PDF Makalah Gagal Jantung Compress
PDF Makalah Gagal Jantung Compress
PDF Makalah Gagal Jantung Compress
DCDCI @CEV^ED
283:
3
ACVC XNEDCEVCR
Fnedce kneynbut eckc Vulce yced kclc pnedcsjl yced kclc pneycyced,
ackj pce`ctace pu`c fce pu`j syuaur ctcs anlcfjrct-eyc, yced tnicl knijkpclace
Kcacicl jej tnicl pneuijs susue fnedce kcasjkci fce knefcpctace bcetuce
fcrj bnrbcdcj pjlca snljeddc fcpct knkpniceocr pnkbuctce kcacicl jej. ^etua
jtu pneuijs kneyckpcjace bceyca tnrjkc acsjl anpcfc snkuc pjlca yced tnicl
bnrametrjbusj fcick pnkbuctce kcacicl jej.
Vnrinpcs fcrj snkuc jtu, pneuijs kneycfcrj snpneuleyc bclwc kcsjl cfc
anaurcedce bcja fcrj sndj susuece acijkct kcupue tctc bclcsceyc. Minl acrnec
jtu fnedce tcedce tnrbuac pneuijs knenrjkc sndcic scrce fce arjtjace fcrj
pnkbcoc cdcr pneuijs fcpct knkpnrbcjaj kcacicl jej.
Xneuijs
2
FCGVCR J_J
BCB J XNEFCL^I^CE
BCB JJ XNKBCLC_CE
?
BCB J
XNEFCL^I^CE
C. Ictcr Bnicaced
6
bnrajscr cetcrc >-38% pnrtclue pcfc dcdci `cetued rjedce yced cace
knejedact kne`cfj ?8-68% pcfc dcdci `cetued bnrct. _nicje jtu, dcdci `cetued
knrupcace pneycajt yced pcijed snrjed knknriuace pnrcwctce uiced fj rukcl
scajt (rncfkjssjme)
(rncfkjssjme) knsajpue pnedmbctce rcwct `cice tnicl fjbnrjace snocrc
mptjkci (R. Kjgtcl _urycfjprc`c, 2888).
Dcdci `cetued Amednstjg cfcicl antjfcakckpuce `cetued uetua knkmkpc
fcrcl fcick `ukicl yced ouaup uetua knkneulj anbutulce `crjedce tnrlcfcp
masjdne fce eutrjnet fjacrnecace cfceyc anicjece guedsj `cetued yced
bnrcajbct `cetued dcdci knkmkpc fcrcl uetua knkneulj anbutulce
>
amednstjg cfcicl nfnkc pcru, yced tnr`cfj acrnec cfceyc pnejedactce ocjrce
pcfc pcru snbcdcj cajbct fcrj aninkclce fcrj acpjinr pcru kneu`u an
jetnrsjsjuk fce civnmij (nKnfjojen, 288<).Dn`cic ukuk fcrj dcdci `cetued
amednstjg cfcicl ansuijtce bnrecgcs antjac kcick lcrj ctcu antjac bnrbcrjed,
bctua, inkcl, inacs inicl, ecgcs yced pnefna, fce cfceyc bnedaca pcfc fcnrcl
acaj.
Vjeddjeyc cedac pnefnrjtc dcdci `cetued amednstjg fj fuejc kneue`uaace
pnedntcluce kcsycrcact knednecj pneycajt jej kcsjl aurced.Xmic ljfup yced
tjfca snlct kne`cfj gcatmr utckc bcdj tubul rnetce tnranec pneycajt
acrfjmvcsauicr. _nicje jtu, bnrfcscrace crtjani pcfc tceddci 27 Cdustus 288<
@mureci mg tln Cknrjoce Omiindn mg Ocrfjmimdy (@COO)kneyctcace
(@COO)kneyctcace pmiusj
ufcrc knkjijaj ngna tmasja bcja `cedac pce`ced kcupue `cedac pce`ced. Ngna
tmasja jej fcpct knrusca `cetued, pnkbuiul fcrcl, snrtc fcpct knejdactace
cedac lmspjtcijscsj fcrj pneycajt `cetued, bclace fcpct kneynbcbace ankctjce
(Cemejk, 288<).
Ancfcce jej fjpnrpcrcl fnedce pmic kcace anbceycace kcsycrcact fj fuejc
yced `cul fcrj snlct.Amesuksj kcacece gcst gmmf yced snkcaje tjeddj fjsnrtcj
kjeukce bnrsmfc fce bnrbcdcj kjeukce tca snlct icjeeyc
icj eeyc knkjijaj cefji yced
ouaup bnscr fcick kneynbcbace dcedduce `cetued. Cpcicdj `jac tjfca
fjjkbcedj fnedce miclrcdc yced tnrctur, kcac prnvcinesjeyc cace kne`cfj
snkcaje bnrtckbcl.
7
4
BCB JJ
XNKBCLC_CE
C. Cectmkj gjsjmimdj
3. @cetued knrupcace mrdce kusouicr bnrmeddc yced bnetuaeyc krjp pyrckjf
fce tnrintca fj fcick pnrjocrfjuk fj knfjcstjeuk. @cetued knkjijaj tjdc
pnrkuacce 0 gcojns
gc ojns stnremomstcijs,
stnremomstcij s, fjcplrcdkctjoc, fce bcsjs omrfjs. @cetued
fj bcdj minl snptc vnrtjoci kne`cfj nkpct ruced 0 ctrjuk fnxtruk, ctrjuk
sjejstruk, vnetrjouius fnxtnr, fce vnetrjouius sjejstnr.
c. Crtrjuk fnxtrc tnrfjrj ctcs rmeddc utckc fce snbucl acetmed anoji,
2887).
<
:
cfc-cfc gcatmr gjsjmimjs icje yced fcpct puic knedcajbctace `cetued dcdci
bnanr`c snbcdcj pnkmkpc.
Gcatmr-gcatmr yced kneddceddu pnedjsjcce vnetrjani, snpnrtj stnemsjs
actub cetrjmvnetrjaurcsjs fcpct kneynbcbace dcdci `cetued. Ancfcce-
ancfcce snpnrtj pnrjacrfjtjs ametrjatjg fce pmecfn `cetued knedcajbctace
dcdci `cetued kniciuj dcbuedce bnbnrcpc ngna snpnrtj dcedduce pcfc
pnedjsjce vnetrjani fce n`nasj vnetrjani. Fnedce fnkjajce, `nics snacij
bclwc tjfca cfc sctupue knacejskn gjsjmimdjs ctcu dcbuedce bnrbcdcj
knacejskn yced yced bnrtceddued `cwcb ctcs tnr`cfjeyc dcdci `cetued.
38
c. rnspme tubul tnrlcfcp jegnasj cace knkcasc `cetued uetua knkneulj
anbutulce tubul tnrlcfcp kntcbmijskn yced knejedact.
b. nkbmij pcru snocrc knefcfca cace knejedactace rnsjstnesj n`nasj
vnetrjani acece, snljeddc knkjou tnr`cfjeyc dcdci `cetued acece.
ljfup ? tclu sntnicl jegcra cace knedcickj dcdci `cetued.Fcrj sniurul aijne
33
guedsj vnetrjani ajrj, inbjl snfjajt aijne kuedaje cace knedcickj dcdci
`cetued sntnicl snrcedce jegcra.
inbjl rjedce pue lcrus knkbctcsj catjvjtcs gjsjaeyc. _nacij aijne knefnrjtc
dcdci `cetued, ankufjce jc cace siciu knkpueycj acpcsjtcs ictjlce yced
kneurue, knsajpue fnedce cfceyc pnedmbctce kmfnre.
32
?. Xctmgjsjmimdj
Bjic ocfcedce `cetued uetua bnrnspme tnrlcfcp strns tufca cfnauct fcick
knkneulj anbutulce kntcbmija tubul, kcac `cetued dcdci uetua
3?
36
3>
37
cfcicl dckbcrce ukuk yced tnrfcpct pcfc dcdci `cetued yced fj mbctj
fnedce fjurntja fce fcpct kneynbcbace ljpmecrnkjc. Xcfc dcdci `cetued
yced bnrct,dcbuedce amednstj vnec sjstnkja fce kneurueyc pnrgusj lctj
cace kneddceddu kntcbmijskn cifmstnrme fj lctj,snljeddc acfcreyc
caceknejedact fcick fcrcl. Acfcr lmrkme cetjfjurntja `udc cace
knejedact pcfc dcdci `cetued yced bnrct,yced snice`uteyc cace
knejedactace cbsmrbsj cjr pcfc fuatus pnedukpui.
_nocrc alusus, catjvcsj sjstnk rneje-cedjmtnesje-cifmstnrme (_RCC)
fce sjstnk scrcg sjkpctjs,snrtc pnejedactce acfcr pnptjfc ectrjurntja
34
ljpnrtrmgj amesnetrja.
3<
6. Xctlwny
ametrcatjijtcs
Dcdci `cetued
Andcdcice knkmkpc F
fcrcl an sjstnkja vn
@
Ljpmasjc Xneukpuace fcrcl fj
Xneukpuace
cecscrac fce pcru
Vnacece puikmeci
Ametrcatjijtcs `cetued Kntcbmijskn cecnrmb
Xnrpjefclce ocjrce
jetrcsni an jetnrstjtjci Vrcesufcsj ocjrce
Xneuruece ocrfjco CVX (nfnkc pcru)
mutput
Aninbjlce vmiukn
gctjqun ocjrce Naspcesj pcru
3:
jetrcvcsauinr.
d. Vnkpct amednstjg tnrdcetued fcrj vnetrjani yced tnrijbct, kjscieyc
fjsguedsj vnetrjani ajrj ctcu dcdci `cetued ajrj.
7. Aicsjgjacsj
Dcdci `cetued bjcsceyc fjdmimedace kneurut fnrc`ct ctcu bnrcteyc dn`cic
snpnrtj aicsjgjacsj kneurut Enw Zmra Lncrf Cssmojctjme (EZLC).
Aicsjgjacsj tnrsnbut fjduecace snocrc iucs fjfuejc jetnrecsjmeci uetua
knednimkpmace dcdci `cetued.
Dcdci `cetued rjedce,snfced,fce
rjedce,snfced,fce bnrct fjtnetuace bnrfcscreyc bnrcteyc
bnrcteyc
28
4. Xnectcicascecce
Rnspme gjsjmimdj pcfc dcdci `cetued knrupcace fcscr rcsjmeci uetua
kninauace tjefcace scscrce pnectcicascecce dcdci `cetued amednstjg cfcicl
uetua kneurueace anr`c `cetued knejedactace ourcl `cetued fce
ametrcatjijtcs kjmacrf,snrtc uetua kneurueace rntnesj duic fce cjr.
c. Xnkbnrjce masjdne tnrutckc pcfc aijne dcdci `cetued fjsnrtcj fnedce
nfnkc pcru pnkbnrjce masjdne cace knedurcedj anbutulce kjmacrfjuk
fce knkbcetu knneulj anbutulce masjdne tubul
b. Vnrcpj Ejtrct Fce Wcsmfjictmr.
Xnkbnrjce ejtrct bcja snocrc caut kcupue armejs tnicl fj fuaued
fcick pnectcicascecce dcdci `cetued fnedce kneynbcbace vcsmfjictcsj
pnrjgnr `cetued fj ueimcfnc .pneuruece ourcl `cetued ice`ut,pneuruece
puikmecry crtnry wnfdn prnssurn pneduaurce kneue`uace fnrc`ct
23
22
2?
f. Nfnkc pcru, acrnec dcdci `cetued sjsj ajrj fce anruscace pcfc knkbrce
acpjinr pcru pcru.
O. Csulce Anpnrcwctce
3. Xnedac`jce
c. Xnedac`jce ^kuk
26
2) _jrauicsj
c) Dn`cic
Rjwcyct Ljpnrtnesj, Jegcra Kjmacrfjuk bcru/caut, npjsmfn Dcdci
b) Vcefc
VF acrnec kuedaje rnefcl (dcdci pnkmkpcce), Vnacece Ecfj 1
kuedaje snkpjt, Jrckc @cetued 1 Fjsrjtkjc, Grnaunesj `cetued 1
Vcajacrfjc. Bueyj `cetued 1 _? (dciimp) cfcicl fjcdemstja, _6 fcpct
tnr`cfj, _3 fce _2 kuedaje kninkc. Kurkur sjstmija fce fjcstmijo.
knfjs).
b) Vcefc
Bnrbcdcj kcejgnstcsj pnrjicau, kjs 0 cesjntcs, kcrcl, antcautce fce
kufcl tnrsjeddued.
6) Nijkjecsj
c) Dn`cic
Xneuruece bnrankjl, urjen bnrwcec dnicp, bnrankjl kcick lcrj
(ematurjc), fjcrn/amestjpcsj.
>) Kcacece/ocjrce
c) Dn`cic
2>
pnedduecce fjurntjo.
b) Vcefc
Xneckbclce bnrct bcfce onpct fce fjstnesj cbfmkne (csjtns) snrtc
nfnkc (ukuk, fnpnefne, tnacece fce pjttjed).
7) Lydjnen
c) Dn`cic
Anintjlce/aninkclce, aniniclce snickc catjvjtcs Xnrcwctce fjrj.
b) Vcefc
Xneckpjice knecefcace anicicjce pnrcwctce pnrsmeci.
4) Enurmsnesmrj
c) Dn`cic
Aninkclce, pnejed, npjsmfn pjedsce.
b) Vcefc
Intcrdj, fjmrjnetcsj, pnrubclce pnrjicau fce kufcl tnrsjeddued.
<) Eynrj/Aneyckcece
Eynrj/Aneyckcece
c) Dn`cic
Eynrj fcfc, cedjec caut ctcu armejs, eynrj cbfmkne acece ctcs
ct cs fce
scajt pcfc mtmt.
b) Vcefc
Vjfca tneced, dnijscl, gmaus kneynkpjt fcepnrjicau knijefuedj
fjrj.
:) Xnrecpcsce
c) Dn`cic
Fjspenc scct catjvjtcs, tjfur sckbji fufua ctcu fnedce bnbnrcpc
bcetci, bctua fnedce/tcepc pnkbnetuace sputuk, rjwcyct pneycajt
armejs, pnedduecce bcetuce pnrecpcsce.
b) Vcefc
27
38) Anckcece
c) Dn`cic
Xnrubclce fcick guedsj knetci, anljicedceanauctce/tmeus mtmt,
auijt inont.
24
2<
2:
?8
Xneycajt `cetuedjs ankja pcfc mrced tuc yced tjkbuieyc pcfc usjc
kufc knrupcace gcatmr rjsjam utckc uetua pneycajt `cetued jsankja
pcfc anturueceeyc.
2. Fjcdemsc
Bnrfcscrace pctmgjsjmimdj fce fcrj pnedac`jce ,fjcdemsjs anpnrcwctce
utckc uetua aijne `cetued cfcicl snbcdcj bnrjaut0
c. Catuci ctcu rnsjam tjeddj kneurueyc ourcl `cetued yced bnrlubuedce
fnedce pneuruece ametrcatjijtcs vnetrjani ajrj pnrubclce grnaunesj jrckc
fce amefuasj ninatrjaci.
b. catuci ctcu rnsjam tjeddj eynrj fcfc yced bnrlubuedce fnedce
aurcedeyc supicy fce kjmacrfjuk ,pnrubclce kntcbmijskn fce
pnejedactce prmfuasj csck icatct.
?3
_6), pneuruece pnedniucrce urjen, ecfj pnrjgnr tjfca tnrcbc, auijt fjedje (ausck0fjcgmrnsjs,
mrtmpenc, arcains, fjstnesj vnec `uduicrjs, pnkbnscrce lnpcr, nfnkc nastrnkjtcs, eynrj fcfc.
Vu`uce 0 fcick wcatu ?x6 `ck pneuruece ourcl `cetued fcpct tnrctcsj fce kneue`uaace
tcefc vjtci fcick bctcs yced fcpct fjtnrjkc (fjsrjtkjc tnrametrmi ctcu ljiced fce bnbcs dn`cic
dcdci `cetued (snpnrtj pcrckntnr lnkmfjeckja fcick bctcs emrkci, aniucrce urjen cfnauct).
Arjtnrjc
Aijne cace knicpmrace pneuruece npjsmfn fjpsenc, bnrpnrce fcick catjgjtcs knedurcedj
bnbce anr`c `cetued, tnacece fcrcl fcick bctcs emrkci (328/<8kkLd), ecfj <8acij/knejt,
tjfca tnr`cfj crjtkjc, fneyut `cetued fce jrckc `cetued tnrctur, ORV aurced fcrj ? fntja, fce
?2
??
fj aursj. tnrus knenrus. Aijne yced fcpct bnrecgcs lceyc pcfc pmsjsj tndca
(mrtmpenc) fcpct fjfufuaace fj sjsj tnkpct tjfur fnedce anfuc acaj
fjsmamed aursj, anpcic, fce inedce fjintcaace fj kn`c tnkpct tjfur fce
vnrtnbrc iukbmscarci fjsmamed fnedce bcetci. Bjic tnrfcpct amednstj
pcru, kcac inbjl bcja aijne fjfufuaace fj aursj acrnec pmsjsj jej fcpct
knkpnrbcjaj pnrpjefclce ocjrce fcrj pcru. Nfnkc yced bjcsceyc
tnrfcpct fjbcdjce bcwcl tubul bnrpjefcl an fcnrcl scarci antjac aijne
fjbcrjedace fj tnkpct tjfur.
Ac`j pnrubclce Fcpct kneue`uaace tjfca cfnaucteyc pnrgusj snrnbrci snauefnr tnrlcfcp
?6
fnprnsj.
Bnrjace jstjrclct _trns nkmsj knedlcsjiace vcsmamestrjasj yced tnracjt, knejedactace
psjamimdj fnedce tnacece fcrcl, fce knejedactace grnaunesj/anr`c `cetued.
ijedauedce yced
tnrced.
Bnrjace masjdne Knejedactace snfjcce masjdne uetua anbutulce kjmacrfjuk duec
tckbclce fnedce knicwce ngna ljpmasjc/jsankjc.
ecsci
aceui/kcsanr
snsucj fnedce
jefjacsj
?>
BCB JJJ
XNE^V^X
C. Ansjkpuice
Omednstjvn lncrtl gcjiurn (OLG) ctcu bjcsc fj snbut dcdci `cetued amednstjg
cfcicl antjfca kckpuce `cetued fcick knkmkpc fcrcl yced knkcfcj
(cfnauct) uetua knkneulj anbutulce `crjedce cace masjdne fce eutrjsj. Dcdci
`cetued amednstjg fcpct tnr`cfj pcfc pnefnrjtc anicjece mtmt `cetued,
ctnrmsainrmsjs, ljpnrtnesj sjstnkja ctcu ljpnrtnesj puikmeci, pnrcfcedce fce
pneycajt kjmacrfjuk fndnenrctjg, pneycajt
pneycajt `cetued icje.
B. _crce
?7
lttps0//jf.sorjbf.omk/fmo/?8>68387:/kcacicl-dcdci-`cetuedBuau
lttps0//jf.sorjbf.omk/fmo/?8>68387:/kcacicl-dcdci-`cetuedBuau pnfmkce
?4