kb adr
TRANSCRIPT
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ADRADR
dr. Eddy Hartono, SpOGK dr. Eddy Hartono, SpOGK
Divisi Fertilitas Endokrinologi dan ReproduksiDivisi Fertilitas Endokrinologi dan ReproduksiBagian Obstetri dan Ginekologi FK. U H!SBagian Obstetri dan Ginekologi FK. U H!S
RSU" Dr. #a$idin Sudiro$usodoRSU" Dr. #a$idin Sudiro$usodo
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ADR ADR
(Alat Dalam Rahim)(Alat Dalam Rahim) AKDR AKDR = Alat Kontrasepsi Dalam Rahim= Alat Kontrasepsi Dalam Rahim
IUDIUD = Intra Uterine Device= Intra Uterine Device
IUCDIUCD = Intra Uterine Contraceptive Device= Intra Uterine Contraceptive Device
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KLASIFIKASI ADRKLASIFIKASI ADR
I.I. BAHABAHA!A "A #$DIKASI !A "A #$DIKASI
#ar%&lis Spiral#ar%&lis Spiral
Lippes LoopLippes Loop
Cin'cin taCin'cin ta
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D$ )A #$DIKASI D$ )A #$DIKASI C&C& **
!at&m ! *!at&m ! * + !c&. ,--+ !c&. ,--+ !c&.,,-+ !c&.,,-C& /C& /#<iloa0 (#l C& ,1-2 3/1)#<iloa0 (#l C& ,1-2 3/1)
Copper ! 34- A(!c& 34- A)Copper ! 34- A(!c& 34- A)C& 5 A6C& 5 A6 **
ova !ova !! C& 34- A6! C& 34- A6
"ro6estin"ro6estin"ro6estasert ("ro6esteron)"ro6estasert ("ro6esteron)
or6estrel ! (Levonor6estrel)or6estrel ! (Levonor6estrel)
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II.II. K FI URASIK FI URASI
!$RBUKA !$RBUKA Lippes LoopLippes Loop
ADR !em7a6a ADR !em7a6a!$R!U!U" !$R!U!U"
Cin'cin taCin'cin ta
Birn Ber6 Bo8Birn Ber6 Bo8
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#$KA IS#$ K$R9A KS. ADR !A "A#$KA IS#$ K$R9A KS. ADR !A "A#$DIKASI#$DIKASI
:6 tepat 7el&m a0a :6 tepat 7el&m a0a
"alin6 7isa 0iterima *"alin6 7isa 0iterima *
ADR a0; Ben0a asin6 0lm &ter&s * ADR a0; Ben0a asin6 0lm &ter&s *
!0< men6&7ah siertilisasi). !er?a0i melal&i pen6&ran6an ?&mlah sperma an6 mencapai sal&ran tel&r 0an men6&ran6i 0a a an6 mencapai sal&ran tel&r 0an men6&ran6i 0a asperma &nt&< mem7&ahi sel tel&r.sperma &nt&< mem7&ahi sel tel&r.
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I DIKASI ADRI DIKASI ADR
K !RAS$"!IFK !RAS$"!IF
K !RAS$"!IF * K !RAS$"!IF *
Lisis a0hesi intra&terinLisis a0hesi intra&terin
sin0roma Ashermansin0roma Asherman
DismenoreDismenore
Amenore pasca pil Amenore pasca pil Kh&s&spro6estasert
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SAA! I S$RSISAA! I S$RSI
I !$R@AL * Dipasan6 selama hai0 7erlan6s&n6I !$R@AL * Dipasan6 selama hai0 7erlan6s&n6ata& sehari setelah m&lai hai0ata& sehari setelah m&lai hai0 le7ih m&0ah.le7ih m&0ah.
Le7ih 0is&
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"ASCA "$RSALI A * "ASCA "$RSALI A * Imme0iate "ost "art&m InsertionImme0iate "ost "art&m Insertion
(Setelah min66& melahir
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#ensteril
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Seoran6 i7& 0atan6 in6in ADR Seoran6 i7& 0atan6 in6in ADR
"erl& anamnesis pemeri
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"emeriisi< "emeriisi<
Um&mUm&m **!ensi!ensi
Anemis ; ti0a< Anemis ; ti0a<
A&s
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A0ne
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Dasar tata cara "emasan6an ADRDasar tata cara "emasan6an ADR
.. "D@ secara 7iman&al"D@ secara 7iman&al,.,. Sta7ilisasi servi
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!$K IK I S$RSI!$K IK I S$RSI
.. !e
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"RI SI" *"RI SI" *
.. Cara men0oron6 * 6 0i>ii
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asehat "asca "emasan6an ADRasehat "asca "emasan6an ADR
#&n6
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9&6a
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!I DAK LA 9U! "$#ASA A ADR!I DAK LA 9U! "$#ASA A ADR
!&?& n *&?& n *Ut< menenan6
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!I DAK LA 9U! "ASCA "$#ASA A ADR!I DAK LA 9U! "ASCA "$#ASA A ADR
Anamnesis * se?a<
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,. A0a
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G. Apae
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"$#$RIKSAA I S"$KUL"$#$RIKSAA I S"$KUL
.. Apa
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"$#$RIKSAA I S"$KUL
1. A0a
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$F$K SA#"I ADR$F$K SA#"I ADR
. . "$RDARAHA "$RDARAHA Hai0 I 0ari 7iasaHai0 I 0ari 7iasaDapat K *Dapat K * ' U
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K #"LIKASIK #"LIKASI
.. $
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"RIBADI"RIBADI **In6in hamilIn6in hamil
anti Caraanti Cara
#$DIS#$DIS **KehamilanKehamilan
"er0rh"er0rheri he7ateri he7at
!an0a ra0an6 pelvi< !an0a ra0an6 pelvi< eoplasma &ter&s ;eoplasma &ter&s ;
0&6aan0&6aan#enopa&se#enopa&se$
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!I KA! K$HA#ILA!I KA! K$HA#ILA
ADR "lasti< ADR "lasti< * , ; -- S!* , ; -- S!
C& ! ; !C& ,--C& ! ; !C& ,-- ** ≥≥ , ; -- S! , ; -- S!
ova !2 #LC&',1-;3/1ova !2 #LC&',1-;3/1 * , ; -- S!* , ; -- S!!C& ,,-2 !C& 34-!C& ,,-2 !C& 34- * ; -- S!* ; -- S!
ADR Ln6 (,- ADR Ln6 (,- µµ6;h)6;h) * , ; -- S!* , ; -- S!
"ro6estasert"ro6estasert * ,.M ; -- S!* ,.M ; -- S!
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Ber7e0a 06n ADR "ro6estin sinteti< 6Ber7e0a 06n ADR "ro6estin sinteti< 6men6an0&n6 Levonor6estrelmen6an0&n6 Levonor6estrel mence6ahmence6ahov&lasi.ov&lasi.
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