1

KuLlAl PENYAKlT 0A3AR

TEN000R0K
dr. N F Politton, SpTHT-KL
Bag/SMF Ilmu Kesehatan THT
FK UNSRAT RSU ProI dr. RD Kandou
Manado

A h A 8 A N
|. T0N8|L|T|8 AKUT
||. T0N8|L|T|8 KR0N|K
|||. A0EN0|0|T|8 AKUT
|V. A0EN0|0|T|8 KR0N|K

|. T0N8|L|T|8 AKUT
0el|r|s| :
lrle|s| a|ul jar|rgar lors||
El|o|og| :
O '|rus (lerser|rg)
O l. |rl|uerzae
O 3lrep. oela-rero||l||us (30 - 10)
lrs|der :
O Ara| 5 - 10 larur (ser|rg)
O 0eWasa

|. T0N8|L|T|8 AKUT
Palo|og| :
O Radarg jar|rgar ||rlo|d (lo|||e|)
O ud|r
O E|sudal delr|lus
0ETRlTu3 ? 8E3LA0 ?
ep|re|
|ekos|r
oakrer|

|. T0N8|L|T|8 AKUT
0eja|a |||r|s :
O Terggoro| rasa |er|rg
O Nyer| le|ar reoal - rerdada|
O Ara| l|da| rau ra|ar
O ' #elerreo pa|n "
O Paras l|rgg| ara| |ejarg
O 3a||l |epa|a
O Vua| / rurlar / ryer| perul
( 3lrep. oela-rero||l||us )

|. T0N8|L|T|8 AKUT
Perer||saar :
O ' !|ummy vo|oe "
O " Foeror ex ore "
O Pl|a||srus
O Tors|| ud|r, r|perer|, delr|lus
O lsrus laus|ur reryerp|l
O Pa|alur ro|e, ar|us arl./posl. ud|r, r|perer|
O Ke|erjar ||rle reroesar - ryer| le|ar

|. T0N8|L|T|8 AKUT
0|agrosa oard|rg :
0lFTERl T0N3lL pseuoomemorane, 3u|| neok
Peryu||l :
1. Lo|a|
- Per|lors|||l|s (|rl||lral per|lors||)
- Aoses per|lors||
- Aoses paralar|rg
2. 3|sler|| (3lrep. oela-rero||l||us)
- 0|oreru|orelr|l|s a|ul
- Perya||l jarlurg reral||
- Erdo|ard|l|s oa|ler|a| suo a|ul

|. T0N8|L|T|8 AKUT
Pergooalar :
|st|rahat
makan |unak
m|num hangat
ana|ges|k |
ant|p|ret|k
( asetosa|,
parasetamo|
3 - 4 x 500 mg
ANT||0T|KA
ERAT :
PP 2x0. - 1.2 juta |U|hr |m
Fenoks|met|| pen. 4x500mg|hr
se|ama 10 har|
R|NCAN :
Fenoks|met|| pen|s|||n
7.5 - 12.5 mg|kgbb|har|
4x sehar| se|ama 10 har|

|. T0N8|L|T|8 AKUT
8||a lerjad| |orp|||as| :
1. Aoses per|lors|| purgs| - |rs|s|
2. Aoses paralar|rg purgs| - |rs|s|
3. 3|sler|| lors|| sog lo|a| |rle|s| |rd||as|
lors||e|lor|
10
|. T0N8|L|T|8 AKUT
Edu|as| :
1. Vercegar peru|arar
ld| oergarl|ar a|al ra|ar / r|rur
lulup ru|ul / r|durg o||a oalu| / oers|r
2. Ver|rg|al|ar |ord|s| oadar
o|ar raga leralur
ra|arar oerg|z|
3. Ver|rg|al|ar daya larar |o|a|
rergr|rdar| |r|lar
11
||. T0N8|L|T|8 KR0N|K
0el|r|s| :
lrle|s| |ror|| jar|rgar lors|| |e|arjular dar| |rle|s|
a|ul oeru|arg lors|| alau |rle|s| suo |||r|s
l|perlrol| lo|||e| lors|| reroesar
Pada ara| ser|rg d|serla| r|perlrol| adero|d
A0EN0T0N3lLlTl3 |ror||
1
||. T0N8|L|T|8 KR0N|K
0eja|a |||r|s :
A. Ke|urar perder|la :
ryer| le|ar r|rgar reoal ( e|saseroas| a|ul )
rasa rerggarja|
" loeror ex ore "
ourlu r|durg ( rgoro| ) adero|d reroesar
" aoeno|o laoe "
gargguar perdergarar ( adero|d reroesar )
1
||. T0N8|L|T|8 KR0N|K
0eja|a |||r|s ( |anuran . )
8. Perer||saar :
lors|| reroesar
lors|| r|perer|
|r|pla re|eoar delr|lus W alau o||a d|le|ar
ar|us arl. & posl. r|perer|
" aoeno|o laoe "
lerorera pa|alur ro|e
1
||. T0N8|L|T|8 KR0N|K
Peryu||l :
O 3ara dergar lors|||l|s a|ul
O Aderolors|||l|s |ror||
0V3
s|rus|l|s pararasa| |ror||
oror||l|s |ror||
1
||. T0N8|L|T|8 KR0N|K
Pergooalar :
O 3erargar a|ul sara dergar lors|||l|s a|ul
O Tors||e|lor| / aderolors||e|lor|
o||a serargar >1 |a|| da|ar salu larur
1
||. T0N8|L|T|8 KR0N|K
Edu|as| :
O 3ara dergar lors|||l|s a|ul
O 8||a |arour >1 |a|| da|ar salu larur operas|
1 ou|ar oeoas paras
rercegar per|uasar |rle|s|
rercegar |orp|||as| perdararar
1
1
1
0
1

A0EN0|0
ar|ngan ||mfo|d d| d|nd|ng nasofar|ng
ag|an dar| c|nc|n wa|deyer
Pada anak sampa| pubertas
Umur 12 tahun mengec||
Umur 17 - 18 tahun mengh||ang

|||. A0EN0|0|T|8 AKUT

0el|r|s| :
Radarg dar| adero|d pada oay| - ara| <12 larur
0eja|a |||r|s :
1. Ke|urar ( dar| |ourya ) :
O paras l|rgg| |orvu|s|
O ourlu r|durg oay| ld| dapal reryusu
ge||sar, |apar, oeral oadar rerurur
2. Perer||saar ( d||erja|ar pd ara| oesar & |ooperal|l ):
O RA : adero|d ud|r, r|perer|, se|rel W, lerorera
pa|alur ro|e
O RP : adero|d r|perer|
O o|asarya oersaraar drg lors|||l|s a|ul

|||. A0EN0|0|T|8 AKUT

Terap| :
O arl|o|ol||a
O s|rloral|s
Korp|||as| :
O re|a|u| luoa eusla||us |avur l|rpar| 0VA
O |e oaWar |ar|rg, lra|e|l|s, oror||l|s, oror|opreror|

|V. A0EN0|0|T|8 KR0N|8

El|o|og| :
O !osr nasa| or|p se|rel |avur ras| jalur |e oe|a|arg
O 3e|rel oerasa| dar| : s|rus ra|s||ar|s & elrro|d
0eja|a |||r|s :
0|seoao|ar o|er r|perlrol| adero|d ourlu r|durg
AKl8AT NYA :
r|ro|a||a o||usa ( o|rderg ) |rr |oare lerlulup
ru|ul lerou|a ul| oerrapas
ru|a ler|esar oodor aoeno|o laoe j
aprose|s|a rasa||s
sela|g|
p||e| dar oalu|
ralsu ra|ar rerurur
o||us|o luoa

|V. A0EN0|0|T|8 KR0N|8

Terap| :
O adero|de|lor| ( A0E )
O o||a d|serla| lors||e|lor| ( TE ) aderolors||e|lor|
( ATE )

A88A A0EN0|0
( batas bawah tampak tegas }