerupamaf traula oardfkaf oardfkaf bufam. bufam. >. Ehem afestesd afestesd ndsa lefyen lefyenanmaf anmaf mclpbdmasd mclpbdmasd salpad melatdaf. melatdaf. 0. Yergaraj Yergarajaf af amdnat amdnat ehem ehem salpdf salpdfk k gard pelne pelnegaj gaj.. 7. Dfhemsd oardfkaf oardfkaf amdnat amdnat perawataf perawataf yafk tdgam sterdb.   D. JEAB JEABW W EGU@ EGU@AW AWDC DCF F

Egumasd pasdef lefoagd jab yafk peftdfk. Marefa scht tdssue tulcr rekdc helur gextra gapat lefdlnubmaf fyerd odma nefocbaf terseftuj, lama sebala gabal perawataf gd rulaj samdt sam dt perbu perbu agafya agafya egumas egumasdd uftum uftum lelnat lelnatasd asd amtdvd amtdvdtas tas hdsdm hdsdm yafk yafk gapat gapat lefdln lefdlnubm ubmaf af teroagdfya fyerd gaf leldfta pasdef uftum dsstdrajat yafk `umup. Egumasd pasdef setebaj gdba gdbamu muma maf f tdfg tdfgam amaf af cp cper erasd asd ya yadt dtu u ge gefk fkaf af pe pele lefu fuja jaf f fu futrd trdsd sd ya yafk fk `u `umu mup p ak akar ar ga gapa patt lelper lel per`ep `epat at pelubd pelubdjaf jaf buma buma pc pcst st cperasd cperasd,, metdma metdma mbdef mbdef pubafk pubafk gard gard rulaj rulaj samdt samdt gefkaf gefkaf  perawataf pasdef gaf mebuarka pasdef gdjarapmaf lelajald pefketajuaf teftafk  pelefujaf futrdsd yafk `umup terutala menutujaf prctedf yafk safkat peftdfk uftum   pelubdjaf buma pcst cperasd.

1>

 

O. YEFK YEFKMA MAOD ODAF AF HCM HCMUP UP 1.

Yefkmaodaf Yersdapaf Yra Cperatdh 1) Dfhcrl Dfhcrleg eg `cfsef `cfseftt (tafga (tafga perset persetuou uouaf af se`ara se`ara tertu tertubds) bds)..

>) Ye Yefy fyub ubuj ujaf af pr pree cpe cpera rasd sd ? a)

Lefoebasmaf Lefoebasmaf apa yafk yafk amaf gdjagapd gdjagapd cbej cbej pasdef pasdef odma da amaf amaf gdcper gdcperasd. asd.

 n)

Lefoebasmaf nakadlafa tunuj amaf tetap nerhufksd setebaj gdbamumaf Jerfdctcly.

`)

Lefoeb Lefoebasm asmaf af najwa najwa amaf amaf lerasa lerasa samdt samdt / fyerd fyerd paga paga gaeraj gaeraj buma buma / dfsdsd dfsdsd setebaj cperasd.

g) Uftum Uftum lef`eka lef`ekaj j mc mclpb lpbdma dmasd sd pas`a cperasd cperasd (atebemta (atebemtasds) sds) pasdef pasdef gdaoarma gdaoarmaf f teftafk mesejataf paru-paru, natum ehemtdh, lefardm fahas gabal. 0) Yer ersd sdap apaf af hd hdsd sdm m. a)

Mubdt

Lef`umur nakdaf yafk amaf gdcperasd.  n) Cnservasd tafga-tafga vdtab `) Wra raf fsp spcr crtd tdf fk pasd pasdef ef Yasdef jarus gdnawa tepat paga wamtufya, oafkaf terbabu `epat, senan terbabu bala lefufkku saat cperasd amaf lefyenanmaf pasdef kebdsaj gaf tamut. Naou pasdef gdkaftd gefkaf naou mjusus cperasd, narafk narafk nerjarka gdserajmaf paga mebuarka.

M. Gdakfc Gdakfcsa sa Meper Meperawa awataf taf

a. Fyerd Fyerd amut amut nerju nerjunuf nufkaf kaf gefk gefkaf af dfsdsd dfsdsd nega negaj j  n. ^esdmc dfhemsd nerjunufkaf gefkaf lasumfya ldmrccrkafdsle semufger terjagap buma

B. Yeref`af Yeref`afaaf aaf Asujaf Asujaf Meperawa Meperawataf taf

a. Fyerd Fyerd amut amut nerju nerjunuf nufkaf kaf gefk gefkaf af dfsdsd dfsdsd nega negaj j Wuouaf

? Petebaj gdbamumaf tdfgamaf meperawataf sebala 1Z>7 oal

gdjarapmaf fyerd Mrdterda Jasdb ?

-

Mebujaf fyerd nermurafk atau jdbafk (smaba 9-1) 10

 

-

Walpam rdbems

Dftervefsd

?

-

Maod smaba fyerd

-

Maod dfsdsd negaj,perjatdmaf egela

-

Nerdmaf tdfgamaf mefyalafaf, ldsabfya?batdjaf fahas gabal,

bdfkmufkaf yafk tefafk gaf temjfdm rebamsasd Mcbancrasd?

-

Nerdmaf afabketdm 

 n.^esdmc dfhemsd nerjunufkaf gefkaf gefkaf lasumfya ldmrccrkafdsle semufg semufger er terjagap buma Wuouaf

? Petebaj gdbamumaf tdfgamaf meperawataf sebala 1Z>7 oal

gdjarapmaf dfhemsd tdgam teroagd Mrdterda Jasdb ?

-

Wdgam aga tafga-tafga dfhemsd (^uncr, Gcbcr, Mabcr, Wulcr,) WWX standb

-

Wergapat tafga-tafga pefyelnujaf

Dftervefsd

-

?

 Yerjatdmaf gelal, lefkkdkdb, nermerdfkat, lefdfkmatfya fyerd angclef, perunajaf leftab

-

Bamumaf pef`u`daf tafkaf yafk nadm gaf perawataf buma yafk nadm, gaf perawataf buma septd`

-

Bdjat dfsdsd gaf nabutaf gradfase ndba gddfgdmasdmaf

Mcbancrasd? - Nerdmaf aftdndctdm sesuad dfgdmasd

17

 

GAHWA^ YUPWAMA

1. Lafu Lafuan ana, a, W.[. W.[.(( >91 >919) 9). Yafguaf  .Yafguaf Yefatabamsafaaf Mafmer Pcbdg, Yerancd >919. >919. Oamarta ? Pakufk Petc. >. Furardh Furardh A, J, gmm. gmm. >915. >915. Apbdmas Apbdmasdd Asujaf Asujaf Meperaw Meperawata ataf f Nergas Nergasarm armaf af Gdakfcsa Gdakfcsa Legds gaf Fafga FD@-Fc`, Egdsd ^evdsd Odbdg 1. Ockoamarta ? Legda`tdcf Ockoa 0. Po Poal alsu sujd jdga gaoat oat,, ^, Oc Ocfk fk,, [.G. [.G.(> (>99 995) 5).P .Pch chtt Wdssu Wdssuee Wulcr gabal gabal Numu Aoar Aoar Dblu  Negaj,, Egdsd >. Oamarta ? EK@.  Negaj 7. [eds [edsss P.[. P.[.,K ,Kcb cbgn gnbu bul l O. O.^. ^.(> (>99 99:) :)..Pch Pchtt Wdssue Wdssue Wulcrs Wulcrs.H .Hdht dhtj j Egdt Egdtdc dcf. f. @jdf @jdfaa ? Lcsny Ebsevder. 5. Yrd`e rd`e,, Pybv ybvda A. (> (>99 998) 8).. Yatchdsdcbckd?  Yatchdsdcbckd? Mcfsep mbdfds prcses-prcses pefyamdt . Oamarta ? EK@

15

 

BELNA^ YEFKEPAJAF BAYC^AF YEFGAJUBUAF APUJAF MEYE^A[AWAF ‒JELC^CDG“

Webaj gd sajmaf gaf gd setuoud cbej? Jard ? Wafkkab ?

Gd setuoud cbej ?

Yelndlndfk bajaf

Lajasdswa

GEFW^D A^DPA WDXA (YC.;1.>9.>.14.995)

Gcsef pelndlndfk

PU^TAFGA,P.Yg.,L.Mep

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