LP - Mola Hidatidosa

LAPORAN PENDAHULUAN MOLA HIDATIDOSA

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MOLA HIDATIDOSA

A. PENG ENGERTI ERTIA AN θ

Hamil mola adalah suatu kehamilan dimana setelah fertilisasi hasil konsepsi tidak berkembang menjadi embrio tetapi terjadi proliferasi dari vili koriales disertai dengan degenerasi hidropik (Hamilton, 1995).

θ

Mola hidatidosa adalah kehamilan dini akan berkembang secara abnormal dan dan uter uterus us teri terisi si oleh oleh gele gelemb mbung ung-g -gel elem embun bung g miri mirip p buah buah anggu anggurr yang yang menghasilkan hormon korionik gonadotropin dalam jumlah yang sangat besar  (Farrer, 1999).

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Faktor ovum, imunoselektif dari tropoblas, sosial-ekonomi yang rendah,   paritas tinggi, keurangan protein, infeksi virus, faktor kromosom yang belum  jelas menyebabkan chorionic vili berganda. Sebagian Sebagian dari vili berubah menjadi gelembung-gel gelembung-gelembung embung berisi cairan cairan  jernih. Biasanya tidak ada janin. Secara histopatologik kadang-kadang ditemukan   jar jarin inga gan n mola mola pada pada plas plasen enta ta deng dengan an bayi bayi norm normal al.. Suat Suatu u agon agones esis is yang yang lengkap/degenerasi dini dari sistem vaskularisasi buah kehamilan pada kehamilan minggu ke III – V. Sirkulasi yang terus menerus tanpa adanya fetus menyebabkan sel trofoblas memproduksi hormon. Cairan ini dapat berupa gelembung yang dapat sebesar 

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−

Hipe Hipere reme mesi siss

kare karena na peni pening ngka kata tan n

HCl HCl

mela melamp mpau auii

nila nilaii

norm normal al dan dan

  pre preekl eklam amsi siaa timb timbul ul seca secara ra dini dini dan dan pada pada kead keadaan aan ini ini bila bila dite ditemu muka kan n   perda perdarah rahan an pervagi pervaginam nam mendek mendekati ati akhir akhir bulan bulan ketiga ketiga yang yang sediki sedikitt dan  berwarna gelap. −

Kadang-kadang gelembung seperti buah anggur tampak keluar dari dalam vagina.

−

Tes urine untuk kehamilan menunjukkan hasil positif.

E. KOMPL OMPLIK IKAS ASII

Menurut Mansjoer (1999)

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5. Pem Pemeri eriksaa ksaan n T3 dan T4 bila ada gejala tirotoksikosis. 6. Hitu Hitung ng dara darah h lengk lengkap ap denga dengan n apus apusan an dara darah h : lazi lazimn mnya ya dite ditemu mukan kan anem anemia ia defisiensi besi, eritropoesis megaloblastik jarang. 7. Urinalisi Urinalisiss : biasanya biasanya normal normal proteinuria proteinuria memberi memberi kesan kesan adanya kaitan kaitan dengan dengan kaitan pre eklamsia.

G. PENAT PENATAL ALAK AKSA SANA NAAN AN

Menurut www.geocities.com Terapi mola hidatidosa ada 3 tahapan, yaitu : 1. Perb Perbai aika kan n kea keada daan an umum umum..

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Meliputi : 

Lama pengawasan 1-2 tahun.



Selama pengawasan, pasien dianjurkan untuk memakai alat kontrasepsi kondom, kondom, pil kombin kombinasi asi atau atau diafra diafragma gma.. Pemeri Pemeriksa ksaan an fisik fisik dilaku dilakukan kan setiap kali pasien datang untuk kontrol.



Peme Pemeri riks ksaa aan n kada kadarr beta beta HCG HCG dila dilaku kuka kan n seti setiap ap 1 ming minggu gu samp sampai ai ditemukan kadarnya yang normal 3 x berturut-turut.



Setela Setelah h itu itu pemeri pemeriksa ksaan an dilanj dilanjutk utkan an setiap setiap bulan bulan sampai sampai ditemu ditemukan kan kadarnya normal 6 x berturut-turut.



Bila telah terjadi remisi spontan (kadar beta HCG, pemeriksaan fisik dan

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ASUHAN KEPERAWATAN

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8. Pernaf nafasan. Geja Gejala la : frek frekue uens nsii pern pernaf afas asan an , takipneu, dispneu, edema paru (pada krisis tiroksikosis). Tanda Tanda : fungsi fungsi mental mental/ke /kegel gelisa isahan, han, kesadar kesadaran/ an/ril rileks eks..

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6. Kurang

per perawatan

dir diri

berh erhubun bungan

ketidaknyamanan.

C. INTERV INTERVENS ENSII KEPERA KEPERAWAT WATAN AN

denga ngan

kelelahan

nye nyeri

atau

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3. Cata Catatt halu haluar aran an dan dan pema pemasu suka kan. n. Rasi Rasion onal al : Meng Menget etah ahui ui penur penurun unan an sirk sirkul ulas asii terh terhad adap ap dest destru ruks ksii sel sel darah darah merah. 4. Obse Observ rvas asii nad nadii dan dan ten tensi si..

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Rasi Rasion onal al : Inku Inkuba basi si kuma kuman n pada pada area area geni genita tall yang yang rela relati tiff cepa cepatt dapa dapatt menyebabkan infeksi. 5. Terangkan Terangkan pada klien cara mengide mengidentif ntifikasi ikasi tanda infeks infeksi. i. Rasi Rasion onal al : Berb Berbag agai ai mani manife fest stas asii klin klinik ik dapa dapatt menj menjadi adi tand tandaa nonsp nonspes esif ifik  ik 

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