Anda di halaman 1dari 8

INTERNA 2

Kista

Ginjal

1. 5 10 % ESRF
2. Urutan ke-3

GGK

3. Bersifat :
- Herediter
(tdk dpt dihindari).
-

autosom dominant & recessive

Acguired.

___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
KLASIFIKASI :
1. Polycustic Kidney Disease (PKD)
-

Autosom dominant PKD,

Autosom recessive PKD.

2. Simple cyst.
3. Acguired PKD.
4. Cystic Disease of the Renal Medulla :
-

Juvenile nephronophthisis,

Medullary Spange Kidney.

___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
5. Renal Dysplasia.
6. Lain :
- Tuberous Sclerosis.
- Van Hippel Lindow Syndrome.
- Solitary Multi.
PATOFISIOLOGI
1. Obstruksi tubuler menyebabkan tekanan intra tubuler
meningkat.
___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
2. Defek pada membrane basalis tubulus.
3. Hiperplasia membrane tubulus.
KLINIS
1. Nyeri.
2. Hematuria.
3. ISK.
4. Massa Abdomen.
5. Hipertensi (HT).
___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
TRIAS diagnosis kista ginjal.

DIAGNOSIS
1. Klinis.
2. Laboratorium.
3. IVP (Intra Vena Pielograph).
4. USG (dpt diketahui dgn cepat).
5. CT Scan.
___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
KOMPLIKASI
1. Batu :
- Nefrokalsinosis.
- Nefrolitiasis.
2. Bendungan :
- Penyempitan,
- Kolises terjepit.
3. Perdarahan.
4. Infeksi.
5. Keganasan.
___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
6. Hipertensi (HT).
7. Fibrosis hati.
PENGOBATAN
1. Konservatif :
- Hindari trauma,
- Ikat pinggang longgar,
- Kerja ringan,
- Anti hipertensi (HT),
___________________________________________________
____________
Thenar 2000 FK - UMI

INTERNA 2
- Anti biotika.
2. Pembedahan :
- Cara Rovsing :
Dekompresi & punksi berulang.
- Nefretomi, bila komplikasi keganasan/pionefrosis
( ginjal bernanah ).

___________________________________________________
____________
Thenar 2000 FK - UMI