TBC : lu tau laa karena apaaa wkwwk bakteri mycrobacterium tuberculosa. Iya ga si itu tulisannnya
wkwkkw. Biasanya bakterinya stay d apex paru. Why so ? karena saturai oksigennya dikit apa atau
kebalikan saturasi oksigennya banyak. Lupa akuuu. Jadi kl d pem penunjang, d x-ray lgsung liat apex bakal
ada kabut. Ada dua si tbc secara garis besar. Tbc yang baru atau tbc recurrent karena kl tbc dah sembuh,
diaaaa jadi sel perkejuan. Intiny bakterinya masih ada dan bisa reaktif. ntar kamu juga belajar lol wkwk
Coughing up blood
Fatigue
Fever
Night sweats
Chills
Loss of appetite
Nah gejala yang biasanya di anam itu adalah gabtuk yang dah lama degan darah. Berdarah karena iritasi
itu bukan krn bakterinya. Terus dia biasanya peurunan berat badan yang signifikan dan night sweats. Lu
juga bisa nany jika si ibu ini udah lom minum obat lom. Kalau tbc kan ga bs minum obat warung. Oh dan
demam yang tinggi ( febris ). Lu harus juga nany kalau dia ada HIV ngga. Itu important. HIV menaikkan
resiko terkena tbc atau recurrent tbc.
Pem peunjang yang pling signifikan la pemeriksaan pus. Pus yang d periksa itu pada pagi hari. Kl mau
gampang keluar pusny, malem ny minum air banyak ntar pas pagi reakny d keluarin. Ntaru lu bikin tu
sediaan tbc tiatii wkkw
Terapi oba tbc tu paling klasik ga akan berubah. 3 obat yg harus lu apal ampe klinik. 4 de gw google. INH
(isoniazid), rifampisin, pirazinamid, etambutol utk 2 bulan stiap hari dan INH dan rifampisin utk 4 bulan
selanjutnya. Control
http://medicastore.com/tbc/pengobatan_tbc.htm
Pneumonia
Sooo here it goes. Pneumonia itu intinya dibagi menjadi 2. Bacterial and non bacterial such as virus or
fungus. Gejala pneumonia bakteri lebih berat dari pada non bakteri. Sbetulnya pada intiny tu gejala agak
mirip dengan tbc karena terjadi di paru. Perbedaannya biasanya ntar kl d xray bakteri tbc tu khas kabut d
apex ( pliss baca lg yaa aku inget” doang ini). Pem HIV juga bakal lu lakuka jika sbetulnya pneumonia ny
disebabkan oleh fungus. Tau dari mana dari fungus ? antara kamu pk pemeriksaan mucus atauuu dengan
antibiotic dosos tinggi selama 3 minggu, pneumonia nya ga sembuh which is fishy. Oh bakteri nya
biasanya Streptococcus pneumoniae
Bacterial pneumonia
Symptoms of pneumonia caused by bacteria in otherwise healthy people younger than 65 usually come
on suddenly. They often start during or after an upper respiratory infection, such as the flu or a cold.
Symptoms may include:
Cough, often producing mucus, also called sputum, from the lungs. Mucus may be rusty or green or
tinged with blood.
Fast, often shallow, breathing and the feeling of being short of breath.
Chest wall pain that is often made worse by coughing or breathing in.
Fast heartbeat.
Diarrhea.
Nonbacterial pneumonia
Symptoms of pneumonia not caused by bacteria may come on gradually and are often not as bad or as
obvious as symptoms of bacterial pneumonia. Many people don't know that they have nonbacterial
pneumonia, because they don't feel sick. But symptoms may include:
Fever.
Cough.
Shortness of breath.
Yang disini si dibilang penting pada anam lu harus nany batukny dah brp lama dan tambah parah kagak.
Karena diia berawal dari ispa which is bisa makan waktu bbrp bulan baru jadi pneumonia. Tapi aku sotil
yaw
Asma
Jadi dari yang gw bca ama inget, asma adalah kondsisi dimana airtube atau bronkus, bronkiolus itu
menyempit karena menumpukan mucus yang membuat nafas menjadi susah dan wheezing ( mengi ) nah
tetapi ini tuh a disebabin oleh bakteri atau virus. Ini karena aktivasi IgE yang ada di arway , sama kayak
reaksi alergi biasa. Jadi mucus ini biasanya bening dan bakal ilang ga akan stay di situ. Kykny itu aja yang
gw inget. Pentingu tu asma krn IgE. Ntar ikanannya aama sel mast kamu baca sendiri yaw. Gw tkut salah
sthma symptoms vary from person to person. You may have infrequent asthma attacks, have symptoms
only at certain times — such as when exercising — or have symptoms all the time.
Shortness of breath
A whistling or wheezing sound when exhaling (wheezing is a common sign of asthma in children)
Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu
Dia obat paling inhailer cortiko ama inhailer beta agonis biar ga kontriksi ama menurunkan inflamasi
reaksi alergi.
PPOK
PPOK (penyakit paru obstruktif kronis) orrrr penyakit ngerokok. Intinya sama kyk asma. Dia penyempitan
bronkus tapi karena rokok lol. Dia itu dibagi jadi dua : cronik bronchitis dan empisema. Kronik bronchitis
kayak namanya itu infeksi bronchitis yang lama dan empisema itu aku lupa ntar kamu baca, yg aku inget
itu dinding aveoliny robek jadi aveoli bergabung gt trus itu membuat udara trap atau gmn gitu membuat
saturasi oksigen menurun.
Gejala :
Pulmonary edema
Intinya aadalah paru basah. Jadi ada penumpukann cairan yang abnormal di paru, biasanya itu darah,
yang nafas kita memendek.
Causes
Pulmonary edema is often caused by congestive heart failure ( gagal jantung). When the heart is not able
to pump efficiently, blood can back up into the veins that take blood through the lunngs
As the pressure in these blood vessels increases, fluid is pushed into the air spaces (alveoli) in the lungs.
This fluid reduces normal oxygen movement through the lungs. These two factors combine to cause
shortness of breath.
Difficulty breathing when lying down (orthopnea) ini tu karena sama peumpukan darah tapi aku lupa
kenapa pas tiduran. Dia pas tiduran terasa kyk tenggelem tp pas duduk tu ngga.
Feeling of "air hunger" or "drowning" (This feeling is called "paroxysmal nocturnal dyspnea" if it causes
you to wake up and try to catch your breath.)
Anxiety or restlessness
Sweating (excessive)
Pulmonary hypertension (PH) is high blood pressure in the arteries to your lungs. It is a serious
condition. If you have it, the blood vessels that carry blood from your heart to your lungs become
hard and narrow. Your heart has to work harder to pump the blood through. Over time, your heart
weakens and cannot do its job and you can develop heart failure.
Symptoms of PH include
Shortness of breath during routine activity, such as climbing two flights of stairs
Tiredness
Chest pain
A racing heartbeat
Pain on the upper right side of the abdomen
Decreased appetite
As PH worsens, you may find it hard to do any physical activities.
There are two main kinds of PH. One runs in families or appears for no known reason. The other
kind is related to another condition, usually heart or lung disease.
There is no cure for PH. Treatments can control symptoms. They involve treating the heart or lung
disease, medicines, oxygen, and sometimes lung transplantation.