.LP Sol

 

LAPORAN PENDAHULUAN ASUHAN KEPERAWATAN PADA KLIEN DENGAN DIAGNOSA SOL (SPACE OCCUPYING LESSION) DI RUANG RU ANG RA RAJAW JAWALI ALI V B RSUP Dr. KARI KARIADI ADI

Disusun o!" # Ari$ Nur Ro"%&n G'A*+,

PROGRA- PROESI NERS AKULTAS IL-U KEPERAWATAN DAN KESEHATAN UNIVERSITAS -UHA--ADIYAH SE-ARANG TAHUN /*0/1

 

A. PENG PENGER ERT TIAN IAN SOL ( S2&3! O33u24in5 L!sion ) %!ru2&6&n 5!n!r&is&si %&s&&" 7!n7&n5 &8&n4& !si  2&8& ru&n5 in7r&3r&ni& 6"ususn4& 4&n5 %!n5!n&i o7&6. B&n4&6 2!n4!9&9 4&n5 8&2&7 %!ni%9u6 %!ni% 9u6&n &n !si 2&8& o7&6 s!2!r7i 6on7usio s!r!9ri: "!%&7o%&: "!%&7o%&: in$&r6: in$&r6: &9s!s o7&6 8&n 7u%or  in7r&6r&ni& ( Lon5 C : /,). Tu%or o7&6 &8&&" !si o!" 6&r!n& &8& 8!s&6&n ru&n5 9&i6 ;in&6 < 5&n&s 4&n5 7u%9u" 8i o7&6: %!nin5!n 8&n 7!n56or&6 (9runn!r = su88&r7": /+). Tu%or o7&6 %!ru2&6&n s!9u&" !si 4&n5 7!r!7&6 2&8& in7r&6r&ni& 4&n5 %!n!%2&7i ru&n5 8i8&&% 7!n56or&6 .(Su>&nn! C.s%&7>!r /).

B. ETIOL IOLOGI P!n4!9&9 P!n4! 9&9 7u%or 7u%or "in55& s&&7 ini %&si" 9!u% 9!u% 8i6!7&"ui 8i6!7&"ui s!3&r& 2&s7i: ?&&u2un ?&&u2un 7!&"  9&n4&6 2!n4!i8i6&n 4&n5 8i&6u6&n. A8&2un $&67or0$&67or $&67or0$&67or 4&n5 2!ru 8i7in;&u: 4&i7u# . H!r! !r!8i7!r. Ri?& Ri?&4 4&7 7u%o 7u%orr o7&6 o7&6 8&& 8&&% % s& s&7u 7u &n55 &n55o7 o7&& 6! 6!u u&r &r5& 5& ;& ;&r& r&n5 n5 8i 8i7! 7!%u %u6& 6&n n 6! 6!3u 3u& &ii 2& 2&8& 8& %!nin5 %!ni n5io io%& %&:: &s7ro &s7rosi7 si7o% o%&& 8& 8&n n n! n!ur uro$ o$i9 i9ro ro%& %& 8& 8&2& 2&77 8i 8i;u% ;u%2&i 2&i 2& 2&8& 8& &n &n55 55o7 o7&0& &0&n5 n55o 5o7& 7& s!6!u s!6 !u&r5 &r5&. &. S6!ro S6!rosis sis 7u9!ro 7u9!ros! s! &7&u &7&u 2!n4& 2!n4&6i7 6i7 Sturge-Weber   4&n5 8&2&7 8i&n55&2 s!9&5&i %&ni$!s7&si 2!r7u%9u"&n 9&ru: %!%2!ri"&76&n $&67or $&%ii& 4&n5 ;!&s. /. Si Sis&0 s&0sis sis&& S! S! E%9r E%9rio ion& n& ( Embryonic  Embryonic Cell Rest )).. B&n5un&n09&n5un&n !%9rion& 9!r6!%9&n5 %!n;&8i 9&n5un&n09&n5un&n 4&n5 %!%2un4&i %or$o %o r$oo5i o5i 8&n $un5si $un5si 4&n5 4&n5 7!rin7! 7!rin7!5r& 5r&si si 8&&% 8&&% 7u9u". 7u9u". T!7 !7&2i &2i &8& 6&&n4 6&&n4&& s!9&5i& s!9&5i&n n 8&ri 8&ri  9&n5un&n !%9rion& 7!r7in55& 8&&% 7u9u": %!n;&8i 5&n&s 8&n %!rus&6 9&n5un&n 8i s!6i7&rn4&. '. R&8i&si. J&rin5&n 8&&% sis7!% s&r&$ 2us&7 2!6& 7!r"&8&2 r&8i&si 8&n 8&2&7 %!n5&&%i 2!ru9&"&n 8!5!n!r&si: n&%un 9!u% &8& 9u67i r&8i&si 8&2&7 %!%i3u 7!r;&8in4& su&7u 5io%&. @. Virus. B&n4&6 2!n!i7i&n 7!n7&n5 ino6u&si irus 2&8& 9in&7&n5 6!3i 8&n 9!s&r 4&n5 8i&6u6&n 8!n5&n %&6su8 un7u6 %!n5!7&"ui 2!r&n in$!6si irus 8&&% 2ros!s 7!r;&8in4& n!o2&s%&: 7!7&2i "in55& s&&7 ini 9!u% 8i7!%u6&n "u9un5&n &n7&r& in$!6si irus 8!n5&n 2!r6!%9&n5&n 7u%or 2&8& sis7!% s&r&$ 2us&7. . Su9s7&n Su9s7&nsi0s si0su9s u9s7&n 7&nsi si K&rsi K&rsino5 no5!ni !ni6. 6. P!n4!i8i6&n 7!n7&n5 su9s7&nsi 6&rsino5!n su8&" &%& 8&n u&s 8i&6u6&n. Kini 7!&" 8i&6ui  9&"?& &8& su9s7&nsi 4&n5 6&rsino5!ni6 s!2!r7i methylcholanthrone, nitroso-ethyl-urea. nitroso-ethyl-urea. Ini  9!r8&s&r6&n 2!r3o9&&n 4&n5 8i&6u6&n 2&8& "!?&n. "!?&n. C. PATOISI OISIOLO OLOGI GI Tu%or o7&6 %!n4!9&96&n 7i%9un4& 5&n5u&n n!uroo5i6 2ro5r!si$: 5&n55u&n n!uroo5i6   2&8& 7u%or o7&6 9i&s&n4& 8is!9&96&n o!" 8u& $&37or0$&67or 5&n55u&n $o6& $ o6& &6i9&7 7u%or 8&n

 

 2!nin56&7&&n TIK. G&n55u&n $o6& 7!r;&8i &2&9i& 7!r8&2&7 2!n!6&n&n 2&8& ;&rin5&n o7&6: 8&ri in$i7r&si &7&u in&si &n5sun5 2&8& 2&r!n6i% o7&6 8!n5&n 6!rus&6&n ;&rin5&n n!ur&. P!ru9&"&n su2&i su2 &i 8&r&" 8&r&" &6i9&7 &6i9&7 7!6&n& 7!6&n&n n 7u%or 7u%or 4&n5 4&n5 9!r7u% 9!r7u%9u" 9u" %!n4!9 %!n4!9&96 &96&n &n n!6ros n!6rosis is ;&rin5 ;&rin5&n &n o7&6. o7&6. P!ni P!nin5 n56& 6&7& 7&n n TIK TIK 8& 8&2& 2&77 8is!9 8is!9&9 &96& 6&n n o!" o!" 9! 9!9! 9!r&2 r&2&& $&37o $&37orr # 9! 9!r7 r7&%9 &%9&" &"n4 n4&& %&ss& %&ss& 8& 8&& &% % 7!n56or&6: 7!r9!n7u6n4& !8!%& s!6i7&r 7u%or: 8&n 2!ru9&"&n sir6u&si 3&ir&n s!r!9ros2in&. B!9!r!2& 7u%or 8&2&7 %!n4!9&96&n 2!n8&r&"&n. O9s7ru6si !n& 8&n !8!%& &6i9&7 6!rus&6&n s&?&r 8&r&" o7&6: s!%u&n4& %!ni%9u6&n ou%! in7r&3r&ni& 8&n TIK. P&8& %!6&nis%! 6o%2!ns&si &6&n 9!6!r;& 9!6!r;& %!nurun6& %!nurun6&n n ou%! ou%! 8&r&" n7r&6r&ni&: n7r&6r&ni&: ou%! CS 6&n8un&n 3&ir&n in7r& s! 8&n %!n5ur&n5i s!0s! 2&r!n6i%. P!nin56&7&n 7!6&n&n 4&n5 7i8&6 8io9&7i %!n5&6i9&76&n 7!r;&8in4& "!rni&si un6us &7&u s!r!9!u%. H!rni&si %!n!6&n %!ns!$&on %!n4!9&96&n "i&n5n4& 6!s&8&r&n. P&8& "!rni&si s!r!9!u%: 7onsi 9!r5!s!r 6!  9&?&" %!&ui $or&%!n %&5nu% o!" su&7u %&ss& %&s s& 2os7!rior. Ko%2r!si %!8u& o9on5&7& 8&n "!n7i n&$&s 7!r;&8i 8!n5&n 3!2&7: 2!ru9&"&n $isioo5is &in 4&n5 7!r;&8i &6i9&7 2!nin56&7&n TIK  &8&&" 9r&8i6&r8i& 2ro5r!si$: "i2!r7!nsi sis7!%i6 ( 2!!9&r&n n&8i) 8&n 5&5& n&$&s.

D. -ANIE -ANIEST STA ASI KLIN KLINIK  IK  . T&n8& &n8& 8&n 5!;&& 5!;&& 2!nin5 2!nin56&7 6&7&n &n TI TIK K# &. S&6i7 6 6!2 !2&&&. &.  9. -un7&". 3. P&2i! P&2i!8!% 8!%&& (2!%9!n (2!%9!n56& 56&6&n 6&n 2&8& 2&8& s4&r&$ s4&r&$ o7&6 o7&6). ). /. G!;&& 7!ro6&is&si 7!ro6&is&si ( s2!si$i6 s!su&i 8!n5&n 8!n5&n 8&r!" o7&6 o7&6 4&n5 4&n5 7!r6!n& 7!r6!n& ) # &. Tu%or Tu%or 6or7!6s 6or7!6s %o7ori6 %o7ori6  5!r&6&n 5!r&6&n s!2!r7i s!2!r7i 6!;&n5 6!;&n5 6!;&n5 4&n5 7!r!7&6 7!r!7&6 2&8& s&7u sisi sisi 7u9u" 7u9u" (6!;&n5 ;&36soni&n).  9. Tu%or o9us o6si2i7&  "!%i&no2si& "o%oni%us 6on7r&&7!r& ("i&n5 2!n5i"&7&n 2&8& s!7!n5& s!7! n5&" " &2&n5 &2&n5 2&n8&n 2&n8&n5: 5: 2&8& 2&8& sisi 4&n5 4&n5 9!r&? 9!r&?&n&n &n&n 8!n5&n 8!n5&n 7u%or) 7u%or) 8&n "&usi "&usin&si n&si  2!n5i"&7&n. 3. Tu%o Tu%orr s!r!9! s!r!9!u% u%  2usin5 2usin5:: &7&6si& &7&6si&:: 5&4& 5&4& 9!r;&& 9!r;&&n n s!%2o4 s!%2o4on5 on5&n &n 8!n5&n 8!n5&n 6!3!n8!r 6!3!n8!run5 un5&n &n  ;&7u" 6!sisi 4&n5 !si: o7o7 o7o7 7i8&6 7!r6oor8in&si 7! r6oor8in&si 8&n nis7&5%us (5!r&6&n %&7& 9!rir&%& 8&n 7i8&6 8is!n5&;& ). 8. Tu%or Tu%or o9us $ron7& $ron7&  5&n55u&n 5&n55u&n 6!2ri9&8i& 6!2ri9&8i&:: 2!ru9&"&n 2!ru9&"&n s7&7us !%osion& !%osion& 8&n 7in56&" 7in56&" &6u: &6u: 8isin7!5r&si 2!ri&6u %!n7&.: 2&si!n s!rin5 %!n;&8i !6s7ri% 4&n5 7i8&6 7!r&7ur 8&n 6ur&n5 %!r&?&7 8iri. !. Tu%or u%or su8u su8u77 s! s!r! r!9! 9!o o2o 2on7 n7in in  7ini 7ini7u 7uss 8&n 8&n 6! 6!i i"& "&7& 7&n n ! !r7 r7i5 i5o: o: 7u 7ui i (5 (5&n &n55 55u& u&n n s& s&r& r&$  $  6!8!&2&n): 6!s!%u7&n 8&n r&s& 5&7& 2&8& ?&;&" 8&n i8&" (s&r&$ 6!i%&): 6!!%&"&n &7&u 2&r&isis (s&r&$ 6r&ni& 6!6!7u;u"): &9nor%&i7&s $un5si %o7ori6. $. Tu%or Tu%or in7r&6r& in7r&6r&ni& ni& 9is& %!ni%9u6&n %!ni%9u6&n 5&n55u&n 5&n55u&n 6!2ri9&8i&n 6!2ri9&8i&n:: 6on$usi 6on$usi:: 5&n55u&n 5&n55u&n 9i3&r& 8&n 5&n55u&n 5&4& 9!r;&&n 7!ru7&% 2&8& &nsi&. (Brunn!r = Su8&r7": /'). E. PENA PENATALAKSAN LAKSANAAN AAN -!7o8! u%u% un7u6 2!n&7&&6s&n&&n 7u%or o7&6 %!i2u7i #

 

. P!%9 !%9!8& 8&" "&n. P!%9!8&"&n in7r&3r&ni& 9i&s&n4& 8i&6u6&n un7u6 s!uru" 7i2! 6on8isi 2&7oo5i 8&ri o7&6  un7u6 un7u6 %!n5ur %!n5ur&n5 &n5ii TIK 8&n %!n5&n %!n5&n56& 56&77 7u%or 7u%or.. P!%9!8 P!%9!8&"& &"&n n ini 8i&6u 8i&6u6&n 6&n %!&ui %!&ui  2!%9u6&&n 7!n56or&6: 4&n5 4&n5 8is!9u7 8!n5&n Cr&nio7o%4. Cr&nio7o%4. /. R&8io &8io7! 7!r& r&2i 2i.. Bi&s&n4& %!ru2&6&n 6o%9in&si 8&ri 7!r&2i &inn4& 7&2i 7i8&6 ;&r&n5 2u& %!ru2&6&n 7"!r&2i 7un55& 7un 55&. . A8&2un 8&2un !$!6 s&%2in s&%2in5 5 # 6!rus&6 6!rus&6&n &n 6ui7 6ui7 8i s!6i7& s!6i7&rn4 rn4&: &: 6!!& 6!!&"&n "&n:: n4!ri n4!ri 6&r!n& 6&r!n& in$&%&si 2&8& n!rus &7&u o7o7 2!37or&is: r&8&n5 7!n55or6&n. '. K!%o !%o7!r& 7!r&2 2i. K!%o7! K!% o7!r&2 r&2ii 8i&6u 8i&6u6&n 6&n 8&&% 8&&% 9!r9&5 9!r9&5&i &i 3&r&: 3&r&: 7!r%&su 7!r%&su6 6 s!3&r& s!3&r& sis7!%i sis7!%i6: 6: in7r&3r in7r&3r&ni &ni& & &7&u 8!n5&n %!%&su66&n 2oi%!r 4&n5 %!%9&?& &5!n 6!%o7!r&2i s!3&r& &n5sun5 6! ;&rin5&n 7u%or. -&s&&" u7&%& 8!n5&n 6o%2i6&si 8!2r!si su%0su% 7u&n5: 2&ru: 8&n "!2&r 7!7&2 %!ru2&6&n $&37or 2!n4ui7 u7&%& 8&&% 6!%o7!r&2i. S&?&r 8&r&" o7&6 ;u5& %!%2!rsui7  2!%9!ri&n &5!n 6!%o7!r&2i. P!n!i7i&n s&?&r 8&r&" o7&6 8!n5&n %&ni7o "i2!ros%o7i6  %!%9!r "&si 4&n5 %!n5!3!?&6&n: 2!n!i7i&n %!n5!n&i 2!n55un&&n 8!&%!7&son un7u6  %!nu7u2 s&?&r 8&r&" o7&6 8&n !$!6 o9&7 &n7i!2i!2si 2&8& %!7&9ois% o9&7 6!%o7!r&2i %&si" 7!rus 8i&6u6&n 8&n %u&i %!%9!ri6&n "&si. @. -&ni -&ni2u 2u&s &sii "o "or% r%on on&. &. Bi&s&n4& 8!n5&n o9&7 5oon5&n 7&%oi$!n un7u6 7u%or 4&n5 su8&" 9!r%!7&s7&s!. . T!r&2i r&2i S7 S7!r !roi oi8. 8. S7!roi S7! roi8 8 s!3&r& s!3&r& 8r&%&7 8r&%&7is is %!n5ur %!n5ur&n5 &n5ii !8!%& !8!%& s!6!i s!6!iin5 in5 7u%or 7u%or in7r&6 in7r&6r&n r&ni&: i&: n&%un n&%un 7i8&6  7i8&6   9!r!$!6 &n5sun5 7!r"&8& 7u%or.P!%ii"&n 7u%or.P!%ii"&n 7!r&2i 8i7!n7u6&n 8!n5&n 7i2! 8&n !7&6 8&ri 7u%or. Su&7u Su&7u 6o%9in&si %!7o8! s!rin5 8i&6u6&n . PENG PENGKA KAJI JIAN AN OK OKUS US . An&%n!s&. &. I8!n7i I8!n7i7&s 7&s 6i!n 6i!n # usi&:;! usi&:;!nis nis 6!&%i 6!&%in:2 n:2!n8 !n8i8i i8i6&n 6&n:& :&&%& &%&7:2 7:2!6! !6!r;&& r;&&n:& n:&5&% 5&%&:su &:su6u 6u 9&n5s& 9&n5s&:8 :8. .  9. K!u"&n u7&%& # n4!ri 6!2&& . 3. Ri?& Ri?&4 4&7 2!n4 !n4&6i7 &6i7 s! s!6 6&r &r&n &n5 5 #8!% #8!%&% &%::&nor &nor!6 !6si si&& 8&n %& &&i &is! s! 2!n !nin in5 56&7 &7&n &n 7! 7!6& 6&n& n&n n 8.

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RASIONAL # &.  9. 3. 8.

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