kuliah ikterus neonatorum

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	kuliah ikterus neonatorum

mbahgendeng

11-6-2009 3:15 AM

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ikterus, neonatorum

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<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/d2aa3e48-0ced-45fa-9dcc-d9224d9685c1/9B1A3CC6-A289-4AC8-8A61-8E8409A6E284/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html" href="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html" style="font-size: 11px;">mbahgendeng.com</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><H2>Ikterus neonatorum</H2></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><P class="sub">belajar kuliah ikterus neonatorum</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><P>dr. H. Ahmad Nuri Sp.A</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><P>SMF ILMU KESEHATAN ANAK</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><P>RSUD dr. Soebandi Jember</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><P>Apa itu <A href="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html">ikterus</A>???pewarnaan kuning pada kulit, mukosa dan sklera oleh karena bilirubin darah meningkat &gt; 2 mg/dL</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><P><STRONG>Metabolisme bilirubin</STRONG></P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Bilirubin → katabolisme Heme dari Hb eritrosit yang rusak</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Dari Myoglobin, heme protein dalam hati, 1 gr Hb → 34 gr bilirubin</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Katabolisme terjadi di RES → sirkulasi, berikatan dengan serum Albumin → Hepar, Bil + Albumin → tidak toksik, tidak melewati BBB</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Di hepar, Bil. Mengalami konjugasi → Bil direk → Sal. Empedu → Duodenum</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Di usus, Bil. Direk oleh bakteri usus (E. Coli, Clostridium perfringen) → stercobilin → feses</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Sebagian Bil. Direk mengalami hidrolisa → Bil. Indirek → reabsorpsi ke sirkulasi enterohepatik</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;">Pada neonatus, usus masih steril → stercobilin (-)</LI></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://mbahgendeng.com/kuliah-kedokteran/kuliah-ikterus-neonatorum.html"><li style="margin-left:16px;padding-left: 0px;"> Sebagian besar Bil. Direk dihirolisa → bil. Indirek dan masuk sirkulasi enterohepatik → penting untuk terjadinya Hiperbilirubinemia</LI></blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/9B1A3CC6-A289-4AC8-8A61-8E8409A6E284/blog/" title="blog or email this clip"><img src="http://content6.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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