Prosedur Pemeriksaan Fisik & Diagnostik Pada Pasien Gangguan Kebutuhan Nutrisi Akibat Patologis Sistem Pencernaan & Metabolic Endokrin

 

Rraskdur Rkmkrj`sgge Cjsj` & Djgfeast` pgdg Rgsjke Fgeffuge @kluuhge Eurjsj g`jlg g `jlg Rgaiafjs _jskm Rkeokregge & Mkglaijo Keda`rje KSJTG G M[_IJMG J_EGEDG R[T\J, _.@kp., Es., E s., M. @kp KSJT

 

Rkef`gnjge pgdg Rgsjke dkefge Fgeffuge @klutuhge Eutrjsj

 

Rkef`gnjge stgtus eutrjsj mkijputj > • G > Gethrapamktrjo Gethrapamktrjo mkgsurkmket • L > Ljaohkmjogi dgtg • O > Oijejogi sjfe • D > Djktgry hjstary *dj`kegi dkefge jstjigh GLOD

 

Gethrapamktrjo Mkgsurkmket (G) Getrapamktrj gdgigh sugtu sjstkm pkefu`urge u`urge dge susuege tuluh dge lgfjge `husus tuluh. Rkefu`urge getrapamktrj` ygef mkmlgetu dgigm mkefjdketjcj`gsj mgsgigh eutrjsj tkrmgsu` > 7. Rke Rkefu` fu`urg urge e tj tjeff effjj lg lgdge dge dge lkr lkrgt gt lgd lgdge ge `ijke hgrus djpkraikh `ktj`g mgsu` rumgh sg`jt gtgu ijef`uefge pkigygege `kskhgtge. Gpgljig mkmuef`je`ge, `ijke hgrus djtjmlgef pgdg wg`tu ygef sgmg sktjgp hgrj, pgdg s`gig ygef sgmg, dge dkefge pg`gjge gtgu ijeke ygef sgmg.   Rkefu`urge LMJ (Lady Mgss Jedkx) gtgu Jedk`s Mgsg Tuluh (JMT)  

 

LMJ = LL (TL)¼ 9 uedkrwkjfht alksk

*_gtuge uetu` LL (@f). Dge TL (mktkr)

 

ijef`gr pkrfkigefge tgefge (om)}. • Vge Vgejtg> jtg> ejigj r 5 77,2 (`koji)0 ejigj r 72,7 sgmpgj 77,2 77,2 (skdgef), dge ejigj r 9 72,7 (lksgr). • Ig`j-ig`j> ejigj r 5 72,4 (`koji), ejigj r :,3 sgmpgj 72,4 (skdgef), dge 9 :,3 (lksgr).

 

?. Ijef`g Ijef`grr ikefge ikefge lgfjge lgfjge tkefg tkefgh h gtgs ((mjdmjd-upp uppkr kr grm ojroumckrkeok, MGO) • Mkmpkr`jrg`ge mgssg atat s`kikt. • Ikefge eae damjege `ijke djrkig`sgsj`ge, dge ijef`greyg dju`ur pgdg tjtj` tkefgh, getgrg unuef dgrj prasksus g`ramjgi s`gpuig dge prasksus aik`rgeae uieg. IIG 9 7< om

> Fjzj Luru`

IIG II G 7< ‟ 7? 7?,; ,; om > Fjz Fjzjj @ur @urg gef IIG II G 5 7?, ?,; ; om > Ea Earm rmgi gi

 

4. Ijp Ijpgtg gtge e `ui `uijt jt ttrjo rjokp kp ((trj trjokp okps s s` s`jec jecaid aid,, T_C) T_C) • Djfueg`ge uetu` mkmpkr`jrg`ge jsj ikmg` dgrj ngrjefge sul`utge. sul`utge . • T_C gdgigh pkefu`urge ygef pgijef umum • Dkefge jlu ngrj dge ngrj tkefgh, ijpgtge pgengef dgrj `uijt dge ikmg` ygef djpkfgef `jrg-`jrg 7 om dgrj tjtj` tkefgh MGO. Nkpjtge dgrj ngef`g ikef`uefge ijpgtge `uijt stgedgr djtkmpgt`ge pgdg sjsj s jsj igje dgrj ijpgtge ikmg`. Rkefu`urge rgtg-rgtg djgmlji dgrj `ktjfg ogtgtge. Grkg gegtamj igje uetu` pkefu`urge ijpgtge `uijt tkrmgsu` ljskp, s`gpuig, dge atat gldamjegi. Earmgi > Ig`j ig`j ≫ 7 Ig`j ig`j 5 78, 3 mm   Rkrkmpuge 5 Ig`j ig`j ≤ Dgrgh Ikef`gp • Hkmafialje ( Hl ) Dkwg Dk wgsg sg prj prjg g > 7? 7?,; ,; ‟ 78 f / d dii Dkw kwgs gsg g wge wgejt jtg g > 7< ‟ 73 f / di Hl gdgigh sugtu sulstgesj pratkje dgigm ski-ski dgrgh mkrgh ygef tkrdjrj dgrj zgt lksj, ygef mkrupg`ge pkmlgwg a`sjfke

• Hkmgta`rjt ( Ht ) Dkw kwgs gsg g prj prjg g >4 42% 2% ‟ ; ;2 2% Dkwg wgs sg wg wgejtg > ?3 ‟ 43 % Ht gdgigh vaiumk ski-ski dgrgh mkrgh dgigm 722 mi dgrgh, djhjtuef dim %, tunuge u/ mkefu`ur `aesketrgsj ski-ski dgrgh mkrgh (Krjtrasjt) dgigm dgrgh.

 

• Iku`asjt Dkw Dk wgs gsg g = 4.; 4.;22 22 ‟ 7 72. 2.22 222 2 Iku`asjt gdgigh lgfjge dgrj sjstkm pkrtghgege tuluh Rkejef`gtge numigh iku`asjt djsklut iku`asjtasjs Rkeuruege numigh iku`asjt djsklut  djsklut iku`apkejg • Gilumje Dkw Dk wgs gsg g mkrupg`ge = ?,; ?,; ‟ ;,2 ;,2 f/d f/ di Gilumje `ampaeke pratkje ygef mkmlketu` ikljh dgrj ½ pratkje pigsmg. pigsmg. Gilumje djsjetksg aikh hkpgr 

 

Ojejogi _jfe (O) @ijke dkefge mgsgigh eutrjsj g`ge mkmpkrijhgt`ge tgedg-tgedg `ijej` ygef nkigs. Tgedg-tgedg glearmgi tkrsklut lu`ge sgng pgdg arfgearfge cjsj`eyg, tktgpj nufg cuefsj cjsjaiafjseyg. Oaetah > • Rk Rkeg egmp mpji jige ge um umum um

>_ _gd gdgr gr// I Iks ksu/ u/ gp gpgt gtjs js// @ @gh ghk` k`sj sjg g

• Cue Cuefsj fsj F Fgst gstraj rajetk etkstj stjegi egi > Egc Egcsu su mg`g mg`ge e lgj lgj`/ `/ K Kijm ijmjeg jegsj sj ea earm rmgi gi dg dge e tkrgtur/ Geark`sjg/ Geark`sjg/ @aestjpgsj/ Djgrk/ Rkmlksgrge hgtj • Ljljr ikmlgl/ `krjef • Turfar `uijt lgj`/ puogt • Kdkmg

 

Djktgry hjstary (D) @kljgsgge gsupge mg`gege dge ogjrge> pjijhge, gikrfj, mgsgigh, dge grkg ygef lkrhuluefge igjeeyg, skpkrtj `kmgmpug `kmgmpuge e `ijke uetu` mkmpkraikh mg`gege.  Raig mg`ge  Jetg`k ogjrge  Rkeffuegge vjtgmje  Mgsgigh ygef lkrhuluefge dkefge djkt     

Djkt td` gdk`ugt Ffe yf pkrulghge ojtrg rgsg, pkmlguge dii Mg`gege ygef jetaikrge Mg`gege ygef mkejmlui`ge gikrfj @ktjdg`mgmpuge @ktjdg`mgm puge cjsj` yf lkrhuluefge dfe eutrjsj

 

MGEJCK_TG_J RK\[LGHGE E[T\J_J Mgejckstgsj pkrulghge eutrjsj dgpgt tkrngdj sklgfgj eutrjsj `urgef dge eutrjsj ikljh. Mgejckstgsj pkrulghge eutrjsj gdgigh dj lgwgh jej > 7. Avkrwkjfht _kskargef dj`gtg`ge avkrwkjfht nj`g jedk`s mgsg tuluh (JMT)